Public Act 90-0818 of the 90th General Assembly

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Public Act 90-0818

SB859 Enrolled                                 LRB9002932DPks

    AN ACT concerning health practitioners.

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

    Section  3.   The Medical Practice Act of 1987 is amended
by changing Section 11 as follows:

    (225 ILCS 60/11) (from Ch. 111, par. 4400-11)
    Sec.  11.   Minimum  education  standards.   The  minimum
standards of professional education to  be  enforced  by  the
Department  in  conducting  examinations and issuing licenses
shall be as follows:
         (A)  Practice of  medicine.   For  the  practice  of
    medicine in all of its branches:
              (1)  For   applications   for  licensure  under
         subsection (D) of Section 19 of this Act:
                   (a)  that the applicant is a graduate of a
              medical or osteopathic college  in  the  United
              States,  its  territories  or  Canada, that the
              applicant has completed  a  2  year  course  of
              instruction  in  a  college of liberal arts, or
              its equivalent, and a course of instruction  in
              a  medical  or  osteopathic college approved by
              the Department or by a private, not for  profit
              accrediting  body  approved  by the Department,
              and  in   addition   thereto,   a   course   of
              postgraduate clinical training of not less than
              12 months as approved by the Department; or
                   (b)  that the applicant is a graduate of a
              medical  or osteopathic college located outside
              the United States, its territories  or  Canada,
              and  that  the  degree  conferred is officially
              recognized by the country for the  purposes  of
              licensure, that the applicant has completed a 2
              year  course  of  instruction  in  a college of
              liberal arts or its equivalent, and a course of
              instruction in a medical or osteopathic college
              approved by the Department, which course  shall
              have  been  not less than 132 weeks in duration
              and shall have been completed within  a  period
              of  not  less  than 35 months, and, in addition
              thereto, has completed a course of postgraduate
              clinical training of not less than  12  months,
              as approved by the Department, and has complied
              with  any  other  standards established by rule
              taken and passed the Educational Commission  of
              Foreign Medical Graduates Examination.
                   For  the purposes of this subparagraph (b)
              an applicant is considered to be a graduate  of
              a  medical  college  if  the  degree  which  is
              conferred  is  officially  recognized  by  that
              country for the purposes of receiving a license
              to  practice medicine in all of its branches or
              a document is granted by  the  medical  college
              which  certifies  the  completion of all formal
              training requirements including any  internship
              and social service; or
                   (c)  that   the   applicant   has  studied
              medicine at a medical  or  osteopathic  college
              located   outside   the   United   States,  its
              territories, or Canada, that the applicant  has
              completed  a  2 year course of instruction in a
              college of liberal arts or its  equivalent  and
              all  of  the  formal  requirements of a foreign
              medical school  except  internship  and  social
              service,  which course shall have been not less
              than 132 weeks in duration and shall have  been
              completed  within  a period of not less than 35
              months; that the  applicant  has  submitted  an
              application  to a medical college accredited by
              the Liaison Committee on Medical Education  and
              submitted   to   such   evaluation  procedures,
              including use of nationally recognized  medical
              student   tests   or   tests   devised  by  the
              individual  medical  college,  and   that   the
              applicant   has  satisfactorily  completed  one
              academic year of supervised  clinical  training
              under  the  direction  of such medical college;
              and, in addition thereto has completed a course
              of postgraduate clinical training of  not  less
              than  12 months, as approved by the Department,
              and  has  complied  with  any  other  standards
              established  by  rule  taken  and  passed   the
              Educational   Commission   of  Foreign  Medical
              Graduates Examination.
                   (d)  Any  clinical  clerkships  must  have
              been completed in compliance with Section  10.3
              of the Hospital Licensing Act, as amended.
              (2)  Effective    January    1,    1988,    for
         applications   for   licensure  made  subsequent  to
         January 1, 1988, under Sections 9 or 17 of this  Act
         by  individuals  not  described  in paragraph (3) of
         subsection (A) of Section  11  who  graduated  after
         December 31, 1984:
                   (a)  that  the  applicant:  (i)  graduated
              from   a   medical   or   osteopathic   college
              officially  recognized  by  the jurisdiction in
              which  it  is  located  for  the   purpose   of
              receiving a license to practice medicine in all
              of   its   branches,   and  the  applicant  has
              completed, as defined by the  Department,  a  6
              year  postsecondary  course of study comprising
              at least 2 academic years of study in the basic
              medical sciences; and 2 academic years of study
              in the clinical sciences, while enrolled in the
              medical college which conferred the degree, the
              core  rotations  of  which   must   have   been
              completed   in   clinical  teaching  facilities
              owned, operated or formally affiliated with the
              medical college which conferred the degree,  or
              under  contract  in  teaching facilities owned,
              operated or  affiliated  with  another  medical
              college  which  is officially recognized by the
              jurisdiction in which the medical school  which
              conferred   the  degree  is  located;  or  (ii)
              graduated from a medical or osteopathic college
              accredited by the Liaison Committee on  Medical
              Education,  the  Committee  on Accreditation of
              Canadian Medical Schools  in  conjunction  with
              the  Liaison Committee on Medical Education, or
              the Bureau of  Professional  Education  of  the
              American Osteopathic Association; and, (iii) in
              addition  thereto,  has  completed  a course of
              postgraduate clinical training of not less than
              24 months, as approved by the Department; or
                   (b)  that  the   applicant   has   studied
              medicine  at  a  medical or osteopathic college
              located  outside   the   United   States,   its
              territories,  or Canada, that the applicant, in
              addition  to  satisfying  the  requirements  of
              subparagraph (a), except for the awarding of  a
              degree,   has   completed  all  of  the  formal
              requirements of a foreign medical school except
              internship and social service and has submitted
              an application to a medical college  accredited
              by  the  Liaison Committee on Medical Education
              and submitted to  such  evaluation  procedures,
              including  use of nationally recognized medical
              student  tests  or   tests   devised   by   the
              individual   medical   college,  and  that  the
              applicant  has  satisfactorily  completed   one
              academic  year  of supervised clinical training
              under the direction of  such  medical  college;
              and,  in  addition  thereto,  has  completed  a
              course of postgraduate clinical training of not
              less   than  24  months,  as  approved  by  the
              Department, and has  complied  with  any  other
              standards  established by rule taken and passed
              the Educational Commission of  Foreign  Medical
              Graduates Examination.
              (3)  (Blank).
              (4)  Any  person  granted  a  temporary license
         pursuant  to  Section  17  of  this  Act  who  shall
         satisfactorily complete  a  course  of  postgraduate
         clinical  training  and meet all of the requirements
         for licensure shall be granted a  permanent  license
         pursuant to Section 9.
              (5)  Notwithstanding  any  other  provision  of
         this  Section  an  individual  holding  a  temporary
         license  under  Section  17  of  this  Act  shall be
         required to satisfy the  undergraduate  medical  and
         post-graduate    clinical    training    educational
         requirements   in   effect  on  the  date  of  their
         application for a temporary license,  provided  they
         apply  for a license under Section 9 of this Act and
         satisfy all other requirements of this Section while
         their temporary license is in effect.
         (B)  Treating  human  ailments  without  drugs   and
    without  operative surgery.  For the practice of treating
    human ailments without  the  use  of  drugs  and  without
    operative surgery:
              (1)  For   an  applicant  who  was  a  resident
         student and who is a graduate after July 1, 1926, of
         a chiropractic college  or  institution,  that  such
         school,  college  or institution, at the time of the
         applicant's graduation required as a prerequisite to
         admission thereto a 4 year course of instruction  in
         a  high school, and, as a prerequisite to graduation
         therefrom, a course of instruction in the  treatment
         of  human  ailments,  of  not less than 132 weeks in
         duration and which shall have been completed  within
         a  period  of not less than 35 months except that as
         to students matriculating or entering upon a  course
         of  chiropractic  study during the years 1940, 1941,
         1942, 1943, 1944, 1945, 1946, and 1947, such elapsed
         time shall be not less than  32  months,  such  high
         school  and  such  school,  college  or  institution
         having  been  reputable  and in good standing in the
         judgment of the Department.
              (2)  For an applicant who is a matriculant in a
         chiropractic college after September 1,  1969,  that
         such  applicant  shall  be  required to complete a 2
         year course of instruction in a liberal arts college
         or its equivalent and a course of instruction  in  a
         chiropractic  college  in  the  treatment  of  human
         ailments,   such   course,   as  a  prerequisite  to
         graduation therefrom, having been not less than  132
         weeks  in  duration  and  shall  have been completed
         within a period of not less  than  35  months,  such
         college  of  liberal  arts  and chiropractic college
         having been reputable and in good  standing  in  the
         judgment of the Department.
              (3)  For  an  applicant  who is a graduate of a
         United States chiropractic college after August  19,
         1981,  the  college  of  the applicant must be fully
         accredited by the Commission on Accreditation of the
         Council on Chiropractic Education or  its  successor
         at  the time of graduation.  Such graduates shall be
         considered to  have  met  the  minimum  requirements
         which shall be in addition to those requirements set
         forth  in  the  rules and regulations promulgated by
         the Department.
              (4)  For an applicant who is a  graduate  of  a
         chiropractic  college  in another country; that such
         chiropractic college be equivalent to the  standards
         of  education as set forth for chiropractic colleges
         located in the United States.
(Source: P.A. 89-702, eff. 7-1-97.)

    Section 5.  The Nursing and Advanced Practice Nursing Act
is amended by changing Section 15-20 as follows:

    (225 ILCS 65/15-20)
    Sec. 15-20.   Prescriptive authority.
    (a)  A collaborating physician 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  and  dispensing  of  legend  drugs  and  legend
controlled substances categorized as Schedule III, IV,  or  V
controlled  substances,  as  defined  in  Article  II  of the
Illinois Controlled Substances Act.
    (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  shall affix the collaborating physician's DEA number
to, and individually sign, the appropriate prescription  form

containing  the  printed names of the advanced practice nurse
and collaborating physician in accordance  with  the  written
collaborative agreement.  Medication orders shall be reviewed
periodically by the collaborating physician.
    (c)  The  collaborating  physician  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,  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)  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
personnel.
(Source: P.A. 90-742, eff. 8-13-98.)

    Section 10.  The Physician Assistant Practice Act of 1987
is amended by changing Section 7.5 as follows:

    (225 ILCS 95/7.5)
    Sec. 7.5.  Prescriptions.  A  supervising  physician  may
delegate   limited  prescriptive  authority  to  a  physician
assistant. This  authority  may,  but  is  not  required  to,
include  prescription  and  dispensing  of  legend  drugs and
legend controlled substances categorized as Schedule III, IV,
or V controlled substances, as defined in Article II  of  the
Illinois  Controlled  Substances  Act,  as  delegated  in the
written  guidelines  required  by  this  Act.  To   prescribe
Schedule  III,  IV,  or  V  controlled  substances under this
Section,  a  physician  assistant  must  obtain  a  mid-level
practitioner controlled substances license  shall  affix  the
supervising physician's DEA number to, and individually sign,
the  appropriate  prescription  form  containing  the printed
names of the physician assistant and supervising physician in
accordance with the  written  guidelines.  Medication  orders
issued   by   a   physician   assistant   shall  be  reviewed
periodically by the supervising  physician.  The  supervising
physician shall file with the Department notice of delegation
of  prescriptive  authority  to  a  physician  assistant  and
termination of delegation, specifying the authority delegated
or   terminated.  Upon  receipt  of  this  notice  delegating
authority to prescribe Schedule  III,  IV,  or  V  controlled
substances,  the  physician  assistant  shall  be eligible to
register for a mid-level practitioner  controlled  substances
license  under  Section  303.05  of  the  Illinois Controlled
Substances Act. Nothing in this Act  shall  be  construed  to
limit  the  delegation of tasks or  duties by the supervising
physician  to  a  nurse  or   other   appropriately   trained
personnel.
    The  Department  shall  establish  by  rule  the  minimum
requirements for written guidelines to be followed under this
Section.
(Source: P.A. 90-116, eff. 7-14-97.)

    Section  15.   The  Illinois Controlled Substances Act is
amended by changing Sections 102 and 303 and  adding  Section
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  or
research subject by:
         (1)  a  practitioner  (or,  in  his presence, by his
    authorized agent), or
         (2)  the patient or research subject at  the  lawful
    direction of the practitioner.
    (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)  "Designated  product"  means  any   narcotic   drug,
amphetamine,  phenmetrazine,  methamphetamine, gluthethimide,
pentazocine or cannabis product listed  in  Schedule  II  and
also means a controlled substance listed in Schedule II which
is  determined  and  designated  by  the  Department  or  its
successor  agency  to be such a product. A designated product
shall only be dispensed upon an official prescription 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.
    (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,  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.
    (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
Nursing and Advanced Practice Nursing Act.
    (cc)  "Official prescription blanks" means the triplicate
prescription forms supplied to prescribers by the  Department
for  prescribing  Schedule  II  Designated Product controlled
substances.
    (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 as delegated by a physician licensed  to
practice  medicine  in  all  its  branches 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, as
delegated by a physician licensed to practice medicine in all
its branches, in accordance with Section 303.05 and a written
collaborative agreement under 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 as delegated by a
physician licensed to practice medicine in all  its  branches
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 who
issues a prescription for a Schedule III, IV, or V controlled
substance, pursuant to prescriptive authority delegated by  a
physician  licensed to practice medicine in all its branches,
in accordance with Section 303.05 and a written collaborative
agreement under 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.
    (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. 89-202,  eff.  10-1-95;  89-507,  eff.  7-1-97;
90-116, eff. 7-14-97; 90-742, eff. 8-13-98.)

    (720 ILCS 570/303) (from Ch. 56 1/2, par. 1303)
    Sec.  303.  (a) The Department of Professional Regulation
shall  license  register   an   applicant   to   manufacture,
distribute  or  dispense  controlled  substances  included in
Sections 204, 206, 208, 210 and 212 of  this  Act  unless  it
determines  that  the  issuance  of that license registration
would  be  inconsistent  with  the   public   interest.    In
determining   the   public   interest,   the   Department  of
Professional Regulation shall consider the following:
    (1)  maintenance of effective controls against  diversion
of  controlled  substances  into  other  than lawful medical,
scientific, or industrial channels;
    (2)  compliance with applicable Federal, State and  local
law;
    (3)  any  convictions  of  the applicant under any law of
the United States or of any State relating to any  controlled
substance;
    (4)  past  experience  in the manufacture or distribution
of  controlled  substances,  and   the   existence   in   the
applicant's   establishment  of  effective  controls  against
diversion;
    (5)  furnishing by the applicant of false  or  fraudulent
material in any application filed under this Act;
    (6)  suspension  or revocation of the applicant's Federal
registration  to   manufacture,   distribute,   or   dispense
controlled substances as authorized by Federal law;
    (7)  whether  the applicant is suitably equipped with the
facilities appropriate to carry on the operation described in
his application;
    (8)  whether the applicant is of good moral character or,
if the applicant is a partnership,  association,  corporation
or  other  organization,  whether  the  partners,  directors,
governing  committee  and managing officers are of good moral
character;
    (9)  any other factors relevant to  and  consistent  with
the public health and safety; and
    (10)  Evidence   from  court,  medical  disciplinary  and
pharmacy  board  records  and  those  of  State  and  Federal
investigatory  bodies  that the applicant has not or does not
prescribe controlled substances within the provisions of this
Act.
    (b)  No license  registration  shall  be  granted  to  or
renewed  for any person who has within 5 years been convicted
of a wilful violation of any law of the United States or  any
law of any State relating to controlled substances, or who is
found  to  be  deficient  in any of the matters enumerated in
subsections (a)(1) through (a)(8).
    (c)  Licensure Registration under subsection (a) does not
entitle a registrant to manufacture, distribute  or  dispense
controlled  substances  in Schedules I or II other than those
specified in the registration.
    (d)  Practitioners  who  are   licensed   registered   to
dispense  any controlled substances in Schedules II through V
are  authorized  to  conduct  instructional  activities  with
controlled substances in Schedules II through V under the law
of this State.
    (e)  If an applicant for registration is registered under
the  Federal  law  to  manufacture,  distribute  or  dispense
controlled substances, upon filing  a  completed  application
for  licensure  registration in this State and payment of all
fees due hereunder, he shall be licensed registered  in  this
State to the same extent as his Federal registration, unless,
within  30  days  after  completing  his  application in this
State, the Department of Professional Regulation notifies the
applicant that his  application  has  not  been  granted.   A
practitioner  who  is in compliance with the Federal law with
respect to registration to dispense controlled substances  in
Schedules  II through V need only send a current copy of that
Federal  registration  to  the  Department  of   Professional
Regulation  and  he  shall  be  deemed in compliance with the
registration provisions of this State.
    (f)  The  fee  for  registration  as  a  manufacturer  or
wholesale  distributor  of  controlled  substances  shall  be
$50.00 per year, except that the fee for  registration  as  a
manufacturer   or   wholesale   distributor   of   controlled
substances that may be dispensed without a prescription under
this  Act  shall be $15.00 per year.  The expiration date and
renewal  period  for  each   controlled   substance   license
certificate  of  registration  issued under this Act shall be
set by rule.
(Source: P.A. 85-1209.)

    (720 ILCS 570/303.05 new)
    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  under  the
following circumstances:
         (1)  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  15-20  of  the
    Nursing and Advanced Practice Nursing Act; and
         (2)  the  physician  assistant  or advanced practice
    nurse has completed the appropriate application forms and
    has paid the required fees as set by rule.
    (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.
    (c)  Upon  completion  of  all registration requirements,
physician assistants and advanced practice  nurses  shall  be
issued a mid-level practitioner controlled substances license
for Illinois.
    Section  99.  Effective date.  This Act takes effect upon
becoming law.

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