Synopsis As Introduced Creates the Downstate Impact Note Act. Provides that every bill, the purpose or effect of which is to have an impact upon downstate Illinois, shall have prepared for it prior to second reading in the house of introduction a brief explanatory statement or note on the anticipated impact on downstate Illinois, which shall be known as a Downstate Impact Note. Provides requirements for the preparation and contents of Downstate Impact Notes. Provides that the fact that a Downstate Impact Note is prepared for any bill shall not preclude or restrict the appearance before any committee of the General Assembly of any official or authorized employee of any State board, commission, department, agency, or other entity who desires to be heard in support of or in opposition to the bill. Provides confidentiality requirements concerning the subject matter of bills submitted for Note preparation. Defines "downstate Illinois". Effective immediately.