State of Illinois
90th General Assembly
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[ Engrossed ][ Enrolled ][ Senate Amendment 001 ]

90_SB0610

      225 ILCS 80/15.1
          Amends the Illinois Optometric Practice Act  of  1987  to
      allow  a therapeutically certified optometrist licensed under
      the Act to give orders for patient care to a  licensed  nurse
      if  the  orders  are  within  the  scope of the optometrist's
      therapeutic certificate.  Effective immediately.
                                                     LRB9003062DPmg
                                               LRB9003062DPmg
 1        AN ACT to amend the Illinois Optometric Practice  Act  of
 2    1987 by changing Section 15.1.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 5.  The Illinois Optometric Practice Act of  1987
 6    is amended by changing Section 15.1 as follows:
 7        (225 ILCS 80/15.1)
 8        (Text of Section before amendment by P.A. 89-702)
 9        Sec. 15.1.  Diagnostic and therapeutic certification.
10        (a)  Any   licensed   optometrist   may   apply   to  the
11    Department, in the form the Department may prescribe,  for  a
12    certificate  to  use diagnostic topical ocular pharmaceutical
13    agents and the Department shall certify the applicant if:
14             (1)  the applicant has received appropriate training
15        and certification from a properly accredited  institution
16        of higher learning for the certificate; and
17             (2)  the  applicant  has  demonstrated  training and
18        competence   to    use    diagnostic    topical    ocular
19        pharmaceutical   agents  as  required  by  the  Committee
20        pursuant to rule or regulation approved by the  Committee
21        and adopted by the Department.
22        A certificate to use topical ocular pharmaceutical agents
23    for  diagnostic  purposes previously issued by the Department
24    that is current and valid  on  the  effective  date  of  this
25    amendatory Act of 1995 is valid until its expiration date and
26    entitles  the  holder  of  the  certificate to use diagnostic
27    topical ocular pharmaceutical agents as provided in this Act.
28        (b)  Any  licensed   optometrist   may   apply   to   the
29    Department,  in  the form the Department may prescribe, for a
30    certificate to use therapeutic ocular  pharmaceutical  agents
31    and the Department shall certify the applicant if:
                            -2-                LRB9003062DPmg
 1             (1)  the applicant has received a certificate to use
 2        diagnostic  topical  ocular  pharmaceutical  agents under
 3        subsection (a);
 4             (2)  the applicant has received appropriate training
 5        and certification from a properly accredited  institution
 6        of higher learning for the certificate; and
 7             (3)  the  applicant  has  demonstrated  training and
 8        competence  to  use  therapeutic  ocular   pharmaceutical
 9        agents  as  required by the Committee pursuant to rule or
10        regulation approved by the Committee and adopted  by  the
11        Department.
12        (c)  For  purposes of the Act, "diagnostic topical ocular
13    pharmaceutical   agents"   means   anesthetics,   mydriatics,
14    cycloplegics, and miotics used  for  diagnostic  purposes  as
15    defined  by  the  Committee  pursuant to rule approved by the
16    Committee and adopted by the Department.
17        (d)  For the purposes of  the  Act,  "therapeutic  ocular
18    pharmaceutical  agents"  means  the  following  when used for
19    diagnostic or therapeutic  purposes:  topical  anti-infective
20    agents,  topical  anti-allergy  agents, topical anti-glaucoma
21    agents, topical anti-inflammatory agents, topical  anesthetic
22    agents,  over the counter agents, non-narcotic oral analgesic
23    agents, and mydriatic reversing agents.
24        (e)  A  licensed  optometrist  who   is   therapeutically
25    certified  may  remove  superficial  foreign  bodies from the
26    human eye and adnexa.
27        (e-5)  A  licensed  optometrist  who  is  therapeutically
28    certified may  give  orders  for  patient  care  to  a  nurse
29    licensed  to  practice  nursing under Illinois law so long as
30    the  order  is  within  the  scope   of   the   optometrist's
31    therapeutic certificate.
32        (f)  An   optometrist's  certificate  to  use  diagnostic
33    topical ocular pharmaceutical  agents  shall  be  revoked  or
34    suspended  by  the  Department  upon  recommendation  of  the
                            -3-                LRB9003062DPmg
 1    Committee  based  on  the  misuse  of  any diagnostic topical
 2    ocular pharmaceutical agent.
 3        (g)  An  optometrist's  certificate  to  use  therapeutic
 4    ocular pharmaceutical agents shall be revoked or suspended by
 5    the Department upon recommendation of the Committee based  on
 6    the misuse of any therapeutic ocular pharmaceutical agent.
 7        (h)  An   optometrist's   license  shall  be  revoked  or
 8    suspended  by  the  Department  upon  recommendation  of  the
 9    Committee based upon either of the following causes:
10             (1)  grave or repeated misuse of any  diagnostic  or
11        therapeutic ocular pharmaceutical agent; and
12             (2)  the use of any agent or procedure in the course
13        of  optometric  practice  by  an optometrist not properly
14        certified under this Section.
15        (i)  The provisions of Sections 26.2, 26.3, 26.5,  26.10,
16    26.11,  26.14,  and  26.15  of  this  Act  shall apply to all
17    disciplinary proceedings brought under this Section.
18        (j)  The Director may temporarily suspend  a  certificate
19    to   use  diagnostic  topical  ocular  pharmaceuticals  or  a
20    certificate to use therapeutic ocular  pharmaceuticals  or  a
21    license   to   practice   optometry,   without   a   hearing,
22    simultaneously  with  the  institution  of  proceedings for a
23    hearing based upon a violation of subsection (f), (g), or (h)
24    of this Section, if the Director finds that evidence  in  his
25    or  her  possession  indicates  that  the  continued  use  of
26    diagnostic  topical  ocular  pharmaceuticals,  or therapeutic
27    ocular pharmaceuticals, or continued  practice  of  optometry
28    would  constitute  an immediate danger to the public.  In the
29    event that the Director temporarily suspends a certificate to
30    use diagnostic topical  ocular  pharmaceuticals,  therapeutic
31    ocular  pharmaceuticals,  or  a license to practice optometry
32    without a hearing,  a  hearing  by  the  Committee  shall  be
33    commenced  within  15 days after suspension has occurred, and
34    concluded without appreciable delay.
                            -4-                LRB9003062DPmg
 1        (k)  The  Director  of  the  Department  of  Professional
 2    Regulation shall notify the Director  of  the  Department  of
 3    Public  Health  as to the categories of ocular pharmaceutical
 4    agents permitted for use by an optometrist.  The Director  of
 5    the  Department  of  Public Health shall in turn notify every
 6    licensed pharmacist in the State of the categories of  ocular
 7    pharmaceutical  agents that can be utilized and prescribed by
 8    an optometrist.
 9        (l)  Nothing in this Act prohibits the use of  diagnostic
10    topical  ocular  pharmaceutical  agents or therapeutic ocular
11    pharmaceutical  agents  in  the  practice  of  optometry   by
12    optometrists certified for such use under this Section.
13    (Source: P.A. 89-140, eff. 1-1-96.)
14        (Text of Section after amendment by P.A. 89-702)
15        Sec. 15.1.  Diagnostic and therapeutic certification.
16        (a)  Any   licensed   optometrist   may   apply   to  the
17    Department, in the form the Department may prescribe,  for  a
18    certificate  to  use diagnostic topical ocular pharmaceutical
19    agents and the Department shall certify the applicant if:
20             (1)  the applicant has received appropriate training
21        and certification from a properly accredited  institution
22        of higher learning for the certificate; and
23             (2)  the  applicant  has  demonstrated  training and
24        competence   to    use    diagnostic    topical    ocular
25        pharmaceutical  agents  as required by the Board pursuant
26        to rule or regulation approved by the Board  and  adopted
27        by the Department.
28        A certificate to use topical ocular pharmaceutical agents
29    for  diagnostic  purposes previously issued by the Department
30    that is current and valid  on  the  effective  date  of  this
31    amendatory Act of 1995 is valid until its expiration date and
32    entitles  the  holder  of  the  certificate to use diagnostic
33    topical ocular pharmaceutical agents as provided in this Act.
34        (b)  Any  licensed   optometrist   may   apply   to   the
                            -5-                LRB9003062DPmg
 1    Department,  in  the form the Department may prescribe, for a
 2    certificate to use therapeutic ocular  pharmaceutical  agents
 3    and the Department shall certify the applicant if:
 4             (1)  the applicant has received a certificate to use
 5        diagnostic  topical  ocular  pharmaceutical  agents under
 6        subsection (a);
 7             (2)  the applicant has received appropriate training
 8        and certification from a properly accredited  institution
 9        of higher learning for the certificate; and
10             (3)  the  applicant  has  demonstrated  training and
11        competence  to  use  therapeutic  ocular   pharmaceutical
12        agents  as  required  by  the  Board  pursuant to rule or
13        regulation approved by  the  Board  and  adopted  by  the
14        Department.
15        (c)  For  purposes of the Act, "diagnostic topical ocular
16    pharmaceutical   agents"   means   anesthetics,   mydriatics,
17    cycloplegics, and miotics used  for  diagnostic  purposes  as
18    defined  by  the Board pursuant to rule approved by the Board
19    and adopted by the Department.
20        (d)  For the purposes of  the  Act,  "therapeutic  ocular
21    pharmaceutical  agents"  means  the  following  when used for
22    diagnostic or therapeutic  purposes:  topical  anti-infective
23    agents,  topical  anti-allergy  agents, topical anti-glaucoma
24    agents, topical anti-inflammatory agents, topical  anesthetic
25    agents,  over the counter agents, non-narcotic oral analgesic
26    agents, and mydriatic reversing agents.
27        (e)  A  licensed  optometrist  who   is   therapeutically
28    certified  may  remove  superficial  foreign  bodies from the
29    human eye and adnexa.
30        (e-5)  A  licensed  optometrist  who  is  therapeutically
31    certified may  give  orders  for  patient  care  to  a  nurse
32    licensed  to  practice  nursing under Illinois law so long as
33    the  order  is  within  the  scope   of   the   optometrist's
34    therapeutic certificate.
                            -6-                LRB9003062DPmg
 1        (f)  An   optometrist's  certificate  to  use  diagnostic
 2    topical ocular pharmaceutical  agents  shall  be  revoked  or
 3    suspended  by the Department upon recommendation of the Board
 4    based  on  the  misuse  of  any  diagnostic  topical   ocular
 5    pharmaceutical agent.
 6        (g)  An  optometrist's  certificate  to  use  therapeutic
 7    ocular pharmaceutical agents shall be revoked or suspended by
 8    the  Department upon recommendation of the Board based on the
 9    misuse of any therapeutic ocular pharmaceutical agent.
10        (h)  An  optometrist's  license  shall  be   revoked   or
11    suspended  by the Department upon recommendation of the Board
12    based upon either of the following causes:
13             (1)  grave or repeated misuse of any  diagnostic  or
14        therapeutic ocular pharmaceutical agent; and
15             (2)  the use of any agent or procedure in the course
16        of  optometric  practice  by  an optometrist not properly
17        certified under this Section.
18        (i)  The provisions of Sections 26.2, 26.3, 26.5,  26.10,
19    26.11,  26.14,  and  26.15  of  this  Act  shall apply to all
20    disciplinary proceedings brought under this Section.
21        (j)  The Director may temporarily suspend  a  certificate
22    to   use  diagnostic  topical  ocular  pharmaceuticals  or  a
23    certificate to use therapeutic ocular  pharmaceuticals  or  a
24    license   to   practice   optometry,   without   a   hearing,
25    simultaneously  with  the  institution  of  proceedings for a
26    hearing based upon a violation of subsection (f), (g), or (h)
27    of this Section, if the Director finds that evidence  in  his
28    or  her  possession  indicates  that  the  continued  use  of
29    diagnostic  topical  ocular  pharmaceuticals,  or therapeutic
30    ocular pharmaceuticals, or continued  practice  of  optometry
31    would  constitute  an immediate danger to the public.  In the
32    event that the Director temporarily suspends a certificate to
33    use diagnostic topical  ocular  pharmaceuticals,  therapeutic
34    ocular  pharmaceuticals,  or  a license to practice optometry
                            -7-                LRB9003062DPmg
 1    without a hearing, a hearing by the Board shall be  commenced
 2    within  15  days after suspension has occurred, and concluded
 3    without appreciable delay.
 4        (k)  The  Director  of  the  Department  of  Professional
 5    Regulation shall notify the Director  of  the  Department  of
 6    Public  Health  as to the categories of ocular pharmaceutical
 7    agents permitted for use by an optometrist.  The Director  of
 8    the  Department  of  Public Health shall in turn notify every
 9    licensed pharmacist in the State of the categories of  ocular
10    pharmaceutical  agents that can be utilized and prescribed by
11    an optometrist.
12        (l)  Nothing in this Act prohibits the use of  diagnostic
13    topical  ocular  pharmaceutical  agents or therapeutic ocular
14    pharmaceutical  agents  in  the  practice  of  optometry   by
15    optometrists certified for such use under this Section.
16    (Source: P.A. 89-140, eff. 1-1-96; 89-702, eff. 7-1-97.)
17        Section  95.   No  acceleration or delay.  Where this Act
18    makes changes in a statute that is represented in this Act by
19    text that is not yet or no longer in effect (for  example,  a
20    Section  represented  by  multiple versions), the use of that
21    text does not accelerate or delay the taking  effect  of  (i)
22    the  changes made by this Act or (ii) provisions derived from
23    any other Public Act.
24        Section 99.  Effective date.  This Act takes effect  upon
25    becoming law.

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