State of Illinois
90th General Assembly
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90_HB1833

      720 ILCS 570/102          from Ch. 56 1/2, par. 1102
      720 ILCS 570/309.5 new
          Amends the Illinois Controlled Substances Act to  include
      a  nurse  practitioner  in  the definition of "practitioner".
      Authorizes a nurse practitioner to  issue  prescriptions  for
      Schedule  III,  IV,  and  V  controlled  substances under the
      supervision of a licensed physician.
                                                     LRB9004800DPcc
                                               LRB9004800DPcc
 1        AN ACT to amend the Illinois Controlled Substances Act by
 2    changing Section 102 and adding Section 309.5.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  5.  The  Illinois  Controlled  Substances Act is
 6    amended by changing Section 102 and adding Section  309.5  as
 7    follows:
 8        (720 ILCS 570/102) (from Ch. 56 1/2, par. 1102)
 9        (Text of Section before amendment by P.A. 89-507)
10        Sec.  102.  Definitions.  As used in this Act, unless the
11    context otherwise requires:
12        (a)  "Addict" means any person who  habitually  uses  any
13    drug,  chemical,  substance  or  dangerous  drug  other  than
14    alcohol  so  as to endanger the public morals, health, safety
15    or welfare or who  is  so  far  addicted  to  the  use  of  a
16    dangerous  drug or controlled substance other than alcohol as
17    to have lost the power of self control with reference to  his
18    addiction.
19        (b)  "Administer"  means  the  direct  application  of  a
20    controlled   substance,  whether  by  injection,  inhalation,
21    ingestion, or any other means, to the body of  a  patient  or
22    research subject by:
23             (1)  a  practitioner  (or,  in  his presence, by his
24        authorized agent), or
25             (2)  the patient or research subject at  the  lawful
26        direction of the practitioner.
27        (c)  "Agent"  means  an  authorized  person  who  acts on
28    behalf of or at the direction of a manufacturer, distributor,
29    or dispenser.  It does  not  include  a  common  or  contract
30    carrier,  public  warehouseman  or employee of the carrier or
31    warehouseman.
                            -2-                LRB9004800DPcc
 1        (c-1)  "Anabolic Steroids" means  any  drug  or  hormonal
 2    substance,   chemically   and  pharmacologically  related  to
 3    testosterone   (other   than   estrogens,   progestins,   and
 4    corticosteroids) that promotes muscle growth, and includes:
 5                  (i)  boldenone,
 6                  (ii)  chlorotestosterone,
 7                  (iii)  chostebol,
 8                  (iv)  dehydrochlormethyltestosterone,
 9                  (v)  dihydrotestosterone,
10                  (vi)  drostanolone,
11                  (vii)  ethylestrenol,
12                  (viii)  fluoxymesterone,
13                  (ix)  formebulone,
14                  (x)  mesterolone,
15                  (xi)  methandienone,
16                  (xii)  methandranone,
17                  (xiii)  methandriol,
18                  (xiv)  methandrostenolone,
19                  (xv)  methenolone,
20                  (xvi)  methyltestosterone,
21                  (xvii)  mibolerone,
22                  (xviii)  nandrolone,
23                  (xix)  norethandrolone,
24                  (xx)  oxandrolone,
25                  (xxi)  oxymesterone,
26                  (xxii)  oxymetholone,
27                  (xxiii)  stanolone,
28                  (xxiv)  stanozolol,
29                  (xxv)  testolactone,
30                  (xxvi)  testosterone,
31                  (xxvii)  trenbolone, and
32                  (xxviii)  any salt, ester, or isomer of a  drug
33             or  substance described or listed in this paragraph,
34             if that  salt,  ester,  or  isomer  promotes  muscle
                            -3-                LRB9004800DPcc
 1             growth.
 2        Any  person who is otherwise lawfully in possession of an
 3    anabolic steroid, or  who  otherwise  lawfully  manufactures,
 4    distributes, dispenses, delivers, or possesses with intent to
 5    deliver  an  anabolic  steroid,  which  anabolic  steroid  is
 6    expressly   intended   for   and   lawfully   allowed  to  be
 7    administered through implants to livestock or other  nonhuman
 8    species, and which is approved by the Secretary of Health and
 9    Human  Services for such administration, and which the person
10    intends to  administer  or  have  administered  through  such
11    implants,  shall  not  be  considered  to  be in unauthorized
12    possession  or   to   unlawfully   manufacture,   distribute,
13    dispense,  deliver,  or  possess  with intent to deliver such
14    anabolic steroid for purposes of this Act.
15        (d)  "Administration"   means   the   Drug    Enforcement
16    Administration,  United  States Department of Justice, or its
17    successor agency.
18        (e)  "Control" means to add a drug or other substance, or
19    immediate precursor, to a Schedule under Article II  of  this
20    Act whether by transfer from another Schedule or otherwise.
21        (f)  "Controlled  Substance"  means a drug, substance, or
22    immediate precursor in the Schedules of Article  II  of  this
23    Act.
24        (g)  "Counterfeit    substance"    means   a   controlled
25    substance, which, or the  container  or  labeling  of  which,
26    without  authorization  bears  the  trademark, trade name, or
27    other identifying mark, imprint, number  or  device,  or  any
28    likeness   thereof,   of   a  manufacturer,  distributor,  or
29    dispenser other than the person  who  in  fact  manufactured,
30    distributed, or dispensed the substance.
31        (h)  "Deliver"    or   "delivery"   means   the   actual,
32    constructive  or  attempted  transfer  of  possession  of   a
33    controlled  substance, with or without consideration, whether
34    or not there is an agency relationship.
                            -4-                LRB9004800DPcc
 1        (i)  "Department"  means  the  Illinois   Department   of
 2    Alcoholism  and  Substance  Abuse of the State of Illinois or
 3    its successor agency.
 4        (j)  "Department of State Police" means the Department of
 5    State Police of  the  State  of  Illinois  or  its  successor
 6    agency.
 7        (k)  "Department  of Corrections" means the Department of
 8    Corrections of the State of Illinois or its successor agency.
 9        (l)  "Department of Professional  Regulation"  means  the
10    Department   of  Professional  Regulation  of  the  State  of
11    Illinois or its successor agency.
12        (m)  "Depressant" or "stimulant substance" means:
13             (1)  a drug  which  contains  any  quantity  of  (i)
14        barbituric  acid  or  any of the salts of barbituric acid
15        which has been designated as habit forming under  section
16        502  (d)  of the Federal Food, Drug, and Cosmetic Act (21
17        U.S.C. 352 (d)); or
18             (2)  a drug  which  contains  any  quantity  of  (i)
19        amphetamine  or  methamphetamine and any of their optical
20        isomers; (ii) any salt of amphetamine or  methamphetamine
21        or any salt of an optical isomer of amphetamine; or (iii)
22        any  substance which the Department, after investigation,
23        has found to be, and by rule designated as, habit forming
24        because of its depressant  or  stimulant  effect  on  the
25        central nervous system; or
26             (3)  lysergic acid diethylamide; or
27             (4)  any  drug  which  contains  any  quantity  of a
28        substance which the Department, after investigation,  has
29        found  to  have,  and  by  rule  designated  as having, a
30        potential  for  abuse  because  of  its   depressant   or
31        stimulant  effect  on  the  central nervous system or its
32        hallucinogenic effect.
33        (n)  "Designated  product"  means  any   narcotic   drug,
34    amphetamine,  phenmetrazine,  methamphetamine, gluthethimide,
                            -5-                LRB9004800DPcc
 1    pentazocine or cannabis product listed  in  Schedule  II  and
 2    also means a controlled substance listed in Schedule II which
 3    is  determined  and  designated  by  the  Department  or  its
 4    successor  agency  to be such a product. A designated product
 5    shall only be dispensed upon an official prescription blank.
 6        (o)  "Director" means the Director of the  Department  of
 7    State  Police or the Department of Professional Regulation or
 8    his designated agents.
 9        (p)  "Dispense" means to deliver a  controlled  substance
10    to an ultimate user or research subject by or pursuant to the
11    lawful  order  of  a  prescriber,  including the prescribing,
12    administering, packaging, labeling, or compounding  necessary
13    to prepare the substance for that delivery.
14        (q)  "Dispenser" means a practitioner who dispenses.
15        (r)  "Distribute"   means   to  deliver,  other  than  by
16    administering or dispensing, a controlled substance.
17        (s)  "Distributor" means a person who distributes.
18        (t)  "Drug" means (1) substances recognized as  drugs  in
19    the    official   United   States   Pharmacopoeia,   Official
20    Homeopathic Pharmacopoeia of the United States,  or  official
21    National  Formulary,  or  any  supplement to any of them; (2)
22    substances intended for use in diagnosis,  cure,  mitigation,
23    treatment,  or  prevention  of disease in man or animals; (3)
24    substances (other than food) intended to affect the structure
25    of any function of  the  body  of  man  or  animals  and  (4)
26    substances  intended  for  use  as a component of any article
27    specified in clause (1), (2), or (3) of this subsection.   It
28    does  not  include  devices  or  their  components, parts, or
29    accessories.
30        (u)  "Good Faith" means the prescribing or dispensing  of
31    a  controlled  substance  by  a  practitioner  in the regular
32    course of professional treatment to or for any person who  is
33    under  his  treatment for a pathology or condition other than
34    that individual's physical or psychological  dependence  upon
                            -6-                LRB9004800DPcc
 1    or  addiction  to  a controlled substance, except as provided
 2    herein:  and application of the term to  a  pharmacist  shall
 3    mean the dispensing of a controlled substance pursuant to the
 4    prescriber's  order which in the professional judgment of the
 5    pharmacist is lawful.  The  pharmacist  shall  be  guided  by
 6    accepted professional standards including, but not limited to
 7    the following, in making the judgment:
 8             (1)  lack    of    consistency   of   doctor-patient
 9        relationship,
10             (2)  frequency of prescriptions for same drug by one
11        prescriber for large numbers of patients,
12             (3)  quantities beyond those normally prescribed,
13             (4)  unusual dosages,
14             (5)  unusual geographic distances  between  patient,
15        pharmacist and prescriber,
16             (6)  consistent prescribing of habit-forming drugs.
17        (u-1)  "Home  infusion  services" means services provided
18    by  a  pharmacy   in   compounding   solutions   for   direct
19    administration to a patient in a private residence, long-term
20    care  facility,  or  hospice  setting by means of parenteral,
21    intravenous,  intramuscular,  subcutaneous,  or   intraspinal
22    infusion.
23        (v)  "Immediate precursor" means a substance:
24             (1)  which  the  Department  has  found to be and by
25        rule designated as being a principal  compound  used,  or
26        produced  primarily  for  use,  in  the  manufacture of a
27        controlled substance;
28             (2)  which is  an  immediate  chemical  intermediary
29        used  or  likely  to  be  used in the manufacture of such
30        controlled substance; and
31             (3)  the control of which is necessary  to  prevent,
32        curtail  or  limit  the  manufacture  of  such controlled
33        substance.
34        (w)  "Instructional  Activities"  means   the   acts   of
                            -7-                LRB9004800DPcc
 1    teaching,  educating  or  instructing  by practitioners using
 2    controlled substances within educational facilities  approved
 3    by the State Board of Education or its successor agency.
 4        (x)  "Local  authorities"  means  a duly organized State,
 5    County or Municipal peace unit or police force.
 6        (y)  "Look-alike substance" means a substance, other than
 7    a controlled substance  which  (1)  by  overall  dosage  unit
 8    appearance,  including  shape,  color, size, markings or lack
 9    thereof,  taste,  consistency,  or  any   other   identifying
10    physical  characteristic  of  the  substance,  would  lead  a
11    reasonable   person  to  believe  that  the  substance  is  a
12    controlled  substance,  or  (2)  is  expressly  or  impliedly
13    represented to be a controlled substance  or  is  distributed
14    under  circumstances  which would lead a reasonable person to
15    believe that the substance is a controlled substance. For the
16    purpose of determining whether the  representations  made  or
17    the circumstances of the distribution would lead a reasonable
18    person  to believe the substance to be a controlled substance
19    under this clause (2) of subsection (y), the court  or  other
20    authority  may  consider the following factors in addition to
21    any other factor that may be relevant:
22             (a)  Statements made  by  the  owner  or  person  in
23        control  of  the  substance concerning its nature, use or
24        effect;
25             (b)  Statements made to the buyer or recipient  that
26        the substance may be resold for profit;
27             (c)  Whether  the  substance is packaged in a manner
28        normally used for the illegal distribution of  controlled
29        substances;
30             (d)  Whether    the    distribution   or   attempted
31        distribution included an exchange of or demand for  money
32        or  other  property  as  consideration,  and  whether the
33        amount of the  consideration  was  substantially  greater
34        than the reasonable retail market value of the substance.
                            -8-                LRB9004800DPcc
 1        Clause  (1)  of  this subsection (y) shall not apply to a
 2    noncontrolled substance in its finished dosage form that  was
 3    initially  introduced  into  commerce  prior  to  the initial
 4    introduction into commerce of a controlled substance  in  its
 5    finished dosage form which it may substantially resemble.
 6        Nothing  in  this subsection (y) prohibits the dispensing
 7    or  distributing  of  noncontrolled  substances  by   persons
 8    authorized  to  dispense and distribute controlled substances
 9    under this Act, provided that such action would be deemed  to
10    be  carried  out  in  good  faith under subsection (u) if the
11    substances involved were controlled substances.
12        Nothing in this subsection (y) or in this  Act  prohibits
13    the   manufacture,   preparation,  propagation,  compounding,
14    processing, packaging, advertising or distribution of a  drug
15    or  drugs by any person registered pursuant to Section 510 of
16    the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360).
17        (y-1)  "Mail-order pharmacy" means  a  pharmacy  that  is
18    located in a state of the United States, other than Illinois,
19    that  delivers,  dispenses or distributes, through the United
20    States Postal Service or other common  carrier,  to  Illinois
21    residents, any substance which requires a prescription.
22        (z)  "Manufacture"  means  the  production,  preparation,
23    propagation,  compounding,  conversion  or  processing  of  a
24    controlled  substance,  either  directly  or  indirectly,  by
25    extraction    from   substances   of   natural   origin,   or
26    independently  by  means  of  chemical  synthesis,  or  by  a
27    combination  of  extraction  and  chemical   synthesis,   and
28    includes  any  packaging  or  repackaging of the substance or
29    labeling of its container, except that  this  term  does  not
30    include:
31             (1)  by   an   ultimate  user,  the  preparation  or
32        compounding of a controlled substance for his own use; or
33             (2)  by a  practitioner,  or  his  authorized  agent
34        under  his  supervision,  the  preparation,  compounding,
                            -9-                LRB9004800DPcc
 1        packaging, or labeling of a controlled substance:
 2                  (a)  as  an  incident  to  his administering or
 3             dispensing of a controlled substance in  the  course
 4             of his professional practice; or
 5                  (b)  as   an   incident   to  lawful  research,
 6             teaching or chemical analysis and not for sale.
 7        (aa)  "Narcotic drug" means any of the following, whether
 8    produced directly or indirectly by extraction from substances
 9    of natural origin, or  independently  by  means  of  chemical
10    synthesis,  or  by  a  combination of extraction and chemical
11    synthesis:
12             (1)  opium  and  opiate,  and  any  salt,  compound,
13        derivative, or preparation of opium or opiate;
14             (2)  any  salt,  compound,  isomer,  derivative,  or
15        preparation thereof which  is  chemically  equivalent  or
16        identical  with  any  of  the  substances  referred to in
17        clause (1), but not including the isoquinoline  alkaloids
18        of opium;
19             (3)  opium poppy and poppy straw;
20             (4)  coca  leaves  and  any salts, compound, isomer,
21        salt of an isomer, derivative,  or  preparation  of  coca
22        leaves  including  cocaine  or  ecgonine,  and  any salt,
23        compound,  isomer,  derivative,  or  preparation  thereof
24        which is chemically equivalent or identical with  any  of
25        these  substances,  but  not  including decocainized coca
26        leaves or extractions of coca leaves which do not contain
27        cocaine or ecgonine (for the purpose of  this  paragraph,
28        the   term  "isomer"  includes  optical,  positional  and
29        geometric isomers).
30        (bb)  "Nurse" means a registered nurse licensed under The
31    Illinois Nursing Act of 1987.
32        (bb-5)  "Nurse practitioner" means a nurse licensed under
33    the Illinois Nursing Act of 1987,  certified  by  a  national
34    certifying  body  in an advanced specialty, and practicing in
                            -10-               LRB9004800DPcc
 1    the  advanced  specialty  area  under   the   direction   and
 2    supervision  of  a  licensed  physician. "Nurse practitioner"
 3    includes but is not limited to  a  certified  nurse  midwife,
 4    certified  clinical nurse specialist, or certified registered
 5    nurse anesthetist.
 6        (cc)  "Official prescription blanks" means the triplicate
 7    prescription forms supplied to prescribers by the  Department
 8    for  prescribing  Schedule  II  Designated Product controlled
 9    substances.
10        (dd)  "Opiate" means any substance  having  an  addiction
11    forming or addiction sustaining liability similar to morphine
12    or  being  capable of conversion into a drug having addiction
13    forming or addiction sustaining liability.
14        (ee)  "Opium  poppy"  means  the  plant  of  the  species
15    Papaver somniferum L., except its seeds.
16        (ff)  "Parole and Pardon  Board"  means  the  Parole  and
17    Pardon  Board  of  the  State  of  Illinois  or its successor
18    agency.
19        (gg)  "Person"   means   any   individual,   corporation,
20    mail-order pharmacy, government or  governmental  subdivision
21    or  agency,  business  trust,  estate,  trust, partnership or
22    association, or any other entity.
23        (hh)  "Pharmacist"  means  any   person   who   holds   a
24    certificate  of  registration  as  a registered pharmacist, a
25    local  registered  pharmacist  or  a   registered   assistant
26    pharmacist under the Pharmacy Practice Act of 1987.
27        (ii)  "Pharmacy"  means any store, ship or other place in
28    which pharmacy  is  authorized  to  be  practiced  under  the
29    Pharmacy Practice Act of 1987.
30        (jj)  "Poppy straw" means all parts, except the seeds, of
31    the opium poppy, after mowing.
32        (kk)  "Practitioner"    means   a   physician,   dentist,
33    podiatrist,    veterinarian,     scientific     investigator,
34    pharmacist,  nurse  practitioner,  licensed  practical nurse,
                            -11-               LRB9004800DPcc
 1    registered nurse, hospital, laboratory, or pharmacy, or other
 2    person licensed, registered, or otherwise lawfully  permitted
 3    by  the  United States or this State to distribute, dispense,
 4    conduct research  with  respect  to,  administer  or  use  in
 5    teaching  or chemical analysis, a controlled substance in the
 6    course of professional practice or research.
 7        (ll)  "Pre-printed   prescription"   means   a    written
 8    prescription   upon   which  the  designated  drug  has  been
 9    indicated prior to the time of issuance.
10        (mm)  "Prescriber" means a physician, dentist, podiatrist
11    or  veterinarian  who  issues  a  prescription  or  a   nurse
12    practitioner  who  issues  a prescription for a Schedule III,
13    IV, or V controlled substance.
14        (nn)  "Prescription" means a lawful  written,  facsimile,
15    or  verbal order of a physician licensed to practice medicine
16    in all its branches, dentist, podiatrist or veterinarian  for
17    any  controlled  substance,  or of a nurse practitioner for a
18    Schedule III, IV, or V controlled substance.
19        (oo)  "Production"  or   "produce"   means   manufacture,
20    planting, cultivating, growing, or harvesting of a controlled
21    substance.
22        (pp)  "Registrant"  means every person who is required to
23    register under Section 302 of this Act.
24        (qq)  "Registry number" means the number assigned to each
25    person authorized to handle controlled substances  under  the
26    laws of the United States and of this State.
27        (rr)  "State"  includes  the  State  of  Illinois and any
28    state, district, commonwealth, territory, insular  possession
29    thereof,  and  any area subject to the legal authority of the
30    United States of America.
31        (ss)  "Ultimate  user"  means  a  person   who   lawfully
32    possesses  a  controlled substance for his own use or for the
33    use of a member of his household or for administering  to  an
34    animal owned by him or by a member of his household.
                            -12-               LRB9004800DPcc
 1    (Source: P.A. 89-202, eff. 10-1-95.)
 2        (Text of Section after amendment by P.A. 89-507)
 3        Sec.  102.  Definitions.  As used in this Act, unless the
 4    context otherwise requires:
 5        (a)  "Addict" means any person who  habitually  uses  any
 6    drug,  chemical,  substance  or  dangerous  drug  other  than
 7    alcohol  so  as to endanger the public morals, health, safety
 8    or welfare or who  is  so  far  addicted  to  the  use  of  a
 9    dangerous  drug or controlled substance other than alcohol as
10    to have lost the power of self control with reference to  his
11    addiction.
12        (b)  "Administer"  means  the  direct  application  of  a
13    controlled   substance,  whether  by  injection,  inhalation,
14    ingestion, or any other means, to the body of  a  patient  or
15    research subject by:
16             (1)  a  practitioner  (or,  in  his presence, by his
17        authorized agent), or
18             (2)  the patient or research subject at  the  lawful
19        direction of the practitioner.
20        (c)  "Agent"  means  an  authorized  person  who  acts on
21    behalf of or at the direction of a manufacturer, distributor,
22    or dispenser.  It does  not  include  a  common  or  contract
23    carrier,  public  warehouseman  or employee of the carrier or
24    warehouseman.
25        (c-1)  "Anabolic Steroids" means  any  drug  or  hormonal
26    substance,   chemically   and  pharmacologically  related  to
27    testosterone   (other   than   estrogens,   progestins,   and
28    corticosteroids) that promotes muscle growth, and includes:
29                  (i)  boldenone,
30                  (ii)  chlorotestosterone,
31                  (iii)  chostebol,
32                  (iv)  dehydrochlormethyltestosterone,
33                  (v)  dihydrotestosterone,
34                  (vi)  drostanolone,
                            -13-               LRB9004800DPcc
 1                  (vii)  ethylestrenol,
 2                  (viii)  fluoxymesterone,
 3                  (ix)  formebulone,
 4                  (x)  mesterolone,
 5                  (xi)  methandienone,
 6                  (xii)  methandranone,
 7                  (xiii)  methandriol,
 8                  (xiv)  methandrostenolone,
 9                  (xv)  methenolone,
10                  (xvi)  methyltestosterone,
11                  (xvii)  mibolerone,
12                  (xviii)  nandrolone,
13                  (xix)  norethandrolone,
14                  (xx)  oxandrolone,
15                  (xxi)  oxymesterone,
16                  (xxii)  oxymetholone,
17                  (xxiii)  stanolone,
18                  (xxiv)  stanozolol,
19                  (xxv)  testolactone,
20                  (xxvi)  testosterone,
21                  (xxvii)  trenbolone, and
22                  (xxviii)  any salt, ester, or isomer of a  drug
23             or  substance described or listed in this paragraph,
24             if that  salt,  ester,  or  isomer  promotes  muscle
25             growth.
26        Any  person who is otherwise lawfully in possession of an
27    anabolic steroid, or  who  otherwise  lawfully  manufactures,
28    distributes, dispenses, delivers, or possesses with intent to
29    deliver  an  anabolic  steroid,  which  anabolic  steroid  is
30    expressly   intended   for   and   lawfully   allowed  to  be
31    administered through implants to livestock or other  nonhuman
32    species, and which is approved by the Secretary of Health and
33    Human  Services for such administration, and which the person
34    intends to  administer  or  have  administered  through  such
                            -14-               LRB9004800DPcc
 1    implants,  shall  not  be  considered  to  be in unauthorized
 2    possession  or   to   unlawfully   manufacture,   distribute,
 3    dispense,  deliver,  or  possess  with intent to deliver such
 4    anabolic steroid for purposes of this Act.
 5        (d)  "Administration"   means   the   Drug    Enforcement
 6    Administration,  United  States Department of Justice, or its
 7    successor agency.
 8        (e)  "Control" means to add a drug or other substance, or
 9    immediate precursor, to a Schedule under Article II  of  this
10    Act whether by transfer from another Schedule or otherwise.
11        (f)  "Controlled  Substance"  means a drug, substance, or
12    immediate precursor in the Schedules of Article  II  of  this
13    Act.
14        (g)  "Counterfeit    substance"    means   a   controlled
15    substance, which, or the  container  or  labeling  of  which,
16    without  authorization  bears  the  trademark, trade name, or
17    other identifying mark, imprint, number  or  device,  or  any
18    likeness   thereof,   of   a  manufacturer,  distributor,  or
19    dispenser other than the person  who  in  fact  manufactured,
20    distributed, or dispensed the substance.
21        (h)  "Deliver"    or   "delivery"   means   the   actual,
22    constructive  or  attempted  transfer  of  possession  of   a
23    controlled  substance, with or without consideration, whether
24    or not there is an agency relationship.
25        (i)  "Department" means the Illinois Department of  Human
26    Services  (as  successor  to the Department of Alcoholism and
27    Substance Abuse) or its successor agency.
28        (j)  "Department of State Police" means the Department of
29    State Police of  the  State  of  Illinois  or  its  successor
30    agency.
31        (k)  "Department  of Corrections" means the Department of
32    Corrections of the State of Illinois or its successor agency.
33        (l)  "Department of Professional  Regulation"  means  the
34    Department   of  Professional  Regulation  of  the  State  of
                            -15-               LRB9004800DPcc
 1    Illinois or its successor agency.
 2        (m)  "Depressant" or "stimulant substance" means:
 3             (1)  a drug  which  contains  any  quantity  of  (i)
 4        barbituric  acid  or  any of the salts of barbituric acid
 5        which has been designated as habit forming under  section
 6        502  (d)  of the Federal Food, Drug, and Cosmetic Act (21
 7        U.S.C. 352 (d)); or
 8             (2)  a drug  which  contains  any  quantity  of  (i)
 9        amphetamine  or  methamphetamine and any of their optical
10        isomers; (ii) any salt of amphetamine or  methamphetamine
11        or any salt of an optical isomer of amphetamine; or (iii)
12        any  substance which the Department, after investigation,
13        has found to be, and by rule designated as, habit forming
14        because of its depressant  or  stimulant  effect  on  the
15        central nervous system; or
16             (3)  lysergic acid diethylamide; or
17             (4)  any  drug  which  contains  any  quantity  of a
18        substance which the Department, after investigation,  has
19        found  to  have,  and  by  rule  designated  as having, a
20        potential  for  abuse  because  of  its   depressant   or
21        stimulant  effect  on  the  central nervous system or its
22        hallucinogenic effect.
23        (n)  "Designated  product"  means  any   narcotic   drug,
24    amphetamine,  phenmetrazine,  methamphetamine, gluthethimide,
25    pentazocine or cannabis product listed  in  Schedule  II  and
26    also means a controlled substance listed in Schedule II which
27    is  determined  and  designated  by  the  Department  or  its
28    successor  agency  to be such a product. A designated product
29    shall only be dispensed upon an official prescription blank.
30        (o)  "Director" means the Director of the  Department  of
31    State  Police or the Department of Professional Regulation or
32    his designated agents.
33        (p)  "Dispense" means to deliver a  controlled  substance
34    to an ultimate user or research subject by or pursuant to the
                            -16-               LRB9004800DPcc
 1    lawful  order  of  a  prescriber,  including the prescribing,
 2    administering, packaging, labeling, or compounding  necessary
 3    to prepare the substance for that delivery.
 4        (q)  "Dispenser" means a practitioner who dispenses.
 5        (r)  "Distribute"   means   to  deliver,  other  than  by
 6    administering or dispensing, a controlled substance.
 7        (s)  "Distributor" means a person who distributes.
 8        (t)  "Drug" means (1) substances recognized as  drugs  in
 9    the    official   United   States   Pharmacopoeia,   Official
10    Homeopathic Pharmacopoeia of the United States,  or  official
11    National  Formulary,  or  any  supplement to any of them; (2)
12    substances intended for use in diagnosis,  cure,  mitigation,
13    treatment,  or  prevention  of disease in man or animals; (3)
14    substances (other than food) intended to affect the structure
15    of any function of  the  body  of  man  or  animals  and  (4)
16    substances  intended  for  use  as a component of any article
17    specified in clause (1), (2), or (3) of this subsection.   It
18    does  not  include  devices  or  their  components, parts, or
19    accessories.
20        (u)  "Good Faith" means the prescribing or dispensing  of
21    a  controlled  substance  by  a  practitioner  in the regular
22    course of professional treatment to or for any person who  is
23    under  his  treatment for a pathology or condition other than
24    that individual's physical or psychological  dependence  upon
25    or  addiction  to  a controlled substance, except as provided
26    herein:  and application of the term to  a  pharmacist  shall
27    mean the dispensing of a controlled substance pursuant to the
28    prescriber's  order which in the professional judgment of the
29    pharmacist is lawful.  The  pharmacist  shall  be  guided  by
30    accepted professional standards including, but not limited to
31    the following, in making the judgment:
32             (1)  lack    of    consistency   of   doctor-patient
33        relationship,
34             (2)  frequency of prescriptions for same drug by one
                            -17-               LRB9004800DPcc
 1        prescriber for large numbers of patients,
 2             (3)  quantities beyond those normally prescribed,
 3             (4)  unusual dosages,
 4             (5)  unusual geographic distances  between  patient,
 5        pharmacist and prescriber,
 6             (6)  consistent prescribing of habit-forming drugs.
 7        (u-1)  "Home  infusion  services" means services provided
 8    by  a  pharmacy   in   compounding   solutions   for   direct
 9    administration to a patient in a private residence, long-term
10    care  facility,  or  hospice  setting by means of parenteral,
11    intravenous,  intramuscular,  subcutaneous,  or   intraspinal
12    infusion.
13        (v)  "Immediate precursor" means a substance:
14             (1)  which  the  Department  has  found to be and by
15        rule designated as being a principal  compound  used,  or
16        produced  primarily  for  use,  in  the  manufacture of a
17        controlled substance;
18             (2)  which is  an  immediate  chemical  intermediary
19        used  or  likely  to  be  used in the manufacture of such
20        controlled substance; and
21             (3)  the control of which is necessary  to  prevent,
22        curtail  or  limit  the  manufacture  of  such controlled
23        substance.
24        (w)  "Instructional  Activities"  means   the   acts   of
25    teaching,  educating  or  instructing  by practitioners using
26    controlled substances within educational facilities  approved
27    by the State Board of Education or its successor agency.
28        (x)  "Local  authorities"  means  a duly organized State,
29    County or Municipal peace unit or police force.
30        (y)  "Look-alike substance" means a substance, other than
31    a controlled substance  which  (1)  by  overall  dosage  unit
32    appearance,  including  shape,  color, size, markings or lack
33    thereof,  taste,  consistency,  or  any   other   identifying
34    physical  characteristic  of  the  substance,  would  lead  a
                            -18-               LRB9004800DPcc
 1    reasonable   person  to  believe  that  the  substance  is  a
 2    controlled  substance,  or  (2)  is  expressly  or  impliedly
 3    represented to be a controlled substance  or  is  distributed
 4    under  circumstances  which would lead a reasonable person to
 5    believe that the substance is a controlled substance. For the
 6    purpose of determining whether the  representations  made  or
 7    the circumstances of the distribution would lead a reasonable
 8    person  to believe the substance to be a controlled substance
 9    under this clause (2) of subsection (y), the court  or  other
10    authority  may  consider the following factors in addition to
11    any other factor that may be relevant:
12             (a)  Statements made  by  the  owner  or  person  in
13        control  of  the  substance concerning its nature, use or
14        effect;
15             (b)  Statements made to the buyer or recipient  that
16        the substance may be resold for profit;
17             (c)  Whether  the  substance is packaged in a manner
18        normally used for the illegal distribution of  controlled
19        substances;
20             (d)  Whether    the    distribution   or   attempted
21        distribution included an exchange of or demand for  money
22        or  other  property  as  consideration,  and  whether the
23        amount of the  consideration  was  substantially  greater
24        than the reasonable retail market value of the substance.
25        Clause  (1)  of  this subsection (y) shall not apply to a
26    noncontrolled substance in its finished dosage form that  was
27    initially  introduced  into  commerce  prior  to  the initial
28    introduction into commerce of a controlled substance  in  its
29    finished dosage form which it may substantially resemble.
30        Nothing  in  this subsection (y) prohibits the dispensing
31    or  distributing  of  noncontrolled  substances  by   persons
32    authorized  to  dispense and distribute controlled substances
33    under this Act, provided that such action would be deemed  to
34    be  carried  out  in  good  faith under subsection (u) if the
                            -19-               LRB9004800DPcc
 1    substances involved were controlled substances.
 2        Nothing in this subsection (y) or in this  Act  prohibits
 3    the   manufacture,   preparation,  propagation,  compounding,
 4    processing, packaging, advertising or distribution of a  drug
 5    or  drugs by any person registered pursuant to Section 510 of
 6    the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360).
 7        (y-1)  "Mail-order pharmacy" means  a  pharmacy  that  is
 8    located in a state of the United States, other than Illinois,
 9    that  delivers,  dispenses or distributes, through the United
10    States Postal Service or other common  carrier,  to  Illinois
11    residents, any substance which requires a prescription.
12        (z)  "Manufacture"  means  the  production,  preparation,
13    propagation,  compounding,  conversion  or  processing  of  a
14    controlled  substance,  either  directly  or  indirectly,  by
15    extraction    from   substances   of   natural   origin,   or
16    independently  by  means  of  chemical  synthesis,  or  by  a
17    combination  of  extraction  and  chemical   synthesis,   and
18    includes  any  packaging  or  repackaging of the substance or
19    labeling of its container, except that  this  term  does  not
20    include:
21             (1)  by   an   ultimate  user,  the  preparation  or
22        compounding of a controlled substance for his own use; or
23             (2)  by a  practitioner,  or  his  authorized  agent
24        under  his  supervision,  the  preparation,  compounding,
25        packaging, or labeling of a controlled substance:
26                  (a)  as  an  incident  to  his administering or
27             dispensing of a controlled substance in  the  course
28             of his professional practice; or
29                  (b)  as   an   incident   to  lawful  research,
30             teaching or chemical analysis and not for sale.
31        (aa)  "Narcotic drug" means any of the following, whether
32    produced directly or indirectly by extraction from substances
33    of natural origin, or  independently  by  means  of  chemical
34    synthesis,  or  by  a  combination of extraction and chemical
                            -20-               LRB9004800DPcc
 1    synthesis:
 2             (1)  opium  and  opiate,  and  any  salt,  compound,
 3        derivative, or preparation of opium or opiate;
 4             (2)  any  salt,  compound,  isomer,  derivative,  or
 5        preparation thereof which  is  chemically  equivalent  or
 6        identical  with  any  of  the  substances  referred to in
 7        clause (1), but not including the isoquinoline  alkaloids
 8        of opium;
 9             (3)  opium poppy and poppy straw;
10             (4)  coca  leaves  and  any salts, compound, isomer,
11        salt of an isomer, derivative,  or  preparation  of  coca
12        leaves  including  cocaine  or  ecgonine,  and  any salt,
13        compound,  isomer,  derivative,  or  preparation  thereof
14        which is chemically equivalent or identical with  any  of
15        these  substances,  but  not  including decocainized coca
16        leaves or extractions of coca leaves which do not contain
17        cocaine or ecgonine (for the purpose of  this  paragraph,
18        the   term  "isomer"  includes  optical,  positional  and
19        geometric isomers).
20        (bb)  "Nurse" means a registered nurse licensed under The
21    Illinois Nursing Act of 1987.
22        (bb-5)  "Nurse practitioner" means a nurse licensed under
23    the Illinois Nursing Act of 1987,  certified  by  a  national
24    certifying  body  in an advanced specialty, and practicing in
25    the  advanced  specialty  area  under   the   direction   and
26    supervision  of  a  licensed  physician. "Nurse practitioner"
27    includes but is not limited to  a  certified  nurse  midwife,
28    certified  clinical nurse specialist, or certified registered
29    nurse anesthetist.
30        (cc)  "Official prescription blanks" means the triplicate
31    prescription forms supplied to prescribers by the  Department
32    for  prescribing  Schedule  II  Designated Product controlled
33    substances.
34        (dd)  "Opiate" means any substance  having  an  addiction
                            -21-               LRB9004800DPcc
 1    forming or addiction sustaining liability similar to morphine
 2    or  being  capable of conversion into a drug having addiction
 3    forming or addiction sustaining liability.
 4        (ee)  "Opium  poppy"  means  the  plant  of  the  species
 5    Papaver somniferum L., except its seeds.
 6        (ff)  "Parole and Pardon  Board"  means  the  Parole  and
 7    Pardon  Board  of  the  State  of  Illinois  or its successor
 8    agency.
 9        (gg)  "Person"   means   any   individual,   corporation,
10    mail-order pharmacy, government or  governmental  subdivision
11    or  agency,  business  trust,  estate,  trust, partnership or
12    association, or any other entity.
13        (hh)  "Pharmacist"  means  any   person   who   holds   a
14    certificate  of  registration  as  a registered pharmacist, a
15    local  registered  pharmacist  or  a   registered   assistant
16    pharmacist under the Pharmacy Practice Act of 1987.
17        (ii)  "Pharmacy"  means any store, ship or other place in
18    which pharmacy  is  authorized  to  be  practiced  under  the
19    Pharmacy Practice Act of 1987.
20        (jj)  "Poppy straw" means all parts, except the seeds, of
21    the opium poppy, after mowing.
22        (kk)  "Practitioner"    means   a   physician,   dentist,
23    podiatrist,    veterinarian,     scientific     investigator,
24    pharmacist,  nurse  practitioner,  licensed  practical nurse,
25    registered nurse, hospital, laboratory, or pharmacy, or other
26    person licensed, registered, or otherwise lawfully  permitted
27    by  the  United States or this State to distribute, dispense,
28    conduct research  with  respect  to,  administer  or  use  in
29    teaching  or chemical analysis, a controlled substance in the
30    course of professional practice or research.
31        (ll)  "Pre-printed   prescription"   means   a    written
32    prescription   upon   which  the  designated  drug  has  been
33    indicated prior to the time of issuance.
34        (mm)  "Prescriber" means a physician, dentist, podiatrist
                            -22-               LRB9004800DPcc
 1    or  veterinarian  who  issues  a  prescription  or  a   nurse
 2    practitioner  who  issues  a prescription for a Schedule III,
 3    IV, or V controlled substance.
 4        (nn)  "Prescription" means a lawful  written,  facsimile,
 5    or  verbal order of a physician licensed to practice medicine
 6    in all its branches, dentist, podiatrist or veterinarian  for
 7    any  controlled  substance,  or of a nurse practitioner for a
 8    Schedule III, IV, or V controlled substance.
 9        (oo)  "Production"  or   "produce"   means   manufacture,
10    planting, cultivating, growing, or harvesting of a controlled
11    substance.
12        (pp)  "Registrant"  means every person who is required to
13    register under Section 302 of this Act.
14        (qq)  "Registry number" means the number assigned to each
15    person authorized to handle controlled substances  under  the
16    laws of the United States and of this State.
17        (rr)  "State"  includes  the  State  of  Illinois and any
18    state, district, commonwealth, territory, insular  possession
19    thereof,  and  any area subject to the legal authority of the
20    United States of America.
21        (ss)  "Ultimate  user"  means  a  person   who   lawfully
22    possesses  a  controlled substance for his own use or for the
23    use of a member of his household or for administering  to  an
24    animal owned by him or by a member of his household.
25    (Source: P.A. 89-202, eff. 10-1-95; 89-507, eff. 7-1-97.)
26        (720 ILCS 570/309.5 new)
27        Sec. 309.5. Nurse practitioners. A nurse practitioner may
28    prescribe  Schedule  III,  IV, and V controlled substances if
29    issuing a prescription under the supervision  of  a  licensed
30    physician  and  on  an  official  prescription  form  of  the
31    supervising physician.
32        Section  95.   No  acceleration or delay.  Where this Act
                            -23-               LRB9004800DPcc
 1    makes changes in a statute that is represented in this Act by
 2    text that is not yet or no longer in effect (for  example,  a
 3    Section  represented  by  multiple versions), the use of that
 4    text does not accelerate or delay the taking  effect  of  (i)
 5    the  changes made by this Act or (ii) provisions derived from
 6    any other Public Act.

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