State of Illinois
91st General Assembly
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91_HB2265

 
                                              LRB9100935ACtmA

 1        AN ACT concerning certified surgical assistants.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  1.   Short  title.  This Act may be cited as the
 5    Certified Surgical Assistant Practice Act.

 6        Section 5.  Legislative purpose and intent.  Practice  as
 7    a  certified  surgical  assistant in the State of Illinois is
 8    declared to affect the public health, safety, and welfare and
 9    to be   subject   to   regulation   and    control   in   the
10    public   interest.    The   purpose and legislative intent of
11    this Act is to  encourage  and  promote  the  more  effective
12    utilization of the skills of physicians by enabling  them  to
13    delegate certain surgery related tasks to surgical assistants
14    when the delegation is consistent with the health and welfare
15    of the patient and is conducted at the direction of and under
16    the responsible supervision of the physician.
17        It  is  further  declared to be a matter of public health
18    and  concern  that  the  practice  as  a  certified  surgical
19    assistant merit and receive the confidence of the public and,
20    therefore, that  only  qualified  persons  be  authorized  to
21    practice  as  a  certified surgical assistant in the State of
22    Illinois.  This Act shall  be  liberally  construed  to  best
23    carry out these subjects and purposes.

24        Section 10.  Definitions.  As used in this Act:
25        "Certified  surgical assistant" means a person who is not
26    a physician licensed to  practice  medicine  in  all  of  its
27    branches  and  who  is  certified  by  the  National Surgical
28    Assistant  Association  on  the  Certification  of   Surgical
29    Assistants  and  licensed  under  this  Act to provide aid to
30    operating physicians in  exposure,  hemostasis,  and    other
 
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 1    technical  functions that will help an operating physician to
 2    perform  a  safe  operation  with  optimal  results  for  the
 3    patient.
 4        "Department"  means  the   Department   of   Professional
 5    Regulation.
 6        "Director" means the Director of Professional Regulation.
 7        "Physician"  or  "operating  physician"  means  a  person
 8    licensed  to  practice  medicine in all of its branches under
 9    the Medical Practice Act of 1987.

10        Section 15.  Powers and duties of the Department.
11        (a)  The Department shall exercise the powers and  duties
12    prescribed  by  the Civil Administrative Code of Illinois for
13    the administration of licensing Acts and shall  exercise  any
14    other  powers  and  duties  necessary  for  effectuating  the
15    purposes of this Act.
16        (b)  The  Department  may adopt rules consistent with the
17    provisions of this Act for its administration and enforcement
18    and may prescribe forms that shall be  issued  in  connection
19    with  this  Act. The rules may include but are not limited to
20    standards and criteria for licensure,  professional  conduct,
21    and discipline.

22        Section 20. Illinois Administrative Procedure Act; rules.
23        (a)  The   Illinois   Administrative   Procedure  Act  is
24    expressly adopted and incorporated in this Act as if  all  of
25    the  provisions  of the Illinois Administrative Procedure Act
26    were included in this  Act,  except  that  the  provision  of
27    subsection   (d)   of   Section   10-65   of   the   Illinois
28    Administrative  Procedure  Act that provides that at hearings
29    the licensee has the right to show compliance with all lawful
30    requirements for retention, continuation, or renewal  of  the
31    license  is  specifically excluded. For purposes of this Act,
32    the notice required  under  Section  10-25  of  the  Illinois
 
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 1    Administrative Procedure Act is deemed sufficient when mailed
 2    to the last known address of a party.
 3        (b)  The   Director   may   promulgate   rules   for  the
 4    administration and enforcement of this Act and may  prescribe
 5    forms to be issued in connection with this Act.

 6        Section 30.  Application for license.  An application for
 7    an initial license shall be made to the Department in writing
 8    on   forms   prescribed   by  the  Department  and  shall  be
 9    accompanied  by   the   required   nonrefundable   fee.    An
10    application  shall  require information that, in the judgment
11    of the Department, will enable the Department to evaluate the
12    qualifications of an applicant for licensure.
13        If an applicant fails to obtain a license under this  Act
14    within  3  years  after  filing  his  or her application, the
15    application shall be denied.  The applicant may  make  a  new
16    application,  which  shall  be  accompanied  by  the required
17    nonrefundable fee.

18        Section   35.  Social   Security   Number   on    license
19    application.   In addition  to any other information required
20    to be contained in the application, every  application for an
21    original, renewal, or restored license under this  Act  shall
22    include the applicant's Social Security Number.

23        Section  40.  License requirement. No person shall engage
24    in the practice as a certified  surgical  assistant  or  hold
25    himself  or  herself out as a certified surgical assistant in
26    this State without a license issued by the  Department  under
27    this Act.

28        Section  45.   Application of Act.  This Act shall not be
29    construed to prohibit the following:
30             (1)  A person licensed in this State under any other
 
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 1        Act from engaging in  the practice for which he or she is
 2        licensed,  including  but  not  limited  to  a  physician
 3        assistant  or  nurse  performing  surgery-related   tasks
 4        within the scope of his or her license.
 5             (2)  A  person  from  engaging  in the practice as a
 6        certified surgical assistant in the  discharge of his  or
 7        her  official duties as an employee of the United  States
 8        government.
 9             (3)  One  or  more   licensed   certified   surgical
10        assistants   from   forming   a   professional    service
11        corporation in accordance with the  Professional  Service
12        Corporation   Act   and   applying  for  licensure  as  a
13        corporation  providing   certified   surgical   assistant
14        services.
15             (4)  A   student  engaging  in  the  practice  as  a
16        surgical assistant under  the  direct  supervision  of  a
17        physician  licensed  to  practice  medicine in all of its
18        branches as part of his or her  program  of  study  at  a
19        school  approved  by  the Department or in preparation to
20        qualify  for  the   examination   as   prescribed   under
21        subdivision  (3)  of subsection (a) of Section 55 of this
22        Act.
23             (5)  A  person  from  assisting  in  surgery  at  an
24        operating physician's discretion.
25             (6)  Hospitals, health systems or networks,  or  any
26        other organizations that provide surgery-related services
27        from   employing   individuals   that   the  organization
28        considers competent to assist in surgery.  These entities
29        shall not  be  required  to  utilize  licensed  certified
30        surgical   assistants   when   providing  surgery-related
31        services to their patients.

32        Section 50.  Scope of  practice.   A  certified  surgical
33    assistant  shall be allowed to assist the operating physician
 
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 1    in the performance of any surgical procedure,  working  under
 2    the  operating  physician's  direction.   However, nothing in
 3    this Act shall  be  construed  to  allow  certified  surgical
 4    assistants to administer any type of medication.

 5        Section 55.  Qualifications for licensure.
 6        (a)  A  person shall qualify for a license under this Act
 7    if he or she:
 8             (1)  has applied to the Department for licensure  in
 9        accordance with Section 30 of this Act;
10             (2)  has  not violated a provision of Section 105 of
11        this Act; in  addition,  the  Department  may  take  into
12        consideration any felony conviction of the applicant, but
13        a  conviction  shall  not  operate  as an absolute bar to
14        licensure; and
15             (3)  has  successfully  completed  the   examination
16        provided  by  the National Surgical Assistant Association
17        on  the  Certification  of  Surgical  Assistants  or  its
18        successor  agency  and  has  met  the  requirements   for
19        certification   set   forth   by  the  National  Surgical
20        Assistant Association on the  Certification  of  Surgical
21        Assistants or its successor agency.
22        (b)  The Department shall issue a license to a person who
23    has met the qualification requirements of this Section.

24        Section  60.  Licensure  by  endorsement.  The Department
25    may, in its  discretion,  license  as  a  certified  surgical
26    assistant  an  applicant  who  is  licensed  as  a  certified
27    surgical   assistant   under   the  laws  of  another  state,
28    territory,  or  jurisdiction  if  (1)  the  requirements  for
29    licensure in that jurisdiction in  which  the  applicant  was
30    licensed  were,  at  the  date  of  licensure,  substantially
31    equivalent to the requirements then in force in this State or
32    (2)  the  applicant  possesses  individual qualifications and
 
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 1    skills  that  demonstrate  equivalence  to  current  Illinois
 2    requirements.
 3        Applicants have 3 years from the date of  application  to
 4    complete  the  application  process.   If the process has not
 5    been completed within  3  years,  the  application  shall  be
 6    denied,  the  fee shall  be forfeited, and the applicant must
 7    reapply and meet the requirements in effect at  the  time  of
 8    reapplication.

 9        Section  65.  Supervision requirement.  A person licensed
10    under this Act    shall  practice  as  a  certified  surgical
11    assistant  only under the direct supervision of the operating
12    physician.

13        Section 70.  Identification.  No  person  shall  use  the
14    title or perform the duties of "certified surgical assistant"
15    unless he or she is a qualified holder of a license issued by
16    the Department as provided in this Act.  A certified surgical
17    assistant   shall  wear  on  his  or  her  person  a  visible
18    identification indicating that he or she is  certified  as  a
19    surgical  assistant  while acting in the course of his or her
20    duties.

21        Section  90.   Expiration;   restoration;  renewal.   The
22    expiration date and renewal period for  each  license  issued
23    under  this   Act   shall be  set  by the Department by rule.
24    Renewal shall be conditioned on paying the required  fee  and
25    meeting other requirements as may be established by rule.
26        A licensee who  has  permitted  his  or  her  license  to
27    expire   or  who   has   had  his or her license on  inactive
28    status  may   have   the   license   restored    by    making
29    application  to the Department, by filing proof acceptable to
30    the Department of his or her  fitness  to  have  the  license
31    restored,  and  by paying the required fees. Proof of fitness
 
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 1    may   include  sworn  evidence certifying  to  active  lawful
 2    practice in another jurisdiction.
 3        If the licensee has not maintained  an   active  practice
 4    in  another  jurisdiction   satisfactory  to  the Department,
 5    the Department shall  determine, by  an   evaluation  program
 6    established     by    rule,    his   or   her    fitness  for
 7    restoration of the license and shall establish procedures and
 8    requirements for  restoration.  However,  a  licensee   whose
 9    license   expired  while   he   or    she  was (1) in federal
10    service on active duty with the Armed Forces of  the   United
11    States   or   the   State  Militia   called   into service or
12    training  or  (2)  in  training  or  education   under    the
13    supervision   of   the   United  States before induction into
14    the military service, may have the license  restored  without
15    paying  any  lapsed renewal  fees if  within  2  years  after
16    honorable   termination   of   the  service,  training,    or
17    education    he    or   she  furnishes  the  Department  with
18    satisfactory evidence to the effect  that  he  or   she   has
19    been   so  engaged  and that his or her service, training, or
20    education has been so terminated.

21        Section 95.  Inactive status.  A  licensee  who  notified
22    the   Department  in  writing  on  forms  prescribed  by  the
23    Department  may  elect  to place  his  or her license  on  an
24    inactive   status   and   shall,   subject   to  rules of the
25    Department,  be excused from payment of renewal fees until he
26    or she notifies the Department  in  writing  of  his  or  her
27    intention to  restore  the  license.  A  licensee  requesting
28    restoration  from  inactive  status  shall  pay  the  current
29    renewal   fee  and  shall  restore  his  or  her  license  in
30    accordance with Section 90 of  this  Act.  A  licensee  whose
31    license  is  on  inactive  status  shall  not  practice  as a
32    certified surgical assistant in this State.  A  licensee  who
33    engages  in  practice as a certified surgical assistant while
 
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 1    his or her license is lapsed or on inactive status  shall  be
 2    considered to be practicing without a license, which shall be
 3    grounds for discipline under Section 105 of this Act.

 4        Section 100.  Fees; returned checks.
 5        (a)   The  Department  shall  set  by  rule  fees for the
 6    administration of this Act, including but not limited to fees
 7    for initial  and  renewal  licensure  and  restoration  of  a
 8    license.
 9        (b)   A  person   who delivers  a  check or other payment
10    to the Department  that  is  returned   to   the   Department
11    unpaid    by    the    financial institution   upon which  it
12    is  drawn  shall  pay  to  the Department, in addition to the
13    amount already  owed  to  the Department,  a fine of $50.  If
14    the check or other payment was for  a  renewal  or   issuance
15    fee  and  that  person  practices without  paying the renewal
16    fee  or  issuance fee and the fine due, an additional fine of
17    $100  shall  be  imposed.   The   fines   imposed   by   this
18    Section  are  in  addition  to  any other discipline provided
19    under this Act for unlicensed practice or  practice    on   a
20    nonrenewed   license. The  Department shall notify the person
21    that fees and fines shall be  paid  to   the  Department   by
22    certified   check   or  money  order  within 30 calendar days
23    of the notification.  If, after the  expiration of   30  days
24    from  the  date of the notification, the person has failed to
25    submit  the   necessary   remittance,  the  Department  shall
26    automatically terminate the license or deny  the  application
27    without  a  hearing.   If  the  person  seeks a license after
28    termination  or  denial,  he  or  she  shall  apply  to   the
29    Department for restoration or issuance of the license and pay
30    all fees and fines due to the Department.  The Department may
31    establish   a   fee  for the processing of an application for
32    restoration of a license to defray the expenses of processing
33    the application.  The Director may waive the fines due  under
 
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 1    this  Section  in individual cases if the Director finds that
 2    the fines would be unreasonable or unnecessarily burdensome.
 3        (c)  All of the fees and fines collected under  this  Act
 4    shall  be  deposited  into  the General Professions Dedicated
 5    Fund. All moneys in the Fund shall be used by the Department,
 6    as appropriated, for the ordinary and contingent expenses  of
 7    the Department.

 8        Section 105. Grounds for disciplinary action.
 9        (a)  The  Department  may  refuse  to  issue,  renew,  or
10    restore  a  license,  may revoke or suspend a license, or may
11    place  on  probation,  censure,  reprimand,  or  take   other
12    disciplinary  action  with  regard to a person licensed under
13    this Act, including but not  limited  to  the  imposition  of
14    fines not to exceed $5,000 for each violation, for any one or
15    combination of the following causes:
16             (1)  Making  a  material  misstatement in furnishing
17        information to the Department.
18             (2)  Violating a provision of this Act or its rules.
19             (3)  Conviction under the laws of  a  United  States
20        jurisdiction   of   a   crime  that  is  a  felony  or  a
21        misdemeanor, an essential element of which is dishonesty,
22        or of a crime that is directly related to the practice as
23        a certified surgical assistant.
24             (4)  Making a misrepresentation for the  purpose  of
25        obtaining, renewing, or restoring a license.
26             (5)  Wilfully  aiding or assisting another person in
27        violating a provision of this Act or its rules.
28             (6)  Failing to provide information within  60  days
29        in response to a written request made by the Department.
30             (7)  Engaging   in   dishonorable,   unethical,   or
31        unprofessional  conduct of a character likely to deceive,
32        defraud, or harm the public, as defined by  rule  of  the
33        Department.
 
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 1             (8)  Discipline    by    another    United    States
 2        jurisdiction  or  foreign  nation, if at least one of the
 3        grounds for  discipline  is  the  same  or  substantially
 4        equivalent to those set forth in this Section.
 5             (9)  Directly  or  indirectly giving to or receiving
 6        from  a  person,  firm,  corporation,   partnership,   or
 7        association  a  fee, commission, rebate, or other form of
 8        compensation for professional services  not  actually  or
 9        personally rendered.
10             (10)  A finding by the Department that the licensee,
11        after  having  his  or her license placed on probationary
12        status, has violated the terms of probation.
13             (11)  Wilfully making or  filing  false  records  or
14        reports in his or her practice, including but not limited
15        to false records or reports filed with State agencies.
16             (12)  Wilfully  making or signing a false statement,
17        certificate, or affidavit to induce payment.
18             (13)  Wilfully failing  to  report  an  instance  of
19        suspected  child  abuse  or neglect as required under the
20        Abused and Neglected Child Reporting Act.
21             (14)  Being named as a perpetrator in  an  indicated
22        report  by the Department of Children and Family Services
23        under the Abused and Neglected Child  Reporting  Act  and
24        upon  proof  by  clear  and  convincing evidence that the
25        licensee has caused a child to  be  an  abused  child  or
26        neglected  child  as  defined in the Abused and Neglected
27        Child Reporting Act.
28             (15)  Employment  of  fraud,   deception,   or   any
29        unlawful means in applying for or securing a license as a
30        certified surgical assistant.
31             (16)  Allowing  another  person  to  use  his or her
32        license to practice.
33             (17)  Failure to report to the  Department  (A)  any
34        adverse  final  action  taken  against  the  licensee  by
 
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 1        another  licensing  jurisdiction,  government agency, law
 2        enforcement agency, or any court  or  (B)  liability  for
 3        conduct  that  would constitute grounds for action as set
 4        forth in this Section.
 5             (18)  Habitual intoxication or addiction to the  use
 6        of drugs.
 7             (19)  Physical illness, including but not limited to
 8        deterioration  through the aging process or loss of motor
 9        skills, which results in the inability  to  practice  the
10        profession   for   which  he  or  she  is  licensed  with
11        reasonable judgment, skill, or safety.
12             (20)  Gross  malpractice  resulting   in   permanent
13        injury or death of a patient.
14             (21)  Immoral  conduct  in  the commission of an act
15        related to the licensee's  practice,  including  but  not
16        limited  to  sexual  abuse,  sexual misconduct, or sexual
17        exploitation.
18             (22)  Violation the Health Care Worker Self-Referral
19        Act.
20        (b)  The Department may refuse to issue  or  may  suspend
21    the  license  of  a person who fails to file a return, to pay
22    the tax, penalty, or interest shown in a filed return, or  to
23    pay  a  final  assessment of the tax, penalty, or interest as
24    required by a tax  Act  administered  by  the  Department  of
25    Revenue, until the requirements of the tax Act are satisfied.
26        (c)  The determination by a circuit court that a licensee
27    is  subject to involuntary admission or judicial admission as
28    provided in the Mental Health and Developmental  Disabilities
29    Code operates as an automatic suspension. The suspension will
30    end only upon (1) a finding by a court that the patient is no
31    longer   subject   to   involuntary   admission  or  judicial
32    admission,  (2)  issuance  of  an  order   so   finding   and
33    discharging  the  patient,  and (3) the recommendation of the
34    Department to the Director that the licensee  be  allowed  to
 
                            -12-              LRB9100935ACtmA
 1    resume his or her practice.

 2        Section 110.  Cease and desist order.
 3        (a)   If  a  person violates a provision of this Act, the
 4    Director, in the name of the People of the State of  Illinois
 5    through the Attorney General of the State of Illinois, or the
 6    State's  Attorney  of a county in which the violation occurs,
 7    may petition for an order enjoining the violation or  for  an
 8    order  enforcing compliance with this Act. Upon the filing of
 9    a verified petition in court, the court may issue a temporary
10    restraining  order   without   notice   or   bond   and   may
11    preliminarily  and permanently enjoin the violation. If it is
12    established that the licensee has violated  or  is  violating
13    the  injunction,  the  court  may  punish  the  offender  for
14    contempt  of  court.  Proceedings under this Section shall be
15    in addition to, and not in lieu of, all  other  remedies  and
16    penalties provided by this Act.
17        (b)   If  a  person  practices  as  a  certified surgical
18    assistant or holds himself or  herself  out  as  a  certified
19    surgical  assistant  without  being  licensed under this Act,
20    then any licensee under this Act, interested party, or person
21    injured thereby, in  addition  to  the  Director  or  State's
22    Attorney,  may  petition for relief as provided in subsection
23    (a) of this Section.
24        (c)  If the Department determines that a person  violated
25    a  provision  of this Act, the Department may issue a rule to
26    show cause why an order to cease and  desist  should  not  be
27    entered  against him or her. The rule shall clearly set forth
28    the grounds relied upon by the Department and shall provide a
29    period of 7 days from the date of the rule to file an  answer
30    to  the satisfaction of the Department.  Failure to answer to
31    the satisfaction of the Department shall cause  an  order  to
32    cease and desist to be issued immediately.
 
                            -13-              LRB9100935ACtmA
 1        Section  115.  Investigation;  notice; hearing.  Licenses
 2    may be refused, revoked, suspended, or otherwise  disciplined
 3    in  the  manner  provided by this Act and not otherwise.  The
 4    Department may  upon  its  own  motion  and  shall  upon  the
 5    verified  complaint  in  writing  of any person setting forth
 6    facts that if proven would constitute grounds for refusal  to
 7    issue  or  for  suspension  or  revocation  under  this  Act,
 8    investigate the actions of a person applying for, holding, or
 9    claiming  to  hold  a  license.  The Department shall, before
10    refusing to issue or renew, suspending, or revoking a license
11    or taking other discipline pursuant to Section  105  of  this
12    Act,  and  at  least  30  days  prior to the date set for the
13    hearing, notify in writing the applicant or licensee  of  any
14    charges  made,  shall  afford  the  applicant  or licensee an
15    opportunity to be heard in person or by counsel in  reference
16    to  the charges, and direct the applicant or licensee to file
17    a written answer to the Department under oath within 20  days
18    after  the  service of the notice and inform the applicant or
19    licensee that failure  to  file  an  answer  will  result  in
20    default  being  taken  against  the applicant or licensee and
21    that  the  license  may  be  suspended,  revoked,  placed  on
22    probationary status, or  other  disciplinary  action  may  be
23    taken,  including  limiting  the  scope, nature, or extent of
24    practice, as the Director may deem  proper.   Written  notice
25    may  be  served  by  personal  delivery  to  the applicant or
26    licensee or by mailing the notice by certified mail to his or
27    her last known place of residence or to the place of business
28    last specified by the applicant or licensee  in  his  or  her
29    last  notification to the Department.  If the person fails to
30    file an answer after receiving notice,  his  or  her  license
31    may,  in  the  discretion  of  the  Department, be suspended,
32    revoked, or placed on probationary status or  the  Department
33    may   take   whatever   disciplinary  action  deemed  proper,
34    including limiting  the  scope,  nature,  or  extent  of  the
 
                            -14-              LRB9100935ACtmA
 1    person's  practice  or  the  imposition  of a fine, without a
 2    hearing, if the act or  acts  charged  constitute  sufficient
 3    grounds  for  such  action  under  this Act.  At the time and
 4    place fixed in the notice, the Department  shall  proceed  to
 5    hearing of the charges and both the applicant or licensee and
 6    the  complainant  shall  be  afforded  ample  opportunity  to
 7    present,  in person or by counsel, any statements, testimony,
 8    evidence, and arguments that may be pertinent to the  charges
 9    or  to  their defense.  The Department may continue a hearing
10    from time to time. The Department may continue a hearing  for
11    a period not to exceed 30 days.

12        Section  120.  Record  of proceedings. The Department, at
13    its expense, shall preserve a record of all proceedings at  a
14    formal hearing conducted pursuant to Section 115 of this Act.
15    The  notice of hearing, complaint, and all other documents in
16    the nature of pleadings and  written  motions  filed  in  the
17    proceedings,  the  transcript of testimony, the report of the
18    Department or hearing officer, and orders of  the  Department
19    shall  be  the record of the proceeding. The Department shall
20    supply a transcript of the record to a person  interested  in
21    the  hearing on payment of the fee required under Section 60f
22    of the Civil Administrative Code of Illinois.

23        Section 125. Order for production of documents. A circuit
24    court  may,  upon  application  of  the  Department  or   its
25    designee,  or  of  the  applicant  or  licensee  against whom
26    proceedings pursuant to Section 115 of this Act are  pending,
27    enter  an  order  requiring  the  attendance of witnesses and
28    their testimony and  the  production  of  documents,  papers,
29    files,  books,  and  records  in connection with a hearing or
30    investigation authorized by this Act.  The court  may  compel
31    obedience to its order through contempt proceedings.
 
                            -15-              LRB9100935ACtmA
 1        Section 130. Subpoena power. The Department has the power
 2    to  subpoena and bring before it any person in this State and
 3    to take testimony orally or by deposition, with the same fees
 4    and mileage and in the same manner as prescribed  by  law  in
 5    judicial proceedings in civil cases in circuit courts of this
 6    State.   The  Director  shall  each  have  the  authority  to
 7    administer, at any hearing that the Department is  authorized
 8    to  conduct under this Act, oaths to witnesses and any  other
 9    oaths authorized to be administered by the  Department  under
10    this Act.

11        Section  135.   Disciplinary report. At the conclusion of
12    the hearing, the Department shall present to the  Director  a
13    written  report  of its findings of fact, conclusions of law,
14    and recommendations.  In the  report,  the  Department  shall
15    make  a  finding  of  whether  or not the charged licensee or
16    applicant violated a provision of this Act or its  rules  and
17    shall  specify  the  nature  of  the violation. In making its
18    recommendations for discipline, the Department may take  into
19    consideration  all  facts  and circumstances bearing upon the
20    reasonableness of the  conduct  of  the  respondent  and  the
21    potential  for  future  harm to the public, including but not
22    limited to previous discipline  of  that  respondent  by  the
23    Department,   intent,  degree  of  harm  to  the  public  and
24    likelihood of harm in the future, any restitution  made,  and
25    whether  the incident or incidents complained of appear to be
26    isolated  or  a   pattern   of   conduct.   In   making   its
27    recommendations  for discipline, the Department shall seek to
28    ensure that the severity of the discipline recommended  bears
29    some   reasonable   relationship   to  the  severity  of  the
30    violation.

31        Section 140.  Motion for rehearing.  In a case  involving
32    the  refusal   to  issue or renew a license or the discipline
 
                            -16-              LRB9100935ACtmA
 1    of a licensee, a copy of the  Department's  report  shall  be
 2    served  upon   the   respondent   by  the Department,  either
 3    personally or as provided under Section 85 of  this  Act  for
 4    the service of the notice of hearing.  Within 20  days  after
 5    the  service,  the respondent may present to the Department a
 6    motion in writing for a rehearing, which  shall  specify  the
 7    particular  grounds  for  a  rehearing.  If  no  motion   for
 8    rehearing  is   filed,  then  upon the expiration of the time
 9    specified for filing the motion, or if a motion for rehearing
10    is denied, then upon the denial the Director  may  enter   an
11    order    in   accordance    with   recommendations   of   the
12    Department, except as provided in Section 145 or 150 of  this
13    Act.    If the  respondent  orders a transcript of the record
14    from the reporting service and pays for the transcript within
15    the time for filing a motion for rehearing, the 20-day period
16    within which such a motion may be filed shall  commence  upon
17    the delivery  of  the transcript to the respondent.

18        Section 145.  Order of Director.
19        (a)   The  Director  shall  issue an order concerning the
20    disposition of the charges (i) following  the  expiration  of
21    the filing period granted under Section 140 of this Act if no
22    motion for rehearing is filed or (ii) following a denial of a
23    timely motion for rehearing.
24        (b)    The   Director's  order  shall  be  based  on  the
25    recommendations contained in the  Department  report  unless,
26    after  giving  due  consideration to the Department's report,
27    the Director disagrees in any regard with the report  of  the
28    Department,  in  which  case  he or she may issue an order in
29    contravention of the report. The  Director  shall  provide  a
30    written  report  to  the Department on any deviation from the
31    Department's report and shall specify with particularity  the
32    reasons  for  his  or  her deviation in the final order.  The
33    Department's report and Director's order are  not  admissible
 
                            -17-              LRB9100935ACtmA
 1    in  evidence  against  the  person  in a criminal prosecution
 2    brought for a violation of this Act, but the hearing, report,
 3    and order are not a bar to a criminal prosecution brought for
 4    the violation of this Act.

 5        Section 150. Hearing officer.  The  Director  shall  have
 6    the authority to appoint an attorney licensed to practice law
 7    in  this  State  to serve as the hearing officer in a hearing
 8    authorized under Section 115 of this Act. The hearing officer
 9    shall have  full  authority  to  conduct  the  hearing.   The
10    hearing  officer  shall  report  his or her findings of fact,
11    conclusions of law, and recommendations to the Department. If
12    the Director disagrees in any regard with the report  of  the
13    Department,  he or she may issue an order in contravention of
14    the report. The  Director shall provide a written explanation
15    to the Department on a deviation from the Department's report
16    and shall specify with particularity the reasons for  his  or
17    her deviation in the final order.

18        Section 155. Rehearing on order of Director. Whenever the
19    Director  is  not satisfied that substantial justice has been
20    achieved in the discipline of a licensee,  the  Director  may
21    order a rehearing by the same or another hearing officer.

22        Section  160.  Order;  prima  facie  proof. An order or a
23    certified copy of an order, over the seal of  the  Department
24    and  purporting  to be signed by the Director, shall be prima
25    facie proof that:
26        (1)  the  signature  is  the  genuine  signature  of  the
27    Director; and
28        (2)  the Director is duly appointed and qualified.

29        Section 165. Restoration of license. At  any  time  after
30    the suspension or revocation of a license, the Department may
 
                            -18-              LRB9100935ACtmA
 1    restore it to the licensee unless, after an investigation and
 2    a  hearing, the Department determines that restoration is not
 3    in the public interest. Where circumstances of suspension  or
 4    revocation   so  indicate,  the  Department  may  require  an
 5    examination of the  licensee  before  restoring  his  or  her
 6    license.

 7        Section 170. Surrender of license. Upon the revocation or
 8    suspension  of  a  license,  the  licensee  shall immediately
 9    surrender the license to  the  Department.  If  the  licensee
10    fails  to do so, the Department shall have the right to seize
11    the license.

12        Section  175.  Temporary  suspension.  The  Director  may
13    temporarily suspend  the  license  of  a  certified  surgical
14    assistant   without  a    hearing,  simultaneously  with  the
15    institution of proceedings for  a  hearing  provided  for  in
16    Section  115 of this Act, if the Director finds that evidence
17    in his or  her  possession  indicates  that  continuation  in
18    practice  would  constitute an imminent danger to the public.
19    If the Director temporarily  suspends  a  license  without  a
20    hearing,  a hearing by the Department shall be held within 30
21    days after the suspension has occurred and shall be concluded
22    without appreciable delay.

23        Section 180.  Certificate of record. The Department shall
24    not be required to certify any record to a Court or  file  an
25    answer  in court or otherwise appear in a court in a judicial
26    review proceeding unless there is filed in  the  court,  with
27    the  complaint,  a  receipt from the Department acknowledging
28    payment of the costs of furnishing and certifying the record.
29    Failure on the part of the plaintiff to  file  a  receipt  in
30    court shall be grounds for dismissal of the action.
 
                            -19-              LRB9100935ACtmA
 1        Section   185.   Administrative  Review  Law.  All  final
 2    administrative decisions of the  Department  are  subject  to
 3    judicial  review  under the Administrative Review Law and its
 4    rules. The term "administrative decision" is  defined  as  in
 5    Section 3-101 of the Code of Civil Procedure. Proceedings for
 6    judicial  review  shall  be commenced in the circuit court of
 7    the county in which the party seeking review resides. If  the
 8    party  seeking  review is not a resident of this State, venue
 9    shall be in Sangamon County.

10        Section 190.  Criminal penalties.  A person who is  found
11    to   have    knowingly violated Section 40, 65, or subsection
12    (a) of Section 195 of  this  Act  is  guilty  of  a  Class  A
13    misdemeanor  for  a  first offense and is guilty of a Class 4
14    felony for a second or subsequent offense.

15        Section  195.   Unlicensed  practice;  civil   penalties.
16        (a)  No person shall practice, offer to practice, attempt
17    to practice, or hold  himself or herself out to practice as a
18    certified  surgical assistant without a license issued by the
19    Department to that person under this Act.
20        (b)  In addition to any other penalty provided by law,  a
21    person who  violates subsection (a) of this Section shall pay
22    a  civil penalty to the Department in an amount not to exceed
23    $5,000 for each offense as determined  by  the    Department.
24    The  civil   penalty   shall   be  assessed by the Department
25    after a  hearing is held in accordance  with  the  provisions
26    set   forth  in   this   Act  regarding  a  hearing  for  the
27    discipline of a licensee.
28        (c)  The  Department  has  the  authority  and  power  to
29    investigate any and all unlicensed activity.
30        (d)   The  civil penalty assessed under this Act shall be
31    paid within 60 days after the effective date of    the  order
32    imposing  the   civil  penalty.  The order shall constitute a
 
                            -20-              LRB9100935ACtmA
 1    judgment and  may be filed and execution had on the  judgment
 2    in the same manner as a  judgment from a court of record.

 3        Section  200.   Home  rule  powers.   The  regulation and
 4    licensing of surgical  assistants are  exclusive  powers  and
 5    functions of the State.  A home rule unit  shall not regulate
 6    or  license certified surgical assistants.  This Section is a
 7    limitation under  subsection (h) of Section 6 of Article  VII
 8    of the Illinois Constitution.

 9        Section  950.   The  Regulatory  Sunset Act is amended by
10    adding  Section 4.20 as follows:

11        (5 ILCS 80/4.20 new)
12        Sec.  4.20.   Act  repealed  on  January  1,  2010.   The
13    following Act is  repealed on January 1, 2010:
14        The Certified Surgical Assistant Practice Act.

15        Section 999.  Effective  date.   This  Act  takes  effect
16    January 1, 2000.

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