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

90_SB0610enr

      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
SB610 Enrolled                                 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:
SB610 Enrolled              -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 related to the use
29    of  therapeutic  ocular  pharmaceutical  agents  to  a  nurse
30    licensed to practice under Illinois law.
31        (f)  An  optometrist's  certificate  to  use   diagnostic
32    topical  ocular  pharmaceutical  agents  shall  be revoked or
33    suspended  by  the  Department  upon  recommendation  of  the
34    Committee based on  the  misuse  of  any  diagnostic  topical
SB610 Enrolled              -3-                LRB9003062DPmg
 1    ocular pharmaceutical agent.
 2        (g)  An  optometrist's  certificate  to  use  therapeutic
 3    ocular pharmaceutical agents shall be revoked or suspended by
 4    the  Department upon recommendation of the Committee based on
 5    the misuse of any therapeutic ocular pharmaceutical agent.
 6        (h)  An  optometrist's  license  shall  be   revoked   or
 7    suspended  by  the  Department  upon  recommendation  of  the
 8    Committee based upon either of the following causes:
 9             (1)  grave  or  repeated misuse of any diagnostic or
10        therapeutic ocular pharmaceutical agent; and
11             (2)  the use of any agent or procedure in the course
12        of optometric practice by  an  optometrist  not  properly
13        certified under this Section.
14        (i)  The  provisions of Sections 26.2, 26.3, 26.5, 26.10,
15    26.11, 26.14, and 26.15  of  this  Act  shall  apply  to  all
16    disciplinary proceedings brought under this Section.
17        (j)  The  Director  may temporarily suspend a certificate
18    to  use  diagnostic  topical  ocular  pharmaceuticals  or   a
19    certificate  to  use  therapeutic ocular pharmaceuticals or a
20    license   to   practice   optometry,   without   a   hearing,
21    simultaneously with the  institution  of  proceedings  for  a
22    hearing based upon a violation of subsection (f), (g), or (h)
23    of  this  Section, if the Director finds that evidence in his
24    or  her  possession  indicates  that  the  continued  use  of
25    diagnostic topical  ocular  pharmaceuticals,  or  therapeutic
26    ocular  pharmaceuticals,  or  continued practice of optometry
27    would constitute an immediate danger to the public.   In  the
28    event that the Director temporarily suspends a certificate to
29    use  diagnostic  topical  ocular pharmaceuticals, therapeutic
30    ocular pharmaceuticals, or a license  to  practice  optometry
31    without  a  hearing,  a  hearing  by  the  Committee shall be
32    commenced within 15 days after suspension has  occurred,  and
33    concluded without appreciable delay.
34        (k)  The  Director  of  the  Department  of  Professional
SB610 Enrolled              -4-                LRB9003062DPmg
 1    Regulation  shall  notify  the  Director of the Department of
 2    Public Health as to the categories of  ocular  pharmaceutical
 3    agents  permitted for use by an optometrist.  The Director of
 4    the Department of Public Health shall in  turn  notify  every
 5    licensed  pharmacist in the State of the categories of ocular
 6    pharmaceutical agents that can be utilized and prescribed  by
 7    an optometrist.
 8        (l)  Nothing  in this Act prohibits the use of diagnostic
 9    topical ocular pharmaceutical agents  or  therapeutic  ocular
10    pharmaceutical   agents  in  the  practice  of  optometry  by
11    optometrists certified for such use under this Section.
12    (Source: P.A. 89-140, eff. 1-1-96.)
13        (Text of Section after amendment by P.A. 89-702)
14        Sec. 15.1.  Diagnostic and therapeutic certification.
15        (a)  Any  licensed   optometrist   may   apply   to   the
16    Department,  in  the form the Department may prescribe, for a
17    certificate to use diagnostic topical  ocular  pharmaceutical
18    agents and the Department shall certify the applicant if:
19             (1)  the applicant has received appropriate training
20        and  certification from a properly accredited institution
21        of higher learning for the certificate; and
22             (2)  the applicant  has  demonstrated  training  and
23        competence    to    use    diagnostic    topical   ocular
24        pharmaceutical agents as required by the  Board  pursuant
25        to  rule  or regulation approved by the Board and adopted
26        by the Department.
27        A certificate to use topical ocular pharmaceutical agents
28    for diagnostic purposes previously issued by  the  Department
29    that  is  current  and  valid  on  the effective date of this
30    amendatory Act of 1995 is valid until its expiration date and
31    entitles the holder of  the  certificate  to  use  diagnostic
32    topical ocular pharmaceutical agents as provided in this Act.
33        (b)  Any   licensed   optometrist   may   apply   to  the
34    Department, in the form the Department may prescribe,  for  a
SB610 Enrolled              -5-                LRB9003062DPmg
 1    certificate  to  use therapeutic ocular pharmaceutical agents
 2    and the Department shall certify the applicant if:
 3             (1)  the applicant has received a certificate to use
 4        diagnostic topical  ocular  pharmaceutical  agents  under
 5        subsection (a);
 6             (2)  the applicant has received appropriate training
 7        and  certification from a properly accredited institution
 8        of higher learning for the certificate; and
 9             (3)  the applicant  has  demonstrated  training  and
10        competence   to  use  therapeutic  ocular  pharmaceutical
11        agents as required by  the  Board  pursuant  to  rule  or
12        regulation  approved  by  the  Board  and  adopted by the
13        Department.
14        (c)  For purposes of the Act, "diagnostic topical  ocular
15    pharmaceutical   agents"   means   anesthetics,   mydriatics,
16    cycloplegics,  and  miotics  used  for diagnostic purposes as
17    defined by the Board pursuant to rule approved by  the  Board
18    and adopted by the Department.
19        (d)  For  the  purposes  of  the Act, "therapeutic ocular
20    pharmaceutical agents" means  the  following  when  used  for
21    diagnostic  or  therapeutic  purposes: topical anti-infective
22    agents, topical anti-allergy  agents,  topical  anti-glaucoma
23    agents,  topical anti-inflammatory agents, topical anesthetic
24    agents, over the counter agents, non-narcotic oral  analgesic
25    agents, and mydriatic reversing agents.
26        (e)  A   licensed   optometrist  who  is  therapeutically
27    certified may remove  superficial  foreign  bodies  from  the
28    human eye and adnexa.
29        (e-5)  A  licensed  optometrist  who  is  therapeutically
30    certified may give orders for patient care related to the use
31    of  therapeutic  ocular  pharmaceutical  agents  to  a  nurse
32    licensed to practice under Illinois law.
33        (f)  An   optometrist's  certificate  to  use  diagnostic
34    topical ocular pharmaceutical  agents  shall  be  revoked  or
SB610 Enrolled              -6-                LRB9003062DPmg
 1    suspended  by the Department upon recommendation of the Board
 2    based  on  the  misuse  of  any  diagnostic  topical   ocular
 3    pharmaceutical agent.
 4        (g)  An  optometrist's  certificate  to  use  therapeutic
 5    ocular pharmaceutical agents shall be revoked or suspended by
 6    the  Department upon recommendation of the Board based on the
 7    misuse of any therapeutic ocular pharmaceutical agent.
 8        (h)  An  optometrist's  license  shall  be   revoked   or
 9    suspended  by the Department upon recommendation of the Board
10    based upon either of the following causes:
11             (1)  grave or repeated misuse of any  diagnostic  or
12        therapeutic ocular pharmaceutical agent; and
13             (2)  the use of any agent or procedure in the course
14        of  optometric  practice  by  an optometrist not properly
15        certified under this Section.
16        (i)  The provisions of Sections 26.2, 26.3, 26.5,  26.10,
17    26.11,  26.14,  and  26.15  of  this  Act  shall apply to all
18    disciplinary proceedings brought under this Section.
19        (j)  The Director may temporarily suspend  a  certificate
20    to   use  diagnostic  topical  ocular  pharmaceuticals  or  a
21    certificate to use therapeutic ocular  pharmaceuticals  or  a
22    license   to   practice   optometry,   without   a   hearing,
23    simultaneously  with  the  institution  of  proceedings for a
24    hearing based upon a violation of subsection (f), (g), or (h)
25    of this Section, if the Director finds that evidence  in  his
26    or  her  possession  indicates  that  the  continued  use  of
27    diagnostic  topical  ocular  pharmaceuticals,  or therapeutic
28    ocular pharmaceuticals, or continued  practice  of  optometry
29    would  constitute  an immediate danger to the public.  In the
30    event that the Director temporarily suspends a certificate to
31    use diagnostic topical  ocular  pharmaceuticals,  therapeutic
32    ocular  pharmaceuticals,  or  a license to practice optometry
33    without a hearing, a hearing by the Board shall be  commenced
34    within  15  days after suspension has occurred, and concluded
SB610 Enrolled              -7-                LRB9003062DPmg
 1    without appreciable delay.
 2        (k)  The  Director  of  the  Department  of  Professional
 3    Regulation shall notify the Director  of  the  Department  of
 4    Public  Health  as to the categories of ocular pharmaceutical
 5    agents permitted for use by an optometrist.  The Director  of
 6    the  Department  of  Public Health shall in turn notify every
 7    licensed pharmacist in the State of the categories of  ocular
 8    pharmaceutical  agents that can be utilized and prescribed by
 9    an optometrist.
10        (l)  Nothing in this Act prohibits the use of  diagnostic
11    topical  ocular  pharmaceutical  agents or therapeutic ocular
12    pharmaceutical  agents  in  the  practice  of  optometry   by
13    optometrists certified for such use under this Section.
14    (Source: P.A. 89-140, eff. 1-1-96; 89-702, eff. 7-1-97.)
15        Section  95.   No  acceleration or delay.  Where this Act
16    makes changes in a statute that is represented in this Act by
17    text that is not yet or no longer in effect (for  example,  a
18    Section  represented  by  multiple versions), the use of that
19    text does not accelerate or delay the taking  effect  of  (i)
20    the  changes made by this Act or (ii) provisions derived from
21    any other Public Act.
22        Section 99.  Effective date.  This Act takes effect  upon
23    becoming law.

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