Sen. Sara Feigenholtz
Filed: 3/22/2023
 
 

 

 

 
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1
AMENDMENT TO SENATE BILL 199 




2    AMENDMENT NO. ______. Amend Senate Bill 199 by replacing 
3everything after the enacting clause with the following:

 
4    "Section 5. The Nurse Practice Act is amended  by changing 
5Section 65-43 as follows:
 
6    (225 ILCS 65/65-43)
7    (Section scheduled to be repealed on January 1, 2028)
8    Sec. 65-43. Full practice authority.
9    (a) An Illinois-licensed advanced practice registered 
10nurse certified as a nurse practitioner, nurse midwife, or 
11clinical nurse specialist shall be deemed by law to possess 
12the ability to practice without a written collaborative 
13agreement as set forth in this Section.
14    (b) An advanced practice registered nurse certified as a 
15nurse midwife, clinical nurse specialist, or nurse 
16practitioner who files with the Department a notarized 
 
 
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1attestation of completion of at least 250 hours of continuing 
2education or training and at least 4,000 hours of clinical 
3experience after first attaining national certification shall 
4not require a written collaborative agreement.  Documentation 
5of successful completion shall be provided to the Department 
6upon request.
7    Continuing education or training hours required by 
8subsection (b) shall be in the advanced practice registered 
9nurse's area of certification as set forth by Department rule.
10    The clinical experience must be in the advanced practice 
11registered nurse's area of certification. The clinical 
12experience shall be in collaboration with a physician or 
13physicians.  Completion of the clinical experience must be 
14attested to by the collaborating physician or physicians or 
15employer and the advanced practice registered nurse. If the 
16collaborating physician or physicians or employer is unable to 
17attest to the completion of the clinical experience, the 
18Department may accept other evidence of clinical experience as 
19established by rule. 
20    (c) The scope of practice of an advanced practice 
21registered nurse with full practice authority includes:
22        (1) all matters included in subsection (c) of Section 
23    65-30 of this Act;
24        (2) practicing without a written collaborative 
25    agreement in all practice settings consistent with 
26    national certification;
 
 
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1        (3) authority to prescribe both legend drugs and 
2    Schedule II through V controlled substances; this 
3    authority includes prescription of, selection of, orders 
4    for, administration of, storage of, acceptance of samples 
5    of, and dispensing over the counter medications, legend 
6    drugs, and controlled substances categorized as any 
7    Schedule II through V controlled substances, as defined in 
8    Article II of the Illinois Controlled Substances Act, and 
9    other preparations, including, but not limited to, 
10    botanical and herbal remedies;
11        (4) prescribing benzodiazepines or Schedule II 
12    narcotic drugs, such as opioids, only in a consultation 
13    relationship with a physician; this consultation 
14    relationship shall be recorded in the Prescription 
15    Monitoring Program website, pursuant to Section 316 of the 
16    Illinois Controlled Substances Act, by the physician and 
17    advanced practice registered nurse with full practice 
18    authority and is not required to be filed with the 
19    Department; the specific Schedule II narcotic drug must be 
20    identified by either brand name or generic name; the 
21    specific Schedule II narcotic drug, such as an opioid, may 
22    be administered by oral dosage or topical or transdermal 
23    application; delivery by injection or other route of 
24    administration is not permitted; at least monthly, the 
25    advanced practice registered nurse and the physician must 
26    discuss the condition of any patients for whom an a 
 
 
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1    benzodiazepine or opioid is prescribed; nothing in this 
2    subsection shall be construed to require a prescription by 
3    an advanced practice registered nurse with full practice 
4    authority to require a physician name;
5        (4.5) prescribing up to a 120-day supply of 
6    benzodiazepines without a consultation relationship with a 
7    physician;  thereafter, continued prescription of 
8    benzodiazepines shall require a consultation with a 
9    physician; nothing in this subsection shall be construed 
10    to require a prescription by an advanced practice 
11    registered nurse with full practice authority to require a 
12    physician name; 
13        (5) authority to obtain an Illinois controlled 
14    substance license and a federal Drug Enforcement 
15    Administration number; and
16        (6) use of only local anesthetic.
17    The scope of practice of an advanced practice registered 
18nurse does not include operative surgery. Nothing in this 
19Section shall be construed to preclude an advanced practice 
20registered nurse from assisting in surgery. 
21    (d) The Department may adopt rules necessary to administer 
22this Section, including, but not limited to, requiring the 
23completion of forms and the payment of fees.
24    (e) Nothing in this Act shall be construed to authorize an 
25advanced practice registered nurse with full practice 
26authority to provide health care services required by law or 
 
 
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1rule to be performed by a physician. 

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