SB0707sam001 104TH GENERAL ASSEMBLY

Sen. Bill Cunningham

Filed: 4/3/2025

10400SB0707sam001 LRB104 07005 AAS 24897 a

AMENDMENT TO SENATE BILL 707

AMENDMENT NO. ______. Amend Senate Bill 707 by replacing everything after the enacting clause with the following:

"Section 5. The Nurse Practice Act is amended by adding Section 50-80 as follows:

(225 ILCS 65/50-80 new)

Sec. 50-80. Regulation of delegation in kidney disease treatment centers.

(a) Notwithstanding any provision of this Act or rule of the Department to the contrary, an individual working in a kidney disease treatment center as described in subsection (5) of Section 3 of the Illinois Health Facilities Planning Act shall be considered a licensed individual for the purposes of delegation under Section 50-75 of this Act. A person working to acquire the experience necessary to obtain certification under subsection (b) of this Section may practice in accordance with this Section for a period of no more than 18 months if the person's practice is in compliance with the experience standards set forth by the entities listed in subsection (b).

(b) Notwithstanding any provision of this Act or rule of the Department to the contrary, delegation under this Section, including, but not limited to, delegation of the performance of central venous catheter procedures in a kidney disease treatment center as described in subsection (5) of Section 3 of the Illinois Health Facilities Planning Act (including providing dialysis through venous catheters, initiating and terminating dialysis via such catheters, connecting and disconnecting central venous catheter lines, and maintaining central venous catheters through dressing changes and other care), shall only be allowed if the individual receiving delegation is a licensed practical nurse or currently holds, or is in the process of acquiring, the necessary experience to apply for and obtain one of the following certifications:

(1) Certified Clinical Hemodialysis Technician by the Nephrology Nursing Certification Commission; or

(2) Certified Hemodialysis Technologist/Technician by the Board of Nephrology Examiners Nursing and Technology.

(c) Notwithstanding any provision of this Act or rule of the Department to the contrary, delegation under this Section shall not include medication administration except for the administration of heparin and saline for the purposes of performing dialysis treatments and flushing lines and the application of topical anesthetics. All patient care provided by a certified dialysis technician practicing under this Section shall be under the direct and immediate on-site supervision of a licensed physician, advanced practice registered nurse, physician assistant, or registered nurse.

(d) Delegation under this Section shall comply with any rules adopted under the Illinois Health Facilities Planning Act and any other Illinois statute or rule regarding the operation of a kidney disease treatment center as described by this Section.

(e) Nothing in this Section shall be construed to apply to any other facility or practice setting. This Section shall not be construed as granting a license under this Act and shall not allow individuals receiving delegation under this Section to use any title regulated by this Act.

Section 99. Effective date. This Act takes effect upon becoming law.".