Public Act 93-0149
HB3047 Enrolled LRB093 06091 AMC 06196 b
AN ACT concerning physician assistants.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Physician Assistant Practice Act of 1987
is amended by changing Section 7 as follows:
(225 ILCS 95/7) (from Ch. 111, par. 4607)
(Section scheduled to be repealed on January 1, 2008)
Sec. 7. Supervision requirements. No more than 2
physician assistants shall be supervised by the supervising
physician, although a physician assistant shall be able to
hold more than one professional position. Each supervising
physician shall file a notice of supervision of such
physician assistant according to the rules of the Department.
However, the alternate supervising physician may supervise
more than 2 physician assistants when the supervising
physician is unable to provide such supervision consistent
with the definition of alternate physician in Section 4.
Physician assistants shall be supervised only by
physicians as defined in this Act who are engaged in clinical
practice, or in clinical practice in public health or other
community health facilities.
Nothing in this Act shall be construed to limit the
delegation of tasks or duties by a physician to a nurse or
other appropriately trained personnel.
Nothing in this Act shall be construed to prohibit the
employment of physician assistants by a hospital, nursing
home or other health care facility where such physician
assistants function under the supervision of a supervising
physician.
Physician assistants may be employed by the Department of
Corrections or the Department of Human Services (as successor
to the Department of Mental Health and Developmental
Disabilities) for service in facilities maintained by such
Departments and affiliated training facilities in programs
conducted under the authority of the Director of Corrections
or the Secretary of Human Services. Each physician assistant
employed by the Department of Corrections or the Department
of Human Services (as successor to the Department of Mental
Health and Developmental Disabilities) shall be under the
supervision of a physician engaged in clinical practice and
direct patient care. Duties of each physician assistant
employed by such Departments are limited to those within the
scope of practice of the supervising physician who is fully
responsible for all physician assistant activities.
A physician assistant may be employed by a practice group
or other entity employing multiple physicians at one or more
locations. In that case, one of the physicians practicing at
a location shall be designated the supervising physician.
The other physicians with that practice group or other entity
who practice in the same general type of practice or
specialty as the supervising physician may supervise the
physician assistant with respect to their patients without
being deemed alternate supervising physicians for the purpose
of this Act.
(Source: P.A. 89-507, eff. 7-1-97; 90-116, eff. 7-14-97.)
Section 10. The Radiation Protection Act of 1990 is
amended by changing Sections 5 and 6 as follows:
(420 ILCS 40/5) (from Ch. 111 1/2, par. 210-5)
(Section scheduled to be repealed on January 1, 2011)
Sec. 5. Limitations on application of radiation to human
beings and requirements for radiation installation operators
providing mammography services.
(a) No person shall intentionally administer radiation
to a human being unless such person is licensed to practice a
treatment of human ailments by virtue of the Illinois
Medical, Dental or Podiatric Medical Practice Acts, or, as
physician assistant, advanced practice nurse, technician,
nurse, or other assistant, is acting under the supervision,
prescription or direction of such licensed person. However,
no such physician assistant, advanced practice nurse,
technician, nurse, or other assistant acting under the
supervision of a person licensed under the Medical Practice
Act of 1987, shall administer radiation to human beings
unless accredited by the Department of Nuclear Safety, except
that persons enrolled in a course of education approved by
the Department of Nuclear Safety may apply ionizing radiation
to human beings as required by their course of study when
under the direct supervision of a person licensed under the
Medical Practice Act of 1987. No person authorized by this
Section to apply ionizing radiation shall apply such
radiation except to those parts of the human body specified
in the Act under which such person or his supervisor is
licensed. No person may operate a radiation installation
where ionizing radiation is administered to human beings
unless all persons who administer ionizing radiation in that
radiation installation are licensed, accredited, or exempted
in accordance with this Section. Nothing in this Section
shall be deemed to relieve a person from complying with the
provisions of Section 10.
(b) In addition, no person shall provide mammography
services unless all of the following requirements are met:
(1) the mammography procedures are performed using
a radiation machine that is specifically designed for
mammography;
(2) the mammography procedures are performed using
a radiation machine that is used solely for performing
mammography procedures;
(3) the mammography procedures are performed using
equipment that has been subjected to a quality assurance
program that satisfies quality assurance requirements
which the Department shall establish by rule;
(4) beginning one year after the effective date of
this amendatory Act of 1991, if the mammography procedure
is performed by a radiologic technologist, that
technologist, in addition to being accredited by the
Department to perform radiography, has satisfied training
requirements specific to mammography, which the
Department shall establish by rule.
(c) Every operator of a radiation installation at which
mammography services are provided shall ensure and have
confirmed by each mammography patient that the patient is
provided with a pamphlet which is orally reviewed with the
patient and which contains the following:
(1) how to perform breast self-examination;
(2) that early detection of breast cancer is
maximized through a combined approach, using monthly
breast self-examination, a thorough physical examination
performed by a physician, and mammography performed at
recommended intervals;
(3) that mammography is the most accurate method
for making an early detection of breast cancer, however,
no diagnostic tool is 100% effective;
(4) that if the patient is self-referred and does
not have a primary care physician, or if the patient is
unfamiliar with the breast examination procedures, that
the patient has received information regarding public
health services where she can obtain a breast examination
and instructions.
(Source: P.A. 89-187, eff. 7-19-95.)
(420 ILCS 40/6) (from Ch. 111 1/2, par. 210-6)
(Section scheduled to be repealed on January 1, 2011)
Sec. 6. Accreditation of administrators of radiation;
Limited scope accreditation; Rules and regulations;
Education.
(a) The Department shall promulgate such rules and
regulations as are necessary to establish accreditation
standards and procedures, including a minimum course of
education and continuing education requirements in the
administration of radiation to human beings, which are
appropriate to the classification of accreditation and which
are to be met by all physician assistants, advanced practice
nurses, nurses, technicians, or other assistants who
administer radiation to human beings under the supervision of
a person licensed under the Medical Practice Act of 1987.
Such rules and regulations may provide for different classes
of accreditation based on evidence of national certification,
clinical experience or community hardship as conditions of
initial and continuing accreditation. The rules and
regulations of the Department shall be consistent with
national standards in regard to the protection of the health
and safety of the general public.
(b) The rules and regulations shall also provide that
persons who have been accredited by the Department, in
accordance with the Radiation Protection Act, without passing
an examination, will remain accredited as provided in Section
43 of this Act and that those persons may be accredited,
without passing an examination, to use other equipment,
procedures, or supervision within the original category of
accreditation if the Department receives written assurances
from a person licensed under the Medical Practice Act of
1987, that the person accredited has the necessary skill and
qualifications for such additional equipment procedures or
supervision. The Department shall, in accordance with
subsection (c) of this Section, provide for the accreditation
of nurses, technicians, or other assistants, unless exempted
elsewhere in this Act, to perform a limited scope of
diagnostic radiography procedures of the chest, the
extremities, skull and sinuses, or the spine, while under the
supervision of a person licensed under the Medical Practice
Act of 1987.
(c) The rules or regulations promulgated by the
Department pursuant to subsection (a) shall establish
standards and procedures for accrediting persons to perform a
limited scope of diagnostic radiography procedures. The rules
or regulations shall require persons seeking limited scope
accreditation to register with the Department as a
"student-in-training," and declare those procedures in which
the student will be receiving training. The
student-in-training registration shall be valid for a period
of 16 months, during which the time the student may, under
the supervision of a person licensed under the Medical
Practice Act of 1987, perform the diagnostic radiography
procedures listed on the student's registration. The
student-in-training registration shall be nonrenewable.
Upon expiration of the 16 month training period, the
student shall be prohibited from performing diagnostic
radiography procedures unless accredited by the Department to
perform such procedures. In order to be accredited to
perform a limited scope of diagnostic radiography procedures,
an individual must pass an examination offered by the
Department. The examination shall be consistent with
national standards in regard to protection of public health
and safety. The examination shall consist of a standardized
component covering general principles applicable to
diagnostic radiography procedures and a clinical component
specific to the types of procedures for which accreditation
is being sought. The Department may assess a reasonable fee
for such examinations to cover the costs incurred by the
Department in conjunction with offering the examinations.
(d) The Department shall by rule or regulation exempt
from accreditation physician assistants, advanced practice
nurses, nurses, technicians, or other assistants who
administer radiation to human beings under supervision of a
person licensed to practice under the Medical Practice Act of
1987 when the services are performed on employees of a
business at a medical facility owned and operated by the
business. Such exemption shall only apply to the equipment,
procedures and supervision specific to the medical facility
owned and operated by the business.
(Source: P.A. 90-14, eff. 7-1-97.)
Section 99. Effective date. This Act takes effect upon
becoming law.