Full Text of HB5047 103rd General Assembly
HB5047ham001 103RD GENERAL ASSEMBLY | Rep. Terra Costa Howard Filed: 3/27/2024 | | 10300HB5047ham001 | | LRB103 37251 RTM 71424 a |
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| 1 | | AMENDMENT TO HOUSE BILL 5047
| 2 | | AMENDMENT NO. ______. Amend House Bill 5047 by replacing | 3 | | everything after the enacting clause with the following: | 4 | | "Section 5. The Nurse Practice Act is amended by changing | 5 | | Sections 50-10, 55-10, 60-10, and 65-10 as follows: | 6 | | (225 ILCS 65/50-10) (was 225 ILCS 65/5-10) | 7 | | (Section scheduled to be repealed on January 1, 2028) | 8 | | Sec. 50-10. Definitions. Each of the following terms, when | 9 | | used in this Act, shall have the meaning ascribed to it in this | 10 | | Section, except where the context clearly indicates otherwise: | 11 | | "Academic year" means the customary annual schedule of | 12 | | courses at a college, university, or approved school, | 13 | | customarily regarded as the school year as distinguished from | 14 | | the calendar year. | 15 | | "Address of record" means the designated address recorded | 16 | | by the Department in the applicant's or licensee's application |
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| 1 | | file or license file as maintained by the Department's | 2 | | licensure maintenance unit. | 3 | | "Advanced practice registered nurse" or "APRN" means a | 4 | | person who has met the qualifications for a (i) certified | 5 | | nurse midwife (CNM); (ii) certified nurse practitioner (CNP); | 6 | | (iii) certified registered nurse anesthetist (CRNA); or (iv) | 7 | | clinical nurse specialist (CNS) and has been licensed by the | 8 | | Department. All advanced practice registered nurses licensed | 9 | | and practicing in the State of Illinois shall use the title | 10 | | APRN and may use specialty credentials CNM, CNP, CRNA, or CNS | 11 | | after their name. All advanced practice registered nurses may | 12 | | only practice in accordance with national certification and | 13 | | this Act. | 14 | | "Advisory Board" means the Illinois Nursing Workforce | 15 | | Center Advisory Board. | 16 | | "Approved program of professional nursing education" and | 17 | | "approved program of practical nursing education" are programs | 18 | | of professional or practical nursing, respectively, approved | 19 | | by the Department under the provisions of this Act. | 20 | | "Board" means the Board of Nursing appointed by the | 21 | | Secretary. | 22 | | "Center" means the Illinois Nursing Workforce Center. | 23 | | "Collaboration" means a process involving 2 or more health | 24 | | care professionals working together, each contributing one's | 25 | | respective area of expertise to provide more comprehensive | 26 | | patient care. |
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| 1 | | "Competence" means an expected and measurable level of | 2 | | performance that integrates knowledge, skills, abilities, and | 3 | | judgment based on established scientific knowledge and | 4 | | expectations for nursing practice. | 5 | | "Comprehensive nursing assessment" means the gathering of | 6 | | information about the patient's physiological, psychological, | 7 | | sociological, and spiritual status on an ongoing basis by a | 8 | | registered professional nurse and is the first step in | 9 | | implementing and guiding the nursing plan of care. | 10 | | "Consultation" means the process whereby an advanced | 11 | | practice registered nurse seeks the advice or opinion of | 12 | | another health care professional. | 13 | | "Credentialed" means the process of assessing and | 14 | | validating the qualifications of a health care professional. | 15 | | "Dentist" means a person licensed to practice dentistry | 16 | | under the Illinois Dental Practice Act. | 17 | | "Department" means the Department of Financial and | 18 | | Professional Regulation. | 19 | | "Direct supervision" means the supervising licensed | 20 | | medical professional is physically present in the facility or | 21 | | practice setting and is readily available to the | 22 | | license-pending nurse. | 23 | | "Email address of record" means the designated email | 24 | | address recorded by the Department in the applicant's | 25 | | application file or the licensee's license file, as maintained | 26 | | by the Department's licensure maintenance unit. |
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| 1 | | "Focused nursing assessment" means an appraisal of an | 2 | | individual's status and current situation, contributing to the | 3 | | comprehensive nursing assessment performed by the registered | 4 | | professional nurse or advanced practice registered nurse or | 5 | | the assessment by the physician assistant, physician, dentist, | 6 | | podiatric physician, or other licensed health care | 7 | | professional, as determined by the Department, supporting | 8 | | ongoing data collection, and deciding who needs to be informed | 9 | | of the information and when to inform. | 10 | | "Full practice authority" means the authority of an | 11 | | advanced practice registered nurse licensed in Illinois and | 12 | | certified as a nurse practitioner, clinical nurse specialist, | 13 | | or nurse midwife to practice without a written collaborative | 14 | | agreement and: | 15 | | (1) to be fully accountable to patients for the | 16 | | quality of advanced nursing care rendered; | 17 | | (2) to be fully accountable for recognizing limits of | 18 | | knowledge and experience and for planning for the | 19 | | management of situations beyond the advanced practice | 20 | | registered nurse's expertise; the full practice authority | 21 | | for advanced practice registered nurses includes accepting | 22 | | referrals from, consulting with, collaborating with, or | 23 | | referring to other health care professionals as warranted | 24 | | by the needs of the patient; and | 25 | | (3) to possess the authority to prescribe medications, | 26 | | including Schedule II through V controlled substances, as |
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| 1 | | provided in Section 65-43. | 2 | | "Hospital affiliate" means a corporation, partnership, | 3 | | joint venture, limited liability company, or similar | 4 | | organization, other than a hospital, that is devoted primarily | 5 | | to the provision, management, or support of health care | 6 | | services and that directly or indirectly controls, is | 7 | | controlled by, or is under common control of the hospital. For | 8 | | the purposes of this definition, "control" means having at | 9 | | least an equal or a majority ownership or membership interest. | 10 | | A hospital affiliate shall be 100% owned or controlled by any | 11 | | combination of hospitals, their parent corporations, or | 12 | | physicians licensed to practice medicine in all its branches | 13 | | in Illinois. "Hospital affiliate" does not include a health | 14 | | maintenance organization regulated under the Health | 15 | | Maintenance Organization Act. | 16 | | "Impaired nurse" means a nurse licensed under this Act who | 17 | | is unable to practice with reasonable skill and safety because | 18 | | of a physical or mental disability as evidenced by a written | 19 | | determination or written consent based on clinical evidence, | 20 | | including loss of motor skills, abuse of drugs or alcohol, or a | 21 | | psychiatric disorder, of sufficient degree to diminish his or | 22 | | her ability to deliver competent patient care. | 23 | | "License-pending advanced practice registered nurse" means | 24 | | a registered professional nurse who has completed all | 25 | | requirements for licensure as an advanced practice registered | 26 | | nurse except the certification examination and has applied to |
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| 1 | | take the next available certification exam and received a | 2 | | temporary permit from the Department. | 3 | | "License-pending registered nurse" means a person who has | 4 | | passed the Department-approved registered nurse licensure exam | 5 | | and has applied for a license from the Department. A | 6 | | license-pending registered nurse shall use the title "RN lic | 7 | | pend" on all documentation related to nursing practice. | 8 | | "Nursing intervention" means any treatment based on | 9 | | clinical nursing judgment or knowledge that a nurse performs. | 10 | | An individual or entity shall not mandate that a registered | 11 | | professional nurse delegate nursing interventions if the | 12 | | registered professional nurse determines it is inappropriate | 13 | | to do so. A nurse shall not be subject to disciplinary or any | 14 | | other adverse action for refusing to delegate a nursing | 15 | | intervention based on patient safety. | 16 | | "Physician" means a person licensed to practice medicine | 17 | | in all its branches under the Medical Practice Act of 1987. | 18 | | "Podiatric physician" means a person licensed to practice | 19 | | podiatry under the Podiatric Medical Practice Act of 1987. | 20 | | "Practical nurse" or "licensed practical nurse" means a | 21 | | person who is licensed as a practical nurse under this Act and | 22 | | practices practical nursing as defined in this Act. Only a | 23 | | practical nurse licensed under this Act is entitled to use the | 24 | | title "licensed practical nurse" and the abbreviation | 25 | | "L.P.N.". | 26 | | "Practical nursing" means the performance of nursing |
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| 1 | | interventions requiring the nursing knowledge, judgment, and | 2 | | skill acquired by means of completion of an approved practical | 3 | | nursing education program. Practical nursing includes | 4 | | assisting in the nursing process under the guidance of a | 5 | | registered professional nurse or an advanced practice | 6 | | registered nurse. The practical nurse may work under the | 7 | | direction of a licensed physician, dentist, podiatric | 8 | | physician, or other health care professional determined by the | 9 | | Department. | 10 | | "Privileged" means the authorization granted by the | 11 | | governing body of a healthcare facility, agency, or | 12 | | organization to provide specific patient care services within | 13 | | well-defined limits, based on qualifications reviewed in the | 14 | | credentialing process. | 15 | | "Registered Nurse" or "Registered Professional Nurse" | 16 | | means a person who is licensed as a professional nurse under | 17 | | this Act and practices nursing as defined in this Act. Only a | 18 | | registered nurse licensed under this Act is entitled to use | 19 | | the titles "registered nurse" and "registered professional | 20 | | nurse" and the abbreviation, "R.N.". | 21 | | "Registered professional nursing practice" means a | 22 | | scientific process founded on a professional body of knowledge | 23 | | that includes, but is not limited to, the protection, | 24 | | promotion, and optimization of health and abilities, | 25 | | prevention of illness and injury, development and | 26 | | implementation of the nursing plan of care, facilitation of |
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| 1 | | nursing interventions to alleviate suffering, care | 2 | | coordination, and advocacy in the care of individuals, | 3 | | families, groups, communities, and populations. "Registered | 4 | | professional nursing practice" does not include the act of | 5 | | medical diagnosis or prescription of medical therapeutic or | 6 | | corrective measures. | 7 | | "Professional assistance program for nurses" means a | 8 | | professional assistance program that meets criteria | 9 | | established by the Board of Nursing and approved by the | 10 | | Secretary, which provides a non-disciplinary treatment | 11 | | approach for nurses licensed under this Act whose ability to | 12 | | practice is compromised by alcohol or chemical substance | 13 | | addiction. | 14 | | "Secretary" means the Secretary of Financial and | 15 | | Professional Regulation. | 16 | | "Unencumbered license" means a license issued in good | 17 | | standing. | 18 | | "Written collaborative agreement" means a written | 19 | | agreement between an advanced practice registered nurse and a | 20 | | collaborating physician, dentist, or podiatric physician | 21 | | pursuant to Section 65-35. | 22 | | (Source: P.A. 103-154, eff. 6-30-23.) | 23 | | (225 ILCS 65/55-10) (was 225 ILCS 65/10-30) | 24 | | (Section scheduled to be repealed on January 1, 2028) | 25 | | Sec. 55-10. LPN licensure by examination. |
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| 1 | | (a) Each applicant who successfully meets the requirements | 2 | | of this Section is eligible for licensure as a licensed | 3 | | practical nurse. | 4 | | (b) An applicant for licensure by examination to practice | 5 | | as a practical nurse is eligible for licensure when the | 6 | | following requirements are met: | 7 | | (1) the applicant has submitted a completed written | 8 | | application on forms provided by the Department and fees | 9 | | as established by the Department; | 10 | | (2) the applicant has graduated from a practical | 11 | | nursing education program approved by the Department or | 12 | | has been granted a certificate of completion of | 13 | | pre-licensure requirements from another United States | 14 | | jurisdiction; | 15 | | (3) the applicant has successfully completed a | 16 | | licensure examination approved by the Department; | 17 | | (4) (blank); | 18 | | (5) the applicant has submitted to the criminal | 19 | | history records check required under Section 50-35 of this | 20 | | Act; | 21 | | (6) the applicant has submitted either to the | 22 | | Department or its designated testing service, a fee | 23 | | covering the cost of providing the examination. Failure to | 24 | | appear for the examination on the scheduled date at the | 25 | | time and place specified after the applicant's application | 26 | | for examination has been received and acknowledged by the |
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| 1 | | Department or the designated testing service shall result | 2 | | in the forfeiture of the examination fee; and | 3 | | (7) the applicant has met all other requirements | 4 | | established by rule. | 5 | | (b-5) If an applicant for licensure by examination | 6 | | neglects, fails, or refuses to take an examination or fails to | 7 | | pass an examination for a license under this Act within 3 years | 8 | | of the date of initial application, the application shall be | 9 | | denied. When an applicant's application is denied due to the | 10 | | failure to pass the examination within the 3-year period, that | 11 | | applicant must undertake an additional course of education as | 12 | | defined by rule prior to submitting a new application for | 13 | | licensure. Any new application must be accompanied by the | 14 | | required fee, evidence of meeting the requirements in force at | 15 | | the time of the new application, and evidence of completion of | 16 | | the additional course of education prescribed by rule. | 17 | | An applicant may take and successfully complete a | 18 | | Department-approved examination in another jurisdiction. | 19 | | However, an applicant who has never been licensed previously | 20 | | in any jurisdiction that utilizes a Department-approved | 21 | | examination and who has taken and failed to pass the | 22 | | examination within 3 years after filing the application must | 23 | | submit proof of successful completion of a | 24 | | Department-authorized nursing education program or | 25 | | recompletion of an approved licensed practical nursing program | 26 | | prior to re-application. |
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| 1 | | (c) An applicant for licensure by examination shall have | 2 | | one year from the date of notification of successful | 3 | | completion of the examination to apply to the Department for a | 4 | | license. If an applicant fails to apply within one year, the | 5 | | applicant shall be required to retake and pass the examination | 6 | | unless licensed in another jurisdiction of the United States. | 7 | | (d) A licensed practical nurse applicant who passes the | 8 | | Department-approved licensure examination and has applied to | 9 | | the Department for licensure may obtain employment as a | 10 | | license-pending practical nurse and practice under the direct | 11 | | supervision of as delegated by a registered professional nurse | 12 | | or an advanced practice registered nurse or a physician. An | 13 | | individual may be employed as a license-pending practical | 14 | | nurse if all of the following criteria are met: | 15 | | (1) He or she has completed and passed the | 16 | | Department-approved licensure exam and presents to the | 17 | | employer the official written notification indicating | 18 | | successful passage of the licensure examination. | 19 | | (2) He or she has completed and submitted to the | 20 | | Department an application for licensure under this Section | 21 | | as a practical nurse. | 22 | | (3) He or she has submitted the required licensure | 23 | | fee. | 24 | | (4) He or she has met all other requirements | 25 | | established by rule, including having submitted to a | 26 | | criminal history records check. |
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| 1 | | (e) The privilege to practice as a license-pending | 2 | | practical nurse shall terminate with the occurrence of any of | 3 | | the following: | 4 | | (1) (Blank). Three months have passed since the | 5 | | official date of passing the licensure exam as inscribed | 6 | | on the formal written notification indicating passage of | 7 | | the exam. This 3-month period may be extended as | 8 | | determined by rule. | 9 | | (2) Receipt of the practical nurse license from the | 10 | | Department. | 11 | | (3) Notification from the Department that the | 12 | | application for licensure has been denied. | 13 | | (4) A request by the Department that the individual | 14 | | terminate practicing as a license-pending practical nurse | 15 | | until an official decision is made by the Department to | 16 | | grant or deny a practical nurse license. | 17 | | (f) (Blank). | 18 | | (g) All applicants for practical nurse licensure by | 19 | | examination who are graduates of nursing educational programs | 20 | | in a country other than the United States or its territories | 21 | | shall have their nursing education credentials evaluated by a | 22 | | Department-approved nursing credentialing evaluation service. | 23 | | No such applicant may be issued a license under this Act unless | 24 | | the applicant's program is deemed by the nursing credentialing | 25 | | evaluation service to be equivalent to a professional nursing | 26 | | education program approved by the Department. An applicant who |
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| 1 | | has graduated from a nursing educational program outside of | 2 | | the United States or its territories and whose first language | 3 | | is not English shall submit evidence of English proficiency, | 4 | | as defined by rule. | 5 | | (h) (Blank). | 6 | | (i) (Blank). | 7 | | (j) (Blank). | 8 | | (k) (Blank). | 9 | | (l) (Blank). | 10 | | (m) All applicants for practical nurse licensure have 3 | 11 | | years from the date of application to complete the application | 12 | | process. If the process has not been completed within 3 years | 13 | | from the date of application, the application shall be denied, | 14 | | the fee forfeited, and the applicant must reapply and meet the | 15 | | requirements in effect at the time of reapplication. | 16 | | (Source: P.A. 100-513, eff. 1-1-18 .) | 17 | | (225 ILCS 65/60-10) | 18 | | (Section scheduled to be repealed on January 1, 2028) | 19 | | Sec. 60-10. RN licensure by examination. | 20 | | (a) Each applicant who successfully meets the requirements | 21 | | of this Section is eligible for licensure as a registered | 22 | | professional nurse. | 23 | | (b) An applicant for licensure by examination to practice | 24 | | as a registered professional nurse is eligible for licensure | 25 | | when the following requirements are met: |
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| 1 | | (1) the applicant has submitted a completed written | 2 | | application, on forms provided by the Department, and | 3 | | fees, as established by the Department; | 4 | | (2) the applicant has graduated from a professional | 5 | | nursing education program approved by the Department or | 6 | | has been granted a certificate of completion of | 7 | | pre-licensure requirements from another United States | 8 | | jurisdiction; | 9 | | (3) the applicant has successfully completed a | 10 | | licensure examination approved by the Department; | 11 | | (4) (blank); | 12 | | (5) the applicant has submitted to the criminal | 13 | | history records check required under Section 50-35 of this | 14 | | Act; | 15 | | (6) the applicant has submitted, either to the | 16 | | Department or its designated testing service, a fee | 17 | | covering the cost of providing the examination; failure to | 18 | | appear for the examination on the scheduled date at the | 19 | | time and place specified after the applicant's application | 20 | | for examination has been received and acknowledged by the | 21 | | Department or the designated testing service shall result | 22 | | in the forfeiture of the examination fee; and | 23 | | (7) the applicant has met all other requirements | 24 | | established by the Department by rule. | 25 | | An applicant for licensure by examination may take the | 26 | | Department-approved examination in another jurisdiction. |
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| 1 | | (b-3) An applicant who graduates from a professional | 2 | | nursing program in this State on or after the effective date of | 3 | | this amendatory Act of the 103rd General Assembly and does not | 4 | | take the licensure examination within 180 days after his or | 5 | | her degree is conferred by the institution of higher education | 6 | | or fails the licensure examination for a second time shall be | 7 | | required to demonstrate proof of completion of a National | 8 | | Council Licensure Examination preparatory class or a | 9 | | comparable test preparatory program before taking a subsequent | 10 | | licensure examination or the graduate may return to the | 11 | | institution of higher education from which he or she graduated | 12 | | which shall provide remedial educational resources to the | 13 | | graduate at no cost to the graduate. Such an applicant must | 14 | | contact the institution of higher education from which he or | 15 | | she graduated prior to retesting. | 16 | | (b-4) All professional nursing programs in probationary | 17 | | status on the effective date of this amendatory Act of the | 18 | | 103rd General Assembly and subject to a program revision plan | 19 | | shall be deemed in good standing for a period of 3 years | 20 | | beginning on the effective date of this amendatory Act of the | 21 | | 103rd General Assembly. Prior to September 1, 2026, no | 22 | | professional nursing program shall be placed on probationary | 23 | | status for failing to reach a passage rate of less than 75%. | 24 | | (b-5) If an applicant for licensure by examination | 25 | | neglects, fails, or refuses to take an examination or fails to | 26 | | pass an examination for a license within 3 years of the date of |
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| 1 | | initial application, the application shall be denied. When an | 2 | | applicant's application is denied due to the failure to pass | 3 | | the examination within the 3-year period, that applicant must | 4 | | undertake an additional course of education as defined by rule | 5 | | prior to submitting a new application for licensure. Any new | 6 | | application must be accompanied by the required fee, evidence | 7 | | of meeting the requirements in force at the time of the new | 8 | | application, and evidence of completion of the additional | 9 | | course of education prescribed by rule. | 10 | | (c) An applicant for licensure by examination shall have | 11 | | one year after the date of notification of the successful | 12 | | completion of the examination to apply to the Department for a | 13 | | license. If an applicant fails to apply within one year, the | 14 | | applicant shall be required to retake and pass the examination | 15 | | unless licensed in another jurisdiction of the United States. | 16 | | (d) An applicant for licensure by examination who passes | 17 | | the Department-approved licensure examination for professional | 18 | | nursing may obtain employment as a license-pending registered | 19 | | nurse and practice under the direct supervision direction of a | 20 | | registered professional nurse or an advanced practice | 21 | | registered nurse until such time as he or she receives his or | 22 | | her license to practice or until the license is denied. In no | 23 | | instance shall any such applicant practice or be employed in | 24 | | any management capacity. An individual may be employed as a | 25 | | license-pending registered nurse if all of the following | 26 | | criteria are met: |
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| 1 | | (1) He or she has completed and passed the | 2 | | Department-approved licensure exam and presents to the | 3 | | employer the official written notification indicating | 4 | | successful passage of the licensure examination. | 5 | | (2) He or she has completed and submitted to the | 6 | | Department an application for licensure under this Section | 7 | | as a registered professional nurse. | 8 | | (3) He or she has submitted the required licensure | 9 | | fee. | 10 | | (4) He or she has met all other requirements | 11 | | established by rule, including having submitted to a | 12 | | criminal history records check. | 13 | | (e) The privilege to practice as a license-pending | 14 | | registered nurse shall terminate with the occurrence of any of | 15 | | the following: | 16 | | (1) (Blank). Three months have passed since the | 17 | | official date of passing the licensure exam as inscribed | 18 | | on the formal written notification indicating passage of | 19 | | the exam. The 3-month license pending period may be | 20 | | extended if more time is needed by the Department to | 21 | | process the licensure application. | 22 | | (2) Receipt of the registered professional nurse | 23 | | license from the Department. | 24 | | (3) Notification from the Department that the | 25 | | application for licensure has been refused. | 26 | | (4) A request by the Department that the individual |
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| 1 | | terminate practicing as a license-pending registered nurse | 2 | | until an official decision is made by the Department to | 3 | | grant or deny a registered professional nurse license. | 4 | | (f) (Blank). | 5 | | (g) (Blank). | 6 | | (h) (Blank). | 7 | | (i) (Blank). | 8 | | (j) (Blank). | 9 | | (k) All applicants for registered professional nurse | 10 | | licensure have 3 years after the date of application to | 11 | | complete the application process. If the process has not been | 12 | | completed within 3 years after the date of application, the | 13 | | application shall be denied, the fee forfeited, and the | 14 | | applicant must reapply and meet the requirements in effect at | 15 | | the time of reapplication. | 16 | | (l) All applicants for registered nurse licensure by | 17 | | examination who are graduates of practical nursing educational | 18 | | programs in a country other than the United States and its | 19 | | territories shall have their nursing education credentials | 20 | | evaluated by a Department-approved nursing credentialing | 21 | | evaluation service. No such applicant may be issued a license | 22 | | under this Act unless the applicant's program is deemed by the | 23 | | nursing credentialing evaluation service to be equivalent to a | 24 | | professional nursing education program approved by the | 25 | | Department. An applicant who has graduated from a nursing | 26 | | educational program outside of the United States or its |
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| 1 | | territories and whose first language is not English shall | 2 | | submit evidence of English proficiency, as defined by rule. | 3 | | (m) (Blank). | 4 | | (Source: P.A. 103-533, eff. 1-1-24 .) | 5 | | (225 ILCS 65/65-10) (was 225 ILCS 65/15-13) | 6 | | (Section scheduled to be repealed on January 1, 2028) | 7 | | Sec. 65-10. APRN license pending status. | 8 | | (a) A graduate of an advanced practice registered nursing | 9 | | program may practice in the State of Illinois in the role of | 10 | | certified clinical nurse specialist, certified nurse midwife, | 11 | | certified nurse practitioner, or certified registered nurse | 12 | | anesthetist until a decision is reached by the Department on | 13 | | whether or not to grant the graduate a permanent license for | 14 | | not longer than 6 months provided he or she submits all of the | 15 | | following: | 16 | | (1) An application for licensure as an advanced | 17 | | practice registered nurse in Illinois and all fees | 18 | | established by rule. | 19 | | (2) Proof of an application to take the national | 20 | | certification examination in the specialty. | 21 | | (3) Proof of completion of a graduate advanced | 22 | | practice education program that allows the applicant to be | 23 | | eligible for national certification in a clinical advanced | 24 | | practice registered nursing specialty and that allows the | 25 | | applicant to be eligible for licensure in Illinois in the |
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| 1 | | area of his or her specialty. | 2 | | (4) Proof that he or she is licensed in Illinois as a | 3 | | registered professional nurse. | 4 | | (b) License pending status shall preclude delegation of | 5 | | prescriptive authority. | 6 | | (c) A graduate practicing in accordance with this Section | 7 | | must use the title "license pending certified clinical nurse | 8 | | specialist", "license pending certified nurse midwife", | 9 | | "license pending certified nurse practitioner", or "license | 10 | | pending certified registered nurse anesthetist", whichever is | 11 | | applicable. | 12 | | (Source: P.A. 100-513, eff. 1-1-18 .)". |
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