Sen. Sara Feigenholtz

Filed: 4/17/2024

 

 


 

 


 
10300SB0774sam002LRB103 03230 RTM 72464 a

1
AMENDMENT TO SENATE BILL 774

2    AMENDMENT NO. ______. Amend Senate Bill 774, AS AMENDED,
3with reference to page and line numbers of Senate Amendment
4No. 1, on page 18, immediately above line 1, by inserting the
5following:
 
6    "(225 ILCS 65/Art. 80 rep.)
7    Section 10. The Nurse Practice Act is amended by repealing
8Article 80.
 
9    Section 15. The Illinois Public Aid Code is amended by
10adding Section 5-5.01c as follows:
 
11    (305 ILCS 5/5-5.01c new)
12    Sec. 5-5.01c. Certified medication aide.
13    (a) As used in this Section:
14    "Certified medication aide" means a person who has met the
15qualifications for certification under this Section and

 

 

10300SB0774sam002- 2 -LRB103 03230 RTM 72464 a

1assists with medication administration while under the
2supervision of a registered professional nurse in a long-term
3care facility.
4    "Department" means the Department of Healthcare and Family
5Services.
6    "Direct-care assignment" means an assignment for staffing
7requirements for direct care staff as that term is defined
8under 77 Ill. Adm. Code 300.1230.
9    "Program" means the Certified Medication Aide Program.
10    "Qualified facility " means a supportive living program
11setting approved and certified by the Department of Healthcare
12and Family Services to participate in the supportive living
13program under Section 5-5.01a.
14    (b) The Department shall administer and enforce a
15Certified Medication Aide Program and regulate certified
16medication aides. To be approved as a facility qualified to
17participate in the program, a facility must satisfy all of the
18following requirements:
19        (1) Be certified and in good standing as a supportive
20    living facility by the Department.
21        (2) Certify that the employment of a certified
22    medication aide will not replace or diminish the
23    employment of a registered nurse or licensed practical
24    nurse at the facility.
25        (3) Certify that a registered nurse will be on duty
26    and present in the facility to delegate and supervise the

 

 

10300SB0774sam002- 3 -LRB103 03230 RTM 72464 a

1    administration of medication by a certified medication
2    aide at all times.
3        (4) Certify that, with the exception of licensed
4    health care professionals, only certified medication aides
5    will be employed in the capacity of administering
6    medication.
7        (5) Provide information regarding patient safety,
8    efficiency, and errors as determined by the Department.
9    Failure to submit any required report may be grounds for
10    discipline or sanctions as prescribed by the Department.
11    The Department shall submit a report regarding patient
12    safety, efficiency, and errors, as determined by rule, to
13    the General Assembly no later than 2 years after the
14    effective date of this amendatory Act of the 103rd General
15    Assembly.
16    (c) No person shall practice as a medication aide or hold
17himself or herself out as a certified medication aide in this
18State unless he or she is certified in accordance with this
19Section.
20    Nothing in this Section shall be construed as preventing
21or restricting the practice, services, or activities of:
22        (1) any person licensed in this State by any other law
23    from engaging in the profession or occupation for which he
24    or she is licensed;
25        (2) any person employed as a medication aide by the
26    government of the United States, if such person practices

 

 

10300SB0774sam002- 4 -LRB103 03230 RTM 72464 a

1    as a medication aide solely under the direction or control
2    of the organization by which he or she is employed; or
3        (3) any person pursuing a course of study leading to a
4    certificate in medication aide at an accredited or
5    approved educational program if such activities and
6    services constitute a part of a supervised course of study
7    and if such person is designated by a title which clearly
8    indicates his or her status as a student or trainee.
9    Nothing in this Section shall be construed to limit the
10delegation of tasks or duties by a physician, dentist,
11advanced practice registered nurse, or podiatric physician as
12authorized by law.
13    (d) A certified medication aide may only practice in a
14qualified establishment. Certified medication aides must be
15supervised by and receive delegation by a registered nurse, as
16authorized by Section 50-75 of the Nurse Practice Act, that is
17on duty and present in the establishment at all times.
18Certified medication aides shall not have a direct-care
19assignment when scheduled to work as a certified medication
20aide, but may assist residents as needed. Certified medication
21aides shall not administer any medication until a physician
22has conducted an initial assessment of the resident.
23    Certified medication aides shall not administer any
24Schedule II controlled substances as set forth in the Illinois
25Controlled Substances Act and may not administer any
26subcutaneous, intramuscular, intradermal, or intravenous

 

 

10300SB0774sam002- 5 -LRB103 03230 RTM 72464 a

1medication.
2    (e) In addition to any other penalty provided by law, any
3person who practices, offers to practice, attempts to
4practice, or holds oneself out to practice as a medication
5aide without being certified in accordance with this Section
6shall, in addition to any other penalty provided by law, pay a
7civil penalty to the Department in an amount as determined by
8the Department. The Department has the authority and power to
9investigate any and all uncertified activity. The civil
10penalty shall be paid within 60 days after the date of the
11order imposing the civil penalty. The order shall constitute a
12judgment and may be filed and execution had thereon in the same
13manner as any judgment from any court of record.
14    (f) Applications for original certification shall be made
15to the Department in writing on forms prescribed by the
16Department and shall be accompanied by the required fee, which
17shall not be returnable. The application shall require such
18information that, in the judgment of the Department, enables
19the Department to pass on the qualifications of the applicant
20for certification.
21    (g) The Department shall authorize examinations of
22applicants for a certificate under this Section at the times
23and places as it may designate. The examination shall be of a
24character to give a fair test of the qualifications of the
25applicant to practice as a medication aide. Applicants for
26examination as a medication aide shall be required to pay,

 

 

10300SB0774sam002- 6 -LRB103 03230 RTM 72464 a

1either to the Department or the designated testing service, a
2fee covering the cost of providing the examination. Failure to
3appear for the examination on the scheduled date, at the time
4and place specified, after the applicant's application for
5examination has been received and acknowledged by the
6Department or the designated testing service, shall result in
7the forfeiture of the examination fee. If an applicant fails
8to pass an examination for certification in accordance with
9this Section within 3 years after filing his or her
10application, the application shall be denied. The applicant
11may thereafter make a new application accompanied by the
12required fee; however, the applicant shall meet all
13requirements in effect at the time of subsequent application
14before obtaining certification. The Department may employ
15consultants for the purposes of preparing and conducting
16examinations.
17    (h) An applicant for certification by examination to
18practice as a certified medication aide must:
19        (1) submit a completed written application on forms
20    provided by the Department and fees as established by the
21    Department;
22        (2) be age 18 or older;
23        (3) have a high school diploma or a high school
24    equivalency certificate;
25        (4) demonstrate the ability to speak, read, and write
26    the English language, as determined by rule;

 

 

10300SB0774sam002- 7 -LRB103 03230 RTM 72464 a

1        (5) demonstrate competency in math, as determined by
2    rule;
3        (6) be currently certified in good standing as a
4    certified nursing assistant and provide proof of 2,000
5    hours of practice as a certified nursing assistant within
6    3 years before application for a certificate under this
7    Section;
8        (7) submit to the criminal history records check
9    required under Section 46 of the Health Care Worker
10    Background Check Act;
11        (8) have not engaged in conduct or behavior determined
12    to be grounds for discipline under this Act;
13        (9) be currently certified to perform cardiopulmonary
14    resuscitation by the American Heart Association or
15    American Red Cross;
16        (10) have successfully completed a course of study
17    approved by the Department as defined by rule; to be
18    approved, the program must include a minimum of 60 hours
19    of classroom-based medication aide education, a minimum of
20    10 hours of simulation laboratory study, and a minimum of
21    30 hours of registered nurse-supervised clinical practicum
22    with progressive responsibility of patient medication
23    assistance;
24        (11) have successfully completed the Medication Aide
25    Certification Examination or other examination authorized
26    by the Department; and

 

 

10300SB0774sam002- 8 -LRB103 03230 RTM 72464 a

1        (12) submit proof of employment by a qualifying
2    facility.
3    (i) The expiration date for each certification to practice
4as a certified medication aide shall be set by the rule.
5Enforcement and violations shall be subject to those within
6this Act.
7    (j) No person shall use the title "certified medication
8aide" unless he or she holds a valid certificate issued by the
9Department in accordance with this Section.
10    (k) The Department shall adopt rules to implement the
11provisions of this Section within 180 days after the effective
12date of this amendatory Act of the 103rd General Assembly.".