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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.