Sen. Ann Gillespie
Filed: 3/28/2023
| |||||||
| |||||||
| |||||||
1 | AMENDMENT TO SENATE BILL 218
| ||||||
2 | AMENDMENT NO. ______. Amend Senate Bill 218 by replacing | ||||||
3 | everything after the enacting clause with the following:
| ||||||
4 | "Section 5. The Physician Assistant Practice Act of 1987 | ||||||
5 | is amended by changing Sections 4, 7, 7.5, and 7.7 and by | ||||||
6 | adding Section 7.6 as follows:
| ||||||
7 | (225 ILCS 95/4) (from Ch. 111, par. 4604)
| ||||||
8 | (Section scheduled to be repealed on January 1, 2028)
| ||||||
9 | Sec. 4. Definitions. In this Act:
| ||||||
10 | 1. "Department" means the Department of Financial and
| ||||||
11 | Professional Regulation.
| ||||||
12 | 2. "Secretary" means the Secretary
of Financial and | ||||||
13 | Professional Regulation.
| ||||||
14 | 3. "Physician assistant" means any person not holding an | ||||||
15 | active license or permit issued by the Department pursuant to | ||||||
16 | the Medical Practice Act of 1987 who has been
certified as a |
| |||||||
| |||||||
1 | physician assistant by the National Commission on the
| ||||||
2 | Certification of Physician Assistants or equivalent successor | ||||||
3 | agency and
performs procedures in collaboration with a | ||||||
4 | physician as defined in this
Act. A physician assistant may | ||||||
5 | perform such procedures within the
specialty of the | ||||||
6 | collaborating physician, except that such physician shall
| ||||||
7 | exercise such direction, collaboration, and control over such | ||||||
8 | physician
assistants as will assure that patients shall | ||||||
9 | receive quality medical
care. Physician assistants shall be | ||||||
10 | capable of performing a variety of tasks
within the specialty | ||||||
11 | of medical care in collaboration with a physician.
| ||||||
12 | Collaboration with the physician assistant shall not be | ||||||
13 | construed to
necessarily require the personal presence of the | ||||||
14 | collaborating physician at
all times at the place where | ||||||
15 | services are rendered, as long as there is
communication | ||||||
16 | available for consultation by radio, telephone or
| ||||||
17 | telecommunications within established guidelines as determined | ||||||
18 | by the
physician/physician assistant team. The collaborating | ||||||
19 | physician may delegate
tasks and duties to the physician | ||||||
20 | assistant. Delegated tasks or duties
shall be consistent with | ||||||
21 | physician assistant education, training, and
experience. The | ||||||
22 | delegated tasks or duties shall be specific to the
practice | ||||||
23 | setting and shall be implemented and reviewed under a written | ||||||
24 | collaborative agreement
established by the physician or | ||||||
25 | physician/physician assistant team. A
physician assistant, | ||||||
26 | acting as an agent of the physician, shall be
permitted to |
| |||||||
| |||||||
1 | transmit the collaborating physician's orders as determined by
| ||||||
2 | the institution's by-laws, policies, procedures, or job | ||||||
3 | description within
which the physician/physician assistant | ||||||
4 | team practices. Physician
assistants shall practice only in | ||||||
5 | accordance with a written collaborative agreement.
| ||||||
6 | Any person who holds an active license or permit issued | ||||||
7 | pursuant to the Medical Practice Act of 1987 shall have that | ||||||
8 | license automatically placed into inactive status upon | ||||||
9 | issuance of a physician assistant license. Any person who | ||||||
10 | holds an active license as a physician assistant who is issued | ||||||
11 | a license or permit pursuant to the Medical Practice Act of | ||||||
12 | 1987 shall have his or her physician assistant license | ||||||
13 | automatically placed into inactive status. | ||||||
14 | 3.5. "Physician assistant practice" means the performance | ||||||
15 | of procedures within the specialty of the collaborating | ||||||
16 | physician. Physician assistants shall be capable of performing | ||||||
17 | a variety of tasks within the specialty of medical care of the | ||||||
18 | collaborating physician. Collaboration with the physician | ||||||
19 | assistant shall not be construed to necessarily require the | ||||||
20 | personal presence of the collaborating physician at all times | ||||||
21 | at the place where services are rendered, as long as there is | ||||||
22 | communication available for consultation by radio, telephone, | ||||||
23 | telecommunications, or electronic communications. The | ||||||
24 | collaborating physician may delegate tasks and duties to the | ||||||
25 | physician assistant. Delegated tasks or duties shall be | ||||||
26 | consistent with physician assistant education, training, and |
| |||||||
| |||||||
1 | experience. The delegated tasks or duties shall be specific to | ||||||
2 | the practice setting and shall be implemented and reviewed | ||||||
3 | under a written collaborative agreement established by the | ||||||
4 | physician or physician/physician assistant team. A physician | ||||||
5 | assistant shall be permitted to transmit the collaborating | ||||||
6 | physician's orders as determined by the institution's bylaws, | ||||||
7 | policies, or procedures or the job description within which | ||||||
8 | the physician/physician assistant team practices. Physician | ||||||
9 | assistants shall practice only in accordance with a written | ||||||
10 | collaborative agreement, except as provided in Section 7.5 of | ||||||
11 | this Act. | ||||||
12 | 4. "Board" means the Medical Licensing Board
constituted | ||||||
13 | under the Medical Practice Act of 1987.
| ||||||
14 | 5. (Blank).
| ||||||
15 | 6. "Physician" means a person licensed to
practice | ||||||
16 | medicine in all of its branches under the Medical Practice Act | ||||||
17 | of 1987.
| ||||||
18 | 7. "Collaborating physician" means the physician who, | ||||||
19 | within
his or her specialty and expertise, may delegate a | ||||||
20 | variety of
tasks and procedures to the physician assistant. | ||||||
21 | Such tasks and
procedures shall be delegated in accordance | ||||||
22 | with a written
collaborative agreement.
| ||||||
23 | 8. (Blank).
| ||||||
24 | 9. "Address of record" means the designated address | ||||||
25 | recorded by the Department in the applicant's or licensee's | ||||||
26 | application file or license file maintained by the |
| |||||||
| |||||||
1 | Department's licensure maintenance unit.
| ||||||
2 | 10. "Hospital affiliate" means a corporation, partnership, | ||||||
3 | joint venture, limited liability company, or similar | ||||||
4 | organization, other than a hospital, that is devoted primarily | ||||||
5 | to the provision, management, or support of health care | ||||||
6 | services and that directly or indirectly controls, is | ||||||
7 | controlled by, or is under common control of the hospital. For | ||||||
8 | the purposes of this definition, "control" means having at | ||||||
9 | least an equal or a majority ownership or membership interest. | ||||||
10 | A hospital affiliate shall be 100% owned or controlled by any | ||||||
11 | combination of hospitals, their parent corporations, or | ||||||
12 | physicians licensed to practice medicine in all its branches | ||||||
13 | in Illinois. "Hospital affiliate" does not include a health | ||||||
14 | maintenance organization regulated under the Health | ||||||
15 | Maintenance Organization Act. | ||||||
16 | 11. "Email address of record" means the designated email | ||||||
17 | address recorded by the Department in the applicant's | ||||||
18 | application file or the licensee's license file, as maintained | ||||||
19 | by the Department's licensure maintenance unit. | ||||||
20 | 12. "Federally qualified health center" means a health | ||||||
21 | center funded under Section 330 of the federal Public Health | ||||||
22 | Service Act. | ||||||
23 | (Source: P.A. 102-1117, eff. 1-13-23.)
| ||||||
24 | (225 ILCS 95/7) (from Ch. 111, par. 4607)
| ||||||
25 | (Section scheduled to be repealed on January 1, 2028)
|
| |||||||
| |||||||
1 | Sec. 7. Collaboration requirements. | ||||||
2 | (a) A collaborating physician shall determine the number | ||||||
3 | of physician assistants to collaborate with, provided the | ||||||
4 | physician is able to provide adequate collaboration as | ||||||
5 | outlined in the written collaborative agreement required under | ||||||
6 | Section 7.5 of this Act and consideration is given to the | ||||||
7 | nature of the physician's practice, complexity of the patient | ||||||
8 | population, and the experience of each physician assistant. A | ||||||
9 | collaborating physician may collaborate with a maximum of 7 | ||||||
10 | full-time equivalent physician assistants as described in | ||||||
11 | Section 54.5 of the Medical Practice Act of 1987. As used in | ||||||
12 | this Section, "full-time equivalent" means the equivalent of | ||||||
13 | 40 hours per week per individual. Physicians and physician | ||||||
14 | assistants who work in a hospital, hospital affiliate, | ||||||
15 | federally qualified health center, or ambulatory surgical | ||||||
16 | treatment center as defined by Section 7.7 of this Act are | ||||||
17 | exempt from the collaborative ratio restriction requirements | ||||||
18 | of this Section. A physician assistant shall be able to
hold | ||||||
19 | more than one professional position. A collaborating physician | ||||||
20 | shall
file a notice of collaboration of each physician | ||||||
21 | assistant according to the
rules of the Department.
| ||||||
22 | Physician assistants shall collaborate only with | ||||||
23 | physicians as defined in
this Act
who are engaged in clinical | ||||||
24 | practice, or in clinical practice in
public health or other | ||||||
25 | community health facilities.
| ||||||
26 | Nothing in this Act shall be construed to limit the |
| |||||||
| |||||||
1 | delegation of tasks or
duties by a physician to a nurse or | ||||||
2 | other appropriately trained personnel.
| ||||||
3 | Nothing in this Act
shall be construed to prohibit the | ||||||
4 | employment of physician assistants by
a hospital, nursing home | ||||||
5 | or other health care facility where such physician
assistants | ||||||
6 | function under a collaborating physician.
| ||||||
7 | A physician assistant may be employed by a practice group | ||||||
8 | or other entity
employing multiple physicians at one or more | ||||||
9 | locations. In that case, one of
the
physicians practicing at a | ||||||
10 | location shall be designated the collaborating
physician. The | ||||||
11 | other physicians with that practice group or other entity who
| ||||||
12 | practice in the same general type of practice or specialty
as | ||||||
13 | the collaborating physician may collaborate with the physician | ||||||
14 | assistant with respect
to their patients.
| ||||||
15 | (b) A physician assistant licensed in this State, or | ||||||
16 | licensed or authorized to practice in any other U.S. | ||||||
17 | jurisdiction or credentialed by his or her federal employer as | ||||||
18 | a physician assistant, who is responding to a need for medical | ||||||
19 | care created by an emergency or by a state or local disaster | ||||||
20 | may render such care that the physician assistant is able to | ||||||
21 | provide without collaboration as it is defined in this Section | ||||||
22 | or with such collaboration as is available.
| ||||||
23 | Any physician who collaborates with a physician assistant | ||||||
24 | providing medical care in response to such an emergency or | ||||||
25 | state or local disaster shall not be required to meet the | ||||||
26 | requirements set forth in this Section for a collaborating |
| |||||||
| |||||||
1 | physician. | ||||||
2 | (Source: P.A. 100-453, eff. 8-25-17; 100-605, eff. 1-1-19 .)
| ||||||
3 | (225 ILCS 95/7.5)
| ||||||
4 | (Section scheduled to be repealed on January 1, 2028)
| ||||||
5 | Sec. 7.5. Written collaborative agreements; prescriptive | ||||||
6 | authority. | ||||||
7 | (a) A written collaborative agreement is required for all | ||||||
8 | physician assistants to practice in the State, except as | ||||||
9 | provided in Section 7.7 of this Act. | ||||||
10 | (1) A written collaborative agreement shall describe | ||||||
11 | the working relationship of the physician assistant with | ||||||
12 | the collaborating physician and shall describe the | ||||||
13 | categories of care, treatment, or procedures to be | ||||||
14 | provided by the physician assistant.
The written | ||||||
15 | collaborative agreement shall promote the exercise of | ||||||
16 | professional judgment by the physician assistant | ||||||
17 | commensurate with his or her education and experience. The | ||||||
18 | services to be provided by the physician assistant shall | ||||||
19 | be services that the collaborating physician is authorized | ||||||
20 | to and generally provides to his or her patients in the | ||||||
21 | normal course of his or her clinical medical practice. The | ||||||
22 | written collaborative agreement need not describe the | ||||||
23 | exact steps that a physician assistant must take with | ||||||
24 | respect to each specific condition, disease, or symptom | ||||||
25 | but must specify which authorized procedures require the |
| |||||||
| |||||||
1 | presence of the collaborating physician as the procedures | ||||||
2 | are being performed. The relationship under a written | ||||||
3 | collaborative agreement shall not be construed to require | ||||||
4 | the personal presence of a physician at the place where | ||||||
5 | services are rendered. Methods of communication shall be | ||||||
6 | available for consultation with the collaborating | ||||||
7 | physician in person or by telecommunications or electronic | ||||||
8 | communications as set forth in the written collaborative | ||||||
9 | agreement. For the purposes of this Act, "generally | ||||||
10 | provides to his or her patients in the normal course of his | ||||||
11 | or her clinical medical practice" means services, not | ||||||
12 | specific tasks or duties, the collaborating physician | ||||||
13 | routinely provides individually or through delegation to | ||||||
14 | other persons so that the physician has the experience and | ||||||
15 | ability to collaborate and provide consultation. | ||||||
16 | (2) The written collaborative agreement shall be | ||||||
17 | adequate if a physician does each of the following: | ||||||
18 | (A) Participates in the joint formulation and | ||||||
19 | joint approval of orders or guidelines with the | ||||||
20 | physician assistant and he or she periodically reviews | ||||||
21 | such orders and the services provided patients under | ||||||
22 | such orders in accordance with accepted standards of | ||||||
23 | medical practice and physician assistant practice. | ||||||
24 | (B) Provides consultation at least once a month. | ||||||
25 | (3) A copy of the signed, written collaborative | ||||||
26 | agreement must be available to the Department upon request |
| |||||||
| |||||||
1 | from both the physician assistant and the collaborating | ||||||
2 | physician. | ||||||
3 | (4) A physician assistant shall inform each | ||||||
4 | collaborating physician of all written collaborative | ||||||
5 | agreements he or she has signed and provide a copy of these | ||||||
6 | to any collaborating physician upon request. | ||||||
7 | (b) A collaborating physician may, but is not required to, | ||||||
8 | delegate prescriptive authority to a physician assistant as | ||||||
9 | part of a written collaborative agreement. This authority may, | ||||||
10 | but is not required to, include prescription of, selection of, | ||||||
11 | orders for, administration of, storage of, acceptance of | ||||||
12 | samples of, and dispensing medical devices, over the counter | ||||||
13 | medications, legend drugs, medical gases, and controlled | ||||||
14 | substances categorized as Schedule II through V controlled | ||||||
15 | substances, as defined in Article II of the Illinois | ||||||
16 | Controlled Substances Act, and other preparations, including, | ||||||
17 | but not limited to, botanical and herbal remedies. The | ||||||
18 | collaborating physician must have a valid, current Illinois | ||||||
19 | controlled substance license and federal registration with the | ||||||
20 | Drug Enforcement Administration to delegate the authority to | ||||||
21 | prescribe controlled substances. | ||||||
22 | (1) To prescribe Schedule II, III, IV, or V controlled | ||||||
23 | substances under this
Section, a physician assistant must | ||||||
24 | obtain a mid-level practitioner
controlled substances | ||||||
25 | license. Medication orders issued by a
physician
assistant | ||||||
26 | shall be reviewed
periodically by the collaborating |
| |||||||
| |||||||
1 | physician. | ||||||
2 | (2) The collaborating physician shall file
with the | ||||||
3 | Department notice of delegation of prescriptive authority | ||||||
4 | to a
physician assistant and
termination of delegation, | ||||||
5 | specifying the authority delegated or terminated.
Upon | ||||||
6 | receipt of this notice delegating authority to prescribe | ||||||
7 | controlled substances, the physician assistant shall be | ||||||
8 | eligible to
register for a mid-level practitioner | ||||||
9 | controlled substances license under
Section 303.05 of the | ||||||
10 | Illinois Controlled Substances Act.
Nothing in this Act | ||||||
11 | shall be construed to limit the delegation of tasks or
| ||||||
12 | duties by the collaborating physician to a nurse or other | ||||||
13 | appropriately trained
persons in accordance with Section | ||||||
14 | 54.2 of the Medical Practice Act of 1987.
| ||||||
15 | (3) In addition to the requirements of this subsection | ||||||
16 | (b), a collaborating physician may, but is not required | ||||||
17 | to, delegate authority to a physician assistant to | ||||||
18 | prescribe Schedule II controlled substances, if all of the | ||||||
19 | following conditions apply: | ||||||
20 | (A) Specific Schedule II controlled substances by | ||||||
21 | oral dosage or topical or transdermal application may | ||||||
22 | be delegated, provided that the delegated Schedule II | ||||||
23 | controlled substances are routinely prescribed by the | ||||||
24 | collaborating physician. This delegation must identify | ||||||
25 | the specific Schedule II controlled substances by | ||||||
26 | either brand name or generic name. Schedule II |
| |||||||
| |||||||
1 | controlled substances to be delivered by injection or | ||||||
2 | other route of administration may not be delegated. | ||||||
3 | (B) (Blank). | ||||||
4 | (C) Any prescription must be limited to no more | ||||||
5 | than a 30-day supply, with any continuation authorized | ||||||
6 | only after prior approval of the collaborating | ||||||
7 | physician. | ||||||
8 | (D) The physician assistant must discuss the | ||||||
9 | condition of any patients for whom a controlled | ||||||
10 | substance is prescribed monthly with the collaborating | ||||||
11 | physician. | ||||||
12 | (E) The physician assistant meets the education | ||||||
13 | requirements of Section 303.05 of the Illinois | ||||||
14 | Controlled Substances Act. | ||||||
15 | (c) Nothing in this Act shall be construed to limit the | ||||||
16 | delegation of tasks or duties by a physician to a licensed | ||||||
17 | practical nurse, a registered professional nurse, or other | ||||||
18 | persons. Nothing in this Act shall be construed to limit the | ||||||
19 | method of delegation that may be authorized by any means, | ||||||
20 | including, but not limited to, oral, written, electronic, | ||||||
21 | standing orders, protocols, guidelines, or verbal orders. | ||||||
22 | Nothing in this Act shall be construed to authorize a | ||||||
23 | physician assistant to provide health care services required | ||||||
24 | by law or rule to be performed by a physician. Nothing in this | ||||||
25 | Act shall be construed to authorize the delegation or | ||||||
26 | performance of operative surgery. Nothing in this Section |
| |||||||
| |||||||
1 | shall be construed to preclude a physician assistant from | ||||||
2 | assisting in surgery. | ||||||
3 | (c-5) Nothing in this Section shall be construed to apply
| ||||||
4 | to any medication authority, including Schedule II controlled
| ||||||
5 | substances of a licensed physician assistant for care provided
| ||||||
6 | in a hospital, hospital affiliate, federally qualified health | ||||||
7 | center, or ambulatory surgical
treatment center pursuant to | ||||||
8 | Section 7.7 of this Act.
| ||||||
9 | (d) (Blank). | ||||||
10 | (e) Nothing in this Section shall be construed to prohibit | ||||||
11 | generic substitution. | ||||||
12 | (Source: P.A. 101-13, eff. 6-12-19; 102-558, eff. 8-20-21.)
| ||||||
13 | (225 ILCS 95/7.6 new) | ||||||
14 | Sec. 7.6. Written collaborative agreement; temporary | ||||||
15 | practice. Any physician assistant required to enter into a | ||||||
16 | written collaborative agreement with a collaborating physician | ||||||
17 | is authorized to continue to practice for up to 90 days after | ||||||
18 | the termination of a written collaborative agreement, provided | ||||||
19 | the physician assistant seeks any necessary collaboration at a | ||||||
20 | local hospital and refers patients who require services beyond | ||||||
21 | the training and experience of the physician assistant to a | ||||||
22 | physician or other health care provider. | ||||||
23 | (225 ILCS 95/7.7) | ||||||
24 | (Section scheduled to be repealed on January 1, 2028) |
| |||||||
| |||||||
1 | Sec. 7.7. Physician assistants in hospitals, hospital | ||||||
2 | affiliates, federally qualified health centers, or ambulatory | ||||||
3 | surgical treatment centers. | ||||||
4 | (a) A physician assistant may provide services in a | ||||||
5 | hospital as defined in the Hospital Licensing Act, a hospital | ||||||
6 | affiliate as defined in the University of Illinois Hospital | ||||||
7 | Act, a federally qualified health center, or a licensed | ||||||
8 | ambulatory surgical treatment center as defined in the | ||||||
9 | Ambulatory Surgical Treatment Center Act without a written | ||||||
10 | collaborative agreement pursuant to Section 7.5 of this Act | ||||||
11 | only in accordance with this Section . A physician assistant | ||||||
12 | must possess clinical privileges recommended by (i) the | ||||||
13 | hospital medical staff and granted by the hospital , (ii) the | ||||||
14 | physician committee and federally qualified health center, or | ||||||
15 | (iii) the consulting medical staff committee and ambulatory | ||||||
16 | surgical treatment center in order to provide services. The | ||||||
17 | medical staff , physician committee, or consulting medical | ||||||
18 | staff committee shall periodically review the services of | ||||||
19 | physician assistants granted clinical privileges, including | ||||||
20 | any care provided in a hospital affiliate or federally | ||||||
21 | qualified health center . Authority may also be granted when | ||||||
22 | recommended by the hospital medical staff and granted by the | ||||||
23 | hospital , recommended by the physician committee and granted | ||||||
24 | by the federally qualified health center, or recommended by | ||||||
25 | the consulting medical staff committee and ambulatory surgical | ||||||
26 | treatment center to individual physician assistants to select, |
| |||||||
| |||||||
1 | order, and administer medications, including controlled | ||||||
2 | substances, to provide delineated care. In a hospital, | ||||||
3 | hospital affiliate, federally qualified health center, or | ||||||
4 | ambulatory surgical treatment center, the attending physician | ||||||
5 | shall determine a physician assistant's role in providing care | ||||||
6 | for his or her patients, except as otherwise provided in the | ||||||
7 | medical staff bylaws or consulting committee policies. | ||||||
8 | (a-5) Physician assistants practicing in a hospital | ||||||
9 | affiliate or a federally qualified health center may be, but | ||||||
10 | are not required to be, granted authority to prescribe | ||||||
11 | Schedule II through V controlled substances when such | ||||||
12 | authority is recommended by the appropriate physician | ||||||
13 | committee of the hospital affiliate and granted by the | ||||||
14 | hospital affiliate or recommended by the physician committee | ||||||
15 | of the federally qualified health center and granted by the | ||||||
16 | federally qualified health center . This authority may, but is | ||||||
17 | not required to, include prescription of, selection of, orders | ||||||
18 | for, administration of,
storage of, acceptance of samples of, | ||||||
19 | and dispensing over-the-counter medications, legend drugs, | ||||||
20 | medical gases, and controlled substances categorized as | ||||||
21 | Schedule II through V controlled substances, as defined in | ||||||
22 | Article II of the Illinois Controlled Substances Act, and | ||||||
23 | other preparations, including, but not limited to, botanical | ||||||
24 | and herbal remedies. | ||||||
25 | To prescribe controlled substances under this subsection | ||||||
26 | (a-5), a physician assistant must obtain a mid-level |
| |||||||
| |||||||
1 | practitioner controlled substance license. Medication orders | ||||||
2 | shall be reviewed periodically by the appropriate hospital | ||||||
3 | affiliate physicians committee or its physician designee or by | ||||||
4 | the physician committee of a federally qualified health | ||||||
5 | center . | ||||||
6 | The hospital affiliate or federally qualified health | ||||||
7 | center shall file with the Department notice of a grant of | ||||||
8 | prescriptive authority consistent with this subsection (a-5) | ||||||
9 | and termination of such a grant of authority in accordance | ||||||
10 | with rules of the Department. Upon receipt of this notice of | ||||||
11 | grant of authority to prescribe any Schedule II through V | ||||||
12 | controlled substances, the licensed physician assistant may | ||||||
13 | register for a mid-level practitioner controlled substance | ||||||
14 | license under Section 303.05 of the Illinois Controlled | ||||||
15 | Substances Act. | ||||||
16 | In addition, a hospital affiliate or a federally qualified | ||||||
17 | health center may, but is not required to, grant authority to a | ||||||
18 | physician assistant to prescribe any Schedule II controlled | ||||||
19 | substances if all of the following conditions apply: | ||||||
20 | (1) specific Schedule II controlled substances by oral | ||||||
21 | dosage or topical or transdermal application may be | ||||||
22 | designated, provided that the designated Schedule II | ||||||
23 | controlled substances are routinely prescribed by | ||||||
24 | physician assistants in their area of certification; this | ||||||
25 | grant of authority must identify the specific Schedule II | ||||||
26 | controlled substances by either brand name or generic |
| |||||||
| |||||||
1 | name; authority to prescribe or dispense Schedule II | ||||||
2 | controlled substances to be delivered by injection or | ||||||
3 | other route of administration may not be granted; | ||||||
4 | (2) any grant of authority must be controlled | ||||||
5 | substances limited to the practice of the physician | ||||||
6 | assistant; | ||||||
7 | (3) any prescription must be limited to no more than a | ||||||
8 | 30-day supply; | ||||||
9 | (4) the physician assistant must discuss the condition | ||||||
10 | of any patients for whom a controlled substance is | ||||||
11 | prescribed monthly with the appropriate physician | ||||||
12 | committee of the hospital affiliate or its physician | ||||||
13 | designee , or the physician committee of a federally | ||||||
14 | qualified health center ; and | ||||||
15 | (5) the physician assistant must meet the education | ||||||
16 | requirements of Section 303.05 of the Illinois Controlled | ||||||
17 | Substances Act. | ||||||
18 | (b) A physician assistant granted authority to order | ||||||
19 | medications including controlled substances may complete | ||||||
20 | discharge prescriptions provided the prescription is in the | ||||||
21 | name of the physician assistant and the attending or | ||||||
22 | discharging physician. | ||||||
23 | (c) Physician assistants practicing in a hospital, | ||||||
24 | hospital affiliate, federally qualified health center, or an | ||||||
25 | ambulatory surgical treatment center are not required to | ||||||
26 | obtain a mid-level controlled substance license to order |
| |||||||
| |||||||
1 | controlled substances under Section 303.05 of the Illinois | ||||||
2 | Controlled Substances Act.
| ||||||
3 | (Source: P.A. 100-453, eff. 8-25-17.)".
|