Sen. Bill Cunningham
Filed: 4/3/2025
 
 

 
 

 
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1
AMENDMENT TO SENATE BILL 707

2    AMENDMENT NO. ______. Amend Senate Bill 707 by replacing 
3everything after the enacting clause with the following:
 
4    "Section 5. The Nurse Practice Act is amended by adding 
5Section 50-80 as follows:
 
6    (225 ILCS 65/50-80 new)
7    Sec. 50-80. Regulation of delegation in kidney disease 
8treatment centers.
9    (a) Notwithstanding any provision of this Act or rule of 
10the Department to the contrary, an individual working in a 
11kidney disease treatment center as described in subsection (5) 
12of Section 3 of the Illinois Health Facilities Planning Act 
13shall be considered a licensed individual for the purposes of 
14delegation under Section 50-75 of this Act. A person working 
15to acquire the experience necessary to obtain certification 
16under subsection (b) of this Section may practice in 
 
 
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1accordance with this Section for a period of no more than 18 
2months if the person's practice is in compliance with the 
3experience standards set forth by the entities listed in 
4subsection (b).
5    (b) Notwithstanding any provision of this Act or rule of 
6the Department to the contrary, delegation under this Section, 
7including, but not limited to, delegation of the performance 
8of central venous catheter procedures in a kidney disease 
9treatment center as described in subsection (5) of Section 3 
10of the Illinois Health Facilities Planning Act (including 
11providing dialysis through venous catheters, initiating and 
12terminating dialysis via such catheters, connecting and 
13disconnecting central venous catheter lines, and maintaining 
14central venous catheters through dressing changes and other 
15care), shall only be allowed if the individual receiving 
16delegation is a licensed practical nurse or currently holds, 
17or is in the process of acquiring, the necessary experience to 
18apply for and obtain one of the following certifications:
19        (1) Certified Clinical Hemodialysis Technician by the 
20    Nephrology Nursing Certification Commission; or
21        (2) Certified Hemodialysis Technologist/Technician by 
22    the Board of Nephrology Examiners Nursing and Technology.
23    (c) Notwithstanding any provision of this Act or rule of 
24the Department to the contrary, delegation under this Section 
25shall not include medication administration except for the 
26administration of heparin and saline for the purposes of 
 
 
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1performing dialysis treatments and flushing lines and the 
2application of topical anesthetics. All patient care provided 
3by a certified dialysis technician practicing under this 
4Section shall be under the direct and immediate on-site 
5supervision of a licensed physician, advanced practice 
6registered nurse, physician assistant, or registered nurse.
7    (d) Delegation under this Section shall comply with any 
8rules adopted under the Illinois Health Facilities Planning 
9Act and any other Illinois statute or rule regarding the 
10operation of a kidney disease treatment center as described by 
11this Section.
12    (e) Nothing in this Section shall be construed to apply to 
13any other facility or practice setting. This Section shall not 
14be construed as granting a license under this Act and shall not 
15allow individuals receiving delegation under this Section to 
16use any title regulated by this Act.
 
17    Section 99. Effective date. This Act takes effect upon 
18becoming law.".