Public Act 095-0639
 
SB0360 Enrolled LRB095 06827 RAS 26943 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Regulatory Sunset Act is amended by changing
Section 4.18 and by adding Section 4.28 as follows:
 
    (5 ILCS 80/4.18)
    Sec. 4.18. Acts repealed January 1, 2008 and December 31,
2008.
    (a) The following Acts are repealed on January 1, 2008:
        The Acupuncture Practice Act.
        The Clinical Social Work and Social Work Practice Act.
        The Home Medical Equipment and Services Provider
    License Act.
        The Nursing and Advanced Practice Nursing Act.
        The Illinois Speech-Language Pathology and Audiology
    Practice Act.
        The Marriage and Family Therapy Licensing Act.
        The Nursing Home Administrators Licensing and
    Disciplinary Act.
        The Pharmacy Practice Act of 1987.
        The Physician Assistant Practice Act of 1987.
        The Podiatric Medical Practice Act of 1987.
        The Structural Pest Control Act.
    (b) The following Acts are repealed on December 31, 2008:
        The Medical Practice Act of 1987.
        The Environmental Health Practitioner Licensing Act.
(Source: P.A. 94-754, eff. 5-10-06; 94-1075, eff. 12-29-06;
94-1085, eff. 1-19-07; revised 1-22-07.)
 
    (5 ILCS 80/4.28 new)
    Sec. 4.28. Act repealed on January 1, 2018. The following
Act is repealed on January 1, 2018:
    The Nurse Practice Act.
 
    Section 10. The Mental Health and Developmental
Disabilities Administrative Act is amended by changing Section
56 as follows:
 
    (20 ILCS 1705/56)  (from Ch. 91 1/2, par. 100-56)
    Sec. 56. The Secretary, upon making a determination based
upon information in the possession of the Department, that
continuation in practice of a licensed health care professional
would constitute an immediate danger to the public, shall
submit a written communication to the Director of Professional
Regulation indicating such determination and additionally
providing a complete summary of the information upon which such
determination is based, and recommending that the Director of
Professional Regulation immediately suspend such person's
license. All relevant evidence, or copies thereof, in the
Department's possession may also be submitted in conjunction
with the written communication. A copy of such written
communication, which is exempt from the copying and inspection
provisions of the Freedom of Information Act, shall at the time
of submittal to the Director of Professional Regulation be
simultaneously mailed to the last known business address of
such licensed health care professional by certified or
registered postage, United States Mail, return receipt
requested. Any evidence, or copies thereof, which is submitted
in conjunction with the written communication is also exempt
from the copying and inspection provisions of the Freedom of
Information Act.
    For the purposes of this Section, "licensed health care
professional" means any person licensed under the Illinois
Dental Practice Act, the Nurse Practice Act Nursing and
Advanced Practice Nursing Act, the Medical Practice Act of
1987, the Pharmacy Practice Act of 1987, the Podiatric Medical
Practice Act of 1987, and the Illinois Optometric Practice Act
of 1987.
(Source: P.A. 89-507, eff. 7-1-97; 90-742, eff. 8-13-98.)
 
    Section 15. The Department of Public Health Powers and
Duties Law of the Civil Administrative Code of Illinois is
amended by changing Sections 2310-140 and 2310-210 as follows:
 
    (20 ILCS 2310/2310-140)  (was 20 ILCS 2310/55.37a)
    Sec. 2310-140. Recommending suspension of licensed health
care professional. The Director, upon making a determination
based upon information in the possession of the Department that
continuation in practice of a licensed health care professional
would constitute an immediate danger to the public, shall
submit a written communication to the Director of Professional
Regulation indicating that determination and additionally (i)
providing a complete summary of the information upon which the
determination is based and (ii) recommending that the Director
of Professional Regulation immediately suspend the person's
license. All relevant evidence, or copies thereof, in the
Department's possession may also be submitted in conjunction
with the written communication. A copy of the written
communication, which is exempt from the copying and inspection
provisions of the Freedom of Information Act, shall at the time
of submittal to the Director of Professional Regulation be
simultaneously mailed to the last known business address of the
licensed health care professional by certified or registered
postage, United States Mail, return receipt requested. Any
evidence, or copies thereof, that is submitted in conjunction
with the written communication is also exempt from the copying
and inspection provisions of the Freedom of Information Act.
    For the purposes of this Section, "licensed health care
professional" means any person licensed under the Illinois
Dental Practice Act, the Nurse Practice Act Nursing and
Advanced Practice Nursing Act, the Medical Practice Act of
1987, the Pharmacy Practice Act of 1987, the Podiatric Medical
Practice Act of 1987, or the Illinois Optometric Practice Act
of 1987.
(Source: P.A. 90-742, eff. 8-13-98; 91-239, eff. 1-1-00.)
 
    (20 ILCS 2310/2310-210)  (was 20 ILCS 2310/55.62a)
    Sec. 2310-210. Advisory Panel on Minority Health.
    (a) In this Section:
    "Health profession" means any health profession regulated
under the laws of this State, including, without limitation,
professions regulated under the Illinois Athletic Trainers
Practice Act, the Clinical Psychologist Licensing Act, the
Clinical Social Work and Social Work Practice Act, the Illinois
Dental Practice Act, the Dietetic and Nutrition Services
Practice Act, the Marriage and Family Therapy Licensing Act,
the Medical Practice Act of 1987, the Naprapathic Practice Act,
the Nurse Practice Act Nursing and Advanced Practice Nursing
Act, the Illinois Occupational Therapy Practice Act, the
Illinois Optometric Practice Act of 1987, the Illinois Physical
Therapy Act, the Physician Assistant Practice Act of 1987, the
Podiatric Medical Practice Act of 1987, the Professional
Counselor and Clinical Professional Counselor Licensing Act,
and the Illinois Speech-Language Pathology and Audiology
Practice Act.
    "Minority" has the same meaning as in Section 2310-215.
    (b) The General Assembly finds as follows:
        (1) The health status of individuals from ethnic and
    racial minorities in this State is significantly lower than
    the health status of the general population of the State.
        (2) Minorities suffer disproportionately high rates of
    cancer, stroke, heart disease, diabetes, sickle-cell
    anemia, lupus, substance abuse, acquired immune deficiency
    syndrome, other diseases and disorders, unintentional
    injuries, and suicide.
        (3) The incidence of infant mortality among minorities
    is almost double that for the general population.
        (4) Minorities suffer disproportionately from lack of
    access to health care and poor living conditions.
        (5) Minorities are under-represented in the health
    care professions.
        (6) Minority participation in the procurement policies
    of the health care industry is lacking.
        (7) Minority health professionals historically have
    tended to practice in low-income areas and to serve
    minorities.
        (8) National experts on minority health report that
    access to health care among minorities can be substantially
    improved by increasing the number of minority health
    professionals.
        (9) Increasing the number of minorities serving on the
    facilities of health professional schools is an important
    factor in attracting minorities to pursue a career in
    health professions.
        (10) Retaining minority health professionals currently
    practicing in this State and those receiving training and
    education in this State is an important factor in
    maintaining and increasing the number of minority health
    professionals in Illinois.
        (11) An Advisory Panel on Minority Health is necessary
    to address the health issues affecting minorities in this
    State.
    (c) The General Assembly's intent is as follows:
        (1) That all Illinoisans have access to health care.
        (2) That the gap between the health status of
    minorities and other Illinoisans be closed.
        (3) That the health issues that disproportionately
    affect minorities be addressed to improve the health status
    of minorities.
        (4) That the number of minorities in the health
    professions be increased.
    (d) The Advisory Panel on Minority Health is created. The
Advisory Panel shall consist of 25 members appointed by the
Director of Public Health. The members shall represent health
professions and the General Assembly.
    (e) The Advisory Panel shall assist the Department in the
following manner:
        (1) Examination of the following areas as they relate
    to minority health:
            (A) Access to health care.
            (B) Demographic factors.
            (C) Environmental factors.
            (D) Financing of health care.
            (E) Health behavior.
            (F) Health knowledge.
            (G) Utilization of quality care.
            (H) Minorities in health care professions.
        (2) Development of monitoring, tracking, and reporting
    mechanisms for programs and services with minority health
    goals and objectives.
        (3) Communication with local health departments,
    community-based organizations, voluntary health
    organizations, and other public and private organizations
    statewide, on an ongoing basis, to learn more about their
    services to minority communities, the health problems of
    minority communities, and their ideas for improving
    minority health.
        (4) Promotion of communication among all State
    agencies that provide services to minority populations.
        (5) Building coalitions between the State and
    leadership in minority communities.
        (6) Encouragement of recruitment and retention of
    minority health professionals.
        (7) Improvement in methods for collecting and
    reporting data on minority health.
        (8) Improvement in accessibility to health and medical
    care for minority populations in under-served rural and
    urban areas.
        (9) Reduction of communication barriers for
    non-English speaking residents.
        (10) Coordination of the development and dissemination
    of culturally appropriate and sensitive education
    material, public awareness messages, and health promotion
    programs for minorities.
    (f) On or before January 1, 1997 the Advisory Panel shall
submit an interim report to the Governor and the General
Assembly. The interim report shall include an update on the
Advisory Panel's progress in performing its functions under
this Section and shall include recommendations, including
recommendations for any necessary legislative changes.
    On or before January 1, 1998 the Advisory Panel shall
submit a final report to the Governor and the General Assembly.
The final report shall include the following:
        (1) An evaluation of the health status of minorities in
    this State.
        (2) An evaluation of minority access to health care in
    this State.
        (3) Recommendations for improving the health status of
    minorities in this State.
        (4) Recommendations for increasing minority access to
    health care in this State.
        (5) Recommendations for increasing minority
    participation in the procurement policies of the health
    care industry.
        (6) Recommendations for increasing the number of
    minority health professionals in this State.
        (7) Recommendations that will ensure that the health
    status of minorities in this State continues to be
    addressed beyond the expiration of the Advisory Panel.
(Source: P.A. 90-742, eff. 8-13-98; 91-239, eff. 1-1-00.)
 
    Section 20. The Department of Veterans Affairs Act is
amended by changing Section 2.07 as follows:
 
    (20 ILCS 2805/2.07)  (from Ch. 126 1/2, par. 67.07)
    Sec. 2.07. The Department shall employ and maintain
sufficient and qualified staff at the veterans' homes to
fulfill the requirements of this Act. The Department shall
report to the General Assembly, by January 1 and July 1 of each
year, the number of staff employed in providing direct patient
care at their veterans' homes, the compliance or noncompliance
with staffing standards established by the United States
Department of Veterans Affairs for such care, and in the event
of noncompliance with such standards, the number of staff
required for compliance. For purposes of this Section, a nurse
who has a license application pending with the State shall not
be deemed unqualified by the Department if the nurse is in
compliance with Section 50-15 of the Nurse Practice Act 225
ILCS 65/5-15(g) or 225 ILCS 5-15(i) of the Nursing and Advanced
Practice Nursing Act.
    All contracts between the State and outside contractors to
provide workers to staff and service the Anna Veterans Home
shall be canceled in accordance with the terms of those
contracts. Upon cancellation, each worker or staff member shall
be offered certified employment status under the Illinois
Personnel Code with the State of Illinois. To the extent it is
reasonably practicable, the position offered to each person
shall be at the same facility and shall consist of the same
duties and hours as previously existed under the canceled
contract or contracts.
(Source: P.A. 93-597, eff. 8-26-03; 94-703, eff. 6-1-06;
revised 9-15-06.)
 
    Section 25. The Geriatric Medicine Assistance Act is
amended by changing Section 2 as follows:
 
    (20 ILCS 3945/2)  (from Ch. 144, par. 2002)
    Sec. 2. There is created the Geriatric Medicine Assistance
Commission. The Commission shall receive and approve
applications for grants from schools, recognized by the
Department of Professional Regulation as being authorized to
confer doctor of medicine, doctor of osteopathy, doctor of
chiropractic or registered professional nursing degrees in the
State, to help finance the establishment of geriatric medicine
programs within such schools. In determining eligibility for
grants, the Commission shall give preference to those programs
which exhibit the greatest potential for directly benefiting
the largest number of elderly citizens in the State. The
Commission may not approve the application of any institution
which is unable to demonstrate its current financial stability
and reasonable prospects for future stability. No institution
which fails to possess and maintain an open policy with respect
to race, creed, color and sex as to admission of students,
appointment of faculty and employment of staff shall be
eligible for grants under this Act. The Commission shall
establish such rules and standards as it deems necessary for
the implementation of this Act.
    The Commission shall be composed of 8 members selected as
follows: 2 physicians licensed to practice under the Medical
Practice Act of 1987 and specializing in geriatric medicine; a
registered professional nurse licensed under the Nurse
Practice Act Nursing and Advanced Practice Nursing Act and
specializing in geriatric health care; 2 representatives of
organizations interested in geriatric medicine or the care of
the elderly; and 3 individuals 60 or older who are interested
in geriatric health care or the care of the elderly. The
members of the Commission shall be selected by the Governor
from a list of recommendations submitted to him by
organizations concerned with geriatric medicine or the care of
the elderly.
    The terms of the members of the Commission shall be 4
years, except that of the members initially appointed, 2 shall
be designated to serve until January 1, 1986, 3 until January
1, 1988, and 2 until January 1, 1990. Members of the Commission
shall receive no compensation, but shall be reimbursed for
actual expenses incurred in carrying out their duties.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    Section 30. The State Finance Act is amended by changing
Section 8h as follows:
 
    (30 ILCS 105/8h)
    Sec. 8h. Transfers to General Revenue Fund.
    (a) Except as otherwise provided in this Section and
Section 8n of this Act, and (c), (d), or (e), notwithstanding
any other State law to the contrary, the Governor may, through
June 30, 2007, from time to time direct the State Treasurer and
Comptroller to transfer a specified sum from any fund held by
the State Treasurer to the General Revenue Fund in order to
help defray the State's operating costs for the fiscal year.
The total transfer under this Section from any fund in any
fiscal year shall not exceed the lesser of (i) 8% of the
revenues to be deposited into the fund during that fiscal year
or (ii) an amount that leaves a remaining fund balance of 25%
of the July 1 fund balance of that fiscal year. In fiscal year
2005 only, prior to calculating the July 1, 2004 final
balances, the Governor may calculate and direct the State
Treasurer with the Comptroller to transfer additional amounts
determined by applying the formula authorized in Public Act
93-839 to the funds balances on July 1, 2003. No transfer may
be made from a fund under this Section that would have the
effect of reducing the available balance in the fund to an
amount less than the amount remaining unexpended and unreserved
from the total appropriation from that fund estimated to be
expended for that fiscal year. This Section does not apply to
any funds that are restricted by federal law to a specific use,
to any funds in the Motor Fuel Tax Fund, the Intercity
Passenger Rail Fund, the Hospital Provider Fund, the Medicaid
Provider Relief Fund, the Teacher Health Insurance Security
Fund, the Reviewing Court Alternative Dispute Resolution Fund,
the Voters' Guide Fund, the Foreign Language Interpreter Fund,
the Lawyers' Assistance Program Fund, the Supreme Court Federal
Projects Fund, the Supreme Court Special State Projects Fund,
the Supplemental Low-Income Energy Assistance Fund, the Good
Samaritan Energy Trust Fund, the Low-Level Radioactive Waste
Facility Development and Operation Fund, the Horse Racing
Equity Trust Fund, or the Hospital Basic Services Preservation
Fund, or to any funds to which Section 70-50 of the Nurse
Practice Act subsection (f) of Section 20-40 of the Nursing and
Advanced Practice Nursing Act applies. No transfers may be made
under this Section from the Pet Population Control Fund.
Notwithstanding any other provision of this Section, for fiscal
year 2004, the total transfer under this Section from the Road
Fund or the State Construction Account Fund shall not exceed
the lesser of (i) 5% of the revenues to be deposited into the
fund during that fiscal year or (ii) 25% of the beginning
balance in the fund. For fiscal year 2005 through fiscal year
2007, no amounts may be transferred under this Section from the
Road Fund, the State Construction Account Fund, the Criminal
Justice Information Systems Trust Fund, the Wireless Service
Emergency Fund, or the Mandatory Arbitration Fund.
    In determining the available balance in a fund, the
Governor may include receipts, transfers into the fund, and
other resources anticipated to be available in the fund in that
fiscal year.
    The State Treasurer and Comptroller shall transfer the
amounts designated under this Section as soon as may be
practicable after receiving the direction to transfer from the
Governor.
    (a-5) Transfers directed to be made under this Section on
or before February 28, 2006 that are still pending on May 19,
2006 (the effective date of Public Act 94-774) this amendatory
Act of the 94th General Assembly shall be redirected as
provided in Section 8n of this Act.
    (b) This Section does not apply to: (i) the Ticket For The
Cure Fund; (ii) any fund established under the Community Senior
Services and Resources Act; or (iii) on or after January 1,
2006 (the effective date of Public Act 94-511), the Child Labor
and Day and Temporary Labor Enforcement Fund.
    (c) This Section does not apply to the Demutualization
Trust Fund established under the Uniform Disposition of
Unclaimed Property Act.
    (d) This Section does not apply to moneys set aside in the
Illinois State Podiatric Disciplinary Fund for podiatric
scholarships and residency programs under the Podiatric
Scholarship and Residency Act.
    (e) Subsection (a) does not apply to, and no transfer may
be made under this Section from, the Pension Stabilization
Fund.
(Source: P.A. 93-32, eff. 6-20-03; 93-659, eff. 2-3-04; 93-674,
eff. 6-10-04; 93-714, eff. 7-12-04; 93-801, eff. 7-22-04;
93-839, eff. 7-30-04; 93-1054, eff. 11-18-04; 93-1067, eff.
1-15-05; 94-91, eff. 7-1-05; 94-120, eff. 7-6-05; 94-511, eff.
1-1-06; 94-535, eff. 8-10-05; 94-639, eff. 8-22-05; 94-645,
eff. 8-22-05; 94-648, eff. 1-1-06; 94-686, eff. 11-2-05;
94-691, eff. 11-2-05; 94-726, eff. 1-20-06; 94-773, eff.
5-18-06; 94-774, eff. 5-19-06; 94-804, eff. 5-26-06; 94-839,
eff. 6-6-06; revised 6-19-06.)
 
    Section 40. The Nurse Educator Assistance Act is amended by
changing Section 5-15 as follows:
 
    (110 ILCS 967/5-15)
    Sec. 5-15. Definitions. In this Act:
    "Approved program of professional nursing education" and
"approved program of practical nursing education" mean
programs of professional or practical nursing, respectively,
approved by the Department of Financial and Professional
Regulation under the provisions of the Nurse Practice Act
Nursing and Advanced Practice Nursing Act.
    "Commission" means the Illinois Student Assistance
Commission.
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    Section 45. The Nursing Education Scholarship Law is
amended by changing Section 3 as follows:
 
    (110 ILCS 975/3)  (from Ch. 144, par. 2753)
    Sec. 3. Definitions.
    The following terms, whenever used or referred to, have the
following meanings except where the context clearly indicates
otherwise:
    (1) "Board" means the Board of Higher Education created by
the Board of Higher Education Act.
    (2) "Department" means the Illinois Department of Public
Health.
    (3) "Approved institution" means a public community
college, private junior college, hospital-based diploma in
nursing program, or public or private college or university
located in this State that has approval by the Department of
Professional Regulation for an associate degree in nursing
program, associate degree in applied sciences in nursing
program, hospital-based diploma in nursing program,
baccalaureate degree in nursing program, graduate degree in
nursing program, or certificate in practical nursing program.
    (4) "Baccalaureate degree in nursing program" means a
program offered by an approved institution and leading to a
bachelor of science degree in nursing.
    (5) "Enrollment" means the establishment and maintenance
of an individual's status as a student in an approved
institution, regardless of the terms used at the institution to
describe such status.
    (6) "Academic year" means the period of time from September
1 of one year through August 31 of the next year or as
otherwise defined by the academic institution.
    (7) "Associate degree in nursing program or hospital-based
diploma in nursing program" means a program offered by an
approved institution and leading to an associate degree in
nursing, associate degree in applied sciences in nursing, or
hospital-based diploma in nursing.
    (8) "Graduate degree in nursing program" means a program
offered by an approved institution and leading to a master of
science degree in nursing or a doctorate of philosophy or
doctorate of nursing degree in nursing.
    (9) "Director" means the Director of the Illinois
Department of Public Health.
    (10) "Accepted for admission" means a student has completed
the requirements for entry into an associate degree in nursing
program, associate degree in applied sciences in nursing
program, hospital-based diploma in nursing program,
baccalaureate degree in nursing program, graduate degree in
nursing program, or certificate in practical nursing program at
an approved institution, as documented by the institution.
    (11) "Fees" means those mandatory charges, in addition to
tuition, that all enrolled students must pay, including
required course or lab fees.
    (12) "Full-time student" means a student enrolled for at
least 12 hours per term or as otherwise determined by the
academic institution.
    (13) "Law" means the Nursing Education Scholarship Law.
    (14) "Nursing employment obligation" means employment in
this State as a registered professional nurse or licensed
practical nurse in direct patient care or as a nurse educator
in the case of a graduate degree in nursing program recipient
for at least one year for each year of scholarship assistance
received through the Nursing Education Scholarship Program.
    (15) "Part-time student" means a person who is enrolled for
at least one-third of the number of hours required per term by
a school for its full-time students.
    (16) "Practical nursing program" means a program offered by
an approved institution leading to a certificate in practical
nursing.
    (17) "Registered professional nurse" means a person who is
currently licensed as a registered professional nurse by the
Department of Professional Regulation under the Nurse Practice
Act Nursing and Advanced Practice Nursing Act.
    (18) "Licensed practical nurse" means a person who is
currently licensed as a licensed practical nurse by the
Department of Professional Regulation under the Nurse Practice
Act Nursing and Advanced Practice Nursing Act.
    (19) "School term" means an academic term, such as a
semester, quarter, trimester, or number of clock hours, as
defined by an approved institution.
    (20) "Student in good standing" means a student maintaining
a cumulative grade point average equivalent to at least the
academic grade of a "C".
    (21) "Total and permanent disability" means a physical or
mental impairment, disease, or loss of a permanent nature that
prevents nursing employment with or without reasonable
accommodation. Proof of disability shall be a declaration from
the social security administration, Illinois Workers'
Compensation Commission, Department of Defense, or an insurer
authorized to transact business in Illinois who is providing
disability insurance coverage to a contractor.
    (22) "Tuition" means the established charges of an
institution of higher learning for instruction at that
institution.
    (23) "Nurse educator" means a person who is currently
licensed as a registered nurse by the Department of
Professional Regulation under the Nurse Practice Act Nursing
and Advanced Practice Nursing Act, who has a graduate degree in
nursing, and who is employed by an approved academic
institution to educate registered nursing students, licensed
practical nursing students, and registered nurses pursuing
graduate degrees.
(Source: P.A. 92-43, eff. 1-1-02; 93-721, eff. 1-1-05; 93-879,
eff. 1-1-05; revised 10-25-04.)
 
    Section 50. The Academic Degree Act is amended by changing
Section 11 as follows:
 
    (110 ILCS 1010/11)  (from Ch. 144, par. 241)
    Sec. 11. Exemptions. This Act shall not apply to any school
or educational institution regulated or approved under the
Nurse Practice Act Nursing and Advanced Practice Nursing Act.
    This Act shall not apply to any of the following:
    (a) in-training programs by corporations or other business
organizations for the training of their personnel;
    (b) education or other improvement programs by business,
trade and similar organizations and associations for the
benefit of their members only; or
    (c) apprentice or other training programs by labor unions.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    Section 55. The Ambulatory Surgical Treatment Center Act is
amended by changing Section 6.5 as follows:
 
    (210 ILCS 5/6.5)
    Sec. 6.5. Clinical privileges; advanced practice nurses.
All ambulatory surgical treatment centers (ASTC) licensed
under this Act shall comply with the following requirements:
    (1) No ASTC policy, rule, regulation, or practice shall be
inconsistent with the provision of adequate collaboration and
consultation , including medical direction of licensed advanced
practice nurses, in accordance with Section 54.5 of the Medical
Practice Act of 1987.
    (2) Operative surgical procedures shall be performed only
by a physician licensed to practice medicine in all its
branches under the Medical Practice Act of 1987, a dentist
licensed under the Illinois Dental Practice Act, or a
podiatrist licensed under the Podiatric Medical Practice Act of
1987, with medical staff membership and surgical clinical
privileges granted by the consulting committee of the ASTC. A
licensed physician, dentist, or podiatrist may be assisted by a
physician licensed to practice medicine in all its branches,
dentist, dental assistant, podiatrist, licensed advanced
practice nurse, licensed physician assistant, licensed
registered nurse, licensed practical nurse, surgical
assistant, surgical technician, or other individuals granted
clinical privileges to assist in surgery by the consulting
committee of the ASTC. Payment for services rendered by an
assistant in surgery who is not an ambulatory surgical
treatment center employee shall be paid at the appropriate
non-physician modifier rate if the payor would have made
payment had the same services been provided by a physician.
    (2.5) A registered nurse licensed under the Nurse Practice
Act Nursing and Advanced Practice Nursing Act and qualified by
training and experience in operating room nursing shall be
present in the operating room and function as the circulating
nurse during all invasive or operative procedures. For purposes
of this paragraph (2.5), "circulating nurse" means a registered
nurse who is responsible for coordinating all nursing care,
patient safety needs, and the needs of the surgical team in the
operating room during an invasive or operative procedure.
    (3) An advanced practice nurse is not required to possess
prescriptive authority or a written collaborative agreement
meeting the requirements of the Nurse Practice Act to provide
advanced practice nursing services in an ambulatory surgical
treatment center. An advanced practice nurse must possess
clinical privileges granted by the consulting medical staff
committee and ambulatory surgical treatment center in order to
provide services. Individual advanced practice nurses may also
be granted clinical privileges to order, select, and administer
medications, including controlled substances, to provide
delineated care. The attending physician must determine the
advance practice nurse's role in providing care for his or her
patients, except as otherwise provided in the consulting staff
policies. The consulting medical staff committee shall
periodically review the services of advanced practice nurses
granted privileges.
    (4) (3) The anesthesia service shall be under the direction
of a physician licensed to practice medicine in all its
branches who has had specialized preparation or experience in
the area or who has completed a residency in anesthesiology. An
anesthesiologist, Board certified or Board eligible, is
recommended. Anesthesia services may only be administered
pursuant to the order of a physician licensed to practice
medicine in all its branches, licensed dentist, or licensed
podiatrist.
        (A) The individuals who, with clinical privileges
    granted by the medical staff and ASTC, may administer
    anesthesia services are limited to the following:
            (i) an anesthesiologist; or
            (ii) a physician licensed to practice medicine in
        all its branches; or
            (iii) a dentist with authority to administer
        anesthesia under Section 8.1 of the Illinois Dental
        Practice Act; or
            (iv) a licensed certified registered nurse
        anesthetist.
        (B) For anesthesia services, an anesthesiologist shall
    participate through discussion of and agreement with the
    anesthesia plan and shall remain physically present and be
    available on the premises during the delivery of anesthesia
    services for diagnosis, consultation, and treatment of
    emergency medical conditions. In the absence of 24-hour
    availability of anesthesiologists with clinical
    privileges, an alternate policy (requiring participation,
    presence, and availability of a physician licensed to
    practice medicine in all its branches) shall be developed
    by the medical staff consulting committee in consultation
    with the anesthesia service and included in the medical
    staff consulting committee policies.
        (C) A certified registered nurse anesthetist is not
    required to possess prescriptive authority or a written
    collaborative agreement meeting the requirements of
    Section 65-35 of the Nurse Practice Act 15-15 of the
    Nursing and Advanced Practice Nursing Act to provide
    anesthesia services ordered by a licensed physician,
    dentist, or podiatrist. Licensed certified registered
    nurse anesthetists are authorized to select, order, and
    administer drugs and apply the appropriate medical devices
    in the provision of anesthesia services under the
    anesthesia plan agreed with by the anesthesiologist or, in
    the absence of an available anesthesiologist with clinical
    privileges, agreed with by the operating physician,
    operating dentist, or operating podiatrist in accordance
    with the medical staff consulting committee policies of a
    licensed ambulatory surgical treatment center.
(Source: P.A. 93-352, eff. 1-1-04; 94-915, eff. 1-1-07.)
 
    Section 60. The Illinois Clinical Laboratory and Blood Bank
Act is amended by changing Section 7-101 as follows:
 
    (210 ILCS 25/7-101)  (from Ch. 111 1/2, par. 627-101)
    Sec. 7-101. Examination of specimens. A clinical
laboratory shall examine specimens only at the request of (i) a
licensed physician, (ii) a licensed dentist, (iii) a licensed
podiatrist, (iv) a therapeutic optometrist for diagnostic or
therapeutic purposes related to the use of diagnostic topical
or therapeutic ocular pharmaceutical agents, as defined in
subsections (c) and (d) of Section 15.1 of the Illinois
Optometric Practice Act of 1987, (v) a licensed physician
assistant in accordance with the written guidelines required
under subdivision (3) of Section 4 and under Section 7.5 of the
Physician Assistant Practice Act of 1987, (v-A) an advanced
practice nurse in accordance with the written collaborative
agreement required under Section 65-35 of the Nurse Practice
Act 15-15 of the Nursing and Advanced Practice Nursing Act, or
(vi) an authorized law enforcement agency or, in the case of
blood alcohol, at the request of the individual for whom the
test is to be performed in compliance with Sections 11-501 and
11-501.1 of the Illinois Vehicle Code. If the request to a
laboratory is oral, the physician or other authorized person
shall submit a written request to the laboratory within 48
hours. If the laboratory does not receive the written request
within that period, it shall note that fact in its records. For
purposes of this Section, a request made by electronic mail or
fax constitutes a written request.
(Source: P.A. 90-116, eff. 7-14-97; 90-322, eff. 1-1-98;
90-655, eff. 7-30-98; 90-666, eff. 7-30-98; 90-742, eff.
8-13-98; 91-357, eff. 7-29-99.)
 
    Section 65. The Life Care Facilities Act is amended by
changing Section 2 as follows:
 
    (210 ILCS 40/2)  (from Ch. 111 1/2, par. 4160-2)
    Sec. 2. As used in this Act, unless the context otherwise
requires:
    (a) "Department" means the Department of Public Health.
    (b) "Director" means the Director of the Department.
    (c) "Life care contract" means a contract to provide to a
person for the duration of such person's life or for a term in
excess of one year, nursing services, medical services or
personal care services, in addition to maintenance services for
such person in a facility, conditioned upon the transfer of an
entrance fee to the provider of such services in addition to or
in lieu of the payment of regular periodic charges for the care
and services involved.
    (d) "Provider" means a person who provides services
pursuant to a life care contract.
    (e) "Resident" means a person who enters into a life care
contract with a provider, or who is designated in a life care
contract to be a person provided with maintenance and nursing,
medical or personal care services.
    (f) "Facility" means a place or places in which a provider
undertakes to provide a resident with nursing services, medical
services or personal care services, in addition to maintenance
services for a term in excess of one year or for life pursuant
to a life care contract. The term also means a place or places
in which a provider undertakes to provide such services to a
non-resident.
    (g) "Living unit" means an apartment, room or other area
within a facility set aside for the exclusive use of one or
more identified residents.
    (h) "Entrance fee" means an initial or deferred transfer to
a provider of a sum of money or property, made or promised to
be made by a person entering into a life care contract, which
assures a resident of services pursuant to a life care
contract.
    (i) "Permit" means a written authorization to enter into
life care contracts issued by the Department to a provider.
    (j) "Medical services" means those services pertaining to
medical or dental care that are performed in behalf of patients
at the direction of a physician licensed under the Medical
Practice Act of 1987 or a dentist licensed under the Illinois
Dental Practice Act by such physicians or dentists, or by a
registered or licensed practical nurse as defined in the Nurse
Practice Act Nursing and Advanced Practice Nursing Act or by
other professional and technical personnel.
    (k) "Nursing services" means those services pertaining to
the curative, restorative and preventive aspects of nursing
care that are performed at the direction of a physician
licensed under the Medical Practice Act of 1987 by or under the
supervision of a registered or licensed practical nurse as
defined in the Nurse Practice Act Nursing and Advanced Practice
Nursing Act.
    (l) "Personal care services" means assistance with meals,
dressing, movement, bathing or other personal needs or
maintenance, or general supervision and oversight of the
physical and mental well-being of an individual, who is
incapable of maintaining a private, independent residence or
who is incapable of managing his person whether or not a
guardian has been appointed for such individual.
    (m) "Maintenance services" means food, shelter and laundry
services.
    (n) "Certificates of Need" means those permits issued
pursuant to the Illinois Health Facilities Planning Act as now
or hereafter amended.
    (o) "Non-resident" means a person admitted to a facility
who has not entered into a life care contract.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    Section 70. The Nursing Home Care Act is amended by
changing Section 1-118 as follows:
 
    (210 ILCS 45/1-118)  (from Ch. 111 1/2, par. 4151-118)
    Sec. 1-118. "Nurse" means a registered nurse or a licensed
practical nurse as defined in the Nurse Practice Act Nursing
and Advanced Practice Nursing Act.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    Section 75. The Emergency Medical Services (EMS) Systems
Act is amended by changing Section 3.80 as follows:
 
    (210 ILCS 50/3.80)
    Sec. 3.80. Pre-Hospital RN and Emergency Communications
Registered Nurse.
    (a) Emergency Communications Registered Nurse or "ECRN"
means a registered professional nurse, licensed under the Nurse
Practice Act Nursing and Advanced Practice Nursing Act who has
successfully completed supplemental education in accordance
with rules adopted by the Department, and who is approved by an
EMS Medical Director to monitor telecommunications from and
give voice orders to EMS System personnel, under the authority
of the EMS Medical Director and in accordance with System
protocols.
    Upon the effective date of this amendatory Act of 1995, all
existing Registered Professional Nurse/MICNs shall be
considered ECRNs.
    (b) "Pre-Hospital Registered Nurse" or "Pre-Hospital RN"
means a registered professional nurse, licensed under the Nurse
Practice Act Nursing and Advanced Practice Nursing Act who has
successfully completed supplemental education in accordance
with rules adopted by the Department pursuant to this Act, and
who is approved by an EMS Medical Director to practice within
an EMS System as emergency medical services personnel for
pre-hospital and inter-hospital emergency care and
non-emergency medical transports.
    Upon the effective date of this amendatory Act of 1995, all
existing Registered Professional Nurse/Field RNs shall be
considered Pre-Hospital RNs.
    (c) The Department shall have the authority and
responsibility to:
        (1) Prescribe education and continuing education
    requirements for Pre-Hospital RN and ECRN candidates
    through rules adopted pursuant to this Act:
            (A) Education for Pre-Hospital RN shall include
        extrication, telecommunications, and pre-hospital
        cardiac and trauma care;
            (B) Education for ECRN shall include
        telecommunications, System standing medical orders and
        the procedures and protocols established by the EMS
        Medical Director;
            (C) A Pre-Hospital RN candidate who is fulfilling
        clinical training and in-field supervised experience
        requirements may perform prescribed procedures under
        the direct supervision of a physician licensed to
        practice medicine in all of its branches, a qualified
        registered professional nurse or a qualified EMT, only
        when authorized by the EMS Medical Director;
            (D) An EMS Medical Director may impose in-field
        supervised field experience requirements on System
        ECRNs as part of their training or continuing
        education, in which they perform prescribed procedures
        under the direct supervision of a physician licensed to
        practice medicine in all of its branches, a qualified
        registered professional nurse or qualified EMT, only
        when authorized by the EMS Medical Director;
        (2) Require EMS Medical Directors to reapprove
    Pre-Hospital RNs and ECRNs every 4 years, based on
    compliance with continuing education requirements
    prescribed by the Department through rules adopted
    pursuant to this Act;
        (3) Allow EMS Medical Directors to grant inactive
    status to any Pre-Hospital RN or ECRN who qualifies, based
    on standards and procedures established by the Department
    in rules adopted pursuant to this Act;
        (4) Require a Pre-Hospital RN to honor Do Not
    Resuscitate (DNR) orders and powers of attorney for health
    care only in accordance with rules adopted by the
    Department pursuant to this Act and protocols of the EMS
    System in which he or she practices.
(Source: P.A. 89-177, eff. 7-19-95; 90-742, eff. 8-13-98.)
 
    Section 80. The Home Health, Home Services, and Home
Nursing Agency Licensing Act is amended by changing Section
2.09 as follows:
 
    (210 ILCS 55/2.09)
    Sec. 2.09. "Home services" or "in-home services" means
assistance with activities of daily living, housekeeping,
personal laundry, and companionship provided to an individual
in his or her personal residence, which are intended to enable
that individual to remain safely and comfortably in his or her
own personal residence. "Home services" or "in-home services"
does not include services that would be required to be
performed by an individual licensed under the Nurse Practice
Act Nursing and Advanced Practice Nursing Act.
(Source: P.A. 94-379, eff. 1-1-06.)
 
    Section 85. The Home Health, Home Services, and Home
Nursing Agency Licensing Act is amended by changing Section 6.3
as follows:
 
    (210 ILCS 55/6.3)
    Sec. 6.3. Home services agencies; standards; fees.
    (a) Before January 1, 2008, the Department shall adopt
standards for the licensure and operation of home services
agencies operated in this State. The structure of the standards
shall be based on the concept of home services and its focus on
assistance with activities of daily living, housekeeping,
personal laundry, and companionship being provided to an
individual intended to enable that individual to remain safely
and comfortably in his or her own personal residence. As home
services do not include services that would be required to be
performed by an individual licensed under the Nurse Practice
Act Nursing and Advanced Practice Nursing Act, the standards
shall be developed from a similar concept. After consideration
and recommendations by the Home Health and Home Services
Advisory Committee, the Department shall adopt such rules and
regulations as are necessary for the proper regulation of home
services agencies. Requirements for licensure as a home
services agency shall include the following:
        (1) Compliance with the requirements of the Health Care
    Worker Background Check Act.
        (2) Notification, in a form and manner established by
    the Department by rule, to home services workers and
    consumers as to the party or parties responsible under
    State and federal laws for payment of employment taxes,
    social security taxes, and workers' compensation,
    liability, the day-to-day supervision of workers, and the
    hiring, firing, and discipline of workers with the
    placement arrangement for home services.
        (3) Compliance with rules, as adopted by the
    Department, in regard to (i) reporting by the licensee of
    any known or suspected incidences of abuse, neglect, or
    financial exploitation of an eligible adult, as defined in
    the Elder Abuse and Neglect Act, by a home services worker
    employed by or placed by the licensee or (ii) reports to a
    law enforcement agency in connection with any other
    individual protected under the laws of the State of
    Illinois.
        (4) Compliance with rules, as adopted by the
    Department, addressing the health, safety, and well-being
    of clients receiving home services.
    (b) The Department may establish fees for home services
agency licensure in rules in a manner that will make the
program self-supporting. The amount of the licensure fees shall
be based on the funding required for operation of the licensure
program.
(Source: P.A. 94-379, eff. 1-1-06.)
 
    Section 90. The End Stage Renal Disease Facility Act is
amended by changing Section 5 as follows:
 
    (210 ILCS 62/5)
    Sec. 5. Definitions. As used in this Act:
    "Committee" means the End Stage Renal Disease Advisory
Committee.
    "Department" means the Department of Public Health.
    "Dialysis" means a process by which dissolved substances
are removed from a patient's body by diffusion from one fluid
compartment to another across a semipermeable membrane.
    "Dialysis technician" means an individual who is not a
registered nurse or physician and who provides dialysis care
under the supervision of a registered nurse or physician.
    "Director" means the Director of Public Health.
    "End stage renal disease" means that stage of renal
impairment that appears irreversible and permanent and that
requires a regular course of dialysis or kidney transplantation
to maintain life.
    "End stage renal disease facility" or "ESRDF" means a
facility that provides dialysis treatment or dialysis training
to individuals with end stage renal disease.
    "Licensee" means an individual or entity licensed by the
Department to operate an end stage renal disease facility.
    "Nurse" means an individual who is licensed to practice
nursing under the Nurse Practice Act Nursing and Advanced
Practice Nursing Act.
    "Patient" means any individual receiving treatment from an
end stage renal disease facility.
    "Person" means any individual, firm, partnership,
corporation, company, association, or other legal entity.
    "Physician" means an individual who is licensed to practice
medicine in all of its branches under the Medical Practice Act
of 1987.
(Source: P.A. 92-794, eff. 7-1-03.)
 
    Section 95. The Hospital Licensing Act is amended by
changing Sections 10, 10.7, and 10.9 as follows:
 
    (210 ILCS 85/10)  (from Ch. 111 1/2, par. 151)
    Sec. 10. Board creation; Department rules.
    (a) The Governor shall appoint a Hospital Licensing Board
composed of 14 persons, which shall advise and consult with the
Director in the administration of this Act. The Secretary of
Human Services (or his or her designee) shall serve on the
Board, along with one additional representative of the
Department of Human Services to be designated by the Secretary.
Four appointive members shall represent the general public and
2 of these shall be members of hospital governing boards; one
appointive member shall be a registered professional nurse or
advanced practice, nurse as defined in the Nurse Practice Act
Nursing and Advanced Practice Nursing Act, who is employed in a
hospital; 3 appointive members shall be hospital
administrators actively engaged in the supervision or
administration of hospitals; 2 appointive members shall be
practicing physicians, licensed in Illinois to practice
medicine in all of its branches; and one appointive member
shall be a physician licensed to practice podiatric medicine
under the Podiatric Medical Practice Act of 1987; and one
appointive member shall be a dentist licensed to practice
dentistry under the Illinois Dental Practice Act. In making
Board appointments, the Governor shall give consideration to
recommendations made through the Director by professional
organizations concerned with hospital administration for the
hospital administrative and governing board appointments,
registered professional nurse organizations for the registered
professional nurse appointment, professional medical
organizations for the physician appointments, and professional
dental organizations for the dentist appointment.
    (b) Each appointive member shall hold office for a term of
3 years, except that any member appointed to fill a vacancy
occurring prior to the expiration of the term for which his
predecessor was appointed shall be appointed for the remainder
of such term and the terms of office of the members first
taking office shall expire, as designated at the time of
appointment, 2 at the end of the first year, 2 at the end of the
second year, and 3 at the end of the third year, after the date
of appointment. The initial terms of office of the 2 additional
members representing the general public provided for in this
Section shall expire at the end of the third year after the
date of appointment. The term of office of each original
appointee shall commence July 1, 1953; the term of office of
the original registered professional nurse appointee shall
commence July 1, 1969; the term of office of the original
licensed podiatrist appointee shall commence July 1, 1981; the
term of office of the original dentist appointee shall commence
July 1, 1987; and the term of office of each successor shall
commence on July 1 of the year in which his predecessor's term
expires. Board members, while serving on business of the Board,
shall receive actual and necessary travel and subsistence
expenses while so serving away from their places of residence.
The Board shall meet as frequently as the Director deems
necessary, but not less than once a year. Upon request of 5 or
more members, the Director shall call a meeting of the Board.
    (c) The Director shall prescribe rules, regulations,
standards, and statements of policy needed to implement,
interpret, or make specific the provisions and purposes of this
Act. The Department shall adopt rules which set forth standards
for determining when the public interest, safety or welfare
requires emergency action in relation to termination of a
research program or experimental procedure conducted by a
hospital licensed under this Act. No rule, regulation, or
standard shall be adopted by the Department concerning the
operation of hospitals licensed under this Act which has not
had prior approval of the Hospital Licensing Board, nor shall
the Department adopt any rule, regulation or standard relating
to the establishment of a hospital without consultation with
the Hospital Licensing Board.
    (d) Within one year after the effective date of this
amendatory Act of 1984, all hospitals licensed under this Act
and providing perinatal care shall comply with standards of
perinatal care promulgated by the Department. The Director
shall promulgate rules or regulations under this Act which are
consistent with "An Act relating to the prevention of
developmental disabilities", approved September 6, 1973, as
amended.
(Source: P.A. 89-507, eff. 7-1-97; 90-742, eff. 8-13-98.)
 
    (210 ILCS 85/10.7)
    Sec. 10.7. Clinical privileges; advanced practice nurses.
All hospitals licensed under this Act shall comply with the
following requirements:
    (1) No hospital policy, rule, regulation, or practice shall
be inconsistent with the provision of adequate collaboration
and consultation , including medical direction of licensed
advanced practice nurses, in accordance with Section 54.5 of
the Medical Practice Act of 1987.
    (2) Operative surgical procedures shall be performed only
by a physician licensed to practice medicine in all its
branches under the Medical Practice Act of 1987, a dentist
licensed under the Illinois Dental Practice Act, or a
podiatrist licensed under the Podiatric Medical Practice Act of
1987, with medical staff membership and surgical clinical
privileges granted at the hospital. A licensed physician,
dentist, or podiatrist may be assisted by a physician licensed
to practice medicine in all its branches, dentist, dental
assistant, podiatrist, licensed advanced practice nurse,
licensed physician assistant, licensed registered nurse,
licensed practical nurse, surgical assistant, surgical
technician, or other individuals granted clinical privileges
to assist in surgery at the hospital. Payment for services
rendered by an assistant in surgery who is not a hospital
employee shall be paid at the appropriate non-physician
modifier rate if the payor would have made payment had the same
services been provided by a physician.
    (2.5) A registered nurse licensed under the Nurse Practice
Act Nursing and Advanced Practice Nursing Act and qualified by
training and experience in operating room nursing shall be
present in the operating room and function as the circulating
nurse during all invasive or operative procedures. For purposes
of this paragraph (2.5), "circulating nurse" means a registered
nurse who is responsible for coordinating all nursing care,
patient safety needs, and the needs of the surgical team in the
operating room during an invasive or operative procedure.
    (3) An advanced practice nurse is not required to possess
prescriptive authority or a written collaborative agreement
meeting the requirements of the Nurse Practice Act to provide
advanced practice nursing services in a hospital. An advanced
practice nurse must possess clinical privileges recommended by
the medical staff and granted by the hospital in order to
provide services. Individual advanced practice nurses may also
be granted clinical privileges to order, select, and administer
medications, including controlled substances, to provide
delineated care. The attending physician must determine the
advance practice nurse's role in providing care for his or her
patients, except as otherwise provided in medical staff bylaws.
The medical staff shall periodically review the services of
advanced practice nurses granted privileges. This review shall
be conducted in accordance with item (2) of subsection (a) of
Section 10.8 of this Act for advanced practice nurses employed
by the hospital.
    (4) (3) The anesthesia service shall be under the direction
of a physician licensed to practice medicine in all its
branches who has had specialized preparation or experience in
the area or who has completed a residency in anesthesiology. An
anesthesiologist, Board certified or Board eligible, is
recommended. Anesthesia services may only be administered
pursuant to the order of a physician licensed to practice
medicine in all its branches, licensed dentist, or licensed
podiatrist.
        (A) The individuals who, with clinical privileges
    granted at the hospital, may administer anesthesia
    services are limited to the following:
            (i) an anesthesiologist; or
            (ii) a physician licensed to practice medicine in
        all its branches; or
            (iii) a dentist with authority to administer
        anesthesia under Section 8.1 of the Illinois Dental
        Practice Act; or
            (iv) a licensed certified registered nurse
        anesthetist.
        (B) For anesthesia services, an anesthesiologist shall
    participate through discussion of and agreement with the
    anesthesia plan and shall remain physically present and be
    available on the premises during the delivery of anesthesia
    services for diagnosis, consultation, and treatment of
    emergency medical conditions. In the absence of 24-hour
    availability of anesthesiologists with medical staff
    privileges, an alternate policy (requiring participation,
    presence, and availability of a physician licensed to
    practice medicine in all its branches) shall be developed
    by the medical staff and licensed hospital in consultation
    with the anesthesia service.
        (C) A certified registered nurse anesthetist is not
    required to possess prescriptive authority or a written
    collaborative agreement meeting the requirements of
    Section 65-35 of the Nurse Practice Act Section 15-15 of
    the Nursing and Advanced Practice Nursing Act to provide
    anesthesia services ordered by a licensed physician,
    dentist, or podiatrist. Licensed certified registered
    nurse anesthetists are authorized to select, order, and
    administer drugs and apply the appropriate medical devices
    in the provision of anesthesia services under the
    anesthesia plan agreed with by the anesthesiologist or, in
    the absence of an available anesthesiologist with clinical
    privileges, agreed with by the operating physician,
    operating dentist, or operating podiatrist in accordance
    with the hospital's alternative policy.
(Source: P.A. 93-352, eff. 1-1-04; 94-915, eff. 1-1-07.)
 
    (210 ILCS 85/10.9)
    Sec. 10.9. Nurse mandated overtime prohibited.
    (a) Definitions. As used in this Section:
    "Mandated overtime" means work that is required by the
hospital in excess of an agreed-to, predetermined work shift.
Time spent by nurses required to be available as a condition of
employment in specialized units, such as surgical nursing
services, shall not be counted or considered in calculating the
amount of time worked for the purpose of applying the
prohibition against mandated overtime under subsection (b).
    "Nurse" means any advanced practice nurse, registered
professional nurse, or licensed practical nurse, as defined in
the Nurse Practice Act Nursing and Advanced Practice Nursing
Act, who receives an hourly wage and has direct responsibility
to oversee or carry out nursing care. For the purposes of this
Section, "advanced practice nurse" does not include a certified
registered nurse anesthetist who is primarily engaged in
performing the duties of a nurse anesthetist.
    "Unforeseen emergent circumstance" means (i) any declared
national, State, or municipal disaster or other catastrophic
event, or any implementation of a hospital's disaster plan,
that will substantially affect or increase the need for health
care services or (ii) any circumstance in which patient care
needs require specialized nursing skills through the
completion of a procedure. An "unforeseen emergent
circumstance" does not include situations in which the hospital
fails to have enough nursing staff to meet the usual and
reasonably predictable nursing needs of its patients.
    (b) Mandated overtime prohibited. No nurse may be required
to work mandated overtime except in the case of an unforeseen
emergent circumstance when such overtime is required only as a
last resort. Such mandated overtime shall not exceed 4 hours
beyond an agreed-to, predetermined work shift.
    (c) Off-duty period. When a nurse is mandated to work up to
12 consecutive hours, the nurse must be allowed at least 8
consecutive hours of off-duty time immediately following the
completion of a shift.
    (d) Retaliation prohibited. No hospital may discipline,
discharge, or take any other adverse employment action against
a nurse solely because the nurse refused to work mandated
overtime as prohibited under subsection (b).
    (e) Violations. Any employee of a hospital that is subject
to this Act may file a complaint with the Department of Public
Health regarding an alleged violation of this Section. The
complaint must be filed within 45 days following the occurrence
of the incident giving rise to the alleged violation. The
Department must forward notification of the alleged violation
to the hospital in question within 3 business days after the
complaint is filed. Upon receiving a complaint of a violation
of this Section, the Department may take any action authorized
under Section 7 or 9 of this Act.
    (f) Proof of violation. Any violation of this Section must
be proved by clear and convincing evidence that a nurse was
required to work overtime against his or her will. The hospital
may defeat the claim of a violation by presenting clear and
convincing evidence that an unforeseen emergent circumstance,
which required overtime work, existed at the time the employee
was required or compelled to work.
(Source: P.A. 94-349, eff. 7-28-05.)
 
    Section 100. The Hospital Report Card Act is amended by
changing Section 10 as follows:
 
    (210 ILCS 86/10)
    Sec. 10. Definitions. For the purpose of this Act:
    "Average daily census" means the average number of
inpatients receiving service on any given 24-hour period
beginning at midnight in each clinical service area of the
hospital.
    "Clinical service area" means a grouping of clinical
services by a generic class of various types or levels of
support functions, equipment, care, or treatment provided to
inpatients. Hospitals may have, but are not required to have,
the following categories of service: behavioral health,
critical care, maternal-child care, medical-surgical,
pediatrics, perioperative services, and telemetry.
    "Department" means the Department of Public Health.
    "Direct-care nurse" and "direct-care nursing staff"
includes any registered nurse, licensed practical nurse, or
assistive nursing personnel with direct responsibility to
oversee or carry out medical regimens or nursing care for one
or more patient.
    "Hospital" means a health care facility licensed under the
Hospital Licensing Act.
    "Nursing care" means care that falls within the scope of
practice set forth in the Nurse Practice Act Nursing and
Advanced Practice Nursing Act or is otherwise encompassed
within recognized professional standards of nursing practice,
including assessment, nursing diagnosis, planning,
intervention, evaluation, and patient advocacy.
    "Retaliate" means to discipline, discharge, suspend,
demote, harass, deny employment or promotion, lay off, or take
any other adverse action against direct-care nursing staff as a
result of that nursing staff taking any action described in
this Act.
    "Skill mix" means the differences in licensing, specialty,
and experiences among direct-care nurses.
    "Staffing levels" means the numerical nurse to patient
ratio by licensed nurse classification within a nursing
department or unit.
    "Unit" means a functional division or area of a hospital in
which nursing care is provided.
(Source: P.A. 93-563, eff. 1-1-04.)
 
    Section 105. The Illinois Dental Practice Act is amended by
changing Section 4 as follows:
 
    (225 ILCS 25/4)   (from Ch. 111, par. 2304)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 4. Definitions. As used in this Act:
    (a) "Department" means the Illinois Department of
Professional Regulation.
    (b) "Director" means the Director of Professional
Regulation.
    (c) "Board" means the Board of Dentistry established by
Section 6 of this Act.
    (d) "Dentist" means a person who has received a general
license pursuant to paragraph (a) of Section 11 of this Act and
who may perform any intraoral and extraoral procedure required
in the practice of dentistry and to whom is reserved the
responsibilities specified in Section 17.
    (e) "Dental hygienist" means a person who holds a license
under this Act to perform dental services as authorized by
Section 18.
    (f) "Dental assistant" means an appropriately trained
person who, under the supervision of a dentist, provides dental
services as authorized by Section 17.
    (g) "Dental laboratory" means a person, firm or corporation
which:
        (i) engages in making, providing, repairing or
    altering dental prosthetic appliances and other artificial
    materials and devices which are returned to a dentist for
    insertion into the human oral cavity or which come in
    contact with its adjacent structures and tissues; and
        (ii) utilizes or employs a dental technician to provide
    such services; and
        (iii) performs such functions only for a dentist or
    dentists.
    (h) "Supervision" means supervision of a dental hygienist
or a dental assistant requiring that a dentist authorize the
procedure, remain in the dental facility while the procedure is
performed, and approve the work performed by the dental
hygienist or dental assistant before dismissal of the patient,
but does not mean that the dentist must be present at all times
in the treatment room.
    (i) "General supervision" means supervision of a dental
hygienist requiring that the patient be a patient of record,
that the dentist examine the patient in accordance with Section
18 prior to treatment by the dental hygienist, and that the
dentist authorize the procedures which are being carried out by
a notation in the patient's record, but not requiring that a
dentist be present when the authorized procedures are being
performed. The issuance of a prescription to a dental
laboratory by a dentist does not constitute general
supervision.
    (j) "Public member" means a person who is not a health
professional. For purposes of board membership, any person with
a significant financial interest in a health service or
profession is not a public member.
    (k) "Dentistry" means the healing art which is concerned
with the examination, diagnosis, treatment planning and care of
conditions within the human oral cavity and its adjacent
tissues and structures, as further specified in Section 17.
    (l) "Branches of dentistry" means the various specialties
of dentistry which, for purposes of this Act, shall be limited
to the following: endodontics, oral and maxillofacial surgery,
orthodontics and dentofacial orthopedics, pediatric dentistry,
periodontics, prosthodontics, and oral and maxillofacial
radiology.
    (m) "Specialist" means a dentist who has received a
specialty license pursuant to Section 11(b).
    (n) "Dental technician" means a person who owns, operates
or is employed by a dental laboratory and engages in making,
providing, repairing or altering dental prosthetic appliances
and other artificial materials and devices which are returned
to a dentist for insertion into the human oral cavity or which
come in contact with its adjacent structures and tissues.
    (o) "Impaired dentist" or "impaired dental hygienist"
means a dentist or dental hygienist who is unable to practice
with reasonable skill and safety because of a physical or
mental disability as evidenced by a written determination or
written consent based on clinical evidence, including
deterioration through the aging process, loss of motor skills,
abuse of drugs or alcohol, or a psychiatric disorder, of
sufficient degree to diminish the person's ability to deliver
competent patient care.
    (p) "Nurse" means a registered professional nurse, a
certified registered nurse anesthetist licensed as an advanced
practice nurse, or a licensed practical nurse licensed under
the Nurse Practice Act Nursing and Advanced Practice Nursing
Act.
    (q) "Patient of record" means a patient for whom the
patient's most recent dentist has obtained a relevant medical
and dental history and on whom the dentist has performed an
examination and evaluated the condition to be treated.
    (r) "Dental emergency responder" means a dentist or dental
hygienist who is appropriately certified in emergency medical
response, as defined by the Department of Public Health.
(Source: P.A. 93-821, eff. 7-28-04; 94-409, eff. 12-31-05.)
 
    Section 106. If and only if Senate Bill 214 of the 95th
General Assembly becomes law, the Illinois Dental Practice Act
is amended by changing Section 8.1 as follows:
 
    (225 ILCS 25/8.1)  (from Ch. 111, par. 2308.1)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 8.1. Permit for the administration of anesthesia and
sedation.
    (a) No licensed dentist shall administer general
anesthesia, deep sedation, or conscious sedation without first
applying for and obtaining a permit for such purpose from the
Department. The Department shall issue such permit only after
ascertaining that the applicant possesses the minimum
qualifications necessary to protect public safety. A person
with a dental degree who administers anesthesia, deep sedation,
or conscious sedation in an approved hospital training program
under the supervision of either a licensed dentist holding such
permit or a physician licensed to practice medicine in all its
branches shall not be required to obtain such permit.
    (b) In determining the minimum permit qualifications that
are necessary to protect public safety, the Department, by
rule, shall:
        (1) establish the minimum educational and training
    requirements necessary for a dentist to be issued an
    appropriate permit;
        (2) establish the standards for properly equipped
    dental facilities (other than licensed hospitals and
    ambulatory surgical treatment centers) in which general
    anesthesia, deep sedation, or conscious sedation is
    administered, as necessary to protect public safety;
        (3) establish minimum requirements for all persons who
    assist the dentist in the administration of general
    anesthesia, deep sedation, or conscious sedation,
    including minimum training requirements for each member of
    the dental team, monitoring requirements, recordkeeping
    requirements, and emergency procedures; and
        (4) ensure that the dentist and all persons assisting
    the dentist or monitoring the administration of general
    anesthesia, deep sedation, or conscious sedation maintain
    current certification in Basic Life Support (BLS).
        (5) establish continuing education requirements in
    sedation techniques for dentists who possess a permit under
    this Section.
When establishing requirements under this Section, the
Department shall consider the current American Dental
Association guidelines on sedation and general anesthesia, the
current "Guidelines for Monitoring and Management of Pediatric
Patients During and After Sedation for Diagnostic and
Therapeutic Procedures" established by the American Academy of
Pediatrics and the American Academy of Pediatric Dentistry, and
the current parameters of care and Office Anesthesia Evaluation
(OAE) Manual established by the American Association of Oral
and Maxillofacial Surgeons.
    (c) A licensed dentist must hold an appropriate permit
issued under this Section in order to perform dentistry while a
nurse anesthetist administers conscious sedation, and a valid
written collaborative practice agreement must exist between
the dentist and the nurse anesthetist, in accordance with the
Nursing and Advanced Practice Nursing Act.
    A licensed dentist must hold an appropriate permit issued
under this Section in order to perform dentistry while a nurse
anesthetist administers deep sedation or general anesthesia,
and a valid written collaborative practice agreement must exist
between the dentist and the nurse anesthetist, in accordance
with the Nursing and Advanced Practice Nursing Act.
    For the purposes of this subsection (c), "nurse
anesthetist" means a licensed certified registered nurse
anesthetist who holds a license as an advanced practice nurse.
(Source: 95SB0214enr.)
 
    Section 110. The Health Care Worker Background Check Act is
amended by changing Section 25 as follows:
 
    (225 ILCS 46/25)
    Sec. 25. Persons ineligible to be hired by health care
employers and long-term care facilities.
    (a) After January 1, 1996, January 1, 1997, or the
effective date of this amendatory Act of the 94th General
Assembly, as applicable, no health care employer shall
knowingly hire, employ, or retain any individual in a position
with duties involving direct care for clients, patients, or
residents, and no long-term care facility shall knowingly hire,
employ, or retain any individual in a position with duties that
involve or may involve contact with residents or access to the
living quarters or the financial, medical, or personal records
of residents, who has been convicted of committing or
attempting to commit one or more of the offenses defined in
Sections 8-1.1, 8-1.2, 9-1, 9-1.2, 9-2, 9-2.1, 9-3, 9-3.1,
9-3.2, 9-3.3, 10-1, 10-2, 10-3, 10-3.1, 10-4, 10-5, 10-7, 11-6,
11-9.1, 11-9.5, 11-19.2, 11-20.1, 12-1, 12-2, 12-3, 12-3.1,
12-3.2, 12-4, 12-4.1, 12-4.2, 12-4.3, 12-4.4, 12-4.5, 12-4.6,
12-4.7, 12-7.4, 12-11, 12-13, 12-14, 12-14.1, 12-15, 12-16,
12-19, 12-21, 12-21.6, 12-32, 12-33, 16-1, 16-1.3, 16A-3, 17-3,
18-1, 18-2, 18-3, 18-4, 18-5, 19-1, 19-3, 19-4, 20-1, 20-1.1,
24-1, 24-1.2, 24-1.5, or 33A-2 of the Criminal Code of 1961;
those provided in Section 4 of the Wrongs to Children Act;
those provided in Section 53 of the Criminal Jurisprudence Act;
those defined in Section 5, 5.1, 5.2, 7, or 9 of the Cannabis
Control Act; those defined in the Methamphetamine Control and
Community Protection Act; or those defined in Sections 401,
401.1, 404, 405, 405.1, 407, or 407.1 of the Illinois
Controlled Substances Act, unless the applicant or employee
obtains a waiver pursuant to Section 40.
    (a-1) After January 1, 2004, no health care employer shall
knowingly hire any individual in a position with duties
involving direct care for clients, patients, or residents, and
no long-term care facility shall knowingly hire any individual
in a position with duties that involve or may involve contact
with residents or access to the living quarters or the
financial, medical, or personal records of residents, who has
(i) been convicted of committing or attempting to commit one or
more of the offenses defined in Section 12-3.3, 12-4.2-5, 16-2,
16G-15, 16G-20, 18-5, 20-1.2, 24-1.1, 24-1.2-5, 24-1.6,
24-3.2, or 24-3.3 of the Criminal Code of 1961; Section 4, 5,
6, 8, or 17.02 of the Illinois Credit Card and Debit Card Act;
or Section 5.1 of the Wrongs to Children Act; or (ii) violated
Section 50-50 of the Nurse Practice Act Section 10-5 of the
Nursing and Advanced Practice Nursing Act.
    A UCIA criminal history record check need not be redone for
health care employees who have been continuously employed by a
health care employer since January 1, 2004, but nothing in this
Section prohibits a health care employer from initiating a
criminal history check for these employees.
    A health care employer is not required to retain an
individual in a position with duties involving direct care for
clients, patients, or residents, and no long-term care facility
is required to retain an individual in a position with duties
that involve or may involve contact with residents or access to
the living quarters or the financial, medical, or personal
records of residents, who has been convicted of committing or
attempting to commit one or more of the offenses enumerated in
this subsection.
    (b) A health care employer shall not hire, employ, or
retain any individual in a position with duties involving
direct care of clients, patients, or residents, and no
long-term care facility shall knowingly hire, employ, or retain
any individual in a position with duties that involve or may
involve contact with residents or access to the living quarters
or the financial, medical, or personal records of residents, if
the health care employer becomes aware that the individual has
been convicted in another state of committing or attempting to
commit an offense that has the same or similar elements as an
offense listed in subsection (a) or (a-1), as verified by court
records, records from a state agency, or an FBI criminal
history record check. This shall not be construed to mean that
a health care employer has an obligation to conduct a criminal
history records check in other states in which an employee has
resided.
(Source: P.A. 93-224, eff. 7-18-03; 94-556, eff. 9-11-05;
94-665, eff. 1-1-06; 94-1053, eff. 7-24-06.)
 
    Section 115. The Health Care Worker Self-Referral Act is
amended by changing Section 15 as follows:
 
    (225 ILCS 47/15)
    Sec. 15. Definitions. In this Act:
    (a) "Board" means the Health Facilities Planning Board.
    (b) "Entity" means any individual, partnership, firm,
corporation, or other business that provides health services
but does not include an individual who is a health care worker
who provides professional services to an individual.
    (c) "Group practice" means a group of 2 or more health care
workers legally organized as a partnership, professional
corporation, not-for-profit corporation, faculty practice plan
or a similar association in which:
        (1) each health care worker who is a member or employee
    or an independent contractor of the group provides
    substantially the full range of services that the health
    care worker routinely provides, including consultation,
    diagnosis, or treatment, through the use of office space,
    facilities, equipment, or personnel of the group;
        (2) the services of the health care workers are
    provided through the group, and payments received for
    health services are treated as receipts of the group; and
        (3) the overhead expenses and the income from the
    practice are distributed by methods previously determined
    by the group.
    (d) "Health care worker" means any individual licensed
under the laws of this State to provide health services,
including but not limited to: dentists licensed under the
Illinois Dental Practice Act; dental hygienists licensed under
the Illinois Dental Practice Act; nurses and advanced practice
nurses licensed under the Nurse Practice Act Nursing and
Advanced Practice Nursing Act; occupational therapists
licensed under the Illinois Occupational Therapy Practice Act;
optometrists licensed under the Illinois Optometric Practice
Act of 1987; pharmacists licensed under the Pharmacy Practice
Act of 1987; physical therapists licensed under the Illinois
Physical Therapy Act; physicians licensed under the Medical
Practice Act of 1987; physician assistants licensed under the
Physician Assistant Practice Act of 1987; podiatrists licensed
under the Podiatric Medical Practice Act of 1987; clinical
psychologists licensed under the Clinical Psychologist
Licensing Act; clinical social workers licensed under the
Clinical Social Work and Social Work Practice Act;
speech-language pathologists and audiologists licensed under
the Illinois Speech-Language Pathology and Audiology Practice
Act; or hearing instrument dispensers licensed under the
Hearing Instrument Consumer Protection Act, or any of their
successor Acts.
    (e) "Health services" means health care procedures and
services provided by or through a health care worker.
    (f) "Immediate family member" means a health care worker's
spouse, child, child's spouse, or a parent.
    (g) "Investment interest" means an equity or debt security
issued by an entity, including, without limitation, shares of
stock in a corporation, units or other interests in a
partnership, bonds, debentures, notes, or other equity
interests or debt instruments except that investment interest
for purposes of Section 20 does not include interest in a
hospital licensed under the laws of the State of Illinois.
    (h) "Investor" means an individual or entity directly or
indirectly owning a legal or beneficial ownership or investment
interest, (such as through an immediate family member, trust,
or another entity related to the investor).
    (i) "Office practice" includes the facility or facilities
at which a health care worker, on an ongoing basis, provides or
supervises the provision of professional health services to
individuals.
    (j) "Referral" means any referral of a patient for health
services, including, without limitation:
        (1) The forwarding of a patient by one health care
    worker to another health care worker or to an entity
    outside the health care worker's office practice or group
    practice that provides health services.
        (2) The request or establishment by a health care
    worker of a plan of care outside the health care worker's
    office practice or group practice that includes the
    provision of any health services.
(Source: P.A. 89-72, eff. 12-31-95; 90-742, eff. 8-13-98.)
 
    Section 120. The Medical Practice Act of 1987 is amended by
changing Sections 23 and 54.5 and by adding Section 8.1 as
follows:
 
    (225 ILCS 60/8.1 new)
    Sec. 8.1. Matters concerning advanced practice nurses. Any
proposed rules, amendments, second notice materials and
adopted rule or amendment materials, and policy statements
concerning advanced practice nurses shall be presented to the
Medical Licensing Board for review and comment. The
recommendations of both the Board of Nursing and the Medical
Licensing Board shall be presented to the Secretary for
consideration in making final decisions. Whenever the Board of
Nursing and the Medical Licensing Board disagree on a proposed
rule or policy, the Secretary shall convene a joint meeting of
the officers of each Board to discuss the resolution of any
such disagreements.
 
    (225 ILCS 60/23)  (from Ch. 111, par. 4400-23)
    (Section scheduled to be repealed on December 31, 2008)
    Sec. 23. Reports relating to professional conduct and
capacity.
    (A) Entities required to report.
        (1) Health care institutions. The chief administrator
    or executive officer of any health care institution
    licensed by the Illinois Department of Public Health shall
    report to the Disciplinary Board when any person's clinical
    privileges are terminated or are restricted based on a
    final determination, in accordance with that institution's
    by-laws or rules and regulations, that a person has either
    committed an act or acts which may directly threaten
    patient care, and not of an administrative nature, or that
    a person may be mentally or physically disabled in such a
    manner as to endanger patients under that person's care.
    Such officer also shall report if a person accepts
    voluntary termination or restriction of clinical
    privileges in lieu of formal action based upon conduct
    related directly to patient care and not of an
    administrative nature, or in lieu of formal action seeking
    to determine whether a person may be mentally or physically
    disabled in such a manner as to endanger patients under
    that person's care. The Medical Disciplinary Board shall,
    by rule, provide for the reporting to it of all instances
    in which a person, licensed under this Act, who is impaired
    by reason of age, drug or alcohol abuse or physical or
    mental impairment, is under supervision and, where
    appropriate, is in a program of rehabilitation. Such
    reports shall be strictly confidential and may be reviewed
    and considered only by the members of the Disciplinary
    Board, or by authorized staff as provided by rules of the
    Disciplinary Board. Provisions shall be made for the
    periodic report of the status of any such person not less
    than twice annually in order that the Disciplinary Board
    shall have current information upon which to determine the
    status of any such person. Such initial and periodic
    reports of impaired physicians shall not be considered
    records within the meaning of The State Records Act and
    shall be disposed of, following a determination by the
    Disciplinary Board that such reports are no longer
    required, in a manner and at such time as the Disciplinary
    Board shall determine by rule. The filing of such reports
    shall be construed as the filing of a report for purposes
    of subsection (C) of this Section.
        (2) Professional associations. The President or chief
    executive officer of any association or society, of persons
    licensed under this Act, operating within this State shall
    report to the Disciplinary Board when the association or
    society renders a final determination that a person has
    committed unprofessional conduct related directly to
    patient care or that a person may be mentally or physically
    disabled in such a manner as to endanger patients under
    that person's care.
        (3) Professional liability insurers. Every insurance
    company which offers policies of professional liability
    insurance to persons licensed under this Act, or any other
    entity which seeks to indemnify the professional liability
    of a person licensed under this Act, shall report to the
    Disciplinary Board the settlement of any claim or cause of
    action, or final judgment rendered in any cause of action,
    which alleged negligence in the furnishing of medical care
    by such licensed person when such settlement or final
    judgment is in favor of the plaintiff.
        (4) State's Attorneys. The State's Attorney of each
    county shall report to the Disciplinary Board all instances
    in which a person licensed under this Act is convicted or
    otherwise found guilty of the commission of any felony. The
    State's Attorney of each county may report to the
    Disciplinary Board through a verified complaint any
    instance in which the State's Attorney believes that a
    physician has willfully violated the notice requirements
    of the Parental Notice of Abortion Act of 1995.
        (5) State agencies. All agencies, boards, commissions,
    departments, or other instrumentalities of the government
    of the State of Illinois shall report to the Disciplinary
    Board any instance arising in connection with the
    operations of such agency, including the administration of
    any law by such agency, in which a person licensed under
    this Act has either committed an act or acts which may be a
    violation of this Act or which may constitute
    unprofessional conduct related directly to patient care or
    which indicates that a person licensed under this Act may
    be mentally or physically disabled in such a manner as to
    endanger patients under that person's care.
    (B) Mandatory reporting. All reports required by items
(34), (35), and (36) of subsection (A) of Section 22 and by
Section 23 shall be submitted to the Disciplinary Board in a
timely fashion. The reports shall be filed in writing within 60
days after a determination that a report is required under this
Act. All reports shall contain the following information:
        (1) The name, address and telephone number of the
    person making the report.
        (2) The name, address and telephone number of the
    person who is the subject of the report.
        (3) The name and date of birth of any patient or
    patients whose treatment is a subject of the report, if
    available, or other means of identification if such
    information is not available, identification of the
    hospital or other healthcare facility where the care at
    issue in the report was rendered, provided, however, no
    medical records may be revealed.
        (4) A brief description of the facts which gave rise to
    the issuance of the report, including the dates of any
    occurrences deemed to necessitate the filing of the report.
        (5) If court action is involved, the identity of the
    court in which the action is filed, along with the docket
    number and date of filing of the action.
        (6) Any further pertinent information which the
    reporting party deems to be an aid in the evaluation of the
    report.
    The Disciplinary Board or Department may also exercise the
power under Section 38 of this Act to subpoena copies of
hospital or medical records in mandatory report cases alleging
death or permanent bodily injury. Appropriate rules shall be
adopted by the Department with the approval of the Disciplinary
Board.
    When the Department has received written reports
concerning incidents required to be reported in items (34),
(35), and (36) of subsection (A) of Section 22, the licensee's
failure to report the incident to the Department under those
items shall not be the sole grounds for disciplinary action.
    Nothing contained in this Section shall act to in any way,
waive or modify the confidentiality of medical reports and
committee reports to the extent provided by law. Any
information reported or disclosed shall be kept for the
confidential use of the Disciplinary Board, the Medical
Coordinators, the Disciplinary Board's attorneys, the medical
investigative staff, and authorized clerical staff, as
provided in this Act, and shall be afforded the same status as
is provided information concerning medical studies in Part 21
of Article VIII of the Code of Civil Procedure, except that the
Department may disclose information and documents to a federal,
State, or local law enforcement agency pursuant to a subpoena
in an ongoing criminal investigation. Furthermore, information
and documents disclosed to a federal, State, or local law
enforcement agency may be used by that agency only for the
investigation and prosecution of a criminal offense.
    (C) Immunity from prosecution. Any individual or
organization acting in good faith, and not in a wilful and
wanton manner, in complying with this Act by providing any
report or other information to the Disciplinary Board or a peer
review committee, or assisting in the investigation or
preparation of such information, or by voluntarily reporting to
the Disciplinary Board or a peer review committee information
regarding alleged errors or negligence by a person licensed
under this Act, or by participating in proceedings of the
Disciplinary Board or a peer review committee, or by serving as
a member of the Disciplinary Board or a peer review committee,
shall not, as a result of such actions, be subject to criminal
prosecution or civil damages.
    (D) Indemnification. Members of the Disciplinary Board,
the Medical Coordinators, the Disciplinary Board's attorneys,
the medical investigative staff, physicians retained under
contract to assist and advise the medical coordinators in the
investigation, and authorized clerical staff shall be
indemnified by the State for any actions occurring within the
scope of services on the Disciplinary Board, done in good faith
and not wilful and wanton in nature. The Attorney General shall
defend all such actions unless he or she determines either that
there would be a conflict of interest in such representation or
that the actions complained of were not in good faith or were
wilful and wanton.
    Should the Attorney General decline representation, the
member shall have the right to employ counsel of his or her
choice, whose fees shall be provided by the State, after
approval by the Attorney General, unless there is a
determination by a court that the member's actions were not in
good faith or were wilful and wanton.
    The member must notify the Attorney General within 7 days
of receipt of notice of the initiation of any action involving
services of the Disciplinary Board. Failure to so notify the
Attorney General shall constitute an absolute waiver of the
right to a defense and indemnification.
    The Attorney General shall determine within 7 days after
receiving such notice, whether he or she will undertake to
represent the member.
    (E) Deliberations of Disciplinary Board. Upon the receipt
of any report called for by this Act, other than those reports
of impaired persons licensed under this Act required pursuant
to the rules of the Disciplinary Board, the Disciplinary Board
shall notify in writing, by certified mail, the person who is
the subject of the report. Such notification shall be made
within 30 days of receipt by the Disciplinary Board of the
report.
    The notification shall include a written notice setting
forth the person's right to examine the report. Included in
such notification shall be the address at which the file is
maintained, the name of the custodian of the reports, and the
telephone number at which the custodian may be reached. The
person who is the subject of the report shall submit a written
statement responding, clarifying, adding to, or proposing the
amending of the report previously filed. The person who is the
subject of the report shall also submit with the written
statement any medical records related to the report. The
statement and accompanying medical records shall become a
permanent part of the file and must be received by the
Disciplinary Board no more than 30 days after the date on which
the person was notified by the Disciplinary Board of the
existence of the original report.
    The Disciplinary Board shall review all reports received by
it, together with any supporting information and responding
statements submitted by persons who are the subject of reports.
The review by the Disciplinary Board shall be in a timely
manner but in no event, shall the Disciplinary Board's initial
review of the material contained in each disciplinary file be
less than 61 days nor more than 180 days after the receipt of
the initial report by the Disciplinary Board.
    When the Disciplinary Board makes its initial review of the
materials contained within its disciplinary files, the
Disciplinary Board shall, in writing, make a determination as
to whether there are sufficient facts to warrant further
investigation or action. Failure to make such determination
within the time provided shall be deemed to be a determination
that there are not sufficient facts to warrant further
investigation or action.
    Should the Disciplinary Board find that there are not
sufficient facts to warrant further investigation, or action,
the report shall be accepted for filing and the matter shall be
deemed closed and so reported to the Secretary. The Secretary
shall then have 30 days to accept the Medical Disciplinary
Board's decision or request further investigation. The
Secretary shall inform the Board in writing of the decision to
request further investigation, including the specific reasons
for the decision. The individual or entity filing the original
report or complaint and the person who is the subject of the
report or complaint shall be notified in writing by the
Secretary of any final action on their report or complaint.
    (F) Summary reports. The Disciplinary Board shall prepare,
on a timely basis, but in no event less than once one every
other month, a summary report of final actions taken upon
disciplinary files maintained by the Disciplinary Board. The
summary reports shall be made available to the public upon
request and payment of the fees set by the Department. This
publication may be made available to the public on the
Department's Internet website sent by the Disciplinary Board to
every health care facility licensed by the Illinois Department
of Public Health, every professional association and society of
persons licensed under this Act functioning on a statewide
basis in this State, the American Medical Association, the
American Osteopathic Association, the American Chiropractic
Association, all insurers providing professional liability
insurance to persons licensed under this Act in the State of
Illinois, the Federation of State Medical Licensing Boards, and
the Illinois Pharmacists Association.
    (G) Any violation of this Section shall be a Class A
misdemeanor.
    (H) If any such person violates the provisions of this
Section an action may be brought in the name of the People of
the State of Illinois, through the Attorney General of the
State of Illinois, for an order enjoining such violation or for
an order enforcing compliance with this Section. Upon filing of
a verified petition in such court, the court may issue a
temporary restraining order without notice or bond and may
preliminarily or permanently enjoin such violation, and if it
is established that such person has violated or is violating
the injunction, the court may punish the offender for contempt
of court. Proceedings under this paragraph shall be in addition
to, and not in lieu of, all other remedies and penalties
provided for by this Section.
(Source: P.A. 94-677, eff. 8-25-05.)
 
    (225 ILCS 60/54.5)
    (Section scheduled to be repealed on December 31, 2008)
    Sec. 54.5. Physician delegation of authority.
    (a) Physicians licensed to practice medicine in all its
branches may delegate care and treatment responsibilities to a
physician assistant under guidelines in accordance with the
requirements of the Physician Assistant Practice Act of 1987. A
physician licensed to practice medicine in all its branches may
enter into supervising physician agreements with no more than 2
physician assistants.
    (b) A physician licensed to practice medicine in all its
branches in active clinical practice may collaborate with an
advanced practice nurse in accordance with the requirements of
the Nurse Practice Act Title 15 of the Nursing and Advanced
Practice Nursing Act. Collaboration is for the purpose of
providing medical consultation direction, and no employment
relationship is required. A written collaborative agreement
shall conform to the requirements of Section 65-35 of the Nurse
Practice Act Sections 15-15 and 15-20 of the Nursing and
Advanced Practice Nursing Act. The written collaborative
agreement shall be for services the collaborating physician
generally provides to his or her patients in the normal course
of clinical medical practice. A written collaborative
agreement Physician medical direction shall be adequate with
respect to collaboration with advanced practice nurses
certified nurse practitioners, certified nurse midwives, and
clinical nurse specialists if all of the following apply a
collaborating physician:
        (1) The agreement is written to promote the exercise of
    professional judgment by the advanced practice nurse
    commensurate with his or her education and experience. The
    agreement need not describe the exact steps that an
    advanced practice nurse must take with respect to each
    specific condition, disease, or symptom, but must specify
    those procedures that require a physician's presence as the
    procedures are being performed. participates in the joint
    formulation and joint approval of orders or guidelines with
    the advanced practice nurse and periodically reviews such
    orders and the services provided patients under such orders
    in accordance with accepted standards of medical practice
    and advanced practice nursing practice;
        (2) Practice guidelines and orders are developed and
    approved jointly by the advanced practice nurse and
    collaborating physician, as needed, based on the practice
    of the practitioners. Such guidelines and orders and the
    patient services provided thereunder are periodically
    reviewed by the collaborating physician. is on site at
    least once a month to provide medical direction and
    consultation; and
        (3) The advance practice nurse provides services the
    collaborating physician generally provides to his or her
    patients in the normal course of clinical practice, except
    as set forth in subsection (b-5) of this Section. With
    respect to labor and delivery, the collaborating physician
    must provide delivery services in order to participate with
    a certified nurse midwife. is available through
    telecommunications for consultation on medical problems,
    complications, or emergencies or patient referral.
        (4) The collaborating physician and advanced practice
    nurse meet in person at least once a month to provide
    collaboration and consultation.
        (5) Methods of communication are available with the
    collaborating physician in person or through
    telecommunications for consultation, collaboration, and
    referral as needed to address patient care needs.
        (6) The agreement contains provisions detailing notice
    for termination or change of status involving a written
    collaborative agreement, except when such notice is given
    for just cause.
    (b-5) An anesthesiologist or physician licensed to
practice medicine in all its branches may collaborate with a
certified registered nurse anesthetist in accordance with
Section 65-35 of the Nurse Practice Act for the provision of
anesthesia services. With respect to the provision of
anesthesia services, the collaborating anesthesiologist or
physician shall have training and experience in the delivery of
anesthesia services consistent with Department rules.
Collaboration Section 15-25 of the Nursing and Advanced
Practice Nursing Act. Medical direction for a certified
registered nurse anesthetist shall be adequate if:
        (1) an anesthesiologist or a physician participates in
    the joint formulation and joint approval of orders or
    guidelines and periodically reviews such orders and the
    services provided patients under such orders; and
        (2) for anesthesia services, the anesthesiologist or
    physician participates through discussion of and agreement
    with the anesthesia plan and is physically present and
    available on the premises during the delivery of anesthesia
    services for diagnosis, consultation, and treatment of
    emergency medical conditions. Anesthesia services in a
    hospital shall be conducted in accordance with Section 10.7
    of the Hospital Licensing Act and in an ambulatory surgical
    treatment center in accordance with Section 6.5 of the
    Ambulatory Surgical Treatment Center Act.
    (b-10) The anesthesiologist or operating physician must
agree with the anesthesia plan prior to the delivery of
services.
    (c) The supervising physician shall have access to the
medical records of all patients attended by a physician
assistant. The collaborating physician shall have access to the
medical records of all patients attended to by an advanced
practice nurse.
    (d) Nothing in this Act shall be construed to limit the
delegation of tasks or duties by a physician licensed to
practice medicine in all its branches to a licensed practical
nurse, a registered professional nurse, or other persons
personnel.
    (e) A physician shall not be liable for the acts or
omissions of a physician assistant or advanced practice nurse
solely on the basis of having signed a supervision agreement or
guidelines or a collaborative agreement, an order, a standing
medical order, a standing delegation order, or other order or
guideline authorizing a physician assistant or advanced
practice nurse to perform acts, unless the physician has reason
to believe the physician assistant or advanced practice nurse
lacked the competency to perform the act or acts or commits
willful and wanton misconduct.
(Source: P.A. 90-742, eff. 8-13-98; 91-414, eff. 8-6-99.)
 
    Section 125. The Nursing and Advanced Practice Nursing Act
is amended by changing and renumbering Titles 5, 10, 15, 17,
and 20 as follows:
 
    (225 ILCS 65/Art. 50 heading new)  (was 225 ILCS 65/Tit. 5
      heading)
ARTICLE 50 TITLE 5 . GENERAL PROVISIONS

 
    (225 ILCS 65/50-1 new)   (was 225 ILCS 65/5-1)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-1 5-1. This Act Article may be cited as the Nurse
Nursing and Advanced Practice Nursing Act, and throughout this
Article, references to this Act shall mean this Article.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-5 new)   (was 225 ILCS 65/5-5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-5 5-5. Legislative purpose. The practice of
professional and practical nursing in the State of Illinois is
hereby declared to affect the public health, safety, and
welfare and to be subject to regulation and control in the
public interest. It is further declared to be a matter of
public interest and concern that the practice of nursing, as
defined in this Act, merit and receive the confidence of the
public and that only qualified persons be authorized to so
practice in the State of Illinois. This Act shall be liberally
construed to best carry out these subjects and purposes.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-10 new)   (was 225 ILCS 65/5-10)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-10 5-10. Definitions. Each of the following terms,
when used in this Act, shall have the meaning ascribed to it in
this Section, except where the context clearly indicates
otherwise:
    (a) "Department" means the Department of Professional
Regulation.
    (b) "Director" means the Director of Professional
Regulation.
    (c) "Board" means the Board of Nursing appointed by the
Director.
    (d) "Academic year" means the customary annual schedule of
courses at a college, university, or approved school,
customarily regarded as the school year as distinguished from
the calendar year.
    "Advanced practice nurse" or "APN" means a person who has
met the qualifications for a (i) certified nurse midwife (CNM);
(ii) certified nurse practitioner (CNP); (iii) certified
registered nurse anesthetist (CRNA); or (iv) clinical nurse
specialist (CNS) and has been licensed by the Department. All
advanced practice nurses licensed and practicing in the State
of Illinois shall use the title APN and may use speciality
credentials after their name.
    (e) "Approved program of professional nursing education"
and "approved program of practical nursing education" are
programs of professional or practical nursing, respectively,
approved by the Department under the provisions of this Act.
    "Board" means the Board of Nursing appointed by the
Secretary.
    "Collaboration" means a process involving 2 or more health
care professionals working together, each contributing one's
respective area of expertise to provide more comprehensive
patient care.
    "Consultation" means the process whereby an advanced
practice nurse seeks the advice or opinion of another health
care professional.
    "Credentialed" means the process of assessing and
validating the qualifications of a health care professional.
    "Current nursing practice update course" means a planned
nursing education curriculum approved by the Department
consisting of activities that have educational objectives,
instructional methods, content or subject matter, clinical
practice, and evaluation methods, related to basic review and
updating content and specifically planned for those nurses
previously licensed in the United States or its territories and
preparing for reentry into nursing practice.
    "Dentist" means a person licensed to practice dentistry
under the Illinois Dental Practice Act.
    "Department" means the Department of Financial and
Professional Regulation.
    "Impaired nurse" means a nurse licensed under this Act who
is unable to practice with reasonable skill and safety because
of a physical or mental disability as evidenced by a written
determination or written consent based on clinical evidence,
including loss of motor skills, abuse of drugs or alcohol, or a
psychiatric disorder, of sufficient degree to diminish his or
her ability to deliver competent patient care.
    "License-pending advanced practice nurse" means a
registered professional nurse who has completed all
requirements for licensure as an advanced practice nurse except
the certification examination and has applied to take the next
available certification exam and received a temporary license
from the Department.
    "License-pending registered nurse" means a person who has
passed the Department-approved registered nurse licensure exam
and has applied for a license from the Department. A
license-pending registered nurse shall use the title "RN lic
pend" on all documentation related to nursing practice.
    "Physician" means a person licensed to practice medicine in
all its branches under the Medical Practice Act of 1987.
    "Podiatrist" means a person licensed to practice podiatry
under the Podiatric Medical Practice Act of 1987.
    (f) "Nursing Act Coordinator" means a registered
professional nurse appointed by the Director to carry out the
administrative policies of the Department.
    (g) "Assistant Nursing Act Coordinator" means a registered
professional nurse appointed by the Director to assist in
carrying out the administrative policies of the Department.
    (h) "Registered" is the equivalent of "licensed".
    (i) "Practical nurse" or "licensed practical nurse" means a
person who is licensed as a practical nurse under this Act and
practices practical nursing as defined in paragraph (j) of this
Act Section. Only a practical nurse licensed under this Act is
entitled to use the title "licensed practical nurse" and the
abbreviation "L.P.N.".
    (j) "Practical nursing" means the performance of nursing
acts requiring the basic nursing knowledge, judgement, and
skill acquired by means of completion of an approved practical
nursing education program. Practical nursing includes
assisting in the nursing process as delegated by and under the
direction of a registered professional nurse or an advanced
practice nurse. The practical nurse may work under the
direction of a licensed physician, dentist, podiatrist, or
other health care professional determined by the Department.
    "Privileged" means the authorization granted by the
governing body of a healthcare facility, agency, or
organization to provide specific patient care services within
well-defined limits, based on qualifications reviewed in the
credentialing process.
    (k) "Registered Nurse" or "Registered Professional Nurse"
means a person who is licensed as a professional nurse under
this Act and practices nursing as defined in paragraph (l) of
this Act Section. Only a registered nurse licensed under this
Act is entitled to use the titles "registered nurse" and
"registered professional nurse" and the abbreviation, "R.N.".
    (l) "Registered professional nursing practice" is a
scientific process founded on a professional body of knowledge;
it is a learned profession based on the understanding of the
human condition across the life span and environment and
includes all nursing specialities and means the performance of
any nursing act based upon professional knowledge, judgment,
and skills acquired by means of completion of an approved
registered professional nursing education program. A
registered professional nurse provides holistic nursing care
emphasizing the importance of the whole and the interdependence
of its parts through the nursing process to individuals,
groups, families, or communities, that includes but is not
limited to: (1) the assessment of healthcare needs, nursing
diagnosis, planning, implementation, and nursing evaluation;
(2) the promotion, maintenance, and restoration of health; (3)
counseling, patient education, health education, and patient
advocacy; (4) the administration of medications and treatments
as prescribed by a physician licensed to practice medicine in
all of its branches, a licensed dentist, a licensed podiatrist,
or a licensed optometrist or as prescribed by a physician
assistant in accordance with written guidelines required under
the Physician Assistant Practice Act of 1987 or by an advanced
practice nurse in accordance with Article 65 of this a written
collaborative agreement required under the Nursing and
Advanced Practice Nursing Act; (5) the coordination and
management of the nursing plan of care; (6) the delegation to
and supervision of individuals who assist the registered
professional nurse implementing the plan of care; and (7)
teaching and supervision of nursing students. The foregoing
shall not be deemed to include those acts of medical diagnosis
or prescription of therapeutic or corrective measures that are
properly performed only by physicians licensed in the State of
Illinois.
    (m) "Current nursing practice update course" means a
planned nursing education curriculum approved by the
Department consisting of activities that have educational
objectives, instructional methods, content or subject matter,
clinical practice, and evaluation methods, related to basic
review and updating content and specifically planned for those
nurses previously licensed in the United States or its
territories and preparing for reentry into nursing practice.
    (n) "Professional assistance program for nurses" means a
professional assistance program that meets criteria
established by the Board of Nursing and approved by the
Secretary Director, which provides a non-disciplinary
treatment approach for nurses licensed under this Act whose
ability to practice is compromised by alcohol or chemical
substance addiction.
    "Secretary" means the Secretary of Financial and
Professional Regulation.
    "Unencumbered license" means a license issued in good
standing.
    "Written collaborative agreement" means a written
agreement between an advanced practice nurse and a
collaborating physician, dentist, or podiatrist pursuant to
Section 65-35.
(Source: P.A. 90-61, eff. 12-30-97; 90-248, eff. 1-1-98;
90-655, eff. 7-30-98; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-15 new)   (was 225 ILCS 65/5-15)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-15 5-15. Policy; application of Act.
    (a) For the protection of life and the promotion of health,
and the prevention of illness and communicable diseases, any
person practicing or offering to practice advanced,
professional, or and practical nursing in Illinois shall submit
evidence that he or she is qualified to practice, and shall be
licensed as provided under this Act. No person shall practice
or offer to practice advanced, professional, or practical
nursing in Illinois or use any title, sign, card or device to
indicate that such a person is practicing professional or
practical nursing unless such person has been licensed under
the provisions of this Act.
    (b) This Act does not prohibit the following:
        (1) (a) The practice of nursing in Federal employment
    in the discharge of the employee's duties by a person who
    is employed by the United States government or any bureau,
    division or agency thereof and is a legally qualified and
    licensed nurse of another state or territory and not in
    conflict with Sections 50-50, 55-10, 60-10, and 70-5 10-5,
    10-30, and 10-45 of this Act.
        (2) (b) Nursing that is included in the their program
    of study by students enrolled in programs of nursing or in
    current nurse practice update courses approved by the
    Department.
        (3) (c) The furnishing of nursing assistance in an
    emergency.
        (4) (d) The practice of nursing by a nurse who holds an
    active license in another state when providing services to
    patients in Illinois during a bonafide emergency or in
    immediate preparation for or during interstate transit.
        (5) (e) The incidental care of the sick by members of
    the family, domestic servants or housekeepers, or care of
    the sick where treatment is by prayer or spiritual means.
        (6) (f) Persons from being employed as unlicensed
    assistive personnel nursing aides, attendants, orderlies,
    and other auxiliary workers in private homes, long term
    care facilities, nurseries, hospitals or other
    institutions.
        (g) The practice of practical nursing by one who has
    applied in writing to the Department in form and substance
    satisfactory to the Department, for a license as a licensed
    practical nurse and who has complied with all the
    provisions under Section 10-30, except the passing of an
    examination to be eligible to receive such license, until:
    the decision of the Department that the applicant has
    failed to pass the next available examination authorized by
    the Department or has failed, without an approved excuse,
    to take the next available examination authorized by the
    Department or until the withdrawal of the application, but
    not to exceed 3 months. An applicant practicing practical
    nursing under this Section who passes the examination,
    however, may continue to practice under this Section until
    such time as he or she receives his or her license to
    practice or until the Department notifies him or her that
    the license has been denied. No applicant for licensure
    practicing under the provisions of this paragraph shall
    practice practical nursing except under the direct
    supervision of a registered professional nurse licensed
    under this Act or a licensed physician, dentist or
    podiatrist. In no instance shall any such applicant
    practice or be employed in any supervisory capacity.
        (7) (h) The practice of practical nursing by one who is
    a licensed practical nurse under the laws of another U.S.
    jurisdiction and has applied in writing to the Department,
    in form and substance satisfactory to the Department, for a
    license as a licensed practical nurse and who is qualified
    to receive such license under this Act Section 10-30, until
    (i) (1) the expiration of 6 months after the filing of such
    written application, (ii) (2) the withdrawal of such
    application, or (iii) (3) the denial of such application by
    the Department.
        (i) The practice of professional nursing by one who has
    applied in writing to the Department in form and substance
    satisfactory to the Department for a license as a
    registered professional nurse and has complied with all the
    provisions under Section 10-30 except the passing of an
    examination to be eligible to receive such license, until
    the decision of the Department that the applicant has
    failed to pass the next available examination authorized by
    the Department or has failed, without an approved excuse,
    to take the next available examination authorized by the
    Department or until the withdrawal of the application, but
    not to exceed 3 months. An applicant practicing
    professional nursing under this Section who passes the
    examination, however, may continue to practice under this
    Section until such time as he or she receives his or her
    license to practice or until the Department notifies him or
    her that the license has been denied. No applicant for
    licensure practicing under the provisions of this
    paragraph shall practice professional nursing except under
    the direct supervision of a registered professional nurse
    licensed under this Act. In no instance shall any such
    applicant practice or be employed in any supervisory
    capacity.
        (8) The practice of advanced practice nursing by one
    who is an advanced practice nurse under the laws of another
    state, territory of the United States, or country and has
    applied in writing to the Department, in form and substance
    satisfactory to the Department, for a license as an
    advanced practice nurse and who is qualified to receive
    such license under this Act, until (i) the expiration of 6
    months after the filing of such written application, (ii)
    the withdrawal of such application, or (iii) the denial of
    such application by the Department.
        (9) (j) The practice of professional nursing by one who
    is a registered professional nurse under the laws of
    another state, territory of the United States or country
    and has applied in writing to the Department, in form and
    substance satisfactory to the Department, for a license as
    a registered professional nurse and who is qualified to
    receive such license under Section 55-10 10-30, until (1)
    the expiration of 6 months after the filing of such written
    application, (2) the withdrawal of such application, or (3)
    the denial of such application by the Department.
        (10) (k) The practice of professional nursing that is
    included in a program of study by one who is a registered
    professional nurse under the laws of another state or
    territory of the United States or foreign country,
    territory or province and who is enrolled in a graduate
    nursing education program or a program for the completion
    of a baccalaureate nursing degree in this State, which
    includes clinical supervision by faculty as determined by
    the educational institution offering the program and the
    health care organization where the practice of nursing
    occurs. The educational institution will file with the
    Department each academic term a list of the names and
    origin of license of all professional nurses practicing
    nursing as part of their programs under this provision.
        (11) (l) Any person licensed in this State under any
    other Act from engaging in the practice for which she or he
    is licensed.
        (12) (m) Delegation to authorized direct care staff
    trained under Section 15.4 of the Mental Health and
    Developmental Disabilities Administrative Act consistent
    with the policies of the Department.
        (13) Nothing in this Act shall be construed to limit
    the delegation of tasks or duties by a physician, dentist,
    or podiatrist to a licensed practical nurse, a registered
    professional nurse, or other persons.
    An applicant for license practicing under the exceptions
set forth in subparagraphs (g), (h), (i), and (j) of this
Section shall use the title R.N. Lic. Pend. or L.P.N. Lic.
Pend. respectively and no other.
(Source: P.A. 93-265, eff. 7-22-03.)
 
    (225 ILCS 65/50-20 new)   (was 225 ILCS 65/5-20)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-20 5-20. Unlicensed practice; violation; civil
penalty.
    (a) Any person who practices, offers to practice, attempts
to practice, or holds oneself out to practice nursing without
being licensed under this Act shall, in addition to any other
penalty provided by law, pay a civil penalty to the Department
in an amount not to exceed $10,000 $5,000 for each offense as
determined by the Department. The civil penalty shall be
assessed by the Department after a hearing is held in
accordance with the provisions set forth in this Act regarding
the provision of a hearing for the discipline of a licensee.
    (b) The Department has the authority and power to
investigate any and all unlicensed activity.
    (c) The civil penalty shall be paid within 60 days after
the effective date of the order imposing the civil penalty. The
order shall constitute a judgment and may be filed and
execution had thereon in the same manner as any judgment from
any court of record.
(Source: P.A. 89-474, eff. 6-18-96; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-25 new)   (was 225 ILCS 65/5-21)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-25 5-21. No registered nurse or licensed practical
nurse may perform refractions and other determinations of
visual function or eye health diagnosis. A registered nurse or
licensed practical nurse may participate in these activities
with the direct on-site supervision of an optometrist licensed
under the Illinois Optometric Practice Act of 1987 or a
physician licensed to practice medicine in all its branches
under the Medical Practice Act of 1987.
(Source: P.A. 92-367, eff. 8-15-01.)
 
    (225 ILCS 65/50-30 new)   (was 225 ILCS 65/5-22)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-30 5-22. Social Security Number on license
application. In addition to any other information required to
be contained in an the application for licensure under this
Act, every application for an original, renewal, or restored
license under this Act shall include the applicant's Social
Security Number.
(Source: P.A. 90-144, eff. 7-23-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-35 new)   (was 225 ILCS 65/5-23)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-35 5-23. Criminal history records background
check. Each applicant for licensure by examination or
restoration shall have his or her fingerprints submitted to the
Department of State Police in an electronic format that
complies with the form and manner for requesting and furnishing
criminal history record information as prescribed by the
Department of State Police. These fingerprints shall be checked
against the Department of State Police and Federal Bureau of
Investigation criminal history record databases now and
hereafter filed. The Department of State Police shall charge
applicants a fee for conducting the criminal history records
check, which shall be deposited into the State Police Services
Fund and shall not exceed the actual cost of the records check.
The Department of State Police shall furnish, pursuant to
positive identification, records of Illinois convictions to
the Department. The Department may require applicants to pay a
separate fingerprinting fee, either to the Department or to a
vendor. The Department, in its discretion, may allow an
applicant who does not have reasonable access to a designated
vendor to provide his or her fingerprints in an alternative
manner. The Department may adopt any rules necessary to
implement this Section. After the effective date of this
amendatory Act of the 91st General Assembly, the Department
shall require an applicant for initial licensure under this Act
to submit to a criminal background check by the Illinois State
Police and the Federal Bureau of Investigation as part of the
qualification for licensure. If an applicant's criminal
background check indicates criminal conviction, the applicant
must further submit to a fingerprint-based criminal background
check. The applicant's name, sex, race, date of birth, and
social security number shall be forwarded to the Illinois State
Police to be searched against the Illinois criminal history
records database in the form and manner prescribed by the
Illinois State Police. The Illinois State Police shall charge a
fee for conducting the search, which shall be deposited in the
State Police Services Fund and shall not exceed the cost of the
inquiry. If a search of the Illinois criminal history records
database indicates that the applicant has a conviction record,
a fingerprint based criminal history records check shall be
required. Each applicant requiring a fingerprint based search
shall submit his or her fingerprints to the Illinois State
Police in the form and manner prescribed by the Illinois State
Police. These fingerprints shall be checked against the
fingerprint records now and hereafter filed in the Illinois
State Police and Federal Bureau of Investigation criminal
history records databases. The Illinois State Police shall
charge a fee for conducting the criminal history records check,
which shall be deposited in the State Police Services Fund and
shall not exceed the actual cost of the records check. The
Illinois State Police shall furnish, pursuant to positive
identification, records of Illinois convictions to the
Department. The Department shall adopt rules to implement this
Section.
(Source: P.A. 92-744, eff. 7-25-02; 93-418, eff. 1-1-04.)
 
    (225 ILCS 65/50-40 new)   (was 225 ILCS 65/5-25)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-40 5-25. Emergency care; civil liability.
Exemption from civil liability for emergency care is as
provided in the Good Samaritan Act.
(Source: P.A. 89-607, eff. 1-1-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-45 new)   (was 225 ILCS 65/5-30)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-45 5-30. Services rendered without compensation;
civil liability. Exemption from civil liability for services
rendered without compensation is as provided in the Good
Samaritan Act.
(Source: P.A. 89-607, eff. 1-1-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-50 new)   (was 225 ILCS 65/10-5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-50 10-5. Prohibited acts.
    (a) No person shall:
        (1) Practice as an advanced practice nurse without a
    valid license as an advanced practice nurse, except as
    provided in Section 50-15 of this Act;
        (2) (a) Practice professional nursing without a valid
    license as a registered professional nurse except as
    provided in paragraphs (i) and (j) of Section 50-15 5-15 of
    this Act;
        (3) (b) Practice practical nursing without a valid
    license as a licensed practical nurse; or practice
    practical nursing, other than under the direction of a
    licensed physician, licensed dentist, or registered
    professional nurse; except as provided in paragraphs (g),
    (h), and (j) of Section 50-15 5-15 of this Act;
        (4) (c) Practice nursing under cover of any diploma,
    license, or record illegally or fraudulently obtained or
    signed or issued unlawfully or under fraudulent
    representation;
        (5) (d) Practice nursing during the time her or his
    license is suspended, revoked, expired or on inactive
    status;
        (6) (e) Use any words, abbreviations, figures,
    letters, title, sign, card, or device tending to imply that
    she or he is a registered professional nurse, including the
    titles or initials, "Nurse," "Registered Nurse,"
    "Professional Nurse," "Registered Professional Nurse,"
    "Certified Nurse," "Trained Nurse," "Graduate Nurse,"
    "P.N.," or "R.N.," or "R.P.N." or similar titles or
    initials with intention of indicating practice without a
    valid license as a registered professional nurse;
        (7) Use any words, abbreviations, figures, letters,
    titles, signs, cards, or devices tending to imply that she
    or he is an advanced practice nurse, including the titles
    or initials "Advanced Practice Nurse", "A.P.N.", or
    similar titles or initials, with the intention of
    indicating practice as an advanced practice nurse without a
    valid license as an advanced practice nurse under this Act.
        (8) (f) Use any words, abbreviations figures, letters,
    title, sign, card, or device tending to imply that she or
    he is a licensed practical nurse including the titles or
    initials "Practical Nurse," "Licensed Practical Nurse,"
    "P.N.," or "L.P.N.," or similar titles or initials with
    intention of indicated practice as a licensed practical
    nurse without a valid license as a licensed practical nurse
    under this Act;
        (9) (f-5) Advertise services regulated under this Act
    without including in every advertisement his or her title
    as it appears on the license or the initials authorized
    under this Act;
        (10) (g) Obtain or furnish a license by or for money or
    any other thing of value other than the fees required under
    this Act by Section 20-35, or by any fraudulent
    representation or act;
        (11) (h) Make any wilfully false oath or affirmation
    required by this Act;
        (12) (i) Conduct a nursing education program preparing
    persons for licensure that has not been approved by the
    Department;
        (13) (j) Represent that any school or course is
    approved or accredited as a school or course for the
    education of registered professional nurses or licensed
    practical nurses unless such school or course is approved
    by the Department under the provisions of this Act;
        (14) (k) Attempt or offer to do any of the acts
    enumerated in this Section, or knowingly aid, abet, assist
    in the doing of any such acts or in the attempt or offer to
    do any of such acts;
    (l) Seek employment as a registered professional nurse
under the terms of paragraphs (i) and (j) of Section 5-15 of
this Act without possessing a written authorization which has
been issued by the Department or designated testing service and
which evidences the filing of the written application referred
to in paragraphs (i) and (j) of Section 5-15 of this Act;
    (m) Seek employment as a licensed practical nurse under the
terms of paragraphs (g) and (h) of Section 5-15 of this Act
without possessing a written authorization which has been
issued by the Department or designated testing service and
which evidences the filing of the written application referred
to in paragraphs (g) and (h) of Section 5-15 of this Act;
        (15) (n) Employ or utilize persons not licensed under
    this Act to practice professional nursing or practical
    nursing; and
        (16) (o) Otherwise intentionally violate any provision
    of this Act.
        (17) Retaliate against any nurse who reports unsafe,
    unethical, or illegal health care practices or conditions.
        (18) Be deemed a supervisor when delegating nursing
    activities or tasks as authorized under this Act.
    (b) Any person, including a firm, association or
corporation who violates any provision of this Section shall be
guilty of a Class A misdemeanor.
(Source: P.A. 90-742, eff. 8-13-98; 91-310, eff. 1-1-00.)
 
    (225 ILCS 65/50-55 new)   (was 225 ILCS 65/10-10)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-55 10-10. Department powers and duties.
    (a) The Department shall exercise the powers and duties
prescribed by the Civil Administrative Code of Illinois for
administration of licensing acts and shall exercise other
powers and duties necessary for effectuating the purpose of
this Act. None of the functions, powers, or duties of the
Department with respect to licensure and examination shall be
exercised by the Department except upon review by the Board.
The Department shall adopt rules to implement, interpret, or
make specific the provisions and purposes of this Act; however
no such rules shall be adopted by the Department except upon
review by the Board.
    (b) The Department shall: (1) prepare and maintain a list
of approved programs of professional nursing education and
programs of practical nursing education in this State, whose
graduates, if they have the other necessary qualifications
provided in this Act, shall be eligible to apply for a license
to practice nursing in this State. ;
        (2) promulgate rules defining what constitutes an
    approved program of professional nursing education and
    what constitutes an approved program of practical nursing
    education; and
        (3) adopt rules for examination of candidates for
    licenses and for issuance of licenses authorizing
    candidates upon passing an examination to practice under
    this Act.
    (c) The Department may act upon the recommendations of the
Center for Nursing Advisory Board.
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    (225 ILCS 65/50-60 new)   (was 225 ILCS 65/10-15)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-60 10-15. Nursing Act Coordinator; Assistant
Nursing Coordinator. The Secretary Department shall appoint
obtain, pursuant to the Personnel Code, a Nursing Act
Coordinator and an Assistant Nursing Coordinator assistants.
The Nursing Coordinator and Assistant Nursing Coordinator
assistants shall be registered professional nurses licensed in
this State who have and graduated from an approved school
schools of nursing and each shall have been actively engaged in
nursing education not less than one year prior to appointment.
The Nursing Act Coordinator shall hold at least a master's
degree in nursing from an accredited approved college or
university and shall have at least 5 years experience since
graduation in progressively responsible positions in nursing
education. Each assistant shall hold at least a master's degree
in nursing from an approved college or university and shall
have at least 3 years experience since graduation in
progressively responsible positions in nursing education. The
Nursing Act Coordinator and assistants shall perform such
administrative functions as may be delegated to them by the
Director.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/50-65 new)   (was 225 ILCS 65/10-25)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-65 10-25. Board.
    (a) The term of each member of the Board of Nursing and the
Advanced Practice Nursing Board serving before the effective
date of this amendatory Act of the 95th General Assembly shall
terminate on the effective date of this amendatory Act of the
95th General Assembly. Beginning on the effective date of this
amendatory Act of the 95th General Assembly, the Secretary The
Director shall solicit recommendations from nursing
organizations and appoint the Board of Nursing, which,
beginning January 1, 2000, shall consist of 13 members, one of
whom shall be a practical nurse; one of whom shall be a
practical nurse educator; one of whom shall be a registered
professional nurse in practice; one of whom shall be an
associate degree nurse educator; one of whom shall be a
baccalaureate degree nurse educator; one of whom shall be a
nurse who is actively engaged in direct care; one of whom shall
be a registered professional nurse actively engaged in direct
care; one of whom shall be a nursing administrator; 4 of whom
shall be advanced practice nurses representing CNS, CNP, CNM,
and CRNA practice; and one of whom shall be a public member who
is not employed in and has no material interest in any health
care field. The Board shall receive actual and necessary
expenses incurred in the performance of their duties.
    Members of the Board of Nursing and the Advanced Practice
Nursing Board whose terms were terminated by this amendatory
Act of the 95th General Assembly shall be considered for
membership positions on the Board.
    All nursing members of the Board must be (i) residents of
this State, (ii) licensed in good standing to practice nursing
in this State, (iii) graduates of an approved nursing program,
with a minimum of 5 years experience in the field of nursing,
and (iv) at the time of appointment to the Board, actively
engaged in nursing or work related to nursing.
    Membership terms shall be for 3 years, except that in
making initial appointments, the Secretary shall appoint all
members for initial terms of 2, 3, and 4 years and these terms
shall be staggered as follows: 3 shall be appointed for terms
of 2 years; 4 shall be appointed for terms of 3 years; and 6
shall be appointed for terms of 4 years. No member shall be
appointed to more than 2 consecutive terms. In the case of a
vacated position, an individual may be appointed to serve the
unexpired portion of that term; if the term is less than half
of a full term, the individual is eligible to serve 2 full
terms. be composed of 7 registered professional nurses, 2
licensed practical nurses and one public member who shall also
be a voting member and who is not a licensed health care
provider. Two registered nurses shall hold at least a master's
degree in nursing and be educators in professional nursing
programs, one representing baccalaureate nursing education,
one representing associate degree nursing education; one
registered nurse shall hold at least a bachelor's degree with a
major in nursing and be an educator in a licensed practical
nursing program; one registered nurse shall hold a master's
degree in nursing and shall represent nursing service
administration; 2 registered nurses shall represent clinical
nursing practice, one of whom shall have at least a master's
degree in nursing; and, until January 1, 2000, 2 registered
nurses shall represent advanced specialty practice. Each of the
nurses shall have had a minimum of 5 years experience in
nursing, 3 of which shall be in the area they represent on the
Board and be actively engaged in the area of nursing they
represent at the time of appointment and during their tenure on
the Board. Members shall be appointed for a term of 3 years. No
member shall be eligible for appointment to more than 2
consecutive terms and any appointment to fill a vacancy shall
be for the unexpired portion of the term. In making Board
appointments, the Director shall give consideration to
recommendations submitted by nursing organizations.
Consideration shall be given to equal geographic
representation. The Board shall receive actual and necessary
expenses incurred in the performance of their duties.
    In making the initial appointments, the Director shall
appoint all new members for terms of 2, 3, and 4 years and such
terms shall be staggered as follows: 3 shall be appointed for
terms of 2 years; 3 shall be appointed for terms of 3 years;
and 3 shall be appointed for terms of 4 years.
    The Secretary Director may remove any member of the Board
for misconduct, incapacity, or neglect of duty. The Secretary
Director shall reduce to writing any causes for removal.
    The Board shall meet annually to elect a chairperson and
vice chairperson. The Board shall may hold regularly scheduled
such other meetings during the year as may be necessary to
conduct its business. A simple majority Six voting members of
the Board shall constitute a quorum at any meeting. Any action
taken by the Board must be on the affirmative vote of a simple
majority of 6 members. Voting by proxy shall not be permitted.
In the case of an emergency where all Board members cannot meet
in person, the Board may convene a meeting via an electronic
format in accordance with the Open Meetings Act.
    The Board shall submit an annual report to the Director.
    The members of the Board shall be immune from suit in any
action based upon any disciplinary proceedings or other acts
performed in good faith as members of the Board.
    (b) The Board may perform each of the following activities
is authorized to:
        (1) Recommend to the Department recommend the adoption
    and, from time to time, the revision of such rules that may
    be necessary for the administration to carry out the
    provisions of this Act;
        (2) conduct hearings and disciplinary conferences upon
    charges calling for discipline of a licensee as provided in
    Section 10-45;
        (3) report to the Department, upon completion of a
    hearing, the disciplinary actions recommended to be taken
    against persons violating this Act;
        (2) Recommend (4) recommend the approval, denial of
    approval, withdrawal of approval, or discipline of nursing
    education programs;
        (5) participate in a national organization of state
    boards of nursing; and
        (6) recommend a list of the registered nurses to serve
    as Nursing Act Coordinator and Assistant Nursing Act
    Coordinator, respectively.
    (c) The Board shall participate in disciplinary
conferences and hearings and make recommendations to the
Department regarding disciplinary action taken against a
licensee as provided under this Act. Disciplinary conference
hearings and proceedings regarding scope of practice issues
shall be conducted by a Board member at the same or higher
licensure level as the respondent. Participation in an informal
conference shall not bar members of the Board from future
participation or decisions relating to that matter.
    (d) With the exception of emergency rules, any proposed
rules, amendments, second notice materials, and adopted rule or
amendment materials or policy statements concerning advanced
practice nurses shall be presented to the Medical Licensing
Board for review and comment. The recommendations of both the
Board of Nursing and the Medical Licensing Board shall be
presented to the Secretary for consideration in making final
decisions. Whenever the Board of Nursing and Medical Licensing
Board disagree on a proposed rule or policy, the Secretary
shall convene a joint meeting of the officers of each Board to
discuss resolution of any disagreements.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98;
91-414, eff. 8-6-99.)
 
    (225 ILCS 65/50-70 new)   (was 225 ILCS 65/10-35)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 50-70 10-35. Concurrent theory and clinical practice
education requirements of this Act. The educational
requirements of Sections 55-10 and 60-10 of this Act Section
10-30 relating to registered professional nursing and licensed
practical nursing shall not be deemed to have been satisfied by
the completion of any correspondence course or any program of
nursing that does not require coordinated or concurrent theory
and clinical practice. The Department may, upon recommendation
of the Board, grant an Illinois license to those applicants who
have received advanced graduate degrees in nursing from an
approved program with concurrent theory and clinical practice
or to those applicants who are currently licensed in another
state and have been actively practicing clinical nursing for a
minimum of 2 years.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98;
91-43, eff. 1-1-00.)
 
    (225 ILCS 65/50-75 new)
    Sec. 50-75. Nursing delegation.
    (a) For the purposes of this Section:
    "Delegation" means transferring to an individual the
authority to perform a selected nursing activity or task, in a
selected situation.
    "Nursing activity" means any work requiring the use of
knowledge acquired by completion of an approved program for
licensure, including advanced education, continuing education,
and experience as a licensed practical nurse or professional
nurse, as defined by the Department by rule.
    "Task" means work not requiring nursing knowledge,
judgment, or decision-making, as defined by the Department by
rule.
    (b) Nursing shall be practiced by licensed practical
nurses, registered professional nurses, and advanced practice
nurses. In the delivery of nursing care, nurses work with many
other licensed professionals and other persons. An advanced
practice nurse may delegate to registered professional nurses,
licensed practical nurses, and others persons.
    (c) A registered professional nurse shall not delegate any
nursing activity requiring the specialized knowledge,
judgment, and skill of a licensed nurse to an unlicensed
person, including medication administration. A registered
professional nurse may delegate nursing activities to other
registered professional nurses or licensed practical nurses.
    A registered nurse may delegate tasks to other licensed and
unlicensed persons. A licensed practical nurse who has been
delegated a nursing activity shall not re-delegate the nursing
activity. A registered professional nurse or advanced practice
nurse retains the right to refuse to delegate or to stop or
rescind a previously authorized delegation.
 
    (225 ILCS 65/Art. 55 heading new)   (was 225 ILCS 65/Tit. 10
      heading)
ARTICLE 55 TITLE 10 . NURSING LICENSURE-LICENSED PRACTICAL
NURSES REGISTERED NURSES
AND LICENSED PRACTICAL NURSES

 
    (225 ILCS 65/55-5 new)
    Sec. 55-5. LPN education program requirements.
    (a) All Illinois practical nurse education programs must be
reviewed by the Board and approved by the Department before the
successful completion of such a program may be applied toward
meeting the requirements for practical nurse licensure under
this Act. Any program changing the level of educational
preparation or the relationship with or to the parent
institution or establishing an extension of an existing program
must request a review by the Board and approval by the
Department. The Board shall review and make a recommendation
for the approval or disapproval of a program by the Department
based on the following criteria:
        (1) a feasibility study that describes the need for the
    program and the facilities used, the potential of the
    program to recruit faculty and students, financial support
    for the program, and other criteria, as established by
    rule;
        (2) program curriculum that meets all State
    requirements;
        (3) the administration of the program by a Nurse
    Administrator and the involvement of a Nurse Administrator
    in the development of the program; and
        (4) the occurrence of a site visit prior to approval.
    (b) In order to obtain initial Department approval and to
maintain Department approval, a practical nursing program must
meet all of the following requirements:
        (1) The program must continually be administered by a
    Nurse Administrator.
        (2) The institution responsible for conducting the
    program and the Nurse Administrator must ensure that
    individual faculty members are academically and
    professionally competent.
        (3) The program curriculum must contain all applicable
    requirements established by rule, including both theory
    and clinical components.
        (4) The passage rates of the program's graduating
    classes on the State-approved licensure exam must be deemed
    satisfactory by the Department.
    (c) Program site visits to an institution conducting or
hosting a practical nursing program may be made at the
discretion of the Nursing Coordinator or upon recommendation of
the Board.
    (d) Any institution conducting a practical nursing program
that wishes to discontinue the program must do each of the
following:
        (1) Notify the Department, in writing, of its intent to
    discontinue the program.
        (2) Continue to meet the requirements of this Act and
    the rules adopted thereunder until the official date of
    termination of the program.
        (3) Notify the Department of the date on which the last
    student shall graduate from the program and the program
    shall terminate.
        (4) Assist remaining students in the continuation of
    their education in the event of program termination prior
    to the graduation of the program's final student.
        (5) Upon the closure of the program, notify the
    Department, in writing, of the location of student and
    graduate records storage.
 
    (225 ILCS 65/55-10 new)   (was 225 ILCS 65/10-30)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 55-10 10-30. Qualifications for LPN licensure.
    (a) Each applicant who successfully meets the requirements
of this Section shall be entitled to licensure as a Registered
Nurse or Licensed Practical Nurse, whichever is applicable.
    (b) An applicant for licensure by examination to practice
as a registered nurse or licensed practical nurse must do each
of the following shall:
        (1) Submit submit a completed written application, on
    forms provided by the Department and fees as established by
    the Department. ;
        (2) Have graduated from a practical nursing education
    program approved by the Department or have been granted a
    certificate of completion of pre-licensure requirements
    from another United States jurisdiction.
        (3) Successfully complete a licensure examination
    approved by the Department. for registered nurse
    licensure, have graduated from a professional nursing
    education program approved by the Department;
        (2.5) for licensed practical nurse licensure, have
    graduated from a practical nursing education program
    approved by the Department;
        (4) Have (3) have not violated the provisions of
    Section 10-45 of this Act concerning the grounds for
    disciplinary action. The Department may take into
    consideration any felony conviction of the applicant, but
    such a conviction shall not operate as an absolute bar to
    licensure. ;
        (5) Submit to the criminal history records check
    required under Section 50-35 of this Act.
        (4) meet all other requirements as established by rule;
        (6) Submit (5) pay, either to the Department or its
    designated testing service, a fee covering the cost of
    providing the examination. Failure to appear for the
    examination on the scheduled date at the time and place
    specified after the applicant's application for
    examination has been received and acknowledged by the
    Department or the designated testing service shall result
    in the forfeiture of the examination fee.
        (7) Meet all other requirements established by rule.
    An applicant for licensure by examination may take the
Department-approved examination in another jurisdiction.
    (b-5) If an applicant for licensure by examination
neglects, fails, or refuses to take an examination or fails to
pass an examination for a license under this Act within 3 years
after filing the application, the application shall be denied.
The However, the applicant must enroll in and complete an
approved practical nursing education program prior to
submitting an additional may make a new application for the
licensure exam accompanied by the required fee and provide
evidence of meeting the requirements in force at the time of
the new application.
    An applicant may take and successfully complete a
Department-approved examination in another jurisdiction.
However, an applicant who has never been licensed previously in
any jurisdiction that utilizes a Department-approved
examination and who has taken and failed to pass the
examination within 3 years after filing the application must
submit proof of successful completion of a
Department-authorized nursing education program or
recompletion of an approved registered nursing program or
licensed practical nursing program, as appropriate, prior to
re-application.
    (c) An applicant for licensure by examination shall have
one year from the date of notification of successful completion
of the examination to apply to the Department for a license. If
an applicant fails to apply within one year, the applicant
shall be required to retake again take and pass the examination
unless licensed in another jurisdiction of the United States
within one year of passing the examination.
    (d) A licensed practical nurse applicant who passes the
Department-approved licensure examination and has applied to
the Department for licensure may obtain employment as a
license-pending practical nurse and practice as delegated by a
registered professional nurse or an advanced practice nurse or
physician. An individual may be employed as a license-pending
practical nurse if all of the following criteria are met:
        (1) He or she has completed and passed the
    Department-approved licensure exam and presents to the
    employer the official written notification indicating
    successful passage of the licensure examination.
        (2) He or she has completed and submitted to the
    Department an application for licensure under this Section
    as a practical nurse.
        (3) He or she has submitted the required licensure fee.
        (4) He or she has met all other requirements
    established by rule, including having submitted to a
    criminal history records check.
    (e) The privilege to practice as a license-pending
practical nurse shall terminate with the occurrence of any of
the following:
        (1) Three months have passed since the official date of
    passing the licensure exam as inscribed on the formal
    written notification indicating passage of the exam. This
    3-month period may be extended as determined by rule.
        (2) Receipt of the practical nurse license from the
    Department.
        (3) Notification from the Department that the
    application for licensure has been denied.
        (4) A request by the Department that the individual
    terminate practicing as a license-pending practical nurse
    until an official decision is made by the Department to
    grant or deny a practical nurse license.
    (f) (c) An applicant for licensure by endorsement who is a
registered professional nurse or a licensed practical nurse
licensed by examination under the laws of another state or
territory of the United States or a foreign country,
jurisdiction, territory, or province must do each of the
following shall:
        (1) Submit submit a completed written application, on
    forms supplied by the Department, and fees as established
    by the Department. ;
        (2) Have graduated from a practical nursing education
    program approved by the Department. for registered nurse
    licensure, have graduated from a professional nursing
    education program approved by the Department;
        (2.5) for licensed practical nurse licensure, have
    graduated from a practical nursing education program
    approved by the Department;
        (3) Submit submit verification of licensure status
    directly from the United States jurisdiction of licensure,
    if applicable, as defined by rule. ;
        (4) Submit to the criminal history records check
    required under Section 50-35 of this Act. have passed the
    examination authorized by the Department;
        (5) Meet meet all other requirements as established by
    the Department by rule.
    (g) (d) All applicants for practical registered nurse
licensure by examination or endorsement pursuant to item (2) of
subsection (b) and item (2) of subsection (c) of this Section
who are graduates of nursing educational programs in a country
other than the United States or its territories shall have
their nursing education credentials evaluated by a
Department-approved nursing credentialing evaluation service.
No such applicant may be issued a license under this Act unless
the applicant's program is deemed by the nursing credentialing
evaluation service to be equivalent to a professional nursing
education program approved by the Department. An applicant who
has graduated from a nursing educational program outside of the
United States or its territories and whose first language is
not English shall submit certification of passage of the Test
of English as a Foreign Language (TOEFL), as defined by rule.
The Department may, upon recommendation from the nursing
evaluation service, waive the requirement that the applicant
pass the TOEFL examination if the applicant submits
verification of the successful completion of a nursing
education program conducted in English. The requirements of
this subsection (d) may be satisfied by the showing of proof of
a certificate from the Certificate Program or the VisaScreen
Program of the Commission on Graduates of Foreign Nursing
Schools.
    (h) (d-5) An applicant licensed in another state or
territory who is applying for licensure and has received her or
his education in a country other than the United States or its
territories shall have her or his nursing education credentials
evaluated by a Department-approved nursing credentialing
evaluation service. No such applicant may be issued a license
under this Act unless the applicant's program is deemed by the
nursing credentialing evaluation service to be equivalent to a
professional nursing education program approved by the
Department. An applicant who has graduated from a nursing
educational program outside of the United States or its
territories and whose first language is not English shall
submit certification of passage of the Test of English as a
Foreign Language (TOEFL), as defined by rule. The Department
may, upon recommendation from the nursing evaluation service,
waive the requirement that the applicant pass the TOEFL
examination if the applicant submits verification of the
successful completion of a nursing education program conducted
in English or the successful passage of an approved licensing
examination given in English. The requirements of this
subsection (d-5) may be satisfied by the showing of proof of a
certificate from the Certificate Program or the VisaScreen
Program of the Commission on Graduates of Foreign Nursing
Schools.
    (e) (Blank).
    (i) A (f) Pending the issuance of a license under
subsection (c) of this Section, the Department may grant an
applicant a temporary license to practice nursing as a
registered nurse or as a licensed practical nurse who if the
Department is satisfied that the applicant holds an active,
unencumbered license in good standing in another United States
jurisdiction and who has applied for practical nurse licensure
under this Act by endorsement may be issued a temporary
license, if satisfactory proof of such licensure in another
jurisdiction is presented to the Department. The If the
applicant holds more than one current active license, or one or
more active temporary licenses from other jurisdictions, the
Department shall not issue an applicant a temporary practical
nurse license until it is satisfied that the applicant holds an
each current active, license held by the applicant is
unencumbered license in good standing in another jurisdiction.
If the applicant holds more than one current active license or
one or more active temporary licenses from another
jurisdiction, the Department may not issue a temporary license
until the Department is satisfied that each current active
license held by the applicant is unencumbered. The temporary
license, which shall be issued no later than 14 working days
following receipt by the Department of an application for the
temporary license, shall be granted upon the submission of all
of the following to the Department:
        (1) A a signed and completed application for licensure
    under subsection (a) of this Section as a registered nurse
    or a licensed practical nurse. ;
        (2) Proof proof of a current, active license in at
    least one other jurisdiction of the United States and proof
    that each current active license or temporary license held
    by the applicant within the last 5 years is unencumbered. ;
        (3) A a signed and completed application for a
    temporary license. ; and
        (4) The the required temporary license fee.
    (j) (g) The Department may refuse to issue an applicant a
temporary license authorized pursuant to this Section if,
within 14 working days following its receipt of an application
for a temporary license, the Department determines that:
        (1) the applicant has been convicted of a crime under
    the laws of a jurisdiction of the United States that is:
    (i) which is a felony; or (ii) which is a misdemeanor
    directly related to the practice of the profession, within
    the last 5 years;
        (2) within the last 5 years the applicant has had a
    license or permit related to the practice of practical
    nursing revoked, suspended, or placed on probation by
    another jurisdiction within the last 5 years and , if at
    least one of the grounds for revoking, suspending, or
    placing on probation is the same or substantially
    equivalent to grounds in Illinois; or
        (3) the Department it intends to deny licensure by
    endorsement.
    For purposes of this Section, an "unencumbered license"
means a license against which no disciplinary action has been
taken or is pending and for which all fees and charges are paid
and current.
    (k) (h) The Department may revoke a temporary license
issued pursuant to this Section if it determines any of the
following:
        (1) That it determines that the applicant has been
    convicted of a crime under the law of any jurisdiction of
    the United States that is (i) a felony or (ii) a
    misdemeanor directly related to the practice of the
    profession, within the last 5 years. ;
        (2) That it determines that within the last 5 years the
    applicant has had a license or permit related to the
    practice of nursing revoked, suspended, or placed on
    probation by another jurisdiction, and if at least one of
    the grounds for revoking, suspending, or placing on
    probation is the same or substantially equivalent to
    grounds for disciplinary action under this Act. in
    Illinois; or
        (3) That the Department it determines that it intends
    to deny licensure by endorsement.
    (l) A temporary license shall expire 6 months from the date
of issuance. Further renewal may be granted by the Department
in hardship cases, as defined by rule and upon approval of the
Secretary Director. However, a temporary license shall
automatically expire upon issuance of a valid the Illinois
license under this Act or upon notification that the Department
intends to deny licensure, whichever occurs first.
    (m) All applicants for practical nurse licensure (i)
Applicants have 3 years from the date of application to
complete the application process. If the process has not been
completed within 3 years from the date of application, the
application shall be denied, the fee forfeited, and the
applicant must reapply and meet the requirements in effect at
the time of reapplication.
(Source: P.A. 94-352, eff. 7-28-05; 94-932, eff. 1-1-07.)
 
    (225 ILCS 65/55-15 new)
    Sec. 55-15. LPN license expiration; renewal. The
expiration date and renewal period for each license to practice
practical nursing issued under this Act shall be set by rule.
The holder of a license may renew the license during the month
preceding the expiration date of the license by paying the
required fee. It is the responsibility of the licensee to
notify the Department in writing of a change of address.
 
    (225 ILCS 65/55-20 new)
    Sec. 55-20. Restoration of LPN license; temporary permit.
    (a) Any license to practice practical nursing issued under
this Act that has expired or that is on inactive status may be
restored by making application to the Department and filing
proof of fitness acceptable to the Department, as specified by
rule, to have the license restored, and by paying the required
restoration fee. Such proof of fitness may include evidence
certifying active lawful practice in another jurisdiction.
    (b) A practical nurse licensee seeking restoration of a
license after it has expired or been placed on inactive status
for more than 5 years shall file an application, on forms
supplied by the Department, and submit the restoration or
renewal fees set forth by the Department. The licensee must
also submit proof of fitness to practice, including one of the
following:
        (1) certification of active practice in another
    jurisdiction, which may include a statement from the
    appropriate board or licensing authority in the other
    jurisdiction that the licensee was authorized to practice
    during the term of said active practice;
        (2) proof of the successful completion of a
    Department-approved licensure examination; or
        (3) an affidavit attesting to military service as
    provided in subsection (c) of this Section; however, if
    application is made within 2 years after discharge and if
    all other provisions of subsection (c) of this Section are
    satisfied, the applicant shall be required to pay the
    current renewal fee.
    (c) Notwithstanding any other provision of this Act, any
license to practice practical nursing issued under this Act
that expired while the licensee was (i) in federal service on
active duty with the Armed Forces of the United States or in
the State Militia and called into service or training or (ii)
in training or education under the supervision of the United
States preliminary to induction into the military service may
have the license restored without paying any lapsed renewal
fees if, within 2 years after honorable termination of such
service, training, or education, the applicant furnishes the
Department with satisfactory evidence to the effect that the
applicant has been so engaged and that the individual's
service, training, or education has been so terminated.
    (d) Any practical nurse licensee who shall engage in the
practice of practical nursing with a lapsed license or while on
inactive status shall be considered to be practicing without a
license, which shall be grounds for discipline under Section
70-5 of this Act.
    (e) Pending restoration of a license under this Section,
the Department may grant an applicant a temporary permit to
practice as a practical nurse if the Department is satisfied
that the applicant holds an active, unencumbered license in
good standing in another jurisdiction. If the applicant holds
more than one current active license or one or more active
temporary licenses from another jurisdiction, the Department
shall not issue a temporary permit until it is satisfied that
each current active license held by the applicant is
unencumbered. The temporary permit, which shall be issued no
later than 14 working days after receipt by the Department of
an application for the permit, shall be granted upon the
submission of all of the following to the Department:
        (1) A signed and completed application for restoration
    of licensure under this Section as a licensed practical
    nurse.
        (2) Proof of (i) a current, active license in at least
    one other jurisdiction and proof that each current, active
    license or temporary permit held by the applicant is
    unencumbered or (ii) fitness to practice nursing in this
    State, as specified by rule.
        (3) A signed and completed application for a temporary
    permit.
        (4) The required permit fee.
    (f) The Department may refuse to issue to an applicant a
temporary permit authorized under this Section if, within 14
working days after its receipt of an application for a
temporary permit, the Department determines that:
        (1) the applicant has been convicted within the last 5
    years of any crime under the laws of any jurisdiction of
    the United States that is (i) a felony or (ii) a
    misdemeanor directly related to the practice of the
    profession;
        (2) within the last 5 years, the applicant has had a
    license or permit related to the practice of nursing
    revoked, suspended, or placed on probation by another
    jurisdiction, if at least one of the grounds for revoking,
    suspending, or placing on probation is the same or
    substantially equivalent to grounds for disciplinary
    action under this Act; or
        (3) the Department intends to deny restoration of the
    license.
    (g) The Department may revoke a temporary permit issued
under this Section if:
        (1) the Department determines that the applicant has
    been convicted within the last 5 years of any crime under
    the laws of any jurisdiction of the United States that is
    (i) a felony or (ii) a misdemeanor directly related to the
    practice of the profession;
        (2) within the last 5 years, the applicant had a
    license or permit related to the practice of nursing
    revoked, suspended, or placed on probation by another
    jurisdiction and at least one of the grounds for revoking,
    suspending, or placing on probation is the same or
    substantially equivalent to grounds for disciplinary
    action under this Act; or
        (3) the Department intends to deny restoration of the
    license.
    (h) A temporary permit or renewed temporary permit shall
expire (i) upon issuance of a valid license under this Act or
(ii) upon notification that the Department intends to deny
restoration of licensure. Except as otherwise provided in this
Section, the temporary permit shall expire 6 months after the
date of issuance. Further renewal may be granted by the
Department in hardship cases that shall automatically expire
upon issuance of a valid license under this Act or upon
notification that the Department intends to deny licensure,
whichever occurs first. No extensions shall be granted beyond
the 6-month period, unless approved by the Secretary.
Notification by the Department under this Section must be by
certified or registered mail.
 
    (225 ILCS 65/55-25 new)
    Sec. 55-25. Inactive status of a LPN license. Any licensed
practical nurse who notifies the Department in writing on forms
prescribed by the Department may elect to place his or her
license on inactive status and shall, subject to rules of the
Department, be excused from payment of renewal fees until
notice is given to the Department, in writing, of his or her
intent to restore the license.
    Any practical nurse requesting restoration from inactive
status shall be required to pay the current renewal fee and
shall be required to restore his or her license, as provided by
rule of the Department.
    Any practical nurse whose license is on an inactive status
shall not practice nursing as defined by this Act in the State
of Illinois.
 
    (225 ILCS 65/55-30 new)
    Sec. 55-30. LPN scope of practice.
    (a) Practice as a licensed practical nurse means a scope of
basic nursing practice, with or without compensation, as
delegated by a registered professional nurse or an advanced
practice nurse or as directed by a physician assistant,
physician, dentist, or podiatrist, and includes, but is not
limited to, all of the following:
        (1) Collecting data and collaborating in the
    assessment of the health status of a patient.
        (2) Collaborating in the development and modification
    of the registered professional nurse's or advanced
    practice nurse's comprehensive nursing plan of care for all
    types of patients.
        (3) Implementing aspects of the plan of care as
    delegated.
        (4) Participating in health teaching and counseling to
    promote, attain, and maintain the optimum health level of
    patients, as delegated.
        (5) Serving as an advocate for the patient by
    communicating and collaborating with other health service
    personnel, as delegated.
        (6) Participating in the evaluation of patient
    responses to interventions.
        (7) Communicating and collaborating with other health
    care professionals as delegated.
        (8) Providing input into the development of policies
    and procedures to support patient safety.
 
    (225 ILCS 65/55-35 new)
    Sec. 55-35. Continuing education for LPN licensees. The
Department may adopt rules of continuing education for licensed
practical nurses that require 20 hours of continuing education
per 2-year license renewal cycle. The rules shall address
variances in part or in whole for good cause, including without
limitation illness or hardship. The continuing education rules
must ensure that licensees are given the opportunity to
participate in programs sponsored by or through their State or
national professional associations, hospitals, or other
providers of continuing education. Each licensee is
responsible for maintaining records of completion of
continuing education and shall be prepared to produce the
records when requested by the Department.
 
    (225 ILCS 65/Art. 60 heading new)
ARTICLE 60. NURSING LICENSURE-RN

 
    (225 ILCS 65/60-5 new)
    Sec. 60-5. RN education program requirements; out-of-State
programs.
    (a) All registered professional nurse education programs
must be reviewed by the Board and approved by the Department
before the successful completion of such a program may be
applied toward meeting the requirements for registered
professional nurse licensure under this Act. Any program
changing the level of educational preparation or the
relationship with or to the parent institution or establishing
an extension of an existing program must request a review by
the Board and approval by the Department. The Board shall
review and make a recommendation for the approval or
disapproval of a program by the Department based on the
following criteria:
        (1) a feasibility study that describes the need for the
    program and the facilities used, the potential of the
    program to recruit faculty and students, financial support
    for the program, and other criteria, as established by
    rule;
        (2) program curriculum that meets all State
    requirements;
        (3) the administration of the program by a Nurse
    Administrator and the involvement of a Nurse Administrator
    in the development of the program; and
        (4) the occurrence of a site visit prior to approval.
    (b) In order to obtain initial Department approval and to
maintain Department approval, a registered professional
nursing program must meet all of the following requirements:
        (1) The institution responsible for conducting the
    program and the Nurse Administrator must ensure that
    individual faculty members are academically and
    professionally competent.
        (2) The program curriculum must contain all applicable
    requirements established by rule, including both theory
    and clinical components.
        (3) The passage rates of the program's graduating
    classes on the State-approved licensure exam must be deemed
    satisfactory by the Department.
    (c) Program site visits to an institution conducting or
hosting a professional nursing program may be made at the
discretion of the Nursing Coordinator or upon recommendation of
the Board. Full routine site visits shall be conducted by the
Department for periodic evaluation. The visits shall be used to
determine compliance with this Act. Full routine site visits
must be announced and may be waived at the discretion of the
Department if the program maintains accreditation with the
National League for Nursing Accrediting Commission (NLNAC) or
the Commission on Collegiate Nursing Education (CCNE).
    (d) Any institution conducting a registered professional
nursing program that wishes to discontinue the program must do
each of the following:
        (1) Notify the Department, in writing, of its intent to
    discontinue the program.
        (2) Continue to meet the requirements of this Act and
    the rules adopted thereunder until the official date of
    termination of the program.
        (3) Notify the Department of the date on which the last
    student shall graduate from the program and the program
    shall terminate.
        (4) Assist remaining students in the continuation of
    their education in the event of program termination prior
    to the graduation of the program's final student.
        (5) Upon the closure of the program, notify the
    Department, in writing, of the location of student and
    graduate records' storage.
    (e) Out-of-State registered professional nursing education
programs planning to offer clinical practice experiences in
this State must meet the requirements set forth in this Section
and must meet the clinical and faculty requirements for
institutions outside of this State, as established by rule. The
institution responsible for conducting an out-of-State
registered professional nursing education program and the
administrator of the program shall be responsible for ensuring
that the individual faculty and preceptors overseeing the
clinical experience are academically and professionally
competent.
 
    (225 ILCS 65/60-10 new)
    Sec. 60-10. Qualifications for RN licensure.
    (a) Each applicant who successfully meets the requirements
of this Section shall be entitled to licensure as a registered
professional nurse.
    (b) An applicant for licensure by examination to practice
as a registered professional nurse must do each of the
following:
        (1) Submit a completed written application, on forms
    provided by the Department, and fees, as established by the
    Department.
        (2) Have graduated from a professional nursing
    education program approved by the Department or have been
    granted a certificate of completion of pre-licensure
    requirements from another United States jurisdiction.
        (3) Successfully complete a licensure examination
    approved by the Department.
        (4) Have not violated the provisions of this Act
    concerning the grounds for disciplinary action. The
    Department may take into consideration any felony
    conviction of the applicant, but such a conviction may not
    operate as an absolute bar to licensure.
        (5) Submit to the criminal history records check
    required under Section 50-35 of this Act.
        (6) Submit, either to the Department or its designated
    testing service, a fee covering the cost of providing the
    examination. Failure to appear for the examination on the
    scheduled date at the time and place specified after the
    applicant's application for examination has been received
    and acknowledged by the Department or the designated
    testing service shall result in the forfeiture of the
    examination fee.
        (7) Meet all other requirements established by the
    Department by rule. An applicant for licensure by
    examination may take the Department-approved examination
    in another jurisdiction.
    (b-5) If an applicant for licensure by examination
neglects, fails, or refuses to take an examination or fails to
pass an examination for a license within 3 years after filing
the application, the application shall be denied. The applicant
may make a new application accompanied by the required fee,
evidence of meeting the requirements in force at the time of
the new application, and proof of the successful completion of
at least 2 additional years of professional nursing education.
    (c) An applicant for licensure by examination shall have
one year after the date of notification of the successful
completion of the examination to apply to the Department for a
license. If an applicant fails to apply within one year, the
applicant shall be required to retake and pass the examination
unless licensed in another jurisdiction of the United States.
    (d) An applicant for licensure by examination who passes
the Department-approved licensure examination for professional
nursing may obtain employment as a license-pending registered
nurse and practice under the direction of a registered
professional nurse or an advanced practice nurse until such
time as he or she receives his or her license to practice or
until the license is denied. In no instance shall any such
applicant practice or be employed in any management capacity.
An individual may be employed as a license-pending registered
nurse if all of the following criteria are met:
        (1) He or she has completed and passed the
    Department-approved licensure exam and presents to the
    employer the official written notification indicating
    successful passage of the licensure examination.
        (2) He or she has completed and submitted to the
    Department an application for licensure under this Section
    as a registered professional nurse.
        (3) He or she has submitted the required licensure fee.
        (4) He or she has met all other requirements
    established by rule, including having submitted to a
    criminal history records check.
    (e) The privilege to practice as a license-pending
registered nurse shall terminate with the occurrence of any of
the following:
        (1) Three months have passed since the official date of
    passing the licensure exam as inscribed on the formal
    written notification indicating passage of the exam. The
    3-month license pending period may be extended if more time
    is needed by the Department to process the licensure
    application.
        (2) Receipt of the registered professional nurse
    license from the Department.
        (3) Notification from the Department that the
    application for licensure has been refused.
        (4) A request by the Department that the individual
    terminate practicing as a license-pending registered nurse
    until an official decision is made by the Department to
    grant or deny a registered professional nurse license.
    (f) An applicant for registered professional nurse
licensure by endorsement who is a registered professional nurse
licensed by examination under the laws of another state or
territory of the United States must do each of the following:
        (1) Submit a completed written application, on forms
    supplied by the Department, and fees as established by the
    Department.
        (2) Have graduated from a registered professional
    nursing education program approved by the Department.
        (3) Submit verification of licensure status directly
    from the United States jurisdiction of licensure, if
    applicable, as defined by rule.
        (4) Submit to the criminal history records check
    required under Section 50-35 of this Act.
        (5) Meet all other requirements as established by the
    Department by rule.
    (g) Pending the issuance of a license under this Section,
the Department may grant an applicant a temporary license to
practice nursing as a registered professional nurse if the
Department is satisfied that the applicant holds an active,
unencumbered license in good standing in another U.S.
jurisdiction. If the applicant holds more than one current
active license or one or more active temporary licenses from
another jurisdiction, the Department may not issue a temporary
license until the Department is satisfied that each current
active license held by the applicant is unencumbered. The
temporary license, which shall be issued no later than 14
working days after receipt by the Department of an application
for the temporary license, shall be granted upon the submission
of all of the following to the Department:
        (1) A completed application for licensure as a
    registered professional nurse.
        (2) Proof of a current, active license in at least one
    other jurisdiction of the United States and proof that each
    current active license or temporary license held by the
    applicant within the last 5 years is unencumbered.
        (3) A completed application for a temporary license.
        (4) The required temporary license fee.
    (h) The Department may refuse to issue an applicant a
temporary license authorized pursuant to this Section if,
within 14 working days after its receipt of an application for
a temporary license, the Department determines that:
        (1) the applicant has been convicted of a crime under
    the laws of a jurisdiction of the United States that is (i)
    a felony or (ii) a misdemeanor directly related to the
    practice of the profession, within the last 5 years;
        (2) the applicant has had a license or permit related
    to the practice of nursing revoked, suspended, or placed on
    probation by another jurisdiction within the last 5 years,
    if at least one of the grounds for revoking, suspending, or
    placing on probation is the same or substantially
    equivalent to grounds for disciplinary action under this
    Act; or
        (3) the Department intends to deny licensure by
    endorsement.
    (i) The Department may revoke a temporary license issued
pursuant to this Section if it determines any of the following:
        (1) That the applicant has been convicted of a crime
    under the laws of any jurisdiction of the United States
    that is (i) a felony or (ii) a misdemeanor directly related
    to the practice of the profession, within the last 5 years.
        (2) That within the last 5 years, the applicant has had
    a license or permit related to the practice of nursing
    revoked, suspended, or placed on probation by another
    jurisdiction, if at least one of the grounds for revoking,
    suspending, or placing on probation is the same or
    substantially equivalent to grounds for disciplinary
    action under this Act.
        (3) That it intends to deny licensure by endorsement.
    (j) A temporary license issued under this Section shall
expire 6 months after the date of issuance. Further renewal may
be granted by the Department in hardship cases, as defined by
rule and upon approval of the Secretary. However, a temporary
license shall automatically expire upon issuance of the
Illinois license or upon notification that the Department
intends to deny licensure, whichever occurs first.
    (k) All applicants for registered professional nurse
licensure have 3 years after the date of application to
complete the application process. If the process has not been
completed within 3 years after the date of application, the
application shall be denied, the fee forfeited, and the
applicant must reapply and meet the requirements in effect at
the time of reapplication.
    (l) All applicants for registered nurse licensure by
examination or endorsement who are graduates of practical
nursing educational programs in a country other than the United
States and its territories shall have their nursing education
credentials evaluated by a Department-approved nursing
credentialing evaluation service. No such applicant may be
issued a license under this Act unless the applicant's program
is deemed by the nursing credentialing evaluation service to be
equivalent to a professional nursing education program
approved by the Department. An applicant who has graduated from
a nursing educational program outside of the United States or
its territories and whose first language is not English shall
submit certification of passage of the Test of English as a
Foreign Language (TOEFL), as defined by rule. The Department
may, upon recommendation from the nursing evaluation service,
waive the requirement that the applicant pass the TOEFL
examination if the applicant submits verification of the
successful completion of a nursing education program conducted
in English. The requirements of this subsection (l) may be
satisfied by the showing of proof of a certificate from the
Certificate Program or the VisaScreen Program of the Commission
on Graduates of Foreign Nursing Schools.
    (m) An applicant licensed in another state or territory who
is applying for licensure and has received her or his education
in a country other than the United States or its territories
shall have her or his nursing education credentials evaluated
by a Department-approved nursing credentialing evaluation
service. No such applicant may be issued a license under this
Act unless the applicant's program is deemed by the nursing
credentialing evaluation service to be equivalent to a
professional nursing education program approved by the
Department. An applicant who has graduated from a nursing
educational program outside of the United States or its
territories and whose first language is not English shall
submit certification of passage of the Test of English as a
Foreign Language (TOEFL), as defined by rule. The Department
may, upon recommendation from the nursing evaluation service,
waive the requirement that the applicant pass the TOEFL
examination if the applicant submits verification of the
successful completion of a nursing education program conducted
in English or the successful passage of an approved licensing
examination given in English. The requirements of this
subsection (m) may be satisfied by the showing of proof of a
certificate from the Certificate Program or the VisaScreen
Program of the Commission on Graduates of Foreign Nursing
Schools.
 
    (225 ILCS 65/60-15 new)   (was 225 ILCS 65/10-37)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 60-15 10-37. Registered nurse Nurse externship
permit.
    (a) The Department shall establish a 2-year program under
which the Department may issue a nurse externship permit to a
registered nurse who is licensed under the laws of another
state or territory of the United States and who has not taken
the National Council Licensure Examination (NCLEX). A nurse who
is issued a permit shall be allowed to practice as a nurse
extern under the direct, on-site supervision of a registered
professional nurse licensed under this Act. There shall be one
supervising registered professional nurse for every one nurse
extern.
    (b) An applicant shall be qualified to receive a nurse
externship permit if that applicant:
        (1) Has submitted a completed written application to
    the Department, on forms provided by the Department, and
    submitted paid any fees established by the Department.
        (2) Has graduated from a professional nursing
    education program approved by the Department.
        (3) Is licensed as a professional nurse in another
    state or territory of the United States and has submitted a
    verification of active and unencumbered licensure in all of
    the states and territories in which the applicant is
    licensed.
        (4) Has submitted verification of an offer of
    employment in Illinois as a nurse extern. The Department
    may prescribe the information necessary to determine if
    this employment meets the requirements of the permit
    program. This information shall include a copy of the
    written employment offer.
        (5) Has submitted a written statement from the
    applicant's prospective employer stating that the
    prospective employer agrees to pay the full tuition for the
    Bilingual Nurse Consortium course or other course approved
    by rule.
        (6) Has submitted proof of taking the Test of English
    as a Foreign Language (TOEFL) with a minimum score as set
    by rule. Applicants with the highest TOEFL scores shall be
    given first consideration to entrance into an extern
    program.
        (7) Has submitted written verification that the
    applicant has been enrolled in the Bilingual Nurse
    Consortium course or other course approved by rule. This
    verification must state that the applicant shall be able to
    complete the course within the year for which the permit is
    issued.
        (8) Has agreed to submit to the Department a mid-year
    exam as determined by rule that demonstrates proficiency
    towards passing the NCLEX.
        (9) Has not violated the provisions of Section 70-5
    10-45 of this Act. The Department may take into
    consideration any felony conviction of the applicant, but
    such a conviction shall not operate as an absolute bar to
    licensure.
        (10) Has met all other requirements established by
    rule.
    (c) A nurse extern shall be issued no more than one permit
in a lifetime. The permit shall expire one calendar year after
it is issued. Before being issued a license under this Act, the
nurse extern must submit proof of the successful completion of
the Bilingual Nurse Consortium course or other course approved
by rule and successful passage of the NCLEX. The nurse extern
shall not practice autonomous, professional nursing until he or
she is licensed under this Act. The nurse extern shall carry
out progressive nursing skills under the direct supervision of
a registered nurse licensed under this Act and shall not be
employed in a supervisory capacity. The nurse extern shall work
only in the sponsoring facility. A nurse extern may work for a
period not to exceed one calendar year from the date of
issuance of the permit or until he or she fails the NCLEX.
While working as a nurse extern, the nurse extern is subject to
the provisions of this Act and all rules adopted by the
Department for the administration of this Act.
    (d) The Secretary shall convene a task force within 2
months after the effective date of this amendatory Act of the
94th General Assembly to establish clinical guidelines that
allow for the gradual progression of nursing skills in
culturally diverse practice settings. The Nursing Act
Coordinator or his or her designee shall serve as chairperson
of the task force. The task force shall include, but not be
limited to, 2 representatives of the Illinois Nurses
Association, 2 representatives of the Illinois Hispanic Nurses
Association, a nurse engaged in nursing education who possesses
a master's degree or higher, one representative from the
Humboldt Park Vocational Educational Center, 2 registered
nurses from United States territories who each hold a current
State nursing license, one representative from the Chicago
Bilingual Nurse Consortium, and one member of the Illinois
Hospital Association. The task force shall complete this work
no longer than 4 months after convening. After the nurse
externship permit program has been in effect for 2 years, the
task force shall evaluate the effectiveness of the program and
make appropriate recommendations to the Secretary.
(Source: P.A. 94-351, eff. 7-28-05.)
 
    (225 ILCS 65/60-20 new)
    Sec. 60-20. Expiration of RN license; renewal. The
expiration date and renewal period for each registered
professional nurse license issued under this Act shall be set
by rule. The holder of a license may renew the license during
the month preceding the expiration date of the license by
paying the required fee. It is the responsibility of the
licensee to notify the Department in writing of a change of
address.
 
    (225 ILCS 65/60-25 new)
    Sec. 60-25. Restoration of RN license; temporary permit.
    (a) Any license to practice professional nursing issued
under this Act that has expired or that is on inactive status
may be restored by making application to the Department and
filing proof of fitness acceptable to the Department as
specified by rule to have the license restored and by paying
the required restoration fee. Such proof of fitness may include
evidence certifying active lawful practice in another
jurisdiction.
    (b) A licensee seeking restoration of a license after it
has expired or been placed on inactive status for more than 5
years shall file an application, on forms supplied by the
Department, and submit the restoration or renewal fees set
forth by the Department. The licensee shall also submit proof
of fitness to practice, including one of the following:
        (1) Certification of active practice in another
    jurisdiction, which may include a statement from the
    appropriate board or licensing authority in the other
    jurisdiction that the licensee was authorized to practice
    during the term of said active practice.
        (2) Proof of the successful completion of a
    Department-approved licensure examination.
        (3) An affidavit attesting to military service as
    provided in subsection (c) of this Section; however, if
    application is made within 2 years after discharge and if
    all other provisions of subsection (c) of this Section are
    satisfied, the applicant shall be required to pay the
    current renewal fee.
    (c) Any registered professional nurse license issued under
this Act that expired while the licensee was (1) in federal
service on active duty with the Armed Forces of the United
States or in the State Militia called into service or training
or (2) in training or education under the supervision of the
United States preliminary to induction into the military
service may have the license restored without paying any lapsed
renewal fees if, within 2 years after honorable termination of
such service, training, or education, the applicant furnishes
the Department with satisfactory evidence to the effect that
the applicant has been so engaged and that the individual's
service, training, or education has been so terminated.
    (d) Any licensee who engages in the practice of
professional nursing with a lapsed license or while on inactive
status shall be considered to be practicing without a license,
which shall be grounds for discipline under Section 70-5 of
this Act.
    (e) Pending restoration of a registered professional nurse
license under this Section, the Department may grant an
applicant a temporary permit to practice as a registered
professional nurse if the Department is satisfied that the
applicant holds an active, unencumbered license in good
standing in another jurisdiction. If the applicant holds more
than one current active license or one or more active temporary
licenses from another jurisdiction, the Department shall not
issue a temporary permit until it is satisfied that each
current active license held by the applicant is unencumbered.
The temporary permit, which shall be issued no later than 14
working days after receipt by the Department of an application
for the permit, shall be granted upon the submission of all of
the following to the Department:
        (1) A signed and completed application for restoration
    of licensure under this Section as a registered
    professional nurse.
        (2) Proof of (i) a current, active license in at least
    one other jurisdiction and proof that each current, active
    license or temporary permit held by the applicant is
    unencumbered or (ii) fitness to practice nursing in
    Illinois, as specified by rule.
        (3) A signed and completed application for a temporary
    permit.
        (4) The required permit fee.
    (f) The Department may refuse to issue to an applicant a
temporary permit authorized under this Section if, within 14
working days after its receipt of an application for a
temporary permit, the Department determines that:
        (1) the applicant has been convicted within the last 5
    years of any crime under the laws of any jurisdiction of
    the United States that is (i) a felony or (ii) a
    misdemeanor directly related to the practice of the
    profession;
        (2) within the last 5 years the applicant had a license
    or permit related to the practice of nursing revoked,
    suspended, or placed on probation by another jurisdiction
    if at least one of the grounds for revoking, suspending, or
    placing on probation is the same or substantially
    equivalent to grounds for disciplinary action under this
    Act; or
        (3) the Department intends to deny restoration of the
    license.
    (g) The Department may revoke a temporary permit issued
under this Section if:
        (1) the Department determines that the applicant has
    been convicted within the last 5 years of any crime under
    the laws of any jurisdiction of the United States that is
    (i) a felony or (ii) a misdemeanor directly related to the
    practice of the profession;
        (2) within the last 5 years, the applicant had a
    license or permit related to the practice of nursing
    revoked, suspended, or placed on probation by another
    jurisdiction, if at least one of the grounds for revoking,
    suspending, or placing on probation is the same or
    substantially equivalent to grounds in Illinois; or
        (3) the Department intends to deny restoration of the
    license.
    (h) A temporary permit or renewed temporary permit shall
expire (i) upon issuance of an Illinois license or (ii) upon
notification that the Department intends to deny restoration of
licensure. A temporary permit shall expire 6 months from the
date of issuance. Further renewal may be granted by the
Department, in hardship cases, that shall automatically expire
upon issuance of the Illinois license or upon notification that
the Department intends to deny licensure, whichever occurs
first. No extensions shall be granted beyond the 6-month period
unless approved by the Secretary. Notification by the
Department under this Section must be by certified or
registered mail.
 
    (225 ILCS 65/60-30 new)
    Sec. 60-30. Inactive status of a RN license. Any registered
professional nurse, who notifies the Department in writing on
forms prescribed by the Department, may elect to place his or
her license on inactive status and shall, subject to rules of
the Department, be excused from payment of renewal fees until
notice is given to the Department, in writing, of his or her
intent to restore the license.
    Any registered professional nurse requesting restoration
from inactive status shall be required to pay the current
renewal fee and shall be required to restore his or her
license, as provided by rule of the Department.
    Any registered professional nurse whose license is on
inactive status shall not practice professional nursing as
defined by this Act in the State of Illinois.
 
    (225 ILCS 65/60-35 new)
    Sec. 60-35. RN scope of practice.
    (a) Practice as a registered professional nurse means the
full scope of nursing, with or without compensation, that
incorporates caring for all patients in all settings, through
nursing standards recognized by the Department, and includes,
but is not limited to, all of the following:
        (1) The comprehensive nursing assessment of the health
    status of patients that addresses changes to patient
    conditions.
        (2) The development of a plan of nursing care to be
    integrated within the patient-centered health care plan
    that establishes nursing diagnoses, and setting goals to
    meet identified health care needs, determining nursing
    interventions, and implementation of nursing care through
    the execution of nursing strategies and regimens ordered or
    prescribed by authorized healthcare professionals.
        (3) The administration of medication or delegation of
    medication administration to licensed practical nurses.
        (4) Delegation of nursing interventions to implement
    the plan of care.
        (5) The provision for the maintenance of safe and
    effective nursing care rendered directly or through
    delegation.
        (6) Advocating for patients.
        (7) The evaluation of responses to interventions and
    the effectiveness of the plan of care.
        (8) Communicating and collaborating with other health
    care professionals.
        (9) The procurement and application of new knowledge
    and technologies.
        (10) The provision of health education and counseling.
        (11) Participating in development of policies,
    procedures, and systems to support patient safety.
 
    (225 ILCS 65/60-40 new)
    Sec. 60-40. Continuing education for RN licensees. The
Department may adopt rules of continuing education for
registered professional nurses licensed under this Act that
require 20 hours of continuing education per 2-year license
renewal cycle. The rules shall address variances in part or in
whole for good cause, including without limitation illness or
hardship. The continuing education rules must ensure that
licensees are given the opportunity to participate in programs
sponsored by or through their State or national professional
associations, hospitals, or other providers of continuing
education. Each licensee is responsible for maintaining
records of completion of continuing education and shall be
prepared to produce the records when requested by the
Department.
 
    (225 ILCS 65/Art. 65 heading new)   (was 225 ILCS 65/Tit. 15
      heading)
ARTICLE 65 TITLE 15 . ADVANCED PRACTICE NURSES

 
    (225 ILCS 65/65-5 new)   (was 225 ILCS 65/15-10)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-5 15-10. Qualifications for APN licensure Advanced
practice nurse; qualifications; roster.
    (a) Each applicant who successfully meets the requirements
of this Section shall be entitled to licensure as an advanced
practice nurse.
    (b) An applicant for licensure to practice as an advanced
practice nurse must do each of the following: A person shall be
qualified for licensure as an advanced practice nurse if that
person:
        (1) Submit a completed application and any fees as
    established by the Department. has applied in writing in
    form and substance satisfactory to the Department and has
    not violated a provision of this Act or the rules adopted
    under this Act. The Department may take into consideration
    any felony conviction of the applicant but a conviction
    shall not operate as an absolute bar to licensure;
        (2) Hold holds a current license to practice as a
    registered professional nurse under this Act. in Illinois;
        (3) Have has successfully completed requirements to
    practice as, and holds a current, national certification
    as, a nurse midwife, clinical nurse specialist, nurse
    practitioner, or certified registered nurse anesthetist
    from the appropriate national certifying body as
    determined by rule of the Department. ;
        (4) has paid the required fees as set by rule; and
        (4) Have (5) has obtained a graduate degree appropriate
    for national certification in a clinical advanced practice
    nursing specialty or a graduate degree or post-master's
    certificate from a graduate level program in a clinical
    advanced practice nursing specialty.
        (5) Have not violated the provisions of this Act
    concerning the grounds for disciplinary action. The
    Department may take into consideration any felony
    conviction of the applicant, but such a conviction may not
    operate as an absolute bar to licensure.
        (6) Submit to the criminal history records check
    required under Section 50-35 of this Act.
    (c) (b) Those applicants seeking licensure in more than one
advanced practice nursing specialty category need not possess
multiple graduate degrees. Applicants may be eligible for
licenses for multiple advanced practice nurse licensure
specialties categories, provided that the applicant (i) has met
the requirements for at least one advanced practice nursing
specialty under paragraphs (3) and (5) of subsection (a) of
this Section, (ii) possesses an additional graduate education
that results in a certificate for another clinical advanced
practice nurse specialty category and that meets the
requirements for the national certification from the
appropriate nursing specialty, and (iii) holds a current
national certification from the appropriate national
certifying body for that additional advanced practice nursing
specialty category.
    (b-5) A registered professional nurse seeking licensure as
an advanced practice nurse in the category of certified
registered nurse anesthetist who applies on or before December
31, 2006 and does not have a graduate degree as described in
subsection (b) shall be qualified for licensure if that person:
        (1) submits evidence of having successfully completed
    a nurse anesthesia program described in item (5) of
    subsection (a) of this Section prior to January 1, 1999;
        (2) submits evidence of certification as a registered
    nurse anesthetist by an appropriate national certifying
    body, as determined by rule of the Department; and
        (3) has continually maintained active, up-to-date
    recertification status as a certified registered nurse
    anesthetist by an appropriate national recertifying body,
    as determined by rule of the Department.
    (c) The Department shall provide by rule for APN licensure
of registered professional nurses who (1) apply for licensure
before July 1, 2001 and (2) submit evidence of completion of a
program described in item (5) of subsection (a) or in
subsection (b) and evidence of practice for at least 10 years
as a nurse practitioner.
    (d) Any person who holds a valid license as an advanced
practice nurse issued under this Act as this Act existed before
the effective date of this amendatory Act of the 95th General
Assembly shall be subject only to the advanced practice nurse
license renewal requirements of this Act as this Act exists on
and after the effective date of this amendatory Act of the 95th
General Assembly upon the expiration of that license. The
Department shall maintain a separate roster of advanced
practice nurses licensed under this Title and their licenses
shall indicate "Registered Nurse/Advanced Practice Nurse".
(Source: P.A. 93-296, eff. 7-22-03; 94-348, eff. 7-28-05.)
 
    (225 ILCS 65/65-10 new)   (was 225 ILCS 65/15-13)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-10 15-13. APN license License pending status.
    (a) A graduate of an advanced practice nursing program may
practice in the State of Illinois in the role of certified
clinical nurse specialist, certified nurse midwife, certified
nurse practitioner, or certified registered nurse anesthetist
for not longer than 6 months provided he or she submits all of
the following:
        (1) An application for licensure as an advanced
    practice nurse in Illinois and all fees established by
    rule.
        (2) Proof of an application to take the national
    certification examination in the specialty.
        (3) Proof of completion of a graduate advanced practice
    education program that allows the applicant to be eligible
    for national certification in a clinical advanced practice
    nursing speciality and that allows the applicant to be
    eligible for licensure in Illinois in the area of his or
    her specialty.
        (4) Proof that he or she is licensed in Illinois as a
    registered professional nurse.
        (5) Proof that he or she has a completed proposed
    collaborative agreement or practice agreement as required
    under Section 15-15 or 15-25 of this Act.
        (6) The license application fee as set by rule.
    (b) License pending status shall preclude delegation of
prescriptive authority.
    (c) A graduate practicing in accordance with this Section
must use the title "license pending certified clinical nurse
specialist", "license pending certified nurse midwife",
"license pending certified nurse practitioner", or "license
pending certified registered nurse anesthetist", whichever is
applicable.
(Source: P.A. 92-744, eff. 7-25-02.)
 
    (225 ILCS 65/65-15 new)
    Sec. 65-15. Expiration of APN license; renewal. The
expiration date and renewal period for each advanced practice
nurse license issued under this Act shall be set by rule. The
holder of a license may renew the license during the month
preceding the expiration date of the license by paying the
required fee. It is the responsibility of the licensee to
notify the Department in writing of a change of address. Each
advanced practice nurse is required to show proof of continued,
current national certification in the specialty.
 
    (225 ILCS 65/65-20 new)
    Sec. 65-20. Restoration of APN license; temporary permit.
    (a) Any license issued under this Act that has expired or
that is on inactive status may be restored by making
application to the Department and filing proof of fitness
acceptable to the Department as specified by rule to have the
license restored and by paying the required restoration fee.
Such proof of fitness may include evidence certifying active
lawful practice in another jurisdiction.
    (b) A licensee seeking restoration of a license after it
has expired or been placed on inactive status for more than 5
years shall file an application, on forms supplied by the
Department, and submit the restoration or renewal fees set
forth by the Department. The licensee shall also submit proof
of fitness to practice, including one of the following:
        (1) Certification of active practice in another
    jurisdiction, which may include a statement from the
    appropriate board or licensing authority in the other
    jurisdiction in which the licensee was authorized to
    practice during the term of said active practice.
        (2) Proof of the successful completion of a
    Department-approved licensure examination.
        (3) An affidavit attesting to military service as
    provided in subsection (c) of this Section; however, if
    application is made within 2 years after discharge and if
    all other provisions of subsection (c) of this Section are
    satisfied, the applicant shall be required to pay the
    current renewal fee.
        (4) Other proof as established by rule.
    (c) Any advanced practice nurse license issued under this
Act that expired while the licensee was (1) in federal service
on active duty with the Armed Forces of the United States or in
the State Militia called into service or training or (2) in
training or education under the supervision of the United
States preliminary to induction into the military service may
have the license restored without paying any lapsed renewal
fees if, within 2 years after honorable termination of such
service, training, or education, the applicant furnishes the
Department with satisfactory evidence to the effect that the
applicant has been so engaged and that the individual's
service, training, or education has been so terminated.
    (d) Any licensee who engages in the practice of advanced
practice nursing with a lapsed license or while on inactive
status shall be considered to be practicing without a license,
which shall be grounds for discipline under Section 70-5 of
this Act.
    (e) Pending restoration of an advanced practice nurse
license under this Section, the Department may grant an
applicant a temporary permit to practice as an advanced
practice nurse if the Department is satisfied that the
applicant holds an active, unencumbered license in good
standing in another jurisdiction. If the applicant holds more
than one current active license or one or more active temporary
licenses from another jurisdiction, the Department shall not
issue a temporary permit until it is satisfied that each
current active license held by the applicant is unencumbered.
The temporary permit, which shall be issued no later than 14
working days after receipt by the Department of an application
for the permit, shall be granted upon the submission of all of
the following to the Department:
        (1) A signed and completed application for restoration
    of licensure under this Section as an advanced practice
    nurse.
        (2) Proof of (i) a current, active license in at least
    one other jurisdiction and proof that each current, active
    license or temporary permit held by the applicant is
    unencumbered or (ii) fitness to practice nursing in
    Illinois, as specified by rule.
        (3) A signed and completed application for a temporary
    permit.
        (4) The required permit fee.
        (5) Other proof as established by rule.
    (f) The Department may refuse to issue to an applicant a
temporary permit authorized under this Section if, within 14
working days after its receipt of an application for a
temporary permit, the Department determines that:
        (1) the applicant has been convicted within the last 5
    years of any crime under the laws of any jurisdiction of
    the United States that is (i) a felony or (ii) a
    misdemeanor directly related to the practice of the
    profession;
        (2) within the last 5 years, the applicant had a
    license or permit related to the practice of nursing
    revoked, suspended, or placed on probation by another
    jurisdiction if at least one of the grounds for revoking,
    suspending, or placing on probation is the same or
    substantially equivalent to grounds for disciplinary
    action under this Act; or
        (3) the Department intends to deny restoration of the
    license.
    (g) The Department may revoke a temporary permit issued
under this Section if:
        (1) the Department determines that the applicant has
    been convicted within the last 5 years of any crime under
    the laws of any jurisdiction of the United States that is
    (i) a felony or (ii) a misdemeanor directly related to the
    practice of the profession;
        (2) within the last 5 years, the applicant had a
    license or permit related to the practice of nursing
    revoked, suspended, or placed on probation by another
    jurisdiction, if at least one of the grounds for revoking,
    suspending, or placing on probation is the same or
    substantially equivalent to grounds in Illinois; or
        (3) the Department intends to deny restoration of the
    license.
    (h) A temporary permit or renewed temporary permit shall
expire (i) upon issuance of an Illinois license or (ii) upon
notification that the Department intends to deny restoration of
licensure. Except as otherwise provided in this Section, a
temporary permit shall expire 6 months from the date of
issuance. Further renewal may be granted by the Department in
hardship cases that shall automatically expire upon issuance of
the Illinois license or upon notification that the Department
intends to deny licensure, whichever occurs first. No
extensions shall be granted beyond the 6-month period unless
approved by the Secretary. Notification by the Department under
this Section must be by certified or registered mail.
 
    (225 ILCS 65/65-25 new)
    Sec. 65-25. Inactive status of a APN license. Any advanced
practice nurse who notifies the Department in writing on forms
prescribed by the Department may elect to place his or her
license on inactive status and shall, subject to rules of the
Department, be excused from payment of renewal fees until
notice is given to the Department in writing of his or her
intent to restore the license.
    Any advanced practice nurse requesting restoration from
inactive status shall be required to pay the current renewal
fee and shall be required to restore his or her license, as
provided by rule of the Department.
    Any advanced practice nurse whose license is on inactive
status shall not practice advanced practice nursing, as defined
by this Act in the State of Illinois.
 
    (225 ILCS 65/65-30 new)
    Sec. 65-30. APN scope of practice.
    (a) Advanced practice nursing by certified nurse
practitioners, certified nurse anesthetists, certified nurse
midwives, or clinical nurse specialists is based on knowledge
and skills acquired throughout an advanced practice nurse's
nursing education, training, and experience.
    (b) Practice as an advanced practice nurse means a scope of
nursing practice, with or without compensation, and includes
the registered nurse scope of practice.
    (c) The scope of practice of an advanced practice nurse
includes, but is not limited to, each of the following:
        (1) Advanced nursing patient assessment and diagnosis.
        (2) Ordering diagnostic and therapeutic tests and
procedures, performing those tests and procedures when using
health care equipment, and interpreting and using the results
of diagnostic and therapeutic tests and procedures ordered by
the advanced practice nurse or another health care
professional.
        (3) Ordering treatments, ordering or applying
appropriate medical devices, and using nursing medical,
therapeutic, and corrective measures to treat illness and
improve health status.
        (4) Providing palliative and end-of-life care.
        (5) Providing advanced counseling, patient education,
health education, and patient advocacy.
        (6) Prescriptive authority as defined in Section 65-40
of this Act.
        (7) Delegating selected nursing activities or tasks to
a licensed practical nurse, a registered professional nurse, or
other personnel.
 
    (225 ILCS 65/65-35 new)   (was 225 ILCS 65/15-15)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-35 15-15. Written collaborative agreements.
    (a) A written collaborative agreement is required for all
advanced practice nurses engaged in clinical practice, except
for advanced practice nurses who are authorized to practice in
a hospital or ambulatory surgical treatment center.
    (a-5) If an advanced practice nurse engages in clinical
practice outside of a hospital or ambulatory surgical treatment
center in which he or she is authorized to practice, the
advanced practice nurse must have a written collaborative
agreement. Except as provided in Section 15-25, no person shall
engage in the practice of advanced practice nursing except when
licensed under this Title and pursuant to a written
collaborative agreement with a collaborating physician.
    (b) A written collaborative agreement shall describe the
working relationship of the advanced practice nurse with the
collaborating physician or podiatrist and shall authorize the
categories of care, treatment, or procedures to be performed by
the advanced practice nurse. A collaborative agreement with a
dentist must be in accordance with subsection (c-10) of this
Section. Collaboration does not require an employment
relationship between the collaborating physician and advanced
practice nurse. Collaboration means the relationship under
which an advanced practice nurse works with a collaborating
physician or podiatrist in an active clinical practice to
deliver health care services in accordance with (i) the
advanced practice nurse's training, education, and experience
and (ii) collaboration and consultation medical direction as
documented in a jointly developed written collaborative
agreement.
    The agreement shall be defined to promote the exercise of
professional judgment by the advanced practice nurse
commensurate with his or her education and experience. The
services to be provided by the advanced practice nurse shall be
services that the collaborating physician or podiatrist is
authorized to and generally provides to his or her patients in
the normal course of his or her clinical medical practice,
except as set forth in subsection (c-5) of this Section. The
agreement need not describe the exact steps that an advanced
practice nurse must take with respect to each specific
condition, disease, or symptom but must specify which
authorized procedures require the a physician's presence of the
collaborating physician or podiatrist as the procedures are
being performed. The collaborative relationship under an
agreement shall not be construed to require the personal
presence of a physician or podiatrist at all times at the place
where services are rendered. Methods of communication shall be
available for consultation with the collaborating physician or
podiatrist in person or by telecommunications in accordance
with established written guidelines as set forth in the written
agreement.
    (c) Collaboration and consultation Physician medical
direction under all collaboration agreements an agreement
shall be adequate if a collaborating physician or podiatrist
does each of the following:
        (1) Participates participates in the joint formulation
    and joint approval of orders or guidelines with the
    advanced practice nurse APN and he or she periodically
    reviews such orders and the services provided patients
    under such orders in accordance with accepted standards of
    medical practice and advanced practice nursing practice. ;
        (2) Meets in person with the advanced practice nurse is
    on site at least once a month to provide collaboration
    medical direction and consultation. In the case of
    anesthesia services provided by a certified registered
    nurse anesthetist, an anesthesiologist, physician,
    dentist, or podiatrist must participate through discussion
    of and agreement with the anesthesia plan and remain
    physically present and available on the premises during the
    delivery of anesthesia services for diagnosis,
    consultation, and treatment of emergency medical
    conditions. ; and
        (3) Is is available through telecommunications for
    consultation on medical problems, complications, or
    emergencies or patient referral. In the case of anesthesia
    services provided by a certified registered nurse
    anesthetist, an anesthesiologist, physician, dentist, or
    podiatrist must participate through discussion of and
    agreement with the anesthesia plan and remain physically
    present and available on the premises during the delivery
    of anesthesia services for diagnosis, consultation, and
    treatment of emergency medical conditions.
    The agreement must contain provisions detailing notice for
termination or change of status involving a written
collaborative agreement, except when such notice is given for
just cause.
    (c-5) A certified registered nurse anesthetist, who
provides anesthesia services outside of a hospital or
ambulatory surgical treatment center shall enter into a written
collaborative agreement with an anesthesiologist or the
physician licensed to practice medicine in all its branches or
the podiatrist performing the procedure. Outside of a hospital
or ambulatory surgical treatment center, the certified
registered nurse anesthetist may provide only those services
that the collaborating podiatrist is authorized to provide
pursuant to the Podiatric Medical Practice Act of 1987 and
rules adopted thereunder. A certified registered nurse
anesthetist may select, order, and administer medication,
including controlled substances, and apply appropriate medical
devices for delivery of anesthesia services under the
anesthesia plan agreed with by the anesthesiologist or the
operating physician or operating podiatrist.
    (c-10) A certified registered nurse anesthetist who
provides anesthesia services in a dental office shall enter
into a written collaborative agreement with an
anesthesiologist or the physician licensed to practice
medicine in all its branches or the operating dentist
performing the procedure. The agreement shall describe the
working relationship of the certified registered nurse
anesthetist and dentist and shall authorize the categories of
care, treatment, or procedures to be performed by the certified
registered nurse anesthetist. In a collaborating dentist's
office, the certified registered nurse anesthetist may only
provide those services that the operating dentist with the
appropriate permit is authorized to provide pursuant to the
Illinois Dental Practice Act and rules adopted thereunder. For
anesthesia services, an anesthesiologist, physician, or
operating dentist shall participate through discussion of and
agreement with the anesthesia plan and shall remain physically
present and be available on the premises during the delivery of
anesthesia services for diagnosis, consultation, and treatment
of emergency medical conditions. A certified registered nurse
anesthetist may select, order, and administer medication,
including controlled substances, and apply appropriate medical
devices for delivery of anesthesia services under the
anesthesia plan agreed with by the operating dentist.
    (d) A copy of the signed, written collaborative agreement
must be available to the Department upon request from both the
advanced practice nurse and the collaborating physician or
podiatrist and shall be annually updated.
    (e) Nothing in this Act shall be construed to limit the
delegation of tasks or duties by a physician to a licensed
practical nurse, a registered professional nurse, or other
persons.
    (f) An advanced practice nurse shall inform each
collaborating physician, dentist, or podiatrist of all
collaborative agreements he or she has signed and provide a
copy of these to any collaborating physician, dentist, or
podiatrist upon request.
(Source: P.A. 90-742, eff. 8-13-98; 91-414, eff. 8-6-99.)
 
    (225 ILCS 65/65-40 new)   (was 225 ILCS 65/15-20)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-40 15-20. Prescriptive authority.
    (a) A collaborating physician or podiatrist may, but is not
required to, delegate limited prescriptive authority to an
advanced practice nurse as part of a written collaborative
agreement. This authority may, but is not required to, include
prescription of, selection of, orders for, administration of,
storage of, acceptance of samples of, and dispensing over the
counter medications, legend drugs, medical gases, and
dispensing of legend drugs and legend controlled substances
categorized as Schedule III, III-N, IV, or V controlled
substances, as defined in Article II of the Illinois Controlled
Substances Act, and other preparations, including, but not
limited to, botanical and herbal remedies. The collaborating
physician or podiatrist must have a valid current Illinois
controlled substance license and federal registration to
delegate authority to prescribe delegated controlled
substances.
    (b) To prescribe Schedule III, IV, or V controlled
substances under this Section, an advanced practice nurse must
obtain a mid-level practitioner controlled substance license.
Medication orders shall be reviewed periodically by the
collaborating physician or podiatrist.
    (c) The collaborating physician or podiatrist shall file
with the Department notice of delegation of prescriptive
authority and termination of such delegation, in accordance
with rules of the Department. Upon receipt of this notice
delegating authority to prescribe Schedule III, III-N, IV, or V
controlled substances, the licensed advanced practice nurse
shall be eligible to register for a mid-level practitioner
controlled substance license under Section 303.05 of the
Illinois Controlled Substances Act.
    (d) In addition to the requirements of subsections (a),
(b), and (c) of this Section, a collaborating physician may,
but is not required to, delegate authority to an advanced
practice nurse to prescribe Schedule II or II-N controlled
substances, if all of the following conditions apply:
        (1) No more than 5 Schedule II or II-N controlled
    substances by oral dosage may be delegated.
        (2) Any delegation must be controlled substances that
    the collaborating physician prescribes.
        (3) Any prescription must be limited to no more than a
    30-day oral dosage, with any continuation authorized only
    after prior approval of the collaborating physician.
        (4) The advanced practice nurse must discuss the
    condition of any patients for whom a controlled substance
    is prescribed monthly with the delegating physician.
    (e) (d) Nothing in this Act shall be construed to limit the
delegation of tasks or duties by a physician to a licensed
practical nurse, a registered professional nurse, or other
persons personnel.
(Source: P.A. 90-742, eff. 8-13-98; 90-818, eff. 3-23-99.)
 
    (225 ILCS 65/65-45 new)   (was 225 ILCS 65/15-25)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-45 15-25. Advanced practice nursing in hospitals or
ambulatory surgical treatment centers Certified registered
nurse anesthetists.
    (a) An advanced practice nurse A licensed certified
registered nurse anesthetist may provide anesthesia services
pursuant to the order of a licensed physician, licensed
dentist, or licensed podiatrist in a licensed hospital or , a
licensed ambulatory surgical treatment center without
prescriptive authority or a written collaborative agreement
pursuant to Section 65-35 of this Act , or the office of a
licensed physician, the office of a licensed dentist, or the
office of a licensed podiatrist. An advanced practice nurse
must possess clinical privileges recommended by the hospital
medical staff and granted by the hospital or the consulting
medical staff committee and ambulatory surgical treatment
center in order to provide services. The medical staff or
consulting medical staff committee shall periodically review
the services of advanced practice nurses granted clinical
privileges. Authority may also be granted to individual
advanced practice nurses to select, order, and administer
medications, including controlled substances, to provide
delineated care. The attending physician shall determine an
advanced practice nurse's role in providing care for his or her
patients, except as otherwise provided in the medical staff
bylaws or consulting committee policies.
    (a-5) For anesthesia services provided by a certified
registered nurse anesthetist, an anesthesiologist, physician,
dentist, or podiatrist shall participate through discussion of
and agreement with the anesthesia plan and shall remain
physically present and be available on the premises during the
delivery of anesthesia services for diagnosis, consultation,
and treatment of emergency medical conditions, unless hospital
policy adopted pursuant to clause (B) of subdivision (3) of
Section 10.7 of the Hospital Licensing Act or ambulatory
surgical treatment center policy adopted pursuant to clause (B)
of subdivision (3) of Section 6.5 of the Ambulatory Surgical
Treatment Center Act provides otherwise. A certified
registered nurse anesthetist may select, order, and administer
medication for anesthesia services under the anesthesia plan
agreed to by the anesthesiologist or the physician, in
accordance with hospital alternative policy or the medical
staff consulting committee policies of a licensed ambulatory
surgical treatment center.
    (b) An advanced practice A certified registered nurse
anesthetist who provides anesthesia services in a hospital
shall do so in accordance with Section 10.7 of the Hospital
Licensing Act and, in an ambulatory surgical treatment center,
in accordance with Section 6.5 of the Ambulatory Surgical
Treatment Center Act.
    (c) A certified registered nurse anesthetist who provides
anesthesia services in a physician office, dental office, or
podiatric office shall enter into a written practice agreement
with an anesthesiologist or the physician licensed to practice
medicine in all its branches, the dentist, or the podiatrist
performing the procedure. The agreement shall describe the
working relationship of the certified registered nurse
anesthetist and anesthesiologist, physician, dentist, or
podiatrist and shall authorize the categories of care,
treatment, or procedures to be performed by the certified
registered nurse anesthetist. In a dentist's office, the
certified registered nurse anesthetist may only provide those
services the dentist is authorized to provide pursuant to the
Illinois Dental Practice Act and rules. In a podiatrist's
office, the certified registered nurse anesthetist may only
provide those services the podiatrist is authorized to provide
pursuant to the Podiatric Medical Practice Act of 1987 and
rules. For anesthesia services, an anesthesiologist,
physician, dentist, or podiatrist shall participate through
discussion of and agreement with the anesthesia plan and shall
remain physically present and be available on the premises
during the delivery of anesthesia services for diagnosis,
consultation, and treatment of emergency medical conditions.
    (d) A certified registered nurse anesthetist is not
required to possess prescriptive authority or a written
collaborative agreement meeting the requirements of Section
15-15 to provide anesthesia services ordered by a licensed
physician, dentist, or podiatrist. Certified registered nurse
anesthetists are authorized to select, order, and administer
drugs and apply the appropriate medical devices in the
provision of anesthesia services under the anesthesia plan
agreed with by the anesthesiologist or the physician in
accordance with hospital alternative policy or the medical
staff consulting committee policies of a licensed ambulatory
surgical treatment center. In a physician's office, dentist's
office, or podiatrist's office, the anesthesiologist,
operating physician, operating dentist, or operating
podiatrist shall agree with the anesthesia plan, in accordance
with the written practice agreement.
    (e) A certified registered nurse anesthetist may be
delegated limited prescriptive authority under Section 15-20
in a written collaborative agreement meeting the requirements
of Section 15-15.
(Source: P.A. 91-414, eff. 8-6-99.)
 
    (225 ILCS 65/65-50 new)   (was 225 ILCS 65/15-30)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-50 15-30. APN title Title.
    (a) No person shall use any words, abbreviations, figures,
letters, title, sign, card, or device tending to imply that he
or she is an advanced practice nurse, including but not limited
to using the titles or initials "Advanced Practice Nurse",
"Certified Nurse Midwife", "Certified Nurse Practitioner",
"Certified Registered Nurse Anesthetist", "Clinical Nurse
Specialist", "A.P.N.", "C.N.M.", "C.N.P.", "C.R.N.A.",
"C.N.S.", or similar titles or initials, with the intention of
indicating practice as an advanced practice nurse without
meeting the requirements of this Act.
    (b) No advanced practice nurse shall indicate to other
persons that he or she is qualified to engage in the practice
of medicine. No advanced practice nurse shall use the title of
doctor or associate with his or her name or any other term to
indicate to other persons that he or she is qualified to engage
in the general practice of medicine.
    (c) (b) An advanced practice nurse shall verbally identify
himself or herself as an advanced practice nurse, including
specialty certification, to each patient.
    (d) (c) Nothing in this Act shall be construed to relieve a
physician of professional or legal responsibility for the care
and treatment of persons attended by him or her or to relieve
an advanced practice nurse of the professional or legal
responsibility for the care and treatment of persons attended
by him or her.
(Source: P.A. 90-742, eff. 8-13-98; 91-414, eff. 8-6-99.)
 
    (225 ILCS 65/65-55 new)   (was 225 ILCS 65/15-40)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-55 15-40. Advertising as an APN.
    (a) A person licensed under this Act as an advanced
practice nurse Title may advertise the availability of
professional services in the public media or on the premises
where the professional services are rendered. The advertising
shall be limited to the following information:
        (1) publication of the person's name, title, office
    hours, address, and telephone number;
        (2) information pertaining to the person's areas of
    specialization, including but not limited to appropriate
    board certification or limitation of professional
    practice;
        (3) publication of the person's collaborating
    physician's, dentist's, or podiatrist's name, title, and
    areas of specialization;
        (4) information on usual and customary fees for routine
    professional services offered, which shall include
    notification that fees may be adjusted due to complications
    or unforeseen circumstances;
        (5) announcements of the opening of, change of, absence
    from, or return to business;
        (6) announcement of additions to or deletions from
    professional licensed staff; and
        (7) the issuance of business or appointment cards.
    (b) It is unlawful for a person licensed under this Act as
an advanced practice nurse Title to use testimonials or claims
of superior quality of care to entice the public. It shall be
unlawful to advertise fee comparisons of available services
with those of other licensed persons.
    (c) This Article Title does not authorize the advertising
of professional services that the offeror of the services is
not licensed or authorized to render. Nor shall the advertiser
use statements that contain false, fraudulent, deceptive, or
misleading material or guarantees of success, statements that
play upon the vanity or fears of the public, or statements that
promote or produce unfair competition.
    (d) It is unlawful and punishable under the penalty
provisions of this Act for a person licensed under this Article
Title to knowingly advertise that the licensee will accept as
payment for services rendered by assignment from any third
party payor the amount the third party payor covers as payment
in full, if the effect is to give the impression of eliminating
the need of payment by the patient of any required deductible
or copayment applicable in the patient's health benefit plan.
    (e) (d-5) A licensee shall include in every advertisement
for services regulated under this Act his or her title as it
appears on the license or the initials authorized under this
Act.
    (f) (e) As used in this Section, "advertise" means
solicitation by the licensee or through another person or
entity by means of handbills, posters, circulars, motion
pictures, radio, newspapers, or television or any other manner.
(Source: P.A. 90-742, eff. 8-13-98; 91-310, eff. 1-1-00.)
 
    (225 ILCS 65/65-60 new)   (was 225 ILCS 65/15-45)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-60 15-45. Continuing education. The Department
shall adopt rules of continuing education for persons licensed
under this Article Title that require 50 hours of continuing
education per 2-year license renewal cycle. Completion of the
50 hours of continuing education shall be deemed to satisfy the
continuing education requirements for renewal of a registered
professional nurse license as required by this Act. The rules
shall not be inconsistent with requirements of relevant
national certifying bodies or State or national professional
associations. The rules shall also address variances in part or
in whole for good cause, including but not limited to illness
or hardship. The continuing education rules shall assure that
licensees are given the opportunity to participate in programs
sponsored by or through their State or national professional
associations, hospitals, or other providers of continuing
education. Each licensee is responsible for maintaining
records of completion of continuing education and shall be
prepared to produce the records when requested by the
Department.
(Source: P.A. 92-750, eff. 1-1-03.)
 
    (225 ILCS 65/65-65 new)   (was 225 ILCS 65/15-55)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 65-65 15-55. Reports relating to APN professional
conduct and capacity.
    (a) Entities Required to Report.
        (1) Health Care Institutions. The chief administrator
    or executive officer of a health care institution licensed
    by the Department of Public Health, which provides the
    minimum due process set forth in Section 10.4 of the
    Hospital Licensing Act, shall report to the APN Board when
    an advanced practice nurse's a licensee's organized
    professional staff clinical privileges are terminated or
    are restricted based on a final determination, in
    accordance with that institution's bylaws or rules and
    regulations, that (i) a person has either committed an act
    or acts that may directly threaten patient care and that
    are not of an administrative nature or (ii) that a person
    may be mentally or physically disabled in a manner that may
    endanger patients under that person's care. The chief
    administrator or officer shall also report if an advanced
    practice nurse a licensee accepts voluntary termination or
    restriction of clinical privileges in lieu of formal action
    based upon conduct related directly to patient care and not
    of an administrative nature, or in lieu of formal action
    seeking to determine whether a person may be mentally or
    physically disabled in a manner that may endanger patients
    under that person's care. The APN Board shall provide by
    rule for the reporting to it of all instances in which a
    person licensed under this Article Title, who is impaired
    by reason of age, drug, or alcohol abuse or physical or
    mental impairment, is under supervision and, where
    appropriate, is in a program of rehabilitation. Reports
    submitted under this subsection shall be strictly
    confidential and may be reviewed and considered only by the
    members of the APN Board or authorized staff as provided by
    rule of the APN Board. Provisions shall be made for the
    periodic report of the status of any such reported person
    not less than twice annually in order that the APN Board
    shall have current information upon which to determine the
    status of that person. Initial and periodic reports of
    impaired advanced practice nurses shall not be considered
    records within the meaning of the State Records Act and
    shall be disposed of, following a determination by the APN
    Board that such reports are no longer required, in a manner
    and at an appropriate time as the APN Board shall determine
    by rule. The filing of reports submitted under this
    subsection shall be construed as the filing of a report for
    purposes of subsection (c) of this Section.
        (2) Professional Associations. The President or chief
    executive officer of an association or society of persons
    licensed under this Article Title, operating within this
    State, shall report to the APN Board when the association
    or society renders a final determination that a person
    licensed under this Article Title has committed
    unprofessional conduct related directly to patient care or
    that a person may be mentally or physically disabled in a
    manner that may endanger patients under the person's care.
        (3) Professional Liability Insurers. Every insurance
    company that offers policies of professional liability
    insurance to persons licensed under this Article Title, or
    any other entity that seeks to indemnify the professional
    liability of a person licensed under this Article Title,
    shall report to the APN Board the settlement of any claim
    or cause of action, or final judgment rendered in any cause
    of action, that alleged negligence in the furnishing of
    patient care by the licensee when the settlement or final
    judgment is in favor of the plaintiff.
        (4) State's Attorneys. The State's Attorney of each
    county shall report to the APN Board all instances in which
    a person licensed under this Article Title is convicted or
    otherwise found guilty of the commission of a felony.
        (5) State Agencies. All agencies, boards, commissions,
    departments, or other instrumentalities of the government
    of this State shall report to the APN Board any instance
    arising in connection with the operations of the agency,
    including the administration of any law by the agency, in
    which a person licensed under this Article Title has either
    committed an act or acts that may constitute a violation of
    this Article Title, that may constitute unprofessional
    conduct related directly to patient care, or that indicates
    that a person licensed under this Article Title may be
    mentally or physically disabled in a manner that may
    endanger patients under that person's care.
    (b) Mandatory Reporting. All reports required under items
(16) and (17) (8) and (9) of subsection (a) of Section 70-5
15-50 and under this Section shall be submitted to the APN
Board in a timely fashion. The reports shall be filed in
writing within 60 days after a determination that a report is
required under this Article Title. All reports shall contain
the following information:
        (1) The name, address, and telephone number of the
    person making the report.
        (2) The name, address, and telephone number of the
    person who is the subject of the report.
        (3) The name or other means of identification of any
    patient or patients whose treatment is a subject of the
    report, except that no medical records may be revealed
    without the written consent of the patient or patients.
        (4) A brief description of the facts that gave rise to
    the issuance of the report, including but not limited to
    the dates of any occurrences deemed to necessitate the
    filing of the report.
        (5) If court action is involved, the identity of the
    court in which the action is filed, the docket number, and
    date of filing of the action.
        (6) Any further pertinent information that the
    reporting party deems to be an aid in the evaluation of the
    report.
    Nothing contained in this Section shall be construed to in
any way waive or modify the confidentiality of medical reports
and committee reports to the extent provided by law. Any
information reported or disclosed shall be kept for the
confidential use of the APN Board, the APN Board's attorneys,
the investigative staff, and authorized clerical staff and
shall be afforded the same status as is provided information
concerning medical studies in Part 21 of Article VIII of the
Code of Civil Procedure.
    (c) Immunity from Prosecution. An individual or
organization acting in good faith, and not in a wilful and
wanton manner, in complying with this Section Title by
providing a report or other information to the APN Board, by
assisting in the investigation or preparation of a report or
information, by participating in proceedings of the APN Board,
or by serving as a member of the Board shall not, as a result of
such actions, be subject to criminal prosecution or civil
damages.
    (d) Indemnification. Members of the APN Board, the APN
Board's attorneys, the investigative staff, advanced practice
nurses or physicians retained under contract to assist and
advise in the investigation, and authorized clerical staff
shall be indemnified by the State for any actions (i) occurring
within the scope of services on the APN Board, (ii) performed
in good faith, and (iii) not wilful and wanton in nature. The
Attorney General shall defend all actions taken against those
persons unless he or she determines either that there would be
a conflict of interest in the representation or that the
actions complained of were not performed in good faith or were
wilful and wanton in nature. If the Attorney General declines
representation, the member shall have the right to employ
counsel of his or her choice, whose fees shall be provided by
the State, after approval by the Attorney General, unless there
is a determination by a court that the member's actions were
not performed in good faith or were wilful and wanton in
nature. The member shall notify the Attorney General within 7
days of receipt of notice of the initiation of an action
involving services of the APN Board. Failure to so notify the
Attorney General shall constitute an absolute waiver of the
right to a defense and indemnification. The Attorney General
shall determine within 7 days after receiving the notice
whether he or she will undertake to represent the member.
    (e) Deliberations of APN Board. Upon the receipt of a
report called for by this Section Title, other than those
reports of impaired persons licensed under this Article Title
required pursuant to the rules of the APN Board, the APN Board
shall notify in writing by certified mail the person who is the
subject of the report. The notification shall be made within 30
days of receipt by the APN Board of the report. The
notification shall include a written notice setting forth the
person's right to examine the report. Included in the
notification shall be the address at which the file is
maintained, the name of the custodian of the reports, and the
telephone number at which the custodian may be reached. The
person who is the subject of the report shall submit a written
statement responding to, clarifying, adding to, or proposing to
amend the report previously filed. The statement shall become a
permanent part of the file and shall be received by the APN
Board no more than 30 days after the date on which the person
was notified of the existence of the original report. The APN
Board shall review all reports received by it and any
supporting information and responding statements submitted by
persons who are the subject of reports. The review by the APN
Board shall be in a timely manner but in no event shall the APN
Board's initial review of the material contained in each
disciplinary file be less than 61 days nor more than 180 days
after the receipt of the initial report by the APN Board. When
the APN Board makes its initial review of the materials
contained within its disciplinary files, the APN Board shall,
in writing, make a determination as to whether there are
sufficient facts to warrant further investigation or action.
Failure to make that determination within the time provided
shall be deemed to be a determination that there are not
sufficient facts to warrant further investigation or action.
Should the APN Board find that there are not sufficient facts
to warrant further investigation or action, the report shall be
accepted for filing and the matter shall be deemed closed and
so reported. The individual or entity filing the original
report or complaint and the person who is the subject of the
report or complaint shall be notified in writing by the APN
Board of any final action on their report or complaint.
    (f) Summary Reports. The APN Board shall prepare, on a
timely basis, but in no event less than one every other month,
a summary report of final actions taken upon disciplinary files
maintained by the APN Board. The summary reports shall be made
available to the public upon request and payment of the fees
set by the Department. This publication may be made available
to the public on the Department's Internet website sent by the
APN Board to every health care facility licensed by the
Department of Public Health, every professional association
and society of persons licensed under this Title functioning on
a statewide basis in this State, all insurers providing
professional liability insurance to persons licensed under
this Title in this State, and the Illinois Pharmacists
Association.
    (g) Any violation of this Section shall constitute a Class
A misdemeanor.
    (h) If a person violates the provisions of this Section, an
action may be brought in the name of the People of the State of
Illinois, through the Attorney General of the State of
Illinois, for an order enjoining the violation or for an order
enforcing compliance with this Section. Upon filing of a
verified petition in court, the court may issue a temporary
restraining order without notice or bond and may preliminarily
or permanently enjoin the violation, and if it is established
that the person has violated or is violating the injunction,
the court may punish the offender for contempt of court.
Proceedings under this subsection shall be in addition to, and
not in lieu of, all other remedies and penalties provided for
by this Section.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/Art. 70 heading new)   (was 225 ILCS 65/Tit. 20
      heading)
ARTICLE 70 TITLE 20 . ADMINISTRATION AND ENFORCEMENT

 
    (225 ILCS 65/70-5 new)   (was 225 ILCS 65/10-45)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-5 10-45. Grounds for disciplinary action.
    (a) The Department may, upon recommendation of the Board,
refuse to issue or to renew, or may revoke, suspend, place on
probation, reprimand, or take other disciplinary or
non-disciplinary action as the Department may deem
appropriate, including fines not to exceed $10,000 per
violation, with regard to a license for any one or combination
of the causes set forth in subsection (b) below. Fines up to
$2,500 may be imposed in conjunction with other forms of
disciplinary action for those violations that result in
monetary gain for the licensee. Fines shall not be the
exclusive disposition of any disciplinary action arising out of
conduct resulting in death or injury to a patient. Fines shall
not be assessed in disciplinary actions involving mental or
physical illness or impairment. All fines collected under this
Section shall be deposited in the Nursing Dedicated and
Professional Fund.
    (b) Grounds for disciplinary action include the following:
        (1) Material deception in furnishing information to
    the Department.
        (2) Material violations of any provision of this Act or
    violation of the rules of or final administrative action of
    the Secretary Director, after consideration of the
    recommendation of the Board.
        (3) Conviction by plea of guilty or nolo contendere,
    finding of guilt, jury verdict, or entry of judgment or by
    sentencing of any crime, including, but not limited to,
    convictions, preceding sentences of supervision,
    conditional discharge, or first offender probation, of any
    crime under the laws of any jurisdiction of the United
    States: (i) that which is a felony; or (ii) that which is a
    misdemeanor, an essential element of which is dishonesty,
    or that (iii) of any crime which is directly related to the
    practice of the profession.
        (4) A pattern of practice or other behavior which
    demonstrates incapacity or incompetency to practice under
    this Act.
        (5) Knowingly aiding or assisting another person in
    violating any provision of this Act or rules.
        (6) Failing, within 90 days, to provide a response to a
    request for information in response to a written request
    made by the Department by certified mail.
        (7) Engaging in dishonorable, unethical or
    unprofessional conduct of a character likely to deceive,
    defraud or harm the public, as defined by rule.
        (8) Unlawful taking, theft, selling, distributing, or
    manufacturing sale or distribution of any drug, narcotic,
    or prescription device, or unlawful conversion of any drug,
    narcotic or prescription device.
        (9) Habitual or excessive use or addiction to alcohol,
    narcotics, stimulants, or any other chemical agent or drug
    that could result which results in a licensee's inability
    to practice with reasonable judgment, skill or safety.
        (10) Discipline by another U.S. jurisdiction or
    foreign nation, if at least one of the grounds for the
    discipline is the same or substantially equivalent to those
    set forth in this Section.
        (11) A finding that the licensee, after having her or
    his license placed on probationary status or subject to
    conditions or restrictions, has violated the terms of
    probation or failed to comply with such terms or
    conditions.
        (12) Being named as a perpetrator in an indicated
    report by the Department of Children and Family Services
    and under the Abused and Neglected Child Reporting Act, and
    upon proof by clear and convincing evidence that the
    licensee has caused a child to be an abused child or
    neglected child as defined in the Abused and Neglected
    Child Reporting Act.
        (13) Willful omission to file or record, or willfully
    impeding the filing or recording or inducing another person
    to omit to file or record medical reports as required by
    law or willfully failing to report an instance of suspected
    child abuse or neglect as required by the Abused and
    Neglected Child Reporting Act.
        (14) Gross negligence in the practice of practical,
    professional, or advanced practice nursing.
        (15) Holding oneself out to be practicing nursing under
    any name other than one's own.
        (16) Failure of a licensee to report to the Department
    any adverse final action taken against him or her by
    another licensing jurisdiction of the United States or any
    foreign state or country, any peer review body, any health
    care institution, any professional or nursing society or
    association, any governmental agency, any law enforcement
    agency, or any court or a nursing liability claim related
    to acts or conduct similar to acts or conduct that would
    constitute grounds for action as defined in this Section.
        (17) Failure of a licensee to report to the Department
    surrender by the licensee of a license or authorization to
    practice nursing or advanced practice nursing in another
    state or jurisdiction or current surrender by the licensee
    of membership on any nursing staff or in any nursing or
    advanced practice nursing or professional association or
    society while under disciplinary investigation by any of
    those authorities or bodies for acts or conduct similar to
    acts or conduct that would constitute grounds for action as
    defined by this Section.
        (18) Failing, within 60 days, to provide information in
    response to a written request made by the Department.
        (19) Failure to establish and maintain records of
    patient care and treatment as required by law.
        (20) (16) Fraud, deceit or misrepresentation in
    applying for or procuring a license under this Act or in
    connection with applying for renewal of a license under
    this Act.
        (21) (17) Allowing another person or organization to
    use the licensees' license to deceive the public.
        (22) (18) Willfully making or filing false records or
    reports in the licensee's practice, including but not
    limited to false records to support claims against the
    medical assistance program of the Department of Healthcare
    and Family Services (formerly Department of Public Aid)
    under the Illinois Public Aid Code.
        (23) (19) Attempting to subvert or cheat on a nurse
    licensing examination administered under this Act.
        (24) (20) Immoral conduct in the commission of an act,
    including, but not limited to, such as sexual abuse, sexual
    misconduct, or sexual exploitation, related to the
    licensee's practice.
        (25) (21) Willfully or negligently violating the
    confidentiality between nurse and patient except as
    required by law.
        (26) (22) Practicing under a false or assumed name,
    except as provided by law.
        (27) (23) The use of any false, fraudulent, or
    deceptive statement in any document connected with the
    licensee's practice.
        (28) (24) Directly or indirectly giving to or receiving
    from a person, firm, corporation, partnership, or
    association a fee, commission, rebate, or other form of
    compensation for professional services not actually or
    personally rendered.
        (25) Failure of a licensee to report to the Department
    any adverse final action taken against such licensee by
    another licensing jurisdiction (any other jurisdiction of
    the United States or any foreign state or country), by any
    peer review body, by any health care institution, by any
    professional or nursing society or association, by any
    governmental agency, by any law enforcement agency, or by
    any court or a nursing liability claim related to acts or
    conduct similar to acts or conduct that would constitute
    grounds for action as defined in this Section.
        (26) Failure of a licensee to report to the Department
    surrender by the licensee of a license or authorization to
    practice nursing in another state or jurisdiction, or
    current surrender by the licensee of membership on any
    nursing staff or in any nursing or professional association
    or society while under disciplinary investigation by any of
    those authorities or bodies for acts or conduct similar to
    acts or conduct that would constitute grounds for action as
    defined by this Section.
        (29) (27) A violation of the Health Care Worker
    Self-Referral Act.
        (30) (28) Physical illness, including but not limited
    to deterioration through the aging process or loss of motor
    skill, mental illness, or disability that results in the
    inability to practice the profession with reasonable
    judgment, skill, or safety.
        (31) Exceeding the terms of a collaborative agreement
    or the prescriptive authority delegated to a licensee by
    his or her collaborating physician or podiatrist in
    guidelines established under a written collaborative
    agreement.
        (32) Making a false or misleading statement regarding a
    licensee's skill or the efficacy or value of the medicine,
    treatment, or remedy prescribed by him or her in the course
    of treatment.
        (33) Prescribing, selling, administering,
    distributing, giving, or self-administering a drug
    classified as a controlled substance (designated product)
    or narcotic for other than medically accepted therapeutic
    purposes.
        (34) Promotion of the sale of drugs, devices,
    appliances, or goods provided for a patient in a manner to
    exploit the patient for financial gain.
        (35) Violating State or federal laws, rules, or
    regulations relating to controlled substances.
        (36) Willfully or negligently violating the
    confidentiality between an advanced practice nurse,
    collaborating physician, dentist, or podiatrist and a
    patient, except as required by law.
        (37) A violation of any provision of this Act or any
    rules promulgated under this Act.
    (c) The determination by a circuit court that a licensee is
subject to involuntary admission or judicial admission as
provided in the Mental Health and Developmental Disabilities
Code, as amended, operates as an automatic suspension. The
suspension will end only upon a finding by a court that the
patient is no longer subject to involuntary admission or
judicial admission and issues an order so finding and
discharging the patient; and upon the recommendation of the
Board to the Secretary Director that the licensee be allowed to
resume his or her practice.
    (d) The Department may refuse to issue or may suspend or
otherwise discipline the license of any person who fails to
file a return, or to pay the tax, penalty or interest shown in
a filed return, or to pay any final assessment of the tax,
penalty, or interest as required by any tax Act administered by
the Illinois Department of Revenue, until such time as the
requirements of any such tax Act are satisfied.
    (e) In enforcing this Act Section, the Department or Board,
upon a showing of a possible violation, may compel an
individual licensed to practice under this Act, or who has
applied for licensure under this Act, to submit to a mental or
physical examination, or both, as required by and at the
expense of the Department. The Department or Board may order
the examining physician to present testimony concerning the
mental or physical examination of the licensee or applicant. No
information shall be excluded by reason of any common law or
statutory privilege relating to communications between the
licensee or applicant and the examining physician. The
examining physicians shall be specifically designated by the
Board or Department. The individual to be examined may have, at
his or her own expense, another physician of his or her choice
present during all aspects of this examination. Failure of an
individual to submit to a mental or physical examination, when
directed, shall result in an automatic be grounds for
suspension without hearing of his or her license until the
individual submits to the examination if the Department finds,
after notice and hearing, that the refusal to submit to the
examination was without reasonable cause.
    All substance-related violations shall mandate an
automatic substance abuse assessment. Failure to submit to an
assessment by a licensed physician who is certified as an
addictionist or an advanced practice nurse with specialty
certification in addictions may be grounds for an automatic
suspension, as defined by rule.
    If the Department or Board finds an individual unable to
practice or unfit for duty because of the reasons set forth in
this Section, the Department or Board may require that
individual to submit to a substance abuse evaluation care,
counseling, or treatment by individuals or programs physicians
approved or designated by the Department or Board, as a
condition, term, or restriction for continued, reinstated, or
renewed licensure to practice; or, in lieu of evaluation care,
counseling, or treatment, the Department may file, or the Board
may recommend to the Department to file, a complaint to
immediately suspend, revoke, or otherwise discipline the
license of the individual. An individual whose license was
granted, continued, reinstated, renewed, disciplined or
supervised subject to such terms, conditions, or restrictions,
and who fails to comply with such terms, conditions, or
restrictions, shall be referred to the Secretary Director for a
determination as to whether the individual shall have his or
her license suspended immediately, pending a hearing by the
Department.
    In instances in which the Secretary Director immediately
suspends a person's license under this Section, a hearing on
that person's license must be convened by the Department within
15 days after the suspension and completed without appreciable
delay. The Department and Board shall have the authority to
review the subject individual's record of treatment and
counseling regarding the impairment to the extent permitted by
applicable federal statutes and regulations safeguarding the
confidentiality of medical records.
    An individual licensed under this Act and affected under
this Section shall be afforded an opportunity to demonstrate to
the Department or Board that he or she can resume practice in
compliance with nursing acceptable and prevailing standards
under the provisions of his or her license.
(Source: P.A. 90-742, eff. 8-13-98; revised 12-15-05.)
 
    (225 ILCS 65/70-10 new)   (was 225 ILCS 65/10-50)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-10 10-50. Intoxication and drug abuse.
    (a) A professional assistance program for nurses shall be
established by January 1, 1999.
    (b) The Director shall appoint a task force to advise in
the creation of the assistance program. The task force shall
include members of the Department and professional nurses, and
shall report its findings and recommendations to the Committee
on Nursing.
    (a) (c) Any registered professional nurse who is an
administrator or officer in any hospital, nursing home, other
health care agency or facility, or nurse agency and has
knowledge of any action or condition which reasonably indicates
to her or him that a registered professional nurse or licensed
practical nurse is impaired due to the use of alcohol or mood
altering drugs to the extent that such impairment employed by
or practicing nursing in such hospital, nursing home, other
health care agency or facility, or nurse agency is habitually
intoxicated or addicted to the use of habit-forming drugs to
the extent that such intoxication or addiction adversely
affects such nurse's professional performance, or unlawfully
possesses, uses, distributes or converts mood altering
habit-forming drugs belonging to the place of employment
hospital, nursing home or other health care agency or facility
for such nurse's own use, shall promptly file a written report
the individual thereof to the Department or designee of the
Department; provided however, an administrator or officer need
not file the report if the nurse participates in a course of
remedial professional counseling or medical treatment for
substance abuse, as long as such nurse actively pursues such
treatment under monitoring by the administrator or officer or
by the hospital, nursing home, health care agency or facility,
or nurse agency and the nurse continues to be employed by such
hospital, nursing home, health care agency or facility, or
nurse agency. The Department shall review all reports received
by it in a timely manner. Its initial review shall be completed
no later than 60 days after receipt of the report. Within this
60 day period, the Department shall, in writing, make a
determination as to whether there are sufficient facts to
warrant further investigation or action. Any nurse
participating in mandatory reporting to the Department under
this Section or in good faith assisting another person in
making such a report shall have immunity from any liability,
either criminal or civil, that might result by reason of such
action.
    Should the Department find insufficient facts to warrant
further investigation, or action, the report shall be accepted
for filing and the matter shall be deemed closed and so
reported.
    Should the Department find sufficient facts to warrant
further investigation, such investigation shall be completed
within 60 days of the date of the determination of sufficient
facts to warrant further investigation or action. Final action
shall be determined no later than 30 days after the completion
of the investigation. If there is a finding which verifies
habitual intoxication or drug addiction which adversely
affects professional performance or the unlawful possession,
use, distribution or conversion of habit-forming drugs by the
reported nurse, the Department may refuse to issue or renew or
may suspend or revoke that nurse's license as a registered
professional nurse or a licensed practical nurse.
    Any of the aforementioned actions or a determination that
there are insufficient facts to warrant further investigation
or action shall be considered a final action. The nurse
administrator or officer who filed the original report or
complaint, and the nurse who is the subject of the report,
shall be notified in writing by the Department within 15 days
of any final action taken by the Department.
    (b) Each year on March 1, commencing with the effective
date of this Act, the Department shall submit a report to the
General Assembly. The report shall include the number of
reports made under this Section to the Department during the
previous year, the number of reports reviewed and found
insufficient to warrant further investigation, the number of
reports not completed and the reasons for incompletion. This
report shall be made available also to nurses requesting the
report.
    (c) Any person making a report under this Section or in
good faith assisting another person in making such a report
shall have immunity from any liability, either criminal or
civil, that might result by reason of such action. For the
purpose of any legal proceeding, criminal or civil, there shall
be a rebuttable presumption that any person making a report
under this Section or assisting another person in making such
report was acting in good faith. All such reports and any
information disclosed to or collected by the Department
pursuant to this Section shall remain confidential records of
the Department and shall not be disclosed nor be subject to any
law or regulation of this State relating to freedom of
information or public disclosure of records.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-15 new)
    Sec. 70-15. Disciplinary and non-disciplinary options for
the impaired nurse. The Department shall establish by rule a
program of care, counseling, and treatment for the impaired
nurse. This program shall allow an impaired nurse to self-refer
to the program. Individual licensee health care records shall
be privileged and confidential, unavailable for use in any
proceeding, and not subject to disclosure. Nothing in this
Section nor the rules adopted under this Section shall impair
or prohibit the Department from taking disciplinary action
based upon the grounds set forth in Section 70-5 of this Act.
 
    (225 ILCS 65/70-20 new)   (was 225 ILCS 65/20-13)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-20 20-13. Suspension of license or registration for
failure to pay restitution. The Department, without further
process or hearing, shall suspend the license or other
authorization to practice of any person issued under this Act
who has been certified by court order as not having paid
restitution to a person under Section 8A-3.5 of the Illinois
Public Aid Code or under Section 46-1 of the Criminal Code of
1961. A person whose license or other authorization to practice
is suspended under this Section is prohibited from practicing
until the restitution is made in full.
(Source: P.A. 94-577, eff. 1-1-06.)
 
    (225 ILCS 65/70-25 new)   (was 225 ILCS 65/20-25)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-25 20-25. Returned checks; fines. Any person who
delivers a check or other payment to the Department that is
returned to the Department unpaid by the financial institution
upon which it is drawn shall pay to the Department, in addition
to the amount already owed to the Department, a fine of $50.
The fines imposed by this Section are in addition to any other
discipline provided under this Act for unlicensed practice or
practice on a nonrenewed license. The Department shall notify
the person that payment of fees and fines shall be paid to the
Department by certified check or money order within 30 calendar
days of the notification. If, after the expiration of 30 days
from the date of the notification, the person has failed to
submit the necessary remittance, the Department shall
automatically terminate the license or deny the application,
without hearing. If, after termination or denial, the person
seeks a license, he or she shall apply to the Department for
restoration or issuance of the license and pay all fees and
fines due to the Department. The Department may establish a fee
for the processing of an application for restoration of a
license to pay all expenses of processing this application. The
Secretary Director may waive the fines due under this Section
in individual cases where the Secretary Director finds that the
fines would be unreasonable or unnecessarily burdensome.
(Source: P.A. 92-146, eff. 1-1-02.)
 
    (225 ILCS 65/70-30 new)   (was 225 ILCS 65/20-30)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-30 20-30. Roster. The Department shall maintain a
roster of the names and addresses of all licensees and of all
persons whose licenses have been suspended or revoked. This
roster shall be available upon written request and payment of
the required fees.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-35 new)   (was 225 ILCS 65/20-31)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-35 20-31. Licensure requirements; internet site.
The Department shall make available to the public the
requirements for licensure in English and Spanish on the
internet through the Department's World Wide Web site. This
information shall include the requirements for licensure of
individuals currently residing in another state or territory of
the United States or a foreign country, territory, or province.
The Department shall establish an e-mail link to the Department
for information on the requirements for licensure, with replies
available in English and Spanish.
(Source: P.A. 93-519, eff. 1-1-04.)
 
    (225 ILCS 65/70-40 new)   (was 225 ILCS 65/20-32)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-40 20-32. Educational resources; internet link.
The Department shall work with the Board of Nursing, the APN
Board, the Board of Higher Education, the Illinois Student
Assistance Commission, Statewide organizations, and
community-based organizations to develop a list of
Department-approved nursing programs and other educational
resources related to the Test of English as a Foreign Language
and the Commission on Graduates of Foreign Nursing Schools
Examination. The Department shall provide a link to a list of
these resources, in English and Spanish, on the Department's
World Wide Web site.
(Source: P.A. 93-519, eff. 1-1-04.)
 
    (225 ILCS 65/70-45 new)   (was 225 ILCS 65/20-35)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-45 20-35. Fees.
    (a) The Department shall provide by rule for a schedule of
fees to be paid for licenses by all applicants.
    (b) (a-5) Except as provided in subsection (c) of this
Section (b), the fees for the administration and enforcement of
this Act, including but not limited to original licensure,
renewal, and restoration, shall be set by rule. The fees shall
not be refundable.
    (c) (b) In addition, applicants for any examination as a
Registered Professional Nurse or a Licensed Practical Nurse
shall be required to pay, either to the Department or to the
designated testing service, a fee covering the cost of
providing the examination. Failure to appear for the
examination on the scheduled date, at the time and place
specified, after the applicant's application for examination
has been received and acknowledged by the Department or the
designated testing service, shall result in the forfeiture of
the examination fee.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-50 new)   (was 225 ILCS 65/20-40)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-50 20-40. Fund.
    (a) There is hereby created within the State Treasury the
Nursing Dedicated and Professional Fund. The monies in the Fund
may be used by and at the direction of the Department for the
administration and enforcement of this Act, including but not
limited to:
        (1) (a) Distribution and publication of this Act the
    Nursing and Advanced Practice Nursing Act and the rules at
    the time of renewal to all persons licensed by the
    Department under this Act.
        (2) (b) Employment of secretarial, nursing,
    administrative, enforcement, and other staff for the
    administration of this Act.
        (c) Conducting a survey, as prescribed by rule of the
    Department, once every 4 years during the license renewal
    period.
        (d) Conducting of training seminars for licensees
    under this Act relating to the obligations,
    responsibilities, enforcement and other provisions of the
    Act and its rules.
        (b) (e) Disposition of fees Fees:
         (1) $5 of every licensure fee shall be placed in a
    fund for assistance to nurses enrolled in a diversionary
    program as approved by the Department.
            (i) (Blank).
        (2) (ii) All of the fees, and fines, and penalties
    collected pursuant to this Act shall be deposited in the
    Nursing Dedicated and Professional Fund.
        (3) Each (iii) For the fiscal year beginning July 1,
    1988, the moneys deposited in the Nursing Dedicated and
    Professional Fund shall be appropriated to the Department
    for expenses of the Department and the Board in the
    administration of this Act. All earnings received from
    investment of moneys in the Nursing Dedicated and
    Professional Fund shall be deposited in the Nursing
    Dedicated and Professional Fund and shall be used for the
    same purposes as fees deposited in the Fund.
        (4) (iv) For the fiscal year beginning July 1, 2004 and
    for each fiscal year thereafter, $1,200,000 of the moneys
    deposited in the Nursing Dedicated and Professional Fund
    each year shall be set aside and appropriated to the
    Illinois Department of Public Health for nursing
    scholarships awarded pursuant to the Nursing Education
    Scholarship Law. Representatives of the Department and the
    Nursing Education Scholarship Program Advisory Council
    shall review this requirement and the scholarship awards
    every 2 years.
        (5) (v) Moneys in the Fund may be transferred to the
    Professions Indirect Cost Fund as authorized under Section
    2105-300 of the Department of Professional Regulation Law
    (20 ILCS 2105/2105-300).
    (f) Moneys set aside for nursing scholarships awarded
pursuant to the Nursing Education Scholarship Law as provided
in item (iv) of subsection (e) of this Section may not be
transferred under Section 8h of the State Finance Act.
(Source: P.A. 92-46, eff. 7-1-01; 93-806, eff. 7-24-04;
93-1054, eff. 11-18-04; revised 12-1-04.)
 
    (225 ILCS 65/70-55 new)   (was 225 ILCS 65/20-50)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-55 20-50. Statute of limitations Limitation on
action. All proceedings to suspend, revoke, or take any other
disciplinary action as the Department may deem proper, with
regard to a license on any of the foregoing grounds under
Section 70-5 of this Act may not be commenced later than 5 3
years next after the commission of any act which is a ground
for discipline or a final conviction order for any of the acts
described herein. In the event of the settlement of any claim
or cause of action in favor of the claimant or the reduction to
the final judgment of any civil action in favor of the
plaintiff, such claim, cause of action or civil action being
rounded on the allegation that a person licensed under this Act
was negligent in providing care, the Department shall have an
additional period of 2 years one year from the date of such
settlement or final judgment in which to investigate and
commence formal disciplinary proceedings under Section 25 of
this Act, except as otherwise provided by law. The time during
which the holder of the license was outside the State of
Illinois shall not be included within any period of time
limiting the commencement of disciplinary action by the Board.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-60 new)   (was 225 ILCS 65/20-55)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-60 20-55. Summary suspension; Suspension for
imminent danger. The Secretary Director of the Department may,
upon receipt of a written communication from the Secretary of
Human Services, the Director of Healthcare and Family Services
(formerly Director of Public Aid), or the Director of Public
Health that continuation of practice of a person licensed under
this Act constitutes an immediate danger to the public,
immediately suspend the license of such person without a
hearing. In instances in which the Secretary Director
immediately suspends a license under this Section, a hearing
upon such person's license must be convened by the Department
within 30 days after such suspension and completed without
appreciable delay, such hearing held to determine whether to
recommend to the Secretary Director that the person's license
be revoked, suspended, placed on probationary status or
reinstated, or such person be subject to other disciplinary
action. In such hearing, the written communication and any
other evidence submitted therewith may be introduced as
evidence against such person; provided, however, the person, or
his or her counsel, shall have the opportunity to discredit or
impeach and submit evidence rebutting such evidence.
(Source: P.A. 89-507, eff. 7-1-97; 90-61, eff. 12-30-97;
90-742, eff. 8-13-98; revised 12-15-05.)
 
    (225 ILCS 65/70-65 new)   (was 225 ILCS 65/20-65)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-65 20-65. Liability of State. In the event that the
Department's order of revocation, suspension, placing the
licensee on probationary status, or other order of formal
disciplinary action is without any reasonable basis, then the
State of Illinois shall be liable to the injured party for
those special damages suffered as a direct result of such
order.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-70 new)   (was 225 ILCS 65/20-70)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-70 20-70. Right to legal counsel. No action of a
disciplinary nature that is predicated on charges alleging
unethical or unprofessional conduct of a person who is licensed
under this Act a registered professional nurse or a licensed
practical nurse and that can be reasonably expected to affect
adversely that person's maintenance of her or his present, or
her or his securing of future, employment as such a nurse may
be taken by the Department, by any association, or by any
person unless the person against whom such charges are made is
afforded the right to be represented by legal counsel of her or
his choosing and to present any witness, whether an attorney or
otherwise to testify on matters relevant to such charges.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-75 new)   (was 225 ILCS 65/20-75)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-75 20-75. Injunctive remedies.
    (a) If any person violates the provision of this Act, the
Secretary Director may, in the name of the People of the State
of Illinois, through the Attorney General of the State of
Illinois, or the State's Attorney of any county in which the
action is brought, petition for an order enjoining such
violation or for an order enforcing compliance with this Act.
Upon the filing of a verified petition in court, the court may
issue a temporary restraining order, without notice or bond,
and may preliminarily and permanently enjoin such violation,
and if it is established that such person has violated or is
violating the injunction, the court may punish the offender for
contempt of court. Proceedings under this Section shall be in
addition to, and not in lieu of, all other remedies and
penalties provided by this Act.
    (b) If any person shall practice as a nurse or hold herself
or himself out as a nurse without being licensed under the
provisions of this Act, then any licensed nurse, any interested
party, or any person injured thereby may, in addition to the
Secretary Director, petition for relief as provided in
subsection (a) of this Section.
    (b-5) Whoever knowingly practices or offers to practice
nursing in this State without a license for that purpose shall
be guilty of a Class A misdemeanor and for each subsequent
conviction, shall be guilty of a Class 4 felony. All criminal
fines, monies, or other property collected or received by the
Department under this Section or any other State or federal
statute, including, but not limited to, property forfeited to
the Department under Section 505 of the Illinois Controlled
Substances Act or Section 85 of the Methamphetamine Control and
Community Protection Act, shall be deposited into the
Professional Regulation Evidence Fund.
    (c) Whenever in the opinion of the Department any person
violates any provision of this Act, the Department may issue a
rule to show cause why an order to cease and desist should not
be entered against him. The rule shall clearly set forth the
grounds relied upon by the Department and shall provide a
period of 7 days from the date of the rule to file an answer to
the satisfaction of the Department. Failure to answer to the
satisfaction of the Department shall cause an order to cease
and desist to be issued forthwith.
(Source: P.A. 94-556, eff. 9-11-05.)
 
    (225 ILCS 65/70-80 new)   (was 225 ILCS 65/20-80)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-80 20-80. Investigation; notice; hearing. Prior to
bringing an action before the Board, the Department may
investigate the actions of any applicant or of any person or
persons holding or claiming to hold a license. The Department
shall, before suspending, revoking, placing on probationary
status, or taking any other disciplinary action as the
Department may deem proper with regard to any license, at least
30 days prior to the date set for the hearing, notify the
accused in writing of any charges made and the time and place
for a hearing of the charges before the Board, direct her or
him to file a written answer thereto to the Board under oath
within 20 days after the service of such notice and inform the
licensee that if she or he fails to file such answer default
will be taken against the licensee and such license may be
suspended, revoked, placed on probationary status, or have
other disciplinary action, including limiting the scope,
nature or extent of her or his practice, as the Department may
deem proper taken with regard thereto. Such written notice may
be served by personal delivery or certified or registered mail
to the respondent at the address of her or his last
notification to the Department. At the time and place fixed in
the notice, the Department shall proceed to hear the charges
and the parties or their counsel shall be accorded ample
opportunity to present such statements, testimony, evidence
and argument as may be pertinent to the charges or to the
defense to the charges. The Department may continue a hearing
from time to time. In case the accused person, after receiving
notice, fails to file an answer, her or his license may in the
discretion of the Secretary Director, having received first the
recommendation of the Board, be suspended, revoked, placed on
probationary status, or the Secretary Director may take
whatever disciplinary action as he or she may deem proper,
including limiting the scope, nature, or extent of said
person's practice, without a hearing, if the act or acts
charged constitute sufficient grounds for such action under
this Act.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-85 new)   (was 225 ILCS 65/20-85)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-85 20-85. Stenographer; transcript. The
Department, at its expense, shall provide a stenographer to
take down the testimony and preserve a record of all
proceedings at the hearing of any case wherein any disciplinary
action is taken regarding a license. The notice of hearing,
complaint and all other documents in the nature of pleadings
and written motions filed in the proceedings, the transcript of
testimony, the report of the Board and the orders of the
Department shall be the record of the proceedings. The
Department shall furnish a transcript of the record to any
person interested in the hearing upon payment of the fee
required under Section 2105-115 of the Department of
Professional Regulation Law (20 ILCS 2105/2105-115).
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98;
91-239, eff. 1-1-00.)
 
    (225 ILCS 65/70-90 new)   (was 225 ILCS 65/20-90)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-90 20-90. Compelled testimony and production of
documents. Any circuit court may, upon application of the
Department or designee or of the applicant or licensee against
whom proceedings upon Section 70-80 20-80 of this Act are
pending, enter an order requiring the attendance of witnesses
and their testimony, and the production of documents, papers,
files, books and records in connection with any hearing or
investigation. The court may compel obedience to its order by
proceedings for contempt.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-95 new)   (was 225 ILCS 65/20-95)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-95 20-95. Subpoena power; oaths. The Department
shall have power to subpoena and bring before it any person in
this State and to take testimony, either orally or by
deposition or both, with the same fees and mileage and in the
same manner as prescribed by law in judicial proceedings in
civil cases in circuit courts of this State.
    The Secretary Director and any member of the Board
designated by the Secretary Director shall each have power to
administer oaths to witnesses at any hearing which the
Department is authorized to conduct under this Act, and any
other oaths required or authorized to be administered by the
Department under this Act.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-100 new)   (was 225 ILCS 65/20-100)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-100 20-100. Board report. At the conclusion of the
hearing the Board shall present to the Secretary Director a
written report of its findings of fact, conclusions of law, and
recommendations. The report shall contain a finding whether or
not the accused person violated this Act or failed to comply
with the conditions required in this Act. The report shall
specify the nature of the violation or failure to comply, and
the Board shall make its recommendations to the Secretary
Director.
    The report of findings of fact, conclusions of law, and
recommendation of the Board shall be the basis for the
Department's order of refusal or for the granting of a license
or permit unless the Secretary Director shall determine that
the report is contrary to the manifest weight of the evidence,
in which case the Secretary Director may issue an order in
contravention of the report. The findings are not admissible in
evidence against the person in a criminal prosecution brought
for the violation of this Act, but the hearing and findings are
not a bar to a criminal prosecution brought for the violation
of this Act.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-105 new)   (was 225 ILCS 65/20-105)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-105 20-105. Hearing officer. The Secretary
Director shall have the authority to appoint an attorney duly
licensed to practice law in the State of Illinois to serve as
the hearing officer in any formal action before the Board of
Nursing to revoke, suspend, place on probation, reprimand,
fine, or take any other disciplinary action against with regard
to a license. The hearing officer shall have full authority to
conduct the formal hearing. The Board shall have the right to
have at least one member present at any hearing conducted by
such hearing officer. The Board members shall have equal or
greater licensing qualifications than those of the licensee
being prosecuted. There may be present at least one RN member
of the Board at any such hearing or disciplinary conference. An
LPN member or LPN educator may be present for hearings and
disciplinary conferences of an LPN. The hearing officer shall
report her or his findings and recommendations to the Board
within 30 days of the receipt of the record. The Board shall
have up to 90 days from receipt of the report to review the
report of the hearing officer and present their findings of
fact, conclusions of law and recommendations to the Secretary
Director. If the Board fails to present its report within the
90-day period, the Secretary Director may issue an order based
on the report of the hearing officer. However, if the Board
does present its report within the specified 90 days, the
Secretary's Director's order shall be based upon the report of
the Board.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-110 new)   (was 225 ILCS 65/20-110)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-110 20-110. Motion for rehearing. In any case
involving refusal to issue, renew, or the discipline of a
license, a copy of the Board's report shall be served upon the
respondent by the Department, either personally or as provided
in this Act, for the service of the notice of hearing. Within
20 days after such service, the respondent may present to the
Department a motion in writing for a rehearing, which motion
shall specify the particular grounds for a rehearing. If no
motion for rehearing is filed, then upon the expiration of the
time then upon such denial the Secretary Director may enter an
order in accordance with recommendations of the Board except as
provided in Sections 70-100 20-100 and 70-105 20-105 of this
Act. If the respondent shall order from the reporting service,
and pay for a transcript of the record within the time for
filing a motion for rehearing, the 20 day period within which
such a motion may be filed shall commence upon the delivery of
the transcript to the respondent.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-115 new)   (was 225 ILCS 65/20-115)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-115 20-115. Order for rehearing. Whenever the
Secretary Director is satisfied that substantial justice has
not been done in the revocation, suspension, or refusal to
issue or renew a license, the Secretary Director may order a
hearing by the same or another hearing officer or the Board.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-120 new)   (was 225 ILCS 65/20-120)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-120 20-120. Order of Secretary Director. An order
regarding any disciplinary action or a certified copy thereof,
over the seal of the Department and purporting to be signed by
the Secretary Director, shall be prima facie evidence that:
        (a) the signature is the genuine signature of the
    Secretary Director;
        (b) the Secretary Director is duly appointed and
    qualified; and
        (c) the Board and the Board members are qualified to
    act.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98;
91-357, eff. 7-29-99.)
 
    (225 ILCS 65/70-125 new)   (was 225 ILCS 65/20-125)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-125 20-125. Restoration after suspension or
revocation. At any time after the suspension or revocation of
any license, the Department may restore it to the accused
person unless, after an investigation and a hearing, the
Department determines that restoration is not in the public
interest.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-130 new)   (was 225 ILCS 65/20-130)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-130 20-130. Surrender of license. Upon revocation
or suspension of any license, the licensee shall forthwith
surrender the license to the Department and if the licensee
fails to do so, the Department shall have the right to seize
the license.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-135 new)   (was 225 ILCS 65/20-135)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-135 20-135. Temporary suspension. The Secretary
Director may temporarily suspend the license of a licensee
nurse without a hearing, simultaneously with the institution of
proceedings for a hearing provided for in Section 70-80 20-80
of this Act, if the Secretary Director finds that evidence in
his or her possession indicates that continuation in practice
would constitute an imminent danger to the public. In the event
that the Secretary Director suspends, temporarily, this
license without a hearing, a hearing by the Department must be
held within 30 days after the suspension has occurred, and be
concluded without appreciable delay.
    Proceedings for judicial review shall be commenced in the
circuit court of the county in which the party applying for
review resides; but if the party is not a resident of this
State, the venue shall be in Sangamon County.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-140 new)   (was 225 ILCS 65/20-140)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-140 20-140. Administrative Review Law. All final
administrative decisions of the Department hereunder shall be
subject to judicial review pursuant to the revisions of the
Administrative Review Law, and all amendments and
modifications thereof, and the rule adopted pursuant thereto.
The term "administrative decision" is defined as in Section
3-101 of the Code of Civil Procedure.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-145 new)   (was 225 ILCS 65/20-145)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-145 20-145. Certification of record. The
Department shall not be required to certify any record to the
Court or file any answer in court or otherwise appear in any
court in a judicial review proceeding, unless there is filed in
the court, with the complaint, a receipt from the Department
acknowledging payment of the costs of furnishing and certifying
the record. Failure on the part of the plaintiff to file such
receipt in Court shall be grounds for dismissal of the action.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-150 new)   (was 225 ILCS 65/20-150)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-150 20-150. Criminal penalties. Any person who is
found to have violated any provision of this Act is guilty of a
Class A misdemeanor. On conviction of a second or subsequent
offense, the violator shall be guilty of a Class 4 felony.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-155 new)   (was 225 ILCS 65/20-155)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-155 20-155. Pending actions. All disciplinary
actions taken or pending pursuant to the Illinois Nursing Act,
approved June 14, 1951, as amended, shall, for the actions
taken, remain in effect, and for the actions pending, shall be
continued, on the effective date of this Act without having
separate actions filed by the Department.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-160 new)   (was 225 ILCS 65/20-160)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-160 20-160. Illinois Administrative Procedure Act.
The Illinois Administrative Procedure Act is hereby expressly
adopted and incorporated herein as if all of the provisions of
that Act were included in this Act, except that the provision
of subsection (d) of Section 10-65 of the Illinois
Administrative Procedure Act that provides that at hearings the
licensee has the right to show compliance with all lawful
requirements for retention, continuation or renewal of the
license is specifically excluded. For the purposes of this Act,
the notice required under Section 10-25 of the Illinois
Administrative Procedure Act is deemed sufficient when mailed
to the last known address of a party.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (225 ILCS 65/70-165 new)   (was 225 ILCS 65/20-165)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 70-165 20-165. Home rule preemption. It is declared to
be the public policy of this State, pursuant to paragraph (h)
of Section 6 of Article VII of the Illinois Constitution of
1970, that any power or function set forth in this Act to be
exercised by the State is an exclusive State power or function.
Such power or function shall not be exercised concurrently,
either directly or indirectly, by any unit of local government,
including home rule units, except as otherwise provided in this
Act.
(Source: P.A. 92-651, eff. 7-11-02.)
 
    (225 ILCS 65/Art. 75 heading new)   (was 225 ILCS 65/Tit. 17
      heading)
ARTICLE 75 TITLE 17 . ILLINOIS CENTER FOR NURSING
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    (225 ILCS 65/75-5 new)   (was 225 ILCS 65/17-5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 75-5 17-5. Definitions. In this Article Title:
    "Advisory Board" means the Center for Nursing Advisory
Board.
    "Center" means the Illinois Center for Nursing.
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    (225 ILCS 65/75-10 new)   (was 225 ILCS 65/17-10)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 75-10 17-10. Illinois Center for Nursing. There is
created the Illinois Center for Nursing to address issues of
supply and demand in the nursing profession, including issues
of recruitment, retention, and utilization of nurse manpower
resources. The General Assembly finds that the Center will
enhance the delivery of quality health care services by
providing an ongoing strategy for the allocation of the State's
resources directed towards nursing. Each of the following
objectives shall serve as the primary goals for the Center:
        (1) To develop a strategic plan for nursing manpower in
    Illinois by selecting priorities that must be addressed.
        (2) To convene various groups of representatives of
    nurses, other health care providers, businesses and
    industries, consumers, legislators, and educators to:
            (A) review and comment on data analysis prepared
        for the Center;
            (B) recommend systemic changes, including
        strategies for implementation of recommended changes;
        and
            (C) evaluate and report the results of the Advisory
        Board's efforts to the General Assembly and others.
        (3) To enhance and promote recognition, reward, and
    renewal activities for nurses in Illinois by:
            (A) proposing and creating reward, recognition,
        and renewal activities for nursing; and
            (B) promoting media and positive image-building
        efforts for nursing.
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    (225 ILCS 65/75-15 new)   (was 225 ILCS 65/17-15)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 75-15 17-15. Center for Nursing Advisory Board.
    (a) There is created the Center for Nursing Advisory Board,
which shall consist of 11 members appointed by the Governor,
with 6 members of the Advisory Board being nurses
representative of various nursing specialty areas. The other 5
members may include representatives of associations, health
care providers, nursing educators, and consumers. The Advisory
Board shall be chaired by the Nursing Act Coordinator, who
shall be a voting member of the Advisory Board.
    (b) The membership of the Advisory Board shall reasonably
reflect representation from the geographic areas in this State.
    (c) Members of the Advisory Board appointed by the Governor
shall serve for terms of 4 years, with no member serving more
than 10 successive years, except that, initially, 4 members
shall be appointed to the Advisory Board for terms that expire
on June 30, 2009, 4 members shall be appointed to the Advisory
Board for terms that expire on June 30, 2008, and 3 members
shall be appointed to the Advisory Board for terms that expire
on June 30, 2007. A member shall serve until his or her
successor is appointed and has qualified. Vacancies shall be
filled in the same manner as original appointments, and any
member so appointed shall serve during the remainder of the
term for which the vacancy occurred.
    (d) A quorum of the Advisory Board shall consist of a
majority of Advisory Board members currently serving. A
majority vote of the quorum is required for Advisory Board
decisions. A vacancy in the membership of the Advisory Board
shall not impair the right of a quorum to exercise all of the
rights and perform all of the duties of the Advisory Board.
    (e) The Governor may remove any appointed member of the
Advisory Board for misconduct, incapacity, or neglect of duty
and shall be the sole judge of the sufficiency of the cause for
removal.
    (f) Members of the Advisory Board are immune from suit in
any action based upon any activities performed in good faith as
members of the Advisory Board.
    (e) Members of the Advisory Board shall not receive
compensation, but shall be reimbursed for actual traveling,
incidentals, and expenses necessarily incurred in carrying out
their duties as members of the Advisory Board, as approved by
the Department.
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    (225 ILCS 65/75-20 new)   (was 225 ILCS 65/17-20)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 75-20 17-20. Powers and duties of the Advisory Board.
    (a) The Advisory Board shall be advisory to the Department
and shall possess and perform each of the following powers and
duties:
        (1) determine operational policy;
        (2) administer grants, scholarships, internships, and
    other programs, as defined by rule, including the
    administration of programs, as determined by law, that
    further those goals set forth in Section 75-10 17-10 of
    this Article Title, in consultation with other State
    agencies, as provided by law;
        (3) establish committees of the Advisory Board as
    needed;
        (4) recommend the adoption and, from time to time, the
    revision of those rules that may be adopted and necessary
    to carry out the provisions of this Act;
        (5) implement the major functions of the Center, as
    established in the goals set forth in Section 75-10 17-10
    of this Article Title; and
        (6) seek and accept non-State funds for carrying out
    the policy of the Center.
    (b) The Center shall work in consultation with other State
agencies as necessary.
(Source: P.A. 94-1020, eff. 7-11-06.)
 
    Section 130. The Nursing Home Administrators Licensing and
Disciplinary Act is amended by changing Section 4 as follows:
 
    (225 ILCS 70/4)  (from Ch. 111, par. 3654)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 4. Definitions. For purposes of this Act, the
following definitions shall have the following meanings,
except where the context requires otherwise:
        (1) "Act" means the Nursing Home Administrators
    Licensing and Disciplinary Act.
        (2) "Department" means the Department of Professional
    Regulation.
        (3) "Director" means the Director of Professional
    Regulation.
        (4) "Board" means the Nursing Home Administrators
    Licensing and Disciplinary Board appointed by the
    Governor.
        (5) "Nursing home administrator" means the individual
    licensed under this Act and directly responsible for
    planning, organizing, directing and supervising the
    operation of a nursing home, or who in fact performs such
    functions, whether or not such functions are delegated to
    one or more other persons.
        (6) "Nursing home" or "facility" means any entity that
    is required to be licensed by the Department of Public
    Health under the Nursing Home Care Act, as amended, other
    than a sheltered care home as defined thereunder, and
    includes private homes, institutions, buildings,
    residences, or other places, whether operated for profit or
    not, irrespective of the names attributed to them, county
    homes for the infirm and chronically ill operated pursuant
    to the County Nursing Home Act, as amended, and any similar
    institutions operated by a political subdivision of the
    State of Illinois that provide, though their ownership or
    management, maintenance, personal care, and nursing for 3
    or more persons, not related to the owner by blood or
    marriage, or any similar facilities in which maintenance is
    provided to 3 or more persons who by reason of illness of
    physical infirmity require personal care and nursing.
        (7) "Maintenance" means food, shelter and laundry.
        (8) "Personal care" means assistance with meals,
    dressing, movement, bathing, or other personal needs, or
    general supervision of the physical and mental well-being
    of an individual who because of age, physical, or mental
    disability, emotion or behavior disorder, or mental
    retardation is incapable of managing his or her person,
    whether or not a guardian has been appointed for such
    individual. For the purposes of this Act, this definition
    does not include the professional services of a nurse.
        (9) "Nursing" means professional nursing or practical
    nursing, as those terms are defined in the Nurse Practice
    Act Nursing and Advanced Practice Nursing Act, for sick or
    infirm persons who are under the care and supervision of
    licensed physicians or dentists.
        (10) "Disciplinary action" means revocation,
    suspension, probation, supervision, reprimand, required
    education, fines or any other action taken by the
    Department against a person holding a license.
        (11) "Impaired" means the inability to practice with
    reasonable skill and safety due to physical or mental
    disabilities as evidenced by a written determination or
    written consent based on clinical evidence including
    deterioration through the aging process or loss of motor
    skill, or abuse of drugs or alcohol, of sufficient degree
    to diminish a person's ability to administer a nursing
    home.
(Source: P.A. 90-61, eff. 12-30-97; 90-742, eff. 8-13-98.)
 
    Section 135. The Pharmacy Practice Act of 1987 is amended
by changing Section 4 as follows:
 
    (225 ILCS 85/4)  (from Ch. 111, par. 4124)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 4. Exemptions. Nothing contained in any Section of
this Act shall apply to, or in any manner interfere with:
    (a) the lawful practice of any physician licensed to
practice medicine in all of its branches, dentist, podiatrist,
veterinarian, or therapeutically or diagnostically certified
optometrist within the limits of his or her license, or prevent
him or her from supplying to his or her bona fide patients such
drugs, medicines, or poisons as may seem to him appropriate;
    (b) the sale of compressed gases;
    (c) the sale of patent or proprietary medicines and
household remedies when sold in original and unbroken packages
only, if such patent or proprietary medicines and household
remedies be properly and adequately labeled as to content and
usage and generally considered and accepted as harmless and
nonpoisonous when used according to the directions on the
label, and also do not contain opium or coca leaves, or any
compound, salt or derivative thereof, or any drug which,
according to the latest editions of the following authoritative
pharmaceutical treatises and standards, namely, The United
States Pharmacopoeia/National Formulary (USP/NF), the United
States Dispensatory, and the Accepted Dental Remedies of the
Council of Dental Therapeutics of the American Dental
Association or any or either of them, in use on the effective
date of this Act, or according to the existing provisions of
the Federal Food, Drug, and Cosmetic Act and Regulations of the
Department of Health and Human Services, Food and Drug
Administration, promulgated thereunder now in effect, is
designated, described or considered as a narcotic, hypnotic,
habit forming, dangerous, or poisonous drug;
    (d) the sale of poultry and livestock remedies in original
and unbroken packages only, labeled for poultry and livestock
medication;
    (e) the sale of poisonous substances or mixture of
poisonous substances, in unbroken packages, for nonmedicinal
use in the arts or industries or for insecticide purposes;
provided, they are properly and adequately labeled as to
content and such nonmedicinal usage, in conformity with the
provisions of all applicable federal, state and local laws and
regulations promulgated thereunder now in effect relating
thereto and governing the same, and those which are required
under such applicable laws and regulations to be labeled with
the word "Poison", are also labeled with the word "Poison"
printed thereon in prominent type and the name of a readily
obtainable antidote with directions for its administration;
    (f) the delegation of limited prescriptive authority by a
physician licensed to practice medicine in all its branches to
a physician assistant under Section 7.5 of the Physician
Assistant Practice Act of 1987. This delegated authority under
Section 7.5 of the Physician Assistant Practice Act of 1987 may
but is not required to include prescription of Schedule III,
IV, or V controlled substances, as defined in Article II of the
Illinois Controlled Substances Act, in accordance with written
guidelines under Section 7.5 of the Physician Assistant
Practice Act of 1987; and
    (g) The delegation of limited prescriptive authority by a
physician licensed to practice medicine in all its branches to
an advanced practice nurse in accordance with a written
collaborative agreement under Section 65-35 of the Nurse
Practice Act Sections 15-15 and 15-20 of the Nursing and
Advanced Practice Nursing Act. This delegated authority, which
is delegated under Section 65-40 of the Nurse Practice Act, may
but is not required to include the prescription of Schedule
III, IV, or V controlled substances as defined in Article II of
the Illinois Controlled Substances Act.
(Source: P.A. 90-116, eff. 7-14-97; 90-253, eff. 7-29-97;
90-655, eff. 7-30-98; 90-742, eff. 8-13-98.)
 
    Section 140. The Illinois Physical Therapy Act is amended
by changing Section 1 as follows:
 
    (225 ILCS 90/1)  (from Ch. 111, par. 4251)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 1. Definitions. As used in this Act:
    (1) "Physical therapy" means all of the following:
        (A) Examining, evaluating, and testing individuals who
    may have mechanical, physiological, or developmental
    impairments, functional limitations, disabilities, or
    other health and movement-related conditions, classifying
    these disorders, determining a rehabilitation prognosis
    and plan of therapeutic intervention, and assessing the
    on-going effects of the interventions.
        (B) Alleviating impairments, functional limitations,
    or disabilities by designing, implementing, and modifying
    therapeutic interventions that may include, but are not
    limited to, the evaluation or treatment of a person through
    the use of the effective properties of physical measures
    and heat, cold, light, water, radiant energy, electricity,
    sound, and air and use of therapeutic massage, therapeutic
    exercise, mobilization, and rehabilitative procedures,
    with or without assistive devices, for the purposes of
    preventing, correcting, or alleviating a physical or
    mental impairment, functional limitation, or disability.
        (C) Reducing the risk of injury, impairment,
    functional limitation, or disability, including the
    promotion and maintenance of fitness, health, and
    wellness.
        (D) Engaging in administration, consultation,
    education, and research.
    Physical therapy includes, but is not limited to: (a)
performance of specialized tests and measurements, (b)
administration of specialized treatment procedures, (c)
interpretation of referrals from physicians, dentists,
advanced practice nurses, physician assistants, and
podiatrists, (d) establishment, and modification of physical
therapy treatment programs, (e) administration of topical
medication used in generally accepted physical therapy
procedures when such medication is prescribed by the patient's
physician, licensed to practice medicine in all its branches,
the patient's physician licensed to practice podiatric
medicine, the patient's advanced practice nurse, the patient's
physician assistant, or the patient's dentist, and (f)
supervision or teaching of physical therapy. Physical therapy
does not include radiology, electrosurgery, chiropractic
technique or determination of a differential diagnosis;
provided, however, the limitation on determining a
differential diagnosis shall not in any manner limit a physical
therapist licensed under this Act from performing an evaluation
pursuant to such license. Nothing in this Section shall limit a
physical therapist from employing appropriate physical therapy
techniques that he or she is educated and licensed to perform.
A physical therapist shall refer to a licensed physician,
advanced practice nurse, physician assistant, dentist, or
podiatrist any patient whose medical condition should, at the
time of evaluation or treatment, be determined to be beyond the
scope of practice of the physical therapist.
    (2) "Physical therapist" means a person who practices
physical therapy and who has met all requirements as provided
in this Act.
    (3) "Department" means the Department of Professional
Regulation.
    (4) "Director" means the Director of Professional
Regulation.
    (5) "Board" means the Physical Therapy Licensing and
Disciplinary Board approved by the Director.
    (6) "Referral" means a written or oral authorization for
physical therapy services for a patient by a physician,
dentist, advanced practice nurse, physician assistant, or
podiatrist who maintains medical supervision of the patient and
makes a diagnosis or verifies that the patient's condition is
such that it may be treated by a physical therapist.
    (7) "Documented current and relevant diagnosis" for the
purpose of this Act means a diagnosis, substantiated by
signature or oral verification of a physician, dentist,
advanced practice nurse, physician assistant, or podiatrist,
that a patient's condition is such that it may be treated by
physical therapy as defined in this Act, which diagnosis shall
remain in effect until changed by the physician, dentist,
advanced practice nurse, physician assistant, or podiatrist.
    (8) "State" includes:
        (a) the states of the United States of America;
        (b) the District of Columbia; and
        (c) the Commonwealth of Puerto Rico.
    (9) "Physical therapist assistant" means a person licensed
to assist a physical therapist and who has met all requirements
as provided in this Act and who works under the supervision of
a licensed physical therapist to assist in implementing the
physical therapy treatment program as established by the
licensed physical therapist. The patient care activities
provided by the physical therapist assistant shall not include
the interpretation of referrals, evaluation procedures, or the
planning or major modification of patient programs.
    (10) "Physical therapy aide" means a person who has
received on the job training, specific to the facility in which
he is employed, but who has not completed an approved physical
therapist assistant program.
    (11) "Advanced practice nurse" means a person licensed
under the Nurse Practice Act Nursing and Advanced Practice
Nursing Act who has a collaborative agreement with a
collaborating physician that authorizes referrals to physical
therapists.
    (12) "Physician assistant" means a person licensed under
the Physician Assistant Practice Act of 1987 who has been
delegated authority to make referrals to physical therapists.
(Source: P.A. 93-1010, eff. 8-24-04; 94-651, eff. 1-1-06.)
 
    Section 143. The Podiatric Medical Practice Act of 1987 is
amended by adding Section 20.5 as follows:
 
    (225 ILCS 100/20.5 new)
    Sec. 20.5. Delegation of authority to advanced practice
nurses.
    (a) A podiatrist in active clinical practice may
collaborate with an advanced practice nurse in accordance with
the requirements of the Nurse Practice Act. Collaboration shall
be for the purpose of providing podiatric consultation and no
employment relationship shall be required. A written
collaborative agreement shall conform to the requirements of
Section 65-35 of the Nurse Practice Act. The written
collaborative agreement shall be for services the
collaborating podiatrist generally provides to his or her
patients in the normal course of clinical podiatric practice,
except as set forth in item (3) of this subsection (a). A
written collaborative agreement and podiatric collaboration
and consultation shall be adequate with respect to advanced
practice nurses if all of the following apply:
        (1) The agreement is written to promote the exercise of
    professional judgment by the advanced practice nurse
    commensurate with his or her education and experience. The
    agreement need not describe the exact steps that an
    advanced practice nurse must take with respect to each
    specific condition, disease, or symptom, but must specify
    which procedures require a podiatrist's presence as the
    procedures are being performed.
        (2) Practice guidelines and orders are developed and
    approved jointly by the advanced practice nurse and
    collaborating podiatrist, as needed, based on the practice
    of the practitioners. Such guidelines and orders and the
    patient services provided thereunder are periodically
    reviewed by the collaborating podiatrist.
        (3) The advance practice nurse provides services that
    the collaborating podiatrist generally provides to his or
    her patients in the normal course of clinical practice.
    With respect to the provision of anesthesia services by a
    certified registered nurse anesthetist, the collaborating
    podiatrist must have training and experience in the
    delivery of anesthesia consistent with Department rules.
        (4) The collaborating podiatrist and the advanced
    practice nurse meet in person at least once a month to
    provide collaboration and consultation.
        (5) Methods of communication are available with the
    collaborating podiatrist in person or through
    telecommunications for consultation, collaboration, and
    referral as needed to address patient care needs.
        (6) With respect to the provision of anesthesia
    services by a certified registered nurse anesthetist, an
    anesthesiologist, physician, or podiatrist shall
    participate through discussion of and agreement with the
    anesthesia plan and shall remain physically present and be
    available on the premises during the delivery of anesthesia
    services for diagnosis, consultation, and treatment of
    emergency medical conditions. The anesthesiologist or
    operating podiatrist must agree with the anesthesia plan
    prior to the delivery of services.
        (7) The agreement contains provisions detailing notice
    for termination or change of status involving a written
    collaborative agreement, except when such notice is given
    for just cause.
    (b) The collaborating podiatrist shall have access to the
records of all patients attended to by an advanced practice
nurse.
    (c) Nothing in this Section shall be construed to limit the
delegation of tasks or duties by a podiatrist to a licensed
practical nurse, a registered professional nurse, or other
persons.
    (d) A podiatrist shall not be liable for the acts or
omissions of an advanced practice nurse solely on the basis of
having signed guidelines or a collaborative agreement, an
order, a standing order, a standing delegation order, or other
order or guideline authorizing an advanced practice nurse to
perform acts, unless the podiatrist has reason to believe the
advanced practice nurse lacked the competency to perform the
act or acts or commits willful or wanton misconduct.
 
    Section 145. The Respiratory Care Practice Act is amended
by changing Section 10 as follows:
 
    (225 ILCS 106/10)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 10. Definitions. In this Act:
    "Advanced practice nurse" means an advanced practice nurse
licensed under the Nurse Practice Act Nursing and Advanced
Practice Nursing Act.
    "Board" means the Respiratory Care Board appointed by the
Director.
    "Basic respiratory care activities" means and includes all
of the following activities:
         (1) Cleaning, disinfecting, and sterilizing equipment
    used in the practice of respiratory care as delegated by a
    licensed health care professional or other authorized
    licensed personnel.
        (2) Assembling equipment used in the practice of
    respiratory care as delegated by a licensed health care
    professional or other authorized licensed personnel.
        (3) Collecting and reviewing patient data through
    non-invasive means, provided that the collection and
    review does not include the individual's interpretation of
    the clinical significance of the data. Collecting and
    reviewing patient data includes the performance of pulse
    oximetry and non-invasive monitoring procedures in order
    to obtain vital signs and notification to licensed health
    care professionals and other authorized licensed personnel
    in a timely manner.
        (4) Maintaining a nasal cannula or face mask for oxygen
    therapy in the proper position on the patient's face.
        (5) Assembling a nasal cannula or face mask for oxygen
    therapy at patient bedside in preparation for use.
        (6) Maintaining a patient's natural airway by
    physically manipulating the jaw and neck, suctioning the
    oral cavity, or suctioning the mouth or nose with a bulb
    syringe.
        (7) Performing assisted ventilation during emergency
    resuscitation using a manual resuscitator.
        (8) Using a manual resuscitator at the direction of a
    licensed health care professional or other authorized
    licensed personnel who is present and performing routine
    airway suctioning. These activities do not include care of
    a patient's artificial airway or the adjustment of
    mechanical ventilator settings while a patient is
    connected to the ventilator.
"Basic respiratory care activities" does not mean activities
that involve any of the following:
        (1) Specialized knowledge that results from a course of
    education or training in respiratory care.
        (2) An unreasonable risk of a negative outcome for the
    patient.
        (3) The assessment or making of a decision concerning
    patient care.
        (4) The administration of aerosol medication or
    oxygen.
        (5) The insertion and maintenance of an artificial
    airway.
        (6) Mechanical ventilatory support.
        (7) Patient assessment.
        (8) Patient education.
    "Department" means the Department of Professional
Regulation.
    "Director" means the Director of Professional Regulation.
    "Licensed" means that which is required to hold oneself out
as a respiratory care practitioner as defined in this Act.
    "Licensed health care professional" means a physician
licensed to practice medicine in all its branches, an advanced
practice nurse who has a written collaborative agreement with a
collaborating physician that authorizes the advanced practice
nurse to transmit orders to a respiratory care practitioner, or
a physician assistant who has been delegated the authority to
transmit orders to a respiratory care practitioner by his or
her supervising physician.
    "Order" means a written, oral, or telecommunicated
authorization for respiratory care services for a patient by
(i) a licensed health care professional who maintains medical
supervision of the patient and makes a diagnosis or verifies
that the patient's condition is such that it may be treated by
a respiratory care practitioner or (ii) a certified registered
nurse anesthetist in a licensed hospital or ambulatory surgical
treatment center.
    "Other authorized licensed personnel" means a licensed
respiratory care practitioner, a licensed registered nurse, or
a licensed practical nurse whose scope of practice authorizes
the professional to supervise an individual who is not
licensed, certified, or registered as a health professional.
    "Proximate supervision" means a situation in which an
individual is responsible for directing the actions of another
individual in the facility and is physically close enough to be
readily available, if needed, by the supervised individual.
    "Respiratory care" and "cardiorespiratory care" mean
preventative services, evaluation and assessment services,
therapeutic services, and rehabilitative services under the
order of a licensed health care professional or a certified
registered nurse anesthetist in a licensed hospital for an
individual with a disorder, disease, or abnormality of the
cardiopulmonary system. These terms include, but are not
limited to, measuring, observing, assessing, and monitoring
signs and symptoms, reactions, general behavior, and general
physical response of individuals to respiratory care services,
including the determination of whether those signs, symptoms,
reactions, behaviors, or general physical responses exhibit
abnormal characteristics; the administration of
pharmacological and therapeutic agents related to respiratory
care services; the collection of blood specimens and other
bodily fluids and tissues for, and the performance of,
cardiopulmonary diagnostic testing procedures, including, but
not limited to, blood gas analysis; development,
implementation, and modification of respiratory care treatment
plans based on assessed abnormalities of the cardiopulmonary
system, respiratory care guidelines, referrals, and orders of a
licensed health care professional; application, operation, and
management of mechanical ventilatory support and other means of
life support; and the initiation of emergency procedures under
the rules promulgated by the Department. A respiratory care
practitioner shall refer to a physician licensed to practice
medicine in all its branches any patient whose condition, at
the time of evaluation or treatment, is determined to be beyond
the scope of practice of the respiratory care practitioner.
    "Respiratory care education program" means a course of
academic study leading to eligibility for registry or
certification in respiratory care. The training is to be
approved by an accrediting agency recognized by the Board and
shall include an evaluation of competence through a
standardized testing mechanism that is determined by the Board
to be both valid and reliable.
    "Respiratory care practitioner" means a person who is
licensed by the Department of Professional Regulation and meets
all of the following criteria:
        (1) The person is engaged in the practice of
    cardiorespiratory care and has the knowledge and skill
    necessary to administer respiratory care.
        (2) The person is capable of serving as a resource to
    the licensed health care professional in relation to the
    technical aspects of cardiorespiratory care and the safe
    and effective methods for administering cardiorespiratory
    care modalities.
        (3) The person is able to function in situations of
    unsupervised patient contact requiring great individual
    judgment.
(Source: P.A. 94-523, eff. 1-1-06.)
 
    Section 150. The Barber, Cosmetology, Esthetics, and Nail
Technology Act of 1985 is amended by changing Section 1-11 as
follows:
 
    (225 ILCS 410/1-11)  (from Ch. 111, par. 1701-11)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 1-11. Exceptions to Act.
    (a) Nothing in this Act shall be construed to apply to the
educational activities conducted in connection with any
monthly, annual or other special educational program of any
bona fide association of licensed cosmetologists,
estheticians, nail technicians, or barbers, or licensed
cosmetology, esthetics, nail technology, or barber schools
from which the general public is excluded.
    (b) Nothing in this Act shall be construed to apply to the
activities and services of registered nurses or licensed
practical nurses, as defined in the Nurse Practice Act Nursing
and Advanced Practice Nursing Act, or to personal care or
health care services provided by individuals in the performance
of their duties as employed or authorized by facilities or
programs licensed or certified by State agencies. As used in
this subsection (b), "personal care" means assistance with
meals, dressing, movement, bathing, or other personal needs or
maintenance or general supervision and oversight of the
physical and mental well-being of an individual who is
incapable of maintaining a private, independent residence or
who is incapable of managing his or her person whether or not a
guardian has been appointed for that individual. The definition
of "personal care" as used in this subsection (b) shall not
otherwise be construed to negate the requirements of this Act
or its rules.
    (c) Nothing in this Act shall be deemed to require
licensure of individuals employed by the motion picture, film,
television, stage play or related industry for the purpose of
providing cosmetology or esthetics services to actors of that
industry while engaged in the practice of cosmetology or
esthetics as a part of that person's employment.
(Source: P.A. 90-580, eff. 5-21-98; 90-742, eff. 8-13-98;
91-357, eff. 7-29-99.)
 
    Section 155. The Nurse Agency Licensing Act is amended by
changing Section 3 as follows:
 
    (225 ILCS 510/3)  (from Ch. 111, par. 953)
    Sec. 3. Definitions. As used in this Act:
    (a) "Certified nurse aide" means an individual certified as
defined in Section 3-206 of the Nursing Home Care Act, as now
or hereafter amended.
    (b) "Department" means the Department of Labor.
    (c) "Director" means the Director of Labor.
    (d) "Health care facility" is defined as in Section 3 of
the Illinois Health Facilities Planning Act, as now or
hereafter amended.
    (e) "Licensee" means any nursing agency which is properly
licensed under this Act.
    (f) "Nurse" means a registered nurse or a licensed
practical nurse as defined in the Nurse Practice Act Nursing
and Advanced Practice Nursing Act.
    (g) "Nurse agency" means any individual, firm,
corporation, partnership or other legal entity that employs,
assigns or refers nurses or certified nurse aides to a health
care facility for a fee. The term "nurse agency" includes
nurses registries. The term "nurse agency" does not include
services provided by home health agencies licensed and operated
under the Home Health, Home Services, and Home Nursing Agency
Licensing Act or a licensed or certified individual who
provides his or her own services as a regular employee of a
health care facility, nor does it apply to a health care
facility's organizing nonsalaried employees to provide
services only in that facility.
(Source: P.A. 94-379, eff. 1-1-06.)
 
    Section 160. The Illinois Public Aid Code is amended by
changing Section 8A-7.1 as follows:
 
    (305 ILCS 5/8A-7.1)  (from Ch. 23, par. 8A-7.1)
    Sec. 8A-7.1. The Director, upon making a determination
based upon information in the possession of the Illinois
Department, that continuation in practice of a licensed health
care professional would constitute an immediate danger to the
public, shall submit a written communication to the Director of
Professional Regulation indicating such determination and
additionally providing a complete summary of the information
upon which such determination is based, and recommending that
the Director of Professional Regulation immediately suspend
such person's license. All relevant evidence, or copies
thereof, in the Illinois Department's possession may also be
submitted in conjunction with the written communication. A copy
of such written communication, which is exempt from the copying
and inspection provisions of the Freedom of Information Act,
shall at the time of submittal to the Director of Professional
Regulation be simultaneously mailed to the last known business
address of such licensed health care professional by certified
or registered postage, United States Mail, return receipt
requested. Any evidence, or copies thereof, which is submitted
in conjunction with the written communication is also exempt
from the copying and inspection provisions of the Freedom of
Information Act.
    The Director, upon making a determination based upon
information in the possession of the Illinois Department, that
a licensed health care professional is willfully committing
fraud upon the Illinois Department's medical assistance
program, shall submit a written communication to the Director
of Professional Regulation indicating such determination and
additionally providing a complete summary of the information
upon which such determination is based. All relevant evidence,
or copies thereof, in the Illinois Department's possession may
also be submitted in conjunction with the written
communication.
    Upon receipt of such written communication, the Director of
Professional Regulation shall promptly investigate the
allegations contained in such written communication. A copy of
such written communication, which is exempt from the copying
and inspection provisions of the Freedom of Information Act,
shall at the time of submission to the Director of Professional
Regulation, be simultaneously mailed to the last known address
of such licensed health care professional by certified or
registered postage, United States Mail, return receipt
requested. Any evidence, or copies thereof, which is submitted
in conjunction with the written communication is also exempt
from the copying and inspection provisions of the Freedom of
Information Act.
    For the purposes of this Section, "licensed health care
professional" means any person licensed under the Illinois
Dental Practice Act, the Nurse Practice Act Nursing and
Advanced Practice Nursing Act, the Medical Practice Act of
1987, the Pharmacy Practice Act of 1987, the Podiatric Medical
Practice Act of 1987, or the Illinois Optometric Practice Act
of 1987.
(Source: P.A. 92-651, eff. 7-11-02.)
 
    Section 165. The Elder Abuse and Neglect Act is amended by
changing Section 2 as follows:
 
    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
    Sec. 2. Definitions. As used in this Act, unless the
context requires otherwise:
    (a) "Abuse" means causing any physical, mental or sexual
injury to an eligible adult, including exploitation of such
adult's financial resources.
    Nothing in this Act shall be construed to mean that an
eligible adult is a victim of abuse, neglect, or self-neglect
for the sole reason that he or she is being furnished with or
relies upon treatment by spiritual means through prayer alone,
in accordance with the tenets and practices of a recognized
church or religious denomination.
    Nothing in this Act shall be construed to mean that an
eligible adult is a victim of abuse because of health care
services provided or not provided by licensed health care
professionals.
    (a-5) "Abuser" means a person who abuses, neglects, or
financially exploits an eligible adult.
    (a-7) "Caregiver" means a person who either as a result of
a family relationship, voluntarily, or in exchange for
compensation has assumed responsibility for all or a portion of
the care of an eligible adult who needs assistance with
activities of daily living.
    (b) "Department" means the Department on Aging of the State
of Illinois.
    (c) "Director" means the Director of the Department.
    (d) "Domestic living situation" means a residence where the
eligible adult lives alone or with his or her family or a
caregiver, or others, or a board and care home or other
community-based unlicensed facility, but is not:
        (1) A licensed facility as defined in Section 1-113 of
    the Nursing Home Care Act;
        (2) A "life care facility" as defined in the Life Care
    Facilities Act;
        (3) A home, institution, or other place operated by the
    federal government or agency thereof or by the State of
    Illinois;
        (4) A hospital, sanitarium, or other institution, the
    principal activity or business of which is the diagnosis,
    care, and treatment of human illness through the
    maintenance and operation of organized facilities
    therefor, which is required to be licensed under the
    Hospital Licensing Act;
        (5) A "community living facility" as defined in the
    Community Living Facilities Licensing Act;
        (6) A "community residential alternative" as defined
    in the Community Residential Alternatives Licensing Act;
        (7) A "community-integrated living arrangement" as
    defined in the Community-Integrated Living Arrangements
    Licensure and Certification Act;
        (8) An assisted living or shared housing establishment
    as defined in the Assisted Living and Shared Housing Act;
    or
        (9) A supportive living facility as described in
    Section 5-5.01a of the Illinois Public Aid Code.
    (e) "Eligible adult" means a person 60 years of age or
older who resides in a domestic living situation and is, or is
alleged to be, abused, neglected, or financially exploited by
another individual or who neglects himself or herself.
    (f) "Emergency" means a situation in which an eligible
adult is living in conditions presenting a risk of death or
physical, mental or sexual injury and the provider agency has
reason to believe the eligible adult is unable to consent to
services which would alleviate that risk.
    (f-5) "Mandated reporter" means any of the following
persons while engaged in carrying out their professional
duties:
        (1) a professional or professional's delegate while
    engaged in: (i) social services, (ii) law enforcement,
    (iii) education, (iv) the care of an eligible adult or
    eligible adults, or (v) any of the occupations required to
    be licensed under the Clinical Psychologist Licensing Act,
    the Clinical Social Work and Social Work Practice Act, the
    Illinois Dental Practice Act, the Dietetic and Nutrition
    Services Practice Act, the Marriage and Family Therapy
    Licensing Act, the Medical Practice Act of 1987, the
    Naprapathic Practice Act, the Nurse Practice Act Nursing
    and Advanced Practice Nursing Act, the Nursing Home
    Administrators Licensing and Disciplinary Act, the
    Illinois Occupational Therapy Practice Act, the Illinois
    Optometric Practice Act of 1987, the Pharmacy Practice Act
    of 1987, the Illinois Physical Therapy Act, the Physician
    Assistant Practice Act of 1987, the Podiatric Medical
    Practice Act of 1987, the Respiratory Care Practice Act,
    the Professional Counselor and Clinical Professional
    Counselor Licensing Act, the Illinois Speech-Language
    Pathology and Audiology Practice Act, the Veterinary
    Medicine and Surgery Practice Act of 2004, and the Illinois
    Public Accounting Act;
        (2) an employee of a vocational rehabilitation
    facility prescribed or supervised by the Department of
    Human Services;
        (3) an administrator, employee, or person providing
    services in or through an unlicensed community based
    facility;
        (4) any religious practitioner who provides treatment
    by prayer or spiritual means alone in accordance with the
    tenets and practices of a recognized church or religious
    denomination, except as to information received in any
    confession or sacred communication enjoined by the
    discipline of the religious denomination to be held
    confidential;
        (5) field personnel of the Department of Healthcare and
    Family Services, Department of Public Health, and
    Department of Human Services, and any county or municipal
    health department;
        (6) personnel of the Department of Human Services, the
    Guardianship and Advocacy Commission, the State Fire
    Marshal, local fire departments, the Department on Aging
    and its subsidiary Area Agencies on Aging and provider
    agencies, and the Office of State Long Term Care Ombudsman;
        (7) any employee of the State of Illinois not otherwise
    specified herein who is involved in providing services to
    eligible adults, including professionals providing medical
    or rehabilitation services and all other persons having
    direct contact with eligible adults;
        (8) a person who performs the duties of a coroner or
    medical examiner; or
        (9) a person who performs the duties of a paramedic or
    an emergency medical technician.
    (g) "Neglect" means another individual's failure to
provide an eligible adult with or willful withholding from an
eligible adult the necessities of life including, but not
limited to, food, clothing, shelter or health care. This
subsection does not create any new affirmative duty to provide
support to eligible adults. Nothing in this Act shall be
construed to mean that an eligible adult is a victim of neglect
because of health care services provided or not provided by
licensed health care professionals.
    (h) "Provider agency" means any public or nonprofit agency
in a planning and service area appointed by the regional
administrative agency with prior approval by the Department on
Aging to receive and assess reports of alleged or suspected
abuse, neglect, or financial exploitation.
    (i) "Regional administrative agency" means any public or
nonprofit agency in a planning and service area so designated
by the Department, provided that the designated Area Agency on
Aging shall be designated the regional administrative agency if
it so requests. The Department shall assume the functions of
the regional administrative agency for any planning and service
area where another agency is not so designated.
    (i-5) "Self-neglect" means a condition that is the result
of an eligible adult's inability, due to physical or mental
impairments, or both, or a diminished capacity, to perform
essential self-care tasks that substantially threaten his or
her own health, including: providing essential food, clothing,
shelter, and health care; and obtaining goods and services
necessary to maintain physical health, mental health,
emotional well-being, and general safety.
    (j) "Substantiated case" means a reported case of alleged
or suspected abuse, neglect, financial exploitation, or
self-neglect in which a provider agency, after assessment,
determines that there is reason to believe abuse, neglect, or
financial exploitation has occurred.
(Source: P.A. 93-281 eff. 12-31-03; 93-300, eff. 1-1-04;
94-1064, eff. 1-1-07.)
 
    Section 170. The Prenatal and Newborn Care Act is amended
by changing Section 2 as follows:
 
    (410 ILCS 225/2)  (from Ch. 111 1/2, par. 7022)
    Sec. 2. Definitions. As used in this Act, unless the
context otherwise requires:
    "Advanced practice nurse" or "APN" means an advanced
practice nurse licensed under the Nurse Practice Act Nursing
and Advanced Practice Nursing Act who has a written
collaborative agreement with a collaborating physician that
authorizes the provision of prenatal and newborn care.
    "Department" means the Illinois Department of Human
Services.
    "Early and Periodic Screening, Diagnosis and Treatment
(EPSDT)" means the provision of preventative health care under
42 C.F.R. 441.50 et seq., including medical and dental
services, needed to assess growth and development and detect
and treat health problems.
    "Hospital" means a hospital as defined under the Hospital
Licensing Act.
    "Local health authority" means the full-time official
health department or board of health, as recognized by the
Illinois Department of Public Health, having jurisdiction over
a particular area.
    "Nurse" means a nurse licensed under the Nurse Practice Act
Nursing and Advanced Practice Nursing Act.
    "Physician" means a physician licensed to practice
medicine in all of its branches.
    "Physician assistant" means a physician assistant licensed
under the Physician Assistant Practice Act of 1987 who has been
delegated authority to provide prenatal and newborn care.
    "Postnatal visit" means a visit occurring after birth, with
reference to the newborn.
    "Prenatal visit" means a visit occurring before birth.
    "Program" means the Prenatal and Newborn Care Program
established pursuant to this Act.
(Source: P.A. 93-962, eff. 8-20-04.)
 
    Section 175. The Illinois Sexually Transmissible Disease
Control Act is amended by changing Section 4 as follows:
 
    (410 ILCS 325/4)  (from Ch. 111 1/2, par. 7404)
    Sec. 4. Reporting required.
    (a) A physician licensed under the provisions of the
Medical Practice Act of 1987, an advanced practice nurse
licensed under the provisions of the Nurse Practice Act Nursing
and Advanced Practice Nursing Act who has a written
collaborative agreement with a collaborating physician that
authorizes the provision of services for a sexually
transmissible disease, or a physician assistant licensed under
the provisions of the Physician Assistant Practice Act of 1987
who has been delegated authority to provide services for a
sexually transmissible disease who makes a diagnosis of or
treats a person with a sexually transmissible disease and each
laboratory that performs a test for a sexually transmissible
disease which concludes with a positive result shall report
such facts as may be required by the Department by rule, within
such time period as the Department may require by rule, but in
no case to exceed 2 weeks.
    (b) The Department shall adopt rules specifying the
information required in reporting a sexually transmissible
disease, the method of reporting and specifying a minimum time
period for reporting. In adopting such rules, the Department
shall consider the need for information, protections for the
privacy and confidentiality of the patient, and the practical
abilities of persons and laboratories to report in a reasonable
fashion.
    (c) Any person who knowingly or maliciously disseminates
any false information or report concerning the existence of any
sexually transmissible disease under this Section is guilty of
a Class A misdemeanor.
    (d) Any person who violates the provisions of this Section
or the rules adopted hereunder may be fined by the Department
up to $500 for each violation. The Department shall report each
violation of this Section to the regulatory agency responsible
for licensing a health care professional or a laboratory to
which these provisions apply.
(Source: P.A. 93-962, eff. 8-20-04.)
 
    Section 180. The Home Health and Hospice Drug Dispensation
and Administration Act is amended by changing Section 10 as
follows:
 
    (410 ILCS 642/10)
    Sec. 10. Definitions. In this Act:
    "Authorized nursing employee" means a registered nurse or
advanced practice nurse, as defined in the Nurse Practice Act
Nursing and Advanced Practice Nursing Act, who is employed by a
home health agency or hospice licensed in this State.
    "Health care professional" means a physician licensed to
practice medicine in all its branches, an advanced practice
nurse who has a written collaborative agreement with a
collaborating physician that authorizes services under this
Act, or a physician assistant who has been delegated the
authority to perform services under this Act by his or her
supervising physician.
    "Home health agency" has the meaning ascribed to it in
Section 2.04 of the Home Health, Home Services, and Home
Nursing Agency Licensing Act.
    "Hospice" means a full hospice, as defined in Section 3 of
the Hospice Program Licensing Act.
    "Physician" means a physician licensed under the Medical
Practice Act of 1987 to practice medicine in all its branches.
(Source: P.A. 94-638, eff. 8-22-05; revised 10-19-06.)
 
    Section 190. The Illinois Abortion Law of 1975 is amended
by changing Section 11 as follows:
 
    (720 ILCS 510/11)  (from Ch. 38, par. 81-31)
    Sec. 11. (1) Any person who intentionally violates any
provision of this Law commits a Class A misdemeanor unless a
specific penalty is otherwise provided. Any person who
intentionally falsifies any writing required by this Law
commits a Class A misdemeanor.
    Intentional, knowing, reckless, or negligent violations of
this Law shall constitute unprofessional conduct which causes
public harm under Section 22 of the Medical Practice Act of
1987, as amended; Sections 70-5 of the Nurse Practice Act
Sections 10-45 and 15-50 of the Nursing and Advanced Practice
Nursing Act, and Section 21 of the Physician Assistant Practice
Act of 1987, as amended.
    Intentional, knowing, reckless or negligent violations of
this Law will constitute grounds for refusal, denial,
revocation, suspension, or withdrawal of license, certificate,
or permit under Section 30 of the Pharmacy Practice Act of
1987, as amended; Section 7 of the Ambulatory Surgical
Treatment Center Act, effective July 19, 1973, as amended; and
Section 7 of the Hospital Licensing Act.
    (2) Any hospital or licensed facility which, or any
physician who intentionally, knowingly, or recklessly fails to
submit a complete report to the Department in accordance with
the provisions of Section 10 of this Law and any person who
intentionally, knowingly, recklessly or negligently fails to
maintain the confidentiality of any reports required under this
Law or reports required by Sections 10.1 or 12 of this Law
commits a Class B misdemeanor.
    (3) Any person who sells any drug, medicine, instrument or
other substance which he knows to be an abortifacient and which
is in fact an abortifacient, unless upon prescription of a
physician, is guilty of a Class B misdemeanor. Any person who
prescribes or administers any instrument, medicine, drug or
other substance or device, which he knows to be an
abortifacient, and which is in fact an abortifacient, and
intentionally, knowingly or recklessly fails to inform the
person for whom it is prescribed or upon whom it is
administered that it is an abortifacient commits a Class C
misdemeanor.
    (4) Any person who intentionally, knowingly or recklessly
performs upon a woman what he represents to that woman to be an
abortion when he knows or should know that she is not pregnant
commits a Class 2 felony and shall be answerable in civil
damages equal to 3 times the amount of proved damages.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    Section 195. The Illinois Controlled Substances Act is
amended by changing Sections 102, 103, and 303.05 as follows:
 
    (720 ILCS 570/102)  (from Ch. 56 1/2, par. 1102)
    Sec. 102. Definitions. As used in this Act, unless the
context otherwise requires:
    (a) "Addict" means any person who habitually uses any drug,
chemical, substance or dangerous drug other than alcohol so as
to endanger the public morals, health, safety or welfare or who
is so far addicted to the use of a dangerous drug or controlled
substance other than alcohol as to have lost the power of self
control with reference to his addiction.
    (b) "Administer" means the direct application of a
controlled substance, whether by injection, inhalation,
ingestion, or any other means, to the body of a patient,
research subject, or animal (as defined by the Humane
Euthanasia in Animal Shelters Act) by:
        (1) a practitioner (or, in his presence, by his
    authorized agent),
        (2) the patient or research subject at the lawful
    direction of the practitioner, or
        (3) a euthanasia technician as defined by the Humane
    Euthanasia in Animal Shelters Act.
    (c) "Agent" means an authorized person who acts on behalf
of or at the direction of a manufacturer, distributor, or
dispenser. It does not include a common or contract carrier,
public warehouseman or employee of the carrier or warehouseman.
    (c-1) "Anabolic Steroids" means any drug or hormonal
substance, chemically and pharmacologically related to
testosterone (other than estrogens, progestins, and
corticosteroids) that promotes muscle growth, and includes:
            (i) boldenone,
            (ii) chlorotestosterone,
            (iii) chostebol,
            (iv) dehydrochlormethyltestosterone,
            (v) dihydrotestosterone,
            (vi) drostanolone,
            (vii) ethylestrenol,
            (viii) fluoxymesterone,
            (ix) formebulone,
            (x) mesterolone,
            (xi) methandienone,
            (xii) methandranone,
            (xiii) methandriol,
            (xiv) methandrostenolone,
            (xv) methenolone,
            (xvi) methyltestosterone,
            (xvii) mibolerone,
            (xviii) nandrolone,
            (xix) norethandrolone,
            (xx) oxandrolone,
            (xxi) oxymesterone,
            (xxii) oxymetholone,
            (xxiii) stanolone,
            (xxiv) stanozolol,
            (xxv) testolactone,
            (xxvi) testosterone,
            (xxvii) trenbolone, and
            (xxviii) any salt, ester, or isomer of a drug or
        substance described or listed in this paragraph, if
        that salt, ester, or isomer promotes muscle growth.
    Any person who is otherwise lawfully in possession of an
anabolic steroid, or who otherwise lawfully manufactures,
distributes, dispenses, delivers, or possesses with intent to
deliver an anabolic steroid, which anabolic steroid is
expressly intended for and lawfully allowed to be administered
through implants to livestock or other nonhuman species, and
which is approved by the Secretary of Health and Human Services
for such administration, and which the person intends to
administer or have administered through such implants, shall
not be considered to be in unauthorized possession or to
unlawfully manufacture, distribute, dispense, deliver, or
possess with intent to deliver such anabolic steroid for
purposes of this Act.
    (d) "Administration" means the Drug Enforcement
Administration, United States Department of Justice, or its
successor agency.
    (e) "Control" means to add a drug or other substance, or
immediate precursor, to a Schedule under Article II of this Act
whether by transfer from another Schedule or otherwise.
    (f) "Controlled Substance" means a drug, substance, or
immediate precursor in the Schedules of Article II of this Act.
    (g) "Counterfeit substance" means a controlled substance,
which, or the container or labeling of which, without
authorization bears the trademark, trade name, or other
identifying mark, imprint, number or device, or any likeness
thereof, of a manufacturer, distributor, or dispenser other
than the person who in fact manufactured, distributed, or
dispensed the substance.
    (h) "Deliver" or "delivery" means the actual, constructive
or attempted transfer of possession of a controlled substance,
with or without consideration, whether or not there is an
agency relationship.
    (i) "Department" means the Illinois Department of Human
Services (as successor to the Department of Alcoholism and
Substance Abuse) or its successor agency.
    (j) "Department of State Police" means the Department of
State Police of the State of Illinois or its successor agency.
    (k) "Department of Corrections" means the Department of
Corrections of the State of Illinois or its successor agency.
    (l) "Department of Professional Regulation" means the
Department of Professional Regulation of the State of Illinois
or its successor agency.
    (m) "Depressant" or "stimulant substance" means:
        (1) a drug which contains any quantity of (i)
    barbituric acid or any of the salts of barbituric acid
    which has been designated as habit forming under section
    502 (d) of the Federal Food, Drug, and Cosmetic Act (21
    U.S.C. 352 (d)); or
        (2) a drug which contains any quantity of (i)
    amphetamine or methamphetamine and any of their optical
    isomers; (ii) any salt of amphetamine or methamphetamine or
    any salt of an optical isomer of amphetamine; or (iii) any
    substance which the Department, after investigation, has
    found to be, and by rule designated as, habit forming
    because of its depressant or stimulant effect on the
    central nervous system; or
        (3) lysergic acid diethylamide; or
        (4) any drug which contains any quantity of a substance
    which the Department, after investigation, has found to
    have, and by rule designated as having, a potential for
    abuse because of its depressant or stimulant effect on the
    central nervous system or its hallucinogenic effect.
    (n) (Blank).
    (o) "Director" means the Director of the Department of
State Police or the Department of Professional Regulation or
his designated agents.
    (p) "Dispense" means to deliver a controlled substance to
an ultimate user or research subject by or pursuant to the
lawful order of a prescriber, including the prescribing,
administering, packaging, labeling, or compounding necessary
to prepare the substance for that delivery.
    (q) "Dispenser" means a practitioner who dispenses.
    (r) "Distribute" means to deliver, other than by
administering or dispensing, a controlled substance.
    (s) "Distributor" means a person who distributes.
    (t) "Drug" means (1) substances recognized as drugs in the
official United States Pharmacopoeia, Official Homeopathic
Pharmacopoeia of the United States, or official National
Formulary, or any supplement to any of them; (2) substances
intended for use in diagnosis, cure, mitigation, treatment, or
prevention of disease in man or animals; (3) substances (other
than food) intended to affect the structure of any function of
the body of man or animals and (4) substances intended for use
as a component of any article specified in clause (1), (2), or
(3) of this subsection. It does not include devices or their
components, parts, or accessories.
    (t-5) "Euthanasia agency" means an entity certified by the
Department of Professional Regulation for the purpose of animal
euthanasia that holds an animal control facility license or
animal shelter license under the Animal Welfare Act. A
euthanasia agency is authorized to purchase, store, possess,
and utilize Schedule II nonnarcotic and Schedule III
nonnarcotic drugs for the sole purpose of animal euthanasia.
    (t-10) "Euthanasia drugs" means Schedule II or Schedule III
substances (nonnarcotic controlled substances) that are used
by a euthanasia agency for the purpose of animal euthanasia.
    (u) "Good faith" means the prescribing or dispensing of a
controlled substance by a practitioner in the regular course of
professional treatment to or for any person who is under his
treatment for a pathology or condition other than that
individual's physical or psychological dependence upon or
addiction to a controlled substance, except as provided herein:
and application of the term to a pharmacist shall mean the
dispensing of a controlled substance pursuant to the
prescriber's order which in the professional judgment of the
pharmacist is lawful. The pharmacist shall be guided by
accepted professional standards including, but not limited to
the following, in making the judgment:
        (1) lack of consistency of doctor-patient
    relationship,
        (2) frequency of prescriptions for same drug by one
    prescriber for large numbers of patients,
        (3) quantities beyond those normally prescribed,
        (4) unusual dosages,
        (5) unusual geographic distances between patient,
    pharmacist and prescriber,
        (6) consistent prescribing of habit-forming drugs.
    (u-1) "Home infusion services" means services provided by a
pharmacy in compounding solutions for direct administration to
a patient in a private residence, long-term care facility, or
hospice setting by means of parenteral, intravenous,
intramuscular, subcutaneous, or intraspinal infusion.
    (v) "Immediate precursor" means a substance:
        (1) which the Department has found to be and by rule
    designated as being a principal compound used, or produced
    primarily for use, in the manufacture of a controlled
    substance;
        (2) which is an immediate chemical intermediary used or
    likely to be used in the manufacture of such controlled
    substance; and
        (3) the control of which is necessary to prevent,
    curtail or limit the manufacture of such controlled
    substance.
    (w) "Instructional activities" means the acts of teaching,
educating or instructing by practitioners using controlled
substances within educational facilities approved by the State
Board of Education or its successor agency.
    (x) "Local authorities" means a duly organized State,
County or Municipal peace unit or police force.
    (y) "Look-alike substance" means a substance, other than a
controlled substance which (1) by overall dosage unit
appearance, including shape, color, size, markings or lack
thereof, taste, consistency, or any other identifying physical
characteristic of the substance, would lead a reasonable person
to believe that the substance is a controlled substance, or (2)
is expressly or impliedly represented to be a controlled
substance or is distributed under circumstances which would
lead a reasonable person to believe that the substance is a
controlled substance. For the purpose of determining whether
the representations made or the circumstances of the
distribution would lead a reasonable person to believe the
substance to be a controlled substance under this clause (2) of
subsection (y), the court or other authority may consider the
following factors in addition to any other factor that may be
relevant:
        (a) statements made by the owner or person in control
    of the substance concerning its nature, use or effect;
        (b) statements made to the buyer or recipient that the
    substance may be resold for profit;
        (c) whether the substance is packaged in a manner
    normally used for the illegal distribution of controlled
    substances;
        (d) whether the distribution or attempted distribution
    included an exchange of or demand for money or other
    property as consideration, and whether the amount of the
    consideration was substantially greater than the
    reasonable retail market value of the substance.
    Clause (1) of this subsection (y) shall not apply to a
noncontrolled substance in its finished dosage form that was
initially introduced into commerce prior to the initial
introduction into commerce of a controlled substance in its
finished dosage form which it may substantially resemble.
    Nothing in this subsection (y) prohibits the dispensing or
distributing of noncontrolled substances by persons authorized
to dispense and distribute controlled substances under this
Act, provided that such action would be deemed to be carried
out in good faith under subsection (u) if the substances
involved were controlled substances.
    Nothing in this subsection (y) or in this Act prohibits the
manufacture, preparation, propagation, compounding,
processing, packaging, advertising or distribution of a drug or
drugs by any person registered pursuant to Section 510 of the
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360).
    (y-1) "Mail-order pharmacy" means a pharmacy that is
located in a state of the United States, other than Illinois,
that delivers, dispenses or distributes, through the United
States Postal Service or other common carrier, to Illinois
residents, any substance which requires a prescription.
    (z) "Manufacture" means the production, preparation,
propagation, compounding, conversion or processing of a
controlled substance other than methamphetamine, either
directly or indirectly, by extraction from substances of
natural origin, or independently by means of chemical
synthesis, or by a combination of extraction and chemical
synthesis, and includes any packaging or repackaging of the
substance or labeling of its container, except that this term
does not include:
        (1) by an ultimate user, the preparation or compounding
    of a controlled substance for his own use; or
        (2) by a practitioner, or his authorized agent under
    his supervision, the preparation, compounding, packaging,
    or labeling of a controlled substance:
            (a) as an incident to his administering or
        dispensing of a controlled substance in the course of
        his professional practice; or
            (b) as an incident to lawful research, teaching or
        chemical analysis and not for sale.
    (z-1) (Blank).
    (aa) "Narcotic drug" means any of the following, whether
produced directly or indirectly by extraction from substances
of natural origin, or independently by means of chemical
synthesis, or by a combination of extraction and chemical
synthesis:
        (1) opium and opiate, and any salt, compound,
    derivative, or preparation of opium or opiate;
        (2) any salt, compound, isomer, derivative, or
    preparation thereof which is chemically equivalent or
    identical with any of the substances referred to in clause
    (1), but not including the isoquinoline alkaloids of opium;
        (3) opium poppy and poppy straw;
        (4) coca leaves and any salts, compound, isomer, salt
    of an isomer, derivative, or preparation of coca leaves
    including cocaine or ecgonine, and any salt, compound,
    isomer, derivative, or preparation thereof which is
    chemically equivalent or identical with any of these
    substances, but not including decocainized coca leaves or
    extractions of coca leaves which do not contain cocaine or
    ecgonine (for the purpose of this paragraph, the term
    "isomer" includes optical, positional and geometric
    isomers).
    (bb) "Nurse" means a registered nurse licensed under the
Nurse Practice Act Nursing and Advanced Practice Nursing Act.
    (cc) (Blank).
    (dd) "Opiate" means any substance having an addiction
forming or addiction sustaining liability similar to morphine
or being capable of conversion into a drug having addiction
forming or addiction sustaining liability.
    (ee) "Opium poppy" means the plant of the species Papaver
somniferum L., except its seeds.
    (ff) "Parole and Pardon Board" means the Parole and Pardon
Board of the State of Illinois or its successor agency.
    (gg) "Person" means any individual, corporation,
mail-order pharmacy, government or governmental subdivision or
agency, business trust, estate, trust, partnership or
association, or any other entity.
    (hh) "Pharmacist" means any person who holds a certificate
of registration as a registered pharmacist, a local registered
pharmacist or a registered assistant pharmacist under the
Pharmacy Practice Act of 1987.
    (ii) "Pharmacy" means any store, ship or other place in
which pharmacy is authorized to be practiced under the Pharmacy
Practice Act of 1987.
    (jj) "Poppy straw" means all parts, except the seeds, of
the opium poppy, after mowing.
    (kk) "Practitioner" means a physician licensed to practice
medicine in all its branches, dentist, podiatrist,
veterinarian, scientific investigator, pharmacist, physician
assistant, advanced practice nurse, licensed practical nurse,
registered nurse, hospital, laboratory, or pharmacy, or other
person licensed, registered, or otherwise lawfully permitted
by the United States or this State to distribute, dispense,
conduct research with respect to, administer or use in teaching
or chemical analysis, a controlled substance in the course of
professional practice or research.
    (ll) "Pre-printed prescription" means a written
prescription upon which the designated drug has been indicated
prior to the time of issuance.
    (mm) "Prescriber" means a physician licensed to practice
medicine in all its branches, dentist, podiatrist or
veterinarian who issues a prescription, a physician assistant
who issues a prescription for a Schedule III, IV, or V
controlled substance in accordance with Section 303.05 and the
written guidelines required under Section 7.5 of the Physician
Assistant Practice Act of 1987, or an advanced practice nurse
with prescriptive authority delegated under Section 65-40 of
the Nurse Practice Act and in accordance with Section 303.05
and a written collaborative agreement under Section 65-35 of
the Nurse Practice Act Sections 15-15 and 15-20 of the Nursing
and Advanced Practice Nursing Act.
    (nn) "Prescription" means a lawful written, facsimile, or
verbal order of a physician licensed to practice medicine in
all its branches, dentist, podiatrist or veterinarian for any
controlled substance, of a physician assistant for a Schedule
III, IV, or V controlled substance in accordance with Section
303.05 and the written guidelines required under Section 7.5 of
the Physician Assistant Practice Act of 1987, or of an advanced
practice nurse with prescriptive authority delegated under
Section 65-40 of the Nurse Practice Act who issues a
prescription for a Schedule III, IV, or V controlled substance
in accordance with Section 303.05 and a written collaborative
agreement under Section 65-35 of the Nurse Practice Act
Sections 15-15 and 15-20 of the Nursing and Advanced Practice
Nursing Act.
    (oo) "Production" or "produce" means manufacture,
planting, cultivating, growing, or harvesting of a controlled
substance other than methamphetamine.
    (pp) "Registrant" means every person who is required to
register under Section 302 of this Act.
    (qq) "Registry number" means the number assigned to each
person authorized to handle controlled substances under the
laws of the United States and of this State.
    (rr) "State" includes the State of Illinois and any state,
district, commonwealth, territory, insular possession thereof,
and any area subject to the legal authority of the United
States of America.
    (ss) "Ultimate user" means a person who lawfully possesses
a controlled substance for his own use or for the use of a
member of his household or for administering to an animal owned
by him or by a member of his household.
(Source: P.A. 93-596, eff. 8-26-03; 93-626, eff. 12-23-03;
94-556, eff. 9-11-05.)
 
    (720 ILCS 570/103)  (from Ch. 56 1/2, par. 1103)
    Sec. 103. Scope of Act. Nothing in this Act limits the
lawful authority granted by the Medical Practice Act of 1987,
the Nurse Practice Act Nursing and Advanced Practice Nursing
Act, or the Pharmacy Practice Act of 1987.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (720 ILCS 570/303.05)
    Sec. 303.05. Mid-level practitioner registration.
    (a) The Department of Professional Regulation shall
register licensed physician assistants and licensed advanced
practice nurses to prescribe and dispense Schedule III, IV, or
V controlled substances under Section 303 and euthanasia
agencies to purchase, store, or administer euthanasia drugs
under the following circumstances:
        (1) with respect to physician assistants or advanced
    practice nurses,
            (A) the physician assistant or advanced practice
        nurse has been delegated prescriptive authority by a
        physician licensed to practice medicine in all its
        branches in accordance with Section 7.5 of the
        Physician Assistant Practice Act of 1987 or Section
        65-40 of the Nurse Practice Act Section 15-20 of the
        Nursing and Advanced Practice Nursing Act; and
            (B) the physician assistant or advanced practice
        nurse has completed the appropriate application forms
        and has paid the required fees as set by rule; or
        (2) with respect to euthanasia agencies, the
    euthanasia agency has obtained a license from the
    Department of Professional Regulation and obtained a
    registration number from the Department.
    (b) The mid-level practitioner shall only be licensed to
prescribe those schedules of controlled substances for which a
licensed physician has delegated prescriptive authority,
except that a euthanasia agency does not have any prescriptive
authority.
    (c) Upon completion of all registration requirements,
physician assistants, advanced practice nurses, and euthanasia
agencies shall be issued a mid-level practitioner controlled
substances license for Illinois.
(Source: P.A. 93-626, eff. 12-23-03.)
 
    Section 200. The Methamphetamine Control and Community
Protection Act is amended by changing Section 110 as follows:
 
    (720 ILCS 646/110)
    Sec. 110. Scope of Act. Nothing in this Act limits any
authority or activity authorized by the Illinois Controlled
Substances Act, the Medical Practice Act of 1987, the Nurse
Practice Act Nursing and Advanced Practice Nursing Act, the
Pharmacy Practice Act of 1987, the Illinois Dental Practice
Act, the Podiatric Medical Practice Act of 1987, or the
Veterinary Medicine and Surgery Practice Act of 2004. Nothing
in this Act limits the authority or activity of any law
enforcement officer acting within the scope of his or her
employment.
(Source: P.A. 94-556, eff. 9-11-05.)
 
    Section 205. The Methamphetamine Precursor Control Act is
amended by changing Section 50 as follows:
 
    (720 ILCS 648/50)
    Sec. 50. Scope of Act.
    (a) Nothing in this Act limits the scope, terms, or effect
of the Methamphetamine Control and Community Protection Act.
    (b) Nothing in this Act limits the lawful authority granted
by the Medical Practice Act of 1987, the Nurse Practice Act
Nursing and Advanced Practice Nursing Act, or the Pharmacy
Practice Act of 1987.
    (c) Nothing in this Act limits the authority or activity of
any law enforcement officer acting within the scope of his or
her employment.
(Source: P.A. 94-694, eff. 1-15-06.)
 
    Section 210. The Good Samaritan Act is amended by changing
Sections 34 and 40 as follows:
 
    (745 ILCS 49/34)
    Sec. 34. Advanced practice nurse; exemption from civil
liability for emergency care. A person licensed as an advanced
practice nurse under the Nurse Practice Act Nursing and
Advanced Practice Nursing Act who in good faith provides
emergency care without fee to a person shall not be liable for
civil damages as a result of his or her acts or omissions,
except for willful or wanton misconduct on the part of the
person in providing the care.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (745 ILCS 49/40)
    Sec. 40. Nurses; exemption from civil liability for
services performed without compensation.
    (a) No person licensed as a professional nurse or as a
practical nurse under the Nurse Practice Act Nursing and
Advanced Practice Nursing Act who, without compensation,
renders nursing services shall be liable, and no cause of
action may be brought, for damages resulting from an act or
omission in rendering such services unless the act or omission
involved willful or wanton misconduct.
    (b) (Blank).
    (c) As used in this Section "entity" means a
proprietorship, partnership, association or corporation,
whether or not operated for profit.
    (d) Nothing in this Section is intended to bar any cause of
action against an entity or change the liability of an entity
which arises out of an act or omission of any person exempt
from liability for negligence under this Section.
(Source: P.A. 89-607, eff. 1-1-97; 90-742, eff. 8-13-98.)
 
    Section 220. The Unemployment Insurance Act is amended by
changing Section 230 as follows:
 
    (820 ILCS 405/230)  (from Ch. 48, par. 340)
    Sec. 230. The term "employment" shall not include service
performed after 1971:
        (A) In the employ of a hospital, if such service is
    performed by a patient of the hospital.
        (B) As a student nurse in the employ of a hospital or a
    nurses' training school by an individual who is enrolled
    and is regularly attending classes in a nurses' training
    school approved pursuant to the Nurse Practice Act Nursing
    and Advanced Practice Nursing Act.
        (C) As an intern in the employ of a hospital by an
    individual who has completed a 4 years' course in a medical
    school chartered or approved pursuant to State law.
(Source: P.A. 90-742, eff. 8-13-98.)
 
    (110 ILCS 915/Act rep.)
    Section 225. The Baccalaureate Assistance Law for
Registered Nurses is repealed.
 
    (225 ILCS 65/5-17 rep.)
    (225 ILCS 65/15-5 rep.)
    (225 ILCS 65/15-35 rep.)
    (225 ILCS 65/15-50 rep.)
    (225 ILCS 65/20-2 rep.)
    (225 ILCS 65/20-5 rep.)
    (225 ILCS 65/20-10 rep.)
    (225 ILCS 65/20-15 rep.)
    Section 230. The Nursing and Advanced Practice Nursing Act
is amended by repealing Sections 5-17, 15-5, 15-35, 15-50,
20-2, 20-5, 20-10, and 20-15.
 
    Section 999. Effective date. This Act takes effect upon
becoming law, except that the provisions changing Section 8.1
of the Illinois Dental Practice Act take effect January 1,
2008.