HB4370 Enrolled LRB094 16485 LJB 51745 b

1     AN ACT concerning regulation.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Ambulatory Surgical Treatment Center Act is
5 amended by adding Section 6.7 as follows:
 
6     (210 ILCS 5/6.7 new)
7     Sec. 6.7. Registered nurse administration of limited
8 levels of sedation or analgesia.
9     (a) Nothing in this Act precludes a registered nurse from
10 administering medications for the delivery of local or minimal
11 sedation ordered by a physician licensed to practice medicine
12 in all its branches, podiatrist, or dentist.
13     (b) If the ASTC policy allows the registered nurse to
14 deliver moderate sedation ordered by a physician licensed to
15 practice medicine in all its branches, podiatrist, or dentist,
16 the following are required:
17         (1) The registered nurse must be under the supervision
18     of a physician licensed to practice medicine in all its
19     branches, podiatrist, or dentist during the delivery or
20     monitoring of moderate sedation and have no other
21     responsibilities during the procedure.
22         (2) The registered nurse must maintain current
23     Advanced Cardiac Life Support certification or Pediatric
24     Advanced Life Support certification as appropriate to the
25     age of the patient.
26         (3) The supervising physician licensed to practice
27     medicine in all its branches, podiatrist, or dentist must
28     have training and experience in delivering and monitoring
29     moderate sedation and possess clinical privileges at the
30     ASTC to administer moderate sedation or analgesia.
31         (4) The supervising physician licensed to practice
32     medicine in all its branches, podiatrist, or dentist must

 

 

HB4370 Enrolled - 2 - LRB094 16485 LJB 51745 b

1     remain physically present and available on the premises
2     during the delivery of moderate sedation for diagnosis,
3     consultation, and treatment of emergency medical
4     conditions.
5         (5) The supervising physician licensed to practice
6     medicine in all its branches, podiatrist, or dentist must
7     maintain current Advanced Cardiac Life Support
8     certification or Pediatric Advanced Life Support
9     certification as appropriate to the age of the patient.
10     (c) Local, minimal, and moderate sedation shall be defined
11 by the Division of Professional Regulation of the Department of
12 Financial and Professional Regulation. Registered nurses shall
13 be limited to administering medications for moderate sedation
14 at doses rapidly reversible pharmacologically as determined by
15 rule by the Division of Professional Regulation of the
16 Department of Financial and Professional Regulation.
 
17     Section 10. The Medical Practice Act of 1987 is amended by
18 adding Section 54.6 as follows:
 
19     (225 ILCS 60/54.6 new)
20     Sec. 54.6. Registered nurse administration of limited
21 levels of anesthesia. Nothing in this Act precludes a
22 registered nurse from administering local anesthesia or
23 minimal sedation or moderate sedation, as defined by rule,
24 ordered by a physician licensed to practice medicine in all its
25 branches. The Department shall define the levels of anesthesia
26 by rule. The Department shall list the medications for moderate
27 sedation that are permitted under subsection (c) of Section 6.7
28 of the Ambulatory Surgical Treatment Act as rapidly reversible
29 pharmacologically.
 
30     Section 99. Effective date. This Act takes effect upon
31 becoming law.