State of Illinois
90th General Assembly
Legislation

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[ Introduced ][ Engrossed ][ House Amendment 001 ]
[ Senate Amendment 001 ][ Conference Committee Report 001 ]

90_SB0859enr

      225 ILCS 410/1-11         from Ch. 111, par. 1701-11
          Amends  the  Barber,  Cosmetology,  Esthetics,  and  Nail
      Technology Act of 1985 to exclude from regulation  under  the
      Act  certain  providers  of  personal  care  and  health care
      services. Effective immediately.
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 1        AN ACT concerning health practitioners.
 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:
 4        Section  3.   The Medical Practice Act of 1987 is amended
 5    by changing Section 11 as follows:
 6        (225 ILCS 60/11) (from Ch. 111, par. 4400-11)
 7        Sec.  11.   Minimum  education  standards.   The  minimum
 8    standards of professional education to  be  enforced  by  the
 9    Department  in  conducting  examinations and issuing licenses
10    shall be as follows:
11             (A)  Practice of  medicine.   For  the  practice  of
12        medicine in all of its branches:
13                  (1)  For   applications   for  licensure  under
14             subsection (D) of Section 19 of this Act:
15                       (a)  that the applicant is a graduate of a
16                  medical or osteopathic college  in  the  United
17                  States,  its  territories  or  Canada, that the
18                  applicant has completed  a  2  year  course  of
19                  instruction  in  a  college of liberal arts, or
20                  its equivalent, and a course of instruction  in
21                  a  medical  or  osteopathic college approved by
22                  the Department or by a private, not for  profit
23                  accrediting  body  approved  by the Department,
24                  and  in   addition   thereto,   a   course   of
25                  postgraduate clinical training of not less than
26                  12 months as approved by the Department; or
27                       (b)  that the applicant is a graduate of a
28                  medical  or osteopathic college located outside
29                  the United States, its territories  or  Canada,
30                  and  that  the  degree  conferred is officially
31                  recognized by the country for the  purposes  of
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 1                  licensure, that the applicant has completed a 2
 2                  year  course  of  instruction  in  a college of
 3                  liberal arts or its equivalent, and a course of
 4                  instruction in a medical or osteopathic college
 5                  approved by the Department, which course  shall
 6                  have  been  not less than 132 weeks in duration
 7                  and shall have been completed within  a  period
 8                  of  not  less  than 35 months, and, in addition
 9                  thereto, has completed a course of postgraduate
10                  clinical training of not less than  12  months,
11                  as approved by the Department, and has complied
12                  with  any  other  standards established by rule
13                  taken and passed the Educational Commission  of
14                  Foreign Medical Graduates Examination.
15                       For  the purposes of this subparagraph (b)
16                  an applicant is considered to be a graduate  of
17                  a  medical  college  if  the  degree  which  is
18                  conferred  is  officially  recognized  by  that
19                  country for the purposes of receiving a license
20                  to  practice medicine in all of its branches or
21                  a document is granted by  the  medical  college
22                  which  certifies  the  completion of all formal
23                  training requirements including any  internship
24                  and social service; or
25                       (c)  that   the   applicant   has  studied
26                  medicine at a medical  or  osteopathic  college
27                  located   outside   the   United   States,  its
28                  territories, or Canada, that the applicant  has
29                  completed  a  2 year course of instruction in a
30                  college of liberal arts or its  equivalent  and
31                  all  of  the  formal  requirements of a foreign
32                  medical school  except  internship  and  social
33                  service,  which course shall have been not less
34                  than 132 weeks in duration and shall have  been
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 1                  completed  within  a period of not less than 35
 2                  months; that the  applicant  has  submitted  an
 3                  application  to a medical college accredited by
 4                  the Liaison Committee on Medical Education  and
 5                  submitted   to   such   evaluation  procedures,
 6                  including use of nationally recognized  medical
 7                  student   tests   or   tests   devised  by  the
 8                  individual  medical  college,  and   that   the
 9                  applicant   has  satisfactorily  completed  one
10                  academic year of supervised  clinical  training
11                  under  the  direction  of such medical college;
12                  and, in addition thereto has completed a course
13                  of postgraduate clinical training of  not  less
14                  than  12 months, as approved by the Department,
15                  and  has  complied  with  any  other  standards
16                  established  by  rule  taken  and  passed   the
17                  Educational   Commission   of  Foreign  Medical
18                  Graduates Examination.
19                       (d)  Any  clinical  clerkships  must  have
20                  been completed in compliance with Section  10.3
21                  of the Hospital Licensing Act, as amended.
22                  (2)  Effective    January    1,    1988,    for
23             applications   for   licensure  made  subsequent  to
24             January 1, 1988, under Sections 9 or 17 of this  Act
25             by  individuals  not  described  in paragraph (3) of
26             subsection (A) of Section  11  who  graduated  after
27             December 31, 1984:
28                       (a)  that  the  applicant:  (i)  graduated
29                  from   a   medical   or   osteopathic   college
30                  officially  recognized  by  the jurisdiction in
31                  which  it  is  located  for  the   purpose   of
32                  receiving a license to practice medicine in all
33                  of   its   branches,   and  the  applicant  has
34                  completed, as defined by the  Department,  a  6
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 1                  year  postsecondary  course of study comprising
 2                  at least 2 academic years of study in the basic
 3                  medical sciences; and 2 academic years of study
 4                  in the clinical sciences, while enrolled in the
 5                  medical college which conferred the degree, the
 6                  core  rotations  of  which   must   have   been
 7                  completed   in   clinical  teaching  facilities
 8                  owned, operated or formally affiliated with the
 9                  medical college which conferred the degree,  or
10                  under  contract  in  teaching facilities owned,
11                  operated or  affiliated  with  another  medical
12                  college  which  is officially recognized by the
13                  jurisdiction in which the medical school  which
14                  conferred   the  degree  is  located;  or  (ii)
15                  graduated from a medical or osteopathic college
16                  accredited by the Liaison Committee on  Medical
17                  Education,  the  Committee  on Accreditation of
18                  Canadian Medical Schools  in  conjunction  with
19                  the  Liaison Committee on Medical Education, or
20                  the Bureau of  Professional  Education  of  the
21                  American Osteopathic Association; and, (iii) in
22                  addition  thereto,  has  completed  a course of
23                  postgraduate clinical training of not less than
24                  24 months, as approved by the Department; or
25                       (b)  that  the   applicant   has   studied
26                  medicine  at  a  medical or osteopathic college
27                  located  outside   the   United   States,   its
28                  territories,  or Canada, that the applicant, in
29                  addition  to  satisfying  the  requirements  of
30                  subparagraph (a), except for the awarding of  a
31                  degree,   has   completed  all  of  the  formal
32                  requirements of a foreign medical school except
33                  internship and social service and has submitted
34                  an application to a medical college  accredited
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 1                  by  the  Liaison Committee on Medical Education
 2                  and submitted to  such  evaluation  procedures,
 3                  including  use of nationally recognized medical
 4                  student  tests  or   tests   devised   by   the
 5                  individual   medical   college,  and  that  the
 6                  applicant  has  satisfactorily  completed   one
 7                  academic  year  of supervised clinical training
 8                  under the direction of  such  medical  college;
 9                  and,  in  addition  thereto,  has  completed  a
10                  course of postgraduate clinical training of not
11                  less   than  24  months,  as  approved  by  the
12                  Department, and has  complied  with  any  other
13                  standards  established by rule taken and passed
14                  the Educational Commission of  Foreign  Medical
15                  Graduates Examination.
16                  (3)  (Blank).
17                  (4)  Any  person  granted  a  temporary license
18             pursuant  to  Section  17  of  this  Act  who  shall
19             satisfactorily complete  a  course  of  postgraduate
20             clinical  training  and meet all of the requirements
21             for licensure shall be granted a  permanent  license
22             pursuant to Section 9.
23                  (5)  Notwithstanding  any  other  provision  of
24             this  Section  an  individual  holding  a  temporary
25             license  under  Section  17  of  this  Act  shall be
26             required to satisfy the  undergraduate  medical  and
27             post-graduate    clinical    training    educational
28             requirements   in   effect  on  the  date  of  their
29             application for a temporary license,  provided  they
30             apply  for a license under Section 9 of this Act and
31             satisfy all other requirements of this Section while
32             their temporary license is in effect.
33             (B)  Treating  human  ailments  without  drugs   and
34        without  operative surgery.  For the practice of treating
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 1        human ailments without  the  use  of  drugs  and  without
 2        operative surgery:
 3                  (1)  For   an  applicant  who  was  a  resident
 4             student and who is a graduate after July 1, 1926, of
 5             a chiropractic college  or  institution,  that  such
 6             school,  college  or institution, at the time of the
 7             applicant's graduation required as a prerequisite to
 8             admission thereto a 4 year course of instruction  in
 9             a  high school, and, as a prerequisite to graduation
10             therefrom, a course of instruction in the  treatment
11             of  human  ailments,  of  not less than 132 weeks in
12             duration and which shall have been completed  within
13             a  period  of not less than 35 months except that as
14             to students matriculating or entering upon a  course
15             of  chiropractic  study during the years 1940, 1941,
16             1942, 1943, 1944, 1945, 1946, and 1947, such elapsed
17             time shall be not less than  32  months,  such  high
18             school  and  such  school,  college  or  institution
19             having  been  reputable  and in good standing in the
20             judgment of the Department.
21                  (2)  For an applicant who is a matriculant in a
22             chiropractic college after September 1,  1969,  that
23             such  applicant  shall  be  required to complete a 2
24             year course of instruction in a liberal arts college
25             or its equivalent and a course of instruction  in  a
26             chiropractic  college  in  the  treatment  of  human
27             ailments,   such   course,   as  a  prerequisite  to
28             graduation therefrom, having been not less than  132
29             weeks  in  duration  and  shall  have been completed
30             within a period of not less  than  35  months,  such
31             college  of  liberal  arts  and chiropractic college
32             having been reputable and in good  standing  in  the
33             judgment of the Department.
34                  (3)  For  an  applicant  who is a graduate of a
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 1             United States chiropractic college after August  19,
 2             1981,  the  college  of  the applicant must be fully
 3             accredited by the Commission on Accreditation of the
 4             Council on Chiropractic Education or  its  successor
 5             at  the time of graduation.  Such graduates shall be
 6             considered to  have  met  the  minimum  requirements
 7             which shall be in addition to those requirements set
 8             forth  in  the  rules and regulations promulgated by
 9             the Department.
10                  (4)  For an applicant who is a  graduate  of  a
11             chiropractic  college  in another country; that such
12             chiropractic college be equivalent to the  standards
13             of  education as set forth for chiropractic colleges
14             located in the United States.
15    (Source: P.A. 89-702, eff. 7-1-97.)
16        Section 5.  The Nursing and Advanced Practice Nursing Act
17    is amended by changing Section 15-20 as follows:
18        (225 ILCS 65/15-20)
19        Sec. 15-20.   Prescriptive authority.
20        (a)  A collaborating physician may, but is  not  required
21    to,   delegate  limited prescriptive authority to an advanced
22    practice nurse as part of a written collaborative  agreement.
23    This   authority   may,  but  is  not  required  to,  include
24    prescription  and  dispensing  of  legend  drugs  and  legend
25    controlled substances categorized as Schedule III, IV,  or  V
26    controlled  substances,  as  defined  in  Article  II  of the
27    Illinois Controlled Substances Act.
28        (b)  To prescribe  Schedule  III,  IV,  or  V  controlled
29    substances  under  this  Section,  an advanced practice nurse
30    must obtain a  mid-level  practitioner  controlled  substance
31    license  shall affix the collaborating physician's DEA number
32    to, and individually sign, the appropriate prescription  form
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 1    containing  the  printed names of the advanced practice nurse
 2    and collaborating physician in accordance  with  the  written
 3    collaborative agreement.  Medication orders shall be reviewed
 4    periodically by the collaborating physician.
 5        (c)  The  collaborating  physician  shall  file  with the
 6    Department notice of delegation of prescriptive authority and
 7    termination of such delegation, in accordance with  rules  of
 8    the  Department.    Upon  receipt  of  this notice delegating
 9    authority to prescribe Schedule  III,  IV,  or  V  controlled
10    substances,  the  licensed  advanced  practice nurse shall be
11    eligible to register for a mid-level practitioner  controlled
12    substance  license  under  Section  303.05  of  the  Illinois
13    Controlled Substances Act.
14        (d)  Nothing  in this Act shall be construed to limit the
15    delegation of tasks or duties by a physician  to  a  licensed
16    practical  nurse,  a  registered professional nurse, or other
17    personnel.
18    (Source: P.A. 90-742, eff. 8-13-98.)
19        Section 10.  The Physician Assistant Practice Act of 1987
20    is amended by changing Section 7.5 as follows:
21        (225 ILCS 95/7.5)
22        Sec. 7.5.  Prescriptions.  A  supervising  physician  may
23    delegate   limited  prescriptive  authority  to  a  physician
24    assistant. This  authority  may,  but  is  not  required  to,
25    include  prescription  and  dispensing  of  legend  drugs and
26    legend controlled substances categorized as Schedule III, IV,
27    or V controlled substances, as defined in Article II  of  the
28    Illinois  Controlled  Substances  Act,  as  delegated  in the
29    written  guidelines  required  by  this  Act.  To   prescribe
30    Schedule  III,  IV,  or  V  controlled  substances under this
31    Section,  a  physician  assistant  must  obtain  a  mid-level
32    practitioner controlled substances license  shall  affix  the
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 1    supervising physician's DEA number to, and individually sign,
 2    the  appropriate  prescription  form  containing  the printed
 3    names of the physician assistant and supervising physician in
 4    accordance with the  written  guidelines.  Medication  orders
 5    issued   by   a   physician   assistant   shall  be  reviewed
 6    periodically by the supervising  physician.  The  supervising
 7    physician shall file with the Department notice of delegation
 8    of  prescriptive  authority  to  a  physician  assistant  and
 9    termination of delegation, specifying the authority delegated
10    or   terminated.  Upon  receipt  of  this  notice  delegating
11    authority to prescribe Schedule  III,  IV,  or  V  controlled
12    substances,  the  physician  assistant  shall  be eligible to
13    register for a mid-level practitioner  controlled  substances
14    license  under  Section  303.05  of  the  Illinois Controlled
15    Substances Act. Nothing in this Act  shall  be  construed  to
16    limit  the  delegation of tasks or  duties by the supervising
17    physician  to  a  nurse  or   other   appropriately   trained
18    personnel.
19        The  Department  shall  establish  by  rule  the  minimum
20    requirements for written guidelines to be followed under this
21    Section.
22    (Source: P.A. 90-116, eff. 7-14-97.)
23        Section  15.   The  Illinois Controlled Substances Act is
24    amended by changing Sections 102 and 303 and  adding  Section
25    303.05 as follows:
26        (720 ILCS 570/102) (from Ch. 56 1/2, par. 1102)
27        Sec.  102.  Definitions.  As used in this Act, unless the
28    context otherwise requires:
29        (a)  "Addict" means any person who  habitually  uses  any
30    drug,  chemical,  substance  or  dangerous  drug  other  than
31    alcohol  so  as to endanger the public morals, health, safety
32    or welfare or who  is  so  far  addicted  to  the  use  of  a
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 1    dangerous  drug or controlled substance other than alcohol as
 2    to have lost the power of self control with reference to  his
 3    addiction.
 4        (b)  "Administer"  means  the  direct  application  of  a
 5    controlled   substance,  whether  by  injection,  inhalation,
 6    ingestion, or any other means, to the body of  a  patient  or
 7    research subject by:
 8             (1)  a  practitioner  (or,  in  his presence, by his
 9        authorized agent), or
10             (2)  the patient or research subject at  the  lawful
11        direction of the practitioner.
12        (c)  "Agent"  means  an  authorized  person  who  acts on
13    behalf of or at the direction of a manufacturer, distributor,
14    or dispenser.  It does  not  include  a  common  or  contract
15    carrier,  public  warehouseman  or employee of the carrier or
16    warehouseman.
17        (c-1)  "Anabolic Steroids" means  any  drug  or  hormonal
18    substance,   chemically   and  pharmacologically  related  to
19    testosterone   (other   than   estrogens,   progestins,   and
20    corticosteroids) that promotes muscle growth, and includes:
21                  (i)  boldenone,
22                  (ii)  chlorotestosterone,
23                  (iii)  chostebol,
24                  (iv)  dehydrochlormethyltestosterone,
25                  (v)  dihydrotestosterone,
26                  (vi)  drostanolone,
27                  (vii)  ethylestrenol,
28                  (viii)  fluoxymesterone,
29                  (ix)  formebulone,
30                  (x)  mesterolone,
31                  (xi)  methandienone,
32                  (xii)  methandranone,
33                  (xiii)  methandriol,
34                  (xiv)  methandrostenolone,
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 1                  (xv)  methenolone,
 2                  (xvi)  methyltestosterone,
 3                  (xvii)  mibolerone,
 4                  (xviii)  nandrolone,
 5                  (xix)  norethandrolone,
 6                  (xx)  oxandrolone,
 7                  (xxi)  oxymesterone,
 8                  (xxii)  oxymetholone,
 9                  (xxiii)  stanolone,
10                  (xxiv)  stanozolol,
11                  (xxv)  testolactone,
12                  (xxvi)  testosterone,
13                  (xxvii)  trenbolone, and
14                  (xxviii)  any salt, ester, or isomer of a  drug
15             or  substance described or listed in this paragraph,
16             if that  salt,  ester,  or  isomer  promotes  muscle
17             growth.
18        Any  person who is otherwise lawfully in possession of an
19    anabolic steroid, or  who  otherwise  lawfully  manufactures,
20    distributes, dispenses, delivers, or possesses with intent to
21    deliver  an  anabolic  steroid,  which  anabolic  steroid  is
22    expressly   intended   for   and   lawfully   allowed  to  be
23    administered through implants to livestock or other  nonhuman
24    species, and which is approved by the Secretary of Health and
25    Human  Services for such administration, and which the person
26    intends to  administer  or  have  administered  through  such
27    implants,  shall  not  be  considered  to  be in unauthorized
28    possession  or   to   unlawfully   manufacture,   distribute,
29    dispense,  deliver,  or  possess  with intent to deliver such
30    anabolic steroid for purposes of this Act.
31        (d)  "Administration"   means   the   Drug    Enforcement
32    Administration,  United  States Department of Justice, or its
33    successor agency.
34        (e)  "Control" means to add a drug or other substance, or
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 1    immediate precursor, to a Schedule under Article II  of  this
 2    Act whether by transfer from another Schedule or otherwise.
 3        (f)  "Controlled  Substance"  means a drug, substance, or
 4    immediate precursor in the Schedules of Article  II  of  this
 5    Act.
 6        (g)  "Counterfeit    substance"    means   a   controlled
 7    substance, which, or the  container  or  labeling  of  which,
 8    without  authorization  bears  the  trademark, trade name, or
 9    other identifying mark, imprint, number  or  device,  or  any
10    likeness   thereof,   of   a  manufacturer,  distributor,  or
11    dispenser other than the person  who  in  fact  manufactured,
12    distributed, or dispensed the substance.
13        (h)  "Deliver"    or   "delivery"   means   the   actual,
14    constructive  or  attempted  transfer  of  possession  of   a
15    controlled  substance, with or without consideration, whether
16    or not there is an agency relationship.
17        (i)  "Department" means the Illinois Department of  Human
18    Services  (as  successor  to the Department of Alcoholism and
19    Substance Abuse) or its successor agency.
20        (j)  "Department of State Police" means the Department of
21    State Police of  the  State  of  Illinois  or  its  successor
22    agency.
23        (k)  "Department  of Corrections" means the Department of
24    Corrections of the State of Illinois or its successor agency.
25        (l)  "Department of Professional  Regulation"  means  the
26    Department   of  Professional  Regulation  of  the  State  of
27    Illinois or its successor agency.
28        (m)  "Depressant" or "stimulant substance" means:
29             (1)  a drug  which  contains  any  quantity  of  (i)
30        barbituric  acid  or  any of the salts of barbituric acid
31        which has been designated as habit forming under  section
32        502  (d)  of the Federal Food, Drug, and Cosmetic Act (21
33        U.S.C. 352 (d)); or
34             (2)  a drug  which  contains  any  quantity  of  (i)
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 1        amphetamine  or  methamphetamine and any of their optical
 2        isomers; (ii) any salt of amphetamine or  methamphetamine
 3        or any salt of an optical isomer of amphetamine; or (iii)
 4        any  substance which the Department, after investigation,
 5        has found to be, and by rule designated as, habit forming
 6        because of its depressant  or  stimulant  effect  on  the
 7        central nervous system; or
 8             (3)  lysergic acid diethylamide; or
 9             (4)  any  drug  which  contains  any  quantity  of a
10        substance which the Department, after investigation,  has
11        found  to  have,  and  by  rule  designated  as having, a
12        potential  for  abuse  because  of  its   depressant   or
13        stimulant  effect  on  the  central nervous system or its
14        hallucinogenic effect.
15        (n)  "Designated  product"  means  any   narcotic   drug,
16    amphetamine,  phenmetrazine,  methamphetamine, gluthethimide,
17    pentazocine or cannabis product listed  in  Schedule  II  and
18    also means a controlled substance listed in Schedule II which
19    is  determined  and  designated  by  the  Department  or  its
20    successor  agency  to be such a product. A designated product
21    shall only be dispensed upon an official prescription blank.
22        (o)  "Director" means the Director of the  Department  of
23    State  Police or the Department of Professional Regulation or
24    his designated agents.
25        (p)  "Dispense" means to deliver a  controlled  substance
26    to an ultimate user or research subject by or pursuant to the
27    lawful  order  of  a  prescriber,  including the prescribing,
28    administering, packaging, labeling, or compounding  necessary
29    to prepare the substance for that delivery.
30        (q)  "Dispenser" means a practitioner who dispenses.
31        (r)  "Distribute"   means   to  deliver,  other  than  by
32    administering or dispensing, a controlled substance.
33        (s)  "Distributor" means a person who distributes.
34        (t)  "Drug" means (1) substances recognized as  drugs  in
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 1    the    official   United   States   Pharmacopoeia,   Official
 2    Homeopathic Pharmacopoeia of the United States,  or  official
 3    National  Formulary,  or  any  supplement to any of them; (2)
 4    substances intended for use in diagnosis,  cure,  mitigation,
 5    treatment,  or  prevention  of disease in man or animals; (3)
 6    substances (other than food) intended to affect the structure
 7    of any function of  the  body  of  man  or  animals  and  (4)
 8    substances  intended  for  use  as a component of any article
 9    specified in clause (1), (2), or (3) of this subsection.   It
10    does  not  include  devices  or  their  components, parts, or
11    accessories.
12        (u)  "Good faith" means the prescribing or dispensing  of
13    a  controlled  substance  by  a  practitioner  in the regular
14    course of professional treatment to or for any person who  is
15    under  his  treatment for a pathology or condition other than
16    that individual's physical or psychological  dependence  upon
17    or  addiction  to  a controlled substance, except as provided
18    herein:  and application of the term to  a  pharmacist  shall
19    mean the dispensing of a controlled substance pursuant to the
20    prescriber's  order which in the professional judgment of the
21    pharmacist is lawful.  The  pharmacist  shall  be  guided  by
22    accepted professional standards including, but not limited to
23    the following, in making the judgment:
24             (1)  lack    of    consistency   of   doctor-patient
25        relationship,
26             (2)  frequency of prescriptions for same drug by one
27        prescriber for large numbers of patients,
28             (3)  quantities beyond those normally prescribed,
29             (4)  unusual dosages,
30             (5)  unusual geographic distances  between  patient,
31        pharmacist and prescriber,
32             (6)  consistent prescribing of habit-forming drugs.
33        (u-1)  "Home  infusion  services" means services provided
34    by  a  pharmacy   in   compounding   solutions   for   direct
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 1    administration to a patient in a private residence, long-term
 2    care  facility,  or  hospice  setting by means of parenteral,
 3    intravenous,  intramuscular,  subcutaneous,  or   intraspinal
 4    infusion.
 5        (v)  "Immediate precursor" means a substance:
 6             (1)  which  the  Department  has  found to be and by
 7        rule designated as being a principal  compound  used,  or
 8        produced  primarily  for  use,  in  the  manufacture of a
 9        controlled substance;
10             (2)  which is  an  immediate  chemical  intermediary
11        used  or  likely  to  be  used in the manufacture of such
12        controlled substance; and
13             (3)  the control of which is necessary  to  prevent,
14        curtail  or  limit  the  manufacture  of  such controlled
15        substance.
16        (w)  "Instructional  activities"  means   the   acts   of
17    teaching,  educating  or  instructing  by practitioners using
18    controlled substances within educational facilities  approved
19    by the State Board of Education or its successor agency.
20        (x)  "Local  authorities"  means  a duly organized State,
21    County or Municipal peace unit or police force.
22        (y)  "Look-alike substance" means a substance, other than
23    a controlled substance  which  (1)  by  overall  dosage  unit
24    appearance,  including  shape,  color, size, markings or lack
25    thereof,  taste,  consistency,  or  any   other   identifying
26    physical  characteristic  of  the  substance,  would  lead  a
27    reasonable   person  to  believe  that  the  substance  is  a
28    controlled  substance,  or  (2)  is  expressly  or  impliedly
29    represented to be a controlled substance  or  is  distributed
30    under  circumstances  which would lead a reasonable person to
31    believe that the substance is a controlled substance. For the
32    purpose of determining whether the  representations  made  or
33    the circumstances of the distribution would lead a reasonable
34    person  to believe the substance to be a controlled substance
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 1    under this clause (2) of subsection (y), the court  or  other
 2    authority  may  consider the following factors in addition to
 3    any other factor that may be relevant:
 4             (a)  statements made  by  the  owner  or  person  in
 5        control  of  the  substance concerning its nature, use or
 6        effect;
 7             (b)  statements made to the buyer or recipient  that
 8        the substance may be resold for profit;
 9             (c)  whether  the  substance is packaged in a manner
10        normally used for the illegal distribution of  controlled
11        substances;
12             (d)  whether    the    distribution   or   attempted
13        distribution included an exchange of or demand for  money
14        or  other  property  as  consideration,  and  whether the
15        amount of the  consideration  was  substantially  greater
16        than the reasonable retail market value of the substance.
17        Clause  (1)  of  this subsection (y) shall not apply to a
18    noncontrolled substance in its finished dosage form that  was
19    initially  introduced  into  commerce  prior  to  the initial
20    introduction into commerce of a controlled substance  in  its
21    finished dosage form which it may substantially resemble.
22        Nothing  in  this subsection (y) prohibits the dispensing
23    or  distributing  of  noncontrolled  substances  by   persons
24    authorized  to  dispense and distribute controlled substances
25    under this Act, provided that such action would be deemed  to
26    be  carried  out  in  good  faith under subsection (u) if the
27    substances involved were controlled substances.
28        Nothing in this subsection (y) or in this  Act  prohibits
29    the   manufacture,   preparation,  propagation,  compounding,
30    processing, packaging, advertising or distribution of a  drug
31    or  drugs by any person registered pursuant to Section 510 of
32    the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360).
33        (y-1)  "Mail-order pharmacy" means  a  pharmacy  that  is
34    located in a state of the United States, other than Illinois,
SB859 Enrolled             -17-                LRB9002932DPks
 1    that  delivers,  dispenses or distributes, through the United
 2    States Postal Service or other common  carrier,  to  Illinois
 3    residents, any substance which requires a prescription.
 4        (z)  "Manufacture"  means  the  production,  preparation,
 5    propagation,  compounding,  conversion  or  processing  of  a
 6    controlled  substance,  either  directly  or  indirectly,  by
 7    extraction    from   substances   of   natural   origin,   or
 8    independently  by  means  of  chemical  synthesis,  or  by  a
 9    combination  of  extraction  and  chemical   synthesis,   and
10    includes  any  packaging  or  repackaging of the substance or
11    labeling of its container, except that  this  term  does  not
12    include:
13             (1)  by   an   ultimate  user,  the  preparation  or
14        compounding of a controlled substance for his own use; or
15             (2)  by a  practitioner,  or  his  authorized  agent
16        under  his  supervision,  the  preparation,  compounding,
17        packaging, or labeling of a controlled substance:
18                  (a)  as  an  incident  to  his administering or
19             dispensing of a controlled substance in  the  course
20             of his professional practice; or
21                  (b)  as   an   incident   to  lawful  research,
22             teaching or chemical analysis and not for sale.
23        (aa)  "Narcotic drug" means any of the following, whether
24    produced directly or indirectly by extraction from substances
25    of natural origin, or  independently  by  means  of  chemical
26    synthesis,  or  by  a  combination of extraction and chemical
27    synthesis:
28             (1)  opium  and  opiate,  and  any  salt,  compound,
29        derivative, or preparation of opium or opiate;
30             (2)  any  salt,  compound,  isomer,  derivative,  or
31        preparation thereof which  is  chemically  equivalent  or
32        identical  with  any  of  the  substances  referred to in
33        clause (1), but not including the isoquinoline  alkaloids
34        of opium;
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 1             (3)  opium poppy and poppy straw;
 2             (4)  coca  leaves  and  any salts, compound, isomer,
 3        salt of an isomer, derivative,  or  preparation  of  coca
 4        leaves  including  cocaine  or  ecgonine,  and  any salt,
 5        compound,  isomer,  derivative,  or  preparation  thereof
 6        which is chemically equivalent or identical with  any  of
 7        these  substances,  but  not  including decocainized coca
 8        leaves or extractions of coca leaves which do not contain
 9        cocaine or ecgonine (for the purpose of  this  paragraph,
10        the   term  "isomer"  includes  optical,  positional  and
11        geometric isomers).
12        (bb)  "Nurse" means a registered nurse licensed under the
13    Nursing and Advanced Practice Nursing Act.
14        (cc)  "Official prescription blanks" means the triplicate
15    prescription forms supplied to prescribers by the  Department
16    for  prescribing  Schedule  II  Designated Product controlled
17    substances.
18        (dd)  "Opiate" means any substance  having  an  addiction
19    forming or addiction sustaining liability similar to morphine
20    or  being  capable of conversion into a drug having addiction
21    forming or addiction sustaining liability.
22        (ee)  "Opium  poppy"  means  the  plant  of  the  species
23    Papaver somniferum L., except its seeds.
24        (ff)  "Parole and Pardon  Board"  means  the  Parole  and
25    Pardon  Board  of  the  State  of  Illinois  or its successor
26    agency.
27        (gg)  "Person"   means   any   individual,   corporation,
28    mail-order pharmacy, government or  governmental  subdivision
29    or  agency,  business  trust,  estate,  trust, partnership or
30    association, or any other entity.
31        (hh)  "Pharmacist"  means  any   person   who   holds   a
32    certificate  of  registration  as  a registered pharmacist, a
33    local  registered  pharmacist  or  a   registered   assistant
34    pharmacist under the Pharmacy Practice Act of 1987.
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 1        (ii)  "Pharmacy"  means any store, ship or other place in
 2    which pharmacy  is  authorized  to  be  practiced  under  the
 3    Pharmacy Practice Act of 1987.
 4        (jj)  "Poppy straw" means all parts, except the seeds, of
 5    the opium poppy, after mowing.
 6        (kk)  "Practitioner"   means   a  physician  licensed  to
 7    practice medicine in all its branches,  dentist,  podiatrist,
 8    veterinarian,  scientific investigator, pharmacist, physician
 9    assistant, advanced practice nurse, licensed practical nurse,
10    registered nurse, hospital, laboratory, or pharmacy, or other
11    person licensed, registered, or otherwise lawfully  permitted
12    by  the  United States or this State to distribute, dispense,
13    conduct research  with  respect  to,  administer  or  use  in
14    teaching  or chemical analysis, a controlled substance in the
15    course of professional practice or research.
16        (ll)  "Pre-printed   prescription"   means   a    written
17    prescription   upon   which  the  designated  drug  has  been
18    indicated prior to the time of issuance.
19        (mm)  "Prescriber" means a physician licensed to practice
20    medicine  in  all  its  branches,  dentist,   podiatrist   or
21    veterinarian who issues a prescription, a physician assistant
22    who  issues  a  prescription  for  a  Schedule  III, IV, or V
23    controlled substance as delegated by a physician licensed  to
24    practice  medicine  in  all  its  branches in accordance with
25    Section 303.05 and  the  written  guidelines  required  under
26    Section  7.5 of the Physician Assistant Practice Act of 1987,
27    or an advanced practice nurse with prescriptive authority, as
28    delegated by a physician licensed to practice medicine in all
29    its branches, in accordance with Section 303.05 and a written
30    collaborative agreement under Sections 15-15 and 15-20 of the
31    Nursing and Advanced Practice Nursing Act.
32        (nn)  "Prescription" means a lawful  written,  facsimile,
33    or  verbal order of a physician licensed to practice medicine
34    in all its branches, dentist, podiatrist or veterinarian  for
SB859 Enrolled             -20-                LRB9002932DPks
 1    any  controlled  substance,  of  a  physician assistant for a
 2    Schedule III, IV, or V controlled substance as delegated by a
 3    physician licensed to practice medicine in all  its  branches
 4    in  accordance with Section 303.05 and the written guidelines
 5    required  under  Section  7.5  of  the  Physician   Assistant
 6    Practice  Act  of  1987, or of an advanced practice nurse who
 7    issues a prescription for a Schedule III, IV, or V controlled
 8    substance, pursuant to prescriptive authority delegated by  a
 9    physician  licensed to practice medicine in all its branches,
10    in accordance with Section 303.05 and a written collaborative
11    agreement under Sections 15-15 and 15-20 of the  Nursing  and
12    Advanced Practice Nursing Act.
13        (oo)  "Production"   or   "produce"   means  manufacture,
14    planting, cultivating, growing, or harvesting of a controlled
15    substance.
16        (pp)  "Registrant" means every person who is required  to
17    register under Section 302 of this Act.
18        (qq)  "Registry number" means the number assigned to each
19    person  authorized  to handle controlled substances under the
20    laws of the United States and of this State.
21        (rr)  "State" includes the  State  of  Illinois  and  any
22    state,  district, commonwealth, territory, insular possession
23    thereof, and any area subject to the legal authority  of  the
24    United States of America.
25        (ss)  "Ultimate   user"   means  a  person  who  lawfully
26    possesses a controlled substance for his own use or  for  the
27    use  of  a member of his household or for administering to an
28    animal owned by him or by a member of his household.
29    (Source: P.A. 89-202,  eff.  10-1-95;  89-507,  eff.  7-1-97;
30    90-116, eff. 7-14-97; 90-742, eff. 8-13-98.)
31        (720 ILCS 570/303) (from Ch. 56 1/2, par. 1303)
32        Sec.  303.  (a) The Department of Professional Regulation
33    shall  license  register   an   applicant   to   manufacture,
SB859 Enrolled             -21-                LRB9002932DPks
 1    distribute  or  dispense  controlled  substances  included in
 2    Sections 204, 206, 208, 210 and 212 of  this  Act  unless  it
 3    determines  that  the  issuance  of that license registration
 4    would  be  inconsistent  with  the   public   interest.    In
 5    determining   the   public   interest,   the   Department  of
 6    Professional Regulation shall consider the following:
 7        (1)  maintenance of effective controls against  diversion
 8    of  controlled  substances  into  other  than lawful medical,
 9    scientific, or industrial channels;
10        (2)  compliance with applicable Federal, State and  local
11    law;
12        (3)  any  convictions  of  the applicant under any law of
13    the United States or of any State relating to any  controlled
14    substance;
15        (4)  past  experience  in the manufacture or distribution
16    of  controlled  substances,  and   the   existence   in   the
17    applicant's   establishment  of  effective  controls  against
18    diversion;
19        (5)  furnishing by the applicant of false  or  fraudulent
20    material in any application filed under this Act;
21        (6)  suspension  or revocation of the applicant's Federal
22    registration  to   manufacture,   distribute,   or   dispense
23    controlled substances as authorized by Federal law;
24        (7)  whether  the applicant is suitably equipped with the
25    facilities appropriate to carry on the operation described in
26    his application;
27        (8)  whether the applicant is of good moral character or,
28    if the applicant is a partnership,  association,  corporation
29    or  other  organization,  whether  the  partners,  directors,
30    governing  committee  and managing officers are of good moral
31    character;
32        (9)  any other factors relevant to  and  consistent  with
33    the public health and safety; and
34        (10)  Evidence   from  court,  medical  disciplinary  and
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 1    pharmacy  board  records  and  those  of  State  and  Federal
 2    investigatory  bodies  that the applicant has not or does not
 3    prescribe controlled substances within the provisions of this
 4    Act.
 5        (b)  No license  registration  shall  be  granted  to  or
 6    renewed  for any person who has within 5 years been convicted
 7    of a wilful violation of any law of the United States or  any
 8    law of any State relating to controlled substances, or who is
 9    found  to  be  deficient  in any of the matters enumerated in
10    subsections (a)(1) through (a)(8).
11        (c)  Licensure Registration under subsection (a) does not
12    entitle a registrant to manufacture, distribute  or  dispense
13    controlled  substances  in Schedules I or II other than those
14    specified in the registration.
15        (d)  Practitioners  who  are   licensed   registered   to
16    dispense  any controlled substances in Schedules II through V
17    are  authorized  to  conduct  instructional  activities  with
18    controlled substances in Schedules II through V under the law
19    of this State.
20        (e)  If an applicant for registration is registered under
21    the  Federal  law  to  manufacture,  distribute  or  dispense
22    controlled substances, upon filing  a  completed  application
23    for  licensure  registration in this State and payment of all
24    fees due hereunder, he shall be licensed registered  in  this
25    State to the same extent as his Federal registration, unless,
26    within  30  days  after  completing  his  application in this
27    State, the Department of Professional Regulation notifies the
28    applicant that his  application  has  not  been  granted.   A
29    practitioner  who  is in compliance with the Federal law with
30    respect to registration to dispense controlled substances  in
31    Schedules  II through V need only send a current copy of that
32    Federal  registration  to  the  Department  of   Professional
33    Regulation  and  he  shall  be  deemed in compliance with the
34    registration provisions of this State.
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 1        (f)  The  fee  for  registration  as  a  manufacturer  or
 2    wholesale  distributor  of  controlled  substances  shall  be
 3    $50.00 per year, except that the fee for  registration  as  a
 4    manufacturer   or   wholesale   distributor   of   controlled
 5    substances that may be dispensed without a prescription under
 6    this  Act  shall be $15.00 per year.  The expiration date and
 7    renewal  period  for  each   controlled   substance   license
 8    certificate  of  registration  issued under this Act shall be
 9    set by rule.
10    (Source: P.A. 85-1209.)
11        (720 ILCS 570/303.05 new)
12        Sec. 303.05.  Mid-level practitioner registration.
13        (a)  The  Department  of  Professional  Regulation  shall
14    register licensed physician assistants and licensed  advanced
15    practice  nurses  to prescribe and dispense Schedule III, IV,
16    or V  controlled  substances  under  Section  303  under  the
17    following circumstances:
18             (1)  the  physician  assistant  or advanced practice
19        nurse has been  delegated  prescriptive  authority  by  a
20        physician  licensed  to  practice  medicine  in  all  its
21        branches  in accordance with Section 7.5 of the Physician
22        Assistant Practice Act of 1987 or Section  15-20  of  the
23        Nursing and Advanced Practice Nursing Act; and
24             (2)  the  physician  assistant  or advanced practice
25        nurse has completed the appropriate application forms and
26        has paid the required fees as set by rule.
27        (b)  The mid-level practitioner shall only be licensed to
28    prescribe those schedules of controlled substances for  which
29    a licensed physician has delegated prescriptive authority.
30        (c)  Upon  completion  of  all registration requirements,
31    physician assistants and advanced practice  nurses  shall  be
32    issued a mid-level practitioner controlled substances license
33    for Illinois.
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 1        Section  99.  Effective date.  This Act takes effect upon
 2    becoming law.

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