State of Illinois
90th General Assembly
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90_HB1879

      New Act
      5 ILCS 80/4.18 new
      30 ILCS 105/5.449 new
          Creates the Orthotics and  Prosthetics  Practice  Act  to
      regulate   persons  who  practice  orthotics  or  prosthetics
      through licensing requirements. Amends the Regulatory  Agency
      Sunset  Act  to repeal the new Act on January 1, 2008. Amends
      the State Finance Act to add the  Orthotics  and  Prosthetics
      License Fund. Preempts home rule powers.
                                                     LRB9004662DPcc
                                               LRB9004662DPcc
 1        AN  ACT  to create the Orthotics and Prosthetics Practice
 2    Act, amending named Acts.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  1.  Short  title.  This  Act may be cited as the
 6    Orthotics and Prosthetics Practice Act.
 7        Section 5.  Declaration of public policy.   The  practice
 8    of  orthotics and prosthetics in the State of Illinois  is an
 9    allied health profession recognized by the  American  Medical
10    Association,  with  educational  standards established by the
11    Commission  on  Accreditation  of  Allied  Health   Education
12    Programs.    The   increasing   population   of  elderly  and
13    physically  challenged  individuals  who  need  orthotic  and
14    prosthetic services requires that the orthotic and prosthetic
15    profession  be  regulated  to   ensure   the   provision   of
16    high-quality  services  and  devices.  The people of Illinois
17    deserve the best care available, and will  benefit  from  the
18    assurance  of  initial and ongoing professional competence of
19    the orthotists and prosthetists  practicing  in  this  State.
20    The  practice  of orthotics and prosthetics serves to improve
21    and enhance the lives of individuals  with  disabilities,  by
22    enabling  them  to  resume productive lives following serious
23    illness, injury, or trauma. The  present  unregulated  system
24    for   dispensing   orthotic  and  prosthetic  care  does  not
25    adequately meet the needs  or  serve  the  interests  of  the
26    public. In keeping with State requirements imposed on similar
27    health  disciplines, licensure of the orthotic and prosthetic
28    profession  will  help  ensure  the  health  and  safety   of
29    consumers, as well as maximize their functional abilities and
30    productivity  levels.   This Act shall be liberally construed
31    to best carry out these subjects and purposes.
                            -2-                LRB9004662DPcc
 1        Section 10. Definitions. As used in this Act:
 2        "Assistant" means a  person  who  assists  an  orthotist,
 3    prosthetist,   or  prosthetist/orthotist  with  patient  care
 4    services and fabrication of orthoses or prostheses under  the
 5    supervision   of   a   licensed  orthotist,  prosthetist,  or
 6    prosthetist/orthotist.
 7        "Board" means the Board of Orthotics and Prosthetics.
 8        "Custom"  means  that  an  orthosis  or   prosthesis   is
 9    designed, fabricated, and aligned specifically for one person
10    in accordance with sound biomechanical principles.
11        "Department"   means   the   Department  of  Professional
12    Regulation.
13        "Director" means the Director of Professional Regulation.
14        "Education  program"  means  a  course   of   instruction
15    approved  by  the Department and accredited by the Commission
16    on Accreditation of  Allied  Health  Education  Programs  and
17    provided  by  rule,  consisting  of (i) a basic curriculum of
18    college  level  instruction  in   math,   physics,   biology,
19    chemistry,  and  psychology and (ii) a specific curriculum in
20    orthotic or prosthetic courses, including: lectures  covering
21    pertinent      anatomy,     biomechanics,     pathomechanics,
22    prosthetic-orthotic components and  materials,  training  and
23    functional   capabilities, prosthetic or orthotic performance
24    evaluation,   prescription   considerations,   etiology    of
25    amputations and disease processes necessitating prosthetic or
26    orthotic  use, and medical management; subject matter related
27    to pediatric and geriatric  problems;  instruction  in  acute
28    care  techniques,  such  as immediate and early post-surgical
29    prosthetics, fracture bracing, and halo cast techniques;  and
30    lectures,  demonstrations, and laboratory experiences related
31    to  the  entire  process  of  measuring,  casting,   fitting,
32    fabrication,  alignment,  and  completion  of  prostheses  or
33    orthoses.
34        "Licensed  orthotist"  means a person licensed under this
                            -3-                LRB9004662DPcc
 1    Act to practice  orthotics  and  who  represents  himself  or
 2    herself  to  the  public  by title or description of services
 3    that includes the term "orthotic",  "orthotist", "brace",  or
 4    a similar title or description of services.
 5        "Licensed physician" means a physician licensed under the
 6    Medical  Practice  Act  of  1987  or    the Podiatric Medical
 7    Practice Act of 1987.
 8        "Licensed prosthetist" means a person licensed under this
 9    Act to practice prosthetics and  who  represents  himself  or
10    herself  to  the  public  by title or description of services
11    that   includes   the   term   "prosthetic",   "prosthetist",
12    "artificial limb", or  a  similar  title  or  description  of
13    services.
14        "Licensed  prosthetist/orthotist" means a person licensed
15    under this Act to practice both prosthetics and orthotics and
16    who represents himself or herself to the public by  title  or
17    description  of services that includes the term "prosthetic",
18    "orthotic",   "prosthetist/orthotist",   "artificial   limb",
19    "brace", or a similar title or description of services.
20        "Orthosis" means  a  custom-fabricated  or  custom-fitted
21    brace   or   support   designed  to  provide  for  alignment,
22    correction, or prevention of neuromuscular or musculoskeletal
23    dysfunction, disease, injury, or deformity.  "Orthosis"  does
24    not   include  fabric  or  elastic  supports,  corsets,  arch
25    supports, low-temperature plastic splints,  trusses,  elastic
26    hoses,  canes, crutches, cervical collars, dental appliances,
27    or other similar devices carried in stock and sold by a  drug
28    store,  department  store,  corset  shop,  or surgical supply
29    facility.
30        "Orthotics" means the science and practice of evaluating,
31    measuring,  designing,  fabricating,   assembling,   fitting,
32    adjusting,  or  servicing  an  orthosis under an order from a
33    licensed  physician,  chiropractor,  or  podiatrist  for  the
34    correction or alleviation of neuromuscular or musculoskeletal
                            -4-                LRB9004662DPcc
 1    dysfunction, disease, injury, or deformity.
 2        "Orthotist"  means  a  person  who   measures,   designs,
 3    fabricates,  fits,  or  services  orthoses and assists in the
 4    formulation of the prescription of orthoses as prescribed  by
 5    a  licensed  physician  or  a  physician licensed to practice
 6    podiatric  medicine  for  the  support   or   correction   of
 7    disabilities   caused   by   neuro-musculoskeletal  diseases,
 8    injuries, or deformities.
 9        "Pedorthist" means a person who designs, fabricates,  and
10    fits  therapeutic  footwear,  orthoses  (for  feet only), and
11    modified   footwear   based   on   a   licensed   physician's
12    prescription.
13        "Person" means a natural person.
14        "Prosthesis" means an artificial medical device  that  is
15    not  surgically  implanted  and  that  is  used  to replace a
16    missing limb, appendage, or any  other  external  human  body
17    part   including   an   artificial   limb,   hand,  or  foot.
18    "Prosthesis" does not include artificial eyes, ears, fingers,
19    or  toes,  dental  appliances,  cosmetic  devices  (such   as
20    artificial  breasts,  eyelashes,  or  wigs), or other devices
21    that do not have a significant impact on the  musculoskeletal
22    functions of the body.
23        "Prosthetics"   means   the   science   and  practice  of
24    evaluating, measuring,  designing,  fabricating,  assembling,
25    fitting,  adjusting, or servicing a prosthesis under an order
26    from a licensed physician.
27        "Prosthetist"  means  a  person  who  measures,  designs,
28    fabricates, fits, or services prostheses and assists  in  the
29    formulation  of  the prescription of prostheses as prescribed
30    by a licensed physician,  for  the  replacement  of  external
31    parts  of the human body lost due to amputation or congenital
32    deformities or absences.
33        "Prosthetist/Orthotist" means a person who practices both
34    disciplines of prosthetics and orthotics and  who  represents
                            -5-                LRB9004662DPcc
 1    himself  or  herself to the public by title or by description
 2    of services.
 3        "Registered  prosthetist/orthotist  assistant"  means   a
 4    person  registered  under  this  Act  who  assists a licensed
 5    orthotist, prosthetist, or prosthetist/orthotist with patient
 6    care services and the fabrication of orthoses or prostheses.
 7        "Registered  prosthetic/orthotic  technician"   means   a
 8    person  registered under this Act who assists  the orthotist,
 9    prosthetist, or  prosthetist/orthotist  with  fabrication  of
10    orthoses or prostheses.
11        "Resident" means a person that has completed an education
12    program  in either orthotics or prosthetics and is continuing
13    his or her clinical education in a  residency  accredited  by
14    the National Commission on Orthotic and Prosthetic Education.
15        "Scope  of practice" means a list of tasks, with relative
16    weight given to such factors as importance, criticality,  and
17    frequency,  based  on  internationally  accepted standards of
18    orthotic and prosthetic care as outlined by the International
19    Society of Prosthetics and  Orthotics'  professional  profile
20    for  Category  I  and  Category  III  orthotic and prosthetic
21    personnel.
22        "Technician" means a person  who  assists  an  orthotist,
23    prosthetist,  or  prosthetist/orthotist  with  fabrication of
24    orthoses or prostheses but does not  provide  direct  patient
25    care.
26        Section  15. Exceptions.  This Act shall not be construed
27    to prohibit:
28             (1)  a physician licensed in this State to  practice
29        medicine  in  all  its  branches  from  engaging  in  the
30        practice for which he or she is licensed;
31             (2)  a person licensed in this State under any other
32        Act  from engaging in the practice for which he or she is
33        licensed;
                            -6-                LRB9004662DPcc
 1             (3)  the practice of orthotics or prosthetics  by  a
 2        person  who  is employed by the federal government or any
 3        bureau, division, or agency  of  the  federal  government
 4        while in the discharge of the employee's official duties;
 5             (4)  the  practice  of orthotics or prosthetics by a
 6        student enrolled in a school of orthotics or  prosthetics
 7        or  in  a  refresher course approved by the Department if
 8        the practice is included in the program of study;
 9             (5)  the practice of orthotics or prosthetics by one
10        who is an orthotist or  prosthetist  licensed  under  the
11        laws  of  another state or territory of the United States
12        or another country and has  applied  in  writing  to  the
13        Department,  in  a form and substance satisfactory to the
14        Department, for a license as an orthotist or  prosthetist
15        and who is qualified to receive the license under Section
16        35  until (A) the expiration of 6 months after the filing
17        of the written application, (B)  the  withdrawal  of  the
18        application,  or (C) the denial of the application by the
19        Department;
20             (6)  a person licensed by this State as  a  physical
21        therapist  or occupational therapist from engaging in the
22        practice of his or her profession or  applying  temporary
23        or low-temperature orthotic devices;
24             (7)  the  practice  of pedorthics by a pedorthist in
25        the design, fabrication, and fit of therapeutic footwear,
26        foot orthoses (for feet only), and modified footwear.
27        Section 20. Powers and  duties  of  the  Department.  The
28    Director  may  adopt  rules consistent with the provisions of
29    this Act and may prescribe forms for its  administration  and
30    enforcement.  The Board shall adopt rules as necessary to set
31    standards and requirements. The Board shall  adopt  rules  as
32    necessary   to  establish  eligibility  for  registration  to
33    practice  orthotics  and  prosthetics  as  an  assistant   or
                            -7-                LRB9004662DPcc
 1    technician.
 2        Section 25. Board of Orthotics and Prosthetics.
 3        (a)  There  is  established  a  Board  of  Orthotics  and
 4    Prosthetics,  which  shall  consist of 7 voting members to be
 5    appointed by the Governor. Two members  shall  be  practicing
 6    licensed  orthotists  or  licensed prosthetist/orthotists;  2
 7    members shall be practicing licensed prosthetists or licensed
 8    prosthetist/orthotists; 2 members shall  be  members  of  the
 9    public   who   are   consumers  of  orthotic  and  prosthetic
10    professional services; and one member shall  be  licensed  by
11    the  State  as  a  doctor of medicine or doctor of osteopathy
12    specializing in orthopaedic medicine and surgery or a  doctor
13    of podiatry.
14        (b)  An  administrative  director of the Board shall be a
15    State employee who is appointed by  the  Director  and  shall
16    serve  as  an  ex-officio  member of the Board without voting
17    power. The ex-officio member shall be  compensated  according
18    to the State's compensation program for his or her duties and
19    responsibilities.
20        (c)  Each  member  of  the  Board,  except the ex-officio
21    member, shall serve a term of 3 years, except   that  of  the
22    initial  appointments  to  the  Board,  2  members  shall  be
23    appointed  for  one  year, 2 members shall be appointed for 2
24    years, and 3 members shall be appointed  for  3  years.  Each
25    member  shall  hold  office  and  execute  his  or  her Board
26    responsibilities until the qualification and  appointment  of
27    his  or  her successor.  Except for the ex-officio member, no
28    member of the Board shall serve more than 8 consecutive years
29    or 2 full terms, whichever is greater.
30        (d)  The ex-officio member of the Board shall serve  only
31    so  long  as  he  or she occupies the incumbent's position as
32    administrative director of the Board.   In  the  event  of  a
33    vacancy  within  the  administrative  director's position, an
                            -8-                LRB9004662DPcc
 1    acting administrative director may be appointed to  serve  on
 2    the Board in the interim.
 3        (e)  All  Board members shall serve without compensation,
 4    except that members shall be  reimbursed  for  necessary  and
 5    reasonable  expenses, including but not limited to travel and
 6    out-of-pocket  costs,  for  fulfilling   their   duties   and
 7    responsibilities as members of the Board.
 8        (f)  Except  for  the  ex-officio member, a member may be
 9    removed from the Board by the Governor for  any  one  of  the
10    following:
11             (1)  Loss  of  license as an orthotist, prosthetist,
12        or prosthetist/orthotist for disciplinary reasons.
13             (2)  Loss of license as a doctor of medicine, doctor
14        of osteopathy, or doctor of podiatry.
15             (3)  Failure  to  fulfill  his  or  her  duties  and
16        responsibilities as a Board member.
17             (4)  Having been found by the Department or a  court
18        of  competent  jurisdiction to be culpable for committing
19        acts  of  moral  turpitude,  malfeasance  in  office,  or
20        criminal behavior.
21        (g)  The ex-officio member may be removed only if  he  or
22    she is removed from or vacates the position of administrative
23    director of the Board.
24        Section   30.   Application   for  original  license.  An
25    application  for  an   original   license,   certificate   of
26    registration,  or  temporary  license  a shall be made to the
27    Department in writing on a form prescribed by the  Department
28    and shall be accompanied by the required fee, which shall not
29    be  refundable. An application shall require information that
30    in the judgement of the Department will enable the Department
31    to pass on  the  qualifications  of    the  applicant  for  a
32    license.
                            -9-                LRB9004662DPcc
 1        Section 35. Qualifications for licensure.
 2        (a)  To  qualify  for a license to practice orthotics and
 3    prosthetics, a person shall:
 4             (1)  possess a baccalaureate degree from  a  college
 5        or university approved by the Department;
 6             (2)  have  completed  the amount of formal training,
 7        including but not  limited  to  any  hours  of  classroom
 8        education   and  clinical  practice  established  by  the
 9        Commission on Accreditation of  Allied  Health  Education
10        Programs   and   as   the   Board   deems  necessary  and
11        appropriate. The majority of training must be devoted  to
12        services   performed   under   the   supervision   of   a
13        practitioner  of  orthotics  or  prosthetics  or a person
14        certified  as  a  Certified  Orthotist  (CO),   Certified
15        Prosthetist  (CP), or Certified Prosthetist and Orthotist
16        (CPO)  whose  certification  was  obtained   before   the
17        effective date of this Act;
18             (3)  complete    a   clinical   residency   in   the
19        professional area  for  which  a  license  is  sought  in
20        accordance  with standards, guidelines, or procedures for
21        clinical  residencies  inside  or  outside   this   State
22        established   by  the  National  Commission  on  Orthotic
23        Prosthetic Education or by the Board;
24             (4)  pass   all   written,   practical,   and   oral
25        examinations that are required and approved by the Board;
26        and
27             (5)  be qualified to  practice  in  accordance  with
28        internationally   accepted   standards  of  orthotic  and
29        prosthetic care as outlined by the International  Society
30        of  Prosthetics  and  Orthotics' professional profile for
31        Category  I  orthotic  and  prosthetic  personnel  or  as
32        outlined by  the  American  Board  for  Certification  in
33        Orthotics and Prosthetics, Incorporated.
34        (b)  The   standards   and   requirements  for  licensure
                            -10-               LRB9004662DPcc
 1    established by the Board shall be substantially equal  to  or
 2    in excess of standards commonly accepted in the profession of
 3    orthotics  and  prosthetics.  The  Board shall adopt rules as
 4    necessary to set the standards and requirements.
 5        Section 40. Examination requirement.
 6        (a)  The  Department  shall  authorize  examinations   of
 7    applicants as orthotists and prosthetists at times and places
 8    as  it may determine.  The examination of applicants shall be
 9    of a character to  fairly  test  the  qualifications  of  the
10    applicant to practice orthotics or prosthetics.
11        (b)  Applicants  for  examination  as  orthotists  and as
12    prosthetists  shall  be  required  to  pay,  either  to   the
13    Department  or the designated testing service, a fee covering
14    the cost of providing the examination.  Failure  to    appear
15    for  the  examination  on  the scheduled date at the time and
16    place  specified  after  the  applicant's   application   for
17    examination   has  been  received  and  acknowledged  by  the
18    Department or the designated testing service shall result  in
19    the forfeiture of the examination fee.
20        (c)  If  an applicant neglects, fails, or refuses to take
21    an examination or fails to pass an examination for a  license
22    under  this  Act  within  3  years  after  filing  his or her
23    application, the application shall be denied.   However,  the
24    applicant  may  make  a  new  application  accompanied by the
25    required fee.
26        (d)  The Department shall set by rule the  maximum number
27    of  attempts  that  an  applicant  may  make   to  pass   the
28    examination within a specified period of time. The Department
29    shall  also  determine any further training required before a
30    reexamination.
31        (e)  The  Department  may  employ  consultants  for   the
32    purpose  of preparing and conducting examinations. Applicants
33    for an examination as an orthotist or a prosthetist shall  be
                            -11-               LRB9004662DPcc
 1    required   to  pay,  either  to  the  Department  or  to  the
 2    designated testing  service,  a  fee  covering  the  cost  of
 3    providing the examination.
 4        Section 45. Implementation of Act.
 5        (a)  Within  6  months  after  the effective date of this
 6    Act, all  persons  practicing  orthotics  or  prosthetics  or
 7    representing  themselves  to be practitioners of orthotics or
 8    prosthetics shall make application to the Department on forms
 9    provided by the Department  and  shall  pay  the  appropriate
10    application fee.
11        (b)  From  6  months after the effective date of this Act
12    until June 30, 1999, no person shall engage in  the  practice
13    of   orthotics   or   prosthetics  without  a  license  or  a
14    certificate of registration.
15        (c)  Until  June  30,  1999,  a  person  certified  as  a
16    Certified Orthotist  (CO),  Certified  Prosthetist  (CP),  or
17    Certified  Prosthetist  and  Orthotist  (CPO) by the American
18    Board  for  Certification  in  Prosthetics   and   Orthotics,
19    Incorporated,  or  holding  similar certifications from other
20    accrediting bodies with equivalent educational  requirements,
21    may  apply  for and shall be granted licensure under this Act
22    on  payment  of  the  required  fee.  After  that  date,  all
23    applicants for licensure as an  orthotist  or  a  prosthetist
24    shall meet the requirements of Section 35 of this Act.
25        (d)  A  person  who  does not qualify for licensure under
26    Section 35 or  subsection  (c)  of  this  Section  shall  not
27    practice  orthotics  or  prosthetics without a certificate of
28    registration. Until June 30, 1998, the Department shall issue
29    a nonrenewable certificate of registration to an applicant on
30    payment of a $20 fee. The certificate of  registration  shall
31    automatically  expire on June 30, 1999. A registrant issued a
32    certificate under this subsection shall  be  subject  to  the
33    disciplinary  provisions  of this Act in the same manner as a
                            -12-               LRB9004662DPcc
 1    licensee.
 2        (e)  On and after July 1, 1999, no person shall  practice
 3    orthotics  or  prosthetics  in  this State or hold himself or
 4    herself out as being  able  to  practice  either  profession,
 5    unless he or she is licensed in accordance with Section 35 of
 6    this Act.
 7        (f)  Notwithstanding any other provision of this Section,
 8    a  person who has practiced full time for the past 7 years in
 9    a prosthetic/orthotic facility as an orthotist,  prosthetist,
10    prosthetist/orthotist,   assistant,   or  technician  on  the
11    effective date of this Act may file an application  with  the
12    Board  within  180  days of the effective date of this Act in
13    order to continue to practice orthotics or prosthetics at his
14    or her identified level of practice. The applicant  shall  be
15    issued  a  license or certificate of registration to practice
16    orthotics or prosthetics under  the  provision  of  this  Act
17    without examination upon receipt by the Department of payment
18    of  the  licensing or registration fee required under Section
19    65  of  this  Act  and  after  the  Board  has  completed  an
20    investigation of the applicant's  work  history.   The  Board
21    shall  complete  its  investigation  for the purposes of this
22    Section within 6 months of the date of the  application.  The
23    investigation may include but is not limited to completion by
24    the  applicant  of  a questionnaire regarding the applicant's
25    work history and scope of practice.
26        Section 50. Renewal; restoration; military service.
27        (a)  The expiration date  and  renewal  period  for  each
28    license  issued  under  this  Act shall be set by rule of the
29    Department. The Board shall  establish  continuing  education
30    requirements for the renewal of a license. These requirements
31    shall be based on established standards of competence.
32        (b)  A  person  who  has  permitted his or her license to
33    expire or who has had his or her license on  inactive  status
                            -13-               LRB9004662DPcc
 1    may have his or her license restored by making application to
 2    the  Department and filing proof acceptable to the Department
 3    of his or her fitness to have his or  her  license  restored,
 4    including  but  not  limited  to sworn evidence certifying to
 5    active practice in another jurisdiction satisfactory  to  the
 6    Department,  and  by  paying the required restoration fee. If
 7    the person has not maintained an active practice  in  another
 8    jurisdiction satisfactory to the  Department, the Board shall
 9    determine,  by an evaluation program established by rule, his
10    or her fitness to resume active status and  may  require  the
11    person  to complete a period of evaluated clinical experience
12    and  may  require  successful  completion  of   a   practical
13    examination.
14        (c)  A  person  whose license expired while he or she was
15    (1) in federal Service on active duty with the  Armed  Forces
16    of  the  United  States or with the State Militia called into
17    service or training or (2) in training or education under the
18    supervision of the United  States  preliminary  to  induction
19    into  the  military  service,  may  have  his  or her license
20    renewed or restored without paying a lapsed renewal  fee  if,
21    within  2 years after termination from the service, training,
22    or education except under conditions other than honorable, he
23    or she furnished the Department with satisfactory evidence to
24    the effect that he or she has been so engaged and that his or
25    her service, training, or education has been so terminated.
26        Section  55.  Elective  inactive  status.  A  person  who
27    notifies the Department in writing on forms prescribed by the
28    Department may elect to  place  his  or  her  license  on  an
29    inactive   status   and   shall,  subject  to  rules  of  the
30    Department, be excused from payment of renewal fees until  he
31    or  she  notifies  the  Department  in  writing of his or her
32    desire to resume active status.
33        A person  requesting  restoration  from  inactive  status
                            -14-               LRB9004662DPcc
 1    shall be required to pay the current renewal fee and shall be
 2    required to restore his or her license as provided in Section
 3    50 of this Act.
 4        An  orthotist  or  prosthetist  whose  license  is  on an
 5    inactive status shall not practice orthotics  or  prosthetics
 6    in this State.
 7        Section  60.   Endorsement;  temporary license; residency
 8    registration.
 9        (a)  The Department may, at its  discretion,  license  as
10    either  an orthotist or as a prosthetist, without examination
11    and on payment of the required fee, an applicant  who  is  an
12    orthotist  or  prosthetist who is (1) licensed under the laws
13    of another state, territory, or country, if the  requirements
14    for  licensure  in that state, territory, or country in which
15    the applicant was licensed were, at the date of his   or  her
16    licensure,  substantially  equal to the requirements in force
17    in this State on that date or (2)  certified  by  a  national
18    certification   organization  with  educational  and  testing
19    standards equal to  or  more  stringent  than  the  licensing
20    requirements of this State.
21        (b)  The  Board may issue a temporary license to a person
22    who:
23             (1)  has become a resident of this State within  the
24        last  6  months  or  who has moved to this State with the
25        intent to fulfill residency requirements;
26             (2)  has applied for  a  license  as  an  orthotist,
27        prosthetist, or prosthetist/orthotist; and
28             (3)  has   been   licensed  by  a  state  of  former
29        residence that has licensing  requirements  equal  to  or
30        more stringent than the requirements of this Act.
31        A  temporary license shall be valid for one year from the
32    date of issuance, and may be  renewed  upon  presentation  of
33    good cause to the Board for up to one additional year.
                            -15-               LRB9004662DPcc
 1        (c)  The  Board  may  issue  an  orthotic  or  prosthetic
 2    residency  registration  certificate  to  a  person who has a
 3    bachelor's degree from a college or  university  approved  by
 4    the Board, has completed an educational program accredited by
 5    the  Commission  on  Accreditation of Allied Health Education
 6    Programs,  and  who  is   working   toward   fulfilling   the
 7    requirements  for  licensing as an orthotist, prosthetist, or
 8    prosthetist/orthotist in a residency  program  accredited  by
 9    the National Commission on Orthotic and Prosthetic Education.
10    A  residency  registrant  may  only work under the direct and
11    immediate supervision of a licensed orthotist or  prosthetist
12    who  shall  be  responsible  for  the  acts  of the residency
13    registrant. A residency registration certificate is valid for
14    no more than 2 years from the date of  issuance  and  may  be
15    renewed once for an additional 2-year period.
16        Section 65. Fees. The following fees are not refundable:
17             (1)  The  fee  for  application  for a license as an
18        orthotist or a prosthetist is $25.
19             (2)  The fee for the renewal  of  a  license  as  an
20        orthotist, prosthetist, or orthotist/prosthetist shall be
21        calculated at the rate of $25 per year.
22             (3)  The  fee for the restoration of a license other
23        than from inactive status is $10,  plus  payment  of  all
24        lapsed renewal fees, but not to exceed $135.
25             (4)  The fee for the issuance of a duplicate license
26        or  certificate  of  registration,  for the issuance of a
27        replacement license  or  certificate  for  a  license  or
28        certificate  that  has been lost or destroyed, or for the
29        issuance of a license or certificate  with  a  change  of
30        name  or  address other than during the renewal period is
31        $10.  No fee is required for name and address changes  on
32        Department   records   when   no   duplicate  license  or
33        certificate is issued.
                            -16-               LRB9004662DPcc
 1             (5)  The fee for a certification of a licensee's  or
 2        registrant's record for any purpose is $10.
 3             (6)  The  fee  to have the scoring of an examination
 4        administered by the Department reviewed and  verified  is
 5        $10,  plus  any  fees  charged  by the applicable testing
 6        service.
 7             (7)  The  fee  for  a   wall   certificate   showing
 8        licensure  shall  be  the  actual  cost  of producing the
 9        certificate.
10             (8)  The fee for a roster  of  persons  licensed  or
11        registered    as    an    orthotist,    prosthetist,   or
12        orthotist/prosthetist in this State shall be  the  actual
13        cost of reproducing the roster.
14        Section  70.  Roster  of  licensees  and registrants. The
15    Department shall maintain a current roster of the  names  and
16    addresses of all licensees, registrants (until July 1, 1999),
17    and all persons whose licenses have been suspended or revoked
18    within  the  previous  year.   This roster shall be available
19    upon written request and payment of the required fee.
20        Section 75.  Practice by corporations.  Nothing  in  this
21    Act  shall  restrict  licensees  or  registrants from forming
22    professional service corporations under the provisions of the
23    Professional Service Corporation Act.
24        Section 80. Grounds for discipline.
25        (a)  The Department  may  refuse  to  issue  or  renew  a
26    license,  may  revoke  or  suspend a license, or may suspend,
27    place on probation, censure, or reprimand a licensee for  any
28    one or combination of the following:
29             (1)  Making  a  material  misstatement in furnishing
30        information to the Department or the Board.
31             (2)  Violations  of  or  negligent  or   intentional
                            -17-               LRB9004662DPcc
 1        disregard of this Act or its rules.
 2             (3)  Conviction of any crime that, under the laws of
 3        the  United  States  or  of  a  state or territory of the
 4        United States, is a felony or a misdemeanor, an essential
 5        element of which is dishonesty, or of  a  crime  that  is
 6        directly related to the practice of the profession.
 7             (4)  Making  a  misrepresentation for the purpose of
 8        obtaining a license.
 9             (5)  Professional incompetence.
10             (6)  Malpractice.
11             (7)  Aiding or assisting another person in violating
12        a provision of this Act or its rules.
13             (8)  Failing, within 60 days, to provide information
14        in response to a written request made by the Department.
15             (9)  Engaging   in   dishonorable,   unethical,   or
16        unprofessional conduct or conduct of a  character  likely
17        to deceive, defraud, or harm the public.
18             (10)  Habitual  intoxication or addiction to the use
19        of drugs.
20             (11)  Discipline by another state  or  territory  of
21        the  United  States,  the  federal government, or foreign
22        nation, if at least one of the grounds for the discipline
23        is the same or substantially equivalent to one set  forth
24        in this Section.
25             (12)  Directly  or indirectly giving to or receiving
26        from  a  person,  firm,  corporation,   partnership,   or
27        association  a  fee, commission, rebate, or other form of
28        compensation for professional services  not  actually  or
29        personally rendered.
30             (13)  A  finding  by  the Board that the licensee or
31        registrant, after having his or  her  license  placed  on
32        probationary status has violated the terms of probation.
33             (14)  Abandonment of a patient or client.
34             (15)  Willfully  making  or  filing false records or
                            -18-               LRB9004662DPcc
 1        reports in his or her practice, including but not limited
 2        to  false  records   filed   with   State   agencies   or
 3        departments.
 4             (16)  Willfully  failing  to  report  an instance of
 5        suspected child abuse  or  neglect  as  required  by  the
 6        Abused and Neglected Child Reporting Act.
 7             (17)  Physical illness, including but not limited to
 8        deterioration  through the aging process or loss of motor
 9        skill, which results in the  inability  to  practice  the
10        profession with reasonable judgement, skill, or safety.
11             (18)  Solicitation  of  professional  services using
12        false or misleading advertising.
13        (b)  The determination by a circuit court that a licensee
14    or registrant is subject to involuntary admission or judicial
15    admission, as provided in the Mental Health and Developmental
16    Disabilities Code, operates as an automatic  suspension.  The
17    suspension  will  end only upon (i) a finding by a court that
18    the patient is no longer subject to involuntary admission  or
19    judicial  admission  and the court issues an order so finding
20    and discharging the patient and (ii) upon the  recommendation
21    of  the Board to the Director that the licensee or registrant
22    be allowed to resume his or her practice.
23        Section 85. Injunction; cease and desist order.
24        (a)  If any person violates a provision of this Act,  the
25    Director  may,  in  the  name  of  the People of the State of
26    Illinois and through the Attorney General of   the  State  of
27    Illinois,  petition  for  an order enjoining the violation or
28    for an order enforcing compliance with this  Act.   Upon  the
29    filing of a verified petition in court, the court may issue a
30    temporary  restraining order, without notice or bond, and may
31    preliminarily and permanently enjoin the violation, and if it
32    is established that the person has violated or  is  violating
33    the  injunction,  the  court  may  punish  the  offender  for
                            -19-               LRB9004662DPcc
 1    contempt of court. Proceedings under this Section shall be in
 2    addition  to,  and  not  in  lieu  of, all other remedies and
 3    penalties provided by this Act.
 4        (b)  If a person practices as an orthotist,  prosthetist,
 5    or  orthotist/prosthetist, or holds himself or herself out as
 6    an orthotist, prosthetist, or orthotist/prosthetist,  without
 7    being  licensed  or  registered  under the provisions of this
 8    Act,  then  any  other  licensed  or  registered   orthotist,
 9    prosthetist,  or orthotist/prosthetist, any interested party,
10    or any person injured by the person may, in addition  to  the
11    Director,  petition  for relief as provided in subsection (a)
12    of this Section.
13        (c)  Whenever in the opinion of the Department  a  person
14    violates  a provision of this Act, the Department may issue a
15    rule to show cause why an order to cease  and  desist  should
16    not be entered against him or her. The rule shall clearly set
17    forth  the  grounds  relied  upon by the Department and shall
18    provide a period of 7 days from the date of the rule to  file
19    an  answer to the satisfaction of the Department.  Failure to
20    answer to the satisfaction of the Department shall  cause  an
21    order to cease and desist to be issued immediately.
22        Section  90.  Investigations;  notice  and  hearing.  The
23    Department may investigate the actions of an applicant or  of
24    a  person  or  persons holding or claiming to hold a license.
25    The Department shall, before refusing to  issue  or  renew  a
26    license,  at  least  10  days  prior  to the date set for the
27    hearing, notify in writing the applicant for or holder  of  a
28    license  of the nature of the charges and that a hearing will
29    be held on the date designated.  The written  notice  may  be
30    served  by  personal  delivery  or by certified or registered
31    mail to the  respondent at the address of  his  or  her  last
32    notification  to the Department.  At the time and place fixed
33    in the notice, the Board shall proceed to  hear  the  charges
                            -20-               LRB9004662DPcc
 1    and  the  parties  or  their  counsel shall be afforded ample
 2    opportunity to present statements, testimony,  evidence,  and
 3    argument  that  may  be  pertinent  to  the charges or to the
 4    defense to the charges. The Board may  continue  the  hearing
 5    from time to time.
 6        Section  95. Transcript.  The Department, at its expense,
 7    shall preserve a record of  all  proceedings  at  the  formal
 8    hearing  of  a case involving the refusal to issue or renew a
 9    license.  The notice of hearing,  complaint,  and  all  other
10    documents  in  the  nature  of  pleadings and written motions
11    filed in the proceedings, the transcript  of  testimony,  the
12    report of the Board, and orders of the Department shall be in
13    the record of the proceeding.
14        Section  100.  Compelling testimony. A circuit court may,
15    upon application of the Director or his or her designee or of
16    the applicant or  licensee  against  whom  proceedings  under
17    Section  90 of this Act are pending, enter an order requiring
18    the attendance of witnesses and their testimony and requiring
19    the  production  of  documents,  papers,  files,  books,  and
20    records in connection with a hearing or  investigation.   The
21    court  may  compel  obedience  to  its order through contempt
22    proceedings.
23        Section 105. Board findings and recommendations.  At  the
24    conclusion  of  the  hearing  the  Board shall present to the
25    Director   a   written   report   of   its    findings    and
26    recommendations.  The report shall  contain a finding whether
27    or  not  the  accused  person  violated this Act or failed to
28    comply with the conditions required in this Act.   The  Board
29    shall  specify  the  nature  of  the  violation or failure to
30    comply and shall make its recommendations to the Director.
31        The report of findings and recommendations of  the  Board
                            -21-               LRB9004662DPcc
 1    shall be the basis for the Department's order for the refusal
 2    or  for  the granting of a license, unless the Director shall
 3    determine that the Board report is contrary to  the  manifest
 4    weight  of the evidence, in which case the Director may issue
 5    an order in contravention to the Board report.   The  finding
 6    is  not  admissible  in  evidence  against  the  person  in a
 7    criminal prosecution brought for a violation of this Act, but
 8    the  hearing  and  finding  are  not  a  bar  to  a  criminal
 9    prosecution brought for a violation of this Act.
10        Section 110. Motion for rehearing.  In any case involving
11    the refusal to issue or renew a license or the discipline  of
12    a licensee, a copy of the Board's report shall be served upon
13    the  respondent  by  the  Department, either personally or as
14    provided in this  Act  for  the  service  of  the  notice  of
15    hearing.   Within  20  days after service, the respondent may
16    present  to  the  Department  a  motion  in  writing  for   a
17    rehearing,  which  shall  specify  the particular grounds for
18    rehearing. If no motion for rehearing is filed, then upon the
19    expiration of the time specified for filing the motion, or if
20    a motion for rehearing is denied, then upon the  denial,  the
21    Director    may   enter   an   order   in   accordance   with
22    recommendations of the Board except as  provided  in  Section
23    105  of  this  Act.   If  the respondent shall order from the
24    reporting service, and pay for a  transcript  of  the  record
25    within  the time for filing a motion for rehearing the 20-day
26    period within which the motion may be filed   shall  commence
27    upon the delivery of the transcript to the respondent.
28        Section  115.   Rehearing on order of Director.  Whenever
29    the Director is not satisfied that  substantial  justice  has
30    been  done in the revocation, suspension, or refusal to issue
31    or renew a license, the Director may order a rehearing by the
32    same or other examiners.
                            -22-               LRB9004662DPcc
 1        Section  120.  Appointment  of  hearing   officer.    The
 2    Director  shall  have  the  authority  to appoint an attorney
 3    licensed to practice law in the State of Illinois to serve as
 4    a hearing officer in an action for refusal to issue or  renew
 5    a  license  or to discipline a licensee.  The hearing officer
 6    shall have  full  authority  to  conduct  the  hearing.   The
 7    hearing   officer  shall  report  his  or  her  findings  and
 8    recommendations to the  Board and the  Director.   The  Board
 9    shall  have  60 days from receipt of the report to review the
10    report of the hearing officer and  present  its  findings  of
11    fact,   conclusions  of  law,   and  recommendations  to  the
12    Director.  If the Board fails to present  its  report  within
13    the 60-day period, the Director shall issue an order based on
14    the   report   of  the  hearing  officer.   If  the  Director
15    determines  that  the  Board's  report  is  contrary  to  the
16    manifest weight of the evidence, he or she may issue an order
17    in contravention of the Board's report.
18        Section 125. Order or certified  copy.   An  order  or  a
19    certified  copy  of an order, over the seal of the Department
20    and purporting to be signed by the Director, shall  be  prima
21    facie proof:
22             (1)  that  the signature is the genuine signature of
23        the Director;
24             (2)  that  the  Director  is  duly   appointed   and
25        qualified; and
26             (3)  that the Board and its members are qualified to
27        act.
28        Section 130. Restoration of suspended or revoked license.
29    At  any  time  after  the  suspension  or  revocation  of any
30    license, the  Department  may  restore  the  license  to  the
31    accused  person  upon the written recommendation of the Board
32    unless, after an  investigation  and  a  hearing,  the  Board
                            -23-               LRB9004662DPcc
 1    determines that restoration is not in the public interest.
 2        Section  135.  Surrender of license.  Upon the revocation
 3    or suspension of a license, the  licensee  shall  immediately
 4    surrender  the  license to the Department and if the licensee
 5    fails to do so, the  Department shall have the right to seize
 6    the license.
 7        Section 140. Temporary  suspension  of  a  license.   The
 8    Director may temporarily suspend the license of an orthotist,
 9    prosthetist,  or  orthotist/prosthetist  without  a  hearing,
10    simultaneously  with  the  institution  of  proceedings for a
11    hearing provided for in  Section  90  of  this  Act,  if  the
12    Director  finds  that  evidence  in  his  or  her  possession
13    indicates  that  a  licensee's continuation in practice would
14    constitute an imminent danger to the public. If the  Director
15    temporarily  suspends  a license without a hearing, a hearing
16    by the Board must be held within 30 days after the suspension
17    has occurred.
18        Section 145. Administrative Review Law; Venue.  All final
19    administrative decisions of the  Department  are  subject  to
20    judicial   review   pursuant   to   the   provisions  of  the
21    Administrative  Review  Law   and   its   rules.   The   term
22    "administrative  decision"  is defined as in Section 3-101 of
23    the Administrative Review Law.
24        Proceedings for judicial review shall be commenced in the
25    circuit court of the county in which the party  applying  for
26    review  resides,  but  if the party is not a resident of this
27    State, the venue shall be in Sangamon County.
28        Section  150.  Certifications  of  record;  costs.    The
29    Department shall not be required to certify any record to the
30    Court  or file any answer in court or otherwise appear in any
                            -24-               LRB9004662DPcc
 1    court in a judicial review proceeding unless there  is  filed
 2    in  the  court,  with  the  complaint,  a  receipt  from  the
 3    Department  acknowledging  payment of the costs of furnishing
 4    and certifying the record, which shall  be  computed  at  the
 5    rate of 20 cents per page of the record.  Failure on the part
 6    of  a  plaintiff  to file a receipt in court shall be grounds
 7    for dismissal of the action.
 8        Section 155. Penalties. A person who  is  found  to  have
 9    violated  a  provision  of  this  Act  is guilty of a Class A
10    misdemeanor for a first offense and is guilty of  a  Class  4
11    felony for a second or subsequent offense.
12        Section  160.  Illinois Administrative Procedure Act. The
13    Illinois Administrative Procedure  Act  is  hereby  expressly
14    adopted  and  incorporated  in  this  Act  as  if  all of the
15    provisions of that Act were included in  this    Act,  except
16    that  the  provision  of  paragraph  (c) of Section 16 of The
17    Illinois Administrative Procedure Act, which provides that at
18    hearings the licensee has the right to show  compliance  with
19    all  lawful  requirements  for  retention,  continuation,  or
20    renewal  of  the  license,  is  specifically excluded and for
21    purposes of this Act, the notice required under Section 10 of
22    the  Illinois  Administrative   Procedure   Act   is   deemed
23    sufficient when mailed to the last known address of a party.
24        Section  165.  Home rule preemption. It is declared to be
25    the public policy of this State, pursuant to paragraph (h) of
26    Section 6 of Article VII of the Illinois Constitution of 1970
27    that a power  or  function  set  forth  in  this  Act  to  be
28    exercised  by  the  State  is  an  exclusive  State  power or
29    function. No power or function granted under this  Act  shall
30    be  exercised concurrently, either directly or indirectly, by
31    a unit of local  government,  including  home  rule    units,
                            -25-               LRB9004662DPcc
 1    except as otherwise provided in this Act.
 2        Section  170.  Orthotics  and  Prosthetics  License Fund.
 3    There is created the Orthotics and Prosthetics  License  Fund
 4    as a special fund in the State Treasury. All moneys collected
 5    by  the Department under this Act shall be deposited into the
 6    Fund and shall be used, pursuant  to  appropriation,  by  the
 7    Department to administer and enforce this Act.
 8        Section  250. The Regulatory Agency Sunset Act is amended
 9    by adding Section 4.18 as follows:
10        (5 ILCS 80/4.18 new)
11        Sec.  4.18.  Act  repealed   on  January  1,  2008.   The
12    following Act is repealed on January 1, 2008:
13        The Orthotics and Prosthetics Practice Act.
14        (30 ILCS 105/5.449 new)
15        Section  300.  The State Finance Act is amended by adding
16    Section 5.449 as follows:
17        Sec. 5.449. The Orthotics and Prosthetics License Fund.

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