94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
SB0188

 

Introduced 2/2/2005, by Sen. William R. Haine

 

SYNOPSIS AS INTRODUCED:
 
New Act
20 ILCS 2105/2105-160 new
225 ILCS 60/22   from Ch. 111, par. 4400-22
225 ILCS 65/10-45
225 ILCS 65/15-50
225 ILCS 95/21   from Ch. 111, par. 4621

    Creates the Human Cloning and Adult Stem Cell Research Act. Provides that a person shall not intentionally or knowingly do any of the following: (1) perform or attempt to perform human cloning; (2) transfer or receive a cloned human embryo for any purpose; (3) transfer or receive, in whole or in part, any oocyte, human embryo, fetus, or human somatic cell, for the purpose of human cloning; or (4) participate in performing or in an attempt to perform human cloning. Provides that a violation of these provisions is a Class A misdemeanor. Provides for civil penalties. Provides that research involving the derivation and use of human adult stem cells and stem cells derived from umbilical cord blood and from placenta shall be encouraged and permitted and that the ethical and medical implications of this research shall be given full consideration. Provides that research involving the derivation and use of human adult stem cells shall be reviewed by an approved institutional review board, as determined by the Department of Public Health. Amends the Department of Professional Regulation Law of the Civil Administrative Code of Illinois. Provides that a violation of the Human Cloning and Adult Stem Cell Research Act is grounds for denial of an application for, denial of renewal of, or revocation of any license, permit, certification, or any other form of permission required to practice or engage in any trade, occupation, or profession regulated by the Department of Financial and Professional Regulation. Makes conforming changes to the Medical Practice Act of 1987, the Nursing and Advanced Practice Nursing Act, and the Physician Assistant Practice Act of 1987. Effective immediately.


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CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY
FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1     AN ACT concerning cloning and adult stem cell research.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 1. Short title. This Act may be cited as the Human
5 Cloning and Adult Stem Cell Research Act.
 
6     Section 5. Purpose. It is the intent of the General
7 Assembly to prohibit human cloning for any purpose, whether for
8 reproductive or research purposes, and to establish as the
9 policy of the State of Illinois that research involving the
10 derivation and use of human adult stem cells and stem cells
11 derived from umbilical cord blood and from placenta shall be
12 encouraged and permitted and that the ethical and medical
13 implications of this research shall be given full
14 consideration.
 
15     Section 10. Definitions. In this Act, unless the context
16 otherwise requires:
17     "Fetus" means a living organism of the species homo sapiens
18 from 8 weeks' development until complete expulsion or
19 extraction from a woman's body, or until removal from an
20 artificial womb or other similar environment designed to
21 nurture the development of such organism.
22     "Human cloning" means human asexual reproduction,
23 accomplished by introducing the genetic material of a human
24 somatic cell into a fertilized or unfertilized oocyte whose
25 nucleus has been or will be removed or inactivated, to produce
26 a living organism with a human or predominantly human genetic
27 constitution.
28      "Human embryo" means a living organism of the species homo
29 sapiens from the single-celled state to 8 weeks' development.
30     "Human somatic cell" means a cell having a complete set of
31 chromosomes obtained from a living or deceased human organism

 

 

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1 of the species homo sapiens at any stage of development.
2     "Oocyte" means a female germ cell, an ovum.
 
3     Section 15. Human cloning prohibition.
4     (a) A person shall not intentionally or knowingly do any of
5 the following:
6         (1) perform or attempt to perform human cloning;
7         (2) transfer or receive a cloned human embryo for any
8     purpose;
9         (3) transfer or receive, in whole or in part, any
10     oocyte, human embryo, fetus, or human somatic cell, for the
11     purpose of human cloning; or
12         (4) participate in performing or in an attempt to
13     perform human cloning.
14     (b) This Section does not restrict areas of scientific
15 research not specifically prohibited, including in vitro
16 fertilization; the administration of fertility-enhancing
17 drugs; or research in the use of nuclear transfer or other
18 cloning techniques to produce molecules, deoxyribonucleic
19 acid, tissues, organs, plants, animals other than humans, or
20 cells other than human embryos.
 
21     Section 20. Sentence.
22     (a) A person who violates any of paragraphs (1) through (4)
23 of subsection (a) of Section 15 is guilty of a Class A
24 misdemeanor.
25     (b) A person who violates any of paragraphs (1) through (4)
26 of subsection (a) of Section 15 in a manner that results in a
27 pecuniary gain:
28         (1) if the violator is an individual, shall pay a civil
29     penalty of not more than $250,000 or an amount equal to the
30     amount of gross gain multiplied by 2, whichever is greater.
31         (2) if the violator is a corporation, firm, clinic,
32     hospital, laboratory, or research facility, shall pay a
33     civil penalty of not more than $1,000,000 or an amount
34     equal to the amount of gross gain multiplied by 2,

 

 

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1     whichever is greater.
2     (c) Administrative penalties collected in accordance with
3 this Act shall be paid into the General Revenue Fund.
 
4     Section 25. Policy encouraging research. The policy of the
5 State of Illinois shall be as follows:
6         (1) That research involving the derivation and use of
7     human adult stem cells and stem cells derived from
8     umbilical cord blood and from placenta shall be encouraged
9     and permitted and that the ethical and medical implications
10     of this research shall be given full consideration.
11         (2) That research involving the derivation and use of
12     human adult stem cells shall be reviewed by an approved
13     institutional review board, as determined by the
14     Department of Public Health.
 
15     Section 105. The Department of Professional Regulation Law
16 of the Civil Administrative Code of Illinois is amended by
17 adding Section 2105-160 as follows:
 
18     (20 ILCS 2105/2105-160 new)
19     Sec. 2105-160. Violations of the Human Cloning and Adult
20 Stem Cell Research Act. A violation of Section 15 of the Human
21 Cloning and Adult Stem Cell Research Act is grounds for denial
22 of an application for, denial of renewal of, or revocation of
23 any license, permit, certification, or any other form of
24 permission required to practice or engage in any trade,
25 occupation, or profession regulated by the Department.
 
26     Section 110. The Medical Practice Act of 1987 is amended by
27 changing Section 22 as follows:
 
28     (225 ILCS 60/22)  (from Ch. 111, par. 4400-22)
29     (Section scheduled to be repealed on January 1, 2007)
30     Sec. 22. Disciplinary action.
31     (A) The Department may revoke, suspend, place on

 

 

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1 probationary status, or take any other disciplinary action as
2 the Department may deem proper with regard to the license or
3 visiting professor permit of any person issued under this Act
4 to practice medicine, or to treat human ailments without the
5 use of drugs and without operative surgery upon any of the
6 following grounds:
7         (1) Performance of an elective abortion in any place,
8     locale, facility, or institution other than:
9             (a) a facility licensed pursuant to the Ambulatory
10         Surgical Treatment Center Act;
11             (b) an institution licensed under the Hospital
12         Licensing Act; or
13             (c) an ambulatory surgical treatment center or
14         hospitalization or care facility maintained by the
15         State or any agency thereof, where such department or
16         agency has authority under law to establish and enforce
17         standards for the ambulatory surgical treatment
18         centers, hospitalization, or care facilities under its
19         management and control; or
20             (d) ambulatory surgical treatment centers,
21         hospitalization or care facilities maintained by the
22         Federal Government; or
23             (e) ambulatory surgical treatment centers,
24         hospitalization or care facilities maintained by any
25         university or college established under the laws of
26         this State and supported principally by public funds
27         raised by taxation.
28         (2) Performance of an abortion procedure in a wilful
29     and wanton manner on a woman who was not pregnant at the
30     time the abortion procedure was performed.
31         (3) The conviction of a felony in this or any other
32     jurisdiction, except as otherwise provided in subsection B
33     of this Section, whether or not related to practice under
34     this Act, or the entry of a guilty or nolo contendere plea
35     to a felony charge.
36         (3.5) The conviction of an offense described in Section

 

 

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1     15 of the Human Cloning and Adult Stem Cell Research Act.
2         (4) Gross negligence in practice under this Act.
3         (5) Engaging in dishonorable, unethical or
4     unprofessional conduct of a character likely to deceive,
5     defraud or harm the public.
6         (6) Obtaining any fee by fraud, deceit, or
7     misrepresentation.
8         (7) Habitual or excessive use or abuse of drugs defined
9     in law as controlled substances, of alcohol, or of any
10     other substances which results in the inability to practice
11     with reasonable judgment, skill or safety.
12         (8) Practicing under a false or, except as provided by
13     law, an assumed name.
14         (9) Fraud or misrepresentation in applying for, or
15     procuring, a license under this Act or in connection with
16     applying for renewal of a license under this Act.
17         (10) Making a false or misleading statement regarding
18     their skill or the efficacy or value of the medicine,
19     treatment, or remedy prescribed by them at their direction
20     in the treatment of any disease or other condition of the
21     body or mind.
22         (11) Allowing another person or organization to use
23     their license, procured under this Act, to practice.
24         (12) Disciplinary action of another state or
25     jurisdiction against a license or other authorization to
26     practice as a medical doctor, doctor of osteopathy, doctor
27     of osteopathic medicine or doctor of chiropractic, a
28     certified copy of the record of the action taken by the
29     other state or jurisdiction being prima facie evidence
30     thereof.
31         (13) Violation of any provision of this Act or of the
32     Medical Practice Act prior to the repeal of that Act, or
33     violation of the rules, or a final administrative action of
34     the Director, after consideration of the recommendation of
35     the Disciplinary Board.
36         (14) Dividing with anyone other than physicians with

 

 

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1     whom the licensee practices in a partnership, Professional
2     Association, limited liability company, or Medical or
3     Professional Corporation any fee, commission, rebate or
4     other form of compensation for any professional services
5     not actually and personally rendered. Nothing contained in
6     this subsection prohibits persons holding valid and
7     current licenses under this Act from practicing medicine in
8     partnership under a partnership agreement, including a
9     limited liability partnership, in a limited liability
10     company under the Limited Liability Company Act, in a
11     corporation authorized by the Medical Corporation Act, as
12     an association authorized by the Professional Association
13     Act, or in a corporation under the Professional Corporation
14     Act or from pooling, sharing, dividing or apportioning the
15     fees and monies received by them or by the partnership,
16     corporation or association in accordance with the
17     partnership agreement or the policies of the Board of
18     Directors of the corporation or association. Nothing
19     contained in this subsection prohibits 2 or more
20     corporations authorized by the Medical Corporation Act,
21     from forming a partnership or joint venture of such
22     corporations, and providing medical, surgical and
23     scientific research and knowledge by employees of these
24     corporations if such employees are licensed under this Act,
25     or from pooling, sharing, dividing, or apportioning the
26     fees and monies received by the partnership or joint
27     venture in accordance with the partnership or joint venture
28     agreement. Nothing contained in this subsection shall
29     abrogate the right of 2 or more persons, holding valid and
30     current licenses under this Act, to each receive adequate
31     compensation for concurrently rendering professional
32     services to a patient and divide a fee; provided, the
33     patient has full knowledge of the division, and, provided,
34     that the division is made in proportion to the services
35     performed and responsibility assumed by each.
36         (15) A finding by the Medical Disciplinary Board that

 

 

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1     the registrant after having his or her license placed on
2     probationary status or subjected to conditions or
3     restrictions violated the terms of the probation or failed
4     to comply with such terms or conditions.
5         (16) Abandonment of a patient.
6         (17) Prescribing, selling, administering,
7     distributing, giving or self-administering any drug
8     classified as a controlled substance (designated product)
9     or narcotic for other than medically accepted therapeutic
10     purposes.
11         (18) Promotion of the sale of drugs, devices,
12     appliances or goods provided for a patient in such manner
13     as to exploit the patient for financial gain of the
14     physician.
15         (19) Offering, undertaking or agreeing to cure or treat
16     disease by a secret method, procedure, treatment or
17     medicine, or the treating, operating or prescribing for any
18     human condition by a method, means or procedure which the
19     licensee refuses to divulge upon demand of the Department.
20         (20) Immoral conduct in the commission of any act
21     including, but not limited to, commission of an act of
22     sexual misconduct related to the licensee's practice.
23         (21) Wilfully making or filing false records or reports
24     in his or her practice as a physician, including, but not
25     limited to, false records to support claims against the
26     medical assistance program of the Department of Public Aid
27     under the Illinois Public Aid Code.
28         (22) Wilful omission to file or record, or wilfully
29     impeding the filing or recording, or inducing another
30     person to omit to file or record, medical reports as
31     required by law, or wilfully failing to report an instance
32     of suspected abuse or neglect as required by law.
33         (23) Being named as a perpetrator in an indicated
34     report by the Department of Children and Family Services
35     under the Abused and Neglected Child Reporting Act, and
36     upon proof by clear and convincing evidence that the

 

 

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1     licensee has caused a child to be an abused child or
2     neglected child as defined in the Abused and Neglected
3     Child Reporting Act.
4         (24) Solicitation of professional patronage by any
5     corporation, agents or persons, or profiting from those
6     representing themselves to be agents of the licensee.
7         (25) Gross and wilful and continued overcharging for
8     professional services, including filing false statements
9     for collection of fees for which services are not rendered,
10     including, but not limited to, filing such false statements
11     for collection of monies for services not rendered from the
12     medical assistance program of the Department of Public Aid
13     under the Illinois Public Aid Code.
14         (26) A pattern of practice or other behavior which
15     demonstrates incapacity or incompetence to practice under
16     this Act.
17         (27) Mental illness or disability which results in the
18     inability to practice under this Act with reasonable
19     judgment, skill or safety.
20         (28) Physical illness, including, but not limited to,
21     deterioration through the aging process, or loss of motor
22     skill which results in a physician's inability to practice
23     under this Act with reasonable judgment, skill or safety.
24         (29) Cheating on or attempt to subvert the licensing
25     examinations administered under this Act.
26         (30) Wilfully or negligently violating the
27     confidentiality between physician and patient except as
28     required by law.
29         (31) The use of any false, fraudulent, or deceptive
30     statement in any document connected with practice under
31     this Act.
32         (32) Aiding and abetting an individual not licensed
33     under this Act in the practice of a profession licensed
34     under this Act.
35         (33) Violating state or federal laws or regulations
36     relating to controlled substances.

 

 

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1         (34) Failure to report to the Department any adverse
2     final action taken against them by another licensing
3     jurisdiction (any other state or any territory of the
4     United States or any foreign state or country), by any peer
5     review body, by any health care institution, by any
6     professional society or association related to practice
7     under this Act, by any governmental agency, by any law
8     enforcement agency, or by any court for acts or conduct
9     similar to acts or conduct which would constitute grounds
10     for action as defined in this Section.
11         (35) Failure to report to the Department surrender of a
12     license or authorization to practice as a medical doctor, a
13     doctor of osteopathy, a doctor of osteopathic medicine, or
14     doctor of chiropractic in another state or jurisdiction, or
15     surrender of membership on any medical staff or in any
16     medical or professional association or society, while
17     under disciplinary investigation by any of those
18     authorities or bodies, for acts or conduct similar to acts
19     or conduct which would constitute grounds for action as
20     defined in this Section.
21         (36) Failure to report to the Department any adverse
22     judgment, settlement, or award arising from a liability
23     claim related to acts or conduct similar to acts or conduct
24     which would constitute grounds for action as defined in
25     this Section.
26         (37) Failure to transfer copies of medical records as
27     required by law.
28         (38) Failure to furnish the Department, its
29     investigators or representatives, relevant information,
30     legally requested by the Department after consultation
31     with the Chief Medical Coordinator or the Deputy Medical
32     Coordinator.
33         (39) Violating the Health Care Worker Self-Referral
34     Act.
35         (40) Willful failure to provide notice when notice is
36     required under the Parental Notice of Abortion Act of 1995.

 

 

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1         (41) Failure to establish and maintain records of
2     patient care and treatment as required by this law.
3         (42) Entering into an excessive number of written
4     collaborative agreements with licensed advanced practice
5     nurses resulting in an inability to adequately collaborate
6     and provide medical direction.
7         (43) Repeated failure to adequately collaborate with
8     or provide medical direction to a licensed advanced
9     practice nurse.
10     All proceedings to suspend, revoke, place on probationary
11 status, or take any other disciplinary action as the Department
12 may deem proper, with regard to a license on any of the
13 foregoing grounds, must be commenced within 3 years next after
14 receipt by the Department of a complaint alleging the
15 commission of or notice of the conviction order for any of the
16 acts described herein. Except for the grounds numbered (8), (9)
17 and (29), no action shall be commenced more than 5 years after
18 the date of the incident or act alleged to have violated this
19 Section. In the event of the settlement of any claim or cause
20 of action in favor of the claimant or the reduction to final
21 judgment of any civil action in favor of the plaintiff, such
22 claim, cause of action or civil action being grounded on the
23 allegation that a person licensed under this Act was negligent
24 in providing care, the Department shall have an additional
25 period of one year from the date of notification to the
26 Department under Section 23 of this Act of such settlement or
27 final judgment in which to investigate and commence formal
28 disciplinary proceedings under Section 36 of this Act, except
29 as otherwise provided by law. The time during which the holder
30 of the license was outside the State of Illinois shall not be
31 included within any period of time limiting the commencement of
32 disciplinary action by the Department.
33     The entry of an order or judgment by any circuit court
34 establishing that any person holding a license under this Act
35 is a person in need of mental treatment operates as a
36 suspension of that license. That person may resume their

 

 

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1 practice only upon the entry of a Departmental order based upon
2 a finding by the Medical Disciplinary Board that they have been
3 determined to be recovered from mental illness by the court and
4 upon the Disciplinary Board's recommendation that they be
5 permitted to resume their practice.
6     The Department may refuse to issue or take disciplinary
7 action concerning the license of any person who fails to file a
8 return, or to pay the tax, penalty or interest shown in a filed
9 return, or to pay any final assessment of tax, penalty or
10 interest, as required by any tax Act administered by the
11 Illinois Department of Revenue, until such time as the
12 requirements of any such tax Act are satisfied as determined by
13 the Illinois Department of Revenue.
14     The Department, upon the recommendation of the
15 Disciplinary Board, shall adopt rules which set forth standards
16 to be used in determining:
17         (a) when a person will be deemed sufficiently
18     rehabilitated to warrant the public trust;
19         (b) what constitutes dishonorable, unethical or
20     unprofessional conduct of a character likely to deceive,
21     defraud, or harm the public;
22         (c) what constitutes immoral conduct in the commission
23     of any act, including, but not limited to, commission of an
24     act of sexual misconduct related to the licensee's
25     practice; and
26         (d) what constitutes gross negligence in the practice
27     of medicine.
28     However, no such rule shall be admissible into evidence in
29 any civil action except for review of a licensing or other
30 disciplinary action under this Act.
31     In enforcing this Section, the Medical Disciplinary Board,
32 upon a showing of a possible violation, may compel any
33 individual licensed to practice under this Act, or who has
34 applied for licensure or a permit pursuant to this Act, to
35 submit to a mental or physical examination, or both, as
36 required by and at the expense of the Department. The examining

 

 

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1 physician or physicians shall be those specifically designated
2 by the Disciplinary Board. The Medical Disciplinary Board or
3 the Department may order the examining physician to present
4 testimony concerning this mental or physical examination of the
5 licensee or applicant. No information shall be excluded by
6 reason of any common law or statutory privilege relating to
7 communication between the licensee or applicant and the
8 examining physician. The individual to be examined may have, at
9 his or her own expense, another physician of his or her choice
10 present during all aspects of the examination. Failure of any
11 individual to submit to mental or physical examination, when
12 directed, shall be grounds for suspension of his or her license
13 until such time as the individual submits to the examination if
14 the Disciplinary Board finds, after notice and hearing, that
15 the refusal to submit to the examination was without reasonable
16 cause. If the Disciplinary Board finds a physician unable to
17 practice because of the reasons set forth in this Section, the
18 Disciplinary Board shall require such physician to submit to
19 care, counseling, or treatment by physicians approved or
20 designated by the Disciplinary Board, as a condition for
21 continued, reinstated, or renewed licensure to practice. Any
22 physician, whose license was granted pursuant to Sections 9,
23 17, or 19 of this Act, or, continued, reinstated, renewed,
24 disciplined or supervised, subject to such terms, conditions or
25 restrictions who shall fail to comply with such terms,
26 conditions or restrictions, or to complete a required program
27 of care, counseling, or treatment, as determined by the Chief
28 Medical Coordinator or Deputy Medical Coordinators, shall be
29 referred to the Director for a determination as to whether the
30 licensee shall have their license suspended immediately,
31 pending a hearing by the Disciplinary Board. In instances in
32 which the Director immediately suspends a license under this
33 Section, a hearing upon such person's license must be convened
34 by the Disciplinary Board within 15 days after such suspension
35 and completed without appreciable delay. The Disciplinary
36 Board shall have the authority to review the subject

 

 

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1 physician's record of treatment and counseling regarding the
2 impairment, to the extent permitted by applicable federal
3 statutes and regulations safeguarding the confidentiality of
4 medical records.
5     An individual licensed under this Act, affected under this
6 Section, shall be afforded an opportunity to demonstrate to the
7 Disciplinary Board that they can resume practice in compliance
8 with acceptable and prevailing standards under the provisions
9 of their license.
10     The Department may promulgate rules for the imposition of
11 fines in disciplinary cases, not to exceed $5,000 for each
12 violation of this Act. Fines may be imposed in conjunction with
13 other forms of disciplinary action, but shall not be the
14 exclusive disposition of any disciplinary action arising out of
15 conduct resulting in death or injury to a patient. Any funds
16 collected from such fines shall be deposited in the Medical
17 Disciplinary Fund.
18     (B) The Department shall revoke the license or visiting
19 permit of any person issued under this Act to practice medicine
20 or to treat human ailments without the use of drugs and without
21 operative surgery, who has been convicted a second time of
22 committing any felony under the Illinois Controlled Substances
23 Act, or who has been convicted a second time of committing a
24 Class 1 felony under Sections 8A-3 and 8A-6 of the Illinois
25 Public Aid Code. A person whose license or visiting permit is
26 revoked under this subsection B of Section 22 of this Act shall
27 be prohibited from practicing medicine or treating human
28 ailments without the use of drugs and without operative
29 surgery.
30     (C) The Medical Disciplinary Board shall recommend to the
31 Department civil penalties and any other appropriate
32 discipline in disciplinary cases when the Board finds that a
33 physician willfully performed an abortion with actual
34 knowledge that the person upon whom the abortion has been
35 performed is a minor or an incompetent person without notice as
36 required under the Parental Notice of Abortion Act of 1995.

 

 

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1 Upon the Board's recommendation, the Department shall impose,
2 for the first violation, a civil penalty of $1,000 and for a
3 second or subsequent violation, a civil penalty of $5,000.
4 (Source: P.A. 89-18, eff. 6-1-95; 89-201, eff. 1-1-96; 89-626,
5 eff. 8-9-96; 89-702, eff. 7-1-97; 90-742, eff. 8-13-98.)
 
6     Section 115. The Nursing and Advanced Practice Nursing Act
7 is amended by changing Sections 10-45 and 15-50 as follows:
 
8     (225 ILCS 65/10-45)
9     (Section scheduled to be repealed on January 1, 2008)
10     Sec. 10-45. Grounds for disciplinary action.
11     (a) The Department may, upon recommendation of the Board,
12 refuse to issue or to renew, or may revoke, suspend, place on
13 probation, reprimand, or take other disciplinary action as the
14 Department may deem appropriate with regard to a license for
15 any one or combination of the causes set forth in subsection
16 (b) below. Fines up to $2,500 may be imposed in conjunction
17 with other forms of disciplinary action for those violations
18 that result in monetary gain for the licensee. Fines shall not
19 be the exclusive disposition of any disciplinary action arising
20 out of conduct resulting in death or injury to a patient. Fines
21 shall not be assessed in disciplinary actions involving mental
22 or physical illness or impairment. All fines collected under
23 this Section shall be deposited in the Nursing Dedicated and
24 Professional Fund.
25     (b) Grounds for disciplinary action include the following:
26         (1) Material deception in furnishing information to
27     the Department.
28         (2) Material violations of any provision of this Act or
29     violation of the rules of or final administrative action of
30     the Director, after consideration of the recommendation of
31     the Board.
32         (3) Conviction of any crime under the laws of any
33     jurisdiction of the United States: (i) which is a felony;
34     or (ii) which is a misdemeanor, an essential element of

 

 

SB0188 - 15 - LRB094 06760 RLC 36862 b

1     which is dishonesty, or (iii) of any crime which is
2     directly related to the practice of the profession.
3         (3.5) The conviction of an offense described in Section
4     15 of the Human Cloning and Adult Stem Cell Research Act.
5         (4) A pattern of practice or other behavior which
6     demonstrates incapacity or incompetency to practice under
7     this Act.
8         (5) Knowingly aiding or assisting another person in
9     violating any provision of this Act or rules.
10         (6) Failing, within 90 days, to provide a response to a
11     request for information in response to a written request
12     made by the Department by certified mail.
13         (7) Engaging in dishonorable, unethical or
14     unprofessional conduct of a character likely to deceive,
15     defraud or harm the public, as defined by rule.
16         (8) Unlawful sale or distribution of any drug,
17     narcotic, or prescription device, or unlawful conversion
18     of any drug, narcotic or prescription device.
19         (9) Habitual or excessive use or addiction to alcohol,
20     narcotics, stimulants, or any other chemical agent or drug
21     which results in a licensee's inability to practice with
22     reasonable judgment, skill or safety.
23         (10) Discipline by another U.S. jurisdiction or
24     foreign nation, if at least one of the grounds for the
25     discipline is the same or substantially equivalent to those
26     set forth in this Section.
27         (11) A finding that the licensee, after having her or
28     his license placed on probationary status, has violated the
29     terms of probation.
30         (12) Being named as a perpetrator in an indicated
31     report by the Department of Children and Family Services
32     and under the Abused and Neglected Child Reporting Act, and
33     upon proof by clear and convincing evidence that the
34     licensee has caused a child to be an abused child or
35     neglected child as defined in the Abused and Neglected
36     Child Reporting Act.

 

 

SB0188 - 16 - LRB094 06760 RLC 36862 b

1         (13) Willful omission to file or record, or willfully
2     impeding the filing or recording or inducing another person
3     to omit to file or record medical reports as required by
4     law or willfully failing to report an instance of suspected
5     child abuse or neglect as required by the Abused and
6     Neglected Child Reporting Act.
7         (14) Gross negligence in the practice of nursing.
8         (15) Holding oneself out to be practicing nursing under
9     any name other than one's own.
10         (16) Fraud, deceit or misrepresentation in applying
11     for or procuring a license under this Act or in connection
12     with applying for renewal of a license under this Act.
13         (17) Allowing another person or organization to use the
14     licensees' license to deceive the public.
15         (18) Willfully making or filing false records or
16     reports in the licensee's practice, including but not
17     limited to false records to support claims against the
18     medical assistance program of the Department of Public Aid
19     under the Illinois Public Aid Code.
20         (19) Attempting to subvert or cheat on a nurse
21     licensing examination administered under this Act.
22         (20) Immoral conduct in the commission of an act, such
23     as sexual abuse, sexual misconduct, or sexual
24     exploitation, related to the licensee's practice.
25         (21) Willfully or negligently violating the
26     confidentiality between nurse and patient except as
27     required by law.
28         (22) Practicing under a false or assumed name, except
29     as provided by law.
30         (23) The use of any false, fraudulent, or deceptive
31     statement in any document connected with the licensee's
32     practice.
33         (24) Directly or indirectly giving to or receiving from
34     a person, firm, corporation, partnership, or association a
35     fee, commission, rebate, or other form of compensation for
36     professional services not actually or personally rendered.

 

 

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1         (25) Failure of a licensee to report to the Department
2     any adverse final action taken against such licensee by
3     another licensing jurisdiction (any other jurisdiction of
4     the United States or any foreign state or country), by any
5     peer review body, by any health care institution, by any
6     professional or nursing society or association, by any
7     governmental agency, by any law enforcement agency, or by
8     any court or a nursing liability claim related to acts or
9     conduct similar to acts or conduct that would constitute
10     grounds for action as defined in this Section.
11         (26) Failure of a licensee to report to the Department
12     surrender by the licensee of a license or authorization to
13     practice nursing in another state or jurisdiction, or
14     current surrender by the licensee of membership on any
15     nursing staff or in any nursing or professional association
16     or society while under disciplinary investigation by any of
17     those authorities or bodies for acts or conduct similar to
18     acts or conduct that would constitute grounds for action as
19     defined by this Section.
20         (27) A violation of the Health Care Worker
21     Self-Referral Act.
22         (28) Physical illness, including but not limited to
23     deterioration through the aging process or loss of motor
24     skill, mental illness, or disability that results in the
25     inability to practice the profession with reasonable
26     judgment, skill, or safety.
27     (c) The determination by a circuit court that a licensee is
28 subject to involuntary admission or judicial admission as
29 provided in the Mental Health and Developmental Disabilities
30 Code, as amended, operates as an automatic suspension. The
31 suspension will end only upon a finding by a court that the
32 patient is no longer subject to involuntary admission or
33 judicial admission and issues an order so finding and
34 discharging the patient; and upon the recommendation of the
35 Board to the Director that the licensee be allowed to resume
36 his or her practice.

 

 

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1     (d) The Department may refuse to issue or may suspend the
2 license of any person who fails to file a return, or to pay the
3 tax, penalty or interest shown in a filed return, or to pay any
4 final assessment of the tax, penalty, or interest as required
5 by any tax Act administered by the Illinois Department of
6 Revenue, until such time as the requirements of any such tax
7 Act are satisfied.
8     (e) In enforcing this Section, the Department or Board upon
9 a showing of a possible violation may compel an individual
10 licensed to practice under this Act, or who has applied for
11 licensure under this Act, to submit to a mental or physical
12 examination, or both, as required by and at the expense of the
13 Department. The Department or Board may order the examining
14 physician to present testimony concerning the mental or
15 physical examination of the licensee or applicant. No
16 information shall be excluded by reason of any common law or
17 statutory privilege relating to communications between the
18 licensee or applicant and the examining physician. The
19 examining physicians shall be specifically designated by the
20 Board or Department. The individual to be examined may have, at
21 his or her own expense, another physician of his or her choice
22 present during all aspects of this examination. Failure of an
23 individual to submit to a mental or physical examination, when
24 directed, shall be grounds for suspension of his or her license
25 until the individual submits to the examination if the
26 Department finds, after notice and hearing, that the refusal to
27 submit to the examination was without reasonable cause.
28     If the Department or Board finds an individual unable to
29 practice because of the reasons set forth in this Section, the
30 Department or Board may require that individual to submit to
31 care, counseling, or treatment by physicians approved or
32 designated by the Department or Board, as a condition, term, or
33 restriction for continued, reinstated, or renewed licensure to
34 practice; or, in lieu of care, counseling, or treatment, the
35 Department may file, or the Board may recommend to the
36 Department to file, a complaint to immediately suspend, revoke,

 

 

SB0188 - 19 - LRB094 06760 RLC 36862 b

1 or otherwise discipline the license of the individual. An
2 individual whose license was granted, continued, reinstated,
3 renewed, disciplined or supervised subject to such terms,
4 conditions, or restrictions, and who fails to comply with such
5 terms, conditions, or restrictions, shall be referred to the
6 Director for a determination as to whether the individual shall
7 have his or her license suspended immediately, pending a
8 hearing by the Department.
9     In instances in which the Director immediately suspends a
10 person's license under this Section, a hearing on that person's
11 license must be convened by the Department within 15 days after
12 the suspension and completed without appreciable delay. The
13 Department and Board shall have the authority to review the
14 subject individual's record of treatment and counseling
15 regarding the impairment to the extent permitted by applicable
16 federal statutes and regulations safeguarding the
17 confidentiality of medical records.
18     An individual licensed under this Act and affected under
19 this Section shall be afforded an opportunity to demonstrate to
20 the Department or Board that he or she can resume practice in
21 compliance with acceptable and prevailing standards under the
22 provisions of his or her license.
23 (Source: P.A. 90-742, eff. 8-13-98.)
 
24     (225 ILCS 65/15-50)
25     (Section scheduled to be repealed on January 1, 2008)
26     Sec. 15-50. Grounds for disciplinary action.
27     (a) The Department may, upon the recommendation of the APN
28 Board, refuse to issue or to renew, or may revoke, suspend,
29 place on probation, censure or reprimand, or take other
30 disciplinary action as the Department may deem appropriate with
31 regard to a license issued under this Title, including the
32 issuance of fines not to exceed $5,000 for each violation, for
33 any one or combination of the grounds for discipline set forth
34 in Section 10-45 of this Act or for any one or combination of
35 the following causes:

 

 

SB0188 - 20 - LRB094 06760 RLC 36862 b

1
2         (1) Gross negligence in the practice of advanced
3     practice nursing.
4         (2) Exceeding the terms of a collaborative agreement or
5     the prescriptive authority delegated to him or her by his
6     or her collaborating physician or alternate collaborating
7     physician in guidelines established under a written
8     collaborative agreement.
9         (3) Making a false or misleading statement regarding
10     his or her skill or the efficacy or value of the medicine,
11     treatment, or remedy prescribed by him or her in the course
12     of treatment.
13         (4) Prescribing, selling, administering, distributing,
14     giving, or self-administering a drug classified as a
15     controlled substance (designated product) or narcotic for
16     other than medically accepted therapeutic purposes.
17         (5) Promotion of the sale of drugs, devices,
18     appliances, or goods provided for a patient in a manner to
19     exploit the patient for financial gain.
20         (6) Violating State or federal laws or regulations
21     relating to controlled substances.
22         (6.5) The conviction of an offense described in Section
23     15 of the Human Cloning and Adult Stem Cell Research Act.
24         (7) Willfully or negligently violating the
25     confidentiality between advanced practice nurse,
26     collaborating physician, and patient, except as required
27     by law.
28         (8) Failure of a licensee to report to the Department
29     any adverse final action taken against such licensee by
30     another licensing jurisdiction (any other jurisdiction of
31     the United States or any foreign state or country), any
32     peer review body, any health care institution, a
33     professional or nursing or advanced practice nursing
34     society or association, a governmental agency, a law
35     enforcement agency, or a court or a liability claim
36     relating to acts or conduct similar to acts or conduct that

 

 

SB0188 - 21 - LRB094 06760 RLC 36862 b

1     would constitute grounds for action as defined in this
2     Section.
3         (9) Failure of a licensee to report to the Department
4     surrender by the licensee of a license or authorization to
5     practice nursing or advanced practice nursing in another
6     state or jurisdiction, or current surrender by the licensee
7     of membership on any nursing staff or organized health care
8     professional staff or in any nursing, advanced practice
9     nurse, or professional association or society while under
10     disciplinary investigation by any of those authorities or
11     bodies for acts or conduct similar to acts or conduct that
12     would constitute grounds for action as defined in this
13     Section.
14         (10) Failing, within 60 days, to provide information in
15     response to a written request made by the Department.
16         (11) Failure to establish and maintain records of
17     patient care and treatment as required by law.
18         (12) Any violation of any Section of this Title or Act.
19     When the Department has received written reports
20 concerning incidents required to be reported in items (8) and
21 (9), the licensee's failure to report the incident to the
22 Department under those items shall not be the sole grounds for
23 disciplinary action.
24     (b) The Department may refuse to issue or may suspend the
25 license of any person who fails to file a return, to pay the
26 tax, penalty, or interest shown in a filed return, or to pay
27 any final assessment of the tax, penalty, or interest as
28 required by a tax Act administered by the Department of
29 Revenue, until the requirements of the tax Act are satisfied.
30     (c) In enforcing this Section, the Department or APN Board,
31 upon a showing of a possible violation, may compel an
32 individual licensed to practice under this Title, or who has
33 applied for licensure under this Title, to submit to a mental
34 or physical examination or both, as required by and at the
35 expense of the Department. The Department or APN Board may
36 order the examining physician to present testimony concerning

 

 

SB0188 - 22 - LRB094 06760 RLC 36862 b

1 the mental or physical examination of the licensee or
2 applicant. No information shall be excluded by reason of any
3 common law or statutory privilege relating to communications
4 between the licensee or applicant and the examining physician.
5 The examining physician shall be specifically designated by the
6 APN Board or Department. The individual to be examined may
7 have, at his or her own expense, another physician of his or
8 her choice present during all aspects of this examination.
9 Failure of an individual to submit to a mental or physical
10 examination when directed shall be grounds for suspension of
11 his or her license until the individual submits to the
12 examination if the Department finds, after notice and hearing,
13 that the refusal to submit to the examination was without
14 reasonable cause.
15     If the Department or APN Board finds an individual unable
16 to practice because of the reasons set forth in this Section,
17 the Department or APN Board may require that individual to
18 submit to care, counseling, or treatment by physicians approved
19 or designated by the Department or APN Board as a condition,
20 term, or restriction for continued, reinstated, or renewed
21 licensure to practice; or, in lieu of care, counseling, or
22 treatment, the Department may file, or the APN Board may
23 recommend to the Department to file, a complaint to immediately
24 suspend, revoke, or otherwise discipline the license of the
25 individual. An individual whose license was granted,
26 continued, reinstated, renewed, disciplined or supervised
27 subject to terms, conditions, or restrictions, and who fails to
28 comply with the terms, conditions, or restrictions, shall be
29 referred to the Director for a determination as to whether the
30 individual shall have his or her license suspended immediately,
31 pending a hearing by the Department.
32     In instances in which the Director immediately suspends a
33 person's license under this Section, a hearing on that person's
34 license shall be convened by the Department within 15 days
35 after the suspension and shall be completed without appreciable
36 delay. The Department and APN Board shall have the authority to

 

 

SB0188 - 23 - LRB094 06760 RLC 36862 b

1 review the subject individual's record of treatment and
2 counseling regarding the impairment to the extent permitted by
3 applicable federal statutes and regulations safeguarding the
4 confidentiality of medical records.
5     An individual licensed under this Title and affected under
6 this Section shall be afforded an opportunity to demonstrate to
7 the Department or APN Board that he or she can resume practice
8 in compliance with acceptable and prevailing standards under
9 the provisions of his or her license.
10 (Source: P.A. 90-742, eff. 8-13-98.)
 
11     Section 120. The Physician Assistant Practice Act of 1987
12 is amended by changing Section 21 as follows:
 
13     (225 ILCS 95/21)  (from Ch. 111, par. 4621)
14     (Section scheduled to be repealed on January 1, 2008)
15     Sec. 21. Grounds for disciplinary action.
16     (a) The Department may refuse to issue or to renew, or may
17 revoke, suspend, place on probation, censure or reprimand, or
18 take other disciplinary action with regard to any license
19 issued under this Act as the Department may deem proper,
20 including the issuance of fines not to exceed $5000 for each
21 violation, for any one or combination of the following causes:
22         (1) Material misstatement in furnishing information to
23     the Department.
24         (2) Violations of this Act, or the rules adopted under
25     this Act.
26         (3) Conviction of any crime under the laws of any U.S.
27     jurisdiction that is a felony or that is a misdemeanor, an
28     essential element of which is dishonesty, or of any crime
29     which is directly related to the practice of the
30     profession.
31         (3.5) Conviction of an offense described in Section 15
32     of the Human Cloning and Adult Stem Cell Research Act.
33         (4) Making any misrepresentation for the purpose of
34     obtaining licenses.

 

 

SB0188 - 24 - LRB094 06760 RLC 36862 b

1         (5) Professional incompetence.
2         (6) Aiding or assisting another person in violating any
3     provision of this Act or its rules.
4         (7) Failing, within 60 days, to provide information in
5     response to a written request made by the Department.
6         (8) Engaging in dishonorable, unethical, or
7     unprofessional conduct, as defined by rule, of a character
8     likely to deceive, defraud, or harm the public.
9         (9) Habitual or excessive use or addiction to alcohol,
10     narcotics, stimulants, or any other chemical agent or drug
11     that results in a physician assistant's inability to
12     practice with reasonable judgment, skill, or safety.
13         (10) Discipline by another U.S. jurisdiction or
14     foreign nation, if at least one of the grounds for
15     discipline is the same or substantially equivalent to those
16     set forth in this Section.
17         (11) Directly or indirectly giving to or receiving from
18     any person, firm, corporation, partnership, or association
19     any fee, commission, rebate or other form of compensation
20     for any professional services not actually or personally
21     rendered.
22         (12) A finding by the Disciplinary Board that the
23     licensee, after having his or her license placed on
24     probationary status has violated the terms of probation.
25         (13) Abandonment of a patient.
26         (14) Willfully making or filing false records or
27     reports in his or her practice, including but not limited
28     to false records filed with state agencies or departments.
29         (15) Willfully failing to report an instance of
30     suspected child abuse or neglect as required by the Abused
31     and Neglected Child Reporting Act.
32         (16) Physical illness, including but not limited to
33     deterioration through the aging process, or loss of motor
34     skill, mental illness, or disability that results in the
35     inability to practice the profession with reasonable
36     judgment, skill or safety.

 

 

SB0188 - 25 - LRB094 06760 RLC 36862 b

1         (17) Being named as a perpetrator in an indicated
2     report by the Department of Children and Family Services
3     under the Abused and Neglected Child Reporting Act, and
4     upon proof by clear and convincing evidence that the
5     licensee has caused a child to be an abused child or
6     neglected child as defined in the Abused and Neglected
7     Child Reporting Act.
8         (18) Conviction in this State or another state of any
9     crime that is a felony under the laws of this State, or
10     conviction of a felony in a federal court.
11         (19) Gross malpractice resulting in permanent injury
12     or death of a patient.
13         (20) Employment of fraud, deception or any unlawful
14     means in applying for or securing a license as a physician
15     assistant.
16         (21) Exceeding the authority delegated to him or her by
17     his or her supervising physician in guidelines established
18     by the physician/physician assistant team.
19         (22) Immoral conduct in the commission of any act, such
20     as sexual abuse, sexual misconduct or sexual exploitation
21     related to the licensee's practice.
22         (23) Violation of the Health Care Worker Self-Referral
23     Act.
24         (24) Practicing under a false or assumed name, except
25     as provided by law.
26         (25) Making a false or misleading statement regarding
27     his or her skill or the efficacy or value of the medicine,
28     treatment, or remedy prescribed by him or her in the course
29     of treatment.
30         (26) Allowing another person to use his or her license
31     to practice.
32         (27) Prescribing, selling, administering,
33     distributing, giving, or self-administering a drug
34     classified as a controlled substance (designated product)
35     or narcotic for other than medically-accepted therapeutic
36     purposes.

 

 

SB0188 - 26 - LRB094 06760 RLC 36862 b

1         (28) Promotion of the sale of drugs, devices,
2     appliances, or goods provided for a patient in a manner to
3     exploit the patient for financial gain.
4         (29) A pattern of practice or other behavior that
5     demonstrates incapacity or incompetence to practice under
6     this Act.
7         (30) Violating State or federal laws or regulations
8     relating to controlled substances.
9         (31) Exceeding the limited prescriptive authority
10     delegated by the supervising physician or violating the
11     written guidelines delegating that authority.
12         (32) Practicing without providing to the Department a
13     notice of supervision or delegation of prescriptive
14     authority.
15     (b) The Department may refuse to issue or may suspend the
16 license of any person who fails to file a return, or to pay the
17 tax, penalty or interest shown in a filed return, or to pay any
18 final assessment of the tax, penalty, or interest as required
19 by any tax Act administered by the Illinois Department of
20 Revenue, until such time as the requirements of any such tax
21 Act are satisfied.
22     (c) The determination by a circuit court that a licensee is
23 subject to involuntary admission or judicial admission as
24 provided in the Mental Health and Developmental Disabilities
25 Code operates as an automatic suspension. The suspension will
26 end only upon a finding by a court that the patient is no
27 longer subject to involuntary admission or judicial admission
28 and issues an order so finding and discharging the patient, and
29 upon the recommendation of the Disciplinary Board to the
30 Director that the licensee be allowed to resume his or her
31 practice.
32     (d) In enforcing this Section, the Department upon a
33 showing of a possible violation may compel an individual
34 licensed to practice under this Act, or who has applied for
35 licensure under this Act, to submit to a mental or physical
36 examination, or both, as required by and at the expense of the

 

 

SB0188 - 27 - LRB094 06760 RLC 36862 b

1 Department. The Department may order the examining physician to
2 present testimony concerning the mental or physical
3 examination of the licensee or applicant. No information shall
4 be excluded by reason of any common law or statutory privilege
5 relating to communications between the licensee or applicant
6 and the examining physician. The examining physicians shall be
7 specifically designated by the Department. The individual to be
8 examined may have, at his or her own expense, another physician
9 of his or her choice present during all aspects of this
10 examination. Failure of an individual to submit to a mental or
11 physical examination, when directed, shall be grounds for
12 suspension of his or her license until the individual submits
13 to the examination if the Department finds, after notice and
14 hearing, that the refusal to submit to the examination was
15 without reasonable cause.
16     If the Department finds an individual unable to practice
17 because of the reasons set forth in this Section, the
18 Department may require that individual to submit to care,
19 counseling, or treatment by physicians approved or designated
20 by the Department, as a condition, term, or restriction for
21 continued, reinstated, or renewed licensure to practice; or, in
22 lieu of care, counseling, or treatment, the Department may file
23 a complaint to immediately suspend, revoke, or otherwise
24 discipline the license of the individual. An individual whose
25 license was granted, continued, reinstated, renewed,
26 disciplined, or supervised subject to such terms, conditions,
27 or restrictions, and who fails to comply with such terms,
28 conditions, or restrictions, shall be referred to the Director
29 for a determination as to whether the individual shall have his
30 or her license suspended immediately, pending a hearing by the
31 Department.
32     In instances in which the Director immediately suspends a
33 person's license under this Section, a hearing on that person's
34 license must be convened by the Department within 15 days after
35 the suspension and completed without appreciable delay. The
36 Department shall have the authority to review the subject

 

 

SB0188 - 28 - LRB094 06760 RLC 36862 b

1 individual's record of treatment and counseling regarding the
2 impairment to the extent permitted by applicable federal
3 statutes and regulations safeguarding the confidentiality of
4 medical records.
5     An individual licensed under this Act and affected under
6 this Section shall be afforded an opportunity to demonstrate to
7 the Department that he or she can resume practice in compliance
8 with acceptable and prevailing standards under the provisions
9 of his or her license.
10 (Source: P.A. 90-61, eff. 12-30-97; 90-116, eff. 7-14-97;
11 90-655, eff. 7-30-98.)
 
12     Section 999. Effective date. This Act takes effect upon
13 becoming law.