Public Act 103-0060
 
SB0199 EnrolledLRB103 25368 AMQ 51713 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 65-43 as follows:
 
    (225 ILCS 65/65-43)
    (Section scheduled to be repealed on January 1, 2028)
    Sec. 65-43. Full practice authority.
    (a) An Illinois-licensed advanced practice registered 
nurse certified as a nurse practitioner, nurse midwife, or 
clinical nurse specialist shall be deemed by law to possess 
the ability to practice without a written collaborative 
agreement as set forth in this Section.
    (b) An advanced practice registered nurse certified as a 
nurse midwife, clinical nurse specialist, or nurse 
practitioner who files with the Department a notarized 
attestation of completion of at least 250 hours of continuing 
education or training and at least 4,000 hours of clinical 
experience after first attaining national certification shall 
not require a written collaborative agreement.  Documentation 
of successful completion shall be provided to the Department 
upon request.
    Continuing education or training hours required by 
subsection (b) shall be in the advanced practice registered 
nurse's area of certification as set forth by Department rule.
    The clinical experience must be in the advanced practice 
registered nurse's area of certification. The clinical 
experience shall be in collaboration with a physician or 
physicians.  Completion of the clinical experience must be 
attested to by the collaborating physician or physicians or 
employer and the advanced practice registered nurse. If the 
collaborating physician or physicians or employer is unable to 
attest to the completion of the clinical experience, the 
Department may accept other evidence of clinical experience as 
established by rule. 
    (c) The scope of practice of an advanced practice 
registered nurse with full practice authority includes:
        (1) all matters included in subsection (c) of Section 
    65-30 of this Act;
        (2) practicing without a written collaborative 
    agreement in all practice settings consistent with 
    national certification;
        (3) authority to prescribe both legend drugs and 
    Schedule II through V controlled substances; this 
    authority includes prescription of, selection of, orders 
    for, administration of, storage of, acceptance of samples 
    of, and dispensing over the counter medications, legend 
    drugs, and controlled substances categorized as any 
    Schedule II through V controlled substances, as defined in 
    Article II of the Illinois Controlled Substances Act, and 
    other preparations, including, but not limited to, 
    botanical and herbal remedies;
        (4) prescribing benzodiazepines or Schedule II 
    narcotic drugs, such as opioids, only in a consultation 
    relationship with a physician; this consultation 
    relationship shall be recorded in the Prescription 
    Monitoring Program website, pursuant to Section 316 of the 
    Illinois Controlled Substances Act, by the physician and 
    advanced practice registered nurse with full practice 
    authority and is not required to be filed with the 
    Department; the specific Schedule II narcotic drug must be 
    identified by either brand name or generic name; the 
    specific Schedule II narcotic drug, such as an opioid, may 
    be administered by oral dosage or topical or transdermal 
    application; delivery by injection or other route of 
    administration is not permitted; at least monthly, the 
    advanced practice registered nurse and the physician must 
    discuss the condition of any patients for whom an a 
    benzodiazepine or opioid is prescribed; nothing in this 
    subsection shall be construed to require a prescription by 
    an advanced practice registered nurse with full practice 
    authority to require a physician name;
        (4.5) prescribing up to a 120-day supply of 
    benzodiazepines without a consultation relationship with a 
    physician;  thereafter, continued prescription of 
    benzodiazepines shall require a consultation with a 
    physician; nothing in this subsection shall be construed 
    to require a prescription by an advanced practice 
    registered nurse with full practice authority to require a 
    physician name; 
        (5) authority to obtain an Illinois controlled 
    substance license and a federal Drug Enforcement 
    Administration number; and
        (6) use of only local anesthetic.
    The scope of practice of an advanced practice registered 
nurse does not include operative surgery. Nothing in this 
Section shall be construed to preclude an advanced practice 
registered nurse from assisting in surgery. 
    (d) The Department may adopt rules necessary to administer 
this Section, including, but not limited to, requiring the 
completion of forms and the payment of fees.
    (e) Nothing in this Act shall be construed to authorize an 
advanced practice registered nurse with full practice 
authority to provide health care services required by law or 
rule to be performed by a physician. 

(Source: P.A. 101-13, eff. 6-12-19; 102-75, eff. 1-1-22.)