Public Act 094-0861
 
HB4370 Enrolled LRB094 16485 LJB 51745 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Ambulatory Surgical Treatment Center Act is
amended by adding Section 6.7 as follows:
 
    (210 ILCS 5/6.7 new)
    Sec. 6.7. Registered nurse administration of limited
levels of sedation or analgesia.
    (a) Nothing in this Act precludes a registered nurse from
administering medications for the delivery of local or minimal
sedation ordered by a physician licensed to practice medicine
in all its branches, podiatrist, or dentist.
    (b) If the ASTC policy allows the registered nurse to
deliver moderate sedation ordered by a physician licensed to
practice medicine in all its branches, podiatrist, or dentist,
the following are required:
        (1) The registered nurse must be under the supervision
    of a physician licensed to practice medicine in all its
    branches, podiatrist, or dentist during the delivery or
    monitoring of moderate sedation and have no other
    responsibilities during the procedure.
        (2) The registered nurse must maintain current
    Advanced Cardiac Life Support certification or Pediatric
    Advanced Life Support certification as appropriate to the
    age of the patient.
        (3) The supervising physician licensed to practice
    medicine in all its branches, podiatrist, or dentist must
    have training and experience in delivering and monitoring
    moderate sedation and possess clinical privileges at the
    ASTC to administer moderate sedation or analgesia.
        (4) The supervising physician licensed to practice
    medicine in all its branches, podiatrist, or dentist must
    remain physically present and available on the premises
    during the delivery of moderate sedation for diagnosis,
    consultation, and treatment of emergency medical
    conditions.
        (5) The supervising physician licensed to practice
    medicine in all its branches, podiatrist, or dentist must
    maintain current Advanced Cardiac Life Support
    certification or Pediatric Advanced Life Support
    certification as appropriate to the age of the patient.
    (c) Local, minimal, and moderate sedation shall be defined
by the Division of Professional Regulation of the Department of
Financial and Professional Regulation. Registered nurses shall
be limited to administering medications for moderate sedation
at doses rapidly reversible pharmacologically as determined by
rule by the Division of Professional Regulation of the
Department of Financial and Professional Regulation.
 
    Section 10. The Medical Practice Act of 1987 is amended by
adding Section 54.6 as follows:
 
    (225 ILCS 60/54.6 new)
    Sec. 54.6. Registered nurse administration of limited
levels of anesthesia. Nothing in this Act precludes a
registered nurse from administering local anesthesia or
minimal sedation or moderate sedation, as defined by rule,
ordered by a physician licensed to practice medicine in all its
branches. The Department shall define the levels of anesthesia
by rule. The Department shall list the medications for moderate
sedation that are permitted under subsection (c) of Section 6.7
of the Ambulatory Surgical Treatment Act as rapidly reversible
pharmacologically.
 
    Section 99. Effective date. This Act takes effect upon
becoming law.