Senate Sponsors: KARPIEL-PETERSON-DELEO-TROTTER-BURZYNSKI, WATSON, MADIGAN,R, MYERS,J, BOMKE AND WALSH,L. House Sponsors: SAVIANO-RONEN-COULSON-GRANBERG-WINKEL Short description: NURSING-ADV PRACT-LICENSE Synopsis of Bill as introduced: Amends the Illinois Nursing Act of 1987. Renames the Act as the Nursing and Advanced Practice Nursing Act. Reorganizes certain provisions and renumbers Sections within the Act. Adds the Advanced Practice Registered Nurses Title to provide for the licensure of advanced practice registered nurses meeting specified requirements. Restricts the practice of advanced practice registered nursing to the terms of written collaborative and interactive team agreements entered into with physicians licensed to practice medicine in all its branches. Makes other changes. Amends the Medical Practice Act of 1987 to set forth the circumstances under which a physician licensed to practice medicine in all its branches may delegate certain duties to physician assistants and advanced practice registered nurses. Amends the Pharmacy Practice Act of 1987 and the Illinois Controlled Substances Act to expand the definition of "prescription" under each Act to include orders for drugs issued by advanced practice registered nurses under specified conditions. Amends the Physician Assistant Practice Act of 1987 to provide that the delegation of physician duties to a physician assistant shall not limit the delegation of duties by a physician to other personnel. Amends the Illinois Clinical Laboratory and Blood Bank Act to add advanced practice registered nurses to the list of persons at whose request a clinical laboratory may examine specimens. Effective July 1, 1998. SENATE AMENDMENT NO. 1. Deletes reference to: 210 ILCS 25/7-101 from Ch. 111 1/2, par. 627-101 225 ILCS 60/54.5 new 225 ILCS 65/Title 5 heading new 225 ILCS 65/5-1, formerly 65/1 225 ILCS 65/5-5, formerly 65/2 225 ILCS 65/5-10, formerly 65/3 225 ILCS 65/5-15, formerly 65/4 225 ILCS 65/5-17, formerly 65/4.1 225 ILCS 65/5-22, formerly 65/4.2 225 ILCS 65/5-20, formerly 65/4.5 225 ILCS 65/5-25, formerly 65/5 225 ILCS 65/5-30, formerly 65/5.1 225 ILCS 65/Title 10 heading new 225 ILCS 65/10-5, formerly 65/5 225 ILCS 65/10-10 new 225 ILCS 65/10-15 new 225 ILCS 65/10-25, formerly 65/7 225 ILCS 65/10-30, formerly 65/12 225 ILCS 65/10-35, formerly 65/14 225 ILCS 65/10-40 new 225 ILCS 65/10-45 new 225 ILCS 65/10-50 new 225 ILCS 65/Title 15 heading new 225 ILCS 65/15-5 new 225 ILCS 65/15-10 new 225 ILCS 65/15-15 new 225 ILCS 65/15-20 new 225 ILCS 65/15-25 new 225 ILCS 65/15-30 new 225 ILCS 65/15-35 new 225 ILCS 65/15-40 new 225 ILCS 65/15-45 new 225 ILCS 65/15-50 new 225 ILCS 65/15-55 new 225 ILCS 65/Title 20 heading new 225 ILCS 65/20-2 new 225 ILCS 65/20-5, formerly, 65/16 225 ILCS 65/20-10, formerly 65/17 225 ILCS 65/20-15, formerly 65/18 225 ILCS 65/20-25, formerly 65/21 225 ILCS 65/20-30, formerly 65/22 225 ILCS 65/20-35, formerly 65/23 225 ILCS 65/20-40, formerly 65/24 225 ILCS 65/20-50, formerly 65/26 225 ILCS 65/20-55, formerly 65/27 225 ILCS 65/20-65, formerly 65/29 225 ILCS 65/20-70, formerly 65/30 225 ILCS 65/20-75, formerly 65/31 225 ILCS 65/20-80, formerly 65/32 225 ILCS 65/20-85, formerly 65/33 225 ILCS 65/20-90, formerly 65/34 225 ILCS 65/20-95, formerly 65/35 225 ILCS 65/20-100, formerly 65/36 225 ILCS 65/20-105, formerly 65/37 225 ILCS 65/20-110, formerly 65/38 225 ILCS 65/20-115, formerly 65/39 225 ILCS 65/20-120, formerly 65/40 225 ILCS 65/20-125, formerly 65/41 225 ILCS 65/20-130, formerly 65/42 225 ILCS 65/20-135, formerly 65/43 225 ILCS 65/20-140, formerly 65/44 225 ILCS 65/20-145, formerly 65/45 225 ILCS 65/20-150, formerly 65/46 225 ILCS 65/20-155, formerly 65/47 225 ILCS 65/20-160, formerly 65/48 225 ILCS 65/20-165, formerly 65/49 225 ILCS 65/10 rep. 225 ILCS 65/11 rep. 225 ILCS 65/20 rep. 225 ILCS 65/25 rep. 225 ILCS 65/28 rep. 225 ILCS 85/3 from Ch. 111, par. 4123 225 ILCS 85/4 from Ch. 111, par. 4124 225 ILCS 95/7 from Ch. 111, par. 4607 720 ILCS 570/102 from Ch. 56 1/2, par. 1102 720 ILCS 570/103 from Ch. 56 1/2, par. 1103 Adds reference to: 225 ILCS 65/1 from Ch. 111, par. 3501 Deletes everything. Amends the Illinois Nursing Act of 1987 to add a caption to the Act's short title provision. SENATE AMENDMENT NO. 3. Deletes reference to: 225 ILCS 65/1 Adds reference to: 210 ILCS 25/7-101 from Ch. 111 1/2, par. 627-101 225 ILCS 60/22 from Ch. 111, par. 4400-22 225 ILCS 60/54.5 new 225 ILCS 65/Title 5 heading new 225 ILCS 65/5-1, formerly 65/1 225 ILCS 65/5-5, formerly 65/2 225 ILCS 65/5-10, formerly 65/3 225 ILCS 65/5-15, formerly 65/4 225 ILCS 65/5-17, formerly 65/4.1 225 ILCS 65/5-22, formerly 65/4.2 225 ILCS 65/5-20, formerly 65/4.5 225 ILCS 65/5-25, formerly 65/5 225 ILCS 65/5-30, formerly 65/5.1 225 ILCS 65/Title 10 heading new 225 ILCS 65/10-5, formerly 65/6 225 ILCS 65/10-10 new 225 ILCS 65/10-15 new 225 ILCS 65/10-25, formerly 65/7 225 ILCS 65/10-30, formerly 65/12 225 ILCS 65/10-35, formerly 65/14 225 ILCS 65/10-40 new 225 ILCS 65/10-45 new 225 ILCS 65/10-50 new 225 ILCS 65/Title 15 heading new 225 ILCS 65/15-5 new 225 ILCS 65/15-10 new 225 ILCS 65/15-15 new 225 ILCS 65/15-20 new 225 ILCS 65/15-30 new 225 ILCS 65/15-35 new 225 ILCS 65/15-40 new 225 ILCS 65/15-45 new 225 ILCS 65/15-50 new 225 ILCS 65/15-55 new 225 ILCS 65/Title 20 heading new 225 ILCS 65/20-2 new 225 ILCS 65/20-5, formerly, 65/16 225 ILCS 65/20-10, formerly 65/17 225 ILCS 65/20-15, formerly 65/18 225 ILCS 65/20-25, formerly 65/21 225 ILCS 65/20-30, formerly 65/22 225 ILCS 65/20-35, formerly 65/23 225 ILCS 65/20-40, formerly 65/24 225 ILCS 65/20-50, formerly 65/26 225 ILCS 65/20-55, formerly 65/27 225 ILCS 65/20-65, formerly 65/29 225 ILCS 65/20-70, formerly 65/30 225 ILCS 65/20-75, formerly 65/31 225 ILCS 65/20-80, formerly 65/32 225 ILCS 65/20-85, formerly 65/33 225 ILCS 65/20-90, formerly 65/34 225 ILCS 65/20-95, formerly 65/35 225 ILCS 65/20-100, formerly 65/36 225 ILCS 65/20-105, formerly 65/37 225 ILCS 65/20-110, formerly 65/38 225 ILCS 65/20-115, formerly 65/39 225 ILCS 65/20-120, formerly 65/40 225 ILCS 65/20-125, formerly 65/41 225 ILCS 65/20-130, formerly 65/42 225 ILCS 65/20-135, formerly 65/43 225 ILCS 65/20-140, formerly 65/44 225 ILCS 65/20-145, formerly 65/45 225 ILCS 65/20-150, formerly 65/46 225 ILCS 65/20-155, formerly 65/47 225 ILCS 65/20-160, formerly 65/48 225 ILCS 65/20-165, formerly 65/49 225 ILCS 65/10 rep. 225 ILCS 65/11 rep. 225 ILCS 65/20 rep. 225 ILCS 65/25 rep. 225 ILCS 65/28 rep. 225 ILCS 85/3 from Ch. 111, par. 4123 225 ILCS 85/4 from Ch. 111, par. 4124 720 ILCS 570/102 from Ch. 56 1/2, par. 1102 720 ILCS 570/103 from Ch. 56 1/2, par. 1103 745 ILCS 49/3 new 745 ILCS 49/10 745 ILCS 49/25 745 ILCS 49/30 745 ILCS 49/34 new 745 ILCS 49/35 745 ILCS 49/40 745 ILCS 49/45 745 ILCS 49/60 745 ILCS 49/70 745 ILCS 49/75 Deletes everything. Reinserts the contents of the bill as introduced with the following changes. Changes references from advanced practice registered nurses to advanced practice nurses and from collaborative and interactive team agreements to collaborative agreements. Changes provisions concerning what physician medical direction is adequate. Removes provisions concerning certified registered nurse anesthetists. Removes provisions concerning corporate practice. Adds another public member to the Advanced Practice Nursing Board and reduces by one the number of physicians on the Board. Changes the continuing education hours to 50 hours. Changes some of the grounds for disciplinary action. Removes provisions amending the Physician Assistant Practice Act of 1987. Further amends the Medical Practice Act of 1987 to require 150 hours of continuing education per license renewal cycle (instead of 50 hours each year) and to provide that a licensee who enters into an excessive number of written collaborative agreements with licensed advanced practice nurses or who repeatedly fails to adequately collaborate with or provide medical direction to a licensed advanced practice nurse is subject to disciplinary action. Amends the Good Samaritan Act to exempt advanced practice nurses from civil liability for emergency care. Makes other changes. Effective July 1, 1998. FISCAL NOTE (Dpt. of Professional Reg.) Total: 4 year revenue=$1,289,600 and 4 year expenses=$809,090. JUDICIAL NOTE No decrease or increase in need for the number of judges. STATE MANDATES FISCAL NOTE Fails to create a State mandate. HOUSE AMENDMENT NO. 1. Deletes reference to: 745 ILCS 49/3 new Adds reference to: 20 ILCS 1705/56 from Ch. 91 1/2, par. 100-56 20 ILCS 2310/55.37a from Ch. 127, par. 55.37a 20 ILCS 2310/55.62a 20 ILCS 3945/2 from Ch. 144, par. 2002 110 ILCS 915/3 from Ch. 144, par. 1403 110 ILCS 975/6 from Ch. 144, par. 2756 110 ILCS 1010/11 from Ch. 144, par. 241 210 ILCS 5/6.5 new 210 ILCS 40/2 from Ch. 111 1/2, par. 4160-2 210 ILCS 45/1-118 from Ch. 111 1/2, par. 4151-118 210 ILCS 50/3.80 210 ILCS 60/3 from Ch. 111 1/2, par. 6103 210 ILCS 85/10 from Ch. 111 1/2, par. 151 210 ILCS 85/10.7 new 225 ILCS 47/15 225 ILCS 65/15-100 new 225 ILCS 70/4 from Ch. 111, par. 3654 225 ILCS 410/1-11 from Ch. 111, par. 1701-11 225 ILCS 510/3 from Ch. 111, par. 953 305 ILCS 5/5-16.3 305 ILCS 5/8A-7.1 from Ch. 23, par. 8A-7.1 410 ILCS 225/2 from Ch. 111 1/2, par. 7022 720 ILCS 510/11 from Ch. 38, par. 81-31 820 ILCS 405/230 from Ch. 48, par. 340 Amends the Hospital Licensing Act of 1987 and the Ambulatory Surgical Treatment Center Act to add provisions concerning clinical privileges for advanced practice nurses. Amends the Illinois Nursing Act of 1987. Provides that an applicant for licensure under the Act that fails to apply within one year of successful completion of the examination must retake the examination unless licensed under another jurisdiction of the United States within one year of passing the examination. Creates a Joint Committee on Licensure of CRNAs. Amends the Health Care Worker Self-Referral Act to include advanced practice registered nurses in the definition of "health care worker". In various Acts, changes cross-references to the Illinois Nursing Act of 1987 to the Nursing and Advanced Practice Nursing Act. Last action on Bill: PUBLIC ACT.............................. 90-0742 Last action date: 98-08-13 Location: Senate Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 2 END OF INQUIRY Full Text Bill Status