Public Act 100-1160
 
SB0309 EnrolledLRB100 05111 SMS 15121 b



    AN ACT concerning regulation.

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



 
 
    Section 5. The Nurse Practice Act is amended  by changing 
Section 50-75 as follows:
 
    (225 ILCS 65/50-75)
    (Section scheduled to be repealed on January 1, 2028)

    Sec. 50-75. Nursing delegation by a registered 
professional nurse.
    (a)  For the purposes of this Section:
    "Delegation" means transferring to a specific individual 
the authority to perform a specific nursing intervention in a 
specific situation.
    "Predictability of outcomes" means that a registered 
professional nurse or advanced practice registered nurse has 
determined that the patient's or individual's clinical status 
is stable and expected to improve or the patient's or 
individual's deteriorating condition is expected to follow a 
known or expected course. 
    "Stability" means a registered professional nurse or 
advanced practice registered nurse has determined that the 
individual's clinical status and nursing care needs are 
consistent. 
    (b) This Section authorizes a registered professional 
nurse or advanced practice registered nurse to:
        (1) delegate nursing interventions to other registered 
    professional nurses, licensed practical nurses, and other 
    unlicensed personnel based on the comprehensive nursing 
    assessment that includes, but is not limited to:
            (A) the stability and condition of the patient;
            (B) the potential for harm;
            (C) the complexity of the nursing intervention to 
        be delegated;
            (D) the predictability of outcomes; and
            (E) competency of the individual to whom the 
        nursing intervention is delegated;
        (2) delegate medication administration to other 
    licensed nurses;
        (3) in community-based or in-home care settings, 
    delegate the administration of medication (limited to oral 
    or subcutaneous dosage and topical or transdermal 
    application) to unlicensed personnel, if all the 
    conditions for delegation set forth in this Section are 
    met; 
        (4) refuse to delegate, stop, or rescind a previously 
    authorized delegation; or
        (5) in community-based or in-home care settings, 
    delegate, guide, and evaluate the implementation of 
    nursing interventions as a component of patient care 
    coordination after completion of the comprehensive patient 
    assessment based on analysis of the comprehensive nursing 
    assessment data; care coordination in in-home care and 
    school settings may occur in person, by telecommunication, 
    or by electronic communication. 
    (c)  This Section prohibits the following:
        (1) An individual or entity from mandating that a 
    registered professional nurse delegate nursing 
    interventions if the registered professional nurse 
    determines it is inappropriate to do so.  Nurses shall not 
    be subject to disciplinary or any other adverse action for 
    refusing to delegate a nursing intervention based on 
    patient safety.
        (2) The delegation of medication administration to 
    unlicensed personnel in any institutional or long-term 
    facility,  including, but not limited to, those facilities 
    licensed by the Hospital Licensing Act, the University of 
    Illinois Hospital Act, State-operated mental health 
    hospitals, or State-operated developmental centers, except 
    as  authorized under Article 80 of this Act or otherwise 
    specifically authorized by law.
        (3) A registered professional nurse from delegating 
    nursing judgment, the comprehensive patient assessment, 
    the development of a plan of care, and the evaluation of 
    care to licensed or unlicensed personnel.
        (4) A licensed practical nurse or unlicensed personnel 
    who has been delegated a nursing intervention from 
    re-delegating a nursing intervention.

(Source: P.A. 100-513, eff. 1-1-18.)