HB2484 93rd General Assembly

093_HB2484

 
                                     LRB093 07749 AMC 07937 b

 1        AN ACT concerning athletic trainers.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The  Illinois Athletic Trainers Practice Act
 5    is amended by changing Sections 3, 4, 6, 9, 10, 13,  16,  and
 6    17.5 and adding Sections 34.1 and 34.2 as follows:

 7        (225 ILCS 5/3) (from Ch. 111, par. 7603)
 8        (Section scheduled to be repealed on January 1, 2006)
 9        Sec. 3.  Definitions.  As used in this Act:
10        (1)  "Department"  means  the  Department of Professional
11    Regulation.
12        (2)  "Director"  means  the  Director   of   Professional
13    Regulation.
14        (3)  "Board"   means   the  Illinois  Board  of  Athletic
15    Trainers appointed by the Director.
16        (4)  "Licensed athletic trainer" means a person  licensed
17    to  practice  athletic  training under as defined in this Act
18    and with the specific qualifications set forth in  Section  9
19    of  this  Act  who,  upon  the  direction  or  referral  of a
20    physician licensed under the Medical  Practice  Act  of  1987
21    carries   out   the   practice  of  prevention,  recognition,
22    evaluation,   management,   treatment,    disposition,    and
23    rehabilitation related to the care of athletes. of his or her
24    team  physician  or  consulting  physician,  carries  out the
25    practice   of   prevention/emergency   care    or    physical
26    reconditioning of injuries incurred by athletes participating
27    in   an   athletic   program   conducted  by  an  educational
28    institution,   professional   athletic    organization,    or
29    sanctioned   amateur   athletic  organization  employing  the
30    athletic trainer; or a person who, under the direction  of  a
31    physician,  carries  out  comparable  functions  for a health
 
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 1    organization-based extramural program  of  athletic  training
 2    services  for  athletes.  Specific  duties  of  the  athletic
 3    trainer include but are not limited to:
 4             A.  supervision   of  the  selection,  fitting,  and
 5        maintenance of protective equipment;
 6             B.  provision of assistance to the coaching staff in
 7        the  development  and  implementation   of   conditioning
 8        programs;
 9             C.  counseling of athletes on nutrition and hygiene;
10             D.  supervision  of  athletic  training facility and
11        inspection of playing facilities;
12             E.  selection and maintenance of  athletic  training
13        equipment and supplies;
14             F.  instruction  and  supervision of student trainer
15        staff;
16             G.  coordination with a team physician to provide:
17                  (i)  pre-competition physical exam  and  health
18             history updates,
19                  (ii)  game   coverage  or  phone  access  to  a
20             physician or paramedic,
21                  (iii)  follow-up injury care,
22                  (iv)  rehabilitation     and     reconditioning
23             programs, and
24                  (v)  assistance on all  matters  pertaining  to
25             the health and well-being of athletes; .
26             H.  provision  of on-site injury care and evaluation
27        as  well   as   appropriate   transportation,   follow-up
28        treatment   and   rehabilitation  as  necessary  for  all
29        injuries sustained by athletes in the program;
30             I.  with  a  physician,  determination  of  when  an
31        athlete  may  safely   return   to   full   participation
32        post-injury; and
33             J.  maintenance  of complete and accurate records of
34        all athletic injuries and treatments rendered.
 
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 1        To carry out these  functions  the  athletic  trainer  is
 2    authorized  to  utilize modalities including, but not limited
 3    to, such as heat, light, sound, cold, electricity,  exercise,
 4    water,  therapeutic  massage, mobilization, or mechanical and
 5    assistive devices related  to  treatment  and  rehabilitation
 6    care and reconditioning.
 7        (5)  "Referral"  means  the  guidance and or direction to
 8    the athletic  trainer  given  by  the  physician,  who  shall
 9    maintain supervision of the athlete.
10        (6)  "Athlete"  means  an  individual who participates in
11    sports, athletic competitions or practices, fitness training,
12    conditioning, or recreational activities, as determined by  a
13    physician.
14        (7)  "Athletic  trainer  aide"  means  a  person  who has
15    received on-the-job training  specific  to  the  facility  in
16    which  he  or  she  is employed on either a paid or volunteer
17    basis, but is not enrolled in an accredited athletic training
18    curriculum.
19    (Source: P.A. 91-357, eff. 7-29-99.)

20        (225 ILCS 5/4) (from Ch. 111, par. 7604)
21        (Section scheduled to be repealed on January 1, 2006)
22        Sec.  4.   Licensure  requirement  -  Exempt  activities.
23    After the effective date of this Act, no person shall provide
24    any of the services set forth in subsection (4) of Section  3
25    of   this  Act,  or  use  the  title  "athletic  trainer"  or
26    "certified athletic trainer" or "athletic trainer  certified"
27    or  the  letters  "A.T.",  "C.A.T.",  "A.T.C.",  "A.C.T.", or
28    "I.A.T.L." after his name, unless licensed under this Act.
29        Nothing in this Act shall be construed as  preventing  or
30    restricting  any  of  the  following  practices the practice,
31    services, or activities of:
32        (1)  Any person licensed or registered in this  State  by
33    any  other  law from engaging in the profession or occupation
 
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 1    for which he or she is licensed or registered.; or
 2        (2)  Any person employed as an athletic  trainer  by  the
 3    Government  of  the  United  States,  if such person provides
 4    athletic training solely under the direction  or  control  of
 5    the organization by which he or she is employed.; or
 6        (3)  Any  person  pursuing a course of study leading to a
 7    degree or certificate in athletic training at  an  accredited
 8    or  approved  educational  program  or  at  a  non-accredited
 9    program  that  has  a  formal matriculation agreement with an
10    accredited program if such activities and services constitute
11    a part of  a  supervised  course  of  study  involving  daily
12    personal or verbal contact at the site of supervision between
13    the  athletic  training  student  and  the  licensed athletic
14    trainer  who  plans,  directs,  advises,  and  evaluates  the
15    student's  athletic  training  experience.  The   supervising
16    licensed  athletic trainer must be on-site where the athletic
17    training  experience  hours  are  being  obtained.  A  person
18    meeting the criteria under this item (3) must  be  ,  and  if
19    such  person is designated by a title which clearly indicates
20    his or her status as a student or  trainee.; or
21        (4)  (Blank). Any person fulfilling the  supervised  work
22    experience  requirements  of  Section  9 of this Act, if such
23    activities and services constitute a part of  the  experience
24    necessary to meet the requirements of that Section; or
25        (5)  The   practice   of   athletic  training  under  the
26    supervision of a licensed athletic trainer  by  one  who  has
27    applied  in  writing  to the Department for licensure and has
28    complied with all the provisions  of  Section  9  except  the
29    passing  of  the  examination  to be eligible to receive such
30    license.  In no event shall  this  exemption  extend  to  any
31    person  for  longer  than 3 months. Anyone who has previously
32    failed the examination or fails the examination during this 3
33    months  shall  immediately  cease  practice  as  an  athletic
34    trainer and shall not engage  in  the  practice  of  athletic
 
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 1    training again until he or she passes the examination.; or
 2        (6)  Any  person  in  a  coaching position from rendering
 3    emergency care on an as needed basis to  the  athletes  under
 4    his  or  her  supervision when a licensed athletic trainer is
 5    not available.; or
 6        (7)  Any person who is an athletic trainer  from  another
 7    nation,  state,  or  territory  acting as an athletic trainer
 8    while  performing  his  duties  for  his  or  her  respective
 9    non-Illinois based team or organization, so long as he or she
10    restricts  his  or  her  duties  to  his  or  her   team   or
11    organization  during  the  course  of  his  or  her team's or
12    organization's stay in this State.  For the purposes of  this
13    Act, a team shall be considered based in Illinois if its home
14    contests  are held in Illinois, regardless of the location of
15    the team's administrative offices.
16        (8)  Athletic training by  persons  licensed  in  another
17    state  who  have  applied  in  writing  to the Department for
18    licensure by endorsement for no longer than 6 months or until
19    such time that notification has been given that licensure has
20    been granted or denied, whichever period of time is lesser.
21        (9)  Athletic training by one who has applied in  writing
22    to the Department for licensure and has complied with all the
23    provisions  of Section 9 for no longer than 6 months or until
24    such time that notification has been given that licensure has
25    been granted or denied, whichever period of time is lesser.
26        (10)  Athletic training by persons actively  licensed  as
27    an  athletic  trainer in another state or currently certified
28    by  the  National  Athletic  Trainers  Association  Board  of
29    Certification, Inc., if the  person's  home  state  does  not
30    regulate   the  practice  of  athletic  training,  under  the
31    supervision of an Illinois licensed  athletic  trainer  at  a
32    special   athletic   tournament   or  event  conducted  by  a
33    sanctioned amateur athletic organization (including, but  not
34    limited to, the Prairie State Games and the Special Olympics)
 
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 1    for  no  more than 4 days. This shall not include contests or
 2    events that are part of a scheduled series of regular  season
 3    events.
 4        (11)  Athletic trainer aides from performing patient care
 5    activities  under  the  on-site  supervision  of  a  licensed
 6    athletic trainer. These patient  care  activities  shall  not
 7    include  interpretation  of referrals, evaluation procedures,
 8    the planning of or major modifications to  patient  programs,
 9    or  solo  practice or event coverage without immediate access
10    to a licensed athletic trainer.
11    (Source: P.A. 89-216, eff. 1-1-96.)

12        (225 ILCS 5/6) (from Ch. 111, par. 7606)
13        (Section scheduled to be repealed on January 1, 2006)
14        Sec.   6.    Athletic   Training   Board;    appointment;
15    membership;  term;  duties.    The  Director shall appoint an
16    Illinois Board of Athletic Trainers as follows: 7  6  persons
17    who  shall  be  appointed  by  and shall serve in an advisory
18    capacity to the  Director.   Two  members  must  be  licensed
19    physicians;  4 3 members must be registered athletic trainers
20    in good standing, and actively engaged in the practice of  or
21    teaching  of  athletic  training  in this State; and 1 member
22    must be a public member who is not registered under this Act,
23    or a similar Act  of  another  jurisdiction,  and  is  not  a
24    provider of athletic health care service.
25        Members   shall  serve  4  year  terms  and  until  their
26    successors are appointed and qualified  except  that  of  the
27    initial  appointments,  1  member shall be appointed to serve
28    for one year, 2 shall be appointed to serve for  2  years,  2
29    shall  be  appointed  to serve for 3 years, and the remaining
30    one, who shall be the public member, shall  be  appointed  to
31    serve  for  4 years, and until their successors are appointed
32    and qualified.  No member shall be reappointed to  the  Board
33    for  more than 2 terms.  Appointments to fill vacancies shall
 
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 1    be made in the same manner as original appointments, for  the
 2    unexpired  portion  of the vacated term.  Initial terms shall
 3    begin upon the effective date of this Act.
 4        The membership of the  Board  should  reasonably  reflect
 5    representation from the geographic areas in this State.
 6        The  Director may terminate the appointment of any member
 7    for cause which in the opinion  of  the  Director  reasonably
 8    justifies such termination.
 9        The  Director  shall  consider  the recommendation of the
10    Board  on  questions  involving  standards  of   professional
11    conduct,  discipline,  and  qualifications  of candidates and
12    license holders under this Act.
13    (Source: P.A. 91-827, eff. 6-13-00.)

14        (225 ILCS 5/9) (from Ch. 111, par. 7609)
15        (Section scheduled to be repealed on January 1, 2006)
16        Sec. 9.  Educational and  professional  requirements.   A
17    person  having  the qualifications prescribed in this Section
18    shall be qualified  to  receive  a  license  as  an  athletic
19    trainer if he or she:
20        (a)  has graduated from a curriculum in athletic training
21    accredited  approved  by  the  Department.   In  approving  a
22    curriculum   in   athletic  training,  the  Department  shall
23    consider, but not be bound by,  accreditation  by  the  Joint
24    Review   Committee  on  Athletic  Training  (JRC-AT)  of  the
25    Commission  Committee  on  Accreditation  of  Allied   Health
26    Education Programs (CAAHEP) or its successor entity; or
27        (b)  gives   proof  of  certification,  on  the  date  of
28    application, in First Aid and CPR/AED or the equivalent based
29    on American Red Cross standards; and graduation from a 4 year
30    accredited college or university and has  met  the  following
31    minimum athletic training curriculum requirements established
32    by the Board:
33        Completion of the following specific course requirements:
 
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 1             (1)  Anatomy
 2             (2)  Physiology
 3             (3)  Physiology of Exercise
 4             (4)  Applied Anatomy and Kinesiology
 5             (5)  Psychology (2 courses)
 6             (6)  First  Aid  and CPR or equivalent (American Red
 7        Cross standards)
 8             (7)  Nutrition
 9             (8)  Remedial Exercise or Therapeutic Exercise
10             (9)  Personal, Community, and School Health
11             (10)  Techniques of Athletic Training (fundamentals)
12             (11)  Advanced  Techniques  of   Athletic   Training
13        (modalities, administration)
14             (12)  Clinical   Experience   (1500  hours)  over  a
15        minimum of a 2 year  academic  period  within  a  5  year
16        calendar period.
17        (c)  has passed an examination approved by the Department
18    to  determine  his or her fitness for practice as an athletic
19    trainer, or is entitled to be licensed without examination as
20    provided in Sections 7 and 8 of this Act.
21        The Department may request a  personal  interview  of  an
22    applicant  before the Board committee to further evaluate his
23    or her qualifications for a license.
24        An applicant has 3 years from the  date  of  his  or  her
25    application  to  complete  the  application  process.  If the
26    process has not been completed in 3  years,  the  application
27    shall  be  denied,  the fee forfeited, and the applicant must
28    reapply and meet the requirements in effect at  the  time  of
29    reapplication.
30    (Source: P.A. 89-216, eff. 1-1-96.)

31        (225 ILCS 5/10) (from Ch. 111, par. 7610)
32        (Section scheduled to be repealed on January 1, 2006)
33        Sec.   10.    License   expiration;  renewal;  continuing

 
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 1    education requirement.    The  expiration  date  of  licenses
 2    issued  under  this Act shall be set by rule.  Licenses shall
 3    be  renewed  according  to  procedures  established  by   the
 4    Department  and  upon  payment of the renewal fee established
 5    herein and notarized proof of completion 40 contact hours  of
 6    approved continuing education relating to the performance and
 7    practice  of athletic training.  The number of hours required
 8    and their composition shall be set by rule.
 9    (Source: P.A. 89-216, eff. 1-1-96; 89-626, eff. 8-9-96.)

10        (225 ILCS 5/13) (from Ch. 111, par. 7613)
11        (Section scheduled to be repealed on January 1, 2006)
12        Sec.  13.   Endorsement.   The  Department  may,  at  its
13    discretion,  license  as   an   athletic   trainer,   without
14    examination,   on  payment  of  the  fee,  an  applicant  for
15    licensure who is an athletic trainer registered  or  licensed
16    under   the   laws  of  another  state  if  the  requirements
17    pertaining to athletic trainers in such  state  were  at  the
18    date  of  his  or her registration or licensure substantially
19    equal to the requirements in force in Illinois on that  date.
20    If the requirements of that state are not substantially equal
21    to   the   Illinois  requirements  or,  if  at  the  time  of
22    application, the  state  in  which  the  applicant  has  been
23    practicing   does  not  regulate  the  practice  of  athletic
24    training, and the applicant  began  practice  in  that  state
25    prior  to January 1, 2004, a person having the qualifications
26    prescribed in this Section shall be qualified  to  receive  a
27    license as an athletic trainer if he or she:
28             (1)  has  passed  an  examination  approved  by  the
29        Department  to  determine his or her fitness for practice
30        as an athletic trainer;
31             (2)  gives proof of certification  on  the  date  of
32        application  in  First  Aid and CPR/AED or the equivalent
33        based on American Red Cross standards; and
 
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 1                  (3)(A)  has  graduated  from  a  curriculum  in
 2             athletic training approved  by  the  Department.  In
 3             approving  a  curriculum  in  athletic training, the
 4             Department shall consider,  but  not  be  bound  by,
 5             accreditation  by  the  Joint  Review  Committee  on
 6             Athletic  Training  (JRC-AT)  of  the  Commission on
 7             Accreditation of Allied  Health  Education  Programs
 8             (CAAHEP) or its successor entity; or
 9                  (B)  gives  proof  of  graduation from a 4-year
10             accredited college or university  and  has  met  the
11             following   minimum   athletic  training  curriculum
12             requirements established by the Board,  which  shall
13             include  completion of all of the following specific
14             course requirements:
15                       (i)  Anatomy.
16                       (ii)  Physiology.
17                       (iii)  Physiology of exercise
18                       (iv)  Applied anatomy and kinesiology.
19                       (v)  Psychology (2 courses).
20                       (vi)  Nutrition.
21                       (vii)  Remedial  exercise  or  therapeutic
22                  exercise.
23                       (viii)  Personal,  Community,  and  School
24                  Health
25                       (ix)  Techniques  of   athletic   training
26                  (fundamentals)
27                       (x)  Advanced   techniques   of   athletic
28                  training (modalities and administration).
29                       (xi)  Clinical   experience  (1500  hours)
30                  over a minimum  of  a  2-year  academic  period
31                  within a 5 year calendar period.
32        The  Department  may  request  a personal interview of an
33    applicant before the Board to further  evaluate  his  or  her
34    qualifications for license.
 
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 1        Applicants  have  3 years from the date of application to
 2    complete the application process.  If  the  process  has  not
 3    been  completed  in 3 years, the application shall be denied,
 4    the fee forfeited and the applicant must reapply and meet the
 5    requirements in effect at the time of reapplication.
 6    (Source: P.A. 89-216, eff. 1-1-96.)

 7        (225 ILCS 5/16) (from Ch. 111, par. 7616)
 8        (Section scheduled to be repealed on January 1, 2006)
 9        Sec. 16.  Refusal to issue, suspension, or revocation  of
10    license.  The Department may refuse to issue or renew, or may
11    revoke, suspend, place on probation, reprimand, or take other
12    disciplinary  action  as  the  Department  may  deem  proper,
13    including fines not to exceed $1,000 for each violation, with
14    regard  to  any  licensee  for  any one or combination of the
15    following:
16        (A)  Material misstatement in furnishing  information  to
17    the Department;
18        (B)  Negligent  or  intentional disregard of this Act, or
19    of the rules or regulations promulgated hereunder;
20        (C)  Conviction of any crime under the laws of the United
21    States or any state  or  territory  thereof  that  is  (i)  a
22    felony,  (ii)  or  a misdemeanor, and an essential element of
23    which is dishonesty, or (iii) of any crime that  is  directly
24    related to the practice of the profession;
25        (D)  Making  any  misrepresentation  for  the  purpose of
26    obtaining registration, or violating any  provision  of  this
27    Act;
28        (E)  Professional incompetence;
29        (F)  Malpractice;
30        (G)  Aiding  or assisting another person in violating any
31    provision of this Act or rules;
32        (H)  Failing, within 60 days, to provide  information  in
33    response to a written request made by the Department;
 
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 1        (I)  Engaging     in    dishonorable,    unethical,    or
 2    unprofessional conduct of  a  character  likely  to  deceive,
 3    defraud or harm the public;
 4        (J)  Habitual  intoxication  or  addiction  to the use of
 5    drugs;
 6        (K)  Discipline by another state, District  of  Columbia,
 7    territory,  or foreign nation, if at least one of the grounds
 8    for the discipline is the same or substantially equivalent to
 9    those set forth herein;
10        (L)  Directly or indirectly giving to or  receiving  from
11    any  person,  firm,  corporation, partnership, or association
12    any fee, commission, rebate, or other  form  of  compensation
13    for  any  professional  services  not  actually or personally
14    rendered;
15        (M)  A finding that the licensee after having his or  her
16    license  placed on probationary status has violated the terms
17    of probation;
18        (N)  Abandonment of an athlete;
19        (O)  Willfully making or filing false records or  reports
20    in  his  or  her practice, including but not limited to false
21    records filed with State agencies or departments;
22        (P)  Willfully failing to report an instance of suspected
23    child  abuse  or  neglect  as  required  by  the  Abused  and
24    Neglected Child Reporting Act;
25        (Q)  Physical  illness,  including  but  not  limited  to
26    deterioration through the aging process,  or  loss  of  motor
27    skill   that   results  in  the  inability  to  practice  the
28    profession with reasonable judgment, skill, or safety;
29        (R)  Solicitation of professional services other than  by
30    permitted  institutional policy;
31        (S)  The  use  of  any  words,  abbreviations, figures or
32    letters with the  intention  of  indicating  practice  as  an
33    athletic  trainer  without  a  valid  license  as an athletic
34    trainer under this Act;
 
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 1        (T)  The treatment of injuries of athletes by a  licensed
 2    athletic  trainer  except  by  the  referral  of a physician,
 3    podiatrist, or dentist;
 4        (U)  Willfully violating or knowingly  assisting  in  the
 5    violation  of  any  law  of this State relating to the use of
 6    habit-forming drugs;
 7        (V)  Willfully violating or knowingly  assisting  in  the
 8    violation  of  any law of this State relating to the practice
 9    of abortion;
10        (W)  Continued practice by a person knowingly  having  an
11    infectious communicable or contagious disease;
12        (X)  Being  named as a perpetrator in an indicated report
13    by the Department of Children and Family Services pursuant to
14    the Abused and Neglected Child Reporting Act and  upon  proof
15    by clear and convincing evidence that the licensee has caused
16    a  child  to be an abused child or neglected child as defined
17    in the Abused and Neglected Child Reporting Act;
18        (Y)  Failure to  file  a  return,  or  to  pay  the  tax,
19    penalty,  or  interest shown in a filed return, or to pay any
20    final assessment of tax, penalty, or interest, as required by
21    any tax  Act  administered  by  the  Illinois  Department  of
22    Revenue,  until such time as the requirements of any such tax
23    Act are satisfied; or
24        (Z)  Failure to fulfill continuing education requirements
25    as prescribed in Section 10 of this Act.
26        The determination by a circuit court that a  licensee  is
27    subject  to  involuntary  admission  or judicial admission as
28    provided in the Mental Health and Developmental  Disabilities
29    Code  operates  as  an automatic suspension.  Such suspension
30    will end only upon a finding by a  court  that  the  athletic
31    trainer  is  no  longer  subject  to involuntary admission or
32    judicial  admission  and  issues  an  order  so  finding  and
33    discharging the athlete; and upon the recommendation  of  the
34    Board  to the Director that the licensee be allowed to resume
 
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 1    his or her practice.
 2    (Source: P.A. 91-357, eff. 7-29-99.)

 3        (225 ILCS 5/17.5)
 4        (Section scheduled to be repealed on January 1, 2006)
 5        Sec. 17.5.  Unlicensed Unregistered practice;  violation;
 6    civil penalty.
 7        (a)  Any   person  who  practices,  offers  to  practice,
 8    attempts to practice, or holds oneself out to practice  as  a
 9    licensed  registered  athletic trainer without being licensed
10    registered under this Act shall, in  addition  to  any  other
11    penalty   provided  by  law,  pay  a  civil  penalty  to  the
12    Department in an amount not to exceed $5,000 for each offense
13    as determined by the Department. The civil penalty  shall  be
14    assessed  by  the  Department  after  a  hearing  is  held in
15    accordance  with  the  provisions  set  forth  in  this   Act
16    regarding  the provision of a hearing for the discipline of a
17    licensee.
18        (b)  The  Department  has  the  authority  and  power  to
19    investigate any and all unlicensed activity.
20        (c)  The civil penalty shall be paid within 60 days after
21    the effective date of the order imposing the  civil  penalty.
22    The  order  shall  constitute a judgment and may be filed and
23    execution had thereon in the same manner as any judgment from
24    any court of record.
25    (Source: P.A. 89-474, eff. 6-18-96.)

26        (225 ILCS 5/34.1 new)
27        (Section scheduled to be repealed on January 1, 2006)
28        Sec. 34.1.  Partial invalidity. If any  portion  of  this
29    Act is held invalid, the invalidity of that portion shall not
30    affect any other portion of this Act that can be given effect
31    without the invalid portion.
 
                            -15-     LRB093 07749 AMC 07937 b
 1        (225 ILCS 5/34.2 new)
 2        (Section scheduled to be repealed on January 1, 2006)
 3        Sec.  34.2.  Emergency  care  without fee; liability. Any
 4    licensed athletic trainer, as defined in Section  3  of  this
 5    Act, who in good faith provides emergency care without fee to
 6    any  person, shall not, as a result of his acts or omissions,
 7    except willful and wanton misconduct  on  the  part  of  such
 8    person in providing such care, be liable for civil damages to
 9    a person to whom such care is provided.

10        (225 ILCS 5/34 rep.)
11        Section  10.  The Illinois Athletic Trainers Practice Act
12    is amended by repealing Section 34.

13        Section 99. Effective date.  This Act takes  effect  upon
14    becoming law.