093_HB2280ham001

 










                                     LRB093 06695 AMC 14141 a

 1                    AMENDMENT TO HOUSE BILL 2280

 2        AMENDMENT NO.     .  Amend House Bill  2280  on  page  1,
 3    immediately below line 3, by inserting the following:

 4                          "ARTICLE 5"; and

 5    on page 1, by replacing lines 4 and 5 with the following:
 6        "Section  1.  Short  title.  This Article may be cited as
 7    the  Nurse  Licensure  Compact  Act.   In  this  Article  any
 8    reference to this Act means this Article."; and

 9    on page 1, line 6, by replacing  "Section  5"  with  "Section
10    5-5"; and

11    on  page 12, line 23, by replacing "Section 10" with "Section
12    5-10"; and

13    on page 12, line 28, by replacing "Section 15" with  "Section
14    5-15"; and

15    on  page 13, line 11, by replacing "Section 20" with "Section
16    5-20"; and

17    on page 13, line 17, by replacing "Section 25" with  "Section
18    5-25"; and

19    on  page 13, line 21, by replacing "Section 30" with "Section
 
                            -2-      LRB093 06695 AMC 14141 a
 1    5-30"; and

 2    on page 13, immediately  below  line  22,  by  inserting  the
 3    following:

 4                             "ARTICLE 10

 5        Section 10-1.  Short title.  This Article may be cited as
 6    the  Advanced Practice Registered Nurse Compact Act.  In this
 7    Article, any reference to this Act means this Article.

 8        Section 10-5.  Ratification and approval of compact.  The
 9    advanced practice registered nurse compact is hereby  enacted
10    into  law  and  entered into on behalf of this State with any
11    state  that  legally  joins  therein  in  substantially   the
12    following form:

13                              ARTICLE I
14                 Findings and Declaration of Purpose

15        (a)  The party states find that:
16             (1)  The   health  and  safety  of  the  public  are
17        affected  by  the  degree   of   compliance   with   APRN
18        licensure/authority  to  practice  requirements  and  the
19        effectiveness  of enforcement activities related to state
20        APRN licensure/authority to practice laws;
21             (2)  Violations  of  APRN   licensure/authority   to
22        practice  and  other  laws  regulating  the  practice  of
23        nursing may result in injury or harm to the public;
24             (3)  The  expanded  mobility of APRNs and the use of
25        advanced  communication  technologies  as  part  of   our
26        nation's  health  care  delivery  system  require greater
27        coordination and cooperation among states in the areas of
28        APRN licensure/authority to practice and regulation;
29             (4)  New practice  modalities  and  technology  make
 
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 1        compliance with individual state APRN licensure/authority
 2        to practice laws difficult and complex;
 3             (5)  The   current   system   of   duplicative  APRN
 4        licensure/authority to practice for APRNs  practicing  in
 5        multiple states is cumbersome and redundant to both APRNs
 6        and states;
 7             (6)  Uniformity  of APRN requirements throughout the
 8        states promotes public safety and public health benefits;
 9        and
10             (7)  Access to APRN services increases the  public's
11        access   to   health  care,  particularly  in  rural  and
12        underserved areas.
13        (b)  The general purposes of this Compact are to:
14             (1)  Facilitate  the  states'  responsibilities   to
15        protect the public's health and safety;
16             (2)  Ensure  and  encourage the cooperation of party
17        states  in  the  areas  of  APRN  licensure/authority  to
18        practice and regulation including  promotion  of  uniform
19        licensure requirements;
20             (3)  Facilitate  the exchange of information between
21        party  states  in   the   areas   of   APRN   regulation,
22        investigation and adverse actions;
23             (4)  Promote compliance with the laws governing APRN
24        practice in each jurisdiction; and
25             (5)  Invest  all  party states with the authority to
26        hold an APRN accountable for meeting all  state  practice
27        laws  in the state in which the patient is located at the
28        time care is rendered through the mutual  recognition  of
29        party state licenses.

30                             ARTICLE II
31                             Definitions

32        As used in this Compact:
33        (a)  "Advanced Practice Registered Nurse" or "APRN" means
 
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 1    a  Nurse  Anesthetist;  Nurse Practitioner; Nurse Midwife; or
 2    Clinical  Nurse  Specialist  to  the  extent  a  party  state
 3    licenses or grants authority to practice in  that  APRN  role
 4    and title.
 5        (b)  "Adverse  Action"  means  a  home  or  remote  state
 6    disciplinary action.
 7        (c)  "Alternative    program"    means    a    voluntary,
 8    non-disciplinary  monitoring  program approved by a licensing
 9    board.
10        (d)  "APRN Licensure/Authority  to  Practice"  means  the
11    regulatory  mechanism  used  by  a party state to grant legal
12    authority to practice as an APRN.
13        (e)  "APRN  Uniform   Licensure/Authority   to   Practice
14    Requirements"   means   those  agreed  upon  minimum  uniform
15    licensure, education and examination requirements adopted  by
16    licensing boards for the recognized APRN role and title.
17        (f)  "Coordinated  licensure information system" means an
18    integrated  process  for  collecting,  storing  and   sharing
19    information  on  APRN  licensure/authority  to  practice  and
20    enforcement activities related to APRN licensure/authority to
21    practice   laws,   which  is  administered  by  a  non-profit
22    organization composed of and controlled  by  state  licensing
23    boards.
24        (g)  "Current   significant   investigative  information"
25    means:
26             (1)  Investigative  information  that  a   licensing
27        board,   after   a   preliminary  inquiry  that  includes
28        notification and an opportunity for the APRN  to  respond
29        if  required  by  state law, has reason to believe is not
30        groundless and, if proved true, would indicate more  than
31        a minor infraction; or
32             (2)  Investigative  information  that indicates that
33        the APRN represents an immediate threat to public  health
34        and  safety  regardless  of  whether  the  APRN  has been
 
                            -5-      LRB093 06695 AMC 14141 a
 1        notified and had an opportunity to respond.
 2        (h)  "Home state" means  the  party  state  that  is  the
 3    APRN's primary state of residence.
 4        (i)  "Home state action" means any administrative, civil,
 5    equitable  or  criminal  action permitted by the home state's
 6    laws which are  imposed  on  an  APRN  by  the  home  state's
 7    licensing  board or other authority including actions against
 8    an  individual's  license/authority  to  practice  such   as:
 9    revocation,  suspension,  probation or any other action which
10    affects an APRN's authorization to practice.
11        (j)  "Licensing board" means a party  state's  regulatory
12    body  responsible  for  issuing  APRN  licensure/authority to
13    practice.
14        (k)  "Multistate  advanced  practice   privilege"   means
15    current,  authority from a remote state permitting an APRN to
16    practice in that state in the same role and title as the APRN
17    is licensed/authorized to practice in the home state  to  the
18    extent  that  the  remote state laws recognize such APRN role
19    and title. A remote state has the  authority,  in  accordance
20    with existing state due process laws, to take actions against
21    the   APRN's  privilege,  including  revocation,  suspension,
22    probation,  or  any  other  action  that  affects  an  APRN's
23    multistate privilege to practice.
24        (l)  "Party state" means any state that has adopted  this
25    Compact.
26        (m)  "Prescriptive  authority"  means the legal authority
27    to prescribe medications and  devices  as  defined  by  party
28    state laws.
29        (n)  "Remote  state"  means a party state, other than the
30    home state,
31             (1)  Where the patient is located at the  time  APRN
32        care is provided, or,
33             (2)  In  the  case  of APRN practice not involving a
34        patient, in such party state where the recipient of  APRN
 
                            -6-      LRB093 06695 AMC 14141 a
 1        practice is located.
 2        (o)  "Remote state action" means
 3             (1)  Any   administrative,   civil,   equitable   or
 4        criminal  action permitted by a remote state's laws which
 5        are imposed on an APRN by the  remote  state's  licensing
 6        board  or  other  authority  including actions against an
 7        individual's multistate advanced  practice  privilege  in
 8        the remote state, and
 9             (2)  Cease   and  desist  and  other  injunctive  or
10        equitable orders issued by remote states or the licensing
11        boards thereof.
12        (p)  "State" means a state, territory, or  possession  of
13    the United States.
14        (q)  "State practice laws" means a party state's laws and
15    regulations  that  govern  APRN practice, define the scope of
16    advanced nursing practice including  prescriptive  authority,
17    and  create  the methods and grounds for imposing discipline.
18    State practice laws do not include the requirements necessary
19    to obtain and retain APRN licensure/authority to practice  as
20    an  APRN,  except  for  qualifications or requirements of the
21    home state.
22        (r)  "Unencumbered" means that a  state  has  no  current
23    disciplinary  action  against  an APRN's license/authority to
24    practice.

25                             ARTICLE III
26                 General Provisions and Jurisdiction

27        (a)  All party states  shall  participate  in  the  Nurse
28    Licensure   Compact   for   registered  nurses  and  licensed
29    practical/vocational nurses in order to enter into  the  APRN
30    Compact.
31        (b)  No  state  shall  enter  the  APRN Compact until the
32    state   adopts,   at   a   minimum,    the    APRN    Uniform
33    Licensure/Authority  to  Practice  Requirements for each APRN
 
                            -7-      LRB093 06695 AMC 14141 a
 1    role and title  recognized by the state seeking to enter  the
 2    APRN Compact.
 3        (c)  APRN  Licensure/Authority  to  practice  issued by a
 4    home state to a resident in that state  will be recognized by
 5    each  party  state  as  authorizing  a  multistate   advanced
 6    practice  privilege to the extent that the role and title are
 7    recognized by each party state.  To  obtain  or  retain  APRN
 8    licensure/authority to practice as an APRN, an applicant must
 9    meet the home state's qualifications for authority or renewal
10    of authority as well as all other applicable state laws.
11        (d)  The APRN multistate advanced practice privilege does
12    not  include  prescriptive authority, and does not affect any
13    requirements imposed by states to grant to  an  APRN  initial
14    and  continuing  prescriptive  authority  according  to state
15    practice laws. However, a party state may grant  prescriptive
16    authority  to  an  individual  on  the  basis of a multistate
17    advanced practice privilege to the extent permitted by  state
18    practice laws.
19        (e)  A  party  state  may,  in  accordance with state due
20    process  laws,  limit  or  revoke  the  multistate   advanced
21    practice  privilege in the party state and may take any other
22    necessary actions under the party state's applicable laws  to
23    protect  the health and safety of the party state's citizens.
24    If a party state takes action, the party state shall promptly
25    notify  the  administrator  of  the   coordinated   licensure
26    information  system.  The  administrator  of  the coordinated
27    licensure information system shall promptly notify  the  home
28    state of any such actions by remote states.
29        (f)  An APRN practicing in a party state must comply with
30    the  state practice laws of the state in which the patient is
31    located at the time  care  is  provided.  The  APRN  practice
32    includes  patient  care  and  all  advanced  nursing practice
33    defined  by  the  party  state's  practice  laws.   The  APRN
34    practice will subject an APRN  to  the  jurisdiction  of  the
 
                            -8-      LRB093 06695 AMC 14141 a
 1    licensing board, the courts, and the laws of the party state.
 2        (g)  Individuals  not residing in a party state may apply
 3    for APRN licensure/authority to practice as an APRN under the
 4    laws of a party state. However,  the  authority  to  practice
 5    granted  to  these  individuals  will  not  be  recognized as
 6    granting the privilege to practice as an APRN  in  any  other
 7    party state unless explicitly agreed to by that party state.

 8                             ARTICLE IV
 9              Applications for APRN Licensure/Authority
10                    to Practice in a Party State

11        (a)  Once  an application for APRN licensure/authority to
12    practice is submitted, a party state shall ascertain, through
13    the Coordinated Licensure Information System, whether:
14             (1)  The applicant has held or is the  holder  of  a
15        nursing  license/authority  to practice issued by another
16        state;
17             (2)  The applicant has had  a  history  of  previous
18        disciplinary action by any state;
19             (3)  An  encumbrance exists on any license/authority
20        to practice; and
21             (4)  Any other adverse action by any other state has
22        been taken against a license/authority to practice.
23        This information may be used in approving or  denying  an
24    application for APRN licensure/authority to practice.
25        (b)  An   APRN   in   a   party  state  shall  hold  APRN
26    licensure/authority to practice in only one party state at  a
27    time, issued by the home state.
28        (c)  An  APRN  who  intends  to  change  primary state of
29    residence may apply for APRN licensure/authority to  practice
30    in  the  new  home state in advance of such change.  However,
31    new licensure/authority to practice will not be issued  by  a
32    party  state  until after an APRN provides evidence of change
33    in primary state of residence satisfactory to  the  new  home
 
                            -9-      LRB093 06695 AMC 14141 a
 1    state's licensing board.
 2        (d)  When an APRN changes primary state of residence by:
 3             (1)  Moving  between  two  party states, and obtains
 4        APRN licensure/authority to practice from  the  new  home
 5        state,  the APRN licensure/authority to practice from the
 6        former home state is no longer valid;
 7             (2)  Moving from a non-party state to a party state,
 8        and obtains APRN licensure/authority to practice from the
 9        new home state, the individual state  license  issued  by
10        the  nonparty  state  is  not affected and will remain in
11        full force if so provided by the laws  of  the  non-party
12        state;
13             (3)  Moving from a party state to a non-party state,
14        the  APRN  licensure/authority  to practice issued by the
15        prior home state converts to an individual state license,
16        valid  only  in  the  former  home  state,  without   the
17        multistate licensure privilege to practice in other party
18        states.

19                              ARTICLE V
20                           Adverse Actions

21        In  addition  to  the  General  Provisions  described  in
22    Article III, the following provisions apply:
23        (a)  The licensing board of a remote state shall promptly
24    report  to  the  administrator  of  the coordinated licensure
25    information system any remote  state  actions  including  the
26    factual  and  legal  basis  for  such  action,  if known. The
27    licensing board of a remote state shall also promptly  report
28    any  significant  current  investigative  information  yet to
29    result in a remote state action.  The  administrator  of  the
30    coordinated   licensure  information  system  shall  promptly
31    notify the home state of any such reports.
32        (b)  The licensing board of a party state shall have  the
33    authority  to complete any pending investigations for an APRN
 
                            -10-     LRB093 06695 AMC 14141 a
 1    who changes primary state of residence during the  course  of
 2    such investigations. It shall also have the authority to take
 3    appropriate   action(s),   and   shall  promptly  report  the
 4    conclusions of such investigations to  the  administrator  of
 5    the    coordinated    licensure   information   system.   The
 6    administrator of the coordinated licensure information system
 7    shall promptly notify the new home state of any such actions.
 8        (c)  A remote state may take adverse action affecting the
 9    multistate advanced practice  privilege  to  practice  within
10    that party state. However, only the home state shall have the
11    power   to   impose   adverse   action   against   the   APRN
12    licensure/authority to practice issued by the home state.
13        (d)  For   purposes   of  imposing  adverse  action,  the
14    licensing board  of  the  home  state  shall  give  the  same
15    priority  and  effect  to  reported  conduct  received from a
16    remote state as it would if such conduct had occurred  within
17    the  home  state.  In  so doing, it shall apply its own state
18    laws to determine appropriate action.
19        (e)  The home state may take adverse action based on  the
20    factual  findings  of the remote state, so long as each state
21    follows its own procedures for imposing such adverse action.
22        (f)  Nothing in  this  Compact  shall  override  a  party
23    state's decision that participation in an alternative program
24    may  be  used  in  lieu  of  adverse  action  and  that  such
25    participation  shall  remain  non-public  if  required by the
26    party state's laws. Party states must require APRNs who enter
27    any alternative programs to agree  not  to  practice  in  any
28    other party  state during the term of the alternative program
29    without prior authorization from such other party state.
30        (g)  All  home state licensing board disciplinary orders,
31    agreed or otherwise, which limit  the  scope  of  the  APRN's
32    practice  or require monitoring of the APRN as a condition of
33    the order shall include the requirements that the  APRN  will
34    limit  her  or  his  practice  to  the  home state during the
 
                            -11-     LRB093 06695 AMC 14141 a
 1    pendency of the order. This requirement may allow the APRN to
 2    practice  in  other   party   states   with   prior   written
 3    authorization  from  both  the  home  state  and  party state
 4    licensing boards.

 5                             ARTICLE VI
 6           Additional Authorities Invested in Party State
 7                          Licensing Boards

 8        Notwithstanding any other powers, party  state  licensing
 9    boards shall have the authority to:
10        (a)  If  otherwise  permitted  by state law, recover from
11    the affected APRN the costs of investigations and disposition
12    of cases resulting from any adverse action taken against that
13    APRN;
14        (b)  Issue    subpoenas    for    both    hearings    and
15    investigations, which require the attendance and testimony of
16    witnesses, and the production of evidence.  Subpoenas  issued
17    by  a licensing board in a party state for the attendance and
18    testimony of witnesses, and/or  the  production  of  evidence
19    from  another  party  state,  shall be enforced in the latter
20    state by any court of competent  jurisdiction,  according  to
21    the  practice  and  procedure  of  that  court  applicable to
22    subpoenas  issued  in  proceedings  pending  before  it.  The
23    issuing  authority  shall  pay  any  witness   fees,   travel
24    expenses,  mileage  and  other  fees  required by the service
25    statutes of the state where the witnesses and/or evidence are
26    located;
27        (c)  Issue cease and desist orders to limit or revoke  an
28    APRN's  privilege or licensure/authority to practice in their
29    state; and
30        (d)  Promulgate uniform rules and regulations as provided
31    for in Article VIII(c).

32                             ARTICLE VII
 
                            -12-     LRB093 06695 AMC 14141 a
 1              Coordinated Licensure Information System

 2        (a)  All party states shall participate in a  cooperative
 3    effort  to  create  a coordinated database of all APRNs. This
 4    system    will    include    information    on    the    APRN
 5    licensure/authority to practice and disciplinary  history  of
 6    each  APRN,  as contributed by party states, to assist in the
 7    coordination of  APRN  licensure/authority  to  practice  and
 8    enforcement efforts.
 9        (b)  Notwithstanding  any  other  provision  of  law, all
10    party states' licensing boards shall promptly report  adverse
11    actions,   actions   against   multistate  advanced  practice
12    privileges, any current significant investigative information
13    yet to result in adverse action, denials of applications, and
14    the reasons for such denials, to  the  coordinated  licensure
15    information system.
16        (c)  Current  significant investigative information shall
17    be transmitted through the coordinated licensure  information
18    system only to party state licensing boards.
19        (d)  Notwithstanding  any  other  provision  of  law, all
20    party states' licensing boards  contributing  information  to
21    the  coordinated  licensure  information system may designate
22    information that may not be shared with non-party  states  or
23    disclosed  to  other  entities  or  individuals  without  the
24    express permission of the contributing state.
25        (e)  Any  personally identifiable information obtained by
26    a  party  states'  licensing  board  from   the   coordinated
27    licensure information system may not be shared with non-party
28    states  or  disclosed to other entities or individuals except
29    to the extent permitted  by  the  laws  of  the  party  state
30    contributing the information.
31        (f)  Any   information  contributed  to  the  coordinated
32    licensure information system that is subsequently required to
33    be expunged by the laws of the party state contributing  that
34    information,  shall  also  be  expunged  from the coordinated
 
                            -13-     LRB093 06695 AMC 14141 a
 1    licensure information system.
 2        (g)  The Compact administrators, acting jointly with each
 3    other and in  consultation  with  the  administrator  of  the
 4    coordinated  licensure  information  system,  shall formulate
 5    necessary  and  proper  procedures  for  the  identification,
 6    collection and exchange of information under this Compact.

 7                            ARTICLE VIII
 8        Compact Administration and Interchange of Information

 9        (a)  The  head  of  the  licensing  board,   or   his/her
10    designee,  of  each party state shall be the administrator of
11    this Compact for his/her state.
12        (b)  The Compact administrator of each party state  shall
13    furnish  to  the  Compact  administrator  of each other party
14    state  any  information  and  documents  including,  but  not
15    limited to, a uniform data set of investigations, identifying
16    information,  licensure  data,  and  disclosable  alternative
17    program   participation   information   to   facilitate   the
18    administration of this Compact.
19        (c)  Compact administrators shall have the  authority  to
20    develop   uniform   rules   to   facilitate   and  coordinate
21    implementation of this Compact. These uniform rules shall  be
22    adopted  by  party states, under the authority invested under
23    Article VI (d).

24                             ARTICLE IX
25                              Immunity

26        No party state or the officers or employees or agents  of
27    a  party  state's licensing board who acts in accordance with
28    the provisions of this Compact shall be liable on account  of
29    any  act  or  omission  in  good  faith  while engaged in the
30    performance of their duties under this Compact. Good faith in
31    this article shall  not  include  willful  misconduct,  gross
 
                            -14-     LRB093 06695 AMC 14141 a
 1    negligence, or recklessness.

 2                              ARTICLE X
 3             Entry into Force, Withdrawal and Amendment

 4        (a)  This  Compact  shall  enter  into  force  and become
 5    effective as to any state when it has been enacted  into  the
 6    laws  of  that  state. Any party state may withdraw from this
 7    Compact by enacting a statute repealing the same, but no such
 8    withdrawal shall take  effect  until  six  months  after  the
 9    withdrawing  state  has given notice of the withdrawal to the
10    executive heads of all other party states.
11        (b)  No  withdrawal  shall   affect   the   validity   or
12    applicability  by  the  licensing  boards of states remaining
13    party  to  the  Compact  of  any  report  of  adverse  action
14    occurring prior to the withdrawal.
15        (c)  Nothing contained in this Compact shall be construed
16    to invalidate or  prevent  any  APRN  licensure/authority  to
17    practice agreement or other cooperative arrangement between a
18    party  state and a non-party state that is made in accordance
19    with the other provisions of this Compact.
20        (d)  This Compact may be amended by the party states.  No
21    amendment  to this Compact shall become effective and binding
22    upon the party states unless and until it is enacted into the
23    laws of all party states.

24                             ARTICLE XI
25                    Construction and Severability

26        (a)  This Compact shall be liberally construed so  as  to
27    effectuate  the  purposes  thereof.  The  provisions  of this
28    Compact  shall  be  severable  and  if  any  phrase,  clause,
29    sentence or provision of  this  Compact  is  declared  to  be
30    contrary  to  the  constitution  of any party state or of the
31    United States or the applicability thereof to any government,
 
                            -15-     LRB093 06695 AMC 14141 a
 1    agency, person or circumstance is held invalid, the  validity
 2    of  the  remainder  of  this  Compact  and  the applicability
 3    thereof to any government,  agency,  person  or  circumstance
 4    shall  not be affected thereby. If this Compact shall be held
 5    contrary to the constitution of any state party thereto,  the
 6    Compact  shall  remain  in  full  force  and effect as to the
 7    remaining party states and in full force and effect as to the
 8    party state affected as to all severable matters.
 9        (b)  In the event party states find a need  for  settling
10    disputes arising under this Compact:
11             (1)  The  party  states  may  submit  the  issues in
12        dispute to an arbitration panel which will  be  comprised
13        of  an  individual appointed by the Compact administrator
14        in the home state; an individual appointed by the Compact
15        administrator in the remote  state(s)  involved;  and  an
16        individual   mutually   agreed   upon   by   the  Compact
17        administrators of all the party states  involved  in  the
18        dispute.
19             (2)  The  decision  of a majority of the arbitrators
20        shall be final and binding.

21        Section 10. Compact administrator; expenses.
22        (a)  The Director of Professional Regulation shall  serve
23    as  the compact administrator for this State and any expenses
24    he or she incurs  in  so  serving  shall  be  paid  from  the
25    appropriation for the ordinary and contingent expenses of the
26    Department of Professional Regulation.
27        (b)  The Director shall terminate Illinois' participation
28    in  the  compact  if  the APRN Uniform Licensure/Authority to
29    Practice Requirements are  substantially  changed  after  the
30    effective  date of this Act. A substantial change is anything
31    that  significantly  alters   the   individual   professional
32    qualifications  for  participation  in the compact such as no
33    longer  requiring  either   certification   by   a   national
 
                            -16-     LRB093 06695 AMC 14141 a
 1    accreditation  body  in  the  APRN's specialty appropriate to
 2    educational preparation or completion  of  a  graduate  level
 3    APRN   educational   program   accredited   by   a   national
 4    accreditation  body.  If  the  Director  terminates Illinois'
 5    participation in the compact, then the Director shall provide
 6    all APRNs practicing in Illinois under  the  compact  at  the
 7    time 60 days written notice of the termination.
 8        (c)  All  APRNs  practicing in Illinois under the compact
 9    at  the  time  of  registration  with   the   Department   of
10    Professional Regulation shall be required to sign a notarized
11    statement  of  understanding and agreement to practice within
12    the scope of  practice  requirements  for  advanced  practice
13    nurses  in  Illinois  under the Nursing and Advanced Practice
14    Nursing Act.  The Department shall prepare  the  form  to  be
15    used.

16                          ARTICLE 90"; and

17    on  page 13, line 23, by replacing "Section 90" with "Section
18    90-5"; and

19    on page 26, immediately  below  line  29,  by  inserting  the
20    following:

21                          "ARTICLE 99"; and

22    on  page 26, line 30, by replacing "Section 99" with "Section
23    99-5".