Bill Amendment: IL HB0313 | 2017-2018 | 100th General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: NURSE PRACTICE ACT-VARIOUS

Status: 2017-09-20 - Public Act . . . . . . . . . 100-0513 [HB0313 Detail]

Download: Illinois-2017-HB0313-House_Amendment_002.html

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Rep. Sara Feigenholtz

Filed: 3/24/2017

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AMENDMENT TO HOUSE BILL 313
AMENDMENT NO. ______. Amend House Bill 313 by replacing
everything after the enacting clause with the following:
"Section 5. The Regulatory Sunset Act is amended by
changing Section 4.28 and by adding Section 4.38 as follows:
(5 ILCS 80/4.28)
Sec. 4.28. Acts repealed on January 1, 2018. The following
Acts are repealed on January 1, 2018:
The Illinois Petroleum Education and Marketing Act.
The Podiatric Medical Practice Act of 1987.
The Acupuncture Practice Act.
The Illinois Speech-Language Pathology and Audiology
Practice Act.
The Interpreter for the Deaf Licensure Act of 2007.
The Nurse Practice Act.
The Clinical Social Work and Social Work Practice Act.

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The Pharmacy Practice Act.
The Home Medical Equipment and Services Provider License
Act.
The Marriage and Family Therapy Licensing Act.
The Nursing Home Administrators Licensing and Disciplinary
Act.
The Physician Assistant Practice Act of 1987.
(Source: P.A. 95-187, eff. 8-16-07; 95-235, eff. 8-17-07;
95-450, eff. 8-27-07; 95-465, eff. 8-27-07; 95-617, eff.
9-12-07; 95-639, eff. 10-5-07; 95-687, eff. 10-23-07; 95-689,
eff. 10-29-07; 95-703, eff. 12-31-07; 95-876, eff. 8-21-08;
96-328, eff. 8-11-09.)
(5 ILCS 80/4.38 new)
Sec. 4.38. Act repealed on January 1, 2028. The following
Act is repealed on January 1, 2028:
The Nurse Practice Act.
Section 10. The State Employees Group Insurance Act of 1971
is amended by changing Section 6.11A as follows:
(5 ILCS 375/6.11A)
Sec. 6.11A. Physical therapy and occupational therapy.
(a) The program of health benefits provided under this Act
shall provide coverage for medically necessary physical
therapy and occupational therapy when that therapy is ordered

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for the treatment of autoimmune diseases or referred for the
same purpose by (i) a physician licensed under the Medical
Practice Act of 1987, (ii) a physician assistant licensed under
the Physician Assistant Practice Act of 1987, or (iii) an
advanced practice registered nurse licensed under the Nurse
Practice Act.
(b) For the purpose of this Section, "medically necessary"
means any care, treatment, intervention, service, or item that
will or is reasonably expected to:
(i) prevent the onset of an illness, condition, injury,
disease, or disability;
(ii) reduce or ameliorate the physical, mental, or
developmental effects of an illness, condition, injury,
disease, or disability; or
(iii) assist the achievement or maintenance of maximum
functional activity in performing daily activities.
(c) The coverage required under this Section shall be
subject to the same deductible, coinsurance, waiting period,
cost sharing limitation, treatment limitation, calendar year
maximum, or other limitations as provided for other physical or
rehabilitative or occupational therapy benefits covered by the
policy.
(d) Upon request of the reimbursing insurer, the provider
of the physical therapy or occupational therapy shall furnish
medical records, clinical notes, or other necessary data that
substantiate that initial or continued treatment is medically

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necessary. When treatment is anticipated to require continued
services to achieve demonstrable progress, the insurer may
request a treatment plan consisting of the diagnosis, proposed
treatment by type, proposed frequency of treatment,
anticipated duration of treatment, anticipated outcomes stated
as goals, and proposed frequency of updating the treatment
plan.
(e) When making a determination of medical necessity for
treatment, an insurer must make the determination in a manner
consistent with the manner in which that determination is made
with respect to other diseases or illnesses covered under the
policy, including an appeals process. During the appeals
process, any challenge to medical necessity may be viewed as
reasonable only if the review includes a licensed health care
professional with the same category of license as the
professional who ordered or referred the service in question
and with expertise in the most current and effective treatment.
(Source: P.A. 99-581, eff. 1-1-17.)
Section 15. The Election Code is amended by changing
Sections 19-12.1 and 19-13 as follows:
(10 ILCS 5/19-12.1) (from Ch. 46, par. 19-12.1)
Sec. 19-12.1. Any qualified elector who has secured an
Illinois Person with a Disability Identification Card in
accordance with the Illinois Identification Card Act,

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indicating that the person named thereon has a Class 1A or
Class 2 disability or any qualified voter who has a permanent
physical incapacity of such a nature as to make it improbable
that he will be able to be present at the polls at any future
election, or any voter who is a resident of (i) a federally
operated veterans' home, hospital, or facility located in
Illinois or (ii) a facility licensed or certified pursuant to
the Nursing Home Care Act, the Specialized Mental Health
Rehabilitation Act of 2013, the ID/DD Community Care Act, or
the MC/DD Act and has a condition or disability of such a
nature as to make it improbable that he will be able to be
present at the polls at any future election, may secure a
voter's identification card for persons with disabilities or a
nursing home resident's identification card, which will enable
him to vote under this Article as a physically incapacitated or
nursing home voter. For the purposes of this Section,
"federally operated veterans' home, hospital, or facility"
means the long-term care facilities at the Jesse Brown VA
Medical Center, Illiana Health Care System, Edward Hines, Jr.
VA Hospital, Marion VA Medical Center, and Captain James A.
Lovell Federal Health Care Center.
Application for a voter's identification card for persons
with disabilities or a nursing home resident's identification
card shall be made either: (a) in writing, with voter's sworn
affidavit, to the county clerk or board of election
commissioners, as the case may be, and shall be accompanied by

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the affidavit of the attending physician, advanced practice
registered nurse, or a physician assistant specifically
describing the nature of the physical incapacity or the fact
that the voter is a nursing home resident and is physically
unable to be present at the polls on election days; or (b) by
presenting, in writing or otherwise, to the county clerk or
board of election commissioners, as the case may be, proof that
the applicant has secured an Illinois Person with a Disability
Identification Card indicating that the person named thereon
has a Class 1A or Class 2 disability. Upon the receipt of
either the sworn-to application and the physician's, advanced
practice registered nurse's, or a physician assistant's
affidavit or proof that the applicant has secured an Illinois
Person with a Disability Identification Card indicating that
the person named thereon has a Class 1A or Class 2 disability,
the county clerk or board of election commissioners shall issue
a voter's identification card for persons with disabilities or
a nursing home resident's identification card. Such
identification cards shall be issued for a period of 5 years,
upon the expiration of which time the voter may secure a new
card by making application in the same manner as is prescribed
for the issuance of an original card, accompanied by a new
affidavit of the attending physician, advanced practice
registered nurse, or a physician assistant. The date of
expiration of such five-year period shall be made known to any
interested person by the election authority upon the request of

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such person. Applications for the renewal of the identification
cards shall be mailed to the voters holding such cards not less
than 3 months prior to the date of expiration of the cards.
Each voter's identification card for persons with
disabilities or nursing home resident's identification card
shall bear an identification number, which shall be clearly
noted on the voter's original and duplicate registration record
cards. In the event the holder becomes physically capable of
resuming normal voting, he must surrender his voter's
identification card for persons with disabilities or nursing
home resident's identification card to the county clerk or
board of election commissioners before the next election.
The holder of a voter's identification card for persons
with disabilities or a nursing home resident's identification
card may make application by mail for an official ballot within
the time prescribed by Section 19-2. Such application shall
contain the same information as is included in the form of
application for ballot by a physically incapacitated elector
prescribed in Section 19-3 except that it shall also include
the applicant's voter's identification card for persons with
disabilities card number and except that it need not be sworn
to. If an examination of the records discloses that the
applicant is lawfully entitled to vote, he shall be mailed a
ballot as provided in Section 19-4. The ballot envelope shall
be the same as that prescribed in Section 19-5 for voters with
physical disabilities, and the manner of voting and returning

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the ballot shall be the same as that provided in this Article
for other vote by mail ballots, except that a statement to be
subscribed to by the voter but which need not be sworn to shall
be placed on the ballot envelope in lieu of the affidavit
prescribed by Section 19-5.
Any person who knowingly subscribes to a false statement in
connection with voting under this Section shall be guilty of a
Class A misdemeanor.
For the purposes of this Section, "nursing home resident"
includes a resident of (i) a federally operated veterans' home,
hospital, or facility located in Illinois or (ii) a facility
licensed under the ID/DD Community Care Act, the MC/DD Act, or
the Specialized Mental Health Rehabilitation Act of 2013. For
the purposes of this Section, "federally operated veterans'
home, hospital, or facility" means the long-term care
facilities at the Jesse Brown VA Medical Center, Illiana Health
Care System, Edward Hines, Jr. VA Hospital, Marion VA Medical
Center, and Captain James A. Lovell Federal Health Care Center.
(Source: P.A. 98-104, eff. 7-22-13; 98-1171, eff. 6-1-15;
99-143, eff. 7-27-15; 99-180, eff. 7-29-15; 99-581, eff.
1-1-17; 99-642, eff. 6-28-16.)
(10 ILCS 5/19-13) (from Ch. 46, par. 19-13)
Sec. 19-13. Any qualified voter who has been admitted to a
hospital, nursing home, or rehabilitation center due to an
illness or physical injury not more than 14 days before an

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election shall be entitled to personal delivery of a vote by
mail ballot in the hospital, nursing home, or rehabilitation
center subject to the following conditions:
(1) The voter completes the Application for Physically
Incapacitated Elector as provided in Section 19-3, stating as
reasons therein that he is a patient in ............... (name
of hospital/home/center), ............... located at,
............... (address of hospital/home/center),
............... (county, city/village), was admitted for
............... (nature of illness or physical injury), on
............... (date of admission), and does not expect to be
released from the hospital/home/center on or before the day of
election or, if released, is expected to be homebound on the
day of the election and unable to travel to the polling place.
(2) The voter's physician, advanced practice registered
nurse, or physician assistant completes a Certificate of
Attending Health Care Professional in a form substantially as
follows:
CERTIFICATE OF ATTENDING HEALTH CARE PROFESSIONAL
I state that I am a physician, advanced practice registered
nurse, or physician assistant, duly licensed to practice in the
State of .........; that .......... is a patient in ..........
(name of hospital/home/center), located at .............
(address of hospital/home/center), ................. (county,
city/village); that such individual was admitted for
............. (nature of illness or physical injury), on

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............ (date of admission); and that I have examined such
individual in the State in which I am licensed to practice and
do not expect such individual to be released from the
hospital/home/center on or before the day of election or, if
released, to be able to travel to the polling place on election
day.
Under penalties as provided by law pursuant to Section
29-10 of The Election Code, the undersigned certifies that the
statements set forth in this certification are true and
correct.
(Signature) ...............
(Date licensed) ............
(3) Any person who is registered to vote in the same
precinct as the admitted voter or any legal relative of the
admitted voter may present such voter's vote by mail ballot
application, completed as prescribed in paragraph 1,
accompanied by the physician's, advanced practice registered
nurse's, or a physician assistant's certificate, completed as
prescribed in paragraph 2, to the election authority. Such
precinct voter or relative shall execute and sign an affidavit
furnished by the election authority attesting that he is a
registered voter in the same precinct as the admitted voter or
that he is a legal relative of the admitted voter and stating
the nature of the relationship. Such precinct voter or relative
shall further attest that he has been authorized by the
admitted voter to obtain his or her vote by mail ballot from

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the election authority and deliver such ballot to him in the
hospital, home, or center.
Upon receipt of the admitted voter's application,
physician's, advanced practice registered nurse's, or a
physician assistant's certificate, and the affidavit of the
precinct voter or the relative, the election authority shall
examine the registration records to determine if the applicant
is qualified to vote and, if found to be qualified, shall
provide the precinct voter or the relative the vote by mail
ballot for delivery to the applicant.
Upon receipt of the vote by mail ballot, the admitted voter
shall mark the ballot in secret and subscribe to the
certifications on the vote by mail ballot return envelope.
After depositing the ballot in the return envelope and securely
sealing the envelope, such voter shall give the envelope to the
precinct voter or the relative who shall deliver it to the
election authority in sufficient time for the ballot to be
delivered by the election authority to the election authority's
central ballot counting location before 7 p.m. on election day.
Upon receipt of the admitted voter's vote by mail ballot,
the ballot shall be counted in the manner prescribed in this
Article.
(Source: P.A. 98-1171, eff. 6-1-15; 99-581, eff. 1-1-17.)
Section 20. The Illinois Identification Card Act is amended
by changing Section 4 as follows:

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(15 ILCS 335/4) (from Ch. 124, par. 24)
(Text of Section before amendment by P.A. 99-907)
Sec. 4. Identification card.
(a) The Secretary of State shall issue a standard Illinois
Identification Card to any natural person who is a resident of
the State of Illinois who applies for such card, or renewal
thereof, or who applies for a standard Illinois Identification
Card upon release as a committed person on parole, mandatory
supervised release, aftercare release, final discharge, or
pardon from the Department of Corrections or Department of
Juvenile Justice by submitting an identification card issued by
the Department of Corrections or Department of Juvenile Justice
under Section 3-14-1 or Section 3-2.5-70 of the Unified Code of
Corrections, together with the prescribed fees. No
identification card shall be issued to any person who holds a
valid foreign state identification card, license, or permit
unless the person first surrenders to the Secretary of State
the valid foreign state identification card, license, or
permit. The card shall be prepared and supplied by the
Secretary of State and shall include a photograph and signature
or mark of the applicant. However, the Secretary of State may
provide by rule for the issuance of Illinois Identification
Cards without photographs if the applicant has a bona fide
religious objection to being photographed or to the display of
his or her photograph. The Illinois Identification Card may be

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used for identification purposes in any lawful situation only
by the person to whom it was issued. As used in this Act,
"photograph" means any color photograph or digitally produced
and captured image of an applicant for an identification card.
As used in this Act, "signature" means the name of a person as
written by that person and captured in a manner acceptable to
the Secretary of State.
(a-5) If an applicant for an identification card has a
current driver's license or instruction permit issued by the
Secretary of State, the Secretary may require the applicant to
utilize the same residence address and name on the
identification card, driver's license, and instruction permit
records maintained by the Secretary. The Secretary may
promulgate rules to implement this provision.
(a-10) If the applicant is a judicial officer as defined in
Section 1-10 of the Judicial Privacy Act or a peace officer,
the applicant may elect to have his or her office or work
address listed on the card instead of the applicant's residence
or mailing address. The Secretary may promulgate rules to
implement this provision. For the purposes of this subsection
(a-10), "peace officer" means any person who by virtue of his
or her office or public employment is vested by law with a duty
to maintain public order or to make arrests for a violation of
any penal statute of this State, whether that duty extends to
all violations or is limited to specific violations.
(a-15) The Secretary of State may provide for an expedited

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process for the issuance of an Illinois Identification Card.
The Secretary shall charge an additional fee for the expedited
issuance of an Illinois Identification Card, to be set by rule,
not to exceed $75. All fees collected by the Secretary for
expedited Illinois Identification Card service shall be
deposited into the Secretary of State Special Services Fund.
The Secretary may adopt rules regarding the eligibility,
process, and fee for an expedited Illinois Identification Card.
If the Secretary of State determines that the volume of
expedited identification card requests received on a given day
exceeds the ability of the Secretary to process those requests
in an expedited manner, the Secretary may decline to provide
expedited services, and the additional fee for the expedited
service shall be refunded to the applicant.
(b) The Secretary of State shall issue a special Illinois
Identification Card, which shall be known as an Illinois Person
with a Disability Identification Card, to any natural person
who is a resident of the State of Illinois, who is a person
with a disability as defined in Section 4A of this Act, who
applies for such card, or renewal thereof. No Illinois Person
with a Disability Identification Card shall be issued to any
person who holds a valid foreign state identification card,
license, or permit unless the person first surrenders to the
Secretary of State the valid foreign state identification card,
license, or permit. The Secretary of State shall charge no fee
to issue such card. The card shall be prepared and supplied by

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the Secretary of State, and shall include a photograph and
signature or mark of the applicant, a designation indicating
that the card is an Illinois Person with a Disability
Identification Card, and shall include a comprehensible
designation of the type and classification of the applicant's
disability as set out in Section 4A of this Act. However, the
Secretary of State may provide by rule for the issuance of
Illinois Person with a Disability Identification Cards without
photographs if the applicant has a bona fide religious
objection to being photographed or to the display of his or her
photograph. If the applicant so requests, the card shall
include a description of the applicant's disability and any
information about the applicant's disability or medical
history which the Secretary determines would be helpful to the
applicant in securing emergency medical care. If a mark is used
in lieu of a signature, such mark shall be affixed to the card
in the presence of two witnesses who attest to the authenticity
of the mark. The Illinois Person with a Disability
Identification Card may be used for identification purposes in
any lawful situation by the person to whom it was issued.
The Illinois Person with a Disability Identification Card
may be used as adequate documentation of disability in lieu of
a physician's determination of disability, a determination of
disability from a physician assistant, a determination of
disability from an advanced practice registered nurse, or any
other documentation of disability whenever any State law

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requires that a person with a disability provide such
documentation of disability, however an Illinois Person with a
Disability Identification Card shall not qualify the
cardholder to participate in any program or to receive any
benefit which is not available to all persons with like
disabilities. Notwithstanding any other provisions of law, an
Illinois Person with a Disability Identification Card, or
evidence that the Secretary of State has issued an Illinois
Person with a Disability Identification Card, shall not be used
by any person other than the person named on such card to prove
that the person named on such card is a person with a
disability or for any other purpose unless the card is used for
the benefit of the person named on such card, and the person
named on such card consents to such use at the time the card is
so used.
An optometrist's determination of a visual disability
under Section 4A of this Act is acceptable as documentation for
the purpose of issuing an Illinois Person with a Disability
Identification Card.
When medical information is contained on an Illinois Person
with a Disability Identification Card, the Office of the
Secretary of State shall not be liable for any actions taken
based upon that medical information.
(c) The Secretary of State shall provide that each original
or renewal Illinois Identification Card or Illinois Person with
a Disability Identification Card issued to a person under the

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age of 21 shall be of a distinct nature from those Illinois
Identification Cards or Illinois Person with a Disability
Identification Cards issued to individuals 21 years of age or
older. The color designated for Illinois Identification Cards
or Illinois Person with a Disability Identification Cards for
persons under the age of 21 shall be at the discretion of the
Secretary of State.
(c-1) Each original or renewal Illinois Identification
Card or Illinois Person with a Disability Identification Card
issued to a person under the age of 21 shall display the date
upon which the person becomes 18 years of age and the date upon
which the person becomes 21 years of age.
(c-3) The General Assembly recognizes the need to identify
military veterans living in this State for the purpose of
ensuring that they receive all of the services and benefits to
which they are legally entitled, including healthcare,
education assistance, and job placement. To assist the State in
identifying these veterans and delivering these vital services
and benefits, the Secretary of State is authorized to issue
Illinois Identification Cards and Illinois Person with a
Disability Identification Cards with the word "veteran"
appearing on the face of the cards. This authorization is
predicated on the unique status of veterans. The Secretary may
not issue any other identification card which identifies an
occupation, status, affiliation, hobby, or other unique
characteristics of the identification card holder which is

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unrelated to the purpose of the identification card.
(c-5) Beginning on or before July 1, 2015, the Secretary of
State shall designate a space on each original or renewal
identification card where, at the request of the applicant, the
word "veteran" shall be placed. The veteran designation shall
be available to a person identified as a veteran under
subsection (b) of Section 5 of this Act who was discharged or
separated under honorable conditions.
(d) The Secretary of State may issue a Senior Citizen
discount card, to any natural person who is a resident of the
State of Illinois who is 60 years of age or older and who
applies for such a card or renewal thereof. The Secretary of
State shall charge no fee to issue such card. The card shall be
issued in every county and applications shall be made available
at, but not limited to, nutrition sites, senior citizen centers
and Area Agencies on Aging. The applicant, upon receipt of such
card and prior to its use for any purpose, shall have affixed
thereon in the space provided therefor his signature or mark.
(e) The Secretary of State, in his or her discretion, may
designate on each Illinois Identification Card or Illinois
Person with a Disability Identification Card a space where the
card holder may place a sticker or decal, issued by the
Secretary of State, of uniform size as the Secretary may
specify, that shall indicate in appropriate language that the
card holder has renewed his or her Illinois Identification Card
or Illinois Person with a Disability Identification Card.

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(Source: P.A. 98-323, eff. 1-1-14; 98-463, eff. 8-16-13;
98-558, eff. 1-1-14; 98-756, eff. 7-16-14; 99-143, eff.
7-27-15; 99-173, eff. 7-29-15; 99-305, eff. 1-1-16; 99-642,
eff. 7-28-16.)
(Text of Section after amendment by P.A. 99-907)
Sec. 4. Identification Card.
(a) The Secretary of State shall issue a standard Illinois
Identification Card to any natural person who is a resident of
the State of Illinois who applies for such card, or renewal
thereof. No identification card shall be issued to any person
who holds a valid foreign state identification card, license,
or permit unless the person first surrenders to the Secretary
of State the valid foreign state identification card, license,
or permit. The card shall be prepared and supplied by the
Secretary of State and shall include a photograph and signature
or mark of the applicant. However, the Secretary of State may
provide by rule for the issuance of Illinois Identification
Cards without photographs if the applicant has a bona fide
religious objection to being photographed or to the display of
his or her photograph. The Illinois Identification Card may be
used for identification purposes in any lawful situation only
by the person to whom it was issued. As used in this Act,
"photograph" means any color photograph or digitally produced
and captured image of an applicant for an identification card.
As used in this Act, "signature" means the name of a person as

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written by that person and captured in a manner acceptable to
the Secretary of State.
(a-5) If an applicant for an identification card has a
current driver's license or instruction permit issued by the
Secretary of State, the Secretary may require the applicant to
utilize the same residence address and name on the
identification card, driver's license, and instruction permit
records maintained by the Secretary. The Secretary may
promulgate rules to implement this provision.
(a-10) If the applicant is a judicial officer as defined in
Section 1-10 of the Judicial Privacy Act or a peace officer,
the applicant may elect to have his or her office or work
address listed on the card instead of the applicant's residence
or mailing address. The Secretary may promulgate rules to
implement this provision. For the purposes of this subsection
(a-10), "peace officer" means any person who by virtue of his
or her office or public employment is vested by law with a duty
to maintain public order or to make arrests for a violation of
any penal statute of this State, whether that duty extends to
all violations or is limited to specific violations.
(a-15) The Secretary of State may provide for an expedited
process for the issuance of an Illinois Identification Card.
The Secretary shall charge an additional fee for the expedited
issuance of an Illinois Identification Card, to be set by rule,
not to exceed $75. All fees collected by the Secretary for
expedited Illinois Identification Card service shall be

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deposited into the Secretary of State Special Services Fund.
The Secretary may adopt rules regarding the eligibility,
process, and fee for an expedited Illinois Identification Card.
If the Secretary of State determines that the volume of
expedited identification card requests received on a given day
exceeds the ability of the Secretary to process those requests
in an expedited manner, the Secretary may decline to provide
expedited services, and the additional fee for the expedited
service shall be refunded to the applicant.
(a-20) The Secretary of State shall issue a standard
Illinois Identification Card to a committed person upon release
on parole, mandatory supervised release, aftercare release,
final discharge, or pardon from the Department of Corrections
or Department of Juvenile Justice, if the released person
presents a certified copy of his or her birth certificate,
social security card or other documents authorized by the
Secretary, and 2 documents proving his or her Illinois
residence address. Documents proving residence address may
include any official document of the Department of Corrections
or the Department of Juvenile Justice showing the released
person's address after release and a Secretary of State
prescribed certificate of residency form, which may be executed
by Department of Corrections or Department of Juvenile Justice
personnel.
(a-25) The Secretary of State shall issue a limited-term
Illinois Identification Card valid for 90 days to a committed

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person upon release on parole, mandatory supervised release,
aftercare release, final discharge, or pardon from the
Department of Corrections or Department of Juvenile Justice, if
the released person is unable to present a certified copy of
his or her birth certificate and social security card or other
documents authorized by the Secretary, but does present a
Secretary of State prescribed verification form completed by
the Department of Corrections or Department of Juvenile
Justice, verifying the released person's date of birth and
social security number and 2 documents proving his or her
Illinois residence address. The verification form must have
been completed no more than 30 days prior to the date of
application for the Illinois Identification Card. Documents
proving residence address shall include any official document
of the Department of Corrections or the Department of Juvenile
Justice showing the person's address after release and a
Secretary of State prescribed certificate of residency, which
may be executed by Department of Corrections or Department of
Juvenile Justice personnel.
Prior to the expiration of the 90-day period of the
limited-term Illinois Identification Card, if the released
person submits to the Secretary of State a certified copy of
his or her birth certificate and his or her social security
card or other documents authorized by the Secretary, a standard
Illinois Identification Card shall be issued. A limited-term
Illinois Identification Card may not be renewed.

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(b) The Secretary of State shall issue a special Illinois
Identification Card, which shall be known as an Illinois Person
with a Disability Identification Card, to any natural person
who is a resident of the State of Illinois, who is a person
with a disability as defined in Section 4A of this Act, who
applies for such card, or renewal thereof. No Illinois Person
with a Disability Identification Card shall be issued to any
person who holds a valid foreign state identification card,
license, or permit unless the person first surrenders to the
Secretary of State the valid foreign state identification card,
license, or permit. The Secretary of State shall charge no fee
to issue such card. The card shall be prepared and supplied by
the Secretary of State, and shall include a photograph and
signature or mark of the applicant, a designation indicating
that the card is an Illinois Person with a Disability
Identification Card, and shall include a comprehensible
designation of the type and classification of the applicant's
disability as set out in Section 4A of this Act. However, the
Secretary of State may provide by rule for the issuance of
Illinois Person with a Disability Identification Cards without
photographs if the applicant has a bona fide religious
objection to being photographed or to the display of his or her
photograph. If the applicant so requests, the card shall
include a description of the applicant's disability and any
information about the applicant's disability or medical
history which the Secretary determines would be helpful to the

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applicant in securing emergency medical care. If a mark is used
in lieu of a signature, such mark shall be affixed to the card
in the presence of two witnesses who attest to the authenticity
of the mark. The Illinois Person with a Disability
Identification Card may be used for identification purposes in
any lawful situation by the person to whom it was issued.
The Illinois Person with a Disability Identification Card
may be used as adequate documentation of disability in lieu of
a physician's determination of disability, a determination of
disability from a physician assistant, a determination of
disability from an advanced practice registered nurse, or any
other documentation of disability whenever any State law
requires that a person with a disability provide such
documentation of disability, however an Illinois Person with a
Disability Identification Card shall not qualify the
cardholder to participate in any program or to receive any
benefit which is not available to all persons with like
disabilities. Notwithstanding any other provisions of law, an
Illinois Person with a Disability Identification Card, or
evidence that the Secretary of State has issued an Illinois
Person with a Disability Identification Card, shall not be used
by any person other than the person named on such card to prove
that the person named on such card is a person with a
disability or for any other purpose unless the card is used for
the benefit of the person named on such card, and the person
named on such card consents to such use at the time the card is

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so used.
An optometrist's determination of a visual disability
under Section 4A of this Act is acceptable as documentation for
the purpose of issuing an Illinois Person with a Disability
Identification Card.
When medical information is contained on an Illinois Person
with a Disability Identification Card, the Office of the
Secretary of State shall not be liable for any actions taken
based upon that medical information.
(c) The Secretary of State shall provide that each original
or renewal Illinois Identification Card or Illinois Person with
a Disability Identification Card issued to a person under the
age of 21 shall be of a distinct nature from those Illinois
Identification Cards or Illinois Person with a Disability
Identification Cards issued to individuals 21 years of age or
older. The color designated for Illinois Identification Cards
or Illinois Person with a Disability Identification Cards for
persons under the age of 21 shall be at the discretion of the
Secretary of State.
(c-1) Each original or renewal Illinois Identification
Card or Illinois Person with a Disability Identification Card
issued to a person under the age of 21 shall display the date
upon which the person becomes 18 years of age and the date upon
which the person becomes 21 years of age.
(c-3) The General Assembly recognizes the need to identify
military veterans living in this State for the purpose of

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ensuring that they receive all of the services and benefits to
which they are legally entitled, including healthcare,
education assistance, and job placement. To assist the State in
identifying these veterans and delivering these vital services
and benefits, the Secretary of State is authorized to issue
Illinois Identification Cards and Illinois Person with a
Disability Identification Cards with the word "veteran"
appearing on the face of the cards. This authorization is
predicated on the unique status of veterans. The Secretary may
not issue any other identification card which identifies an
occupation, status, affiliation, hobby, or other unique
characteristics of the identification card holder which is
unrelated to the purpose of the identification card.
(c-5) Beginning on or before July 1, 2015, the Secretary of
State shall designate a space on each original or renewal
identification card where, at the request of the applicant, the
word "veteran" shall be placed. The veteran designation shall
be available to a person identified as a veteran under
subsection (b) of Section 5 of this Act who was discharged or
separated under honorable conditions.
(d) The Secretary of State may issue a Senior Citizen
discount card, to any natural person who is a resident of the
State of Illinois who is 60 years of age or older and who
applies for such a card or renewal thereof. The Secretary of
State shall charge no fee to issue such card. The card shall be
issued in every county and applications shall be made available

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at, but not limited to, nutrition sites, senior citizen centers
and Area Agencies on Aging. The applicant, upon receipt of such
card and prior to its use for any purpose, shall have affixed
thereon in the space provided therefor his signature or mark.
(e) The Secretary of State, in his or her discretion, may
designate on each Illinois Identification Card or Illinois
Person with a Disability Identification Card a space where the
card holder may place a sticker or decal, issued by the
Secretary of State, of uniform size as the Secretary may
specify, that shall indicate in appropriate language that the
card holder has renewed his or her Illinois Identification Card
or Illinois Person with a Disability Identification Card.
(Source: P.A. 98-323, eff. 1-1-14; 98-463, eff. 8-16-13;
98-558, eff. 1-1-14; 98-756, eff. 7-16-14; 99-143, eff.
7-27-15; 99-173, eff. 7-29-15; 99-305, eff. 1-1-16; 99-642,
eff. 7-28-16; 99-907, eff. 7-1-17.)
Section 25. The Alcoholism and Other Drug Abuse and
Dependency Act is amended by changing Section 5-23 as follows:
(20 ILCS 301/5-23)
Sec. 5-23. Drug Overdose Prevention Program.
(a) Reports of drug overdose.
(1) The Director of the Division of Alcoholism and
Substance Abuse shall publish annually a report on drug
overdose trends statewide that reviews State death rates

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from available data to ascertain changes in the causes or
rates of fatal and nonfatal drug overdose. The report shall
also provide information on interventions that would be
effective in reducing the rate of fatal or nonfatal drug
overdose and shall include an analysis of drug overdose
information reported to the Department of Public Health
pursuant to subsection (e) of Section 3-3013 of the
Counties Code, Section 6.14g of the Hospital Licensing Act,
and subsection (j) of Section 22-30 of the School Code.
(2) The report may include:
(A) Trends in drug overdose death rates.
(B) Trends in emergency room utilization related
to drug overdose and the cost impact of emergency room
utilization.
(C) Trends in utilization of pre-hospital and
emergency services and the cost impact of emergency
services utilization.
(D) Suggested improvements in data collection.
(E) A description of other interventions effective
in reducing the rate of fatal or nonfatal drug
overdose.
(F) A description of efforts undertaken to educate
the public about unused medication and about how to
properly dispose of unused medication, including the
number of registered collection receptacles in this
State, mail-back programs, and drug take-back events.

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(b) Programs; drug overdose prevention.
(1) The Director may establish a program to provide for
the production and publication, in electronic and other
formats, of drug overdose prevention, recognition, and
response literature. The Director may develop and
disseminate curricula for use by professionals,
organizations, individuals, or committees interested in
the prevention of fatal and nonfatal drug overdose,
including, but not limited to, drug users, jail and prison
personnel, jail and prison inmates, drug treatment
professionals, emergency medical personnel, hospital
staff, families and associates of drug users, peace
officers, firefighters, public safety officers, needle
exchange program staff, and other persons. In addition to
information regarding drug overdose prevention,
recognition, and response, literature produced by the
Department shall stress that drug use remains illegal and
highly dangerous and that complete abstinence from illegal
drug use is the healthiest choice. The literature shall
provide information and resources for substance abuse
treatment.
The Director may establish or authorize programs for
prescribing, dispensing, or distributing opioid
antagonists for the treatment of drug overdose. Such
programs may include the prescribing of opioid antagonists
for the treatment of drug overdose to a person who is not

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at risk of opioid overdose but who, in the judgment of the
health care professional, may be in a position to assist
another individual during an opioid-related drug overdose
and who has received basic instruction on how to administer
an opioid antagonist.
(2) The Director may provide advice to State and local
officials on the growing drug overdose crisis, including
the prevalence of drug overdose incidents, programs
promoting the disposal of unused prescription drugs,
trends in drug overdose incidents, and solutions to the
drug overdose crisis.
(c) Grants.
(1) The Director may award grants, in accordance with
this subsection, to create or support local drug overdose
prevention, recognition, and response projects. Local
health departments, correctional institutions, hospitals,
universities, community-based organizations, and
faith-based organizations may apply to the Department for a
grant under this subsection at the time and in the manner
the Director prescribes.
(2) In awarding grants, the Director shall consider the
necessity for overdose prevention projects in various
settings and shall encourage all grant applicants to
develop interventions that will be effective and viable in
their local areas.
(3) The Director shall give preference for grants to

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proposals that, in addition to providing life-saving
interventions and responses, provide information to drug
users on how to access drug treatment or other strategies
for abstaining from illegal drugs. The Director shall give
preference to proposals that include one or more of the
following elements:
(A) Policies and projects to encourage persons,
including drug users, to call 911 when they witness a
potentially fatal drug overdose.
(B) Drug overdose prevention, recognition, and
response education projects in drug treatment centers,
outreach programs, and other organizations that work
with, or have access to, drug users and their families
and communities.
(C) Drug overdose recognition and response
training, including rescue breathing, in drug
treatment centers and for other organizations that
work with, or have access to, drug users and their
families and communities.
(D) The production and distribution of targeted or
mass media materials on drug overdose prevention and
response, the potential dangers of keeping unused
prescription drugs in the home, and methods to properly
dispose of unused prescription drugs.
(E) Prescription and distribution of opioid
antagonists.

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(F) The institution of education and training
projects on drug overdose response and treatment for
emergency services and law enforcement personnel.
(G) A system of parent, family, and survivor
education and mutual support groups.
(4) In addition to moneys appropriated by the General
Assembly, the Director may seek grants from private
foundations, the federal government, and other sources to
fund the grants under this Section and to fund an
evaluation of the programs supported by the grants.
(d) Health care professional prescription of opioid
antagonists.
(1) A health care professional who, acting in good
faith, directly or by standing order, prescribes or
dispenses an opioid antagonist to: (a) a patient who, in
the judgment of the health care professional, is capable of
administering the drug in an emergency, or (b) a person who
is not at risk of opioid overdose but who, in the judgment
of the health care professional, may be in a position to
assist another individual during an opioid-related drug
overdose and who has received basic instruction on how to
administer an opioid antagonist shall not, as a result of
his or her acts or omissions, be subject to: (i) any
disciplinary or other adverse action under the Medical
Practice Act of 1987, the Physician Assistant Practice Act
of 1987, the Nurse Practice Act, the Pharmacy Practice Act,

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or any other professional licensing statute or (ii) any
criminal liability, except for willful and wanton
misconduct.
(2) A person who is not otherwise licensed to
administer an opioid antagonist may in an emergency
administer without fee an opioid antagonist if the person
has received the patient information specified in
paragraph (4) of this subsection and believes in good faith
that another person is experiencing a drug overdose. The
person shall not, as a result of his or her acts or
omissions, be (i) liable for any violation of the Medical
Practice Act of 1987, the Physician Assistant Practice Act
of 1987, the Nurse Practice Act, the Pharmacy Practice Act,
or any other professional licensing statute, or (ii)
subject to any criminal prosecution or civil liability,
except for willful and wanton misconduct.
(3) A health care professional prescribing an opioid
antagonist to a patient shall ensure that the patient
receives the patient information specified in paragraph
(4) of this subsection. Patient information may be provided
by the health care professional or a community-based
organization, substance abuse program, or other
organization with which the health care professional
establishes a written agreement that includes a
description of how the organization will provide patient
information, how employees or volunteers providing

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information will be trained, and standards for documenting
the provision of patient information to patients.
Provision of patient information shall be documented in the
patient's medical record or through similar means as
determined by agreement between the health care
professional and the organization. The Director of the
Division of Alcoholism and Substance Abuse, in
consultation with statewide organizations representing
physicians, pharmacists, advanced practice registered
nurses, physician assistants, substance abuse programs,
and other interested groups, shall develop and disseminate
to health care professionals, community-based
organizations, substance abuse programs, and other
organizations training materials in video, electronic, or
other formats to facilitate the provision of such patient
information.
(4) For the purposes of this subsection:
"Opioid antagonist" means a drug that binds to opioid
receptors and blocks or inhibits the effect of opioids
acting on those receptors, including, but not limited to,
naloxone hydrochloride or any other similarly acting drug
approved by the U.S. Food and Drug Administration.
"Health care professional" means a physician licensed
to practice medicine in all its branches, a licensed
physician assistant with prescriptive authority, a
licensed advanced practice registered nurse with

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prescriptive authority, an advanced practice registered
nurse or physician assistant who practices in a hospital,
hospital affiliate, or ambulatory surgical treatment
center and possesses appropriate clinical privileges in
accordance with the Nurse Practice Act, or a pharmacist
licensed to practice pharmacy under the Pharmacy Practice
Act.
"Patient" includes a person who is not at risk of
opioid overdose but who, in the judgment of the physician,
advanced practice registered nurse, or physician
assistant, may be in a position to assist another
individual during an overdose and who has received patient
information as required in paragraph (2) of this subsection
on the indications for and administration of an opioid
antagonist.
"Patient information" includes information provided to
the patient on drug overdose prevention and recognition;
how to perform rescue breathing and resuscitation; opioid
antagonist dosage and administration; the importance of
calling 911; care for the overdose victim after
administration of the overdose antagonist; and other
issues as necessary.
(e) Drug overdose response policy.
(1) Every State and local government agency that
employs a law enforcement officer or fireman as those terms
are defined in the Line of Duty Compensation Act must

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possess opioid antagonists and must establish a policy to
control the acquisition, storage, transportation, and
administration of such opioid antagonists and to provide
training in the administration of opioid antagonists. A
State or local government agency that employs a fireman as
defined in the Line of Duty Compensation Act but does not
respond to emergency medical calls or provide medical
services shall be exempt from this subsection.
(2) Every publicly or privately owned ambulance,
special emergency medical services vehicle, non-transport
vehicle, or ambulance assist vehicle, as described in the
Emergency Medical Services (EMS) Systems Act, which
responds to requests for emergency services or transports
patients between hospitals in emergency situations must
possess opioid antagonists.
(3) Entities that are required under paragraphs (1) and
(2) to possess opioid antagonists may also apply to the
Department for a grant to fund the acquisition of opioid
antagonists and training programs on the administration of
opioid antagonists.
(Source: P.A. 99-173, eff. 7-29-15; 99-480, eff. 9-9-15;
99-581, eff. 1-1-17; 99-642, eff. 7-28-16; revised 9-19-16.)
Section 30. The Department of Central Management Services
Law of the Civil Administrative Code of Illinois is amended by
changing Section 405-105 as follows:

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(20 ILCS 405/405-105) (was 20 ILCS 405/64.1)
Sec. 405-105. Fidelity, surety, property, and casualty
insurance. The Department shall establish and implement a
program to coordinate the handling of all fidelity, surety,
property, and casualty insurance exposures of the State and the
departments, divisions, agencies, branches, and universities
of the State. In performing this responsibility, the Department
shall have the power and duty to do the following:
(1) Develop and maintain loss and exposure data on all
State property.
(2) Study the feasibility of establishing a
self-insurance plan for State property and prepare
estimates of the costs of reinsurance for risks beyond the
realistic limits of the self-insurance.
(3) Prepare a plan for centralizing the purchase of
property and casualty insurance on State property under a
master policy or policies and purchase the insurance
contracted for as provided in the Illinois Purchasing Act.
(4) Evaluate existing provisions for fidelity bonds
required of State employees and recommend changes that are
appropriate commensurate with risk experience and the
determinations respecting self-insurance or reinsurance so
as to permit reduction of costs without loss of coverage.
(5) Investigate procedures for inclusion of school
districts, public community college districts, and other

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units of local government in programs for the centralized
purchase of insurance.
(6) Implement recommendations of the State Property
Insurance Study Commission that the Department finds
necessary or desirable in the performance of its powers and
duties under this Section to achieve efficient and
comprehensive risk management.
(7) Prepare and, in the discretion of the Director,
implement a plan providing for the purchase of public
liability insurance or for self-insurance for public
liability or for a combination of purchased insurance and
self-insurance for public liability (i) covering the State
and drivers of motor vehicles owned, leased, or controlled
by the State of Illinois pursuant to the provisions and
limitations contained in the Illinois Vehicle Code, (ii)
covering other public liability exposures of the State and
its employees within the scope of their employment, and
(iii) covering drivers of motor vehicles not owned, leased,
or controlled by the State but used by a State employee on
State business, in excess of liability covered by an
insurance policy obtained by the owner of the motor vehicle
or in excess of the dollar amounts that the Department
shall determine to be reasonable. Any contract of insurance
let under this Law shall be by bid in accordance with the
procedure set forth in the Illinois Purchasing Act. Any
provisions for self-insurance shall conform to subdivision

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(11).
The term "employee" as used in this subdivision (7) and
in subdivision (11) means a person while in the employ of
the State who is a member of the staff or personnel of a
State agency, bureau, board, commission, committee,
department, university, or college or who is a State
officer, elected official, commissioner, member of or ex
officio member of a State agency, bureau, board,
commission, committee, department, university, or college,
or a member of the National Guard while on active duty
pursuant to orders of the Governor of the State of
Illinois, or any other person while using a licensed motor
vehicle owned, leased, or controlled by the State of
Illinois with the authorization of the State of Illinois,
provided the actual use of the motor vehicle is within the
scope of that authorization and within the course of State
service.
Subsequent to payment of a claim on behalf of an
employee pursuant to this Section and after reasonable
advance written notice to the employee, the Director may
exclude the employee from future coverage or limit the
coverage under the plan if (i) the Director determines that
the claim resulted from an incident in which the employee
was grossly negligent or had engaged in willful and wanton
misconduct or (ii) the Director determines that the
employee is no longer an acceptable risk based on a review

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of prior accidents in which the employee was at fault and
for which payments were made pursuant to this Section.
The Director is authorized to promulgate
administrative rules that may be necessary to establish and
administer the plan.
Appropriations from the Road Fund shall be used to pay
auto liability claims and related expenses involving
employees of the Department of Transportation, the
Illinois State Police, and the Secretary of State.
(8) Charge, collect, and receive from all other
agencies of the State government fees or monies equivalent
to the cost of purchasing the insurance.
(9) Establish, through the Director, charges for risk
management services rendered to State agencies by the
Department. The State agencies so charged shall reimburse
the Department by vouchers drawn against their respective
appropriations. The reimbursement shall be determined by
the Director as amounts sufficient to reimburse the
Department for expenditures incurred in rendering the
service.
The Department shall charge the employing State agency
or university for workers' compensation payments for
temporary total disability paid to any employee after the
employee has received temporary total disability payments
for 120 days if the employee's treating physician, advanced
practice registered nurse, or physician assistant has

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issued a release to return to work with restrictions and
the employee is able to perform modified duty work but the
employing State agency or university does not return the
employee to work at modified duty. Modified duty shall be
duties assigned that may or may not be delineated as part
of the duties regularly performed by the employee. Modified
duties shall be assigned within the prescribed
restrictions established by the treating physician and the
physician who performed the independent medical
examination. The amount of all reimbursements shall be
deposited into the Workers' Compensation Revolving Fund
which is hereby created as a revolving fund in the State
treasury. In addition to any other purpose authorized by
law, moneys in the Fund shall be used, subject to
appropriation, to pay these or other temporary total
disability claims of employees of State agencies and
universities.
Beginning with fiscal year 1996, all amounts recovered
by the Department through subrogation in workers'
compensation and workers' occupational disease cases shall
be deposited into the Workers' Compensation Revolving Fund
created under this subdivision (9).
(10) Establish rules, procedures, and forms to be used
by State agencies in the administration and payment of
workers' compensation claims. For claims filed prior to
July 1, 2013, the Department shall initially evaluate and

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determine the compensability of any injury that is the
subject of a workers' compensation claim and provide for
the administration and payment of such a claim for all
State agencies. For claims filed on or after July 1, 2013,
the Department shall retain responsibility for certain
administrative payments including, but not limited to,
payments to the private vendor contracted to perform
services under subdivision (10b) of this Section, payments
related to travel expenses for employees of the Office of
the Attorney General, and payments to internal Department
staff responsible for the oversight and management of any
contract awarded pursuant to subdivision (10b) of this
Section. Through December 31, 2012, the Director may
delegate to any agency with the agreement of the agency
head the responsibility for evaluation, administration,
and payment of that agency's claims. Neither the Department
nor the private vendor contracted to perform services under
subdivision (10b) of this Section shall be responsible for
providing workers' compensation services to the Illinois
State Toll Highway Authority or to State universities that
maintain self-funded workers' compensation liability
programs.
(10a) By April 1 of each year prior to calendar year
2013, the Director must report and provide information to
the State Workers' Compensation Program Advisory Board
concerning the status of the State workers' compensation

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program for the next fiscal year. Information that the
Director must provide to the State Workers' Compensation
Program Advisory Board includes, but is not limited to,
documents, reports of negotiations, bid invitations,
requests for proposals, specifications, copies of proposed
and final contracts or agreements, and any other materials
concerning contracts or agreements for the program. By the
first of each month prior to calendar year 2013, the
Director must provide updated, and any new, information to
the State Workers' Compensation Program Advisory Board
until the State workers' compensation program for the next
fiscal year is determined.
(10b) No later than January 1, 2013, the chief
procurement officer appointed under paragraph (4) of
subsection (a) of Section 10-20 of the Illinois Procurement
Code (hereinafter "chief procurement officer"), in
consultation with the Department of Central Management
Services, shall procure one or more private vendors to
administer the program providing payments for workers'
compensation liability with respect to the employees of all
State agencies. The chief procurement officer may procure a
single contract applicable to all State agencies or
multiple contracts applicable to one or more State
agencies. If the chief procurement officer procures a
single contract applicable to all State agencies, then the
Department of Central Management Services shall be

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designated as the agency that enters into the contract and
shall be responsible for the contract. If the chief
procurement officer procures multiple contracts applicable
to one or more State agencies, each agency to which the
contract applies shall be designated as the agency that
shall enter into the contract and shall be responsible for
the contract. If the chief procurement officer procures
contracts applicable to an individual State agency, the
agency subject to the contract shall be designated as the
agency responsible for the contract.
(10c) The procurement of private vendors for the
administration of the workers' compensation program for
State employees is subject to the provisions of the
Illinois Procurement Code and administration by the chief
procurement officer.
(10d) Contracts for the procurement of private vendors
for the administration of the workers' compensation
program for State employees shall be based upon, but
limited to, the following criteria: (i) administrative
cost, (ii) service capabilities of the vendor, and (iii)
the compensation (including premiums, fees, or other
charges). A vendor for the administration of the workers'
compensation program for State employees shall provide
services, including, but not limited to:
(A) providing a web-based case management system
and provide access to the Office of the Attorney

10000HB0313ham002 - 45 - LRB100 04130 SMS 22956 a
General;
(B) ensuring claims adjusters are available to
provide testimony or information as requested by the
Office of the Attorney General;
(C) establishing a preferred provider program for
all State agencies and facilities; and
(D) authorizing the payment of medical bills at the
preferred provider discount rate.
(10e) By September 15, 2012, the Department of Central
Management Services shall prepare a plan to effectuate the
transfer of responsibility and administration of the
workers' compensation program for State employees to the
selected private vendors. The Department shall submit a
copy of the plan to the General Assembly.
(11) Any plan for public liability self-insurance
implemented under this Section shall provide that (i) the
Department shall attempt to settle and may settle any
public liability claim filed against the State of Illinois
or any public liability claim filed against a State
employee on the basis of an occurrence in the course of the
employee's State employment; (ii) any settlement of such a
claim is not subject to fiscal year limitations and must be
approved by the Director and, in cases of settlements
exceeding $100,000, by the Governor; and (iii) a settlement
of any public liability claim against the State or a State
employee shall require an unqualified release of any right

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of action against the State and the employee for acts
within the scope of the employee's employment giving rise
to the claim.
Whenever and to the extent that a State employee
operates a motor vehicle or engages in other activity
covered by self-insurance under this Section, the State of
Illinois shall defend, indemnify, and hold harmless the
employee against any claim in tort filed against the
employee for acts or omissions within the scope of the
employee's employment in any proper judicial forum and not
settled pursuant to this subdivision (11), provided that
this obligation of the State of Illinois shall not exceed a
maximum liability of $2,000,000 for any single occurrence
in connection with the operation of a motor vehicle or
$100,000 per person per occurrence for any other single
occurrence, or $500,000 for any single occurrence in
connection with the provision of medical care by a licensed
physician, advanced practice registered nurse, or
physician assistant employee.
Any claims against the State of Illinois under a
self-insurance plan that are not settled pursuant to this
subdivision (11) shall be heard and determined by the Court
of Claims and may not be filed or adjudicated in any other
forum. The Attorney General of the State of Illinois or the
Attorney General's designee shall be the attorney with
respect to all public liability self-insurance claims that

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are not settled pursuant to this subdivision (11) and
therefore result in litigation. The payment of any award of
the Court of Claims entered against the State relating to
any public liability self-insurance claim shall act as a
release against any State employee involved in the
occurrence.
(12) Administer a plan the purpose of which is to make
payments on final settlements or final judgments in
accordance with the State Employee Indemnification Act.
The plan shall be funded through appropriations from the
General Revenue Fund specifically designated for that
purpose, except that indemnification expenses for
employees of the Department of Transportation, the
Illinois State Police, and the Secretary of State shall be
paid from the Road Fund. The term "employee" as used in
this subdivision (12) has the same meaning as under
subsection (b) of Section 1 of the State Employee
Indemnification Act. Subject to sufficient appropriation,
the Director shall approve payment of any claim, without
regard to fiscal year limitations, presented to the
Director that is supported by a final settlement or final
judgment when the Attorney General and the chief officer of
the public body against whose employee the claim or cause
of action is asserted certify to the Director that the
claim is in accordance with the State Employee
Indemnification Act and that they approve of the payment.

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In no event shall an amount in excess of $150,000 be paid
from this plan to or for the benefit of any claimant.
(13) Administer a plan the purpose of which is to make
payments on final settlements or final judgments for
employee wage claims in situations where there was an
appropriation relevant to the wage claim, the fiscal year
and lapse period have expired, and sufficient funds were
available to pay the claim. The plan shall be funded
through appropriations from the General Revenue Fund
specifically designated for that purpose.
Subject to sufficient appropriation, the Director is
authorized to pay any wage claim presented to the Director
that is supported by a final settlement or final judgment
when the chief officer of the State agency employing the
claimant certifies to the Director that the claim is a
valid wage claim and that the fiscal year and lapse period
have expired. Payment for claims that are properly
submitted and certified as valid by the Director shall
include interest accrued at the rate of 7% per annum from
the forty-fifth day after the claims are received by the
Department or 45 days from the date on which the amount of
payment is agreed upon, whichever is later, until the date
the claims are submitted to the Comptroller for payment.
When the Attorney General has filed an appearance in any
proceeding concerning a wage claim settlement or judgment,
the Attorney General shall certify to the Director that the

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wage claim is valid before any payment is made. In no event
shall an amount in excess of $150,000 be paid from this
plan to or for the benefit of any claimant.
Nothing in Public Act 84-961 shall be construed to
affect in any manner the jurisdiction of the Court of
Claims concerning wage claims made against the State of
Illinois.
(14) Prepare and, in the discretion of the Director,
implement a program for self-insurance for official
fidelity and surety bonds for officers and employees as
authorized by the Official Bond Act.
(Source: P.A. 99-581, eff. 1-1-17.)
Section 35. The Regional Integrated Behavioral Health
Networks Act is amended by changing Section 20 as follows:
(20 ILCS 1340/20)
Sec. 20. Steering Committee and Networks.
(a) To achieve these goals, the Department of Human
Services shall convene a Regional Integrated Behavioral Health
Networks Steering Committee (hereinafter "Steering Committee")
comprised of State agencies involved in the provision,
regulation, or financing of health, mental health, substance
abuse, rehabilitation, and other services. These include, but
shall not be limited to, the following agencies:
(1) The Department of Healthcare and Family Services.

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(2) The Department of Human Services and its Divisions
of Mental Illness and Alcoholism and Substance Abuse
Services.
(3) The Department of Public Health, including its
Center for Rural Health.
The Steering Committee shall include a representative from
each Network. The agencies of the Steering Committee are
directed to work collaboratively to provide consultation,
advice, and leadership to the Networks in facilitating
communication within and across multiple agencies and in
removing regulatory barriers that may prevent Networks from
accomplishing the goals. The Steering Committee collectively
or through one of its member Agencies shall also provide
technical assistance to the Networks.
(b) There also shall be convened Networks in each of the
Department of Human Services' regions comprised of
representatives of community stakeholders represented in the
Network, including when available, but not limited to, relevant
trade and professional associations representing hospitals,
community providers, public health care, hospice care, long
term care, law enforcement, emergency medical service,
physicians, advanced practice registered nurses, and physician
assistants trained in psychiatry; an organization that
advocates on behalf of federally qualified health centers, an
organization that advocates on behalf of persons suffering with
mental illness and substance abuse disorders, an organization

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that advocates on behalf of persons with disabilities, an
organization that advocates on behalf of persons who live in
rural areas, an organization that advocates on behalf of
persons who live in medically underserved areas; and others
designated by the Steering Committee or the Networks. A member
from each Network may choose a representative who may serve on
the Steering Committee.
(Source: P.A. 99-581, eff. 1-1-17.)
Section 40. The Mental Health and Developmental
Disabilities Administrative Act is amended by changing
Sections 5.1, 14, and 15.4 as follows:
(20 ILCS 1705/5.1) (from Ch. 91 1/2, par. 100-5.1)
Sec. 5.1. The Department shall develop, by rule, the
procedures and standards by which it shall approve medications
for clinical use in its facilities. A list of those drugs
approved pursuant to these procedures shall be distributed to
all Department facilities.
Drugs not listed by the Department may not be administered
in facilities under the jurisdiction of the Department,
provided that an unlisted drug may be administered as part of
research with the prior written consent of the Secretary
specifying the nature of the permitted use and the physicians
authorized to prescribe the drug. Drugs, as used in this
Section, mean psychotropic and narcotic drugs.

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No physician, advanced practice registered nurse, or
physician assistant in the Department shall sign a prescription
in blank, nor permit blank prescription forms to circulate out
of his possession or control.
(Source: P.A. 99-581, eff. 1-1-17.)
(20 ILCS 1705/14) (from Ch. 91 1/2, par. 100-14)
Sec. 14. Chester Mental Health Center. To maintain and
operate a facility for the care, custody, and treatment of
persons with mental illness or habilitation of persons with
developmental disabilities hereinafter designated, to be known
as the Chester Mental Health Center.
Within the Chester Mental Health Center there shall be
confined the following classes of persons, whose history, in
the opinion of the Department, discloses dangerous or violent
tendencies and who, upon examination under the direction of the
Department, have been found a fit subject for confinement in
that facility:
(a) Any male person who is charged with the commission
of a crime but has been acquitted by reason of insanity as
provided in Section 5-2-4 of the Unified Code of
Corrections.
(b) Any male person who is charged with the commission
of a crime but has been found unfit under Article 104 of
the Code of Criminal Procedure of 1963.
(c) Any male person with mental illness or

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developmental disabilities or person in need of mental
treatment now confined under the supervision of the
Department or hereafter admitted to any facility thereof or
committed thereto by any court of competent jurisdiction.
If and when it shall appear to the facility director of the
Chester Mental Health Center that it is necessary to confine
persons in order to maintain security or provide for the
protection and safety of recipients and staff, the Chester
Mental Health Center may confine all persons on a unit to their
rooms. This period of confinement shall not exceed 10 hours in
a 24 hour period, including the recipient's scheduled hours of
sleep, unless approved by the Secretary of the Department.
During the period of confinement, the persons confined shall be
observed at least every 15 minutes. A record shall be kept of
the observations. This confinement shall not be considered
seclusion as defined in the Mental Health and Developmental
Disabilities Code.
The facility director of the Chester Mental Health Center
may authorize the temporary use of handcuffs on a recipient for
a period not to exceed 10 minutes when necessary in the course
of transport of the recipient within the facility to maintain
custody or security. Use of handcuffs is subject to the
provisions of Section 2-108 of the Mental Health and
Developmental Disabilities Code. The facility shall keep a
monthly record listing each instance in which handcuffs are
used, circumstances indicating the need for use of handcuffs,

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and time of application of handcuffs and time of release
therefrom. The facility director shall allow the Illinois
Guardianship and Advocacy Commission, the agency designated by
the Governor under Section 1 of the Protection and Advocacy for
Persons with Developmental Disabilities Act, and the
Department to examine and copy such record upon request.
The facility director of the Chester Mental Health Center
may authorize the temporary use of transport devices on a civil
recipient when necessary in the course of transport of the
civil recipient outside the facility to maintain custody or
security. The decision whether to use any transport devices
shall be reviewed and approved on an individualized basis by a
physician, an advanced practice registered nurse, or a
physician assistant based upon a determination of the civil
recipient's: (1) history of violence, (2) history of violence
during transports, (3) history of escapes and escape attempts,
(4) history of trauma, (5) history of incidents of restraint or
seclusion and use of involuntary medication, (6) current
functioning level and medical status, and (7) prior experience
during similar transports, and the length, duration, and
purpose of the transport. The least restrictive transport
device consistent with the individual's need shall be used.
Staff transporting the individual shall be trained in the use
of the transport devices, recognizing and responding to a
person in distress, and shall observe and monitor the
individual while being transported. The facility shall keep a

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monthly record listing all transports, including those
transports for which use of transport devices was not sought,
those for which use of transport devices was sought but denied,
and each instance in which transport devices are used,
circumstances indicating the need for use of transport devices,
time of application of transport devices, time of release from
those devices, and any adverse events. The facility director
shall allow the Illinois Guardianship and Advocacy Commission,
the agency designated by the Governor under Section 1 of the
Protection and Advocacy for Persons with Developmental
Disabilities Act, and the Department to examine and copy the
record upon request. This use of transport devices shall not be
considered restraint as defined in the Mental Health and
Developmental Disabilities Code. For the purpose of this
Section "transport device" means ankle cuffs, handcuffs, waist
chains or wrist-waist devices designed to restrict an
individual's range of motion while being transported. These
devices must be approved by the Division of Mental Health, used
in accordance with the manufacturer's instructions, and used
only by qualified staff members who have completed all training
required to be eligible to transport patients and all other
required training relating to the safe use and application of
transport devices, including recognizing and responding to
signs of distress in an individual whose movement is being
restricted by a transport device.
If and when it shall appear to the satisfaction of the

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Department that any person confined in the Chester Mental
Health Center is not or has ceased to be such a source of
danger to the public as to require his subjection to the
regimen of the center, the Department is hereby authorized to
transfer such person to any State facility for treatment of
persons with mental illness or habilitation of persons with
developmental disabilities, as the nature of the individual
case may require.
Subject to the provisions of this Section, the Department,
except where otherwise provided by law, shall, with respect to
the management, conduct and control of the Chester Mental
Health Center and the discipline, custody and treatment of the
persons confined therein, have and exercise the same rights and
powers as are vested by law in the Department with respect to
any and all of the State facilities for treatment of persons
with mental illness or habilitation of persons with
developmental disabilities, and the recipients thereof, and
shall be subject to the same duties as are imposed by law upon
the Department with respect to such facilities and the
recipients thereof.
The Department may elect to place persons who have been
ordered by the court to be detained under the Sexually Violent
Persons Commitment Act in a distinct portion of the Chester
Mental Health Center. The persons so placed shall be separated
and shall not comingle with the recipients of the Chester
Mental Health Center. The portion of Chester Mental Health

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Center that is used for the persons detained under the Sexually
Violent Persons Commitment Act shall not be a part of the
mental health facility for the enforcement and implementation
of the Mental Health and Developmental Disabilities Code nor
shall their care and treatment be subject to the provisions of
the Mental Health and Developmental Disabilities Code. The
changes added to this Section by this amendatory Act of the
98th General Assembly are inoperative on and after June 30,
2015.
(Source: P.A. 98-79, eff. 7-15-13; 98-356, eff. 8-16-13;
98-756, eff. 7-16-14; 99-143, eff. 7-27-15; 99-581, eff.
1-1-17.)
(20 ILCS 1705/15.4)
Sec. 15.4. Authorization for nursing delegation to permit
direct care staff to administer medications.
(a) This Section applies to (i) all programs for persons
with a developmental disability in settings of 16 persons or
fewer that are funded or licensed by the Department of Human
Services and that distribute or administer medications and (ii)
all intermediate care facilities for persons with
developmental disabilities with 16 beds or fewer that are
licensed by the Department of Public Health. The Department of
Human Services shall develop a training program for authorized
direct care staff to administer medications under the
supervision and monitoring of a registered professional nurse.

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This training program shall be developed in consultation with
professional associations representing (i) physicians licensed
to practice medicine in all its branches, (ii) registered
professional nurses, and (iii) pharmacists.
(b) For the purposes of this Section:
"Authorized direct care staff" means non-licensed persons
who have successfully completed a medication administration
training program approved by the Department of Human Services
and conducted by a nurse-trainer. This authorization is
specific to an individual receiving service in a specific
agency and does not transfer to another agency.
"Medications" means oral and topical medications, insulin
in an injectable form, oxygen, epinephrine auto-injectors, and
vaginal and rectal creams and suppositories. "Oral" includes
inhalants and medications administered through enteral tubes,
utilizing aseptic technique. "Topical" includes eye, ear, and
nasal medications. Any controlled substances must be packaged
specifically for an identified individual.
"Insulin in an injectable form" means a subcutaneous
injection via an insulin pen pre-filled by the manufacturer.
Authorized direct care staff may administer insulin, as ordered
by a physician, advanced practice registered nurse, or
physician assistant, if: (i) the staff has successfully
completed a Department-approved advanced training program
specific to insulin administration developed in consultation
with professional associations listed in subsection (a) of this

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Section, and (ii) the staff consults with the registered nurse,
prior to administration, of any insulin dose that is determined
based on a blood glucose test result. The authorized direct
care staff shall not: (i) calculate the insulin dosage needed
when the dose is dependent upon a blood glucose test result, or
(ii) administer insulin to individuals who require blood
glucose monitoring greater than 3 times daily, unless directed
to do so by the registered nurse.
"Nurse-trainer training program" means a standardized,
competency-based medication administration train-the-trainer
program provided by the Department of Human Services and
conducted by a Department of Human Services master
nurse-trainer for the purpose of training nurse-trainers to
train persons employed or under contract to provide direct care
or treatment to individuals receiving services to administer
medications and provide self-administration of medication
training to individuals under the supervision and monitoring of
the nurse-trainer. The program incorporates adult learning
styles, teaching strategies, classroom management, and a
curriculum overview, including the ethical and legal aspects of
supervising those administering medications.
"Self-administration of medications" means an individual
administers his or her own medications. To be considered
capable to self-administer their own medication, individuals
must, at a minimum, be able to identify their medication by
size, shape, or color, know when they should take the

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medication, and know the amount of medication to be taken each
time.
"Training program" means a standardized medication
administration training program approved by the Department of
Human Services and conducted by a registered professional nurse
for the purpose of training persons employed or under contract
to provide direct care or treatment to individuals receiving
services to administer medications and provide
self-administration of medication training to individuals
under the delegation and supervision of a nurse-trainer. The
program incorporates adult learning styles, teaching
strategies, classroom management, curriculum overview,
including ethical-legal aspects, and standardized
competency-based evaluations on administration of medications
and self-administration of medication training programs.
(c) Training and authorization of non-licensed direct care
staff by nurse-trainers must meet the requirements of this
subsection.
(1) Prior to training non-licensed direct care staff to
administer medication, the nurse-trainer shall perform the
following for each individual to whom medication will be
administered by non-licensed direct care staff:
(A) An assessment of the individual's health
history and physical and mental status.
(B) An evaluation of the medications prescribed.
(2) Non-licensed authorized direct care staff shall

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meet the following criteria:
(A) Be 18 years of age or older.
(B) Have completed high school or have a high
school equivalency certificate.
(C) Have demonstrated functional literacy.
(D) Have satisfactorily completed the Health and
Safety component of a Department of Human Services
authorized direct care staff training program.
(E) Have successfully completed the training
program, pass the written portion of the comprehensive
exam, and score 100% on the competency-based
assessment specific to the individual and his or her
medications.
(F) Have received additional competency-based
assessment by the nurse-trainer as deemed necessary by
the nurse-trainer whenever a change of medication
occurs or a new individual that requires medication
administration enters the program.
(3) Authorized direct care staff shall be re-evaluated
by a nurse-trainer at least annually or more frequently at
the discretion of the registered professional nurse. Any
necessary retraining shall be to the extent that is
necessary to ensure competency of the authorized direct
care staff to administer medication.
(4) Authorization of direct care staff to administer
medication shall be revoked if, in the opinion of the

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registered professional nurse, the authorized direct care
staff is no longer competent to administer medication.
(5) The registered professional nurse shall assess an
individual's health status at least annually or more
frequently at the discretion of the registered
professional nurse.
(d) Medication self-administration shall meet the
following requirements:
(1) As part of the normalization process, in order for
each individual to attain the highest possible level of
independent functioning, all individuals shall be
permitted to participate in their total health care
program. This program shall include, but not be limited to,
individual training in preventive health and
self-medication procedures.
(A) Every program shall adopt written policies and
procedures for assisting individuals in obtaining
preventative health and self-medication skills in
consultation with a registered professional nurse,
advanced practice registered nurse, physician
assistant, or physician licensed to practice medicine
in all its branches.
(B) Individuals shall be evaluated to determine
their ability to self-medicate by the nurse-trainer
through the use of the Department's required,
standardized screening and assessment instruments.

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(C) When the results of the screening and
assessment indicate an individual not to be capable to
self-administer his or her own medications, programs
shall be developed in consultation with the Community
Support Team or Interdisciplinary Team to provide
individuals with self-medication administration.
(2) Each individual shall be presumed to be competent
to self-administer medications if:
(A) authorized by an order of a physician licensed
to practice medicine in all its branches, an advanced
practice registered nurse, or a physician assistant;
and
(B) approved to self-administer medication by the
individual's Community Support Team or
Interdisciplinary Team, which includes a registered
professional nurse or an advanced practice registered
nurse.
(e) Quality Assurance.
(1) A registered professional nurse, advanced practice
registered nurse, licensed practical nurse, physician
licensed to practice medicine in all its branches,
physician assistant, or pharmacist shall review the
following for all individuals:
(A) Medication orders.
(B) Medication labels, including medications
listed on the medication administration record for

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persons who are not self-medicating to ensure the
labels match the orders issued by the physician
licensed to practice medicine in all its branches,
advanced practice registered nurse, or physician
assistant.
(C) Medication administration records for persons
who are not self-medicating to ensure that the records
are completed appropriately for:
(i) medication administered as prescribed;
(ii) refusal by the individual; and
(iii) full signatures provided for all
initials used.
(2) Reviews shall occur at least quarterly, but may be
done more frequently at the discretion of the registered
professional nurse or advanced practice registered nurse.
(3) A quality assurance review of medication errors and
data collection for the purpose of monitoring and
recommending corrective action shall be conducted within 7
days and included in the required annual review.
(f) Programs using authorized direct care staff to
administer medications are responsible for documenting and
maintaining records on the training that is completed.
(g) The absence of this training program constitutes a
threat to the public interest, safety, and welfare and
necessitates emergency rulemaking by the Departments of Human
Services and Public Health under Section 5-45 of the Illinois

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Administrative Procedure Act.
(h) Direct care staff who fail to qualify for delegated
authority to administer medications pursuant to the provisions
of this Section shall be given additional education and testing
to meet criteria for delegation authority to administer
medications. Any direct care staff person who fails to qualify
as an authorized direct care staff after initial training and
testing must within 3 months be given another opportunity for
retraining and retesting. A direct care staff person who fails
to meet criteria for delegated authority to administer
medication, including, but not limited to, failure of the
written test on 2 occasions shall be given consideration for
shift transfer or reassignment, if possible. No employee shall
be terminated for failure to qualify during the 3-month time
period following initial testing. Refusal to complete training
and testing required by this Section may be grounds for
immediate dismissal.
(i) No authorized direct care staff person delegated to
administer medication shall be subject to suspension or
discharge for errors resulting from the staff person's acts or
omissions when performing the functions unless the staff
person's actions or omissions constitute willful and wanton
conduct. Nothing in this subsection is intended to supersede
paragraph (4) of subsection (c).
(j) A registered professional nurse, advanced practice
registered nurse, physician licensed to practice medicine in

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all its branches, or physician assistant shall be on duty or on
call at all times in any program covered by this Section.
(k) The employer shall be responsible for maintaining
liability insurance for any program covered by this Section.
(l) Any direct care staff person who qualifies as
authorized direct care staff pursuant to this Section shall be
granted consideration for a one-time additional salary
differential. The Department shall determine and provide the
necessary funding for the differential in the base. This
subsection (l) is inoperative on and after June 30, 2000.
(Source: P.A. 98-718, eff. 1-1-15; 98-901, eff. 8-15-14; 99-78,
eff. 7-20-15; 99-143, eff. 7-27-15; 99-581, eff. 1-1-17.)
Section 45. The Department of Professional Regulation Law
of the Civil Administrative Code of Illinois is amended by
changing Section 2105-17 as follows:
(20 ILCS 2105/2105-17)
Sec. 2105-17. Volunteer licenses.
(a) For the purposes of this Section:
"Health care professional" means a physician licensed
under the Medical Practice Act of 1987, a dentist licensed
under the Illinois Dental Practice Act, an optometrist licensed
under the Illinois Optometric Practice Act of 1987, a physician
assistant licensed under the Physician Assistant Practice Act
of 1987, and a nurse or advanced practice registered nurse

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licensed under the Nurse Practice Act. The Department may
expand this definition by rule.
"Volunteer practice" means the practice of a licensed
health care professional for the benefit of an individual or
the public and without compensation for the health care
services provided.
(b) The Department may grant a volunteer license to a
health care professional who:
(1) meets all requirements of the State licensing Act
that applies to his or her health care profession and the
rules adopted under the Act; and
(2) agrees to engage in the volunteer practice of his
or her health care profession in a free medical clinic, as
defined in the Good Samaritan Act, or in a public health
clinic, as defined in Section 6-101 of the Local
Governmental and Governmental Employees Tort Immunities
Act, and to not practice for compensation.
(c) A volunteer license shall be granted in accordance with
the licensing Act that applies to the health care
professional's given health care profession, and the licensure
fee shall be set by rule in accordance with subsection (f).
(d) No health care professional shall hold a non-volunteer
license in a health care profession and a volunteer license in
that profession at the same time. In the event that the health
care professional obtains a volunteer license in the profession
for which he or she holds a non-volunteer license, that

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non-volunteer license shall automatically be placed in
inactive status. In the event that a health care professional
obtains a non-volunteer license in the profession for which he
or she holds a volunteer license, the volunteer license shall
be placed in inactive status. Practicing on an expired
volunteer license constitutes the unlicensed practice of the
health care professional's profession.
(e) Nothing in this Section shall be construed to waive or
modify any statute, rule, or regulation concerning the
licensure or practice of any health care profession. A health
care professional who holds a volunteer license shall be
subject to all statutes, rules, and regulations governing his
or her profession. The Department shall waive the licensure fee
for the first 500 volunteer licenses issued and may by rule
provide for a fee waiver or fee reduction that shall apply to
all licenses issued after the initial 500.
(f) The Department shall determine by rule the total number
of volunteer licenses to be issued. The Department shall file
proposed rules implementing this Section within 6 months after
the effective date of this amendatory Act of the 98th General
Assembly.
(Source: P.A. 98-659, eff. 6-23-14.)
Section 50. The Department of Public Health Act is amended
by changing Sections 7 and 8.2 as follows:

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(20 ILCS 2305/7) (from Ch. 111 1/2, par. 22.05)
Sec. 7. The Illinois Department of Public Health shall
adopt rules requiring that upon death of a person who had or is
suspected of having an infectious or communicable disease that
could be transmitted through contact with the person's body or
bodily fluids, the body shall be labeled "Infection Hazard", or
with an equivalent term to inform persons having subsequent
contact with the body, including any funeral director or
embalmer, to take suitable precautions. Such rules shall
require that the label shall be prominently displayed on and
affixed to the outer wrapping or covering of the body if the
body is wrapped or covered in any manner. Responsibility for
such labeling shall lie with the attending physician, advanced
practice registered nurse, or physician assistant who
certifies death, or if the death occurs in a health care
facility, with such staff member as may be designated by the
administrator of the facility. The Department may adopt rules
providing for the safe disposal of human remains. To the extent
feasible without endangering the public's health, the
Department shall respect and accommodate the religious beliefs
of individuals in implementing this Section.
(Source: P.A. 99-581, eff. 1-1-17.)
(20 ILCS 2305/8.2)
Sec. 8.2. Osteoporosis Prevention and Education Program.
(a) The Department of Public Health, utilizing available

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federal funds, State funds appropriated for that purpose, or
other available funding as provided for in this Section, shall
establish, promote, and maintain an Osteoporosis Prevention
and Education Program to promote public awareness of the causes
of osteoporosis, options for prevention, the value of early
detection, and possible treatments (including the benefits and
risks of those treatments). The Department may accept, for that
purpose, any special grant of money, services, or property from
the federal government or any of its agencies or from any
foundation, organization, or medical school.
(b) The program shall include the following:
(1) Development of a public education and outreach
campaign to promote osteoporosis prevention and education,
including, but not limited to, the following subjects:
(A) The cause and nature of the disease.
(B) Risk factors.
(C) The role of hysterectomy.
(D) Prevention of osteoporosis, including
nutrition, diet, and physical exercise.
(E) Diagnostic procedures and appropriate
indications for their use.
(F) Hormone replacement, including benefits and
risks.
(G) Environmental safety and injury prevention.
(H) Availability of osteoporosis diagnostic
treatment services in the community.

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(2) Development of educational materials to be made
available for consumers, particularly targeted to
high-risk groups, through local health departments, local
physicians, advanced practice registered nurses, or
physician assistants, other providers (including, but not
limited to, health maintenance organizations, hospitals,
and clinics), and women's organizations.
(3) Development of professional education programs for
health care providers to assist them in understanding
research findings and the subjects set forth in paragraph
(1).
(4) Development and maintenance of a list of current
providers of specialized services for the prevention and
treatment of osteoporosis. Dissemination of the list shall
be accompanied by a description of diagnostic procedures,
appropriate indications for their use, and a cautionary
statement about the current status of osteoporosis
research, prevention, and treatment. The statement shall
also indicate that the Department does not license,
certify, or in any other way approve osteoporosis programs
or centers in this State.
(c) The State Board of Health shall serve as an advisory
board to the Department with specific respect to the prevention
and education activities related to osteoporosis described in
this Section. The State Board of Health shall assist the
Department in implementing this Section.

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(Source: P.A. 99-581, eff. 1-1-17.)
Section 55. The Department of Public Health Powers and
Duties Law of the Civil Administrative Code of Illinois is
amended by changing Sections 2310-145, 2310-397, 2310-410,
2310-600, 2310-677, and 2310-690 as follows:
(20 ILCS 2310/2310-145)
Sec. 2310-145. Registry of health care professionals. The
Department of Public Health shall maintain a registry of all
active-status health care professionals, including nurses,
nurse practitioners, advanced practice registered nurses,
physicians, physician assistants, psychologists, professional
counselors, clinical professional counselors, and pharmacists.
The registry must consist of information shared between the
Department of Public Health and the Department of Financial and
Professional Regulation via a secure communication link. The
registry must be updated on a quarterly basis.
The registry shall be accessed in the event of an act of
bioterrorism or other public health emergency or for the
planning for the possibility of such an event.
(Source: P.A. 96-377, eff. 1-1-10.)
(20 ILCS 2310/2310-397) (was 20 ILCS 2310/55.90)
Sec. 2310-397. Prostate and testicular cancer program.
(a) The Department, subject to appropriation or other

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available funding, shall conduct a program to promote awareness
and early detection of prostate and testicular cancer. The
program may include, but need not be limited to:
(1) Dissemination of information regarding the
incidence of prostate and testicular cancer, the risk
factors associated with prostate and testicular cancer,
and the benefits of early detection and treatment.
(2) Promotion of information and counseling about
treatment options.
(3) Establishment and promotion of referral services
and screening programs.
Beginning July 1, 2004, the program must include the
development and dissemination, through print and broadcast
media, of public service announcements that publicize the
importance of prostate cancer screening for men over age 40.
(b) Subject to appropriation or other available funding, a
Prostate Cancer Screening Program shall be established in the
Department of Public Health.
(1) The Program shall apply to the following persons
and entities:
(A) uninsured and underinsured men 50 years of age
and older;
(B) uninsured and underinsured men between 40 and
50 years of age who are at high risk for prostate
cancer, upon the advice of a physician, advanced
practice registered nurse, or physician assistant or

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upon the request of the patient; and
(C) non-profit organizations providing assistance
to persons described in subparagraphs (A) and (B).
(2) Any entity funded by the Program shall coordinate
with other local providers of prostate cancer screening,
diagnostic, follow-up, education, and advocacy services to
avoid duplication of effort. Any entity funded by the
Program shall comply with any applicable State and federal
standards regarding prostate cancer screening.
(3) Administrative costs of the Department shall not
exceed 10% of the funds allocated to the Program. Indirect
costs of the entities funded by this Program shall not
exceed 12%. The Department shall define "indirect costs" in
accordance with applicable State and federal law.
(4) Any entity funded by the Program shall collect data
and maintain records that are determined by the Department
to be necessary to facilitate the Department's ability to
monitor and evaluate the effectiveness of the entities and
the Program. Commencing with the Program's second year of
operation, the Department shall submit an Annual Report to
the General Assembly and the Governor. The report shall
describe the activities and effectiveness of the Program
and shall include, but not be limited to, the following
types of information regarding those served by the Program:
(A) the number; and
(B) the ethnic, geographic, and age breakdown.

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(5) The Department or any entity funded by the Program
shall collect personal and medical information necessary
to administer the Program from any individual applying for
services under the Program. The information shall be
confidential and shall not be disclosed other than for
purposes directly connected with the administration of the
Program or except as otherwise provided by law or pursuant
to prior written consent of the subject of the information.
(6) The Department or any entity funded by the program
may disclose the confidential information to medical
personnel and fiscal intermediaries of the State to the
extent necessary to administer the Program, and to other
State public health agencies or medical researchers if the
confidential information is necessary to carry out the
duties of those agencies or researchers in the
investigation, control, or surveillance of prostate
cancer.
(c) The Department shall adopt rules to implement the
Prostate Cancer Screening Program in accordance with the
Illinois Administrative Procedure Act.
(Source: P.A. 98-87, eff. 1-1-14; 99-581, eff. 1-1-17.)
(20 ILCS 2310/2310-410) (was 20 ILCS 2310/55.42)
Sec. 2310-410. Sickle cell disease. To conduct a public
information campaign for physicians, advanced practice
registered nurses, physician assistants, hospitals, health

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facilities, public health departments, and the general public
on sickle cell disease, methods of care, and treatment
modalities available; to identify and catalogue sickle cell
resources in this State for distribution and referral purposes;
and to coordinate services with the established programs,
including State, federal, and voluntary groups.
(Source: P.A. 99-581, eff. 1-1-17.)
(20 ILCS 2310/2310-600)
Sec. 2310-600. Advance directive information.
(a) The Department of Public Health shall prepare and
publish the summary of advance directives law, as required by
the federal Patient Self-Determination Act, and related forms.
Publication may be limited to the World Wide Web. The summary
required under this subsection (a) must include the Department
of Public Health Uniform POLST form.
(b) The Department of Public Health shall publish Spanish
language versions of the following:
(1) The statutory Living Will Declaration form.
(2) The Illinois Statutory Short Form Power of Attorney
for Health Care.
(3) The statutory Declaration of Mental Health
Treatment Form.
(4) The summary of advance directives law in Illinois.
(5) The Department of Public Health Uniform POLST form.
Publication may be limited to the World Wide Web.

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(b-5) In consultation with a statewide professional
organization representing physicians licensed to practice
medicine in all its branches, statewide organizations
representing physician assistants, advanced practice
registered nurses, nursing homes, registered professional
nurses, and emergency medical systems, and a statewide
organization representing hospitals, the Department of Public
Health shall develop and publish a uniform form for
practitioner cardiopulmonary resuscitation (CPR) or
life-sustaining treatment orders that may be utilized in all
settings. The form shall meet the published minimum
requirements to nationally be considered a practitioner orders
for life-sustaining treatment form, or POLST, and may be
referred to as the Department of Public Health Uniform POLST
form. This form does not replace a physician's or other
practitioner's authority to make a do-not-resuscitate (DNR)
order.
(c) (Blank).
(d) The Department of Public Health shall publish the
Department of Public Health Uniform POLST form reflecting the
changes made by this amendatory Act of the 98th General
Assembly no later than January 1, 2015.
(Source: P.A. 98-1110, eff. 8-26-14; 99-319, eff. 1-1-16;
99-581, eff. 1-1-17.)
(20 ILCS 2310/2310-677)

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(Section scheduled to be repealed on June 30, 2019)
Sec. 2310-677. Neonatal Abstinence Syndrome Advisory
Committee.
(a) As used in this Section:
"Department" means the Department of Public Health.
"Director" means the Director of Public Health.
"Neonatal Abstinence Syndrome" or "NAS" means various
adverse conditions that occur in a newborn infant who was
exposed to addictive or prescription drugs while in the
mother's womb.
(b) There is created the Advisory Committee on Neonatal
Abstinence Syndrome. The Advisory Committee shall consist of up
to 10 members appointed by the Director of Public Health. The
Director shall make the appointments within 90 days after the
effective date of this amendatory Act of the 99th General
Assembly. Members shall receive no compensation for their
services. The members of the Advisory Committee shall represent
different racial, ethnic, and geographic backgrounds and
consist of:
(1) at least one member representing a statewide
association of hospitals;
(2) at least one member representing a statewide
organization of pediatricians;
(3) at least one member representing a statewide
organization of obstetricians;
(4) at least one member representing a statewide

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organization that advocates for the health of mothers and
infants;
(5) at least one member representing a statewide
organization of licensed physicians;
(6) at least one member who is a licensed practical
nurse, registered professional nurse, or advanced practice
registered nurse with expertise in the treatment of
newborns in neonatal intensive care units;
(7) at least one member representing a local or
regional public health agency; and
(8) at least one member with expertise in the treatment
of drug dependency and addiction.
(c) In addition to the membership in subsection (a) of this
Section, the following persons or their designees shall serve
as ex officio members of the Advisory Committee: the Director
of Public Health, the Secretary of Human Services, the Director
of Healthcare and Family Services, and the Director of Children
and Family Services. The Director of Public Health, or his or
her designee, shall serve as Chair of the Committee.
(d) The Advisory Committee shall meet at the call of the
Chair. The Committee shall meet at least 3 times each year and
its initial meeting shall take place within 120 days after the
effective date of this Act. The Advisory Committee shall advise
and assist the Department to:
(1) develop an appropriate standard clinical
definition of "NAS";

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(2) develop a uniform process of identifying NAS;
(3) develop protocols for training hospital personnel
in implementing an appropriate and uniform process for
identifying and treating NAS;
(4) identify and develop options for reporting NAS data
to the Department by using existing or new data reporting
options; and
(5) make recommendations to the Department on
evidence-based guidelines and programs to improve the
outcomes of pregnancies with respect to NAS.
(e) The Advisory Committee shall provide an annual report
of its activities and recommendations to the Director, the
General Assembly, and the Governor by March 31 of each year
beginning in 2016. The final report of the Advisory Committee
shall be submitted by March 31, 2019.
(f) This Section is repealed on June 30, 2019.
(Source: P.A. 99-320, eff. 8-7-15.)
(20 ILCS 2310/2310-690)
Sec. 2310-690. Cytomegalovirus public education.
(a) In this Section:
"CMV" means cytomegalovirus.
"Health care professional and provider" means any
physician, advanced practice registered nurse, physician
assistant, hospital facility, or other person that is
licensed or otherwise authorized to deliver health care

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services.
(b) The Department shall develop or approve and publish
informational materials for women who may become pregnant,
expectant parents, and parents of infants regarding:
(1) the incidence of CMV;
(2) the transmission of CMV to pregnant women and women
who may become pregnant;
(3) birth defects caused by congenital CMV;
(4) methods of diagnosing congenital CMV; and
(5) available preventive measures to avoid the
infection of women who are pregnant or may become pregnant.
(c) The Department shall publish the information required
under subsection (b) on its Internet website.
(d) The Department shall publish information to:
(1) educate women who may become pregnant, expectant
parents, and parents of infants about CMV; and
(2) raise awareness of CMV among health care
professionals and providers who provide care to expectant
mothers or infants.
(e) The Department may solicit and accept the assistance of
any relevant health care professional associations or
community resources, including faith-based resources, to
promote education about CMV under this Section.
(f) If a newborn infant fails the 2 initial hearing
screenings in the hospital, then the hospital performing that
screening shall provide to the parents of the newborn infant

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information regarding: (i) birth defects caused by congenital
CMV; (ii) testing opportunities and options for CMV, including
the opportunity to test for CMV before leaving the hospital;
and (iii) early intervention services. Health care
professionals and providers may, but are not required to, use
the materials developed by the Department for distribution to
parents of newborn infants.
(Source: P.A. 99-424, eff. 1-1-16; 99-581, eff. 1-1-17; 99-642,
eff. 7-28-26.)
Section 60. The Community Health Worker Advisory Board Act
is amended by changing Section 10 as follows:
(20 ILCS 2335/10)
Sec. 10. Advisory Board.
(a) There is created the Advisory Board on Community Health
Workers. The Board shall consist of 16 members appointed by the
Director of Public Health. The Director shall make the
appointments to the Board within 90 days after the effective
date of this Act. The members of the Board shall represent
different racial and ethnic backgrounds and have the
qualifications as follows:
(1) four members who currently serve as community
health workers in Cook County, one of whom shall have
served as a health insurance marketplace navigator;
(2) two members who currently serve as community health

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workers in DuPage, Kane, Lake, or Will County;
(3) one member who currently serves as a community
health worker in Bond, Calhoun, Clinton, Jersey, Macoupin,
Madison, Monroe, Montgomery, Randolph, St. Clair, or
Washington County;
(4) one member who currently serves as a community
health worker in any other county in the State;
(5) one member who is a physician licensed to practice
medicine in Illinois;
(6) one member who is a physician assistant;
(7) one member who is a licensed nurse or advanced
practice registered nurse;
(8) one member who is a licensed social worker,
counselor, or psychologist;
(9) one member who currently employs community health
workers;
(10) one member who is a health policy advisor with
experience in health workforce policy;
(11) one member who is a public health professional
with experience with community health policy; and
(12) one representative of a community college,
university, or educational institution that provides
training to community health workers.
(b) In addition, the following persons or their designees
shall serve as ex officio, non-voting members of the Board: the
Executive Director of the Illinois Community College Board, the

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Director of Children and Family Services, the Director of
Aging, the Director of Public Health, the Director of
Employment Security, the Director of Commerce and Economic
Opportunity, the Secretary of Financial and Professional
Regulation, the Director of Healthcare and Family Services, and
the Secretary of Human Services.
(c) The voting members of the Board shall select a
chairperson from the voting members of the Board. The Board
shall consult with additional experts as needed. Members of the
Board shall serve without compensation. The Department shall
provide administrative and staff support to the Board. The
meetings of the Board are subject to the provisions of the Open
Meetings Act.
(d) The Board shall consider the core competencies of a
community health worker, including skills and areas of
knowledge that are essential to bringing about expanded health
and wellness in diverse communities and reducing health
disparities. As relating to members of communities and health
teams, the core competencies for effective community health
workers may include, but are not limited to:
(1) outreach methods and strategies;
(2) client and community assessment;
(3) effective community-based and participatory
methods, including research;
(4) culturally competent communication and care;
(5) health education for behavior change;

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(6) support, advocacy, and health system navigation
for clients;
(7) application of public health concepts and
approaches;
(8) individual and community capacity building and
mobilization; and
(9) writing, oral, technical, and communication
skills.
(Source: P.A. 98-796, eff. 7-31-14; 99-581, eff. 1-1-17.)
Section 65. The Illinois Housing Development Act is amended
by changing Section 7.30 as follows:
(20 ILCS 3805/7.30)
Sec. 7.30. Foreclosure Prevention Program.
(a) The Authority shall establish and administer a
Foreclosure Prevention Program. The Authority shall use moneys
in the Foreclosure Prevention Program Fund, and any other funds
appropriated for this purpose, to make grants to (i) approved
counseling agencies for approved housing counseling and (ii)
approved community-based organizations for approved
foreclosure prevention outreach programs. The Authority shall
promulgate rules to implement this Program and may adopt
emergency rules as soon as practicable to begin implementation
of the Program.
(b) Subject to appropriation and the annual receipt of

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funds, the Authority shall make grants from the Foreclosure
Prevention Program Fund derived from fees paid as specified in
subsection (a) of Section 15-1504.1 of the Code of Civil
Procedure as follows:
(1) 25% of the moneys in the Fund shall be used to make
grants to approved counseling agencies that provide
services in Illinois outside of the City of Chicago. Grants
shall be based upon the number of foreclosures filed in an
approved counseling agency's service area, the capacity of
the agency to provide foreclosure counseling services, and
any other factors that the Authority deems appropriate.
(2) 25% of the moneys in the Fund shall be distributed
to the City of Chicago to make grants to approved
counseling agencies located within the City of Chicago for
approved housing counseling or to support foreclosure
prevention counseling programs administered by the City of
Chicago.
(3) 25% of the moneys in the Fund shall be used to make
grants to approved community-based organizations located
outside of the City of Chicago for approved foreclosure
prevention outreach programs.
(4) 25% of the moneys in the Fund shall be used to make
grants to approved community-based organizations located
within the City of Chicago for approved foreclosure
prevention outreach programs, with priority given to
programs that provide door-to-door outreach.

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(b-1) Subject to appropriation and the annual receipt of
funds, the Authority shall make grants from the Foreclosure
Prevention Program Graduated Fund derived from fees paid as
specified in paragraph (1) of subsection (a-5) of Section
15-1504.1 of the Code of Civil Procedure, as follows:
(1) 30% shall be used to make grants for approved
housing counseling in Cook County outside of the City of
Chicago;
(2) 25% shall be used to make grants for approved
housing counseling in the City of Chicago;
(3) 30% shall be used to make grants for approved
housing counseling in DuPage, Kane, Lake, McHenry, and Will
Counties; and
(4) 15% shall be used to make grants for approved
housing counseling in Illinois in counties other than Cook,
DuPage, Kane, Lake, McHenry, and Will Counties provided
that grants to provide approved housing counseling to
borrowers residing within these counties shall be based, to
the extent practicable, (i) proportionately on the amount
of fees paid to the respective clerks of the courts within
these counties and (ii) on any other factors that the
Authority deems appropriate.
The percentages set forth in this subsection (b-1) shall be
calculated after deduction of reimbursable administrative
expenses incurred by the Authority, but shall not be greater
than 4% of the annual appropriated amount.

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(b-5) As used in this Section:
"Approved community-based organization" means a
not-for-profit entity that provides educational and financial
information to residents of a community through in-person
contact. "Approved community-based organization" does not
include a not-for-profit corporation or other entity or person
that provides legal representation or advice in a civil
proceeding or court-sponsored mediation services, or a
governmental agency.
"Approved foreclosure prevention outreach program" means a
program developed by an approved community-based organization
that includes in-person contact with residents to provide (i)
pre-purchase and post-purchase home ownership counseling, (ii)
education about the foreclosure process and the options of a
mortgagor in a foreclosure proceeding, and (iii) programs
developed by an approved community-based organization in
conjunction with a State or federally chartered financial
institution.
"Approved counseling agency" means a housing counseling
agency approved by the U.S. Department of Housing and Urban
Development.
"Approved housing counseling" means in-person counseling
provided by a counselor employed by an approved counseling
agency to all borrowers, or documented telephone counseling
where a hardship would be imposed on one or more borrowers. A
hardship shall exist in instances in which the borrower is

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confined to his or her home due to a medical condition, as
verified in writing by a physician, advanced practice
registered nurse, or physician assistant, or the borrower
resides 50 miles or more from the nearest approved counseling
agency. In instances of telephone counseling, the borrower must
supply all necessary documents to the counselor at least 72
hours prior to the scheduled telephone counseling session.
(c) (Blank).
(c-5) Where the jurisdiction of an approved counseling
agency is included within more than one of the geographic areas
set forth in this Section, the Authority may elect to fully
fund the applicant from one of the relevant geographic areas.
(Source: P.A. 98-20, eff. 6-11-13; 99-581, eff. 1-1-17.)
Section 70. The Property Tax Code is amended by changing
Sections 15-168 and 15-172 as follows:
(35 ILCS 200/15-168)
Sec. 15-168. Homestead exemption for persons with
disabilities.
(a) Beginning with taxable year 2007, an annual homestead
exemption is granted to persons with disabilities in the amount
of $2,000, except as provided in subsection (c), to be deducted
from the property's value as equalized or assessed by the
Department of Revenue. The person with a disability shall
receive the homestead exemption upon meeting the following

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requirements:
(1) The property must be occupied as the primary
residence by the person with a disability.
(2) The person with a disability must be liable for
paying the real estate taxes on the property.
(3) The person with a disability must be an owner of
record of the property or have a legal or equitable
interest in the property as evidenced by a written
instrument. In the case of a leasehold interest in
property, the lease must be for a single family residence.
A person who has a disability during the taxable year is
eligible to apply for this homestead exemption during that
taxable year. Application must be made during the application
period in effect for the county of residence. If a homestead
exemption has been granted under this Section and the person
awarded the exemption subsequently becomes a resident of a
facility licensed under the Nursing Home Care Act, the
Specialized Mental Health Rehabilitation Act of 2013, the ID/DD
Community Care Act, or the MC/DD Act, then the exemption shall
continue (i) so long as the residence continues to be occupied
by the qualifying person's spouse or (ii) if the residence
remains unoccupied but is still owned by the person qualified
for the homestead exemption.
(b) For the purposes of this Section, "person with a
disability" means a person unable to engage in any substantial
gainful activity by reason of a medically determinable physical

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or mental impairment which can be expected to result in death
or has lasted or can be expected to last for a continuous
period of not less than 12 months. Persons with disabilities
filing claims under this Act shall submit proof of disability
in such form and manner as the Department shall by rule and
regulation prescribe. Proof that a claimant is eligible to
receive disability benefits under the Federal Social Security
Act shall constitute proof of disability for purposes of this
Act. Issuance of an Illinois Person with a Disability
Identification Card stating that the claimant is under a Class
2 disability, as defined in Section 4A of the Illinois
Identification Card Act, shall constitute proof that the person
named thereon is a person with a disability for purposes of
this Act. A person with a disability not covered under the
Federal Social Security Act and not presenting an Illinois
Person with a Disability Identification Card stating that the
claimant is under a Class 2 disability shall be examined by a
physician, advanced practice registered nurse, or physician
assistant designated by the Department, and his status as a
person with a disability determined using the same standards as
used by the Social Security Administration. The costs of any
required examination shall be borne by the claimant.
(c) For land improved with (i) an apartment building owned
and operated as a cooperative or (ii) a life care facility as
defined under Section 2 of the Life Care Facilities Act that is
considered to be a cooperative, the maximum reduction from the

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value of the property, as equalized or assessed by the
Department, shall be multiplied by the number of apartments or
units occupied by a person with a disability. The person with a
disability shall receive the homestead exemption upon meeting
the following requirements:
(1) The property must be occupied as the primary
residence by the person with a disability.
(2) The person with a disability must be liable by
contract with the owner or owners of record for paying the
apportioned property taxes on the property of the
cooperative or life care facility. In the case of a life
care facility, the person with a disability must be liable
for paying the apportioned property taxes under a life care
contract as defined in Section 2 of the Life Care
Facilities Act.
(3) The person with a disability must be an owner of
record of a legal or equitable interest in the cooperative
apartment building. A leasehold interest does not meet this
requirement.
If a homestead exemption is granted under this subsection, the
cooperative association or management firm shall credit the
savings resulting from the exemption to the apportioned tax
liability of the qualifying person with a disability. The chief
county assessment officer may request reasonable proof that the
association or firm has properly credited the exemption. A
person who willfully refuses to credit an exemption to the

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qualified person with a disability is guilty of a Class B
misdemeanor.
(d) The chief county assessment officer shall determine the
eligibility of property to receive the homestead exemption
according to guidelines established by the Department. After a
person has received an exemption under this Section, an annual
verification of eligibility for the exemption shall be mailed
to the taxpayer.
In counties with fewer than 3,000,000 inhabitants, the
chief county assessment officer shall provide to each person
granted a homestead exemption under this Section a form to
designate any other person to receive a duplicate of any notice
of delinquency in the payment of taxes assessed and levied
under this Code on the person's qualifying property. The
duplicate notice shall be in addition to the notice required to
be provided to the person receiving the exemption and shall be
given in the manner required by this Code. The person filing
the request for the duplicate notice shall pay an
administrative fee of $5 to the chief county assessment
officer. The assessment officer shall then file the executed
designation with the county collector, who shall issue the
duplicate notices as indicated by the designation. A
designation may be rescinded by the person with a disability in
the manner required by the chief county assessment officer.
(e) A taxpayer who claims an exemption under Section 15-165
or 15-169 may not claim an exemption under this Section.

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(Source: P.A. 98-104, eff. 7-22-13; 99-143, eff. 7-27-15;
99-180, eff. 7-29-15; 99-581, eff. 1-1-17; 99-642, eff.
7-28-16.)
(35 ILCS 200/15-172)
Sec. 15-172. Senior Citizens Assessment Freeze Homestead
Exemption.
(a) This Section may be cited as the Senior Citizens
Assessment Freeze Homestead Exemption.
(b) As used in this Section:
"Applicant" means an individual who has filed an
application under this Section.
"Base amount" means the base year equalized assessed value
of the residence plus the first year's equalized assessed value
of any added improvements which increased the assessed value of
the residence after the base year.
"Base year" means the taxable year prior to the taxable
year for which the applicant first qualifies and applies for
the exemption provided that in the prior taxable year the
property was improved with a permanent structure that was
occupied as a residence by the applicant who was liable for
paying real property taxes on the property and who was either
(i) an owner of record of the property or had legal or
equitable interest in the property as evidenced by a written
instrument or (ii) had a legal or equitable interest as a
lessee in the parcel of property that was single family

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residence. If in any subsequent taxable year for which the
applicant applies and qualifies for the exemption the equalized
assessed value of the residence is less than the equalized
assessed value in the existing base year (provided that such
equalized assessed value is not based on an assessed value that
results from a temporary irregularity in the property that
reduces the assessed value for one or more taxable years), then
that subsequent taxable year shall become the base year until a
new base year is established under the terms of this paragraph.
For taxable year 1999 only, the Chief County Assessment Officer
shall review (i) all taxable years for which the applicant
applied and qualified for the exemption and (ii) the existing
base year. The assessment officer shall select as the new base
year the year with the lowest equalized assessed value. An
equalized assessed value that is based on an assessed value
that results from a temporary irregularity in the property that
reduces the assessed value for one or more taxable years shall
not be considered the lowest equalized assessed value. The
selected year shall be the base year for taxable year 1999 and
thereafter until a new base year is established under the terms
of this paragraph.
"Chief County Assessment Officer" means the County
Assessor or Supervisor of Assessments of the county in which
the property is located.
"Equalized assessed value" means the assessed value as
equalized by the Illinois Department of Revenue.

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"Household" means the applicant, the spouse of the
applicant, and all persons using the residence of the applicant
as their principal place of residence.
"Household income" means the combined income of the members
of a household for the calendar year preceding the taxable
year.
"Income" has the same meaning as provided in Section 3.07
of the Senior Citizens and Persons with Disabilities Property
Tax Relief Act, except that, beginning in assessment year 2001,
"income" does not include veteran's benefits.
"Internal Revenue Code of 1986" means the United States
Internal Revenue Code of 1986 or any successor law or laws
relating to federal income taxes in effect for the year
preceding the taxable year.
"Life care facility that qualifies as a cooperative" means
a facility as defined in Section 2 of the Life Care Facilities
Act.
"Maximum income limitation" means:
(1) $35,000 prior to taxable year 1999;
(2) $40,000 in taxable years 1999 through 2003;
(3) $45,000 in taxable years 2004 through 2005;
(4) $50,000 in taxable years 2006 and 2007; and
(5) $55,000 in taxable year 2008 and thereafter.
"Residence" means the principal dwelling place and
appurtenant structures used for residential purposes in this
State occupied on January 1 of the taxable year by a household

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and so much of the surrounding land, constituting the parcel
upon which the dwelling place is situated, as is used for
residential purposes. If the Chief County Assessment Officer
has established a specific legal description for a portion of
property constituting the residence, then that portion of
property shall be deemed the residence for the purposes of this
Section.
"Taxable year" means the calendar year during which ad
valorem property taxes payable in the next succeeding year are
levied.
(c) Beginning in taxable year 1994, a senior citizens
assessment freeze homestead exemption is granted for real
property that is improved with a permanent structure that is
occupied as a residence by an applicant who (i) is 65 years of
age or older during the taxable year, (ii) has a household
income that does not exceed the maximum income limitation,
(iii) is liable for paying real property taxes on the property,
and (iv) is an owner of record of the property or has a legal or
equitable interest in the property as evidenced by a written
instrument. This homestead exemption shall also apply to a
leasehold interest in a parcel of property improved with a
permanent structure that is a single family residence that is
occupied as a residence by a person who (i) is 65 years of age
or older during the taxable year, (ii) has a household income
that does not exceed the maximum income limitation, (iii) has a
legal or equitable ownership interest in the property as

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lessee, and (iv) is liable for the payment of real property
taxes on that property.
In counties of 3,000,000 or more inhabitants, the amount of
the exemption for all taxable years is the equalized assessed
value of the residence in the taxable year for which
application is made minus the base amount. In all other
counties, the amount of the exemption is as follows: (i)
through taxable year 2005 and for taxable year 2007 and
thereafter, the amount of this exemption shall be the equalized
assessed value of the residence in the taxable year for which
application is made minus the base amount; and (ii) for taxable
year 2006, the amount of the exemption is as follows:
(1) For an applicant who has a household income of
$45,000 or less, the amount of the exemption is the
equalized assessed value of the residence in the taxable
year for which application is made minus the base amount.
(2) For an applicant who has a household income
exceeding $45,000 but not exceeding $46,250, the amount of
the exemption is (i) the equalized assessed value of the
residence in the taxable year for which application is made
minus the base amount (ii) multiplied by 0.8.
(3) For an applicant who has a household income
exceeding $46,250 but not exceeding $47,500, the amount of
the exemption is (i) the equalized assessed value of the
residence in the taxable year for which application is made
minus the base amount (ii) multiplied by 0.6.

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(4) For an applicant who has a household income
exceeding $47,500 but not exceeding $48,750, the amount of
the exemption is (i) the equalized assessed value of the
residence in the taxable year for which application is made
minus the base amount (ii) multiplied by 0.4.
(5) For an applicant who has a household income
exceeding $48,750 but not exceeding $50,000, the amount of
the exemption is (i) the equalized assessed value of the
residence in the taxable year for which application is made
minus the base amount (ii) multiplied by 0.2.
When the applicant is a surviving spouse of an applicant
for a prior year for the same residence for which an exemption
under this Section has been granted, the base year and base
amount for that residence are the same as for the applicant for
the prior year.
Each year at the time the assessment books are certified to
the County Clerk, the Board of Review or Board of Appeals shall
give to the County Clerk a list of the assessed values of
improvements on each parcel qualifying for this exemption that
were added after the base year for this parcel and that
increased the assessed value of the property.
In the case of land improved with an apartment building
owned and operated as a cooperative or a building that is a
life care facility that qualifies as a cooperative, the maximum
reduction from the equalized assessed value of the property is
limited to the sum of the reductions calculated for each unit

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occupied as a residence by a person or persons (i) 65 years of
age or older, (ii) with a household income that does not exceed
the maximum income limitation, (iii) who is liable, by contract
with the owner or owners of record, for paying real property
taxes on the property, and (iv) who is an owner of record of a
legal or equitable interest in the cooperative apartment
building, other than a leasehold interest. In the instance of a
cooperative where a homestead exemption has been granted under
this Section, the cooperative association or its management
firm shall credit the savings resulting from that exemption
only to the apportioned tax liability of the owner who
qualified for the exemption. Any person who willfully refuses
to credit that savings to an owner who qualifies for the
exemption is guilty of a Class B misdemeanor.
When a homestead exemption has been granted under this
Section and an applicant then becomes a resident of a facility
licensed under the Assisted Living and Shared Housing Act, the
Nursing Home Care Act, the Specialized Mental Health
Rehabilitation Act of 2013, the ID/DD Community Care Act, or
the MC/DD Act, the exemption shall be granted in subsequent
years so long as the residence (i) continues to be occupied by
the qualified applicant's spouse or (ii) if remaining
unoccupied, is still owned by the qualified applicant for the
homestead exemption.
Beginning January 1, 1997, when an individual dies who
would have qualified for an exemption under this Section, and

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the surviving spouse does not independently qualify for this
exemption because of age, the exemption under this Section
shall be granted to the surviving spouse for the taxable year
preceding and the taxable year of the death, provided that,
except for age, the surviving spouse meets all other
qualifications for the granting of this exemption for those
years.
When married persons maintain separate residences, the
exemption provided for in this Section may be claimed by only
one of such persons and for only one residence.
For taxable year 1994 only, in counties having less than
3,000,000 inhabitants, to receive the exemption, a person shall
submit an application by February 15, 1995 to the Chief County
Assessment Officer of the county in which the property is
located. In counties having 3,000,000 or more inhabitants, for
taxable year 1994 and all subsequent taxable years, to receive
the exemption, a person may submit an application to the Chief
County Assessment Officer of the county in which the property
is located during such period as may be specified by the Chief
County Assessment Officer. The Chief County Assessment Officer
in counties of 3,000,000 or more inhabitants shall annually
give notice of the application period by mail or by
publication. In counties having less than 3,000,000
inhabitants, beginning with taxable year 1995 and thereafter,
to receive the exemption, a person shall submit an application
by July 1 of each taxable year to the Chief County Assessment

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Officer of the county in which the property is located. A
county may, by ordinance, establish a date for submission of
applications that is different than July 1. The applicant shall
submit with the application an affidavit of the applicant's
total household income, age, marital status (and if married the
name and address of the applicant's spouse, if known), and
principal dwelling place of members of the household on January
1 of the taxable year. The Department shall establish, by rule,
a method for verifying the accuracy of affidavits filed by
applicants under this Section, and the Chief County Assessment
Officer may conduct audits of any taxpayer claiming an
exemption under this Section to verify that the taxpayer is
eligible to receive the exemption. Each application shall
contain or be verified by a written declaration that it is made
under the penalties of perjury. A taxpayer's signing a
fraudulent application under this Act is perjury, as defined in
Section 32-2 of the Criminal Code of 2012. The applications
shall be clearly marked as applications for the Senior Citizens
Assessment Freeze Homestead Exemption and must contain a notice
that any taxpayer who receives the exemption is subject to an
audit by the Chief County Assessment Officer.
Notwithstanding any other provision to the contrary, in
counties having fewer than 3,000,000 inhabitants, if an
applicant fails to file the application required by this
Section in a timely manner and this failure to file is due to a
mental or physical condition sufficiently severe so as to

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render the applicant incapable of filing the application in a
timely manner, the Chief County Assessment Officer may extend
the filing deadline for a period of 30 days after the applicant
regains the capability to file the application, but in no case
may the filing deadline be extended beyond 3 months of the
original filing deadline. In order to receive the extension
provided in this paragraph, the applicant shall provide the
Chief County Assessment Officer with a signed statement from
the applicant's physician, advanced practice registered nurse,
or physician assistant stating the nature and extent of the
condition, that, in the physician's, advanced practice
registered nurse's, or physician assistant's opinion, the
condition was so severe that it rendered the applicant
incapable of filing the application in a timely manner, and the
date on which the applicant regained the capability to file the
application.
Beginning January 1, 1998, notwithstanding any other
provision to the contrary, in counties having fewer than
3,000,000 inhabitants, if an applicant fails to file the
application required by this Section in a timely manner and
this failure to file is due to a mental or physical condition
sufficiently severe so as to render the applicant incapable of
filing the application in a timely manner, the Chief County
Assessment Officer may extend the filing deadline for a period
of 3 months. In order to receive the extension provided in this
paragraph, the applicant shall provide the Chief County

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Assessment Officer with a signed statement from the applicant's
physician, advanced practice registered nurse, or physician
assistant stating the nature and extent of the condition, and
that, in the physician's, advanced practice registered
nurse's, or physician assistant's opinion, the condition was so
severe that it rendered the applicant incapable of filing the
application in a timely manner.
In counties having less than 3,000,000 inhabitants, if an
applicant was denied an exemption in taxable year 1994 and the
denial occurred due to an error on the part of an assessment
official, or his or her agent or employee, then beginning in
taxable year 1997 the applicant's base year, for purposes of
determining the amount of the exemption, shall be 1993 rather
than 1994. In addition, in taxable year 1997, the applicant's
exemption shall also include an amount equal to (i) the amount
of any exemption denied to the applicant in taxable year 1995
as a result of using 1994, rather than 1993, as the base year,
(ii) the amount of any exemption denied to the applicant in
taxable year 1996 as a result of using 1994, rather than 1993,
as the base year, and (iii) the amount of the exemption
erroneously denied for taxable year 1994.
For purposes of this Section, a person who will be 65 years
of age during the current taxable year shall be eligible to
apply for the homestead exemption during that taxable year.
Application shall be made during the application period in
effect for the county of his or her residence.

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The Chief County Assessment Officer may determine the
eligibility of a life care facility that qualifies as a
cooperative to receive the benefits provided by this Section by
use of an affidavit, application, visual inspection,
questionnaire, or other reasonable method in order to insure
that the tax savings resulting from the exemption are credited
by the management firm to the apportioned tax liability of each
qualifying resident. The Chief County Assessment Officer may
request reasonable proof that the management firm has so
credited that exemption.
Except as provided in this Section, all information
received by the chief county assessment officer or the
Department from applications filed under this Section, or from
any investigation conducted under the provisions of this
Section, shall be confidential, except for official purposes or
pursuant to official procedures for collection of any State or
local tax or enforcement of any civil or criminal penalty or
sanction imposed by this Act or by any statute or ordinance
imposing a State or local tax. Any person who divulges any such
information in any manner, except in accordance with a proper
judicial order, is guilty of a Class A misdemeanor.
Nothing contained in this Section shall prevent the
Director or chief county assessment officer from publishing or
making available reasonable statistics concerning the
operation of the exemption contained in this Section in which
the contents of claims are grouped into aggregates in such a

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way that information contained in any individual claim shall
not be disclosed.
(d) Each Chief County Assessment Officer shall annually
publish a notice of availability of the exemption provided
under this Section. The notice shall be published at least 60
days but no more than 75 days prior to the date on which the
application must be submitted to the Chief County Assessment
Officer of the county in which the property is located. The
notice shall appear in a newspaper of general circulation in
the county.
Notwithstanding Sections 6 and 8 of the State Mandates Act,
no reimbursement by the State is required for the
implementation of any mandate created by this Section.
(Source: P.A. 98-104, eff. 7-22-13; 99-143, eff. 7-27-15;
99-180, eff. 7-29-15; 99-581, eff. 1-1-17; 99-642, eff.
7-28-16.)
Section 75. The Counties Code is amended by changing
Sections 3-14049, 3-15003.6, and 5-1069 as follows:
(55 ILCS 5/3-14049) (from Ch. 34, par. 3-14049)
Sec. 3-14049. Appointment of physicians and nurses for the
poor and mentally ill persons. The appointment, employment and
removal by the Board of Commissioners of Cook County of all
physicians and surgeons, advanced practice registered nurses,
physician assistants, and nurses for the care and treatment of

10000HB0313ham002 - 107 - LRB100 04130 SMS 22956 a
the sick, poor, mentally ill or persons in need of mental
treatment of said county shall be made only in conformity with
rules prescribed by the County Civil Service Commission to
accomplish the purposes of this Section.
The Board of Commissioners of Cook County may provide that
all such physicians and surgeons who serve without compensation
shall be appointed for a term to be fixed by the Board, and
that the physicians and surgeons usually designated and known
as interns shall be appointed for a term to be fixed by the
Board: Provided, that there may also, at the discretion of the
board, be a consulting staff of physicians and surgeons, which
staff may be appointed by the president, subject to the
approval of the board, and provided further, that the Board may
contract with any recognized training school or any program for
health professionals for health care services of any or all of
such sick or mentally ill or persons in need of mental
treatment.
(Source: P.A. 99-581, eff. 1-1-17.)
(55 ILCS 5/3-15003.6)
Sec. 3-15003.6. Pregnant female prisoners.
(a) Definitions. For the purpose of this Section:
(1) "Restraints" means any physical restraint or
mechanical device used to control the movement of a
prisoner's body or limbs, or both, including, but not
limited to, flex cuffs, soft restraints, hard metal

10000HB0313ham002 - 108 - LRB100 04130 SMS 22956 a
handcuffs, a black box, Chubb cuffs, leg irons, belly
chains, a security (tether) chain, or a convex shield, or
shackles of any kind.
(2) "Labor" means the period of time before a birth and
shall include any medical condition in which a woman is
sent or brought to the hospital for the purpose of
delivering her baby. These situations include: induction
of labor, prodromal labor, pre-term labor, prelabor
rupture of membranes, the 3 stages of active labor, uterine
hemorrhage during the third trimester of pregnancy, and
caesarian delivery including pre-operative preparation.
(3) "Post-partum" means, as determined by her
physician, advanced practice registered nurse, or
physician assistant, the period immediately following
delivery, including the entire period a woman is in the
hospital or infirmary after birth.
(4) "Correctional institution" means any entity under
the authority of a county law enforcement division of a
county of more than 3,000,000 inhabitants that has the
power to detain or restrain, or both, a person under the
laws of the State.
(5) "Corrections official" means the official that is
responsible for oversight of a correctional institution,
or his or her designee.
(6) "Prisoner" means any person incarcerated or
detained in any facility who is accused of, convicted of,

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sentenced for, or adjudicated delinquent for, violations
of criminal law or the terms and conditions of parole,
probation, pretrial release, or diversionary program, and
any person detained under the immigration laws of the
United States at any correctional facility.
(7) "Extraordinary circumstance" means an
extraordinary medical or security circumstance, including
a substantial flight risk, that dictates restraints be used
to ensure the safety and security of the prisoner, the
staff of the correctional institution or medical facility,
other prisoners, or the public.
(b) A county department of corrections shall not apply
security restraints to a prisoner that has been determined by a
qualified medical professional to be pregnant and is known by
the county department of corrections to be pregnant or in
postpartum recovery, which is the entire period a woman is in
the medical facility after birth, unless the corrections
official makes an individualized determination that the
prisoner presents a substantial flight risk or some other
extraordinary circumstance that dictates security restraints
be used to ensure the safety and security of the prisoner, her
child or unborn child, the staff of the county department of
corrections or medical facility, other prisoners, or the
public. The protections set out in clauses (b)(3) and (b)(4) of
this Section shall apply to security restraints used pursuant
to this subsection. The corrections official shall immediately

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remove all restraints upon the written or oral request of
medical personnel. Oral requests made by medical personnel
shall be verified in writing as promptly as reasonably
possible.
(1) Qualified authorized health staff shall have the
authority to order therapeutic restraints for a pregnant or
postpartum prisoner who is a danger to herself, her child,
unborn child, or other persons due to a psychiatric or
medical disorder. Therapeutic restraints may only be
initiated, monitored and discontinued by qualified and
authorized health staff and used to safely limit a
prisoner's mobility for psychiatric or medical reasons. No
order for therapeutic restraints shall be written unless
medical or mental health personnel, after personally
observing and examining the prisoner, are clinically
satisfied that the use of therapeutic restraints is
justified and permitted in accordance with hospital
policies and applicable State law. Metal handcuffs or
shackles are not considered therapeutic restraints.
(2) Whenever therapeutic restraints are used by
medical personnel, Section 2-108 of the Mental Health and
Developmental Disabilities Code shall apply.
(3) Leg irons, shackles or waist shackles shall not be
used on any pregnant or postpartum prisoner regardless of
security classification. Except for therapeutic restraints
under clause (b)(2), no restraints of any kind may be

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applied to prisoners during labor.
(4) When a pregnant or postpartum prisoner must be
restrained, restraints used shall be the least restrictive
restraints possible to ensure the safety and security of
the prisoner, her child, unborn child, the staff of the
county department of corrections or medical facility,
other prisoners, or the public, and in no case shall
include leg irons, shackles or waist shackles.
(5) Upon the pregnant prisoner's entry into a hospital
room, and completion of initial room inspection, a
corrections official shall be posted immediately outside
the hospital room, unless requested to be in the room by
medical personnel attending to the prisoner's medical
needs.
(6) The county department of corrections shall provide
adequate corrections personnel to monitor the pregnant
prisoner during her transport to and from the hospital and
during her stay at the hospital.
(7) Where the county department of corrections
requires prisoner safety assessments, a corrections
official may enter the hospital room to conduct periodic
prisoner safety assessments, except during a medical
examination or the delivery process.
(8) Upon discharge from a medical facility, postpartum
prisoners shall be restrained only with handcuffs in front
of the body during transport to the county department of

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corrections. A corrections official shall immediately
remove all security restraints upon written or oral request
by medical personnel. Oral requests made by medical
personnel shall be verified in writing as promptly as
reasonably possible.
(c) Enforcement. No later than 30 days before the end of
each fiscal year, the county sheriff or corrections official of
the correctional institution where a pregnant prisoner has been
restrained during that previous fiscal year, shall submit a
written report to the Illinois General Assembly and the Office
of the Governor that includes an account of every instance of
prisoner restraint pursuant to this Section. The written report
shall state the date, time, location and rationale for each
instance in which restraints are used. The written report shall
not contain any individually identifying information of any
prisoner. Such reports shall be made available for public
inspection.
(Source: P.A. 99-581, eff. 1-1-17.)
(55 ILCS 5/5-1069) (from Ch. 34, par. 5-1069)
Sec. 5-1069. Group life, health, accident, hospital, and
medical insurance.
(a) The county board of any county may arrange to provide,
for the benefit of employees of the county, group life, health,
accident, hospital, and medical insurance, or any one or any
combination of those types of insurance, or the county board

10000HB0313ham002 - 113 - LRB100 04130 SMS 22956 a
may self-insure, for the benefit of its employees, all or a
portion of the employees' group life, health, accident,
hospital, and medical insurance, or any one or any combination
of those types of insurance, including a combination of
self-insurance and other types of insurance authorized by this
Section, provided that the county board complies with all other
requirements of this Section. The insurance may include
provision for employees who rely on treatment by prayer or
spiritual means alone for healing in accordance with the tenets
and practice of a well recognized religious denomination. The
county board may provide for payment by the county of a portion
or all of the premium or charge for the insurance with the
employee paying the balance of the premium or charge, if any.
If the county board undertakes a plan under which the county
pays only a portion of the premium or charge, the county board
shall provide for withholding and deducting from the
compensation of those employees who consent to join the plan
the balance of the premium or charge for the insurance.
(b) If the county board does not provide for self-insurance
or for a plan under which the county pays a portion or all of
the premium or charge for a group insurance plan, the county
board may provide for withholding and deducting from the
compensation of those employees who consent thereto the total
premium or charge for any group life, health, accident,
hospital, and medical insurance.
(c) The county board may exercise the powers granted in

10000HB0313ham002 - 114 - LRB100 04130 SMS 22956 a
this Section only if it provides for self-insurance or, where
it makes arrangements to provide group insurance through an
insurance carrier, if the kinds of group insurance are obtained
from an insurance company authorized to do business in the
State of Illinois. The county board may enact an ordinance
prescribing the method of operation of the insurance program.
(d) If a county, including a home rule county, is a
self-insurer for purposes of providing health insurance
coverage for its employees, the insurance coverage shall
include screening by low-dose mammography for all women 35
years of age or older for the presence of occult breast cancer
unless the county elects to provide mammograms itself under
Section 5-1069.1. The coverage shall be as follows:
(1) A baseline mammogram for women 35 to 39 years of
age.
(2) An annual mammogram for women 40 years of age or
older.
(3) A mammogram at the age and intervals considered
medically necessary by the woman's health care provider for
women under 40 years of age and having a family history of
breast cancer, prior personal history of breast cancer,
positive genetic testing, or other risk factors.
(4) A comprehensive ultrasound screening of an entire
breast or breasts if a mammogram demonstrates
heterogeneous or dense breast tissue, when medically
necessary as determined by a physician licensed to practice

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medicine in all of its branches, advanced practice
registered nurse, or physician assistant.
For purposes of this subsection, "low-dose mammography"
means the x-ray examination of the breast using equipment
dedicated specifically for mammography, including the x-ray
tube, filter, compression device, and image receptor, with an
average radiation exposure delivery of less than one rad per
breast for 2 views of an average size breast. The term also
includes digital mammography.
(d-5) Coverage as described by subsection (d) shall be
provided at no cost to the insured and shall not be applied to
an annual or lifetime maximum benefit.
(d-10) When health care services are available through
contracted providers and a person does not comply with plan
provisions specific to the use of contracted providers, the
requirements of subsection (d-5) are not applicable. When a
person does not comply with plan provisions specific to the use
of contracted providers, plan provisions specific to the use of
non-contracted providers must be applied without distinction
for coverage required by this Section and shall be at least as
favorable as for other radiological examinations covered by the
policy or contract.
(d-15) If a county, including a home rule county, is a
self-insurer for purposes of providing health insurance
coverage for its employees, the insurance coverage shall
include mastectomy coverage, which includes coverage for

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prosthetic devices or reconstructive surgery incident to the
mastectomy. Coverage for breast reconstruction in connection
with a mastectomy shall include:
(1) reconstruction of the breast upon which the
mastectomy has been performed;
(2) surgery and reconstruction of the other breast to
produce a symmetrical appearance; and
(3) prostheses and treatment for physical
complications at all stages of mastectomy, including
lymphedemas.
Care shall be determined in consultation with the attending
physician and the patient. The offered coverage for prosthetic
devices and reconstructive surgery shall be subject to the
deductible and coinsurance conditions applied to the
mastectomy, and all other terms and conditions applicable to
other benefits. When a mastectomy is performed and there is no
evidence of malignancy then the offered coverage may be limited
to the provision of prosthetic devices and reconstructive
surgery to within 2 years after the date of the mastectomy. As
used in this Section, "mastectomy" means the removal of all or
part of the breast for medically necessary reasons, as
determined by a licensed physician.
A county, including a home rule county, that is a
self-insurer for purposes of providing health insurance
coverage for its employees, may not penalize or reduce or limit
the reimbursement of an attending provider or provide

10000HB0313ham002 - 117 - LRB100 04130 SMS 22956 a
incentives (monetary or otherwise) to an attending provider to
induce the provider to provide care to an insured in a manner
inconsistent with this Section.
(d-20) The requirement that mammograms be included in
health insurance coverage as provided in subsections (d)
through (d-15) is an exclusive power and function of the State
and is a denial and limitation under Article VII, Section 6,
subsection (h) of the Illinois Constitution of home rule county
powers. A home rule county to which subsections (d) through
(d-15) apply must comply with every provision of those
subsections.
(e) The term "employees" as used in this Section includes
elected or appointed officials but does not include temporary
employees.
(f) The county board may, by ordinance, arrange to provide
group life, health, accident, hospital, and medical insurance,
or any one or a combination of those types of insurance, under
this Section to retired former employees and retired former
elected or appointed officials of the county.
(g) Rulemaking authority to implement this amendatory Act
of the 95th General Assembly, if any, is conditioned on the
rules being adopted in accordance with all provisions of the
Illinois Administrative Procedure Act and all rules and
procedures of the Joint Committee on Administrative Rules; any
purported rule not so adopted, for whatever reason, is
unauthorized.

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(Source: P.A. 99-581, eff. 1-1-17.)
Section 80. The Illinois Municipal Code is amended by
changing Sections 10-1-38.1 and 10-2.1-18 as follows:
(65 ILCS 5/10-1-38.1) (from Ch. 24, par. 10-1-38.1)
Sec. 10-1-38.1. When the force of the Fire Department or of
the Police Department is reduced, and positions displaced or
abolished, seniority shall prevail, and the officers and
members so reduced in rank, or removed from the service of the
Fire Department or of the Police Department shall be considered
furloughed without pay from the positions from which they were
reduced or removed.
Such reductions and removals shall be in strict compliance
with seniority and in no event shall any officer or member be
reduced more than one rank in a reduction of force. Officers
and members with the least seniority in the position to be
reduced shall be reduced to the next lower rated position. For
purposes of determining which officers and members will be
reduced in rank, seniority shall be determined by adding the
time spent at the rank or position from which the officer or
member is to be reduced and the time spent at any higher rank
or position in the Department. For purposes of determining
which officers or members in the lowest rank or position shall
be removed from the Department in the event of a layoff, length
of service in the Department shall be the basis for determining

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seniority, with the least senior such officer or member being
the first so removed and laid off. Such officers or members
laid off shall have their names placed on an appropriate
reemployment list in the reverse order of dates of layoff.
If any positions which have been vacated because of
reduction in forces or displacement and abolition of positions,
are reinstated, such members and officers of the Fire
Department or of the Police Department as are furloughed from
the said positions shall be notified by registered mail of such
reinstatement of positions and shall have prior right to such
positions if otherwise qualified, and in all cases seniority
shall prevail. Written application for such reinstated
position must be made by the furloughed person within 30 days
after notification as above provided and such person may be
required to submit to examination by physicians, advanced
practice registered nurses, or physician assistants of both the
commission and the appropriate pension board to determine his
physical fitness.
(Source: P.A. 99-581, eff. 1-1-17.)
(65 ILCS 5/10-2.1-18) (from Ch. 24, par. 10-2.1-18)
Sec. 10-2.1-18. Fire or police departments - Reduction of
force - Reinstatement. When the force of the fire department or
of the police department is reduced, and positions displaced or
abolished, seniority shall prevail and the officers and members
so reduced in rank, or removed from the service of the fire

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department or of the police department shall be considered
furloughed without pay from the positions from which they were
reduced or removed.
Such reductions and removals shall be in strict compliance
with seniority and in no event shall any officer or member be
reduced more than one rank in a reduction of force. Officers
and members with the least seniority in the position to be
reduced shall be reduced to the next lower rated position. For
purposes of determining which officers and members will be
reduced in rank, seniority shall be determined by adding the
time spent at the rank or position from which the officer or
member is to be reduced and the time spent at any higher rank
or position in the Department. For purposes of determining
which officers or members in the lowest rank or position shall
be removed from the Department in the event of a layoff, length
of service in the Department shall be the basis for determining
seniority, with the least senior such officer or member being
the first so removed and laid off. Such officers or members
laid off shall have their names placed on an appropriate
reemployment list in the reverse order of dates of layoff.
If any positions which have been vacated because of
reduction in forces or displacement and abolition of positions,
are reinstated, such members and officers of the fire
department or of the police department as are furloughed from
the said positions shall be notified by the board by registered
mail of such reinstatement of positions and shall have prior

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right to such positions if otherwise qualified, and in all
cases seniority shall prevail. Written application for such
reinstated position must be made by the furloughed person
within 30 days after notification as above provided and such
person may be required to submit to examination by physicians,
advanced practice registered nurses, or physician assistants
of both the board of fire and police commissioners and the
appropriate pension board to determine his physical fitness.
(Source: P.A. 99-581, eff. 1-1-17.)
Section 85. The School Code is amended by changing Sections
22-30, 22-80, 24-5, 24-6, 26-1, and 27-8.1 as follows:
(105 ILCS 5/22-30)
Sec. 22-30. Self-administration and self-carry of asthma
medication and epinephrine auto-injectors; administration of
undesignated epinephrine auto-injectors; administration of an
opioid antagonist; asthma episode emergency response protocol.
(a) For the purpose of this Section only, the following
terms shall have the meanings set forth below:
"Asthma action plan" means a written plan developed with a
pupil's medical provider to help control the pupil's asthma.
The goal of an asthma action plan is to reduce or prevent
flare-ups and emergency department visits through day-to-day
management and to serve as a student-specific document to be
referenced in the event of an asthma episode.

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"Asthma episode emergency response protocol" means a
procedure to provide assistance to a pupil experiencing
symptoms of wheezing, coughing, shortness of breath, chest
tightness, or breathing difficulty.
"Asthma inhaler" means a quick reliever asthma inhaler.
"Epinephrine auto-injector" means a single-use device used
for the automatic injection of a pre-measured dose of
epinephrine into the human body.
"Asthma medication" means a medicine, prescribed by (i) a
physician licensed to practice medicine in all its branches,
(ii) a licensed physician assistant with prescriptive
authority, or (iii) a licensed advanced practice registered
nurse with prescriptive authority for a pupil that pertains to
the pupil's asthma and that has an individual prescription
label.
"Opioid antagonist" means a drug that binds to opioid
receptors and blocks or inhibits the effect of opioids acting
on those receptors, including, but not limited to, naloxone
hydrochloride or any other similarly acting drug approved by
the U.S. Food and Drug Administration.
"School nurse" means a registered nurse working in a school
with or without licensure endorsed in school nursing.
"Self-administration" means a pupil's discretionary use of
his or her prescribed asthma medication or epinephrine
auto-injector.
"Self-carry" means a pupil's ability to carry his or her

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prescribed asthma medication or epinephrine auto-injector.
"Standing protocol" may be issued by (i) a physician
licensed to practice medicine in all its branches, (ii) a
licensed physician assistant with prescriptive authority, or
(iii) a licensed advanced practice registered nurse with
prescriptive authority.
"Trained personnel" means any school employee or volunteer
personnel authorized in Sections 10-22.34, 10-22.34a, and
10-22.34b of this Code who has completed training under
subsection (g) of this Section to recognize and respond to
anaphylaxis.
"Undesignated epinephrine auto-injector" means an
epinephrine auto-injector prescribed in the name of a school
district, public school, or nonpublic school.
(b) A school, whether public or nonpublic, must permit the
self-administration and self-carry of asthma medication by a
pupil with asthma or the self-administration and self-carry of
an epinephrine auto-injector by a pupil, provided that:
(1) the parents or guardians of the pupil provide to
the school (i) written authorization from the parents or
guardians for (A) the self-administration and self-carry
of asthma medication or (B) the self-carry of asthma
medication or (ii) for (A) the self-administration and
self-carry of an epinephrine auto-injector or (B) the
self-carry of an epinephrine auto-injector, written
authorization from the pupil's physician, physician

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assistant, or advanced practice registered nurse; and
(2) the parents or guardians of the pupil provide to
the school (i) the prescription label, which must contain
the name of the asthma medication, the prescribed dosage,
and the time at which or circumstances under which the
asthma medication is to be administered, or (ii) for the
self-administration or self-carry of an epinephrine
auto-injector, a written statement from the pupil's
physician, physician assistant, or advanced practice
registered nurse containing the following information:
(A) the name and purpose of the epinephrine
auto-injector;
(B) the prescribed dosage; and
(C) the time or times at which or the special
circumstances under which the epinephrine
auto-injector is to be administered.
The information provided shall be kept on file in the office of
the school nurse or, in the absence of a school nurse, the
school's administrator.
(b-5) A school district, public school, or nonpublic school
may authorize the provision of a student-specific or
undesignated epinephrine auto-injector to a student or any
personnel authorized under a student's Individual Health Care
Action Plan, Illinois Food Allergy Emergency Action Plan and
Treatment Authorization Form, or plan pursuant to Section 504
of the federal Rehabilitation Act of 1973 to administer an

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epinephrine auto-injector to the student, that meets the
student's prescription on file.
(b-10) The school district, public school, or nonpublic
school may authorize a school nurse or trained personnel to do
the following: (i) provide an undesignated epinephrine
auto-injector to a student for self-administration only or any
personnel authorized under a student's Individual Health Care
Action Plan, Illinois Food Allergy Emergency Action Plan and
Treatment Authorization Form, or plan pursuant to Section 504
of the federal Rehabilitation Act of 1973 to administer to the
student, that meets the student's prescription on file; (ii)
administer an undesignated epinephrine auto-injector that
meets the prescription on file to any student who has an
Individual Health Care Action Plan, Illinois Food Allergy
Emergency Action Plan and Treatment Authorization Form, or plan
pursuant to Section 504 of the federal Rehabilitation Act of
1973 that authorizes the use of an epinephrine auto-injector;
(iii) administer an undesignated epinephrine auto-injector to
any person that the school nurse or trained personnel in good
faith believes is having an anaphylactic reaction; and (iv)
administer an opioid antagonist to any person that the school
nurse or trained personnel in good faith believes is having an
opioid overdose.
(c) The school district, public school, or nonpublic school
must inform the parents or guardians of the pupil, in writing,
that the school district, public school, or nonpublic school

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and its employees and agents, including a physician, physician
assistant, or advanced practice registered nurse providing
standing protocol or prescription for school epinephrine
auto-injectors, are to incur no liability or professional
discipline, except for willful and wanton conduct, as a result
of any injury arising from the administration of asthma
medication, an epinephrine auto-injector, or an opioid
antagonist regardless of whether authorization was given by the
pupil's parents or guardians or by the pupil's physician,
physician assistant, or advanced practice registered nurse.
The parents or guardians of the pupil must sign a statement
acknowledging that the school district, public school, or
nonpublic school and its employees and agents are to incur no
liability, except for willful and wanton conduct, as a result
of any injury arising from the administration of asthma
medication, an epinephrine auto-injector, or an opioid
antagonist regardless of whether authorization was given by the
pupil's parents or guardians or by the pupil's physician,
physician assistant, or advanced practice registered nurse and
that the parents or guardians must indemnify and hold harmless
the school district, public school, or nonpublic school and its
employees and agents against any claims, except a claim based
on willful and wanton conduct, arising out of the
administration of asthma medication, an epinephrine
auto-injector, or an opioid antagonist regardless of whether
authorization was given by the pupil's parents or guardians or

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by the pupil's physician, physician assistant, or advanced
practice registered nurse.
(c-5) When a school nurse or trained personnel administers
an undesignated epinephrine auto-injector to a person whom the
school nurse or trained personnel in good faith believes is
having an anaphylactic reaction or administers an opioid
antagonist to a person whom the school nurse or trained
personnel in good faith believes is having an opioid overdose,
notwithstanding the lack of notice to the parents or guardians
of the pupil or the absence of the parents or guardians signed
statement acknowledging no liability, except for willful and
wanton conduct, the school district, public school, or
nonpublic school and its employees and agents, and a physician,
a physician assistant, or an advanced practice registered nurse
providing standing protocol or prescription for undesignated
epinephrine auto-injectors, are to incur no liability or
professional discipline, except for willful and wanton
conduct, as a result of any injury arising from the use of an
undesignated epinephrine auto-injector or the use of an opioid
antagonist regardless of whether authorization was given by the
pupil's parents or guardians or by the pupil's physician,
physician assistant, or advanced practice registered nurse.
(d) The permission for self-administration and self-carry
of asthma medication or the self-administration and self-carry
of an epinephrine auto-injector is effective for the school
year for which it is granted and shall be renewed each

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subsequent school year upon fulfillment of the requirements of
this Section.
(e) Provided that the requirements of this Section are
fulfilled, a pupil with asthma may self-administer and
self-carry his or her asthma medication or a pupil may
self-administer and self-carry an epinephrine auto-injector
(i) while in school, (ii) while at a school-sponsored activity,
(iii) while under the supervision of school personnel, or (iv)
before or after normal school activities, such as while in
before-school or after-school care on school-operated property
or while being transported on a school bus.
(e-5) Provided that the requirements of this Section are
fulfilled, a school nurse or trained personnel may administer
an undesignated epinephrine auto-injector to any person whom
the school nurse or trained personnel in good faith believes to
be having an anaphylactic reaction (i) while in school, (ii)
while at a school-sponsored activity, (iii) while under the
supervision of school personnel, or (iv) before or after normal
school activities, such as while in before-school or
after-school care on school-operated property or while being
transported on a school bus. A school nurse or trained
personnel may carry undesignated epinephrine auto-injectors on
his or her person while in school or at a school-sponsored
activity.
(e-10) Provided that the requirements of this Section are
fulfilled, a school nurse or trained personnel may administer

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an opioid antagonist to any person whom the school nurse or
trained personnel in good faith believes to be having an opioid
overdose (i) while in school, (ii) while at a school-sponsored
activity, (iii) while under the supervision of school
personnel, or (iv) before or after normal school activities,
such as while in before-school or after-school care on
school-operated property. A school nurse or trained personnel
may carry an opioid antagonist on their person while in school
or at a school-sponsored activity.
(f) The school district, public school, or nonpublic school
may maintain a supply of undesignated epinephrine
auto-injectors in any secure location that is accessible
before, during, and after school where an allergic person is
most at risk, including, but not limited to, classrooms and
lunchrooms. A physician, a physician assistant who has been
delegated prescriptive authority in accordance with Section
7.5 of the Physician Assistant Practice Act of 1987, or an
advanced practice registered nurse who has been delegated
prescriptive authority in accordance with Section 65-40 of the
Nurse Practice Act may prescribe undesignated epinephrine
auto-injectors in the name of the school district, public
school, or nonpublic school to be maintained for use when
necessary. Any supply of epinephrine auto-injectors shall be
maintained in accordance with the manufacturer's instructions.
The school district, public school, or nonpublic school may
maintain a supply of an opioid antagonist in any secure

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location where an individual may have an opioid overdose. A
health care professional who has been delegated prescriptive
authority for opioid antagonists in accordance with Section
5-23 of the Alcoholism and Other Drug Abuse and Dependency Act
may prescribe opioid antagonists in the name of the school
district, public school, or nonpublic school, to be maintained
for use when necessary. Any supply of opioid antagonists shall
be maintained in accordance with the manufacturer's
instructions.
(f-3) Whichever entity initiates the process of obtaining
undesignated epinephrine auto-injectors and providing training
to personnel for carrying and administering undesignated
epinephrine auto-injectors shall pay for the costs of the
undesignated epinephrine auto-injectors.
(f-5) Upon any administration of an epinephrine
auto-injector, a school district, public school, or nonpublic
school must immediately activate the EMS system and notify the
student's parent, guardian, or emergency contact, if known.
Upon any administration of an opioid antagonist, a school
district, public school, or nonpublic school must immediately
activate the EMS system and notify the student's parent,
guardian, or emergency contact, if known.
(f-10) Within 24 hours of the administration of an
undesignated epinephrine auto-injector, a school district,
public school, or nonpublic school must notify the physician,
physician assistant, or advanced practice registered nurse who

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provided the standing protocol or prescription for the
undesignated epinephrine auto-injector of its use.
Within 24 hours after the administration of an opioid
antagonist, a school district, public school, or nonpublic
school must notify the health care professional who provided
the prescription for the opioid antagonist of its use.
(g) Prior to the administration of an undesignated
epinephrine auto-injector, trained personnel must submit to
their school's administration proof of completion of a training
curriculum to recognize and respond to anaphylaxis that meets
the requirements of subsection (h) of this Section. Training
must be completed annually. their The school district, public
school, or nonpublic school must maintain records related to
the training curriculum and trained personnel.
Prior to the administration of an opioid antagonist,
trained personnel must submit to their school's administration
proof of completion of a training curriculum to recognize and
respond to an opioid overdose, which curriculum must meet the
requirements of subsection (h-5) of this Section. Training must
be completed annually. Trained personnel must also submit to
the school's administration proof of cardiopulmonary
resuscitation and automated external defibrillator
certification. The school district, public school, or
nonpublic school must maintain records relating to the training
curriculum and the trained personnel.
(h) A training curriculum to recognize and respond to

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anaphylaxis, including the administration of an undesignated
epinephrine auto-injector, may be conducted online or in
person.
Training shall include, but is not limited to:
(1) how to recognize signs and symptoms of an allergic
reaction, including anaphylaxis;
(2) how to administer an epinephrine auto-injector;
and
(3) a test demonstrating competency of the knowledge
required to recognize anaphylaxis and administer an
epinephrine auto-injector.
Training may also include, but is not limited to:
(A) a review of high-risk areas within a school and its
related facilities;
(B) steps to take to prevent exposure to allergens;
(C) emergency follow-up procedures;
(D) how to respond to a student with a known allergy,
as well as a student with a previously unknown allergy; and
(E) other criteria as determined in rules adopted
pursuant to this Section.
In consultation with statewide professional organizations
representing physicians licensed to practice medicine in all of
its branches, registered nurses, and school nurses, the State
Board of Education shall make available resource materials
consistent with criteria in this subsection (h) for educating
trained personnel to recognize and respond to anaphylaxis. The

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State Board may take into consideration the curriculum on this
subject developed by other states, as well as any other
curricular materials suggested by medical experts and other
groups that work on life-threatening allergy issues. The State
Board is not required to create new resource materials. The
State Board shall make these resource materials available on
its Internet website.
(h-5) A training curriculum to recognize and respond to an
opioid overdose, including the administration of an opioid
antagonist, may be conducted online or in person. The training
must comply with any training requirements under Section 5-23
of the Alcoholism and Other Drug Abuse and Dependency Act and
the corresponding rules. It must include, but is not limited
to:
(1) how to recognize symptoms of an opioid overdose;
(2) information on drug overdose prevention and
recognition;
(3) how to perform rescue breathing and resuscitation;
(4) how to respond to an emergency involving an opioid
overdose;
(5) opioid antagonist dosage and administration;
(6) the importance of calling 911;
(7) care for the overdose victim after administration
of the overdose antagonist;
(8) a test demonstrating competency of the knowledge
required to recognize an opioid overdose and administer a

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dose of an opioid antagonist; and
(9) other criteria as determined in rules adopted
pursuant to this Section.
(i) Within 3 days after the administration of an
undesignated epinephrine auto-injector by a school nurse,
trained personnel, or a student at a school or school-sponsored
activity, the school must report to the State Board of
Education in a form and manner prescribed by the State Board
the following information:
(1) age and type of person receiving epinephrine
(student, staff, visitor);
(2) any previously known diagnosis of a severe allergy;
(3) trigger that precipitated allergic episode;
(4) location where symptoms developed;
(5) number of doses administered;
(6) type of person administering epinephrine (school
nurse, trained personnel, student); and
(7) any other information required by the State Board.
If a school district, public school, or nonpublic school
maintains or has an independent contractor providing
transportation to students who maintains a supply of
undesignated epinephrine auto-injectors, then the school
district, public school, or nonpublic school must report that
information to the State Board of Education upon adoption or
change of the policy of the school district, public school,
nonpublic school, or independent contractor, in a manner as

10000HB0313ham002 - 135 - LRB100 04130 SMS 22956 a
prescribed by the State Board. The report must include the
number of undesignated epinephrine auto-injectors in supply.
(i-5) Within 3 days after the administration of an opioid
antagonist by a school nurse or trained personnel, the school
must report to the State Board of Education, in a form and
manner prescribed by the State Board, the following
information:
(1) the age and type of person receiving the opioid
antagonist (student, staff, or visitor);
(2) the location where symptoms developed;
(3) the type of person administering the opioid
antagonist (school nurse or trained personnel); and
(4) any other information required by the State Board.
(j) By October 1, 2015 and every year thereafter, the State
Board of Education shall submit a report to the General
Assembly identifying the frequency and circumstances of
epinephrine administration during the preceding academic year.
Beginning with the 2017 report, the report shall also contain
information on which school districts, public schools, and
nonpublic schools maintain or have independent contractors
providing transportation to students who maintain a supply of
undesignated epinephrine auto-injectors. This report shall be
published on the State Board's Internet website on the date the
report is delivered to the General Assembly.
(j-5) Annually, each school district, public school,
charter school, or nonpublic school shall request an asthma

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action plan from the parents or guardians of a pupil with
asthma. If provided, the asthma action plan must be kept on
file in the office of the school nurse or, in the absence of a
school nurse, the school administrator. Copies of the asthma
action plan may be distributed to appropriate school staff who
interact with the pupil on a regular basis, and, if applicable,
may be attached to the pupil's federal Section 504 plan or
individualized education program plan.
(j-10) To assist schools with emergency response
procedures for asthma, the State Board of Education, in
consultation with statewide professional organizations with
expertise in asthma management and a statewide organization
representing school administrators, shall develop a model
asthma episode emergency response protocol before September 1,
2016. Each school district, charter school, and nonpublic
school shall adopt an asthma episode emergency response
protocol before January 1, 2017 that includes all of the
components of the State Board's model protocol.
(j-15) Every 2 years, school personnel who work with pupils
shall complete an in-person or online training program on the
management of asthma, the prevention of asthma symptoms, and
emergency response in the school setting. In consultation with
statewide professional organizations with expertise in asthma
management, the State Board of Education shall make available
resource materials for educating school personnel about asthma
and emergency response in the school setting.

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(j-20) On or before October 1, 2016 and every year
thereafter, the State Board of Education shall submit a report
to the General Assembly and the Department of Public Health
identifying the frequency and circumstances of opioid
antagonist administration during the preceding academic year.
This report shall be published on the State Board's Internet
website on the date the report is delivered to the General
Assembly.
(k) The State Board of Education may adopt rules necessary
to implement this Section.
(l) Nothing in this Section shall limit the amount of
epinephrine auto-injectors that any type of school or student
may carry or maintain a supply of.
(Source: P.A. 98-795, eff. 8-1-14; 99-173, eff. 7-29-15;
99-480, eff. 9-9-15; 99-642, eff. 7-28-16; 99-711, eff. 1-1-17;
99-843, eff. 8-19-16; revised 9-8-16.)
(105 ILCS 5/22-80)
Sec. 22-80. Student athletes; concussions and head
injuries.
(a) The General Assembly recognizes all of the following:
(1) Concussions are one of the most commonly reported
injuries in children and adolescents who participate in
sports and recreational activities. The Centers for
Disease Control and Prevention estimates that as many as
3,900,000 sports-related and recreation-related

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concussions occur in the United States each year. A
concussion is caused by a blow or motion to the head or
body that causes the brain to move rapidly inside the
skull. The risk of catastrophic injuries or death are
significant when a concussion or head injury is not
properly evaluated and managed.
(2) Concussions are a type of brain injury that can
range from mild to severe and can disrupt the way the brain
normally works. Concussions can occur in any organized or
unorganized sport or recreational activity and can result
from a fall or from players colliding with each other, the
ground, or with obstacles. Concussions occur with or
without loss of consciousness, but the vast majority of
concussions occur without loss of consciousness.
(3) Continuing to play with a concussion or symptoms of
a head injury leaves a young athlete especially vulnerable
to greater injury and even death. The General Assembly
recognizes that, despite having generally recognized
return-to-play standards for concussions and head
injuries, some affected youth athletes are prematurely
returned to play, resulting in actual or potential physical
injury or death to youth athletes in this State.
(4) Student athletes who have sustained a concussion
may need informal or formal accommodations, modifications
of curriculum, and monitoring by medical or academic staff
until the student is fully recovered. To that end, all

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schools are encouraged to establish a return-to-learn
protocol that is based on peer-reviewed scientific
evidence consistent with Centers for Disease Control and
Prevention guidelines and conduct baseline testing for
student athletes.
(b) In this Section:
"Athletic trainer" means an athletic trainer licensed
under the Illinois Athletic Trainers Practice Act.
"Coach" means any volunteer or employee of a school who is
responsible for organizing and supervising students to teach
them or train them in the fundamental skills of an
interscholastic athletic activity. "Coach" refers to both head
coaches and assistant coaches.
"Concussion" means a complex pathophysiological process
affecting the brain caused by a traumatic physical force or
impact to the head or body, which may include temporary or
prolonged altered brain function resulting in physical,
cognitive, or emotional symptoms or altered sleep patterns and
which may or may not involve a loss of consciousness.
"Department" means the Department of Financial and
Professional Regulation.
"Game official" means a person who officiates at an
interscholastic athletic activity, such as a referee or umpire,
including, but not limited to, persons enrolled as game
officials by the Illinois High School Association or Illinois
Elementary School Association.

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"Interscholastic athletic activity" means any organized
school-sponsored or school-sanctioned activity for students,
generally outside of school instructional hours, under the
direction of a coach, athletic director, or band leader,
including, but not limited to, baseball, basketball,
cheerleading, cross country track, fencing, field hockey,
football, golf, gymnastics, ice hockey, lacrosse, marching
band, rugby, soccer, skating, softball, swimming and diving,
tennis, track (indoor and outdoor), ultimate Frisbee,
volleyball, water polo, and wrestling. All interscholastic
athletics are deemed to be interscholastic activities.
"Licensed healthcare professional" means a person who has
experience with concussion management and who is a nurse, a
psychologist who holds a license under the Clinical
Psychologist Licensing Act and specializes in the practice of
neuropsychology, a physical therapist licensed under the
Illinois Physical Therapy Act, an occupational therapist
licensed under the Illinois Occupational Therapy Practice Act.
"Nurse" means a person who is employed by or volunteers at
a school and is licensed under the Nurse Practice Act as a
registered nurse, practical nurse, or advanced practice
registered nurse.
"Physician" means a physician licensed to practice
medicine in all of its branches under the Medical Practice Act
of 1987.
"School" means any public or private elementary or

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secondary school, including a charter school.
"Student" means an adolescent or child enrolled in a
school.
(c) This Section applies to any interscholastic athletic
activity, including practice and competition, sponsored or
sanctioned by a school, the Illinois Elementary School
Association, or the Illinois High School Association. This
Section applies beginning with the 2016-2017 school year.
(d) The governing body of each public or charter school and
the appropriate administrative officer of a private school with
students enrolled who participate in an interscholastic
athletic activity shall appoint or approve a concussion
oversight team. Each concussion oversight team shall establish
a return-to-play protocol, based on peer-reviewed scientific
evidence consistent with Centers for Disease Control and
Prevention guidelines, for a student's return to
interscholastic athletics practice or competition following a
force or impact believed to have caused a concussion. Each
concussion oversight team shall also establish a
return-to-learn protocol, based on peer-reviewed scientific
evidence consistent with Centers for Disease Control and
Prevention guidelines, for a student's return to the classroom
after that student is believed to have experienced a
concussion, whether or not the concussion took place while the
student was participating in an interscholastic athletic
activity.

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Each concussion oversight team must include to the extent
practicable at least one physician. If a school employs an
athletic trainer, the athletic trainer must be a member of the
school concussion oversight team to the extent practicable. If
a school employs a nurse, the nurse must be a member of the
school concussion oversight team to the extent practicable. At
a minimum, a school shall appoint a person who is responsible
for implementing and complying with the return-to-play and
return-to-learn protocols adopted by the concussion oversight
team. A school may appoint other licensed healthcare
professionals to serve on the concussion oversight team.
(e) A student may not participate in an interscholastic
athletic activity for a school year until the student and the
student's parent or guardian or another person with legal
authority to make medical decisions for the student have signed
a form for that school year that acknowledges receiving and
reading written information that explains concussion
prevention, symptoms, treatment, and oversight and that
includes guidelines for safely resuming participation in an
athletic activity following a concussion. The form must be
approved by the Illinois High School Association.
(f) A student must be removed from an interscholastic
athletics practice or competition immediately if one of the
following persons believes the student might have sustained a
concussion during the practice or competition:
(1) a coach;

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(2) a physician;
(3) a game official;
(4) an athletic trainer;
(5) the student's parent or guardian or another person
with legal authority to make medical decisions for the
student;
(6) the student; or
(7) any other person deemed appropriate under the
school's return-to-play protocol.
(g) A student removed from an interscholastic athletics
practice or competition under this Section may not be permitted
to practice or compete again following the force or impact
believed to have caused the concussion until:
(1) the student has been evaluated, using established
medical protocols based on peer-reviewed scientific
evidence consistent with Centers for Disease Control and
Prevention guidelines, by a treating physician (chosen by
the student or the student's parent or guardian or another
person with legal authority to make medical decisions for
the student) or an athletic trainer working under the
supervision of a physician;
(2) the student has successfully completed each
requirement of the return-to-play protocol established
under this Section necessary for the student to return to
play;
(3) the student has successfully completed each

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requirement of the return-to-learn protocol established
under this Section necessary for the student to return to
learn;
(4) the treating physician or athletic trainer working
under the supervision of a physician has provided a written
statement indicating that, in the physician's professional
judgment, it is safe for the student to return to play and
return to learn; and
(5) the student and the student's parent or guardian or
another person with legal authority to make medical
decisions for the student:
(A) have acknowledged that the student has
completed the requirements of the return-to-play and
return-to-learn protocols necessary for the student to
return to play;
(B) have provided the treating physician's or
athletic trainer's written statement under subdivision
(4) of this subsection (g) to the person responsible
for compliance with the return-to-play and
return-to-learn protocols under this subsection (g)
and the person who has supervisory responsibilities
under this subsection (g); and
(C) have signed a consent form indicating that the
person signing:
(i) has been informed concerning and consents
to the student participating in returning to play

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in accordance with the return-to-play and
return-to-learn protocols;
(ii) understands the risks associated with the
student returning to play and returning to learn
and will comply with any ongoing requirements in
the return-to-play and return-to-learn protocols;
and
(iii) consents to the disclosure to
appropriate persons, consistent with the federal
Health Insurance Portability and Accountability
Act of 1996 (Public Law 104-191), of the treating
physician's or athletic trainer's written
statement under subdivision (4) of this subsection
(g) and, if any, the return-to-play and
return-to-learn recommendations of the treating
physician or the athletic trainer, as the case may
be.
A coach of an interscholastic athletics team may not
authorize a student's return to play or return to learn.
The district superintendent or the superintendent's
designee in the case of a public elementary or secondary
school, the chief school administrator or that person's
designee in the case of a charter school, or the appropriate
administrative officer or that person's designee in the case of
a private school shall supervise an athletic trainer or other
person responsible for compliance with the return-to-play

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protocol and shall supervise the person responsible for
compliance with the return-to-learn protocol. The person who
has supervisory responsibilities under this paragraph may not
be a coach of an interscholastic athletics team.
(h)(1) The Illinois High School Association shall approve,
for coaches and game officials of interscholastic athletic
activities, training courses that provide for not less than 2
hours of training in the subject matter of concussions,
including evaluation, prevention, symptoms, risks, and
long-term effects. The Association shall maintain an updated
list of individuals and organizations authorized by the
Association to provide the training.
(2) The following persons must take a training course in
accordance with paragraph (4) of this subsection (h) from an
authorized training provider at least once every 2 years:
(A) a coach of an interscholastic athletic activity;
(B) a nurse who serves as a member of a concussion
oversight team and is an employee, representative, or agent
of a school;
(C) a game official of an interscholastic athletic
activity; and
(D) a nurse who serves on a volunteer basis as a member
of a concussion oversight team for a school.
(3) A physician who serves as a member of a concussion
oversight team shall, to the greatest extent practicable,
periodically take an appropriate continuing medical education

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course in the subject matter of concussions.
(4) For purposes of paragraph (2) of this subsection (h):
(A) a coach or game officials, as the case may be, must
take a course described in paragraph (1) of this subsection
(h).
(B) an athletic trainer must take a concussion-related
continuing education course from an athletic trainer
continuing education sponsor approved by the Department;
and
(C) a nurse must take a course concerning the subject
matter of concussions that has been approved for continuing
education credit by the Department.
(5) Each person described in paragraph (2) of this
subsection (h) must submit proof of timely completion of an
approved course in compliance with paragraph (4) of this
subsection (h) to the district superintendent or the
superintendent's designee in the case of a public elementary or
secondary school, the chief school administrator or that
person's designee in the case of a charter school, or the
appropriate administrative officer or that person's designee
in the case of a private school.
(6) A physician, athletic trainer, or nurse who is not in
compliance with the training requirements under this
subsection (h) may not serve on a concussion oversight team in
any capacity.
(7) A person required under this subsection (h) to take a

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training course in the subject of concussions must initially
complete the training not later than September 1, 2016.
(i) The governing body of each public or charter school and
the appropriate administrative officer of a private school with
students enrolled who participate in an interscholastic
athletic activity shall develop a school-specific emergency
action plan for interscholastic athletic activities to address
the serious injuries and acute medical conditions in which the
condition of the student may deteriorate rapidly. The plan
shall include a delineation of roles, methods of communication,
available emergency equipment, and access to and a plan for
emergency transport. This emergency action plan must be:
(1) in writing;
(2) reviewed by the concussion oversight team;
(3) approved by the district superintendent or the
superintendent's designee in the case of a public
elementary or secondary school, the chief school
administrator or that person's designee in the case of a
charter school, or the appropriate administrative officer
or that person's designee in the case of a private school;
(4) distributed to all appropriate personnel;
(5) posted conspicuously at all venues utilized by the
school; and
(6) reviewed annually by all athletic trainers, first
responders, coaches, school nurses, athletic directors,
and volunteers for interscholastic athletic activities.

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(j) The State Board of Education may adopt rules as
necessary to administer this Section.
(Source: P.A. 99-245, eff. 8-3-15; 99-486, eff. 11-20-15;
99-642, eff. 7-28-16.)
(105 ILCS 5/24-5) (from Ch. 122, par. 24-5)
Sec. 24-5. Physical fitness and professional growth.
(a) In this Section, "employee" means any employee of a
school district, a student teacher, an employee of a contractor
that provides services to students or in schools, or any other
individual subject to the requirements of Section 10-21.9 or
34-18.5 of this Code.
(b) School boards shall require of new employees evidence
of physical fitness to perform duties assigned and freedom from
communicable disease. Such evidence shall consist of a physical
examination by a physician licensed in Illinois or any other
state to practice medicine and surgery in all its branches, a
licensed advanced practice registered nurse, or a licensed
physician assistant not more than 90 days preceding time of
presentation to the board, and the cost of such examination
shall rest with the employee. A new or existing employee may be
subject to additional health examinations, including screening
for tuberculosis, as required by rules adopted by the
Department of Public Health or by order of a local public
health official. The board may from time to time require an
examination of any employee by a physician licensed in Illinois

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to practice medicine and surgery in all its branches, a
licensed advanced practice registered nurse, or a licensed
physician assistant and shall pay the expenses thereof from
school funds.
(c) School boards may require teachers in their employ to
furnish from time to time evidence of continued professional
growth.
(Source: P.A. 98-716, eff. 7-16-14; 99-173, eff. 7-29-15.)
(105 ILCS 5/24-6)
Sec. 24-6. Sick leave. The school boards of all school
districts, including special charter districts, but not
including school districts in municipalities of 500,000 or
more, shall grant their full-time teachers, and also shall
grant such of their other employees as are eligible to
participate in the Illinois Municipal Retirement Fund under the
"600-Hour Standard" established, or under such other
eligibility participation standard as may from time to time be
established, by rules and regulations now or hereafter
promulgated by the Board of that Fund under Section 7-198 of
the Illinois Pension Code, as now or hereafter amended, sick
leave provisions not less in amount than 10 days at full pay in
each school year. If any such teacher or employee does not use
the full amount of annual leave thus allowed, the unused amount
shall be allowed to accumulate to a minimum available leave of
180 days at full pay, including the leave of the current year.

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Sick leave shall be interpreted to mean personal illness,
quarantine at home, serious illness or death in the immediate
family or household, or birth, adoption, or placement for
adoption. The school board may require a certificate from a
physician licensed in Illinois to practice medicine and surgery
in all its branches, a chiropractic physician licensed under
the Medical Practice Act of 1987, a licensed advanced practice
registered nurse, a licensed physician assistant, or, if the
treatment is by prayer or spiritual means, a spiritual adviser
or practitioner of the teacher's or employee's faith as a basis
for pay during leave after an absence of 3 days for personal
illness or 30 days for birth or as the school board may deem
necessary in other cases. If the school board does require a
certificate as a basis for pay during leave of less than 3 days
for personal illness, the school board shall pay, from school
funds, the expenses incurred by the teachers or other employees
in obtaining the certificate. For paid leave for adoption or
placement for adoption, the school board may require that the
teacher or other employee provide evidence that the formal
adoption process is underway, and such leave is limited to 30
days unless a longer leave has been negotiated with the
exclusive bargaining representative.
If, by reason of any change in the boundaries of school
districts, or by reason of the creation of a new school
district, the employment of a teacher is transferred to a new
or different board, the accumulated sick leave of such teacher

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is not thereby lost, but is transferred to such new or
different district.
For purposes of this Section, "immediate family" shall
include parents, spouse, brothers, sisters, children,
grandparents, grandchildren, parents-in-law, brothers-in-law,
sisters-in-law, and legal guardians.
(Source: P.A. 99-173, eff. 7-29-15.)
(105 ILCS 5/26-1) (from Ch. 122, par. 26-1)
Sec. 26-1. Compulsory school age-Exemptions. Whoever has
custody or control of any child (i) between the ages of 7 and
17 years (unless the child has already graduated from high
school) for school years before the 2014-2015 school year or
(ii) between the ages of 6 (on or before September 1) and 17
years (unless the child has already graduated from high school)
beginning with the 2014-2015 school year shall cause such child
to attend some public school in the district wherein the child
resides the entire time it is in session during the regular
school term, except as provided in Section 10-19.1, and during
a required summer school program established under Section
10-22.33B; provided, that the following children shall not be
required to attend the public schools:
1. Any child attending a private or a parochial school
where children are taught the branches of education taught
to children of corresponding age and grade in the public
schools, and where the instruction of the child in the

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branches of education is in the English language;
2. Any child who is physically or mentally unable to
attend school, such disability being certified to the
county or district truant officer by a competent physician
licensed in Illinois to practice medicine and surgery in
all its branches, a chiropractic physician licensed under
the Medical Practice Act of 1987, a licensed advanced
practice registered nurse, a licensed physician assistant,
or a Christian Science practitioner residing in this State
and listed in the Christian Science Journal; or who is
excused for temporary absence for cause by the principal or
teacher of the school which the child attends; the
exemptions in this paragraph (2) do not apply to any female
who is pregnant or the mother of one or more children,
except where a female is unable to attend school due to a
complication arising from her pregnancy and the existence
of such complication is certified to the county or district
truant officer by a competent physician;
3. Any child necessarily and lawfully employed
according to the provisions of the law regulating child
labor may be excused from attendance at school by the
county superintendent of schools or the superintendent of
the public school which the child should be attending, on
certification of the facts by and the recommendation of the
school board of the public school district in which the
child resides. In districts having part time continuation

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schools, children so excused shall attend such schools at
least 8 hours each week;
4. Any child over 12 and under 14 years of age while in
attendance at confirmation classes;
5. Any child absent from a public school on a
particular day or days or at a particular time of day for
the reason that he is unable to attend classes or to
participate in any examination, study or work requirements
on a particular day or days or at a particular time of day,
because the tenets of his religion forbid secular activity
on a particular day or days or at a particular time of day.
Each school board shall prescribe rules and regulations
relative to absences for religious holidays including, but
not limited to, a list of religious holidays on which it
shall be mandatory to excuse a child; but nothing in this
paragraph 5 shall be construed to limit the right of any
school board, at its discretion, to excuse an absence on
any other day by reason of the observance of a religious
holiday. A school board may require the parent or guardian
of a child who is to be excused from attending school due
to the observance of a religious holiday to give notice,
not exceeding 5 days, of the child's absence to the school
principal or other school personnel. Any child excused from
attending school under this paragraph 5 shall not be
required to submit a written excuse for such absence after
returning to school;

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6. Any child 16 years of age or older who (i) submits
to a school district evidence of necessary and lawful
employment pursuant to paragraph 3 of this Section and (ii)
is enrolled in a graduation incentives program pursuant to
Section 26-16 of this Code or an alternative learning
opportunities program established pursuant to Article 13B
of this Code; and
7. A child in any of grades 6 through 12 absent from a
public school on a particular day or days or at a
particular time of day for the purpose of sounding "Taps"
at a military honors funeral held in this State for a
deceased veteran. In order to be excused under this
paragraph 7, the student shall notify the school's
administration at least 2 days prior to the date of the
absence and shall provide the school's administration with
the date, time, and location of the military honors
funeral. The school's administration may waive this 2-day
notification requirement if the student did not receive at
least 2 days advance notice, but the student shall notify
the school's administration as soon as possible of the
absence. A student whose absence is excused under this
paragraph 7 shall be counted as if the student attended
school for purposes of calculating the average daily
attendance of students in the school district. A student
whose absence is excused under this paragraph 7 must be
allowed a reasonable time to make up school work missed

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during the absence. If the student satisfactorily
completes the school work, the day of absence shall be
counted as a day of compulsory attendance and he or she may
not be penalized for that absence.
(Source: P.A. 98-544, eff. 7-1-14; 99-173, eff. 7-29-15;
99-804, eff. 1-1-17.)
(105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1)
(Text of Section before amendment by P.A. 99-927)
Sec. 27-8.1. Health examinations and immunizations.
(1) In compliance with rules and regulations which the
Department of Public Health shall promulgate, and except as
hereinafter provided, all children in Illinois shall have a
health examination as follows: within one year prior to
entering kindergarten or the first grade of any public,
private, or parochial elementary school; upon entering the
sixth and ninth grades of any public, private, or parochial
school; prior to entrance into any public, private, or
parochial nursery school; and, irrespective of grade,
immediately prior to or upon entrance into any public, private,
or parochial school or nursery school, each child shall present
proof of having been examined in accordance with this Section
and the rules and regulations promulgated hereunder. Any child
who received a health examination within one year prior to
entering the fifth grade for the 2007-2008 school year is not
required to receive an additional health examination in order

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to comply with the provisions of Public Act 95-422 when he or
she attends school for the 2008-2009 school year, unless the
child is attending school for the first time as provided in
this paragraph.
A tuberculosis skin test screening shall be included as a
required part of each health examination included under this
Section if the child resides in an area designated by the
Department of Public Health as having a high incidence of
tuberculosis. Additional health examinations of pupils,
including eye examinations, may be required when deemed
necessary by school authorities. Parents are encouraged to have
their children undergo eye examinations at the same points in
time required for health examinations.
(1.5) In compliance with rules adopted by the Department of
Public Health and except as otherwise provided in this Section,
all children in kindergarten and the second and sixth grades of
any public, private, or parochial school shall have a dental
examination. Each of these children shall present proof of
having been examined by a dentist in accordance with this
Section and rules adopted under this Section before May 15th of
the school year. If a child in the second or sixth grade fails
to present proof by May 15th, the school may hold the child's
report card until one of the following occurs: (i) the child
presents proof of a completed dental examination or (ii) the
child presents proof that a dental examination will take place
within 60 days after May 15th. The Department of Public Health

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shall establish, by rule, a waiver for children who show an
undue burden or a lack of access to a dentist. Each public,
private, and parochial school must give notice of this dental
examination requirement to the parents and guardians of
students at least 60 days before May 15th of each school year.
(1.10) Except as otherwise provided in this Section, all
children enrolling in kindergarten in a public, private, or
parochial school on or after the effective date of this
amendatory Act of the 95th General Assembly and any student
enrolling for the first time in a public, private, or parochial
school on or after the effective date of this amendatory Act of
the 95th General Assembly shall have an eye examination. Each
of these children shall present proof of having been examined
by a physician licensed to practice medicine in all of its
branches or a licensed optometrist within the previous year, in
accordance with this Section and rules adopted under this
Section, before October 15th of the school year. If the child
fails to present proof by October 15th, the school may hold the
child's report card until one of the following occurs: (i) the
child presents proof of a completed eye examination or (ii) the
child presents proof that an eye examination will take place
within 60 days after October 15th. The Department of Public
Health shall establish, by rule, a waiver for children who show
an undue burden or a lack of access to a physician licensed to
practice medicine in all of its branches who provides eye
examinations or to a licensed optometrist. Each public,

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private, and parochial school must give notice of this eye
examination requirement to the parents and guardians of
students in compliance with rules of the Department of Public
Health. Nothing in this Section shall be construed to allow a
school to exclude a child from attending because of a parent's
or guardian's failure to obtain an eye examination for the
child.
(2) The Department of Public Health shall promulgate rules
and regulations specifying the examinations and procedures
that constitute a health examination, which shall include the
collection of data relating to obesity (including at a minimum,
date of birth, gender, height, weight, blood pressure, and date
of exam), and a dental examination and may recommend by rule
that certain additional examinations be performed. The rules
and regulations of the Department of Public Health shall
specify that a tuberculosis skin test screening shall be
included as a required part of each health examination included
under this Section if the child resides in an area designated
by the Department of Public Health as having a high incidence
of tuberculosis. The Department of Public Health shall specify
that a diabetes screening as defined by rule shall be included
as a required part of each health examination. Diabetes testing
is not required.
Physicians licensed to practice medicine in all of its
branches, licensed advanced practice registered nurses, or
licensed physician assistants shall be responsible for the

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performance of the health examinations, other than dental
examinations, eye examinations, and vision and hearing
screening, and shall sign all report forms required by
subsection (4) of this Section that pertain to those portions
of the health examination for which the physician, advanced
practice registered nurse, or physician assistant is
responsible. If a registered nurse performs any part of a
health examination, then a physician licensed to practice
medicine in all of its branches must review and sign all
required report forms. Licensed dentists shall perform all
dental examinations and shall sign all report forms required by
subsection (4) of this Section that pertain to the dental
examinations. Physicians licensed to practice medicine in all
its branches or licensed optometrists shall perform all eye
examinations required by this Section and shall sign all report
forms required by subsection (4) of this Section that pertain
to the eye examination. For purposes of this Section, an eye
examination shall at a minimum include history, visual acuity,
subjective refraction to best visual acuity near and far,
internal and external examination, and a glaucoma evaluation,
as well as any other tests or observations that in the
professional judgment of the doctor are necessary. Vision and
hearing screening tests, which shall not be considered
examinations as that term is used in this Section, shall be
conducted in accordance with rules and regulations of the
Department of Public Health, and by individuals whom the

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Department of Public Health has certified. In these rules and
regulations, the Department of Public Health shall require that
individuals conducting vision screening tests give a child's
parent or guardian written notification, before the vision
screening is conducted, that states, "Vision screening is not a
substitute for a complete eye and vision evaluation by an eye
doctor. Your child is not required to undergo this vision
screening if an optometrist or ophthalmologist has completed
and signed a report form indicating that an examination has
been administered within the previous 12 months."
(3) Every child shall, at or about the same time as he or
she receives a health examination required by subsection (1) of
this Section, present to the local school proof of having
received such immunizations against preventable communicable
diseases as the Department of Public Health shall require by
rules and regulations promulgated pursuant to this Section and
the Communicable Disease Prevention Act.
(4) The individuals conducting the health examination,
dental examination, or eye examination shall record the fact of
having conducted the examination, and such additional
information as required, including for a health examination
data relating to obesity (including at a minimum, date of
birth, gender, height, weight, blood pressure, and date of
exam), on uniform forms which the Department of Public Health
and the State Board of Education shall prescribe for statewide
use. The examiner shall summarize on the report form any

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condition that he or she suspects indicates a need for special
services, including for a health examination factors relating
to obesity. The individuals confirming the administration of
required immunizations shall record as indicated on the form
that the immunizations were administered.
(5) If a child does not submit proof of having had either
the health examination or the immunization as required, then
the child shall be examined or receive the immunization, as the
case may be, and present proof by October 15 of the current
school year, or by an earlier date of the current school year
established by a school district. To establish a date before
October 15 of the current school year for the health
examination or immunization as required, a school district must
give notice of the requirements of this Section 60 days prior
to the earlier established date. If for medical reasons one or
more of the required immunizations must be given after October
15 of the current school year, or after an earlier established
date of the current school year, then the child shall present,
by October 15, or by the earlier established date, a schedule
for the administration of the immunizations and a statement of
the medical reasons causing the delay, both the schedule and
the statement being issued by the physician, advanced practice
registered nurse, physician assistant, registered nurse, or
local health department that will be responsible for
administration of the remaining required immunizations. If a
child does not comply by October 15, or by the earlier

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established date of the current school year, with the
requirements of this subsection, then the local school
authority shall exclude that child from school until such time
as the child presents proof of having had the health
examination as required and presents proof of having received
those required immunizations which are medically possible to
receive immediately. During a child's exclusion from school for
noncompliance with this subsection, the child's parents or
legal guardian shall be considered in violation of Section 26-1
and subject to any penalty imposed by Section 26-10. This
subsection (5) does not apply to dental examinations and eye
examinations. If the student is an out-of-state transfer
student and does not have the proof required under this
subsection (5) before October 15 of the current year or
whatever date is set by the school district, then he or she may
only attend classes (i) if he or she has proof that an
appointment for the required vaccinations has been scheduled
with a party authorized to submit proof of the required
vaccinations. If the proof of vaccination required under this
subsection (5) is not submitted within 30 days after the
student is permitted to attend classes, then the student is not
to be permitted to attend classes until proof of the
vaccinations has been properly submitted. No school district or
employee of a school district shall be held liable for any
injury or illness to another person that results from admitting
an out-of-state transfer student to class that has an

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appointment scheduled pursuant to this subsection (5).
(6) Every school shall report to the State Board of
Education by November 15, in the manner which that agency shall
require, the number of children who have received the necessary
immunizations and the health examination (other than a dental
examination or eye examination) as required, indicating, of
those who have not received the immunizations and examination
as required, the number of children who are exempt from health
examination and immunization requirements on religious or
medical grounds as provided in subsection (8). On or before
December 1 of each year, every public school district and
registered nonpublic school shall make publicly available the
immunization data they are required to submit to the State
Board of Education by November 15. The immunization data made
publicly available must be identical to the data the school
district or school has reported to the State Board of
Education.
Every school shall report to the State Board of Education
by June 30, in the manner that the State Board requires, the
number of children who have received the required dental
examination, indicating, of those who have not received the
required dental examination, the number of children who are
exempt from the dental examination on religious grounds as
provided in subsection (8) of this Section and the number of
children who have received a waiver under subsection (1.5) of
this Section.

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Every school shall report to the State Board of Education
by June 30, in the manner that the State Board requires, the
number of children who have received the required eye
examination, indicating, of those who have not received the
required eye examination, the number of children who are exempt
from the eye examination as provided in subsection (8) of this
Section, the number of children who have received a waiver
under subsection (1.10) of this Section, and the total number
of children in noncompliance with the eye examination
requirement.
The reported information under this subsection (6) shall be
provided to the Department of Public Health by the State Board
of Education.
(7) Upon determining that the number of pupils who are
required to be in compliance with subsection (5) of this
Section is below 90% of the number of pupils enrolled in the
school district, 10% of each State aid payment made pursuant to
Section 18-8.05 to the school district for such year may be
withheld by the State Board of Education until the number of
students in compliance with subsection (5) is the applicable
specified percentage or higher.
(8) Children of parents or legal guardians who object to
health, dental, or eye examinations or any part thereof, to
immunizations, or to vision and hearing screening tests on
religious grounds shall not be required to undergo the
examinations, tests, or immunizations to which they so object

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if such parents or legal guardians present to the appropriate
local school authority a signed Certificate of Religious
Exemption detailing the grounds for objection and the specific
immunizations, tests, or examinations to which they object. The
grounds for objection must set forth the specific religious
belief that conflicts with the examination, test,
immunization, or other medical intervention. The signed
certificate shall also reflect the parent's or legal guardian's
understanding of the school's exclusion policies in the case of
a vaccine-preventable disease outbreak or exposure. The
certificate must also be signed by the authorized examining
health care provider responsible for the performance of the
child's health examination confirming that the provider
provided education to the parent or legal guardian on the
benefits of immunization and the health risks to the student
and to the community of the communicable diseases for which
immunization is required in this State. However, the health
care provider's signature on the certificate reflects only that
education was provided and does not allow a health care
provider grounds to determine a religious exemption. Those
receiving immunizations required under this Code shall be
provided with the relevant vaccine information statements that
are required to be disseminated by the federal National
Childhood Vaccine Injury Act of 1986, which may contain
information on circumstances when a vaccine should not be
administered, prior to administering a vaccine. A healthcare

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provider may consider including without limitation the
nationally accepted recommendations from federal agencies such
as the Advisory Committee on Immunization Practices, the
information outlined in the relevant vaccine information
statement, and vaccine package inserts, along with the
healthcare provider's clinical judgment, to determine whether
any child may be more susceptible to experiencing an adverse
vaccine reaction than the general population, and, if so, the
healthcare provider may exempt the child from an immunization
or adopt an individualized immunization schedule. The
Certificate of Religious Exemption shall be created by the
Department of Public Health and shall be made available and
used by parents and legal guardians by the beginning of the
2015-2016 school year. Parents or legal guardians must submit
the Certificate of Religious Exemption to their local school
authority prior to entering kindergarten, sixth grade, and
ninth grade for each child for which they are requesting an
exemption. The religious objection stated need not be directed
by the tenets of an established religious organization.
However, general philosophical or moral reluctance to allow
physical examinations, eye examinations, immunizations, vision
and hearing screenings, or dental examinations does not provide
a sufficient basis for an exception to statutory requirements.
The local school authority is responsible for determining if
the content of the Certificate of Religious Exemption
constitutes a valid religious objection. The local school

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authority shall inform the parent or legal guardian of
exclusion procedures, in accordance with the Department's
rules under Part 690 of Title 77 of the Illinois Administrative
Code, at the time the objection is presented.
If the physical condition of the child is such that any one
or more of the immunizing agents should not be administered,
the examining physician, advanced practice registered nurse,
or physician assistant responsible for the performance of the
health examination shall endorse that fact upon the health
examination form.
Exempting a child from the health, dental, or eye
examination does not exempt the child from participation in the
program of physical education training provided in Sections
27-5 through 27-7 of this Code.
(9) For the purposes of this Section, "nursery schools"
means those nursery schools operated by elementary school
systems or secondary level school units or institutions of
higher learning.
(Source: P.A. 98-673, eff. 6-30-14; 99-173, eff. 7-29-15;
99-249, eff. 8-3-15; 99-642, eff. 7-28-16.)
(Text of Section after amendment by P.A. 99-927)
Sec. 27-8.1. Health examinations and immunizations.
(1) In compliance with rules and regulations which the
Department of Public Health shall promulgate, and except as
hereinafter provided, all children in Illinois shall have a

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health examination as follows: within one year prior to
entering kindergarten or the first grade of any public,
private, or parochial elementary school; upon entering the
sixth and ninth grades of any public, private, or parochial
school; prior to entrance into any public, private, or
parochial nursery school; and, irrespective of grade,
immediately prior to or upon entrance into any public, private,
or parochial school or nursery school, each child shall present
proof of having been examined in accordance with this Section
and the rules and regulations promulgated hereunder. Any child
who received a health examination within one year prior to
entering the fifth grade for the 2007-2008 school year is not
required to receive an additional health examination in order
to comply with the provisions of Public Act 95-422 when he or
she attends school for the 2008-2009 school year, unless the
child is attending school for the first time as provided in
this paragraph.
A tuberculosis skin test screening shall be included as a
required part of each health examination included under this
Section if the child resides in an area designated by the
Department of Public Health as having a high incidence of
tuberculosis. Additional health examinations of pupils,
including eye examinations, may be required when deemed
necessary by school authorities. Parents are encouraged to have
their children undergo eye examinations at the same points in
time required for health examinations.

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(1.5) In compliance with rules adopted by the Department of
Public Health and except as otherwise provided in this Section,
all children in kindergarten and the second and sixth grades of
any public, private, or parochial school shall have a dental
examination. Each of these children shall present proof of
having been examined by a dentist in accordance with this
Section and rules adopted under this Section before May 15th of
the school year. If a child in the second or sixth grade fails
to present proof by May 15th, the school may hold the child's
report card until one of the following occurs: (i) the child
presents proof of a completed dental examination or (ii) the
child presents proof that a dental examination will take place
within 60 days after May 15th. The Department of Public Health
shall establish, by rule, a waiver for children who show an
undue burden or a lack of access to a dentist. Each public,
private, and parochial school must give notice of this dental
examination requirement to the parents and guardians of
students at least 60 days before May 15th of each school year.
(1.10) Except as otherwise provided in this Section, all
children enrolling in kindergarten in a public, private, or
parochial school on or after the effective date of this
amendatory Act of the 95th General Assembly and any student
enrolling for the first time in a public, private, or parochial
school on or after the effective date of this amendatory Act of
the 95th General Assembly shall have an eye examination. Each
of these children shall present proof of having been examined

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by a physician licensed to practice medicine in all of its
branches or a licensed optometrist within the previous year, in
accordance with this Section and rules adopted under this
Section, before October 15th of the school year. If the child
fails to present proof by October 15th, the school may hold the
child's report card until one of the following occurs: (i) the
child presents proof of a completed eye examination or (ii) the
child presents proof that an eye examination will take place
within 60 days after October 15th. The Department of Public
Health shall establish, by rule, a waiver for children who show
an undue burden or a lack of access to a physician licensed to
practice medicine in all of its branches who provides eye
examinations or to a licensed optometrist. Each public,
private, and parochial school must give notice of this eye
examination requirement to the parents and guardians of
students in compliance with rules of the Department of Public
Health. Nothing in this Section shall be construed to allow a
school to exclude a child from attending because of a parent's
or guardian's failure to obtain an eye examination for the
child.
(2) The Department of Public Health shall promulgate rules
and regulations specifying the examinations and procedures
that constitute a health examination, which shall include an
age-appropriate developmental screening, an age-appropriate
social and emotional screening, and the collection of data
relating to obesity (including at a minimum, date of birth,

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gender, height, weight, blood pressure, and date of exam), and
a dental examination and may recommend by rule that certain
additional examinations be performed. The rules and
regulations of the Department of Public Health shall specify
that a tuberculosis skin test screening shall be included as a
required part of each health examination included under this
Section if the child resides in an area designated by the
Department of Public Health as having a high incidence of
tuberculosis. With respect to the developmental screening and
the social and emotional screening, the Department of Public
Health must develop rules and appropriate revisions to the
Child Health Examination form in conjunction with a statewide
organization representing school boards; a statewide
organization representing pediatricians; statewide
organizations representing individuals holding Illinois
educator licenses with school support personnel endorsements,
including school social workers, school psychologists, and
school nurses; a statewide organization representing
children's mental health experts; a statewide organization
representing school principals; the Director of Healthcare and
Family Services or his or her designee, the State
Superintendent of Education or his or her designee; and
representatives of other appropriate State agencies and, at a
minimum, must recommend the use of validated screening tools
appropriate to the child's age or grade, and, with regard to
the social and emotional screening, require recording only

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whether or not the screening was completed. The rules shall
take into consideration the screening recommendations of the
American Academy of Pediatrics and must be consistent with the
State Board of Education's social and emotional learning
standards. The Department of Public Health shall specify that a
diabetes screening as defined by rule shall be included as a
required part of each health examination. Diabetes testing is
not required.
Physicians licensed to practice medicine in all of its
branches, licensed advanced practice registered nurses, or
licensed physician assistants shall be responsible for the
performance of the health examinations, other than dental
examinations, eye examinations, and vision and hearing
screening, and shall sign all report forms required by
subsection (4) of this Section that pertain to those portions
of the health examination for which the physician, advanced
practice registered nurse, or physician assistant is
responsible. If a registered nurse performs any part of a
health examination, then a physician licensed to practice
medicine in all of its branches must review and sign all
required report forms. Licensed dentists shall perform all
dental examinations and shall sign all report forms required by
subsection (4) of this Section that pertain to the dental
examinations. Physicians licensed to practice medicine in all
its branches or licensed optometrists shall perform all eye
examinations required by this Section and shall sign all report

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forms required by subsection (4) of this Section that pertain
to the eye examination. For purposes of this Section, an eye
examination shall at a minimum include history, visual acuity,
subjective refraction to best visual acuity near and far,
internal and external examination, and a glaucoma evaluation,
as well as any other tests or observations that in the
professional judgment of the doctor are necessary. Vision and
hearing screening tests, which shall not be considered
examinations as that term is used in this Section, shall be
conducted in accordance with rules and regulations of the
Department of Public Health, and by individuals whom the
Department of Public Health has certified. In these rules and
regulations, the Department of Public Health shall require that
individuals conducting vision screening tests give a child's
parent or guardian written notification, before the vision
screening is conducted, that states, "Vision screening is not a
substitute for a complete eye and vision evaluation by an eye
doctor. Your child is not required to undergo this vision
screening if an optometrist or ophthalmologist has completed
and signed a report form indicating that an examination has
been administered within the previous 12 months."
(2.5) With respect to the developmental screening and the
social and emotional screening portion of the health
examination, each child may present proof of having been
screened in accordance with this Section and the rules adopted
under this Section before October 15th of the school year. With

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regard to the social and emotional screening only, the
examining health care provider shall only record whether or not
the screening was completed. If the child fails to present
proof of the developmental screening or the social and
emotional screening portions of the health examination by
October 15th of the school year, qualified school support
personnel may, with a parent's or guardian's consent, offer the
developmental screening or the social and emotional screening
to the child. Each public, private, and parochial school must
give notice of the developmental screening and social and
emotional screening requirements to the parents and guardians
of students in compliance with the rules of the Department of
Public Health. Nothing in this Section shall be construed to
allow a school to exclude a child from attending because of a
parent's or guardian's failure to obtain a developmental
screening or a social and emotional screening for the child.
Once a developmental screening or a social and emotional
screening is completed and proof has been presented to the
school, the school may, with a parent's or guardian's consent,
make available appropriate school personnel to work with the
parent or guardian, the child, and the provider who signed the
screening form to obtain any appropriate evaluations and
services as indicated on the form and in other information and
documentation provided by the parents, guardians, or provider.
(3) Every child shall, at or about the same time as he or
she receives a health examination required by subsection (1) of

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this Section, present to the local school proof of having
received such immunizations against preventable communicable
diseases as the Department of Public Health shall require by
rules and regulations promulgated pursuant to this Section and
the Communicable Disease Prevention Act.
(4) The individuals conducting the health examination,
dental examination, or eye examination shall record the fact of
having conducted the examination, and such additional
information as required, including for a health examination
data relating to obesity (including at a minimum, date of
birth, gender, height, weight, blood pressure, and date of
exam), on uniform forms which the Department of Public Health
and the State Board of Education shall prescribe for statewide
use. The examiner shall summarize on the report form any
condition that he or she suspects indicates a need for special
services, including for a health examination factors relating
to obesity. The duty to summarize on the report form does not
apply to social and emotional screenings. The confidentiality
of the information and records relating to the developmental
screening and the social and emotional screening shall be
determined by the statutes, rules, and professional ethics
governing the type of provider conducting the screening. The
individuals confirming the administration of required
immunizations shall record as indicated on the form that the
immunizations were administered.
(5) If a child does not submit proof of having had either

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the health examination or the immunization as required, then
the child shall be examined or receive the immunization, as the
case may be, and present proof by October 15 of the current
school year, or by an earlier date of the current school year
established by a school district. To establish a date before
October 15 of the current school year for the health
examination or immunization as required, a school district must
give notice of the requirements of this Section 60 days prior
to the earlier established date. If for medical reasons one or
more of the required immunizations must be given after October
15 of the current school year, or after an earlier established
date of the current school year, then the child shall present,
by October 15, or by the earlier established date, a schedule
for the administration of the immunizations and a statement of
the medical reasons causing the delay, both the schedule and
the statement being issued by the physician, advanced practice
registered nurse, physician assistant, registered nurse, or
local health department that will be responsible for
administration of the remaining required immunizations. If a
child does not comply by October 15, or by the earlier
established date of the current school year, with the
requirements of this subsection, then the local school
authority shall exclude that child from school until such time
as the child presents proof of having had the health
examination as required and presents proof of having received
those required immunizations which are medically possible to

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receive immediately. During a child's exclusion from school for
noncompliance with this subsection, the child's parents or
legal guardian shall be considered in violation of Section 26-1
and subject to any penalty imposed by Section 26-10. This
subsection (5) does not apply to dental examinations, eye
examinations, and the developmental screening and the social
and emotional screening portions of the health examination. If
the student is an out-of-state transfer student and does not
have the proof required under this subsection (5) before
October 15 of the current year or whatever date is set by the
school district, then he or she may only attend classes (i) if
he or she has proof that an appointment for the required
vaccinations has been scheduled with a party authorized to
submit proof of the required vaccinations. If the proof of
vaccination required under this subsection (5) is not submitted
within 30 days after the student is permitted to attend
classes, then the student is not to be permitted to attend
classes until proof of the vaccinations has been properly
submitted. No school district or employee of a school district
shall be held liable for any injury or illness to another
person that results from admitting an out-of-state transfer
student to class that has an appointment scheduled pursuant to
this subsection (5).
(6) Every school shall report to the State Board of
Education by November 15, in the manner which that agency shall
require, the number of children who have received the necessary

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immunizations and the health examination (other than a dental
examination or eye examination) as required, indicating, of
those who have not received the immunizations and examination
as required, the number of children who are exempt from health
examination and immunization requirements on religious or
medical grounds as provided in subsection (8). On or before
December 1 of each year, every public school district and
registered nonpublic school shall make publicly available the
immunization data they are required to submit to the State
Board of Education by November 15. The immunization data made
publicly available must be identical to the data the school
district or school has reported to the State Board of
Education.
Every school shall report to the State Board of Education
by June 30, in the manner that the State Board requires, the
number of children who have received the required dental
examination, indicating, of those who have not received the
required dental examination, the number of children who are
exempt from the dental examination on religious grounds as
provided in subsection (8) of this Section and the number of
children who have received a waiver under subsection (1.5) of
this Section.
Every school shall report to the State Board of Education
by June 30, in the manner that the State Board requires, the
number of children who have received the required eye
examination, indicating, of those who have not received the

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required eye examination, the number of children who are exempt
from the eye examination as provided in subsection (8) of this
Section, the number of children who have received a waiver
under subsection (1.10) of this Section, and the total number
of children in noncompliance with the eye examination
requirement.
The reported information under this subsection (6) shall be
provided to the Department of Public Health by the State Board
of Education.
(7) Upon determining that the number of pupils who are
required to be in compliance with subsection (5) of this
Section is below 90% of the number of pupils enrolled in the
school district, 10% of each State aid payment made pursuant to
Section 18-8.05 to the school district for such year may be
withheld by the State Board of Education until the number of
students in compliance with subsection (5) is the applicable
specified percentage or higher.
(8) Children of parents or legal guardians who object to
health, dental, or eye examinations or any part thereof, to
immunizations, or to vision and hearing screening tests on
religious grounds shall not be required to undergo the
examinations, tests, or immunizations to which they so object
if such parents or legal guardians present to the appropriate
local school authority a signed Certificate of Religious
Exemption detailing the grounds for objection and the specific
immunizations, tests, or examinations to which they object. The

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grounds for objection must set forth the specific religious
belief that conflicts with the examination, test,
immunization, or other medical intervention. The signed
certificate shall also reflect the parent's or legal guardian's
understanding of the school's exclusion policies in the case of
a vaccine-preventable disease outbreak or exposure. The
certificate must also be signed by the authorized examining
health care provider responsible for the performance of the
child's health examination confirming that the provider
provided education to the parent or legal guardian on the
benefits of immunization and the health risks to the student
and to the community of the communicable diseases for which
immunization is required in this State. However, the health
care provider's signature on the certificate reflects only that
education was provided and does not allow a health care
provider grounds to determine a religious exemption. Those
receiving immunizations required under this Code shall be
provided with the relevant vaccine information statements that
are required to be disseminated by the federal National
Childhood Vaccine Injury Act of 1986, which may contain
information on circumstances when a vaccine should not be
administered, prior to administering a vaccine. A healthcare
provider may consider including without limitation the
nationally accepted recommendations from federal agencies such
as the Advisory Committee on Immunization Practices, the
information outlined in the relevant vaccine information

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statement, and vaccine package inserts, along with the
healthcare provider's clinical judgment, to determine whether
any child may be more susceptible to experiencing an adverse
vaccine reaction than the general population, and, if so, the
healthcare provider may exempt the child from an immunization
or adopt an individualized immunization schedule. The
Certificate of Religious Exemption shall be created by the
Department of Public Health and shall be made available and
used by parents and legal guardians by the beginning of the
2015-2016 school year. Parents or legal guardians must submit
the Certificate of Religious Exemption to their local school
authority prior to entering kindergarten, sixth grade, and
ninth grade for each child for which they are requesting an
exemption. The religious objection stated need not be directed
by the tenets of an established religious organization.
However, general philosophical or moral reluctance to allow
physical examinations, eye examinations, immunizations, vision
and hearing screenings, or dental examinations does not provide
a sufficient basis for an exception to statutory requirements.
The local school authority is responsible for determining if
the content of the Certificate of Religious Exemption
constitutes a valid religious objection. The local school
authority shall inform the parent or legal guardian of
exclusion procedures, in accordance with the Department's
rules under Part 690 of Title 77 of the Illinois Administrative
Code, at the time the objection is presented.

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If the physical condition of the child is such that any one
or more of the immunizing agents should not be administered,
the examining physician, advanced practice registered nurse,
or physician assistant responsible for the performance of the
health examination shall endorse that fact upon the health
examination form.
Exempting a child from the health, dental, or eye
examination does not exempt the child from participation in the
program of physical education training provided in Sections
27-5 through 27-7 of this Code.
(9) For the purposes of this Section, "nursery schools"
means those nursery schools operated by elementary school
systems or secondary level school units or institutions of
higher learning.
(Source: P.A. 98-673, eff. 6-30-14; 99-173, eff. 7-29-15;
99-249, eff. 8-3-15; 99-642, eff. 7-28-16; 99-927, eff.
6-1-17.)
Section 90. The Care of Students with Diabetes Act is
amended by changing Section 10 as follows:
(105 ILCS 145/10)
Sec. 10. Definitions. As used in this Act:
"Delegated care aide" means a school employee who has
agreed to receive training in diabetes care and to assist
students in implementing their diabetes care plan and has

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entered into an agreement with a parent or guardian and the
school district or private school.
"Diabetes care plan" means a document that specifies the
diabetes-related services needed by a student at school and at
school-sponsored activities and identifies the appropriate
staff to provide and supervise these services.
"Health care provider" means a physician licensed to
practice medicine in all of its branches, advanced practice
registered nurse who has a written agreement with a
collaborating physician who authorizes the provision of
diabetes care, or a physician assistant who has a written
supervision agreement with a supervising physician who
authorizes the provision of diabetes care.
"Principal" means the principal of the school.
"School" means any primary or secondary public, charter, or
private school located in this State.
"School employee" means a person who is employed by a
public school district or private school, a person who is
employed by a local health department and assigned to a school,
or a person who contracts with a school or school district to
perform services in connection with a student's diabetes care
plan. This definition must not be interpreted as requiring a
school district or private school to hire additional personnel
for the sole purpose of serving as a designated care aide.
(Source: P.A. 96-1485, eff. 12-1-10.)

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Section 95. The Nursing Education Scholarship Law is
amended by changing Sections 3, 5, and 6.5 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

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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.

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(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, licensed
practical nurse, or advanced practice registered nurse in
direct patient care 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.
(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.
(19) "School term" means an academic term, such as a
semester, quarter, trimester, or number of clock hours, as

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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, 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.
(24) "Nurse educator employment obligation" means
employment in this State as a nurse educator for at least 2
years for each year of scholarship assistance received under
Section 6.5 of this Law.

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Rulemaking authority to implement this amendatory Act of
the 96th General Assembly, if any, is conditioned on the rules
being adopted in accordance with all provisions of the Illinois
Administrative Procedure Act and all rules and procedures of
the Joint Committee on Administrative Rules; any purported rule
not so adopted, for whatever reason, is unauthorized.
(Source: P.A. 95-331, eff. 8-21-07; 95-639, eff. 10-5-07;
96-805, eff. 10-30-09.)
(110 ILCS 975/5) (from Ch. 144, par. 2755)
Sec. 5. Nursing education scholarships. Beginning with the
fall term of the 2004-2005 academic year, the Department, in
accordance with rules and regulations promulgated by it for
this program, shall provide scholarships to individuals
selected from among those applicants who qualify for
consideration by showing:
(1) that he or she has been a resident of this State
for at least one year prior to application, and is a
citizen or a lawful permanent resident alien of the United
States;
(2) that he or she is enrolled in or accepted for
admission to an associate degree in nursing program,
hospital-based diploma in nursing program, baccalaureate
degree in nursing program, graduate degree in nursing
program, or practical nursing program at an approved
institution; and

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(3) that he or she agrees to meet the nursing
employment obligation.
If in any year the number of qualified applicants exceeds
the number of scholarships to be awarded, the Department shall,
in consultation with the Illinois Nursing Workforce Center for
Nursing Advisory Board, consider the following factors in
granting priority in awarding scholarships:
(A) Financial need, as shown on a standardized
financial needs assessment form used by an approved
institution, of students who will pursue their
education on a full-time or close to full-time basis
and who already have a certificate in practical
nursing, a diploma in nursing, or an associate degree
in nursing and are pursuing a higher degree.
(B) A student's status as a registered nurse who is
pursuing a graduate degree in nursing to pursue
employment in an approved institution that educates
licensed practical nurses and that educates registered
nurses in undergraduate and graduate nursing programs.
(C) A student's merit, as shown through his or her
grade point average, class rank, and other academic and
extracurricular activities. The Department may add to
and further define these merit criteria by rule.
Unless otherwise indicated, scholarships shall be awarded
to recipients at approved institutions for a period of up to 2
years if the recipient is enrolled in an associate degree in

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nursing program, up to 3 years if the recipient is enrolled in
a hospital-based diploma in nursing program, up to 4 years if
the recipient is enrolled in a baccalaureate degree in nursing
program, up to 5 years if the recipient is enrolled in a
graduate degree in nursing program, and up to one year if the
recipient is enrolled in a certificate in practical nursing
program. At least 40% of the scholarships awarded shall be for
recipients who are pursuing baccalaureate degrees in nursing,
30% of the scholarships awarded shall be for recipients who are
pursuing associate degrees in nursing or a diploma in nursing,
10% of the scholarships awarded shall be for recipients who are
pursuing a certificate in practical nursing, and 20% of the
scholarships awarded shall be for recipients who are pursuing a
graduate degree in nursing.
(Source: P.A. 93-879, eff. 1-1-05; 94-1020, eff. 7-11-06.)
(110 ILCS 975/6.5)
Sec. 6.5. Nurse educator scholarships.
(a) Beginning with the fall term of the 2009-2010 academic
year, the Department shall provide scholarships to individuals
selected from among those applicants who qualify for
consideration by showing the following:
(1) that he or she has been a resident of this State
for at least one year prior to application and is a citizen
or a lawful permanent resident alien of the United States;
(2) that he or she is enrolled in or accepted for

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admission to a graduate degree in nursing program at an
approved institution; and
(3) that he or she agrees to meet the nurse educator
employment obligation.
(b) If in any year the number of qualified applicants
exceeds the number of scholarships to be awarded under this
Section, the Department shall, in consultation with the
Illinois Nursing Workforce Center for Nursing Advisory Board,
consider the following factors in granting priority in awarding
scholarships:
(1) Financial need, as shown on a standardized
financial needs assessment form used by an approved
institution, of students who will pursue their education on
a full-time or close to full-time basis and who already
have a diploma in nursing and are pursuing a higher degree.
(2) A student's status as a registered nurse who is
pursuing a graduate degree in nursing to pursue employment
in an approved institution that educates licensed
practical nurses and that educates registered nurses in
undergraduate and graduate nursing programs.
(3) A student's merit, as shown through his or her
grade point average, class rank, experience as a nurse,
including supervisory experience, experience as a nurse in
the United States military, and other academic and
extracurricular activities.
(c) Unless otherwise indicated, scholarships under this

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Section shall be awarded to recipients at approved institutions
for a period of up to 3 years.
(d) Within 12 months after graduation from a graduate
degree in nursing program for nurse educators, any recipient
who accepted a scholarship under this Section shall begin
meeting the required nurse educator employment obligation. In
order to defer his or her continuous employment obligation, a
recipient must request the deferment in writing from the
Department. A recipient shall receive a deferment if he or she
notifies the Department, within 30 days after enlisting, that
he or she is spending up to 4 years in military service. A
recipient shall receive a deferment if he or she notifies the
Department, within 30 days after enrolling, that he or she is
enrolled in an academic program leading to a graduate degree in
nursing. The recipient must begin meeting the required nurse
educator employment obligation no later than 6 months after the
end of the deferment or deferments.
Any person who fails to fulfill the nurse educator
employment obligation shall pay to the Department an amount
equal to the amount of scholarship funds received per year for
each unfulfilled year of the nurse educator employment
obligation, together with interest at 7% per year on the unpaid
balance. Payment must begin within 6 months following the date
of the occurrence initiating the repayment. All repayments must
be completed within 6 years from the date of the occurrence
initiating the repayment. However, this repayment obligation

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may be deferred and re-evaluated every 6 months when the
failure to fulfill the nurse educator employment obligation
results from involuntarily leaving the profession due to a
decrease in the number of nurses employed in this State or when
the failure to fulfill the nurse educator employment obligation
results from total and permanent disability. The repayment
obligation shall be excused if the failure to fulfill the nurse
educator employment obligation results from the death or
adjudication as incompetent of the person holding the
scholarship. No claim for repayment may be filed against the
estate of such a decedent or incompetent.
The Department may allow a nurse educator employment
obligation fulfillment alternative if the nurse educator
scholarship recipient is unsuccessful in finding work as a
nurse educator. The Department shall maintain a database of all
available nurse educator positions in this State.
(e) Each person applying for a scholarship under this
Section must be provided with a copy of this Section at the
time of application for the benefits of this scholarship.
(f) Rulemaking authority to implement this amendatory Act
of the 96th General Assembly, if any, is conditioned on the
rules being adopted in accordance with all provisions of the
Illinois Administrative Procedure Act and all rules and
procedures of the Joint Committee on Administrative Rules; any
purported rule not so adopted, for whatever reason, is
unauthorized.

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(Source: P.A. 96-805, eff. 10-30-09.)
Section 100. 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
registered 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 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 podiatric physician 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
podiatric physician may be assisted by a physician licensed
to practice medicine in all its branches, dentist, dental
assistant, podiatric physician, licensed advanced practice
registered nurse, licensed physician assistant, licensed

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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 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 registered 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 registered
nursing services in an ambulatory surgical treatment
center. An advanced practice registered nurse must possess
clinical privileges granted by the consulting medical

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staff committee and ambulatory surgical treatment center
in order to provide services. Individual advanced practice
registered 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 advanced practice
registered 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 registered nurses granted privileges.
(4) 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 podiatric physician.
(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

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(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; or
(v) a podiatric physician licensed under the
Podiatric Medical Practice Act of 1987.
(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
to provide anesthesia services ordered by a licensed

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physician, dentist, or podiatric physician. 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 podiatric physician in
accordance with the medical staff consulting committee
policies of a licensed ambulatory surgical treatment
center.
(Source: P.A. 98-214, eff. 8-9-13; 99-642, eff. 7-28-16.)
Section 105. The Assisted Living and Shared Housing Act is
amended by changing Section 10 as follows:
(210 ILCS 9/10)
Sec. 10. Definitions. For purposes of this Act:
"Activities of daily living" means eating, dressing,
bathing, toileting, transferring, or personal hygiene.
"Assisted living establishment" or "establishment" means a
home, building, residence, or any other place where sleeping
accommodations are provided for at least 3 unrelated adults, at
least 80% of whom are 55 years of age or older and where the
following are provided consistent with the purposes of this

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Act:
(1) services consistent with a social model that is
based on the premise that the resident's unit in assisted
living and shared housing is his or her own home;
(2) community-based residential care for persons who
need assistance with activities of daily living, including
personal, supportive, and intermittent health-related
services available 24 hours per day, if needed, to meet the
scheduled and unscheduled needs of a resident;
(3) mandatory services, whether provided directly by
the establishment or by another entity arranged for by the
establishment, with the consent of the resident or
resident's representative; and
(4) a physical environment that is a homelike setting
that includes the following and such other elements as
established by the Department: individual living units
each of which shall accommodate small kitchen appliances
and contain private bathing, washing, and toilet
facilities, or private washing and toilet facilities with a
common bathing room readily accessible to each resident.
Units shall be maintained for single occupancy except in
cases in which 2 residents choose to share a unit.
Sufficient common space shall exist to permit individual
and group activities.
"Assisted living establishment" or "establishment" does
not mean any of the following:

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(1) A home, institution, or similar place operated by
the federal government or the State of Illinois.
(2) A long term care facility licensed under the
Nursing Home Care Act, a facility licensed under the
Specialized Mental Health Rehabilitation Act of 2013, a
facility licensed under the ID/DD Community Care Act, or a
facility licensed under the MC/DD Act. However, a facility
licensed under any of those Acts may convert distinct parts
of the facility to assisted living. If the facility elects
to do so, the facility shall retain the Certificate of Need
for its nursing and sheltered care beds that were
converted.
(3) A hospital, sanitarium, or other institution, the
principal activity or business of which is the diagnosis,
care, and treatment of human illness and that is required
to be licensed under the Hospital Licensing Act.
(4) A facility for child care as defined in the Child
Care Act of 1969.
(5) A community living facility as defined in the
Community Living Facilities Licensing Act.
(6) A nursing home or sanitarium operated solely by and
for persons who rely exclusively upon treatment by
spiritual means through prayer in accordance with the creed
or tenants of a well-recognized church or religious
denomination.
(7) A facility licensed by the Department of Human

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Services as a community-integrated living arrangement as
defined in the Community-Integrated Living Arrangements
Licensure and Certification Act.
(8) A supportive residence licensed under the
Supportive Residences Licensing Act.
(9) The portion of a life care facility as defined in
the Life Care Facilities Act not licensed as an assisted
living establishment under this Act; a life care facility
may apply under this Act to convert sections of the
community to assisted living.
(10) A free-standing hospice facility licensed under
the Hospice Program Licensing Act.
(11) A shared housing establishment.
(12) A supportive living facility as described in
Section 5-5.01a of the Illinois Public Aid Code.
"Department" means the Department of Public Health.
"Director" means the Director of Public Health.
"Emergency situation" means imminent danger of death or
serious physical harm to a resident of an establishment.
"License" means any of the following types of licenses
issued to an applicant or licensee by the Department:
(1) "Probationary license" means a license issued to an
applicant or licensee that has not held a license under
this Act prior to its application or pursuant to a license
transfer in accordance with Section 50 of this Act.
(2) "Regular license" means a license issued by the

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Department to an applicant or licensee that is in
substantial compliance with this Act and any rules
promulgated under this Act.
"Licensee" means a person, agency, association,
corporation, partnership, or organization that has been issued
a license to operate an assisted living or shared housing
establishment.
"Licensed health care professional" means a registered
professional nurse, an advanced practice registered nurse, a
physician assistant, and a licensed practical nurse.
"Mandatory services" include the following:
(1) 3 meals per day available to the residents prepared
by the establishment or an outside contractor;
(2) housekeeping services including, but not limited
to, vacuuming, dusting, and cleaning the resident's unit;
(3) personal laundry and linen services available to
the residents provided or arranged for by the
establishment;
(4) security provided 24 hours each day including, but
not limited to, locked entrances or building or contract
security personnel;
(5) an emergency communication response system, which
is a procedure in place 24 hours each day by which a
resident can notify building management, an emergency
response vendor, or others able to respond to his or her
need for assistance; and

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(6) assistance with activities of daily living as
required by each resident.
"Negotiated risk" is the process by which a resident, or
his or her representative, may formally negotiate with
providers what risks each are willing and unwilling to assume
in service provision and the resident's living environment. The
provider assures that the resident and the resident's
representative, if any, are informed of the risks of these
decisions and of the potential consequences of assuming these
risks.
"Owner" means the individual, partnership, corporation,
association, or other person who owns an assisted living or
shared housing establishment. In the event an assisted living
or shared housing establishment is operated by a person who
leases or manages the physical plant, which is owned by another
person, "owner" means the person who operates the assisted
living or shared housing establishment, except that if the
person who owns the physical plant is an affiliate of the
person who operates the assisted living or shared housing
establishment and has significant control over the day to day
operations of the assisted living or shared housing
establishment, the person who owns the physical plant shall
incur jointly and severally with the owner all liabilities
imposed on an owner under this Act.
"Physician" means a person licensed under the Medical
Practice Act of 1987 to practice medicine in all of its

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branches.
"Resident" means a person residing in an assisted living or
shared housing establishment.
"Resident's representative" means a person, other than the
owner, agent, or employee of an establishment or of the health
care provider unless related to the resident, designated in
writing by a resident to be his or her representative. This
designation may be accomplished through the Illinois Power of
Attorney Act, pursuant to the guardianship process under the
Probate Act of 1975, or pursuant to an executed designation of
representative form specified by the Department.
"Self" means the individual or the individual's designated
representative.
"Shared housing establishment" or "establishment" means a
publicly or privately operated free-standing residence for 16
or fewer persons, at least 80% of whom are 55 years of age or
older and who are unrelated to the owners and one manager of
the residence, where the following are provided:
(1) services consistent with a social model that is
based on the premise that the resident's unit is his or her
own home;
(2) community-based residential care for persons who
need assistance with activities of daily living, including
housing and personal, supportive, and intermittent
health-related services available 24 hours per day, if
needed, to meet the scheduled and unscheduled needs of a

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resident; and
(3) mandatory services, whether provided directly by
the establishment or by another entity arranged for by the
establishment, with the consent of the resident or the
resident's representative.
"Shared housing establishment" or "establishment" does not
mean any of the following:
(1) A home, institution, or similar place operated by
the federal government or the State of Illinois.
(2) A long term care facility licensed under the
Nursing Home Care Act, a facility licensed under the
Specialized Mental Health Rehabilitation Act of 2013, a
facility licensed under the ID/DD Community Care Act, or a
facility licensed under the MC/DD Act. A facility licensed
under any of those Acts may, however, convert sections of
the facility to assisted living. If the facility elects to
do so, the facility shall retain the Certificate of Need
for its nursing beds that were converted.
(3) A hospital, sanitarium, or other institution, the
principal activity or business of which is the diagnosis,
care, and treatment of human illness and that is required
to be licensed under the Hospital Licensing Act.
(4) A facility for child care as defined in the Child
Care Act of 1969.
(5) A community living facility as defined in the
Community Living Facilities Licensing Act.

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(6) A nursing home or sanitarium operated solely by and
for persons who rely exclusively upon treatment by
spiritual means through prayer in accordance with the creed
or tenants of a well-recognized church or religious
denomination.
(7) A facility licensed by the Department of Human
Services as a community-integrated living arrangement as
defined in the Community-Integrated Living Arrangements
Licensure and Certification Act.
(8) A supportive residence licensed under the
Supportive Residences Licensing Act.
(9) A life care facility as defined in the Life Care
Facilities Act; a life care facility may apply under this
Act to convert sections of the community to assisted
living.
(10) A free-standing hospice facility licensed under
the Hospice Program Licensing Act.
(11) An assisted living establishment.
(12) A supportive living facility as described in
Section 5-5.01a of the Illinois Public Aid Code.
"Total assistance" means that staff or another individual
performs the entire activity of daily living without
participation by the resident.
(Source: P.A. 98-104, eff. 7-22-13; 99-180, eff. 7-29-15.)
Section 110. The Illinois Clinical Laboratory and Blood

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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
podiatric physician, (iv) a licensed optometrist, (v) a
licensed physician assistant, (v-A) a licensed advanced
practice registered nurse, (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,
or (vii) a genetic counselor with the specific authority from a
referral to order a test or tests pursuant to subsection (b) of
Section 20 of the Genetic Counselor Licensing Act. 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. 98-185, eff. 1-1-14; 98-214, eff. 8-9-13; 98-756,
eff. 7-16-14; 98-767, eff. 1-1-15; 99-173, eff. 7-29-15.)
Section 115. The Nursing Home Care Act is amended by
changing Section 3-206.05 as follows:

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(210 ILCS 45/3-206.05)
Sec. 3-206.05. Safe resident handling policy.
(a) In this Section:
"Health care worker" means an individual providing direct
resident care services who may be required to lift, transfer,
reposition, or move a resident.
"Nurse" means an advanced practice registered nurse, a
registered nurse, or a licensed practical nurse licensed under
the Nurse Practice Act.
"Safe lifting equipment and accessories" means mechanical
equipment designed to lift, move, reposition, and transfer
residents, including, but not limited to, fixed and portable
ceiling lifts, sit-to-stand lifts, slide sheets and boards,
slings, and repositioning and turning sheets.
"Safe lifting team" means at least 2 individuals who are
trained and proficient in the use of both safe lifting
techniques and safe lifting equipment and accessories.
"Adjustable equipment" means products and devices that may
be adapted for use by individuals with physical and other
disabilities in order to optimize accessibility. Adjustable
equipment includes, but is not limited to, the following:
(1) Wheelchairs with adjustable footrest height and
seat width and depth.
(2) Height-adjustable, drop-arm commode chairs and
height-adjustable shower gurneys or shower benches to

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enable individuals with mobility disabilities to use a
toilet and to shower safely and with increased comfort.
(3) Accessible weight scales that accommodate
wheelchair users.
(4) Height-adjustable beds that can be lowered to
accommodate individuals with mobility disabilities in
getting in and out of bed and that utilize drop-down side
railings for stability and positioning support.
(5) Universally designed or adaptable call buttons and
motorized bed position and height controls that can be
operated by persons with limited or no reach range, fine
motor ability, or vision.
(6) Height-adjustable platform tables for physical
therapy with drop-down side railings for stability and
positioning support.
(7) Therapeutic rehabilitation and exercise machines
with foot straps to secure the user's feet to the pedals
and with cuffs or splints to augment the user's grip
strength on handles.
(b) A facility must adopt and ensure implementation of a
policy to identify, assess, and develop strategies to control
risk of injury to residents and nurses and other health care
workers associated with the lifting, transferring,
repositioning, or movement of a resident. The policy shall
establish a process that, at a minimum, includes all of the
following:

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(1) Analysis of the risk of injury to residents and
nurses and other health care workers taking into account
the resident handling needs of the resident populations
served by the facility and the physical environment in
which the resident handling and movement occurs.
(2) Education and training of nurses and other direct
resident care providers in the identification, assessment,
and control of risks of injury to residents and nurses and
other health care workers during resident handling and on
safe lifting policies and techniques and current lifting
equipment.
(3) Evaluation of alternative ways to reduce risks
associated with resident handling, including evaluation of
equipment and the environment.
(4) Restriction, to the extent feasible with existing
equipment and aids, of manual resident handling or movement
of all or most of a resident's weight except for emergency,
life-threatening, or otherwise exceptional circumstances.
(5) Procedures for a nurse to refuse to perform or be
involved in resident handling or movement that the nurse in
good faith believes will expose a resident or nurse or
other health care worker to an unacceptable risk of injury.
(6) Development of strategies to control risk of injury
to residents and nurses and other health care workers
associated with the lifting, transferring, repositioning,
or movement of a resident.

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(7) In developing architectural plans for construction
or remodeling of a facility or unit of a facility in which
resident handling and movement occurs, consideration of
the feasibility of incorporating resident handling
equipment or the physical space and construction design
needed to incorporate that equipment.
(8) Fostering and maintaining resident safety,
dignity, self-determination, and choice, including the
following policies, strategies, and procedures:
(A) The existence and availability of a trained
safe lifting team.
(B) A policy of advising residents of a range of
transfer and lift options, including adjustable
diagnostic and treatment equipment, mechanical lifts,
and provision of a trained safe lifting team.
(C) The right of a competent resident, or the
guardian of a resident adjudicated incompetent, to
choose among the range of transfer and lift options
consistent with the procedures set forth under
subdivision (b)(5) and the policies set forth under
this paragraph (8), subject to the provisions of
subparagraph (E) of this paragraph (8).
(D) Procedures for documenting, upon admission and
as status changes, a mobility assessment and plan for
lifting, transferring, repositioning, or movement of a
resident, including the choice of the resident or the

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resident's guardian among the range of transfer and
lift options.
(E) Incorporation of such safe lifting procedures,
techniques, and equipment as are consistent with
applicable federal law.
(c) Safe lifting teams must receive specialized, in-depth
training that includes, but need not be limited to, the
following:
(1) Types and operation of equipment.
(2) Safe manual lifting and moving techniques.
(3) Ergonomic principles in the assessment of risk both
to nurses and other workers and to residents.
(4) The selection, safe use, location, and condition of
appropriate pieces of equipment individualized to each
resident's medical and physical conditions and
preferences.
(5) Procedures for advising residents of the full range
of transfer and lift options and for documenting
individualized lifting plans that include resident choice.
Specialized, in-depth training may rely on federal
standards and guidelines such as the United States Department
of Labor Guidelines for Nursing Homes, supplemented by federal
requirements for barrier removal, independent access, and
means of accommodation optimizing independent movement and
transfer.
(Source: P.A. 96-389, eff. 1-1-10; 97-866, eff. 1-1-13.)

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Section 120. The Emergency Medical Services (EMS) Systems
Act is amended by changing Sections 3.10 and 3.117 as follows:
(210 ILCS 50/3.10)
Sec. 3.10. Scope of Services.
(a) "Advanced Life Support (ALS) Services" means an
advanced level of pre-hospital and inter-hospital emergency
care and non-emergency medical services that includes basic
life support care, cardiac monitoring, cardiac defibrillation,
electrocardiography, intravenous therapy, administration of
medications, drugs and solutions, use of adjunctive medical
devices, trauma care, and other authorized techniques and
procedures, as outlined in the provisions of the National EMS
Education Standards relating to Advanced Life Support and any
modifications to that curriculum specified in rules adopted by
the Department pursuant to this Act.
That care shall be initiated as authorized by the EMS
Medical Director in a Department approved advanced life support
EMS System, under the written or verbal direction of a
physician licensed to practice medicine in all of its branches
or under the verbal direction of an Emergency Communications
Registered Nurse.
(b) "Intermediate Life Support (ILS) Services" means an
intermediate level of pre-hospital and inter-hospital
emergency care and non-emergency medical services that

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includes basic life support care plus intravenous cannulation
and fluid therapy, invasive airway management, trauma care, and
other authorized techniques and procedures, as outlined in the
Intermediate Life Support national curriculum of the United
States Department of Transportation and any modifications to
that curriculum specified in rules adopted by the Department
pursuant to this Act.
That care shall be initiated as authorized by the EMS
Medical Director in a Department approved intermediate or
advanced life support EMS System, under the written or verbal
direction of a physician licensed to practice medicine in all
of its branches or under the verbal direction of an Emergency
Communications Registered Nurse.
(c) "Basic Life Support (BLS) Services" means a basic level
of pre-hospital and inter-hospital emergency care and
non-emergency medical services that includes medical
monitoring, clinical observation, airway management,
cardiopulmonary resuscitation (CPR), control of shock and
bleeding and splinting of fractures, as outlined in the
provisions of the National EMS Education Standards relating to
Basic Life Support and any modifications to that curriculum
specified in rules adopted by the Department pursuant to this
Act.
That care shall be initiated, where authorized by the EMS
Medical Director in a Department approved EMS System, under the
written or verbal direction of a physician licensed to practice

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medicine in all of its branches or under the verbal direction
of an Emergency Communications Registered Nurse.
(d) "Emergency Medical Responder Services" means a
preliminary level of pre-hospital emergency care that includes
cardiopulmonary resuscitation (CPR), monitoring vital signs
and control of bleeding, as outlined in the Emergency Medical
Responder (EMR) curriculum of the National EMS Education
Standards and any modifications to that curriculum specified in
rules adopted by the Department pursuant to this Act.
(e) "Pre-hospital care" means those medical services
rendered to patients for analytic, resuscitative, stabilizing,
or preventive purposes, precedent to and during transportation
of such patients to health care facilities.
(f) "Inter-hospital care" means those medical services
rendered to patients for analytic, resuscitative, stabilizing,
or preventive purposes, during transportation of such patients
from one hospital to another hospital.
(f-5) "Critical care transport" means the pre-hospital or
inter-hospital transportation of a critically injured or ill
patient by a vehicle service provider, including the provision
of medically necessary supplies and services, at a level of
service beyond the scope of the Paramedic. When medically
indicated for a patient, as determined by a physician licensed
to practice medicine in all of its branches, an advanced
practice registered nurse, or a physician's assistant, in
compliance with subsections (b) and (c) of Section 3.155 of

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this Act, critical care transport may be provided by:
(1) Department-approved critical care transport
providers, not owned or operated by a hospital, utilizing
Paramedics with additional training, nurses, or other
qualified health professionals; or
(2) Hospitals, when utilizing any vehicle service
provider or any hospital-owned or operated vehicle service
provider. Nothing in Public Act 96-1469 requires a hospital
to use, or to be, a Department-approved critical care
transport provider when transporting patients, including
those critically injured or ill. Nothing in this Act shall
restrict or prohibit a hospital from providing, or
arranging for, the medically appropriate transport of any
patient, as determined by a physician licensed to practice
in all of its branches, an advanced practice registered
nurse, or a physician's assistant.
(g) "Non-emergency medical services" means medical care,
clinical observation, or medical monitoring rendered to
patients whose conditions do not meet this Act's definition of
emergency, before or during transportation of such patients to
or from health care facilities visited for the purpose of
obtaining medical or health care services which are not
emergency in nature, using a vehicle regulated by this Act.
(g-5) The Department shall have the authority to promulgate
minimum standards for critical care transport providers
through rules adopted pursuant to this Act. All critical care

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transport providers must function within a Department-approved
EMS System. Nothing in Department rules shall restrict a
hospital's ability to furnish personnel, equipment, and
medical supplies to any vehicle service provider, including a
critical care transport provider. Minimum critical care
transport provider standards shall include, but are not limited
to:
(1) Personnel staffing and licensure.
(2) Education, certification, and experience.
(3) Medical equipment and supplies.
(4) Vehicular standards.
(5) Treatment and transport protocols.
(6) Quality assurance and data collection.
(h) The provisions of this Act shall not apply to the use
of an ambulance or SEMSV, unless and until emergency or
non-emergency medical services are needed during the use of the
ambulance or SEMSV.
(Source: P.A. 98-973, eff. 8-15-14; 99-661, eff. 1-1-17.)
(210 ILCS 50/3.117)
Sec. 3.117. Hospital Designations.
(a) The Department shall attempt to designate Primary
Stroke Centers in all areas of the State.
(1) The Department shall designate as many certified
Primary Stroke Centers as apply for that designation
provided they are certified by a nationally-recognized

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certifying body, approved by the Department, and
certification criteria are consistent with the most
current nationally-recognized, evidence-based stroke
guidelines related to reducing the occurrence,
disabilities, and death associated with stroke.
(2) A hospital certified as a Primary Stroke Center by
a nationally-recognized certifying body approved by the
Department, shall send a copy of the Certificate and annual
fee to the Department and shall be deemed, within 30
business days of its receipt by the Department, to be a
State-designated Primary Stroke Center.
(3) A center designated as a Primary Stroke Center
shall pay an annual fee as determined by the Department
that shall be no less than $100 and no greater than $500.
All fees shall be deposited into the Stroke Data Collection
Fund.
(3.5) With respect to a hospital that is a designated
Primary Stroke Center, the Department shall have the
authority and responsibility to do the following:
(A) Suspend or revoke a hospital's Primary Stroke
Center designation upon receiving notice that the
hospital's Primary Stroke Center certification has
lapsed or has been revoked by the State recognized
certifying body.
(B) Suspend a hospital's Primary Stroke Center
designation, in extreme circumstances where patients

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may be at risk for immediate harm or death, until such
time as the certifying body investigates and makes a
final determination regarding certification.
(C) Restore any previously suspended or revoked
Department designation upon notice to the Department
that the certifying body has confirmed or restored the
Primary Stroke Center certification of that previously
designated hospital.
(D) Suspend a hospital's Primary Stroke Center
designation at the request of a hospital seeking to
suspend its own Department designation.
(4) Primary Stroke Center designation shall remain
valid at all times while the hospital maintains its
certification as a Primary Stroke Center, in good standing,
with the certifying body. The duration of a Primary Stroke
Center designation shall coincide with the duration of its
Primary Stroke Center certification. Each designated
Primary Stroke Center shall have its designation
automatically renewed upon the Department's receipt of a
copy of the accrediting body's certification renewal.
(5) A hospital that no longer meets
nationally-recognized, evidence-based standards for
Primary Stroke Centers, or loses its Primary Stroke Center
certification, shall notify the Department and the
Regional EMS Advisory Committee within 5 business days.
(a-5) The Department shall attempt to designate

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Comprehensive Stroke Centers in all areas of the State.
(1) The Department shall designate as many certified
Comprehensive Stroke Centers as apply for that
designation, provided that the Comprehensive Stroke
Centers are certified by a nationally-recognized
certifying body approved by the Department, and provided
that the certifying body's certification criteria are
consistent with the most current nationally-recognized and
evidence-based stroke guidelines for reducing the
occurrence of stroke and the disabilities and death
associated with stroke.
(2) A hospital certified as a Comprehensive Stroke
Center shall send a copy of the Certificate and annual fee
to the Department and shall be deemed, within 30 business
days of its receipt by the Department, to be a
State-designated Comprehensive Stroke Center.
(3) A hospital designated as a Comprehensive Stroke
Center shall pay an annual fee as determined by the
Department that shall be no less than $100 and no greater
than $500. All fees shall be deposited into the Stroke Data
Collection Fund.
(4) With respect to a hospital that is a designated
Comprehensive Stroke Center, the Department shall have the
authority and responsibility to do the following:
(A) Suspend or revoke the hospital's Comprehensive
Stroke Center designation upon receiving notice that

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the hospital's Comprehensive Stroke Center
certification has lapsed or has been revoked by the
State recognized certifying body.
(B) Suspend the hospital's Comprehensive Stroke
Center designation, in extreme circumstances in which
patients may be at risk for immediate harm or death,
until such time as the certifying body investigates and
makes a final determination regarding certification.
(C) Restore any previously suspended or revoked
Department designation upon notice to the Department
that the certifying body has confirmed or restored the
Comprehensive Stroke Center certification of that
previously designated hospital.
(D) Suspend the hospital's Comprehensive Stroke
Center designation at the request of a hospital seeking
to suspend its own Department designation.
(5) Comprehensive Stroke Center designation shall
remain valid at all times while the hospital maintains its
certification as a Comprehensive Stroke Center, in good
standing, with the certifying body. The duration of a
Comprehensive Stroke Center designation shall coincide
with the duration of its Comprehensive Stroke Center
certification. Each designated Comprehensive Stroke Center
shall have its designation automatically renewed upon the
Department's receipt of a copy of the certifying body's
certification renewal.

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(6) A hospital that no longer meets
nationally-recognized, evidence-based standards for
Comprehensive Stroke Centers, or loses its Comprehensive
Stroke Center certification, shall notify the Department
and the Regional EMS Advisory Committee within 5 business
days.
(b) Beginning on the first day of the month that begins 12
months after the adoption of rules authorized by this
subsection, the Department shall attempt to designate
hospitals as Acute Stroke-Ready Hospitals in all areas of the
State. Designation may be approved by the Department after a
hospital has been certified as an Acute Stroke-Ready Hospital
or through application and designation by the Department. For
any hospital that is designated as an Emergent Stroke Ready
Hospital at the time that the Department begins the designation
of Acute Stroke-Ready Hospitals, the Emergent Stroke Ready
designation shall remain intact for the duration of the
12-month period until that designation expires. Until the
Department begins the designation of hospitals as Acute
Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke
Ready Hospital designation utilizing the processes and
criteria provided in Public Act 96-514.
(1) (Blank).
(2) Hospitals may apply for, and receive, Acute
Stroke-Ready Hospital designation from the Department,
provided that the hospital attests, on a form developed by

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the Department in consultation with the State Stroke
Advisory Subcommittee, that it meets, and will continue to
meet, the criteria for Acute Stroke-Ready Hospital
designation and pays an annual fee.
A hospital designated as an Acute Stroke-Ready
Hospital shall pay an annual fee as determined by the
Department that shall be no less than $100 and no greater
than $500. All fees shall be deposited into the Stroke Data
Collection Fund.
(2.5) A hospital may apply for, and receive, Acute
Stroke-Ready Hospital designation from the Department,
provided that the hospital provides proof of current Acute
Stroke-Ready Hospital certification and the hospital pays
an annual fee.
(A) Acute Stroke-Ready Hospital designation shall
remain valid at all times while the hospital maintains
its certification as an Acute Stroke-Ready Hospital,
in good standing, with the certifying body.
(B) The duration of an Acute Stroke-Ready Hospital
designation shall coincide with the duration of its
Acute Stroke-Ready Hospital certification.
(C) Each designated Acute Stroke-Ready Hospital
shall have its designation automatically renewed upon
the Department's receipt of a copy of the certifying
body's certification renewal and Application for
Stroke Center Designation form.

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(D) A hospital must submit a copy of its
certification renewal from the certifying body as soon
as practical but no later than 30 business days after
that certification is received by the hospital. Upon
the Department's receipt of the renewal certification,
the Department shall renew the hospital's Acute
Stroke-Ready Hospital designation.
(E) A hospital designated as an Acute Stroke-Ready
Hospital shall pay an annual fee as determined by the
Department that shall be no less than $100 and no
greater than $500. All fees shall be deposited into the
Stroke Data Collection Fund.
(3) Hospitals seeking Acute Stroke-Ready Hospital
designation that do not have certification shall develop
policies and procedures that are consistent with
nationally-recognized, evidence-based protocols for the
provision of emergent stroke care. Hospital policies
relating to emergent stroke care and stroke patient
outcomes shall be reviewed at least annually, or more often
as needed, by a hospital committee that oversees quality
improvement. Adjustments shall be made as necessary to
advance the quality of stroke care delivered. Criteria for
Acute Stroke-Ready Hospital designation of hospitals shall
be limited to the ability of a hospital to:
(A) create written acute care protocols related to
emergent stroke care;

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(A-5) participate in the data collection system
provided in Section 3.118, if available;
(B) maintain a written transfer agreement with one
or more hospitals that have neurosurgical expertise;
(C) designate a Clinical Director of Stroke Care
who shall be a clinical member of the hospital staff
with training or experience, as defined by the
facility, in the care of patients with cerebrovascular
disease. This training or experience may include, but
is not limited to, completion of a fellowship or other
specialized training in the area of cerebrovascular
disease, attendance at national courses, or prior
experience in neuroscience intensive care units. The
Clinical Director of Stroke Care may be a neurologist,
neurosurgeon, emergency medicine physician, internist,
radiologist, advanced practice registered nurse, or
physician's assistant;
(C-5) provide rapid access to an acute stroke team,
as defined by the facility, that considers and reflects
nationally-recognized, evidenced-based protocols or
guidelines;
(D) administer thrombolytic therapy, or
subsequently developed medical therapies that meet
nationally-recognized, evidence-based stroke
guidelines;
(E) conduct brain image tests at all times;

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(F) conduct blood coagulation studies at all
times;
(G) maintain a log of stroke patients, which shall
be available for review upon request by the Department
or any hospital that has a written transfer agreement
with the Acute Stroke-Ready Hospital;
(H) admit stroke patients to a unit that can
provide appropriate care that considers and reflects
nationally-recognized, evidence-based protocols or
guidelines or transfer stroke patients to an Acute
Stroke-Ready Hospital, Primary Stroke Center, or
Comprehensive Stroke Center, or another facility that
can provide the appropriate care that considers and
reflects nationally-recognized, evidence-based
protocols or guidelines; and
(I) demonstrate compliance with
nationally-recognized quality indicators.
(4) With respect to Acute Stroke-Ready Hospital
designation, the Department shall have the authority and
responsibility to do the following:
(A) Require hospitals applying for Acute
Stroke-Ready Hospital designation to attest, on a form
developed by the Department in consultation with the
State Stroke Advisory Subcommittee, that the hospital
meets, and will continue to meet, the criteria for an
Acute Stroke-Ready Hospital.

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(A-5) Require hospitals applying for Acute
Stroke-Ready Hospital designation via national Acute
Stroke-Ready Hospital certification to provide proof
of current Acute Stroke-Ready Hospital certification,
in good standing.
The Department shall require a hospital that is
already certified as an Acute Stroke-Ready Hospital to
send a copy of the Certificate to the Department.
Within 30 business days of the Department's
receipt of a hospital's Acute Stroke-Ready Certificate
and Application for Stroke Center Designation form
that indicates that the hospital is a certified Acute
Stroke-Ready Hospital, in good standing, the hospital
shall be deemed a State-designated Acute Stroke-Ready
Hospital. The Department shall send a designation
notice to each hospital that it designates as an Acute
Stroke-Ready Hospital and shall add the names of
designated Acute Stroke-Ready Hospitals to the website
listing immediately upon designation. The Department
shall immediately remove the name of a hospital from
the website listing when a hospital loses its
designation after notice and, if requested by the
hospital, a hearing.
The Department shall develop an Application for
Stroke Center Designation form that contains a
statement that "The above named facility meets the

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requirements for Acute Stroke-Ready Hospital
Designation as provided in Section 3.117 of the
Emergency Medical Services (EMS) Systems Act" and
shall instruct the applicant facility to provide: the
hospital name and address; the hospital CEO or
Administrator's typed name and signature; the hospital
Clinical Director of Stroke Care's typed name and
signature; and a contact person's typed name, email
address, and phone number.
The Application for Stroke Center Designation form
shall contain a statement that instructs the hospital
to "Provide proof of current Acute Stroke-Ready
Hospital certification from a nationally-recognized
certifying body approved by the Department".
(B) Designate a hospital as an Acute Stroke-Ready
Hospital no more than 30 business days after receipt of
an attestation that meets the requirements for
attestation, unless the Department, within 30 days of
receipt of the attestation, chooses to conduct an
onsite survey prior to designation. If the Department
chooses to conduct an onsite survey prior to
designation, then the onsite survey shall be conducted
within 90 days of receipt of the attestation.
(C) Require annual written attestation, on a form
developed by the Department in consultation with the
State Stroke Advisory Subcommittee, by Acute

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Stroke-Ready Hospitals to indicate compliance with
Acute Stroke-Ready Hospital criteria, as described in
this Section, and automatically renew Acute
Stroke-Ready Hospital designation of the hospital.
(D) Issue an Emergency Suspension of Acute
Stroke-Ready Hospital designation when the Director,
or his or her designee, has determined that the
hospital no longer meets the Acute Stroke-Ready
Hospital criteria and an immediate and serious danger
to the public health, safety, and welfare exists. If
the Acute Stroke-Ready Hospital fails to eliminate the
violation immediately or within a fixed period of time,
not exceeding 10 days, as determined by the Director,
the Director may immediately revoke the Acute
Stroke-Ready Hospital designation. The Acute
Stroke-Ready Hospital may appeal the revocation within
15 business days after receiving the Director's
revocation order, by requesting an administrative
hearing.
(E) After notice and an opportunity for an
administrative hearing, suspend, revoke, or refuse to
renew an Acute Stroke-Ready Hospital designation, when
the Department finds the hospital is not in substantial
compliance with current Acute Stroke-Ready Hospital
criteria.
(c) The Department shall consult with the State Stroke

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Advisory Subcommittee for developing the designation,
re-designation, and de-designation processes for Comprehensive
Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
Hospitals.
(d) The Department shall consult with the State Stroke
Advisory Subcommittee as subject matter experts at least
annually regarding stroke standards of care.
(Source: P.A. 98-756, eff. 7-16-14; 98-1001, eff. 1-1-15.)
Section 125. The Home Health, Home Services, and Home
Nursing Agency Licensing Act is amended by changing Sections
2.05 and 2.11 as follows:
(210 ILCS 55/2.05) (from Ch. 111 1/2, par. 2802.05)
Sec. 2.05. "Home health services" means services provided
to a person at his residence according to a plan of treatment
for illness or infirmity prescribed by a physician licensed to
practice medicine in all its branches, a licensed physician
assistant, or a licensed advanced practice registered nurse.
Such services include part time and intermittent nursing
services and other therapeutic services such as physical
therapy, occupational therapy, speech therapy, medical social
services, or services provided by a home health aide.
(Source: P.A. 98-261, eff. 8-9-13; 99-173, eff. 7-29-15.)
(210 ILCS 55/2.11)

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Sec. 2.11. "Home nursing agency" means an agency that
provides services directly, or acts as a placement agency, in
order to deliver skilled nursing and home health aide services
to persons in their personal residences. A home nursing agency
provides services that would require a licensed nurse to
perform. Home health aide services are provided under the
direction of a registered professional nurse or advanced
practice registered Advanced Practice nurse. A home nursing
agency does not require licensure as a home health agency under
this Act. "Home nursing agency" does not include an
individually licensed nurse acting as a private contractor or a
person that provides or procures temporary employment in health
care facilities, as defined in the Nurse Agency Licensing Act.
(Source: P.A. 94-379, eff. 1-1-06; 95-951, eff. 8-29-08.)
Section 130. The End Stage Renal Disease Facility Act is
amended by changing Section 25 as follows:
(210 ILCS 62/25)
Sec. 25. Minimum staffing. An end stage renal disease
facility shall be under the medical direction of a physician
experienced in renal disease treatment, as required for
licensure under this Act. Additionally, at a minimum, every
facility licensed under this Act shall ensure that whenever
patients are undergoing dialysis all of the following are met:
(1) one currently licensed physician, registered

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nurse, physician assistant, advanced practice registered
nurse, or licensed practical nurse experienced in
rendering end stage renal disease care is physically
present on the premises to oversee patient care; and
(2) adequate staff is present to meet the medical and
non-medical needs of each patient, as provided by this Act
and the rules adopted pursuant to this Act.
(Source: P.A. 92-794, eff. 7-1-03.)
Section 135. The Hospital Licensing Act is amended by
changing Sections 6.14g, 6.23a, 6.25, 10, 10.7, 10.8, and 10.9
as follows:
(210 ILCS 85/6.14g)
Sec. 6.14g. Reports to the Department; opioid overdoses.
(a) As used in this Section:
"Overdose" has the same meaning as provided in Section 414
of the Illinois Controlled Substances Act.
"Health care professional" includes a physician licensed
to practice medicine in all its branches, a physician
assistant, or an advanced practice registered nurse licensed in
the State.
(b) When treatment is provided in a hospital's emergency
department, a health care professional who treats a drug
overdose or hospital administrator or designee shall report the
case to the Department of Public Health within 48 hours of

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providing treatment for the drug overdose or at such time the
drug overdose is confirmed. The Department shall by rule create
a form for this purpose which requires the following
information, if known: (1) whether an opioid antagonist was
administered; (2) the cause of the overdose; and (3) the
demographic information of the person treated. The Department
shall create the form with input from the statewide association
representing a majority of hospitals in Illinois. The person
completing the form may not disclose the name, address, or any
other personal information of the individual experiencing the
overdose.
(c) The identity of the person and entity reporting under
this subsection shall not be disclosed to the subject of the
report. For the purposes of this subsection, the health care
professional, hospital administrator, or designee making the
report and his or her employer shall not be held criminally,
civilly, or professionally liable for reporting under this
subsection, except for willful or wanton misconduct.
(d) The Department shall provide a semiannual report to the
General Assembly summarizing the reports received. The
Department shall also provide on its website a monthly report
of drug overdose figures. The figures shall be organized by the
overdose location, the age of the victim, the cause of the
overdose, and any other factors the Department deems
appropriate.
(Source: P.A. 99-480, eff. 9-9-15.)

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(210 ILCS 85/6.23a)
Sec. 6.23a. Sepsis screening protocols.
(a) Each hospital shall adopt, implement, and periodically
update evidence-based protocols for the early recognition and
treatment of patients with sepsis, severe sepsis, or septic
shock (sepsis protocols) that are based on generally accepted
standards of care. Sepsis protocols must include components
specific to the identification, care, and treatment of adults
and of children, and must clearly identify where and when
components will differ for adults and for children seeking
treatment in the emergency department or as an inpatient. These
protocols must also include the following components:
(1) a process for the screening and early recognition
of patients with sepsis, severe sepsis, or septic shock;
(2) a process to identify and document individuals
appropriate for treatment through sepsis protocols,
including explicit criteria defining those patients who
should be excluded from the protocols, such as patients
with certain clinical conditions or who have elected
palliative care;
(3) guidelines for hemodynamic support with explicit
physiologic and treatment goals, methodology for invasive
or non-invasive hemodynamic monitoring, and timeframe
goals;
(4) for infants and children, guidelines for fluid

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resuscitation consistent with current, evidence-based
guidelines for severe sepsis and septic shock with defined
therapeutic goals for children;
(5) identification of the infectious source and
delivery of early broad spectrum antibiotics with timely
re-evaluation to adjust to narrow spectrum antibiotics
targeted to identified infectious sources; and
(6) criteria for use, based on accepted evidence of
vasoactive agents.
(b) Each hospital shall ensure that professional staff with
direct patient care responsibilities and, as appropriate,
staff with indirect patient care responsibilities, including,
but not limited to, laboratory and pharmacy staff, are
periodically trained to implement the sepsis protocols
required under subsection (a). The hospital shall ensure
updated training of staff if the hospital initiates substantive
changes to the sepsis protocols.
(c) Each hospital shall be responsible for the collection
and utilization of quality measures related to the recognition
and treatment of severe sepsis for purposes of internal quality
improvement.
(d) The evidence-based protocols adopted under this
Section shall be provided to the Department upon the
Department's request.
(e) Hospitals submitting sepsis data as required by the
Centers for Medicare and Medicaid Services Hospital Inpatient

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Quality Reporting program as of fiscal year 2016 are presumed
to meet the sepsis protocol requirements outlined in this
Section.
(f) Subject to appropriation, the Department shall:
(1) recommend evidence-based sepsis definitions and
metrics that incorporate evidence-based findings,
including appropriate antibiotic stewardship, and that
align with the National Quality Forum, the Centers for
Medicare and Medicaid Services, the Agency for Healthcare
Research and Quality, and the Joint Commission;
(2) establish and use a methodology for collecting,
analyzing, and disclosing the information collected under
this Section, including collection methods, formatting,
and methods and means for aggregate data release and
dissemination;
(3) complete a digest of efforts and recommendations no
later than 12 months after the effective date of this
amendatory Act of the 99th General Assembly; the digest may
include Illinois-specific data, trends, conditions, or
other clinical factors; a summary shall be provided to the
Governor and General Assembly and shall be publicly
available on the Department's website; and
(4) consult and seek input and feedback prior to the
proposal, publication, or issuance of any guidance,
methodologies, metrics, rulemaking, or any other
information authorized under this Section from statewide

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organizations representing hospitals, physicians, advanced
practice registered nurses, pharmacists, and long-term
care facilities. Public and private hospitals,
epidemiologists, infection prevention professionals,
health care informatics and health care data
professionals, and academic researchers may be consulted.
If the Department receives an appropriation and carries out
the requirements of paragraphs (1), (2), (3), and (4), then the
Department may adopt rules concerning the collection of data
from hospitals regarding sepsis and requiring that each
hospital shall be responsible for reporting to the Department.
Any publicly released hospital-specific information under
this Section is subject to data provisions specified in Section
25 of the Hospital Report Card Act.
(Source: P.A. 99-828, eff. 8-18-16.)
(210 ILCS 85/6.25)
Sec. 6.25. Safe patient handling policy.
(a) In this Section:
"Health care worker" means an individual providing direct
patient care services who may be required to lift, transfer,
reposition, or move a patient.
"Nurse" means an advanced practice registered nurse, a
registered nurse, or a licensed practical nurse licensed under
the Nurse Practice Act.
"Safe lifting equipment and accessories" means mechanical

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equipment designed to lift, move, reposition, and transfer
patients, including, but not limited to, fixed and portable
ceiling lifts, sit-to-stand lifts, slide sheets and boards,
slings, and repositioning and turning sheets.
"Safe lifting team" means at least 2 individuals who are
trained in the use of both safe lifting techniques and safe
lifting equipment and accessories, including the
responsibility for knowing the location and condition of such
equipment and accessories.
(b) A hospital must adopt and ensure implementation of a
policy to identify, assess, and develop strategies to control
risk of injury to patients and nurses and other health care
workers associated with the lifting, transferring,
repositioning, or movement of a patient. The policy shall
establish a process that, at a minimum, includes all of the
following:
(1) Analysis of the risk of injury to patients and
nurses and other health care workers posted by the patient
handling needs of the patient populations served by the
hospital and the physical environment in which the patient
handling and movement occurs.
(2) Education and training of nurses and other direct
patient care providers in the identification, assessment,
and control of risks of injury to patients and nurses and
other health care workers during patient handling and on
safe lifting policies and techniques and current lifting

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equipment.
(3) Evaluation of alternative ways to reduce risks
associated with patient handling, including evaluation of
equipment and the environment.
(4) Restriction, to the extent feasible with existing
equipment and aids, of manual patient handling or movement
of all or most of a patient's weight except for emergency,
life-threatening, or otherwise exceptional circumstances.
(5) Collaboration with and an annual report to the
nurse staffing committee.
(6) Procedures for a nurse to refuse to perform or be
involved in patient handling or movement that the nurse in
good faith believes will expose a patient or nurse or other
health care worker to an unacceptable risk of injury.
(7) Submission of an annual report to the hospital's
governing body or quality assurance committee on
activities related to the identification, assessment, and
development of strategies to control risk of injury to
patients and nurses and other health care workers
associated with the lifting, transferring, repositioning,
or movement of a patient.
(8) In developing architectural plans for construction
or remodeling of a hospital or unit of a hospital in which
patient handling and movement occurs, consideration of the
feasibility of incorporating patient handling equipment or
the physical space and construction design needed to

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incorporate that equipment.
(9) Fostering and maintaining patient safety, dignity,
self-determination, and choice, including the following
policies, strategies, and procedures:
(A) the existence and availability of a trained
safe lifting team;
(B) a policy of advising patients of a range of
transfer and lift options, including adjustable
diagnostic and treatment equipment, mechanical lifts,
and provision of a trained safe lifting team;
(C) the right of a competent patient, or guardian
of a patient adjudicated incompetent, to choose among
the range of transfer and lift options, subject to the
provisions of subparagraph (E) of this paragraph (9);
(D) procedures for documenting, upon admission and
as status changes, a mobility assessment and plan for
lifting, transferring, repositioning, or movement of a
patient, including the choice of the patient or
patient's guardian among the range of transfer and lift
options; and
(E) incorporation of such safe lifting procedures,
techniques, and equipment as are consistent with
applicable federal law.
(Source: P.A. 96-389, eff. 1-1-10; 96-1000, eff. 7-2-10;
97-122, eff. 1-1-12.)

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(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 registered , nurse as defined in the Nurse
Practice 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

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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 podiatric physician 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

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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 August 7, 1984 (the effective
date of Public Act 83-1248) 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 the
Developmental Disability Prevention Act "An Act relating to the
prevention of developmental disabilities", approved September
6, 1973, as amended.

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(Source: P.A. 98-214, eff. 8-9-13; revised 10-26-16.)
(210 ILCS 85/10.7)
Sec. 10.7. Clinical privileges; advanced practice
registered 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 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 podiatric physician 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 podiatric physician may be
assisted by a physician licensed to practice medicine in
all its branches, dentist, dental assistant, podiatric
physician, licensed advanced practice registered 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

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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 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 registered 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 registered
nursing services in a hospital. An advanced practice
registered nurse must possess clinical privileges
recommended by the medical staff and granted by the
hospital in order to provide services. Individual advanced
practice registered 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 advanced
practice registered nurse's role in providing care for his

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or her patients, except as otherwise provided in medical
staff bylaws. The medical staff shall periodically review
the services of advanced practice registered 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 registered nurses
employed by the hospital.
(4) 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 podiatric physician.
(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

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anesthetist; or
(v) a podiatric physician licensed under the
Podiatric Medical Practice Act of 1987.
(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
to provide anesthesia services ordered by a licensed
physician, dentist, or podiatric physician. 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

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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 podiatric physician in
accordance with the hospital's alternative policy.
(Source: P.A. 98-214, eff. 8-9-13; 99-642, eff. 7-28-16.)
(210 ILCS 85/10.8)
Sec. 10.8. Requirements for employment of physicians.
(a) Physician employment by hospitals and hospital
affiliates. Employing entities may employ physicians to
practice medicine in all of its branches provided that the
following requirements are met:
(1) The employed physician is a member of the medical
staff of either the hospital or hospital affiliate. If a
hospital affiliate decides to have a medical staff, its
medical staff shall be organized in accordance with written
bylaws where the affiliate medical staff is responsible for
making recommendations to the governing body of the
affiliate regarding all quality assurance activities and
safeguarding professional autonomy. The affiliate medical
staff bylaws may not be unilaterally changed by the
governing body of the affiliate. Nothing in this Section
requires hospital affiliates to have a medical staff.
(2) Independent physicians, who are not employed by an
employing entity, periodically review the quality of the

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medical services provided by the employed physician to
continuously improve patient care.
(3) The employing entity and the employed physician
sign a statement acknowledging that the employer shall not
unreasonably exercise control, direct, or interfere with
the employed physician's exercise and execution of his or
her professional judgment in a manner that adversely
affects the employed physician's ability to provide
quality care to patients. This signed statement shall take
the form of a provision in the physician's employment
contract or a separate signed document from the employing
entity to the employed physician. This statement shall
state: "As the employer of a physician, (employer's name)
shall not unreasonably exercise control, direct, or
interfere with the employed physician's exercise and
execution of his or her professional judgment in a manner
that adversely affects the employed physician's ability to
provide quality care to patients."
(4) The employing entity shall establish a mutually
agreed upon independent review process with criteria under
which an employed physician may seek review of the alleged
violation of this Section by physicians who are not
employed by the employing entity. The affiliate may arrange
with the hospital medical staff to conduct these reviews.
The independent physicians shall make findings and
recommendations to the employing entity and the employed

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physician within 30 days of the conclusion of the gathering
of the relevant information.
(b) Definitions. For the purpose of this Section:
"Employing entity" means a hospital licensed under the
Hospital Licensing Act or a hospital affiliate.
"Employed physician" means a physician who receives an IRS
W-2 form, or any successor federal income tax form, from an
employing entity.
"Hospital" means a hospital licensed under the Hospital
Licensing Act, except county hospitals as defined in subsection
(c) of Section 15-1 of the Illinois Public Aid Code.
"Hospital affiliate" means a corporation, partnership,
joint venture, limited liability company, or similar
organization, other than a hospital, that is devoted primarily
to the provision, management, or support of health care
services and that directly or indirectly controls, is
controlled by, or is under common control of the hospital.
"Control" means having at least an equal or a majority
ownership or membership interest. A hospital affiliate shall be
100% owned or controlled by any combination of hospitals, their
parent corporations, or physicians licensed to practice
medicine in all its branches in Illinois. "Hospital affiliate"
does not include a health maintenance organization regulated
under the Health Maintenance Organization Act.
"Physician" means an individual licensed to practice
medicine in all its branches in Illinois.

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"Professional judgment" means the exercise of a
physician's independent clinical judgment in providing
medically appropriate diagnoses, care, and treatment to a
particular patient at a particular time. Situations in which an
employing entity does not interfere with an employed
physician's professional judgment include, without limitation,
the following:
(1) practice restrictions based upon peer review of the
physician's clinical practice to assess quality of care and
utilization of resources in accordance with applicable
bylaws;
(2) supervision of physicians by appropriately
licensed medical directors, medical school faculty,
department chairpersons or directors, or supervising
physicians;
(3) written statements of ethical or religious
directives; and
(4) reasonable referral restrictions that do not, in
the reasonable professional judgment of the physician,
adversely affect the health or welfare of the patient.
(c) Private enforcement. An employed physician aggrieved
by a violation of this Act may seek to obtain an injunction or
reinstatement of employment with the employing entity as the
court may deem appropriate. Nothing in this Section limits or
abrogates any common law cause of action. Nothing in this
Section shall be deemed to alter the law of negligence.

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(d) Department enforcement. The Department may enforce the
provisions of this Section, but nothing in this Section shall
require or permit the Department to license, certify, or
otherwise investigate the activities of a hospital affiliate
not otherwise required to be licensed by the Department.
(e) Retaliation prohibited. No employing entity shall
retaliate against any employed physician for requesting a
hearing or review under this Section. No action may be taken
that affects the ability of a physician to practice during this
review, except in circumstances where the medical staff bylaws
authorize summary suspension.
(f) Physician collaboration. No employing entity shall
adopt or enforce, either formally or informally, any policy,
rule, regulation, or practice inconsistent with the provision
of adequate collaboration, including medical direction of
licensed advanced practice registered nurses or supervision of
licensed physician assistants and delegation to other
personnel under Section 54.5 of the Medical Practice Act of
1987.
(g) Physician disciplinary actions. Nothing in this
Section shall be construed to limit or prohibit the governing
body of an employing entity or its medical staff, if any, from
taking disciplinary actions against a physician as permitted by
law.
(h) Physician review. Nothing in this Section shall be
construed to prohibit a hospital or hospital affiliate from

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making a determination not to pay for a particular health care
service or to prohibit a medical group, independent practice
association, hospital medical staff, or hospital governing
body from enforcing reasonable peer review or utilization
review protocols or determining whether the employed physician
complied with those protocols.
(i) Review. Nothing in this Section may be used or
construed to establish that any activity of a hospital or
hospital affiliate is subject to review under the Illinois
Health Facilities Planning Act.
(j) Rules. The Department shall adopt any rules necessary
to implement this Section.
(Source: P.A. 92-455, eff. 9-30-01; revised 10-26-16.)
(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 registered nurse,
registered professional nurse, or licensed practical nurse, as

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defined in the Nurse Practice 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
registered 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,

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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; 95-639, eff. 10-5-07.)
Section 140. The Illinois Insurance Code is amended by
changing Section 356g.5 as follows:
(215 ILCS 5/356g.5)

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Sec. 356g.5. Clinical breast exam.
(a) The General Assembly finds that clinical breast
examinations are a critical tool in the early detection of
breast cancer, while the disease is in its earlier and
potentially more treatable stages. Insurer reimbursement of
clinical breast examinations is essential to the effort to
reduce breast cancer deaths in Illinois.
(b) Every insurer shall provide, in each group or
individual policy, contract, or certificate of accident or
health insurance issued or renewed for persons who are
residents of Illinois, coverage for complete and thorough
clinical breast examinations as indicated by guidelines of
practice, performed by a physician licensed to practice
medicine in all its branches, a licensed advanced practice
registered nurse, or a licensed physician assistant, to check
for lumps and other changes for the purpose of early detection
and prevention of breast cancer as follows:
(1) at least every 3 years for women at least 20 years
of age but less than 40 years of age; and
(2) annually for women 40 years of age or older.
(c) Upon approval of a nationally recognized separate and
distinct clinical breast exam code that is compliant with all
State and federal laws, rules, and regulations, public and
private insurance plans shall take action to cover clinical
breast exams on a separate and distinct basis.
(Source: P.A. 99-173, eff. 7-29-15.)

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Section 145. The Illinois Dental Practice Act is amended by
changing Sections 4 and 8.1 as follows:
(225 ILCS 25/4) (from Ch. 111, par. 2304)
(Section scheduled to be repealed on January 1, 2026)
Sec. 4. Definitions. As used in this Act:
"Address of record" means the designated address recorded
by the Department in the applicant's or licensee's application
file or license file as maintained by the Department's
licensure maintenance unit. It is the duty of the applicant or
licensee to inform the Department of any change of address and
those changes must be made either through the Department's
website or by contacting the Department.
"Department" means the Department of Financial and
Professional Regulation.
"Secretary" means the Secretary of Financial and
Professional Regulation.
"Board" means the Board of Dentistry.
"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.
"Dental hygienist" means a person who holds a license under
this Act to perform dental services as authorized by Section

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18.
"Dental assistant" means an appropriately trained person
who, under the supervision of a dentist, provides dental
services as authorized by Section 17.
"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.
"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.
"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

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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.
"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.
"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.
"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.
"Specialist" means a dentist who has received a specialty
license pursuant to Section 11(b).
"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

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to a dentist for insertion into the human oral cavity or which
come in contact with its adjacent structures and tissues.
"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.
"Nurse" means a registered professional nurse, a certified
registered nurse anesthetist licensed as an advanced practice
registered nurse, or a licensed practical nurse licensed under
the Nurse Practice Act.
"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.
"Dental responder" means a dentist or dental hygienist who
is appropriately certified in disaster preparedness,
immunizations, and dental humanitarian medical response
consistent with the Society of Disaster Medicine and Public
Health and training certified by the National Incident
Management System or the National Disaster Life Support
Foundation.

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"Mobile dental van or portable dental unit" means any
self-contained or portable dental unit in which dentistry is
practiced that can be moved, towed, or transported from one
location to another in order to establish a location where
dental services can be provided.
"Public health dental hygienist" means a hygienist who
holds a valid license to practice in the State, has 2 years of
full-time clinical experience or an equivalent of 4,000 hours
of clinical experience and has completed at least 42 clock
hours of additional structured courses in dental education
approved by rule by the Department in advanced areas specific
to public health dentistry, including, but not limited to,
emergency procedures for medically compromised patients,
pharmacology, medical recordkeeping procedures, geriatric
dentistry, pediatric dentistry, pathology, and other areas of
study as determined by the Department, and works in a public
health setting pursuant to a written public health supervision
agreement as defined by rule by the Department with a dentist
working in or contracted with a local or State government
agency or institution or who is providing services as part of a
certified school-based program or school-based oral health
program.
"Public health setting" means a federally qualified health
center; a federal, State, or local public health facility; Head
Start; a special supplemental nutrition program for Women,
Infants, and Children (WIC) facility; or a certified

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school-based health center or school-based oral health
program.
"Public health supervision" means the supervision of a
public health dental hygienist by a licensed dentist who has a
written public health supervision agreement with that public
health dental hygienist while working in an approved facility
or program that allows the public health dental hygienist to
treat patients, without a dentist first examining the patient
and being present in the facility during treatment, (1) who are
eligible for Medicaid or (2) who are uninsured and whose
household income is not greater than 200% of the federal
poverty level.
(Source: P.A. 99-25, eff. 1-1-16; 99-492, eff. 12-31-15;
99-680, eff. 1-1-17.)
(225 ILCS 25/8.1) (from Ch. 111, par. 2308.1)
(Section scheduled to be repealed on January 1, 2026)
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,

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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); and .
(5) establish continuing education requirements in

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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 agreement must exist between the dentist
and the nurse anesthetist, in accordance with the Nurse
Practice 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 agreement must exist between
the dentist and the nurse anesthetist, in accordance with the
Nurse Practice Act.
For the purposes of this subsection (c), "nurse
anesthetist" means a licensed certified registered nurse

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anesthetist who holds a license as an advanced practice
registered nurse.
(Source: P.A. 95-399, eff. 1-1-08; 95-639, eff. 1-1-08; 96-328,
eff. 8-11-09; revised 10-27-16.)
Section 150. 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 and Services Review
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;

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(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
registered nurses licensed under the Nurse Practice 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; 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; podiatric physicians 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

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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

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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. 98-214, eff. 8-9-13.)
Section 155. The Medical Practice Act of 1987 is amended by
changing Sections 8.1, 22, 54.2, and 54.5 as follows:
(225 ILCS 60/8.1)
(Section scheduled to be repealed on December 31, 2017)
Sec. 8.1. Matters concerning advanced practice registered
nurses. Any proposed rules, amendments, second notice
materials and adopted rule or amendment materials, and policy
statements concerning advanced practice registered nurses
shall be presented to the Licensing Board for review and
comment. The recommendations of both the Board of Nursing and
the Licensing Board shall be presented to the Secretary for
consideration in making final decisions. Whenever the Board of
Nursing and the 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.
(Source: P.A. 97-622, eff. 11-23-11.)

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(225 ILCS 60/22) (from Ch. 111, par. 4400-22)
(Section scheduled to be repealed on December 31, 2017)
Sec. 22. Disciplinary action.
(A) The Department may revoke, suspend, place on probation,
reprimand, refuse to issue or renew, or take any other
disciplinary or non-disciplinary action as the Department may
deem proper with regard to the license or permit of any person
issued under this Act, including imposing fines not to exceed
$10,000 for each violation, upon any of the following grounds:
(1) Performance of an elective abortion in any place,
locale, facility, or institution other than:
(a) a facility licensed pursuant to the Ambulatory
Surgical Treatment Center Act;
(b) an institution licensed under the Hospital
Licensing Act;
(c) an ambulatory surgical treatment center or
hospitalization or care facility maintained by the
State or any agency thereof, where such department or
agency has authority under law to establish and enforce
standards for the ambulatory surgical treatment
centers, hospitalization, or care facilities under its
management and control;
(d) ambulatory surgical treatment centers,
hospitalization or care facilities maintained by the
Federal Government; or
(e) ambulatory surgical treatment centers,

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hospitalization or care facilities maintained by any
university or college established under the laws of
this State and supported principally by public funds
raised by taxation.
(2) Performance of an abortion procedure in a wilful
and wanton manner on a woman who was not pregnant at the
time the abortion procedure was performed.
(3) A plea of guilty or nolo contendere, finding of
guilt, jury verdict, or entry of judgment or sentencing,
including, but not limited to, convictions, preceding
sentences of supervision, conditional discharge, or first
offender probation, under the laws of any jurisdiction of
the United States of any crime that is a felony.
(4) Gross negligence in practice under this Act.
(5) Engaging in dishonorable, unethical or
unprofessional conduct of a character likely to deceive,
defraud or harm the public.
(6) Obtaining any fee by fraud, deceit, or
misrepresentation.
(7) Habitual or excessive use or abuse of drugs defined
in law as controlled substances, of alcohol, or of any
other substances which results in the inability to practice
with reasonable judgment, skill or safety.
(8) Practicing under a false or, except as provided by
law, an assumed name.
(9) Fraud or misrepresentation in applying for, or

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procuring, a license under this Act or in connection with
applying for renewal of a license under this Act.
(10) Making a false or misleading statement regarding
their skill or the efficacy or value of the medicine,
treatment, or remedy prescribed by them at their direction
in the treatment of any disease or other condition of the
body or mind.
(11) Allowing another person or organization to use
their license, procured under this Act, to practice.
(12) Adverse action taken by another state or
jurisdiction against a license or other authorization to
practice as a medical doctor, doctor of osteopathy, doctor
of osteopathic medicine or doctor of chiropractic, a
certified copy of the record of the action taken by the
other state or jurisdiction being prima facie evidence
thereof. This includes any adverse action taken by a State
or federal agency that prohibits a medical doctor, doctor
of osteopathy, doctor of osteopathic medicine, or doctor of
chiropractic from providing services to the agency's
participants.
(13) Violation of any provision of this Act or of the
Medical Practice Act prior to the repeal of that Act, or
violation of the rules, or a final administrative action of
the Secretary, after consideration of the recommendation
of the Disciplinary Board.
(14) Violation of the prohibition against fee

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splitting in Section 22.2 of this Act.
(15) A finding by the Disciplinary Board that the
registrant after having his or her license placed on
probationary status or subjected to conditions or
restrictions violated the terms of the probation or failed
to comply with such terms or conditions.
(16) Abandonment of a patient.
(17) Prescribing, selling, administering,
distributing, giving or self-administering any drug
classified as a controlled substance (designated product)
or narcotic for other than medically accepted therapeutic
purposes.
(18) Promotion of the sale of drugs, devices,
appliances or goods provided for a patient in such manner
as to exploit the patient for financial gain of the
physician.
(19) Offering, undertaking or agreeing to cure or treat
disease by a secret method, procedure, treatment or
medicine, or the treating, operating or prescribing for any
human condition by a method, means or procedure which the
licensee refuses to divulge upon demand of the Department.
(20) Immoral conduct in the commission of any act
including, but not limited to, commission of an act of
sexual misconduct related to the licensee's practice.
(21) Wilfully making or filing false records or reports
in his or her practice as a physician, including, but not

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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.
(22) Wilful omission to file or record, or wilfully
impeding the filing or recording, or inducing another
person to omit to file or record, medical reports as
required by law, or wilfully failing to report an instance
of suspected abuse or neglect as required by law.
(23) Being named as a perpetrator in an indicated
report by the Department of Children and Family Services
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.
(24) Solicitation of professional patronage by any
corporation, agents or persons, or profiting from those
representing themselves to be agents of the licensee.
(25) Gross and wilful and continued overcharging for
professional services, including filing false statements
for collection of fees for which services are not rendered,
including, but not limited to, filing such false statements
for collection of monies for services not rendered from the
medical assistance program of the Department of Healthcare
and Family Services (formerly Department of Public Aid)

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under the Illinois Public Aid Code.
(26) A pattern of practice or other behavior which
demonstrates incapacity or incompetence to practice under
this Act.
(27) Mental illness or disability which results in the
inability to practice under this Act with reasonable
judgment, skill or safety.
(28) Physical illness, including, but not limited to,
deterioration through the aging process, or loss of motor
skill which results in a physician's inability to practice
under this Act with reasonable judgment, skill or safety.
(29) Cheating on or attempt to subvert the licensing
examinations administered under this Act.
(30) Wilfully or negligently violating the
confidentiality between physician and patient except as
required by law.
(31) The use of any false, fraudulent, or deceptive
statement in any document connected with practice under
this Act.
(32) Aiding and abetting an individual not licensed
under this Act in the practice of a profession licensed
under this Act.
(33) Violating state or federal laws or regulations
relating to controlled substances, legend drugs, or
ephedra as defined in the Ephedra Prohibition Act.
(34) Failure to report to the Department any adverse

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final action taken against them by another licensing
jurisdiction (any other state or any territory of the
United States or any foreign state or country), by any peer
review body, by any health care institution, by any
professional society or association related to practice
under this Act, by any governmental agency, by any law
enforcement agency, or by any court for acts or conduct
similar to acts or conduct which would constitute grounds
for action as defined in this Section.
(35) Failure to report to the Department surrender of a
license or authorization to practice as a medical doctor, a
doctor of osteopathy, a doctor of osteopathic medicine, or
doctor of chiropractic in another state or jurisdiction, or
surrender of membership on any medical staff or in any
medical 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 which would constitute grounds for action as
defined in this Section.
(36) Failure to report to the Department any adverse
judgment, settlement, or award arising from a liability
claim related to acts or conduct similar to acts or conduct
which would constitute grounds for action as defined in
this Section.
(37) Failure to provide copies of medical records as
required by law.

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(38) Failure to furnish the Department, its
investigators or representatives, relevant information,
legally requested by the Department after consultation
with the Chief Medical Coordinator or the Deputy Medical
Coordinator.
(39) Violating the Health Care Worker Self-Referral
Act.
(40) Willful failure to provide notice when notice is
required under the Parental Notice of Abortion Act of 1995.
(41) Failure to establish and maintain records of
patient care and treatment as required by this law.
(42) Entering into an excessive number of written
collaborative agreements with licensed advanced practice
registered nurses resulting in an inability to adequately
collaborate.
(43) Repeated failure to adequately collaborate with a
licensed advanced practice registered nurse.
(44) Violating the Compassionate Use of Medical
Cannabis Pilot Program Act.
(45) Entering into an excessive number of written
collaborative agreements with licensed prescribing
psychologists resulting in an inability to adequately
collaborate.
(46) Repeated failure to adequately collaborate with a
licensed prescribing psychologist.
Except for actions involving the ground numbered (26), all

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proceedings to suspend, revoke, place on probationary status,
or take any other disciplinary action as the Department may
deem proper, with regard to a license on any of the foregoing
grounds, must be commenced within 5 years next after receipt by
the Department of a complaint alleging the commission of or
notice of the conviction order for any of the acts described
herein. Except for the grounds numbered (8), (9), (26), and
(29), no action shall be commenced more than 10 years after the
date of the incident or act alleged to have violated this
Section. For actions involving the ground numbered (26), a
pattern of practice or other behavior includes all incidents
alleged to be part of the pattern of practice or other behavior
that occurred, or a report pursuant to Section 23 of this Act
received, within the 10-year period preceding the filing of the
complaint. In the event of the settlement of any claim or cause
of action in favor of the claimant or the reduction to final
judgment of any civil action in favor of the plaintiff, such
claim, cause of action or civil action being grounded 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 from the date of notification to the
Department under Section 23 of this Act of such settlement or
final judgment in which to investigate and commence formal
disciplinary proceedings under Section 36 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

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included within any period of time limiting the commencement of
disciplinary action by the Department.
The entry of an order or judgment by any circuit court
establishing that any person holding a license under this Act
is a person in need of mental treatment operates as a
suspension of that license. That person may resume their
practice only upon the entry of a Departmental order based upon
a finding by the Disciplinary Board that they have been
determined to be recovered from mental illness by the court and
upon the Disciplinary Board's recommendation that they be
permitted to resume their practice.
The Department may refuse to issue or take disciplinary
action concerning 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 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 as determined by
the Illinois Department of Revenue.
The Department, upon the recommendation of the
Disciplinary Board, shall adopt rules which set forth standards
to be used in determining:
(a) when a person will be deemed sufficiently
rehabilitated to warrant the public trust;
(b) what constitutes dishonorable, unethical or
unprofessional conduct of a character likely to deceive,

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defraud, or harm the public;
(c) what constitutes immoral conduct in the commission
of any act, including, but not limited to, commission of an
act of sexual misconduct related to the licensee's
practice; and
(d) what constitutes gross negligence in the practice
of medicine.
However, no such rule shall be admissible into evidence in
any civil action except for review of a licensing or other
disciplinary action under this Act.
In enforcing this Section, the Disciplinary Board or the
Licensing Board, upon a showing of a possible violation, may
compel, in the case of the Disciplinary Board, any individual
who is licensed to practice under this Act or holds a permit to
practice under this Act, or, in the case of the Licensing
Board, any individual who has applied for licensure or a permit
pursuant to this Act, to submit to a mental or physical
examination and evaluation, or both, which may include a
substance abuse or sexual offender evaluation, as required by
the Licensing Board or Disciplinary Board and at the expense of
the Department. The Disciplinary Board or Licensing Board shall
specifically designate the examining physician licensed to
practice medicine in all of its branches or, if applicable, the
multidisciplinary team involved in providing the mental or
physical examination and evaluation, or both. The
multidisciplinary team shall be led by a physician licensed to

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practice medicine in all of its branches and may consist of one
or more or a combination of physicians licensed to practice
medicine in all of its branches, licensed chiropractic
physicians, licensed clinical psychologists, licensed clinical
social workers, licensed clinical professional counselors, and
other professional and administrative staff. Any examining
physician or member of the multidisciplinary team may require
any person ordered to submit to an examination and evaluation
pursuant to this Section to submit to any additional
supplemental testing deemed necessary to complete any
examination or evaluation process, including, but not limited
to, blood testing, urinalysis, psychological testing, or
neuropsychological testing. The Disciplinary Board, the
Licensing Board, or the Department may order the examining
physician or any member of the multidisciplinary team to
provide to the Department, the Disciplinary Board, or the
Licensing Board any and all records, including business
records, that relate to the examination and evaluation,
including any supplemental testing performed. The Disciplinary
Board, the Licensing Board, or the Department may order the
examining physician or any member of the multidisciplinary team
to present testimony concerning this examination and
evaluation of the licensee, permit holder, or applicant,
including testimony concerning any supplemental testing or
documents relating to the examination and evaluation. No
information, report, record, or other documents in any way

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related to the examination and evaluation shall be excluded by
reason of any common law or statutory privilege relating to
communication between the licensee, permit holder, or
applicant and the examining physician or any member of the
multidisciplinary team. No authorization is necessary from the
licensee, permit holder, or applicant ordered to undergo an
evaluation and examination for the examining physician or any
member of the multidisciplinary team to provide information,
reports, records, or other documents or to provide any
testimony regarding the examination and evaluation. 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 the examination. Failure of any individual to submit
to mental or physical examination and evaluation, or both, when
directed, shall result in an automatic suspension, without
hearing, until such time as the individual submits to the
examination. If the Disciplinary Board or Licensing Board finds
a physician unable to practice following an examination and
evaluation because of the reasons set forth in this Section,
the Disciplinary Board or Licensing Board shall require such
physician to submit to care, counseling, or treatment by
physicians, or other health care professionals, approved or
designated by the Disciplinary Board, as a condition for
issued, continued, reinstated, or renewed licensure to
practice. Any physician, whose license was granted pursuant to
Sections 9, 17, or 19 of this Act, or, continued, reinstated,

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renewed, disciplined or supervised, subject to such terms,
conditions or restrictions who shall fail to comply with such
terms, conditions or restrictions, or to complete a required
program of care, counseling, or treatment, as determined by the
Chief Medical Coordinator or Deputy Medical Coordinators,
shall be referred to the Secretary for a determination as to
whether the licensee shall have their license suspended
immediately, pending a hearing by the Disciplinary Board. In
instances in which the Secretary immediately suspends a license
under this Section, a hearing upon such person's license must
be convened by the Disciplinary Board within 15 days after such
suspension and completed without appreciable delay. The
Disciplinary Board shall have the authority to review the
subject physician'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, affected under this
Section, shall be afforded an opportunity to demonstrate to the
Disciplinary Board that they can resume practice in compliance
with acceptable and prevailing standards under the provisions
of their license.
The Department may promulgate rules for the imposition of
fines in disciplinary cases, not to exceed $10,000 for each
violation of this Act. Fines may be imposed in conjunction with
other forms of disciplinary action, but shall not be the

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exclusive disposition of any disciplinary action arising out of
conduct resulting in death or injury to a patient. Any funds
collected from such fines shall be deposited in the Illinois
State Medical Disciplinary Fund.
All fines imposed under this Section shall be paid within
60 days after the effective date of the order imposing the fine
or in accordance with the terms set forth in the order imposing
the fine.
(B) The Department shall revoke the license or permit
issued under this Act to practice medicine or a chiropractic
physician who has been convicted a second time of committing
any felony under the Illinois Controlled Substances Act or the
Methamphetamine Control and Community Protection Act, or who
has been convicted a second time of committing a Class 1 felony
under Sections 8A-3 and 8A-6 of the Illinois Public Aid Code. A
person whose license or permit is revoked under this subsection
B shall be prohibited from practicing medicine or treating
human ailments without the use of drugs and without operative
surgery.
(C) The Department shall not revoke, suspend, place on
probation, reprimand, refuse to issue or renew, or take any
other disciplinary or non-disciplinary action against the
license or permit issued under this Act to practice medicine to
a physician based solely upon the recommendation of the
physician to an eligible patient regarding, or prescription
for, or treatment with, an investigational drug, biological

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product, or device.
(D) The Disciplinary Board shall recommend to the
Department civil penalties and any other appropriate
discipline in disciplinary cases when the Board finds that a
physician willfully performed an abortion with actual
knowledge that the person upon whom the abortion has been
performed is a minor or an incompetent person without notice as
required under the Parental Notice of Abortion Act of 1995.
Upon the Board's recommendation, the Department shall impose,
for the first violation, a civil penalty of $1,000 and for a
second or subsequent violation, a civil penalty of $5,000.
(Source: P.A. 98-601, eff. 12-30-13; 98-668, eff. 6-25-14;
98-1140, eff. 12-30-14; 99-270, eff. 1-1-16; 99-933, eff.
1-27-17.)
(225 ILCS 60/54.2)
(Section scheduled to be repealed on December 31, 2017)
Sec. 54.2. Physician delegation of authority.
(a) Nothing in this Act shall be construed to limit the
delegation of patient care tasks or duties by a physician, to a
licensed practical nurse, a registered professional nurse, or
other licensed person practicing within the scope of his or her
individual licensing Act. Delegation by a physician licensed to
practice medicine in all its branches to physician assistants
or advanced practice registered nurses is also addressed in
Section 54.5 of this Act. No physician may delegate any patient

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care task or duty that is statutorily or by rule mandated to be
performed by a physician.
(b) In an office or practice setting and within a
physician-patient relationship, a physician may delegate
patient care tasks or duties to an unlicensed person who
possesses appropriate training and experience provided a
health care professional, who is practicing within the scope of
such licensed professional's individual licensing Act, is on
site to provide assistance.
(c) Any such patient care task or duty delegated to a
licensed or unlicensed person must be within the scope of
practice, education, training, or experience of the delegating
physician and within the context of a physician-patient
relationship.
(d) Nothing in this Section shall be construed to affect
referrals for professional services required by law.
(e) The Department shall have the authority to promulgate
rules concerning a physician's delegation, including but not
limited to, the use of light emitting devices for patient care
or treatment.
(f) Nothing in this Act shall be construed to limit the
method of delegation that may be authorized by any means,
including, but not limited to, oral, written, electronic,
standing orders, protocols, guidelines, or verbal orders.
(Source: P.A. 96-618, eff. 1-1-10; 97-622, eff. 11-23-11.)

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(225 ILCS 60/54.5)
(Section scheduled to be repealed on December 31, 2017)
Sec. 54.5. Physician delegation of authority to physician
assistants, advanced practice registered nurses, and
prescribing psychologists.
(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 5
physician assistants as set forth in subsection (a) of Section
7 of the Physician Assistant Practice Act of 1987.
(b) A physician licensed to practice medicine in all its
branches in active clinical practice may collaborate with an
advanced practice registered nurse in accordance with the
requirements of the Nurse Practice Act. Collaboration is for
the purpose of providing medical consultation, and no
employment relationship is 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 in the same area of practice or specialty
as the collaborating physician in his or her clinical medical
practice. A written collaborative agreement shall be adequate
with respect to collaboration with advanced practice
registered nurses if all of the following apply:

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(1) The agreement is written to promote the exercise of
professional judgment by the advanced practice registered
nurse commensurate with his or her education and
experience.
(2) The advanced advance practice registered nurse
provides services based upon a written collaborative
agreement with the collaborating physician, 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.
(3) 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.
(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 shall be adequate if:
(1) an anesthesiologist or a physician participates in
the joint formulation and joint approval of orders or

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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 registered nurse.
(d) (Blank).
(e) A physician shall not be liable for the acts or
omissions of a prescribing psychologist, physician assistant,
or advanced practice registered nurse solely on the basis of
having signed a supervision agreement or guidelines or a
collaborative agreement, an order, a standing medical order, a

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standing delegation order, or other order or guideline
authorizing a prescribing psychologist, physician assistant,
or advanced practice registered nurse to perform acts, unless
the physician has reason to believe the prescribing
psychologist, physician assistant, or advanced practice
registered nurse lacked the competency to perform the act or
acts or commits willful and wanton misconduct.
(f) A collaborating physician may, but is not required to,
delegate prescriptive authority to an advanced practice
registered nurse as part of a written collaborative agreement,
and the delegation of prescriptive authority shall conform to
the requirements of Section 65-40 of the Nurse Practice Act.
(g) A supervising physician may, but is not required to,
delegate prescriptive authority to a physician assistant as
part of a written supervision agreement, and the delegation of
prescriptive authority shall conform to the requirements of
Section 7.5 of the Physician Assistant Practice Act of 1987.
(h) (Blank).
(i) A collaborating physician shall delegate prescriptive
authority to a prescribing psychologist as part of a written
collaborative agreement, and the delegation of prescriptive
authority shall conform to the requirements of Section 4.3 of
the Clinical Psychologist Licensing Act.
(Source: P.A. 98-192, eff. 1-1-14; 98-668, eff. 6-25-14;
99-173, eff. 7-29-15.)

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Section 160. The Nurse Practice Act is amended by changing
Sections 50-10, 50-15, 50-20, 50-50, 50-55, 50-60, 50-65,
50-70, 50-75, 55-10, 55-20, 55-30, 60-5, 60-10, 60-25, 60-35,
65-5, 65-10, 65-15, 65-20, 65-25, 65-30, 65-35, 65-35.1, 65-40,
65-45, 65-50, 65-55, 65-65, 70-5, 70-10, 70-20, 70-35, 70-40,
70-50, 70-60, 70-75, 70-80, 70-85, 70-100, 70-140, 70-145,
70-160, 75-10, 75-15, 75-20, 80-15, and 80-35 and the heading
of Articles 65 and 75 and by adding Sections 50-13, 50-26,
55-11, 60-11, 70-81, and 70-103 as follows:
(225 ILCS 65/50-10) (was 225 ILCS 65/5-10)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-10. 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:
"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.
"Address of record" means the designated address recorded
by the Department in the applicant's or licensee's application
file or license file as maintained by the Department's
licensure maintenance unit.
"Advanced practice registered nurse" or "APRN" "APN" means
a person who has met the qualifications for a (i) certified
nurse midwife (CNM); (ii) certified nurse practitioner (CNP);

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(iii) certified registered nurse anesthetist (CRNA); or (iv)
clinical nurse specialist (CNS) and has been licensed by the
Department. All advanced practice registered nurses licensed
and practicing in the State of Illinois shall use the title
APRN APN and may use specialty credentials CNM, CNP, CRNA, or
CNS after their name. All advanced practice registered nurses
may only practice in accordance with national certification and
this Act.
"Advisory Board" means the Illinois Nursing Workforce
Center Advisory Board.
"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.
"Center" means the Illinois Nursing Workforce Center.
"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.
"Competence" means an expected and measurable level of
performance that integrates knowledge, skills, abilities, and
judgment based on established scientific knowledge and
expectations for nursing practice.
"Consultation" means the process whereby an advanced

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practice registered 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.
"Email address of record" means the designated email
address recorded by the Department in the applicant's
application file or the licensee's license file, as maintained
by the Department's licensure maintenance unit.
"Focused nursing assessment" means an appraisal of an
individual's status and current situation, contributing to the
comprehensive assessment by the registered professional nurse,
advanced practice registered nurse, physician assistant,
physician, dentist, podiatric physician, or other licensed
health care professional, as determined by the Department,

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supporting ongoing data collection, and deciding who needs to
be informed of the information and when to inform.
"Hospital affiliate" means a corporation, partnership,
joint venture, limited liability company, or similar
organization, other than a hospital, that is devoted primarily
to the provision, management, or support of health care
services and that directly or indirectly controls, is
controlled by, or is under common control of the hospital. For
the purposes of this definition, "control" means having at
least an equal or a majority ownership or membership interest.
A hospital affiliate shall be 100% owned or controlled by any
combination of hospitals, their parent corporations, or
physicians licensed to practice medicine in all its branches in
Illinois. "Hospital affiliate" does not include a health
maintenance organization regulated under the Health
Maintenance Organization Act.
"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 registered nurse" means
a registered professional nurse who has completed all
requirements for licensure as an advanced practice registered

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nurse except the certification examination and has applied to
take the next available certification exam and received a
temporary permit 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.
"Monitoring" means an active process in which the
registered professional nurse or advanced practice registered
nurse directs, guides, and evaluates the outcomes of a nursing
intervention as a component of patient care coordination. The
monitoring process may occur in person, by phone, in writing,
or by electronic telecommunication.
"Nursing intervention" means any treatment based on
clinical nursing judgment or knowledge that a nurse performs.
"Physician" means a person licensed to practice medicine in
all its branches under the Medical Practice Act of 1987.
"Podiatric physician" means a person licensed to practice
podiatry under the Podiatric Medical Practice Act of 1987.
"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 this Act. Only a
practical nurse licensed under this Act is entitled to use the
title "licensed practical nurse" and the abbreviation
"L.P.N.".

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"Practical nursing" means the performance of nursing
interventions acts requiring the basic nursing knowledge,
judgment, and skill acquired by means of completion of an
approved practical nursing education program. Practical
nursing includes assisting in the nursing process at the
direction of as delegated by a registered professional nurse or
an advanced practice registered nurse. The practical nurse may
work under the direction of a licensed physician, dentist,
podiatric physician, 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.
"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 this Act. 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.".
"Registered professional nursing practice" means a
scientific process founded on a professional body of knowledge
that includes, but is not limited to, the protection,
promotion, and optimization of health and abilities,
prevention of illness and injury, facilitation of nursing

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interventions to alleviate suffering through care coordination
and advocacy in the care of individuals, families, groups,
communities, and populations. "Registered professional nursing
practice" does not include the act of medical diagnosis or
prescription of medical therapeutic or corrective measures. 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 specialties and means the
performance of any nursing act based upon professional
knowledge, judgment, and skills acquired by means of completion
of an approved professional nursing education program. A
registered professional nurse provides holistic nursing care
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 podiatric physician,
or a licensed optometrist or as prescribed by a physician
assistant or by an advanced practice nurse; (5) the
coordination and management of the nursing plan of care; (6)
the delegation to and supervision of individuals who assist the

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registered professional nurse implementing the plan of care;
and (7) teaching nursing students. The foregoing shall not be
deemed to include those acts of medical diagnosis or
prescription of therapeutic or corrective measures.
"Professional assistance program for nurses" means a
professional assistance program that meets criteria
established by the Board of Nursing and approved by the
Secretary, 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 registered nurse and a
collaborating physician, dentist, or podiatric physician
pursuant to Section 65-35.
(Source: P.A. 98-214, eff. 8-9-13; 99-173, eff. 7-29-15;
99-330, eff. 1-1-16; 99-642, eff. 7-28-16.)
(225 ILCS 65/50-13 new)
Sec. 50-13. Address of record; email address of record. All
applicants and licensees shall:
(1) provide a valid address and email address to the

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Department, which shall serve as the address of record and
email address of record, respectively, at the time of
application for licensure or renewal of a license; and
(2) inform the Department of any change of address of
record or email address of record within 14 days after such
change either through the Department's website or by
contacting the Department's licensure maintenance unit.
(225 ILCS 65/50-15) (was 225 ILCS 65/5-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-15. 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 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) 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,

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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 of
this Act.
(2) Nursing that is included in the program of study by
students enrolled in programs of nursing or in current
nurse practice update courses approved by the Department.
(3) The furnishing of nursing assistance in an
emergency.
(4) 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) 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) Persons from being employed as unlicensed
assistive personnel in private homes, long term care
facilities, nurseries, hospitals or other institutions.
(7) 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, until (i) the
expiration of 6 months after the filing of such written

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application, (ii) the withdrawal of such application, or
(iii) the denial of such application by the Department.
(8) The practice of advanced practice registered
nursing by one who is an advanced practice registered nurse
under the laws of another state, territory of the United
States jurisdiction or a foreign jurisdiction , 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 registered 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) The practice of professional nursing by one who is
a registered professional nurse under the laws of another
state, territory of the United States jurisdiction or a
foreign jurisdiction 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, 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) The practice of professional nursing that is
included in a program of study by one who is a registered

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professional nurse under the laws of another state or
territory of the United States jurisdiction or a foreign
jurisdiction 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.
(11) Any person licensed in this State under any other
Act from engaging in the practice for which she or he is
licensed.
(12) 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) (Blank). The practice, services, or activities of
persons practicing the specified occupations set forth in
subsection (a) of, and pursuant to a licensing exemption
granted in subsection (b) or (d) of, Section 2105-350 of
the Department of Professional Regulation Law of the Civil
Administrative Code of Illinois, but only for so long as
the 2016 Olympic and Paralympic Games Professional
Licensure Exemption Law is operable.
(14) County correctional personnel from delivering
prepackaged medication for self-administration to an

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individual detainee in a correctional facility.
Nothing in this Act shall be construed to limit the
delegation of tasks or duties by a physician, dentist, or
podiatric physician to a licensed practical nurse, a registered
professional nurse, or other persons.
(Source: P.A. 98-214, eff. 8-9-13.)
(225 ILCS 65/50-20) (was 225 ILCS 65/5-20)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-20. Unlicensed practice; violation; civil penalty.
(a) In addition to any other penalty provided by law, any
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 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

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any court of record.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/50-26 new)
Sec. 50-26. Application for license. Applications for
licenses shall be made to the Department on forms prescribed by
the Department and accompanied by the required fee. All
applications shall contain the information that, in the
judgment of the Department, will enable the Department to pass
on the qualifications of the applicant for a license under this
Act.
If an applicant fails to obtain a license under this Act
within 3 years after filing his or her application, the
application shall be denied. The applicant may make a new
application, which shall be accompanied by the required
nonrefundable fee. The applicant shall be required to meet the
qualifications required for licensure at the time of
reapplication.
(225 ILCS 65/50-50) (was 225 ILCS 65/10-5)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-50. Prohibited acts.
(a) No person shall:
(1) Practice as an advanced practice registered nurse
without a valid license as an advanced practice registered
nurse, except as provided in Section 50-15 of this Act;

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(2) Practice professional nursing without a valid
license as a registered professional nurse except as
provided in Section 50-15 of this Act;
(3) Practice practical nursing without a valid license
as a licensed practical nurse or practice practical
nursing, except as provided in Section 50-15 of this Act;
(4) Practice nursing under cover of any diploma,
license, or record illegally or fraudulently obtained or
signed or issued unlawfully or under fraudulent
representation;
(5) Practice nursing during the time her or his license
is suspended, revoked, expired, or on inactive status;
(6) 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 registered nurse, including
the titles or initials "Advanced Practice Registered
Nurse", "A.P.R.N." "A.P.N.", or similar titles or

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initials, with the intention of indicating practice as an
advanced practice registered nurse without a valid license
as an advanced practice registered nurse under this Act.
For purposes of this provision, the terms "advanced
practice nurse" and "A.P.N." are considered to be similar
titles or initials protected by this subsection (a).
(8) 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) 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) Obtain or furnish a license by or for money or any
other thing of value other than the fees required under
this Act, or by any fraudulent representation or act;
(11) Make any willfully wilfully false oath or
affirmation required by this Act;
(12) Conduct a nursing education program preparing
persons for licensure that has not been approved by the
Department;

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(13) 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) 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;
(15) Employ persons not licensed under this Act to
practice professional nursing or practical nursing; and
(16) (Blank); 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; and
(19) Otherwise intentionally violate any provision of
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. 95-639, eff. 10-5-07.)
(225 ILCS 65/50-55) (was 225 ILCS 65/10-10)

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(Section scheduled to be repealed on January 1, 2018)
Sec. 50-55. Department powers and duties. Subject to the
provisions of this Act, the (a) The Department is authorized to
shall exercise the following functions, 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.
(1) Conduct or authorize examinations to ascertain the
fitness and qualifications of applicants for all licenses
governed by this Act, pass upon the qualifications of
applicants for licenses, and issue licenses to applicants
found to be fit and qualified.
(2) Adopt The Department shall adopt rules required for
the administration to implement, interpret, or make
specific the provisions and purposes of this Act, in
consultation with ; however no such rules shall be adopted
by the Department except upon review by the Board where
necessary.
(3) Prescribe rules for a method of examination of
candidates.
(4) Prescribe rules defining what constitutes an
approved program, school, college, or department of a
university, except that no program, school, college, or

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department of a university that refuses admittance to
applicants solely on account of race, color, creed, sex, or
national origin shall be approved.
(5) Conduct hearings on proceedings to revoke or
suspend licenses or on objection to the issuance of
licenses and to revoke, suspend, or refuse to issue such
licenses.
(6) Prepare (b) The Department shall 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.
(7) Act (c) The Department may act upon the
recommendations of the Board of Nursing and the Illinois
Nursing Workforce Center for Nursing Advisory Board.
(8) Exercise the powers and duties prescribed by the
Civil Administrative Code of Illinois for the
administration of licensing Acts.
(Source: P.A. 94-1020, eff. 7-11-06; 95-639, eff. 10-5-07.)
(225 ILCS 65/50-60) (was 225 ILCS 65/10-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-60. Nursing Coordinator; Assistant Nursing
Coordinator. The Secretary shall appoint, pursuant to the

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Personnel Code, a Nursing Coordinator and an Assistant Nursing
Coordinator. The Nursing Coordinator and Assistant Nursing
Coordinator shall be a registered professional nurse nurses
licensed in this State who has have graduated from an approved
school of nursing and holds hold at least a master's degree in
nursing from an accredited college or university.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/50-65) (was 225 ILCS 65/10-25)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-65. Board.
(a) The 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 shall solicit recommendations from
nursing organizations and appoint the Board of Nursing, which
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

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engaged in direct care; one of whom shall be a nursing
administrator; 4 of whom shall be advanced practice registered
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' 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

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of a full term, the individual is eligible to serve 2 full
terms.
The Secretary may remove any member of the Board for
misconduct, incapacity, or neglect of duty. The Secretary shall
reduce to writing any causes for removal.
The Board shall meet annually to elect a chairperson and
vice chairperson. The Board shall hold regularly scheduled
meetings during the year. A simple majority 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
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.
(b) The Board may perform each of the following activities:
(1) Recommend to the Department the adoption and the
revision of rules necessary for the administration of this
Act;
(2) Recommend the approval, denial of approval,
withdrawal of approval, or discipline of nursing education
programs;
(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

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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) (Blank). 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. 95-639, eff. 10-5-07.)
(225 ILCS 65/50-70) (was 225 ILCS 65/10-35)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-70. Concurrent theory and clinical practice
education requirements of this Act. The educational
requirements of Sections 55-10 and 60-10 of this Act 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

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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. 95-639, eff. 10-5-07.)
(225 ILCS 65/50-75)
(Section scheduled to be repealed on January 1, 2018)
Sec. 50-75. Nursing delegation.
(a) For the purposes of this Section:
"Delegation" means transferring to a specific an
individual the authority to perform a specific nursing
intervention in a specific selected nursing activity or task,
in a selected situation.
"Predictability of outcomes" means that a registered
professional nurse or advanced practice registered nurse has
determined that the patient's or individual's clinical status
is stable and expected to improve or the patient's or
individual's deteriorating condition is expected to follow a
known or expected course.
"Stability" means a registered professional nurse or
advanced practice registered nurse has determined that the

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individual's clinical status and nursing care needs are
consistent.
"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) This Section authorizes a registered professional
nurse or advanced practice registered nurse to:
(1) delegate nursing interventions based on overall
patient assessment that includes, but is not limited to:
(A) the stability and condition of the patient;
(B) the potential for harm;
(C) the complexity of the nursing intervention to
be delegated;
(D) the predictability of outcomes; and
(E) competency of the individual to whom the
nursing intervention is delegated;
(2) delegate medication administration to other
licensed nurses or unlicensed personnel in community-based
or in-home care settings if all the conditions for
delegation set forth in this Section are met; or
(3) refuse to delegate, stop, or rescind a previously

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authorized delegation. 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) This Section prohibits the following:
(1) An individual or entity from mandating that a
registered professional nurse or advanced practice nurse
delegate nursing interventions if the registered nurse or
advanced practice registered nurse determines it is
inappropriate to do so. Nurses shall not be subject to
disciplinary or any other adverse action for refusing to
delegate a nursing intervention based on patient safety.
(2) The delegation of medication administration to
unlicensed personnel in any institutional or long-term
facility, including, but not limited to, those facilities
licensed by the Hospital Licensing Act, the University of
Illinois Hospital Act, State-operated mental health
hospitals, or State-operated developmental centers, except
as authorized under Article 80 of this Act or otherwise
specifically authorized by law.
(3) A registered professional nurse or advanced
practice registered nurse from delegating nursing
judgment, comprehensive patient assessment, development of

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a plan of care, and the evaluation of care to licensed or
unlicensed personnel.
(4) A licensed practical nurse or unlicensed personnel
who has been delegated a nursing intervention from
re-delegating a nursing intervention. 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.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/55-10) (was 225 ILCS 65/10-30)
(Section scheduled to be repealed on January 1, 2018)
Sec. 55-10. LPN licensure by examination Qualifications
for LPN licensure.
(a) Each applicant who successfully meets the requirements
of this Section is eligible for shall be entitled to licensure
as a licensed practical nurse Licensed Practical Nurse.

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(b) An applicant for licensure by examination to practice
as a practical nurse is eligible for licensure when the
following requirements are met must do each of the following:
(1) the applicant has submitted Submit a completed
written application, on forms provided by the Department
and fees as established by the Department; .
(2) the applicant has 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) the applicant has successfully completed
Successfully complete a licensure examination approved by
the Department; .
(4) (blank); 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 shall
not operate as an absolute bar to licensure.
(5) the applicant has submitted Submit to the criminal
history records check required under Section 50-35 of this
Act; .
(6) the applicant has submitted 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

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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; and .
(7) the applicant has met 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
of the date of initial application after filing the
application, the application shall be denied. When an
applicant's application is denied due to the failure to pass
the examination within the 3-year period, that applicant must
undertake an additional course of education as defined by rule
prior to submitting a new application for licensure. Any new
application must be accompanied by the required fee, evidence
of meeting the requirements in force at the time of the new
application, and evidence of completion of the additional
course of education prescribed by rule. The applicant must
enroll in and complete an approved practical nursing education
program prior to submitting an additional application for the
licensure exam.
An applicant may take and successfully complete a
Department-approved examination in another jurisdiction.

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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 licensed practical nursing program
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 and pass the examination unless
licensed in another jurisdiction of the United States.
(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
registered 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.

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(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) (Blank). An applicant for licensure by endorsement who
is 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

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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 practical 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) All applicants for practical nurse licensure by
examination or endorsement 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 evidence of English proficiency certification of

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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) (Blank). 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

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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.
(i) (Blank). A licensed practical nurse who holds an
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 Department
shall not issue an applicant a temporary practical nurse
license until it 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 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:

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(1) A completed application for licensure as a
practical 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 signed and completed application for a temporary
license.
(4) The required temporary license fee.
(j) (Blank). 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) 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 practical nursing revoked, suspended, or
placed on probation by another jurisdiction within the last
5 years and 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 licensure by
endorsement.

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(k) (Blank). 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 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 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 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 the Department intends to deny licensure by
endorsement.
(l) (Blank). 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. However, a temporary license 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.
(m) All applicants for practical nurse licensure have 3
years from the date of application to complete the application
process. If the process has not been completed within 3 years

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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;
95-639, eff. 10-5-07.)
(225 ILCS 65/55-11 new)
Sec. 55-11. LPN licensure by endorsement.
(a) Each applicant who successfully meets the requirements
of this Section is eligible for licensure as a licensed
practical nurse.
(b) An applicant for licensure by endorsement who is a
licensed practical nurse licensed by examination under the laws
of another United States jurisdiction or a foreign jurisdiction
is eligible for licensure when the following requirements are
met:
(1) the applicant has submitted a completed written
application on forms supplied by the Department and fees as
established by the Department;
(2) the applicant has graduated from a practical
nursing education program approved by the Department;
(3) the applicant has been issued an LPN license by
another United States or foreign jurisdiction, which shall
be verified, as defined by rule;
(4) the applicant has submitted to the criminal history
records check required under Section 50-35 of this Act; and

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(5) the applicant has met all other requirements as
established by the Department by rule.
(c) 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
education program outside of the United States or its
territories and whose first language is not English shall
submit evidence of English proficiency, as defined by rule.
(d) A licensed practical nurse who holds an 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 permit if
satisfactory proof of such licensure in another jurisdiction is
presented to the Department. The Department shall not issue an
applicant a temporary practical nurse permit until it 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 permits from another jurisdiction, the

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Department may not issue a temporary permit until the
Department 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 following receipt
by the Department of an application for the temporary permit,
shall be granted upon the submission of all of the following to
the Department:
(1) a completed application for licensure as a
practical 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 permit held by the
applicant within the last 5 years is unencumbered;
(3) a signed and completed application for a temporary
permit; and
(4) the required temporary permit fee.
(e) The Department may refuse to issue an applicant a
temporary permit authorized pursuant to this Section if, within
14 working days following its receipt of an application for a
temporary permit, 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 practical nursing revoked, suspended, or

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placed on probation by another jurisdiction within the last
5 years and 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 licensure by
endorsement.
(f) The Department may revoke a temporary permit issued
pursuant to this Section if it determines that:
(1) 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) 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 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.
(g) A temporary permit 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 permit shall automatically
expire upon issuance of a valid license under this Act or upon

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notification that the Department intends to deny licensure,
whichever occurs first.
(h) All applicants for practical 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.
(225 ILCS 65/55-20)
(Section scheduled to be repealed on January 1, 2018)
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, as specified by rule.
, including one of the following:

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(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.

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(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.

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(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

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(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 to the address of record or by
email to the email address of record.
(Source: P.A. 95-639, eff. 10-5-07.)

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(225 ILCS 65/55-30)
(Section scheduled to be repealed on January 1, 2018)
Sec. 55-30. LPN scope of practice.
(a) Practice as a licensed practical nurse means a directed
scope of basic nursing practice, with or without compensation,
under the direction of as delegated by a registered
professional nurse or an advanced practice registered nurse, or
as directed by a physician assistant, physician, dentist, or
podiatric physician, or other health care professionals as
determined by the Department, and includes, but is not limited
to, all of the following:
(1) Conducting a focused nursing assessment and
collaborating on the ongoing health assessment of the
patient. 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 registered 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

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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.
(Source: P.A. 98-214, eff. 8-9-13.)
(225 ILCS 65/60-5)
(Section scheduled to be repealed on January 1, 2018)
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:

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(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;
and .
(5) beginning December 31, 2022, obtaining and
maintaining programmatic accreditation by a national
accrediting body for nursing education recognized by the
United States Department of Education and approved by the
Department.
The Department and Board of Nursing shall be notified
within 30 days if the program loses its accreditation. The
Department may adopt rules regarding a warning process and
reaccreditation.
(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

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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 may shall be conducted by
the Department for periodic evaluation. Such 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 an accrediting body recognized by the United
States Department of Education and approved by the Department
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

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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.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/60-10)
(Section scheduled to be repealed on January 1, 2018)

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Sec. 60-10. RN licensure by examination Qualifications for
RN licensure.
(a) Each applicant who successfully meets the requirements
of this Section is eligible for shall be entitled to licensure
as a registered professional nurse.
(b) An applicant for licensure by examination to practice
as a registered professional nurse is eligible for licensure
when the following requirements are met must do each of the
following:
(1) the applicant has submitted Submit a completed
written application, on forms provided by the Department,
and fees, as established by the Department; .
(2) the applicant has 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) the applicant has successfully completed
Successfully complete a licensure examination approved by
the Department; .
(4) (blank); 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) the applicant has submitted Submit to the criminal

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history records check required under Section 50-35 of this
Act; .
(6) the applicant has submitted Submit, either to the
Department or its designated testing service, a fee
covering the cost of providing the examination; failure .
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; and .
(7) the applicant has met 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 of the date of
initial application after filing the application, the
application shall be denied. When an applicant's application is
denied due to the failure to pass the examination within the
3-year period, that applicant must undertake an additional
course of education as defined by rule prior to submitting a
new application for licensure. Any new application must be
accompanied by the required fee, evidence of meeting the
requirements in force at the time of the new application, and

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evidence of completion of the additional course of education
prescribed by rule. 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 registered 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.

10000HB0313ham002 - 344 - LRB100 04130 SMS 22956 a
(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) (Blank). An applicant for registered professional
nurse licensure by endorsement who is a registered professional

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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) (Blank). 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

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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) (Blank). 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

10000HB0313ham002 - 347 - LRB100 04130 SMS 22956 a
Act; or
(3) the Department intends to deny licensure by
endorsement.
(i) (Blank). 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) (Blank). 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

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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 evidence of English proficiency 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

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a certificate from the Certificate Program or the VisaScreen
Program of the Commission on Graduates of Foreign Nursing
Schools.
(m) (Blank). 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

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Schools.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/60-11 new)
Sec. 60-11. RN licensure by endorsement.
(a) Each applicant who successfully meets the requirements
of this Section is eligible for licensure as a registered
professional nurse.
(b) An applicant for registered professional nurse
licensure by endorsement who is a registered professional nurse
licensed by examination under the laws of another United States
jurisdiction or a foreign jurisdiction is eligible for
licensure when the following requirements are met:
(1) the applicant has submitted a completed written
application, on forms supplied by the Department, and fees
as established by the Department;
(2) the applicant has graduated from a registered
professional nursing education program approved by the
Department;
(3) the applicant has been issued an LPN license by
another United States or foreign jurisdiction, which shall
be verified, as defined by rule;
(4) the applicant has submitted to the criminal history
records check required under Section 50-35 of this Act; and
(5) the applicant has met all other requirements as
established by the Department by rule.

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(c) Pending the issuance of a license under this Section,
the Department may grant an applicant a temporary permit 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 United States
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
permit until the Department 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 temporary permit, 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 permit; and
(4) the required temporary permit fee.
(d) The Department may refuse to issue an applicant a
temporary permit authorized pursuant to this Section if, within
14 working days after its receipt of an application for a
temporary permit, the Department determines that:

10000HB0313ham002 - 352 - LRB100 04130 SMS 22956 a
(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.
(e) The Department may revoke a temporary permit issued
pursuant to this Section if it determines that:
(1) 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) 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

10000HB0313ham002 - 353 - LRB100 04130 SMS 22956 a
(3) the Department intends to deny licensure by
endorsement.
(f) A temporary permit 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
permit shall automatically expire upon issuance of the Illinois
license or upon notification that the Department intends to
deny licensure, whichever occurs first.
(g) 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.
(h) 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

10000HB0313ham002 - 354 - LRB100 04130 SMS 22956 a
education program outside of the United States or its
territories and whose first language is not English shall
submit evidence of English proficiency, as defined by rule.
(225 ILCS 65/60-25)
(Section scheduled to be repealed on January 1, 2018)
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 as specified by rule. , 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

10000HB0313ham002 - 355 - LRB100 04130 SMS 22956 a
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.

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(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

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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

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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 to the address of record or by email to the
email address of record.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/60-35)
(Section scheduled to be repealed on January 1, 2018)
Sec. 60-35. RN scope of practice. The RN scope of nursing
practice is the protection, promotion, and optimization of
health and abilities, the prevention of illness and injury, the

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facilitation of nursing interventions to alleviate suffering,
care coordination, and advocacy in the care of individuals,
families, groups, communities, and populations. Practice as a
registered professional nurse means this full scope of nursing,
with or without compensation, that incorporates caring for all
patients in all settings, through nursing standards of practice
and professional performance for coordination of care, and
includes, but is not limited to, all of the following:
(1) Collecting pertinent data and information relative
to the patient's health or the situation.
(2) Analyzing the assessment data to determine actual
or potential diagnoses, problems, and issues.
(3) Identifying expected outcomes for a plan
individualized to the patient or the situation that
prescribes strategies to attain expected, measurable
outcomes.
(4) Implementing the identified plan, coordinating
care delivery, employing strategies to promote healthy and
safe environments, and administering or delegating
medication administration.
(5) Evaluating progress toward attainment of goals and
outcomes.
(6) Delegating and assigning nursing interventions to
implement the plan of care.
(7) Providing health education and counseling.
(8) Practicing ethically according to the American

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Nurses Association Code of Ethics.
(9) Practicing in a manner that recognizes cultural
diversity.
(10) Communicating effectively in all areas of
practice.
(11) Collaborating with patients and other key
stakeholders in the conduct of nursing practice.
(12) Participating in continuous professional
development.
(13) Teaching the theory and practice of nursing to
student nurses.
(14) Leading within the professional practice setting
and the profession.
(15) Contributing to quality nursing practice.
(16) Integrating evidence and research findings into
practice.
(17) Utilizing appropriate resources to plan, provide,
and sustain evidence-based nursing services that are safe,
effective, and fiscally responsible.
(18) Participating in the development of policies,
procedures, and systems to support patient safety.
(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:

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(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,

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procedures, and systems to support patient safety.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/Art. 65 heading)
ARTICLE 65. ADVANCED PRACTICE REGISTERED NURSES
(Article scheduled to be repealed on January 1, 2018)
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/65-5) (was 225 ILCS 65/15-10)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-5. Qualifications for APRN APN licensure.
(a) Each applicant who successfully meets the requirements
of this Section is eligible for shall be entitled to licensure
as an advanced practice registered nurse.
(b) An applicant for licensure to practice as an advanced
practice registered nurse is eligible for licensure when the
following requirements are met must do each of the following:
(1) the applicant has submitted Submit a completed
application and any fees as established by the Department; .
(2) the applicant holds Hold a current license to
practice as a registered professional nurse under this
Act; .
(3) the applicant has Have successfully completed
requirements to practice as, and holds and maintains
current, national certification as, a nurse midwife,
clinical nurse specialist, nurse practitioner, or

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certified registered nurse anesthetist from the
appropriate national certifying body as determined by rule
of the Department; .
(4) the applicant has Have obtained a graduate degree
appropriate for national certification in a clinical
advanced practice registered nursing specialty or a
graduate degree or post-master's certificate from a
graduate level program in a clinical advanced practice
registered nursing specialty; .
(5) (blank); 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) the applicant has submitted Submit to the criminal
history records check required under Section 50-35 of this
Act; and .
(7) if applicable, the applicant has submitted
verification of licensure status in another jurisdiction,
as provided by rule.
(b-5) A registered professional nurse seeking licensure as
an advanced practice registered nurse in the category of
certified registered nurse anesthetist who does not have a
graduate degree as described in subsection (b) of this Section
shall be qualified for licensure if that person:
(1) submits evidence of having successfully completed

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a nurse anesthesia program described in item (4) of
subsection (b) of this Section prior to January 1, 1999;
(2) submits evidence of certification as a registered
nurse anesthetist by an appropriate national certifying
body; and
(3) has continually maintained active, up-to-date
recertification status as a certified registered nurse
anesthetist by an appropriate national recertifying body.
(b-10) The Department may shall issue a certified
registered nurse anesthetist license to an APRN APN who (i)
does not have a graduate degree, (ii) applies for licensure
before July 1, 2018, and (iii) submits all of the following to
the Department:
(1) His or her current State registered nurse license
number.
(2) Proof of current national certification, which
includes the completion of an examination from either of
the following:
(A) the Council on Certification of the American
Association of Nurse Anesthetists; or
(B) the Council on Recertification of the American
Association of Nurse Anesthetists.
(3) Proof of the successful completion of a post-basic
advanced practice formal education program in the area of
nurse anesthesia prior to January 1, 1999.
(4) His or her complete work history for the 5-year

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period immediately preceding the date of his or her
application.
(5) Verification of licensure as an advanced practice
registered nurse from the state in which he or she was
originally licensed, current state of licensure, and any
other state in which he or she has been actively practicing
as an advanced practice registered nurse within the 5-year
period immediately preceding the date of his or her
application. If applicable, this verification must state:
(A) the time during which he or she was licensed in
each state, including the date of the original issuance
of each license; and
(B) any disciplinary action taken or pending
concerning any nursing license held, currently or in
the past, by the applicant.
(6) The required fee.
(c) Those applicants seeking licensure in more than one
advanced practice registered nursing specialty need not
possess multiple graduate degrees. Applicants may be eligible
for licenses for multiple advanced practice registered nurse
licensure specialties, provided that the applicant (i) has met
the requirements for at least one advanced practice registered
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 registered nurse specialty and that meets the

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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
registered nursing specialty.
(Source: P.A. 98-837, eff. 1-1-15.)
(225 ILCS 65/65-10) (was 225 ILCS 65/15-13)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-10. APRN APN license pending status.
(a) A graduate of an advanced practice registered 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 registered 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
registered nursing specialty and that allows the applicant
to be eligible for licensure in Illinois in the area of his

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or her specialty.
(4) Proof that he or she is licensed in Illinois as a
registered professional nurse.
(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. 97-813, eff. 7-13-12.)
(225 ILCS 65/65-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-15. Expiration of APRN APN license; renewal.
(a) The expiration date and renewal period for each
advanced practice registered 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.
(b) On and after May 30, 2020, except as provided in
subsections (c) and (d) of this Section, each advanced practice
registered nurse is required to show proof of continued,

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current national certification in the specialty.
(c) An advanced practice registered nurse who does not meet
the educational requirements necessary to obtain national
certification but has continuously held an unencumbered
license under this Act since 2001 shall not be required to show
proof of national certification in the specialty to renew his
or her advanced practice registered nurse license.
(d) The Department may renew the license of an advanced
practice registered nurse who applies for renewal of his or her
license on or before May 30, 2016 and is unable to provide
proof of continued, current national certification in the
specialty but complies with all other renewal requirements.
(e) Any advanced practice registered nurse license renewed
on and after May 31, 2016 based on the changes made to this
Section by this amendatory Act of the 99th General Assembly
shall be retroactive to the expiration date.
(Source: P.A. 99-505, eff. 5-27-16.)
(225 ILCS 65/65-20)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-20. Restoration of APRN 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

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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 as specified by rule. , 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 registered nurse license issued
under this Act that expired while the licensee was (1) in

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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 registered 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 registered
nurse license under this Section, the Department may grant an
applicant a temporary permit to practice as an advanced
practice registered 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

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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
registered 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

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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

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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 to the
address of record or by email to the email address of record.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/65-25)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-25. Inactive status of a APRN APN license. Any
advanced practice registered 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 registered 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 registered nurse whose license is on
inactive status shall not practice advanced practice

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registered nursing, as defined by this Act in the State of
Illinois.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/65-30)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-30. APRN APN scope of practice.
(a) Advanced practice registered 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
registered nurse's nursing education, training, and
experience.
(b) Practice as an advanced practice registered 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
registered 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 registered nurse or another health care
professional.

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(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.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/65-35) (was 225 ILCS 65/15-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-35. Written collaborative agreements.
(a) A written collaborative agreement is required for all
advanced practice registered nurses engaged in clinical
practice, except for advanced practice registered nurses who
are authorized to practice in a hospital, hospital affiliate,
or ambulatory surgical treatment center.
(a-5) If an advanced practice registered nurse engages in
clinical practice outside of a hospital, hospital affiliate, or
ambulatory surgical treatment center in which he or she is
authorized to practice, the advanced practice registered nurse

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must have a written collaborative agreement.
(b) A written collaborative agreement shall describe the
relationship of the advanced practice registered nurse with the
collaborating physician or podiatric physician and shall
describe the categories of care, treatment, or procedures to be
provided by the advanced practice registered 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 or podiatric physician and advanced practice
registered nurse.
The collaborative relationship under an agreement shall
not be construed to require the personal presence of a
physician or podiatric physician at the place where services
are rendered. Methods of communication shall be available for
consultation with the collaborating physician or podiatric
physician in person or by telecommunications or electronic
communications as set forth in the written agreement.
(b-5) Absent an employment relationship, a written
collaborative agreement may not (1) restrict the categories of
patients of an advanced practice registered nurse within the
scope of the advanced practice registered nurses training and
experience, (2) limit third party payors or government health
programs, such as the medical assistance program or Medicare
with which the advanced practice registered nurse contracts, or
(3) limit the geographic area or practice location of the

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advanced practice registered nurse in this State.
(c) In the case of anesthesia services provided by a
certified registered nurse anesthetist, an anesthesiologist, a
physician, a dentist, or a podiatric physician 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.
(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 podiatric physician 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 podiatric physician 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
podiatric physician.
(c-10) A certified registered nurse anesthetist who

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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 registered nurse and the collaborating

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physician, dentist, or podiatric physician.
(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 in accordance with Section 54.2 of the Medical Practice
Act of 1987. Nothing in this Act shall be construed to limit
the method of delegation that may be authorized by any means,
including, but not limited to, oral, written, electronic,
standing orders, protocols, guidelines, or verbal orders.
Nothing in this Act shall be construed to authorize an advanced
practice registered nurse to provide health care services
required by law or rule to be performed by a physician.
(f) An advanced practice registered nurse shall inform each
collaborating physician, dentist, or podiatric physician of
all collaborative agreements he or she has signed and provide a
copy of these to any collaborating physician, dentist, or
podiatric physician upon request.
(g) (Blank).
(Source: P.A. 98-192, eff. 1-1-14; 98-214, eff. 8-9-13; 98-756,
eff. 7-16-14; 99-173, eff. 7-29-15.)
(225 ILCS 65/65-35.1)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-35.1. Written collaborative agreement; temporary
practice. Any advanced practice registered nurse required to
enter into a written collaborative agreement with a

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collaborating physician or collaborating podiatrist is
authorized to continue to practice for up to 90 days after the
termination of a collaborative agreement provided the advanced
practice registered nurse seeks any needed collaboration at a
local hospital and refers patients who require services beyond
the training and experience of the advanced practice registered
nurse to a physician or other health care provider.
(Source: P.A. 99-173, eff. 7-29-15.)
(225 ILCS 65/65-40) (was 225 ILCS 65/15-20)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-40. Written collaborative agreement; prescriptive
authority.
(a) A collaborating physician or podiatric physician may,
but is not required to, delegate prescriptive authority to an
advanced practice registered 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 controlled substances categorized as any Schedule
III through 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 podiatric
physician must have a valid current Illinois controlled

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substance license and federal registration to delegate
authority to prescribe delegated controlled substances.
(b) To prescribe controlled substances under this Section,
an advanced practice registered nurse must obtain a mid-level
practitioner controlled substance license. Medication orders
shall be reviewed periodically by the collaborating physician
or podiatric physician.
(c) The collaborating physician or podiatric 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 any Schedule III
through V controlled substances, the licensed advanced
practice registered 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 or
podiatric physician may, but is not required to, delegate
authority to an advanced practice registered nurse to prescribe
any Schedule II controlled substances, if all of the following
conditions apply:
(1) Specific Schedule II controlled substances by oral
dosage or topical or transdermal application may be
delegated, provided that the delegated Schedule II
controlled substances are routinely prescribed by the

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collaborating physician or podiatric physician. This
delegation must identify the specific Schedule II
controlled substances by either brand name or generic name.
Schedule II controlled substances to be delivered by
injection or other route of administration may not be
delegated.
(2) Any delegation must be controlled substances that
the collaborating physician or podiatric physician
prescribes.
(3) Any prescription must be limited to no more than a
30-day supply, with any continuation authorized only after
prior approval of the collaborating physician or podiatric
physician.
(4) The advanced practice registered nurse must
discuss the condition of any patients for whom a controlled
substance is prescribed monthly with the delegating
physician.
(5) The advanced practice registered nurse meets the
education requirements of Section 303.05 of the Illinois
Controlled Substances Act.
(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. Nothing in this Act shall be construed to limit the
method of delegation that may be authorized by any means,
including, but not limited to, oral, written, electronic,

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standing orders, protocols, guidelines, or verbal orders.
(f) Nothing in this Section shall be construed to apply to
any medication authority including Schedule II controlled
substances of an advanced practice registered nurse for care
provided in a hospital, hospital affiliate, or ambulatory
surgical treatment center pursuant to Section 65-45.
(g) Any advanced practice registered nurse who writes a
prescription for a controlled substance without having a valid
appropriate authority may be fined by the Department not more
than $50 per prescription, and the Department may take any
other disciplinary action provided for in this Act.
(h) Nothing in this Section shall be construed to prohibit
generic substitution.
(Source: P.A. 97-358, eff. 8-12-11; 98-214, eff. 8-9-13.)
(225 ILCS 65/65-45) (was 225 ILCS 65/15-25)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-45. Advanced practice registered nursing in
hospitals, hospital affiliates, or ambulatory surgical
treatment centers.
(a) An advanced practice registered nurse may provide
services in a hospital or a hospital affiliate as those terms
are defined in the Hospital Licensing Act or the University of
Illinois Hospital Act or a licensed ambulatory surgical
treatment center without a written collaborative agreement
pursuant to Section 65-35 of this Act. An advanced practice

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registered 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 registered nurses
granted clinical privileges, including any care provided in a
hospital affiliate. Authority may also be granted when
recommended by the hospital medical staff and granted by the
hospital or recommended by the consulting medical staff
committee and ambulatory surgical treatment center to
individual advanced practice registered nurses to select,
order, and administer medications, including controlled
substances, to provide delineated care. In a hospital, hospital
affiliate, or ambulatory surgical treatment center, the
attending physician shall determine an advanced practice
registered 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-2) An advanced practice registered nurse granted
authority to order medications including controlled substances
may complete discharge prescriptions provided the prescription
is in the name of the advanced practice registered nurse and
the attending or discharging physician.
(a-3) Advanced practice registered nurses practicing in a
hospital or an ambulatory surgical treatment center are not

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required to obtain a mid-level controlled substance license to
order controlled substances under Section 303.05 of the
Illinois Controlled Substances Act.
(a-5) For anesthesia services provided by a certified
registered nurse anesthetist, an anesthesiologist, physician,
dentist, or podiatric physician 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 registered nurse who provides
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.

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(c) Advanced practice registered nurses certified as nurse
practitioners, nurse midwives, or clinical nurse specialists
practicing in a hospital affiliate may be, but are not required
to be, granted authority to prescribe Schedule II through V
controlled substances when such authority is recommended by the
appropriate physician committee of the hospital affiliate and
granted by the hospital affiliate. 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 controlled substances categorized as
Schedule II through 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.
To prescribe controlled substances under this subsection
(c), an advanced practice registered nurse certified as a nurse
practitioner, nurse midwife, or clinical nurse specialist must
obtain a mid-level practitioner controlled substance license.
Medication orders shall be reviewed periodically by the
appropriate hospital affiliate physicians committee or its
physician designee.
The hospital affiliate shall file with the Department
notice of a grant of prescriptive authority consistent with
this subsection (c) and termination of such a grant of
authority, in accordance with rules of the Department. Upon

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receipt of this notice of grant of authority to prescribe any
Schedule II through V controlled substances, the licensed
advanced practice registered nurse certified as a nurse
practitioner, nurse midwife, or clinical nurse specialist may
register for a mid-level practitioner controlled substance
license under Section 303.05 of the Illinois Controlled
Substances Act.
In addition, a hospital affiliate may, but is not required
to, grant authority to an advanced practice registered nurse
certified as a nurse practitioner, nurse midwife, or clinical
nurse specialist to prescribe any Schedule II controlled
substances, if all of the following conditions apply:
(1) specific Schedule II controlled substances by oral
dosage or topical or transdermal application may be
designated, provided that the designated Schedule II
controlled substances are routinely prescribed by advanced
practice registered nurses in their area of certification;
this grant of authority must identify the specific Schedule
II controlled substances by either brand name or generic
name; authority to prescribe or dispense Schedule II
controlled substances to be delivered by injection or other
route of administration may not be granted;
(2) any grant of authority must be controlled
substances limited to the practice of the advanced practice
registered nurse;
(3) any prescription must be limited to no more than a

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30-day supply;
(4) the advanced practice registered nurse must
discuss the condition of any patients for whom a controlled
substance is prescribed monthly with the appropriate
physician committee of the hospital affiliate or its
physician designee; and
(5) the advanced practice registered nurse must meet
the education requirements of Section 303.05 of the
Illinois Controlled Substances Act.
(Source: P.A. 98-214, eff. 8-9-13; 99-173, eff. 7-29-15.)
(225 ILCS 65/65-50) (was 225 ILCS 65/15-30)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-50. APRN APN 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 registered nurse, including, but
not limited to, using the titles or initials "Advanced Practice
Registered Nurse", "Certified Nurse Midwife", "Certified Nurse
Practitioner", "Certified Registered Nurse Anesthetist",
"Clinical Nurse Specialist", "A.P.R.N." "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 registered nurse without meeting the requirements of
this Act. For purposes of this provision, the terms "advanced
practice nurse" and "A.P.N." are considered to be similar

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titles or initials protected by this subsection (a).
(b) No advanced practice registered nurse shall indicate to
other persons that he or she is qualified to engage in the
practice of medicine.
(c) An advanced practice registered nurse shall verbally
identify himself or herself as an advanced practice registered
nurse, including specialty certification, to each patient.
(d) Nothing in this Act shall be construed to relieve an
advanced practice registered nurse of the professional or legal
responsibility for the care and treatment of persons attended
by him or her.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/65-55) (was 225 ILCS 65/15-40)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-55. Advertising as an APRN APN.
(a) A person licensed under this Act as an advanced
practice registered nurse 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

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practice;
(3) publication of the person's collaborating
physician's, dentist's, or podiatric physician'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 registered nurse 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 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

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provisions of this Act for a person licensed under this Article
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) 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) 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. 98-214, eff. 8-9-13.)
(225 ILCS 65/65-65) (was 225 ILCS 65/15-55)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-65. Reports relating to APRN 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

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Hospital Licensing Act, shall report to the Board when an
advanced practice registered nurse'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 have a mental or physical disability that may endanger
patients under that person's care. The chief administrator
or officer shall also report if an advanced practice
registered nurse 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 have a mental or
physical disability that may endanger patients under that
person's care. The Department Board shall provide by rule
for the reporting to it of all instances in which a person
licensed under this Article, 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 Board or
authorized staff as provided by rule of the Department

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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 Board shall have current
information upon which to determine the status of that
person. Initial and periodic reports of impaired advanced
practice registered nurses shall not be considered records
within the meaning of the State Records Act and shall be
disposed of, following a determination by the Board that
such reports are no longer required, in a manner and at an
appropriate time as the 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, operating within this State,
shall report to the Board when the association or society
renders a final determination that a person licensed under
this Article has committed unprofessional conduct related
directly to patient care or that a person may have a mental
or physical disability 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, or any
other entity that seeks to indemnify the professional

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liability of a person licensed under this Article, shall
report to the 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 Board all instances in which a
person licensed under this Article 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 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 has either
committed an act or acts that may constitute a violation of
this Article, that may constitute unprofessional conduct
related directly to patient care, or that indicates that a
person licensed under this Article may have a mental or
physical disability that may endanger patients under that
person's care.
(b) Mandatory Reporting. All reports required under items
(16) and (17) of subsection (a) of Section 70-5 shall be
submitted to the Board in a timely fashion. The reports shall
be filed in writing within 60 days after a determination that a

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report is required under this Article. 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 Board, the Board's attorneys, the
investigative staff, and authorized clerical staff and shall be

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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 willful wilful
and wanton manner, in complying with this Section by providing
a report or other information to the Board, by assisting in the
investigation or preparation of a report or information, by
participating in proceedings of the 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 Board, the Board's
attorneys, the investigative staff, advanced practice
registered 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 Board, (ii)
performed in good faith, and (iii) not willful 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 willful 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

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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 willful 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 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 Board. Upon the receipt of a report
called for by this Section, other than those reports of
impaired persons licensed under this Article required pursuant
to the rules of the Board, the Board shall notify in writing by
certified or registered mail or by email to the email address
of record the person who is the subject of the report. The
notification shall be made within 30 days of receipt by the
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

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by the Board no more than 30 days after the date on which the
person was notified of the existence of the original report.
The 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 Board
shall be in a timely manner but in no event shall the 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 Board. When the Board
makes its initial review of the materials contained within its
disciplinary files, the 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 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 Board of any final action on their
report or complaint.
(f) (Blank). Summary Reports. The 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

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maintained by the 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.
(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. 99-143, eff. 7-27-15.)
(225 ILCS 65/70-5) (was 225 ILCS 65/10-45)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-5. Grounds for disciplinary action.
(a) The Department may refuse to issue or to renew, or may
revoke, suspend, place on probation, reprimand, or take other

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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. 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, 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, under
the laws of any jurisdiction of the United States: (i) that
is a felony; or (ii) that is a misdemeanor, an essential
element of which is dishonesty, or that 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

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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 or registered mail or
by email to the email address of record.
(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 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 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

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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.
(13.5) Willfully 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 registered 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

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surrender by the licensee of a license or authorization to
practice nursing or advanced practice registered 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 registered 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) 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) Allowing another person or organization to use the
licensees' license to deceive the public.
(22) 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) Attempting to subvert or cheat on a licensing

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examination administered under this Act.
(24) Immoral conduct in the commission of an act,
including, but not limited to, sexual abuse, sexual
misconduct, or sexual exploitation, related to the
licensee's practice.
(25) Willfully or negligently violating the
confidentiality between nurse and patient except as
required by law.
(26) Practicing under a false or assumed name, except
as provided by law.
(27) The use of any false, fraudulent, or deceptive
statement in any document connected with the licensee's
practice.
(28) 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.
Nothing in this paragraph (28) affects any bona fide
independent contractor or employment arrangements among
health care professionals, health facilities, health care
providers, or other entities, except as otherwise
prohibited by law. Any employment arrangements may include
provisions for compensation, health insurance, pension, or
other employment benefits for the provision of services
within the scope of the licensee's practice under this Act.
Nothing in this paragraph (28) shall be construed to

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require an employment arrangement to receive professional
fees for services rendered.
(29) A violation of the Health Care Worker
Self-Referral Act.
(30) 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 podiatric physician
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.

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(35) Violating State or federal laws, rules, or
regulations relating to controlled substances.
(36) Willfully or negligently violating the
confidentiality between an advanced practice registered
nurse, collaborating physician, dentist, or podiatric
physician and a patient, except as required by law.
(37) Willfully failing to report an instance of
suspected abuse, neglect, financial exploitation, or
self-neglect of an eligible adult as defined in and
required by the Adult Protective Services Act.
(38) Being named as an abuser in a verified report by
the Department on Aging and under the Adult Protective
Services Act, and upon proof by clear and convincing
evidence that the licensee abused, neglected, or
financially exploited an eligible adult as defined in the
Adult Protective Services Act.
(39) (37) A violation of any provision of this Act or
any rules adopted 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

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Board to the Secretary 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 Department of Revenue, until such time as the requirements
of any such tax Act are satisfied.
(e) In enforcing this Act, 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 suspension without

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hearing.
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 registered 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 subsection (e) Section, the Department or Board may
require that individual to submit to a substance abuse
evaluation or treatment by individuals or programs approved or
designated by the Department or Board, as a condition, term, or
restriction for continued, restored reinstated, or renewed
licensure to practice; or, in lieu of evaluation 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, restored
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 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 immediately suspends a

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person's license under this subsection (e) 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 subsection (e) Section shall be afforded an opportunity to
demonstrate to the Department that he or she can resume
practice in compliance with nursing standards under the
provisions of his or her license.
(Source: P.A. 98-214, eff. 8-9-13.)
(225 ILCS 65/70-10) (was 225 ILCS 65/10-50)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-10. Intoxication and drug abuse.
(a) Any 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 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 adversely affects such nurse's professional
performance, or unlawfully possesses, uses, distributes or

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converts mood altering drugs belonging to the place of
employment, shall promptly report the individual 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

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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) (Blank). Each year on March 1, 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.

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(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 rule regulation of this State relating to freedom of
information or public disclosure of records.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-20) (was 225 ILCS 65/20-13)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-20. 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 17-10.5 or 46-1 of the
Criminal Code of 1961 or the Criminal Code of 2012. A person
whose license or other authorization to practice is suspended

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under this Section is prohibited from practicing until the
restitution is made in full.
(Source: P.A. 96-1551, eff. 7-1-11; 97-1150, eff. 1-25-13.)
(225 ILCS 65/70-35) (was 225 ILCS 65/20-31)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-35. 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. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-40) (was 225 ILCS 65/20-32)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-40. Educational resources; internet link. The
Department may shall work with the 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

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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. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-50) (was 225 ILCS 65/20-40)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-50. 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) Distribution and publication of this Act and rules.
(2) Employment of secretarial, nursing,
administrative, enforcement, and other staff for the
administration of this Act.
(b) Disposition of 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.
(2) All of the fees, fines, and penalties collected
pursuant to this Act shall be deposited in the Nursing
Dedicated and Professional Fund.
(3) Each fiscal year, the moneys deposited in the

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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) For the fiscal year beginning July 1, 2009 and for
each fiscal year thereafter, $2,000,000 of the moneys
deposited in the Nursing Dedicated and Professional Fund
each year shall be set aside and appropriated to the
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) 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).
(c) Moneys set aside for nursing scholarships awarded
pursuant to the Nursing Education Scholarship Law as provided
in item (4) of subsection (b) of this Section may not be
transferred under Section 8h of the State Finance Act.
(Source: P.A. 95-331, eff. 8-21-07; 95-639, eff. 10-5-07;

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96-328, eff. 8-11-09; 96-805, eff. 10-30-09.)
(225 ILCS 65/70-60) (was 225 ILCS 65/20-55)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-60. Summary suspension; imminent danger. The
Secretary 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 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
that the person's license be revoked, suspended, placed on
probationary status or restored 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. 95-331, eff. 8-21-07; 95-639, eff. 10-5-07.)

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(225 ILCS 65/70-75) (was 225 ILCS 65/20-75)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-75. Injunctive remedies.
(a) If any person violates the provision of this Act, the
Secretary 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, 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

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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; 95-639, eff. 10-5-07.)
(225 ILCS 65/70-80) (was 225 ILCS 65/20-80)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-80. Investigation; notice; hearing.
(a) The 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

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under this Act.
(b) 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 disciplining a license under this Section
or refusing to issue a license, at least 30 days prior to the
date set for the hearing, (i) notify the accused in writing of
any charges made and the time and place for the a hearing of
the charges before the Board, (ii) direct her or him to file a
written answer to the charges thereto to the Board under oath
within 20 days after the service; of such notice and (iii)
inform the applicant or licensee that failure if she or he
fails to file such answer will result in a default being
entered default will be taken against the applicant or
licensee. As a result of the default, 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.
(c) 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
any pertinent such statements, testimony, evidence and

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arguments. 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, having received first
the recommendation of the Board, be suspended, revoked, placed
on probationary status, or be subject to whatever disciplinary
action the Secretary considers proper the Secretary may take
whatever disciplinary action as he or she may deem proper,
including limiting the scope, nature, or extent of said
person's practice or the imposition of a fine, without a
hearing, if the act or acts charged constitute sufficient
grounds for such action under this Act.
(d) The written notice and any notice in the subsequent
proceeding may be served by personal delivery or regular or
certified mail to the respondent at the respondent's address of
record or by email to the respondent's email address of record.
(e) The Secretary has the authority to appoint any attorney
licensed to practice law in the State of Illinois to serve as
the hearing officer in any action for refusal to issue,
restore, or renew a license or to discipline a licensee. The
hearing officer has full authority to conduct the hearing. The
Board may have a member or members present at any hearing. The
Board members shall have equal or greater licensing
qualifications than those of the licensee being prosecuted.
(Source: P.A. 95-639, eff. 10-5-07.)

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(225 ILCS 65/70-81 new)
Sec. 70-81. Confidentiality. All information collected by
the Department in the course of an examination or investigation
of a licensee or applicant, including, but not limited to, any
complaint against a licensee filed with the Department and
information collected to investigate any such complaint, shall
be maintained for the confidential use of the Department and
shall not be disclosed. The Department may not disclose the
information to anyone other than law enforcement officials,
other regulatory agencies that have an appropriate regulatory
interest as determined by the Secretary of the Department, or a
party presenting a lawful subpoena to the Department.
Information and documents disclosed to a federal, State,
county, or local law enforcement agency shall not be disclosed
by the agency for any purpose to any other agency or person. A
formal complaint filed by the Department against a licensee or
applicant shall be a public record, except as otherwise
prohibited by law.
(225 ILCS 65/70-85) (was 225 ILCS 65/20-85)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-85. Stenographer; transcript. The Department, at
its expense, shall provide a stenographer to take down the
testimony and preserve a record of all formal hearing
proceedings if a license may be revoked, suspended, or placed

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on probationary status or other disciplinary action may be
taken at the hearing of any case wherein any disciplinary
action is taken regarding a license. Any licensee who is found
to have violated this Act or who fails to appear for a hearing
to refuse to issue, restore, or renew a license or to
discipline a license may be required by the Department to pay
for the costs of the proceeding. These costs are limited to
costs for court reporters, transcripts, and witness attendance
and mileage fees. The Secretary may waive payment of costs by a
licensee in whole or in part where there is an undue financial
hardship. 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. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-100) (was 225 ILCS 65/20-100)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-100. Hearing; findings and recommendations;
rehearing Board report.
(a) The Board or the hearing officer authorized by the

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Department shall hear evidence in support of the formal charges
and evidence produced by the licensee. At the conclusion of the
hearing the Board shall present to the Secretary 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.
(b) At the conclusion of the hearing, a copy of the Board's
or hearing officer's report shall be served upon the applicant
or licensee by the Department, either personally or as provided
in this Act for the service of a notice of hearing. Within 20
calendar days after service, the applicant or licensee may
present to the Department a motion in writing for a rehearing,
which shall specify the particular grounds for hearing. The
Department shall respond to the motion for rehearing within 20
calendar days after its service on the Department. If no motion
for rehearing is filed, then upon the expiration of the time
specified for filing such a motion, or upon denial of a motion
for rehearing, the Secretary may enter an order in accordance
with the recommendations of the Board or hearing officer. If
the applicant or licensee orders from the reporting service and
pays for a transcript of the record within the time for filing
a motion for rehearing, the 20-day period within which a motion
may be filed shall commence upon the delivery of the transcript

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to the applicant or licensee.
(c) If the Secretary disagrees in any regard with the
report of the Board, the Secretary may issue an order contrary
to the report. 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 shall determine that the report
is contrary to the manifest weight of the evidence, in which
case the Secretary 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.
(d) Whenever the Secretary is not satisfied that
substantial justice has been done, the Secretary may order a
rehearing by the same or another hearing officer.
(e) All proceedings under this Section are matters of
public record and shall be preserved.
(f) Upon the suspension or revocation of a license, the
licensee shall surrender the license to the Department, and,
upon failure to do so, the Department shall seize the same.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-103 new)
Sec. 70-103. Disposition by consent order. At any point in
any investigation or disciplinary proceeding provided for in

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this Act, both parties may agree to a negotiated consent order.
The consent order shall be final upon signature of the
Secretary.
(225 ILCS 65/70-140) (was 225 ILCS 65/20-140)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-140. Review under Administrative Review Law. All
final administrative decisions of the Department are hereunder
shall be subject to judicial review pursuant to the provisions
revisions of the Administrative Review Law, and all rules
amendments and modifications thereof, and the rule adopted
under the Administrative Review Law pursuant thereto. The term
"administrative decision" is defined as in Section 3-101 of the
Code of Civil Procedure.
Proceedings for judicial review shall be commenced in the
circuit court of the county in which the party applying for
review resides; however, if the party is not a resident of this
State, the venue shall be Sangamon County.
(Source: P.A. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-145) (was 225 ILCS 65/20-145)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-145. Certification of record. The Department shall
not be required to certify any record to the court, Court or
file any answer in court, or otherwise appear in any court in a
judicial review proceeding, unless and until the Department has

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received from the plaintiff payment of the costs of furnishing
and certifying the record, which costs shall be determined by
the Department. Exhibits shall be certified without cost 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. 95-639, eff. 10-5-07.)
(225 ILCS 65/70-160) (was 225 ILCS 65/20-160)
(Section scheduled to be repealed on January 1, 2018)
Sec. 70-160. 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 address of record last known address of a party.
(Source: P.A. 95-639, eff. 10-5-07.)

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(225 ILCS 65/Art. 75 heading)
ARTICLE 75. ILLINOIS NURSING WORKFORCE CENTER FOR NURSING
(Article scheduled to be repealed on January 1, 2018)
(Source: P.A. 94-1020, eff. 7-11-06; 95-639, eff. 10-5-07.)
(225 ILCS 65/75-10) (was 225 ILCS 65/17-10)
(Section scheduled to be repealed on January 1, 2018)
Sec. 75-10. Illinois Nursing Workforce Center for Nursing.
The purpose of There is created the Illinois Nursing Workforce
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 access
to and 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; and
(B) recommend systemic changes, including
strategies for implementation of recommended changes. ;

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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; 95-639, eff. 10-5-07.)
(225 ILCS 65/75-15) (was 225 ILCS 65/17-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 75-15. Illinois Center for Nursing Workforce Center
Advisory Board.
(a) There is created the Illinois Center for Nursing
Workforce Center Advisory Board, which shall consist of 11
members appointed by the Secretary 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.
(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
Secretary Governor shall serve for terms of 4 years, with no

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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 Secretary 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.
(g) Members of the Advisory Board shall not receive
compensation, but shall be reimbursed for actual traveling,

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incidentals, and expenses necessarily incurred in carrying out
their duties as members of the Advisory Board, as approved by
the Department.
(h) The Advisory Board shall meet annually to elect a
chairperson and vice chairperson.
(Source: P.A. 97-813, eff. 7-13-12; 98-247, eff. 8-9-13.)
(225 ILCS 65/75-20) (was 225 ILCS 65/17-20)
(Section scheduled to be repealed on January 1, 2018)
Sec. 75-20. 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) (blank); 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 of
this Article, 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

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established in the goals set forth in Section 75-10 of this
Article; 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; 95-639, eff. 10-5-07.)
(225 ILCS 65/80-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 80-15. Licensure requirement; exempt activities.
(a) On and after January 1, 2015, no person shall practice
as a medication aide or hold himself or herself out as a
licensed medication aide in this State unless he or she is
licensed under this Article.
(b) Nothing in this Article shall be construed as
preventing or restricting the practice, services, or
activities of:
(1) any person licensed in this State by any other law
from engaging in the profession or occupation for which he
or she is licensed;
(2) any person employed as a medication aide by the
government of the United States, if such person practices
as a medication aide solely under the direction or control
of the organization by which he or she is employed; or
(3) any person pursuing a course of study leading to a

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certificate in medication aide at an accredited or approved
educational program if such activities and services
constitute a part of a supervised course of study and if
such person is designated by a title which clearly
indicates his or her status as a student or trainee.
(c) Nothing in this Article shall be construed to limit the
delegation of tasks or duties by a physician, dentist, advanced
practice registered nurse, or podiatric physician as
authorized by law.
(Source: P.A. 98-990, eff. 8-18-14.)
(225 ILCS 65/80-35)
(Section scheduled to be repealed on January 1, 2018)
Sec. 80-35. Examinations. The Department shall authorize
examinations of applicants for a license under this Article at
the times and place as it may designate. The examination shall
be of a character to give a fair test of the qualifications of
the applicant to practice as a medication aide.
Applicants for examination as a medication aide shall be
required to pay, either to the Department or 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.

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If an applicant fails to pass an examination for licensure
registration under this Act within 3 years after filing his or
her application, the application shall be denied. The applicant
may thereafter make a new application accompanied by the
required fee; however, the applicant shall meet all
requirements in effect at the time of subsequent application
before obtaining licensure. The Department may employ
consultants for the purposes of preparing and conducting
examinations.
(Source: P.A. 98-990, eff. 8-18-14.)
(225 ILCS 65/60-15 rep.)
(225 ILCS 65/70-30 rep.)
(225 ILCS 65/70-65 rep.)
(225 ILCS 65/70-105 rep.)
(225 ILCS 65/70-110 rep.)
(225 ILCS 65/70-115 rep.)
(225 ILCS 65/75-5 rep.)
Section 165. The Nurse Practice Act is amended by repealing
Sections 60-15, 70-30, 70-65, 70-105, 70-110, 70-115, and 75-5.
Section 170. The Illinois Occupational Therapy Practice
Act is amended by changing Sections 3.1 and 19 as follows:
(225 ILCS 75/3.1)
(Section scheduled to be repealed on January 1, 2024)

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Sec. 3.1. Referrals.
(a) A licensed occupational therapist or licensed
occupational therapy assistant may consult with, educate,
evaluate, and monitor services for individuals, groups, and
populations concerning occupational therapy needs. Except as
indicated in subsections (b) and (c) of this Section,
implementation of direct occupational therapy treatment to
individuals for their specific health care conditions shall be
based upon a referral from a licensed physician, dentist,
podiatric physician, advanced practice registered nurse,
physician assistant, or optometrist.
(b) A referral is not required for the purpose of providing
consultation, habilitation, screening, education, wellness,
prevention, environmental assessments, and work-related
ergonomic services to individuals, groups, or populations.
(c) Referral from a physician or other health care provider
is not required for evaluation or intervention for children and
youths if an occupational therapist or occupational therapy
assistant provides services in a school-based or educational
environment, including the child's home.
(d) An occupational therapist shall refer to a licensed
physician, dentist, optometrist, advanced practice registered
nurse, physician assistant, or podiatric physician any patient
whose medical condition should, at the time of evaluation or
treatment, be determined to be beyond the scope of practice of
the occupational therapist.

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(Source: P.A. 98-214, eff. 8-9-13; 98-264, eff. 12-31-13;
98-756, eff. 7-16-14; 99-173, eff. 7-29-15.)
(225 ILCS 75/19) (from Ch. 111, par. 3719)
(Section scheduled to be repealed on January 1, 2024)
Sec. 19. Grounds for discipline.
(a) The Department may refuse to issue or renew, or may
revoke, suspend, place on probation, reprimand or take other
disciplinary or non-disciplinary action as the Department may
deem proper, including imposing fines not to exceed $10,000 for
each violation and the assessment of costs as provided under
Section 19.3 of this Act, with regard to any license for any
one or combination of the following:
(1) Material misstatement in furnishing information to
the Department;
(2) Violations of this Act, or of the rules promulgated
thereunder;
(3) Conviction by plea of guilty or nolo contendere,
finding of guilt, jury verdict, or entry of judgment or
sentencing of any crime, including, but not limited to,
convictions, preceding sentences of supervision,
conditional discharge, or first offender probation, under
the laws of any jurisdiction of the United States that is
(i) a felony or (ii) a misdemeanor, an essential element of
which is dishonesty, or that is directly related to the
practice of the profession;

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(4) Fraud or any misrepresentation in applying for or
procuring a license under this Act, or in connection with
applying for renewal of a license under this Act;
(5) Professional incompetence;
(6) Aiding or assisting another person, firm,
partnership or corporation in violating any provision of
this Act or rules;
(7) Failing, within 60 days, to provide information in
response to a written request made by the Department;
(8) Engaging in dishonorable, unethical or
unprofessional conduct of a character likely to deceive,
defraud or harm the public;
(9) Habitual or excessive use or abuse of drugs defined
in law as controlled substances, alcohol, or any other
substance that results in the inability to practice with
reasonable judgment, skill, or safety;
(10) Discipline by another state, unit of government,
government agency, the District of Columbia, a territory,
or foreign nation, if at least one of the grounds for the
discipline is the same or substantially equivalent to those
set forth herein;
(11) Directly or indirectly giving to or receiving from
any person, firm, corporation, partnership, or association
any fee, commission, rebate or other form of compensation
for professional services not actually or personally
rendered. Nothing in this paragraph (11) affects any bona

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fide independent contractor or employment arrangements
among health care professionals, health facilities, health
care providers, or other entities, except as otherwise
prohibited by law. Any employment arrangements may include
provisions for compensation, health insurance, pension, or
other employment benefits for the provision of services
within the scope of the licensee's practice under this Act.
Nothing in this paragraph (11) shall be construed to
require an employment arrangement to receive professional
fees for services rendered;
(12) A finding by the Department that the license
holder, after having his license disciplined, has violated
the terms of the discipline;
(13) Wilfully making or filing false records or reports
in the practice of occupational therapy, including but not
limited to false records filed with the State agencies or
departments;
(14) Physical illness, including but not limited to,
deterioration through the aging process, or loss of motor
skill which results in the inability to practice under this
Act with reasonable judgment, skill, or safety;
(15) Solicitation of professional services other than
by permitted advertising;
(16) Allowing one's license under this Act to be used
by an unlicensed person in violation of this Act;
(17) Practicing under a false or, except as provided by

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law, assumed name;
(18) Professional incompetence or gross negligence;
(19) Malpractice;
(20) Promotion of the sale of drugs, devices,
appliances, or goods provided for a patient in any manner
to exploit the client for financial gain of the licensee;
(21) Gross, willful, or continued overcharging for
professional services;
(22) Mental illness or disability that results in the
inability to practice under this Act with reasonable
judgment, skill, or safety;
(23) Violating the Health Care Worker Self-Referral
Act;
(24) Having treated patients other than by the practice
of occupational therapy as defined in this Act, or having
treated patients as a licensed occupational therapist
independent of a referral from a physician, advanced
practice registered nurse or physician assistant in
accordance with Section 3.1, dentist, podiatric physician,
or optometrist, or having failed to notify the physician,
advanced practice registered nurse, physician assistant,
dentist, podiatric physician, or optometrist who
established a diagnosis that the patient is receiving
occupational therapy pursuant to that diagnosis;
(25) Cheating on or attempting to subvert the licensing
examination administered under this Act; and

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(26) Charging for professional services not rendered,
including filing false statements for the collection of
fees for which services are not rendered.
All fines imposed under this Section shall be paid within
60 days after the effective date of the order imposing the fine
or in accordance with the terms set forth in the order imposing
the fine.
(b) The determination by a circuit court that a license
holder is subject to involuntary admission or judicial
admission as provided in the Mental Health and Developmental
Disabilities Code, as now or hereafter amended, operates as an
automatic suspension. Such suspension will end only upon a
finding by a court that the patient is no longer subject to
involuntary admission or judicial admission and an order by the
court so finding and discharging the patient. In any case where
a license is suspended under this provision, the licensee shall
file a petition for restoration and shall include evidence
acceptable to the Department that the licensee can resume
practice in compliance with acceptable and prevailing
standards of their profession.
(c) The Department may refuse to issue or may suspend
without hearing, as provided for in the Code of Civil
Procedure, the license of any person who fails to file a
return, to pay the tax, penalty, or interest shown in a filed
return, or to pay any final assessment of tax, penalty, or
interest as required by any tax Act administered by the

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Illinois Department of Revenue, until such time as the
requirements of any such tax Act are satisfied in accordance
with subsection (a) of Section 2105-15 of the Department of
Professional Regulation Law of the Civil Administrative Code of
Illinois.
(d) In enforcing this Section, the Department, upon a
showing of a possible violation, may compel any individual who
is licensed under this Act or any individual who has applied
for licensure to submit to a mental or physical examination or
evaluation, or both, which may include a substance abuse or
sexual offender evaluation, at the expense of the Department.
The Department shall specifically designate the examining
physician licensed to practice medicine in all of its branches
or, if applicable, the multidisciplinary team involved in
providing the mental or physical examination and evaluation.
The multidisciplinary team shall be led by a physician licensed
to practice medicine in all of its branches and may consist of
one or more or a combination of physicians licensed to practice
medicine in all of its branches, licensed chiropractic
physicians, licensed clinical psychologists, licensed clinical
social workers, licensed clinical professional counselors, and
other professional and administrative staff. Any examining
physician or member of the multidisciplinary team may require
any person ordered to submit to an examination and evaluation
pursuant to this Section to submit to any additional
supplemental testing deemed necessary to complete any

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examination or evaluation process, including, but not limited
to, blood testing, urinalysis, psychological testing, or
neuropsychological testing.
The Department may order the examining physician or any
member of the multidisciplinary team to provide to the
Department any and all records, including business records,
that relate to the examination and evaluation, including any
supplemental testing performed. The Department may order the
examining physician or any member of the multidisciplinary team
to present testimony concerning this examination and
evaluation of the licensee or applicant, including testimony
concerning any supplemental testing or documents relating to
the examination and evaluation. No information, report,
record, or other documents in any way related to the
examination and evaluation shall be excluded by reason of any
common law or statutory privilege relating to communication
between the licensee or applicant and the examining physician
or any member of the multidisciplinary team. No authorization
is necessary from the licensee or applicant ordered to undergo
an evaluation and examination for the examining physician or
any member of the multidisciplinary team to provide
information, reports, records, or other documents or to provide
any testimony regarding the examination and evaluation. 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 the examination.

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Failure of any individual to submit to mental or physical
examination or evaluation, or both, when directed, shall result
in an automatic suspension without hearing, until such time as
the individual submits to the examination. If the Department
finds a licensee unable to practice because of the reasons set
forth in this Section, the Department shall require the
licensee to submit to care, counseling, or treatment by
physicians approved or designated by the Department as a
condition for continued, reinstated, or renewed licensure.
When the Secretary immediately suspends a license under
this Section, a hearing upon such person's license must be
convened by the Department within 15 days after the suspension
and completed without appreciable delay. The Department shall
have the authority to review the licensee'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.
Individuals licensed under this Act that are affected under
this Section, shall be afforded an opportunity to demonstrate
to the Department that they can resume practice in compliance
with acceptable and prevailing standards under the provisions
of their license.
(e) The Department shall deny a license or renewal
authorized by this Act to a person who has defaulted on an
educational loan or scholarship provided or guaranteed by the
Illinois Student Assistance Commission or any governmental

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agency of this State in accordance with paragraph (5) of
subsection (a) of Section 2105-15 of the Department of
Professional Regulation Law of the Civil Administrative Code of
Illinois.
(f) In cases where the Department of Healthcare and Family
Services has previously determined a licensee or a potential
licensee is more than 30 days delinquent in the payment of
child support and has subsequently certified the delinquency to
the Department, the Department may refuse to issue or renew or
may revoke or suspend that person's license or may take other
disciplinary action against that person based solely upon the
certification of delinquency made by the Department of
Healthcare and Family Services in accordance with paragraph (5)
of subsection (a) of Section 2105-15 of the Department of
Professional Regulation Law of the Civil Administrative Code of
Illinois.
(Source: P.A. 98-214, eff. 8-9-13; 98-264, eff. 12-31-13;
98-756, eff. 7-16-14.)
Section 175. The Orthotics, Prosthetics, and Pedorthics
Practice Act is amended by changing Sections 15 and 57 as
follows:
(225 ILCS 84/15)
(Section scheduled to be repealed on January 1, 2020)
Sec. 15. Exceptions. This Act shall not be construed to

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prohibit:
(1) a physician licensed in this State from engaging in the
practice for which he or she is licensed;
(2) a person licensed in this State under any other Act
from engaging in the practice for which he or she is licensed;
(3) the practice of orthotics, prosthetics, or pedorthics
by a person who is employed by the federal government or any
bureau, division, or agency of the federal government while in
the discharge of the employee's official duties;
(4) the practice of orthotics, prosthetics, or pedorthics
by (i) a student enrolled in a school of orthotics,
prosthetics, or pedorthics, (ii) a resident continuing his or
her clinical education in a residency accredited by the
National Commission on Orthotic and Prosthetic Education, or
(iii) a student in a qualified work experience program or
internship in pedorthics;
(5) the practice of orthotics, prosthetics, or pedorthics
by one who is an orthotist, prosthetist, or pedorthist licensed
under the laws of another state or territory of the United
States or another country and has applied in writing to the
Department, in a form and substance satisfactory to the
Department, for a license as orthotist, prosthetist, or
pedorthist and who is qualified to receive the license under
Section 40 until (i) the expiration of 6 months after the
filing of the written application, (ii) the withdrawal of the
application, or (iii) the denial of the application by the

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Department;
(6) a person licensed by this State as a physical
therapist, occupational therapist, or advanced practice
registered nurse from engaging in his or her profession; or
(7) a physician licensed under the Podiatric Medical
Practice Act of 1987 from engaging in his or her profession.
(Source: P.A. 96-682, eff. 8-25-09; 96-1000, eff. 7-2-10.)
(225 ILCS 84/57)
(Section scheduled to be repealed on January 1, 2020)
Sec. 57. Limitation on provision of care and services. A
licensed orthotist, prosthetist, or pedorthist may provide
care or services only if the care or services are provided
pursuant to an order from (i) a licensed physician, (ii) a
licensed podiatric physician, (iii) a licensed advanced
practice registered nurse, or (iv) a licensed physician
assistant. A licensed podiatric physician or advanced practice
registered nurse collaborating with a podiatric physician may
only order care or services concerning the foot from a licensed
prosthetist.
(Source: P.A. 98-214, eff. 8-9-13; 99-173, eff. 7-29-15.)
Section 180. The Pharmacy Practice Act is amended by
changing Sections 3, 4, and 16b as follows:
(225 ILCS 85/3)

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(Section scheduled to be repealed on January 1, 2018)
Sec. 3. Definitions. For the purpose of this Act, except
where otherwise limited therein:
(a) "Pharmacy" or "drugstore" means and includes every
store, shop, pharmacy department, or other place where
pharmacist care is provided by a pharmacist (1) where drugs,
medicines, or poisons are dispensed, sold or offered for sale
at retail, or displayed for sale at retail; or (2) where
prescriptions of physicians, dentists, advanced practice
registered nurses, physician assistants, veterinarians,
podiatric physicians, or optometrists, within the limits of
their licenses, are compounded, filled, or dispensed; or (3)
which has upon it or displayed within it, or affixed to or used
in connection with it, a sign bearing the word or words
"Pharmacist", "Druggist", "Pharmacy", "Pharmaceutical Care",
"Apothecary", "Drugstore", "Medicine Store", "Prescriptions",
"Drugs", "Dispensary", "Medicines", or any word or words of
similar or like import, either in the English language or any
other language; or (4) where the characteristic prescription
sign (Rx) or similar design is exhibited; or (5) any store, or
shop, or other place with respect to which any of the above
words, objects, signs or designs are used in any advertisement.
(b) "Drugs" means and includes (1) articles recognized in
the official United States Pharmacopoeia/National Formulary
(USP/NF), or any supplement thereto and being intended for and
having for their main use the diagnosis, cure, mitigation,

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treatment or prevention of disease in man or other animals, as
approved by the United States Food and Drug Administration, but
does not include devices or their components, parts, or
accessories; and (2) all other articles intended for and having
for their main use the diagnosis, cure, mitigation, treatment
or prevention of disease in man or other animals, as approved
by the United States Food and Drug Administration, but does not
include devices or their components, parts, or accessories; and
(3) articles (other than food) having for their main use and
intended to affect the structure or any function of the body of
man or other animals; and (4) articles having for their main
use and intended for use as a component or any articles
specified in clause (1), (2) or (3); but does not include
devices or their components, parts or accessories.
(c) "Medicines" means and includes all drugs intended for
human or veterinary use approved by the United States Food and
Drug Administration.
(d) "Practice of pharmacy" means (1) the interpretation and
the provision of assistance in the monitoring, evaluation, and
implementation of prescription drug orders; (2) the dispensing
of prescription drug orders; (3) participation in drug and
device selection; (4) drug administration limited to the
administration of oral, topical, injectable, and inhalation as
follows: in the context of patient education on the proper use
or delivery of medications; vaccination of patients 14 years of
age and older pursuant to a valid prescription or standing

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order, by a physician licensed to practice medicine in all its
branches, upon completion of appropriate training, including
how to address contraindications and adverse reactions set
forth by rule, with notification to the patient's physician and
appropriate record retention, or pursuant to hospital pharmacy
and therapeutics committee policies and procedures; (5)
vaccination of patients ages 10 through 13 limited to the
Influenza (inactivated influenza vaccine and live attenuated
influenza intranasal vaccine) and Tdap (defined as tetanus,
diphtheria, acellular pertussis) vaccines, pursuant to a valid
prescription or standing order, by a physician licensed to
practice medicine in all its branches, upon completion of
appropriate training, including how to address
contraindications and adverse reactions set forth by rule, with
notification to the patient's physician and appropriate record
retention, or pursuant to hospital pharmacy and therapeutics
committee policies and procedures; (6) drug regimen review; (7)
drug or drug-related research; (8) the provision of patient
counseling; (9) the practice of telepharmacy; (10) the
provision of those acts or services necessary to provide
pharmacist care; (11) medication therapy management; and (12)
the responsibility for compounding and labeling of drugs and
devices (except labeling by a manufacturer, repackager, or
distributor of non-prescription drugs and commercially
packaged legend drugs and devices), proper and safe storage of
drugs and devices, and maintenance of required records. A

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pharmacist who performs any of the acts defined as the practice
of pharmacy in this State must be actively licensed as a
pharmacist under this Act.
(e) "Prescription" means and includes any written, oral,
facsimile, or electronically transmitted order for drugs or
medical devices, issued by a physician licensed to practice
medicine in all its branches, dentist, veterinarian, podiatric
physician, or optometrist, within the limits of their licenses,
by a physician assistant in accordance with subsection (f) of
Section 4, or by an advanced practice registered nurse in
accordance with subsection (g) of Section 4, containing the
following: (1) name of the patient; (2) date when prescription
was issued; (3) name and strength of drug or description of the
medical device prescribed; and (4) quantity; (5) directions for
use; (6) prescriber's name, address, and signature; and (7) DEA
number where required, for controlled substances. The
prescription may, but is not required to, list the illness,
disease, or condition for which the drug or device is being
prescribed. DEA numbers shall not be required on inpatient drug
orders.
(f) "Person" means and includes a natural person,
copartnership, association, corporation, government entity, or
any other legal entity.
(g) "Department" means the Department of Financial and
Professional Regulation.
(h) "Board of Pharmacy" or "Board" means the State Board of

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Pharmacy of the Department of Financial and Professional
Regulation.
(i) "Secretary" means the Secretary of Financial and
Professional Regulation.
(j) "Drug product selection" means the interchange for a
prescribed pharmaceutical product in accordance with Section
25 of this Act and Section 3.14 of the Illinois Food, Drug and
Cosmetic Act.
(k) "Inpatient drug order" means an order issued by an
authorized prescriber for a resident or patient of a facility
licensed under the Nursing Home Care Act, the ID/DD Community
Care Act, the MC/DD Act, the Specialized Mental Health
Rehabilitation Act of 2013, or the Hospital Licensing Act, or
"An Act in relation to the founding and operation of the
University of Illinois Hospital and the conduct of University
of Illinois health care programs", approved July 3, 1931, as
amended, or a facility which is operated by the Department of
Human Services (as successor to the Department of Mental Health
and Developmental Disabilities) or the Department of
Corrections.
(k-5) "Pharmacist" means an individual health care
professional and provider currently licensed by this State to
engage in the practice of pharmacy.
(l) "Pharmacist in charge" means the licensed pharmacist
whose name appears on a pharmacy license and who is responsible
for all aspects of the operation related to the practice of

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pharmacy.
(m) "Dispense" or "dispensing" means the interpretation,
evaluation, and implementation of a prescription drug order,
including the preparation and delivery of a drug or device to a
patient or patient's agent in a suitable container
appropriately labeled for subsequent administration to or use
by a patient in accordance with applicable State and federal
laws and regulations. "Dispense" or "dispensing" does not mean
the physical delivery to a patient or a patient's
representative in a home or institution by a designee of a
pharmacist or by common carrier. "Dispense" or "dispensing"
also does not mean the physical delivery of a drug or medical
device to a patient or patient's representative by a
pharmacist's designee within a pharmacy or drugstore while the
pharmacist is on duty and the pharmacy is open.
(n) "Nonresident pharmacy" means a pharmacy that is located
in a state, commonwealth, or territory of the United States,
other than Illinois, that delivers, dispenses, or distributes,
through the United States Postal Service, commercially
acceptable parcel delivery service, or other common carrier, to
Illinois residents, any substance which requires a
prescription.
(o) "Compounding" means the preparation and mixing of
components, excluding flavorings, (1) as the result of a
prescriber's prescription drug order or initiative based on the
prescriber-patient-pharmacist relationship in the course of

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professional practice or (2) for the purpose of, or incident
to, research, teaching, or chemical analysis and not for sale
or dispensing. "Compounding" includes the preparation of drugs
or devices in anticipation of receiving prescription drug
orders based on routine, regularly observed dispensing
patterns. Commercially available products may be compounded
for dispensing to individual patients only if all of the
following conditions are met: (i) the commercial product is not
reasonably available from normal distribution channels in a
timely manner to meet the patient's needs and (ii) the
prescribing practitioner has requested that the drug be
compounded.
(p) (Blank).
(q) (Blank).
(r) "Patient counseling" means the communication between a
pharmacist or a student pharmacist under the supervision of a
pharmacist and a patient or the patient's representative about
the patient's medication or device for the purpose of
optimizing proper use of prescription medications or devices.
"Patient counseling" may include without limitation (1)
obtaining a medication history; (2) acquiring a patient's
allergies and health conditions; (3) facilitation of the
patient's understanding of the intended use of the medication;
(4) proper directions for use; (5) significant potential
adverse events; (6) potential food-drug interactions; and (7)
the need to be compliant with the medication therapy. A

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pharmacy technician may only participate in the following
aspects of patient counseling under the supervision of a
pharmacist: (1) obtaining medication history; (2) providing
the offer for counseling by a pharmacist or student pharmacist;
and (3) acquiring a patient's allergies and health conditions.
(s) "Patient profiles" or "patient drug therapy record"
means the obtaining, recording, and maintenance of patient
prescription information, including prescriptions for
controlled substances, and personal information.
(t) (Blank).
(u) "Medical device" means an instrument, apparatus,
implement, machine, contrivance, implant, in vitro reagent, or
other similar or related article, including any component part
or accessory, required under federal law to bear the label
"Caution: Federal law requires dispensing by or on the order of
a physician". A seller of goods and services who, only for the
purpose of retail sales, compounds, sells, rents, or leases
medical devices shall not, by reasons thereof, be required to
be a licensed pharmacy.
(v) "Unique identifier" means an electronic signature,
handwritten signature or initials, thumb print, or other
acceptable biometric or electronic identification process as
approved by the Department.
(w) "Current usual and customary retail price" means the
price that a pharmacy charges to a non-third-party payor.
(x) "Automated pharmacy system" means a mechanical system

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located within the confines of the pharmacy or remote location
that performs operations or activities, other than compounding
or administration, relative to storage, packaging, dispensing,
or distribution of medication, and which collects, controls,
and maintains all transaction information.
(y) "Drug regimen review" means and includes the evaluation
of prescription drug orders and patient records for (1) known
allergies; (2) drug or potential therapy contraindications;
(3) reasonable dose, duration of use, and route of
administration, taking into consideration factors such as age,
gender, and contraindications; (4) reasonable directions for
use; (5) potential or actual adverse drug reactions; (6)
drug-drug interactions; (7) drug-food interactions; (8)
drug-disease contraindications; (9) therapeutic duplication;
(10) patient laboratory values when authorized and available;
(11) proper utilization (including over or under utilization)
and optimum therapeutic outcomes; and (12) abuse and misuse.
(z) "Electronic transmission prescription" means any
prescription order for which a facsimile or electronic image of
the order is electronically transmitted from a licensed
prescriber to a pharmacy. "Electronic transmission
prescription" includes both data and image prescriptions.
(aa) "Medication therapy management services" means a
distinct service or group of services offered by licensed
pharmacists, physicians licensed to practice medicine in all
its branches, advanced practice registered nurses authorized

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in a written agreement with a physician licensed to practice
medicine in all its branches, or physician assistants
authorized in guidelines by a supervising physician that
optimize therapeutic outcomes for individual patients through
improved medication use. In a retail or other non-hospital
pharmacy, medication therapy management services shall consist
of the evaluation of prescription drug orders and patient
medication records to resolve conflicts with the following:
(1) known allergies;
(2) drug or potential therapy contraindications;
(3) reasonable dose, duration of use, and route of
administration, taking into consideration factors such as
age, gender, and contraindications;
(4) reasonable directions for use;
(5) potential or actual adverse drug reactions;
(6) drug-drug interactions;
(7) drug-food interactions;
(8) drug-disease contraindications;
(9) identification of therapeutic duplication;
(10) patient laboratory values when authorized and
available;
(11) proper utilization (including over or under
utilization) and optimum therapeutic outcomes; and
(12) drug abuse and misuse.
"Medication therapy management services" includes the
following:

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(1) documenting the services delivered and
communicating the information provided to patients'
prescribers within an appropriate time frame, not to exceed
48 hours;
(2) providing patient counseling designed to enhance a
patient's understanding and the appropriate use of his or
her medications; and
(3) providing information, support services, and
resources designed to enhance a patient's adherence with
his or her prescribed therapeutic regimens.
"Medication therapy management services" may also include
patient care functions authorized by a physician licensed to
practice medicine in all its branches for his or her identified
patient or groups of patients under specified conditions or
limitations in a standing order from the physician.
"Medication therapy management services" in a licensed
hospital may also include the following:
(1) reviewing assessments of the patient's health
status; and
(2) following protocols of a hospital pharmacy and
therapeutics committee with respect to the fulfillment of
medication orders.
(bb) "Pharmacist care" means the provision by a pharmacist
of medication therapy management services, with or without the
dispensing of drugs or devices, intended to achieve outcomes
that improve patient health, quality of life, and comfort and

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enhance patient safety.
(cc) "Protected health information" means individually
identifiable health information that, except as otherwise
provided, is:
(1) transmitted by electronic media;
(2) maintained in any medium set forth in the
definition of "electronic media" in the federal Health
Insurance Portability and Accountability Act; or
(3) transmitted or maintained in any other form or
medium.
"Protected health information" does not include
individually identifiable health information found in:
(1) education records covered by the federal Family
Educational Right and Privacy Act; or
(2) employment records held by a licensee in its role
as an employer.
(dd) "Standing order" means a specific order for a patient
or group of patients issued by a physician licensed to practice
medicine in all its branches in Illinois.
(ee) "Address of record" means the address recorded by the
Department in the applicant's or licensee's application file or
license file, as maintained by the Department's licensure
maintenance unit.
(ff) "Home pharmacy" means the location of a pharmacy's
primary operations.
(Source: P.A. 98-104, eff. 7-22-13; 98-214, eff. 8-9-13;

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98-756, eff. 7-16-14; 99-180, eff. 7-29-15.)
(225 ILCS 85/4) (from Ch. 111, par. 4124)
(Section scheduled to be repealed on January 1, 2018)
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, podiatric
physician, 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

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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

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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 controlled
substances, as defined in Article II of the Illinois Controlled
Substances Act, in accordance with a written supervision
agreement; and
(g) the delegation of prescriptive authority by a physician
licensed to practice medicine in all its branches or a licensed
podiatric physician to an advanced practice registered nurse in
accordance with a written collaborative agreement under
Sections 65-35 and 65-40 of the Nurse Practice Act.
(Source: P.A. 98-214, eff. 8-9-13.)
(225 ILCS 85/16b)
(Section scheduled to be repealed on January 1, 2018)
Sec. 16b. Prescription pick up and drop off. Nothing
contained in this Act shall prohibit a pharmacist or pharmacy,
by means of its employee or by use of a common carrier or the
U.S. mail, at the request of the patient, from picking up
prescription orders from the prescriber or delivering
prescription drugs to the patient or the patient's agent,
including an advanced practice registered nurse, practical
nurse, or registered nurse licensed under the Nurse Practice
Act, or a physician assistant licensed under the Physician
Assistant Practice Act of 1987, who provides hospice services
to a hospice patient or who provides home health services to a

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person, at the residence or place of employment of the person
for whom the prescription was issued or at the hospital or
medical care facility in which the patient is confined.
Conversely, the patient or patient's agent may drop off
prescriptions at a designated area. In this Section, "home
health services" has the meaning ascribed to it in the Home
Health, Home Services, and Home Nursing Agency Licensing Act;
and "hospice patient" and "hospice services" have the meanings
ascribed to them in the Hospice Program Licensing Act.
(Source: P.A. 99-163, eff. 1-1-16.)
Section 185. The Illinois Physical Therapy Act is amended
by changing Sections 1 and 17 as follows:
(225 ILCS 90/1) (from Ch. 111, par. 4251)
(Section scheduled to be repealed on January 1, 2026)
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,

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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 registered nurses, physician assistants, and
podiatric physicians, (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 either prescribed by the
patient's physician, licensed to practice medicine in all its

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branches, the patient's physician licensed to practice
podiatric medicine, the patient's advanced practice registered
nurse, the patient's physician assistant, or the patient's
dentist or used following the physician's orders or written
instructions, 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 registered
nurse, physician assistant, dentist, podiatric physician,
other physical therapist, or other health care provider 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

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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 registered nurse, physician
assistant, or podiatric physician 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 registered nurse, physician assistant, or
podiatric physician, 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 registered nurse,
physician assistant, or podiatric physician.
(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

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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.
(11) "Advanced practice registered nurse" means a person
licensed as an advanced practice registered nurse under the
Nurse Practice Act.
(12) "Physician assistant" means a person licensed under
the Physician Assistant Practice Act of 1987.
(Source: P.A. 98-214, eff. 8-9-13; 99-173, eff. 7-29-15;
99-229, eff. 8-3-15; 99-642, eff. 7-28-16; revised 10-27-16.)
(225 ILCS 90/17) (from Ch. 111, par. 4267)
(Section scheduled to be repealed on January 1, 2026)
Sec. 17. (1) The Department may refuse to issue or to
renew, or may revoke, suspend, place on probation, reprimand,
or take other disciplinary action as the Department deems
appropriate, including the issuance of fines not to exceed
$5000, with regard to a license for any one or a combination of
the following:
A. Material misstatement in furnishing information to

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the Department or otherwise making misleading, deceptive,
untrue, or fraudulent representations in violation of this
Act or otherwise in the practice of the profession;
B. Violations of this Act, or of the rules or
regulations promulgated hereunder;
C. Conviction of any crime under the laws of the United
States or any state or territory thereof which is a felony
or which is a misdemeanor, an essential element of which is
dishonesty, or of any crime which is directly related to
the practice of the profession; conviction, as used in this
paragraph, shall include a finding or verdict of guilty, an
admission of guilt or a plea of nolo contendere;
D. Making any misrepresentation for the purpose of
obtaining licenses, or violating any provision of this Act
or the rules promulgated thereunder pertaining to
advertising;
E. A pattern of practice or other behavior which
demonstrates incapacity or incompetency to practice under
this Act;
F. Aiding or assisting another person in violating any
provision of this Act or Rules;
G. Failing, within 60 days, to provide information in
response to a written request made by the Department;
H. Engaging in dishonorable, unethical or
unprofessional conduct of a character likely to deceive,
defraud or harm the public. Unprofessional conduct shall

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include any departure from or the failure to conform to the
minimal standards of acceptable and prevailing physical
therapy practice, in which proceeding actual injury to a
patient need not be established;
I. Unlawful distribution of any drug or narcotic, or
unlawful conversion of any drug or narcotic not belonging
to the person for such person's own use or benefit or for
other than medically accepted therapeutic purposes;
J. Habitual or excessive use or addiction to alcohol,
narcotics, stimulants, or any other chemical agent or drug
which results in a physical therapist's or physical
therapist assistant's inability to practice with
reasonable judgment, skill or safety;
K. Revocation or suspension of a license to practice
physical therapy as a physical therapist or physical
therapist assistant or the taking of other disciplinary
action by the proper licensing authority of another state,
territory or country;
L. Directly or indirectly giving to or receiving from
any person, firm, corporation, partnership, or association
any fee, commission, rebate or other form of compensation
for any professional services not actually or personally
rendered. Nothing contained in this paragraph prohibits
persons holding valid and current licenses under this Act
from practicing physical therapy in partnership under a
partnership agreement, including a limited liability

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partnership, a limited liability company, or a corporation
under the Professional Service Corporation Act or from
pooling, sharing, dividing, or apportioning the fees and
monies received by them or by the partnership, company, or
corporation in accordance with the partnership agreement
or the policies of the company or professional corporation.
Nothing in this paragraph (L) affects any bona fide
independent contractor or employment arrangements among
health care professionals, health facilities, health care
providers, or other entities, except as otherwise
prohibited by law. Any employment arrangements may include
provisions for compensation, health insurance, pension, or
other employment benefits for the provision of services
within the scope of the licensee's practice under this Act.
Nothing in this paragraph (L) shall be construed to require
an employment arrangement to receive professional fees for
services rendered;
M. A finding by the Board that the licensee after
having his or her license placed on probationary status has
violated the terms of probation;
N. Abandonment of a patient;
O. Willfully failing to report an instance of suspected
child abuse or neglect as required by the Abused and
Neglected Child Reporting Act;
P. Willfully failing to report an instance of suspected
elder abuse or neglect as required by the Elder Abuse

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Reporting Act;
Q. Physical illness, including but not limited to,
deterioration through the aging process, or loss of motor
skill which results in the inability to practice the
profession with reasonable judgement, skill or safety;
R. The use of any words (such as physical therapy,
physical therapist physiotherapy or physiotherapist),
abbreviations, figures or letters with the intention of
indicating practice as a licensed physical therapist
without a valid license as a physical therapist issued
under this Act;
S. The use of the term physical therapist assistant, or
abbreviations, figures, or letters with the intention of
indicating practice as a physical therapist assistant
without a valid license as a physical therapist assistant
issued under this Act;
T. Willfully violating or knowingly assisting in the
violation of any law of this State relating to the practice
of abortion;
U. Continued practice by a person knowingly having an
infectious, communicable or contagious disease;
V. Having treated ailments of human beings otherwise
than by the practice of physical therapy as defined in this
Act, or having treated ailments of human beings as a
licensed physical therapist independent of a documented
referral or a documented current and relevant diagnosis

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from a physician, dentist, advanced practice registered
nurse, physician assistant, or podiatric physician, or
having failed to notify the physician, dentist, advanced
practice registered nurse, physician assistant, or
podiatric physician who established a documented current
and relevant diagnosis that the patient is receiving
physical therapy pursuant to that diagnosis;
W. Being named as a perpetrator in an indicated report
by the Department of Children and Family Services pursuant
to 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;
X. Interpretation of referrals, performance of
evaluation procedures, planning or making major
modifications of patient programs by a physical therapist
assistant;
Y. Failure by a physical therapist assistant and
supervising physical therapist to maintain continued
contact, including periodic personal supervision and
instruction, to insure safety and welfare of patients;
Z. Violation of the Health Care Worker Self-Referral
Act.
(2) 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

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Code operates as an automatic suspension. Such suspension will
end only upon a finding by a court that the patient is no
longer subject to involuntary admission or judicial admission
and the issuance of an order so finding and discharging the
patient; and upon the recommendation of the Board to the
Director that the licensee be allowed to resume his practice.
(3) The Department may refuse to issue or may suspend 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 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.
(Source: P.A. 98-214, eff. 8-9-13.)
Section 190. The Podiatric Medical Practice Act of 1987 is
amended by changing Section 20.5 as follows:
(225 ILCS 100/20.5)
(Section scheduled to be repealed on January 1, 2018)
Sec. 20.5. Delegation of authority to advanced practice
registered nurses.
(a) A podiatric physician in active clinical practice may
collaborate with an advanced practice registered nurse in
accordance with the requirements of the Nurse Practice Act.
Collaboration shall be for the purpose of providing podiatric

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care 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. A
written collaborative agreement and podiatric physician
collaboration and consultation shall be adequate with respect
to advanced practice registered nurses if all of the following
apply:
(1) With respect to the provision of anesthesia
services by a certified registered nurse anesthetist, the
collaborating podiatric physician must have training and
experience in the delivery of anesthesia consistent with
Department rules.
(2) Methods of communication are available with the
collaborating podiatric physician in person or through
telecommunications or electronic communications for
consultation, collaboration, and referral as needed to
address patient care needs.
(3) With respect to the provision of anesthesia
services by a certified registered nurse anesthetist, an
anesthesiologist, physician, or podiatric physician 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 podiatric physician must agree with the

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anesthesia plan prior to the delivery of services.
(b) The collaborating podiatric physician shall have
access to the records of all patients attended to by an
advanced practice registered nurse.
(c) Nothing in this Section shall be construed to limit the
delegation of tasks or duties by a podiatric physician to a
licensed practical nurse, a registered professional nurse, or
other appropriately trained persons.
(d) A podiatric physician shall not be liable for the acts
or omissions of an advanced practice registered 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 registered nurse to perform acts, unless the podiatric
physician has reason to believe the advanced practice
registered nurse lacked the competency to perform the act or
acts or commits willful or wanton misconduct.
(e) A podiatric physician, may, but is not required to
delegate prescriptive authority to an advanced practice
registered nurse as part of a written collaborative agreement
and the delegation of prescriptive authority shall conform to
the requirements of Section 65-40 of the Nurse Practice Act.
(Source: P.A. 98-214, eff. 8-9-13; 99-173, eff. 7-29-15.)
Section 195. The Respiratory Care Practice Act is amended
by changing Sections 10 and 15 as follows:

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(225 ILCS 106/10)
(Section scheduled to be repealed on January 1, 2026)
Sec. 10. Definitions. In this Act:
"Address of record" means the designated address recorded
by the Department in the applicant's or licensee's application
file or license file as maintained by the Department's
licensure maintenance unit. It is the duty of the applicant or
licensee to inform the Department of any change of address and
those changes must be made either through the Department's
website or by contacting the Department.
"Advanced practice registered nurse" means an advanced
practice registered nurse licensed under the Nurse Practice
Act.
"Board" means the Respiratory Care Board appointed by the
Secretary.
"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

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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

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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
medical gas.
(5) The insertion and maintenance of an artificial
airway.
(6) Mechanical ventilatory support.
(7) Patient assessment.
(8) Patient education.
(9) The transferring of oxygen devices, for purposes of
patient transport, with a liter flow greater than 6 liters
per minute, and the transferring of oxygen devices at any
liter flow being delivered to patients less than 12 years
of age.
"Department" means the Department of Financial and
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, a licensed
advanced practice registered nurse, or a licensed physician

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assistant.
"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, cardiopulmonary disease management, and
rehabilitative services under the order of a licensed health
care professional 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,

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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
and procedures 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, including, but not limited to, hemodynamic
cardiovascular 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

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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.
"Secretary" means the Secretary of Financial and
Professional Regulation.
(Source: P.A. 99-173, eff. 7-29-15; 99-230, eff. 8-3-15;
99-642, eff. 7-28-16.)
(225 ILCS 106/15)
(Section scheduled to be repealed on January 1, 2026)
Sec. 15. Exemptions.

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(a) This Act does not prohibit a person legally regulated
in this State by any other Act from engaging in any practice
for which he or she is authorized.
(b) Nothing in this Act shall prohibit the practice of
respiratory care by a person who is employed by the United
States government or any bureau, division, or agency thereof
while in the discharge of the employee's official duties.
(c) Nothing in this Act shall be construed to limit the
activities and services of a person enrolled in an approved
course of study leading to a degree or certificate of registry
or certification eligibility in respiratory care if these
activities and services constitute a part of a supervised
course of study and if the person is designated by a title
which clearly indicates his or her status as a student or
trainee. Status as a student or trainee shall not exceed 3
years from the date of enrollment in an approved course.
(d) Nothing in this Act shall prohibit a person from
treating ailments by spiritual means through prayer alone in
accordance with the tenets and practices of a recognized church
or religious denomination.
(e) Nothing in this Act shall be construed to prevent a
person who is a registered nurse, an advanced practice
registered nurse, a licensed practical nurse, a physician
assistant, or a physician licensed to practice medicine in all
its branches from providing respiratory care.
(f) Nothing in this Act shall limit a person who is

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credentialed by the National Society for Cardiopulmonary
Technology or the National Board for Respiratory Care from
performing pulmonary function tests and respiratory care
procedures related to the pulmonary function test. Individuals
who do not possess a license to practice respiratory care or a
license in another health care field may perform basic
screening spirometry limited to peak flow, forced vital
capacity, slow vital capacity, and maximum voluntary
ventilation if they possess spirometry certification from the
National Institute for Occupational Safety and Health, an
Office Spirometry Certificate from the American Association
for Respiratory Care, or other similarly accepted
certification training.
(g) Nothing in this Act shall prohibit the collection and
analysis of blood by clinical laboratory personnel meeting the
personnel standards of the Illinois Clinical Laboratory Act.
(h) Nothing in this Act shall prohibit a polysomnographic
technologist, technician, or trainee, as defined in the job
descriptions jointly accepted by the American Academy of Sleep
Medicine, the Association of Polysomnographic Technologists,
the Board of Registered Polysomnographic Technologists, and
the American Society of Electroneurodiagnostic Technologists,
from performing activities within the scope of practice of
polysomnographic technology while under the direction of a
physician licensed in this State.
(i) Nothing in this Act shall prohibit a family member from

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providing respiratory care services to an ill person.
(j) Nothing in this Act shall be construed to limit an
unlicensed practitioner in a licensed hospital who is working
under the proximate supervision of a licensed health care
professional or other authorized licensed personnel and
providing direct patient care services from performing basic
respiratory care activities if the unlicensed practitioner (i)
has been trained to perform the basic respiratory care
activities at the facility that employs or contracts with the
individual and (ii) at a minimum, has annually received an
evaluation of the unlicensed practitioner's performance of
basic respiratory care activities documented by the facility.
(k) Nothing in this Act shall be construed to prohibit a
person enrolled in a respiratory care education program or an
approved course of study leading to a degree or certification
in a health care-related discipline that provides respiratory
care activities within his or her scope of practice and
employed in a licensed hospital in order to provide direct
patient care services under the direction of other authorized
licensed personnel from providing respiratory care activities.
(l) Nothing in this Act prohibits a person licensed as a
respiratory care practitioner in another jurisdiction from
providing respiratory care: (i) in a declared emergency in this
State; (ii) as a member of an organ procurement team; or (iii)
as part of a medical transport team that is transporting a
patient into or out of this State.

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(Source: P.A. 99-230, eff. 8-3-15.)
Section 200. The Sex Offender Evaluation and Treatment
Provider Act is amended by changing Sections 35 and 40 as
follows:
(225 ILCS 109/35)
Sec. 35. Qualifications for licensure.
(a)(1) A person is qualified for licensure as a sex
offender evaluator if that person:
(A) has applied in writing on forms prepared and
furnished by the Department;
(B) has not engaged or is not engaged in any practice
or conduct that would be grounds for disciplining a
licensee under Section 75 of this Act; and
(C) satisfies the licensure and experience
requirements of paragraph (2) of this subsection (a).
(2) A person who applies to the Department shall be issued
a sex offender evaluator license by the Department if the
person meets the qualifications set forth in paragraph (1) of
this subsection (a) and provides evidence to the Department
that the person:
(A) is a physician licensed to practice medicine in all
of its branches under the Medical Practice Act of 1987 or
licensed under the laws of another state; an advanced
practice registered nurse with psychiatric specialty

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licensed under the Nurse Practice Act or licensed under the
laws of another state; a clinical psychologist licensed
under the Clinical Psychologist Licensing Act or licensed
under the laws of another state; a licensed clinical social
worker licensed under the Clinical Social Work and Social
Work Practice Act or licensed under the laws of another
state; a licensed clinical professional counselor licensed
under the Professional Counselor and Clinical Professional
Counselor Licensing and Practice Act or licensed under the
laws of another state; or a licensed marriage and family
therapist licensed under the Marriage and Family Therapy
Therapist Licensing Act or licensed under the laws of
another state;
(B) has 400 hours of supervised experience in the
treatment or evaluation of sex offenders in the last 4
years, at least 200 of which are face-to-face therapy or
evaluation with sex offenders;
(C) has completed at least 10 sex offender evaluations
under supervision in the past 4 years; and
(D) has at least 40 hours of documented training in the
specialty of sex offender evaluation, treatment, or
management.
Until January 1, 2015, the requirements of subparagraphs
(B) and (D) of paragraph (2) of this subsection (a) are
satisfied if the applicant has been listed on the Sex Offender
Management Board's Approved Provider List for a minimum of 2

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years before application for licensure. Until January 1, 2015,
the requirements of subparagraph (C) of paragraph (2) of this
subsection (a) are satisfied if the applicant has completed at
least 10 sex offender evaluations within the 4 years before
application for licensure.
(b)(1) A person is qualified for licensure as a sex
offender treatment provider if that person:
(A) has applied in writing on forms prepared and
furnished by the Department;
(B) has not engaged or is not engaged in any practice
or conduct that would be grounds for disciplining a
licensee under Section 75 of this Act; and
(C) satisfies the licensure and experience
requirements of paragraph (2) of this subsection (b).
(2) A person who applies to the Department shall be issued
a sex offender treatment provider license by the Department if
the person meets the qualifications set forth in paragraph (1)
of this subsection (b) and provides evidence to the Department
that the person:
(A) is a physician licensed to practice medicine in all
of its branches under the Medical Practice Act of 1987 or
licensed under the laws of another state; an advanced
practice registered nurse with psychiatric specialty
licensed under the Nurse Practice Act or licensed under the
laws of another state; a clinical psychologist licensed
under the Clinical Psychologist Licensing Act or licensed

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under the laws of another state; a licensed clinical social
worker licensed under the Clinical Social Work and Social
Work Practice Act or licensed under the laws of another
state; a licensed clinical professional counselor licensed
under the Professional Counselor and Clinical Professional
Counselor Licensing and Practice Act or licensed under the
laws of another state; or a licensed marriage and family
therapist licensed under the Marriage and Family Therapy
Therapist Licensing Act or licensed under the laws of
another state;
(B) has 400 hours of supervised experience in the
treatment of sex offenders in the last 4 years, at least
200 of which are face-to-face therapy with sex offenders;
and
(C) has at least 40 hours documented training in the
specialty of sex offender evaluation, treatment, or
management.
Until January 1, 2015, the requirements of subparagraphs
(B) and (C) of paragraph (2) of this subsection (b) are
satisfied if the applicant has been listed on the Sex Offender
Management Board's Approved Provider List for a minimum of 2
years before application.
(c)(1) A person is qualified for licensure as an associate
sex offender provider if that person:
(A) has applied in writing on forms prepared and
furnished by the Department;

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(B) has not engaged or is not engaged in any practice
or conduct that would be grounds for disciplining a
licensee under Section 75 of this Act; and
(C) satisfies the education and experience
requirements of paragraph (2) of this subsection (c).
(2) A person who applies to the Department shall be issued
an associate sex offender provider license by the Department if
the person meets the qualifications set forth in paragraph (1)
of this subsection (c) and provides evidence to the Department
that the person holds a master's degree or higher in social
work, psychology, marriage and family therapy, counseling or
closely related behavioral science degree, or psychiatry.
(Source: P.A. 97-1098, eff. 7-1-13; 98-612, eff. 12-27-13;
revised 9-14-16.)
(225 ILCS 109/40)
Sec. 40. Application; exemptions.
(a) No person may act as a sex offender evaluator, sex
offender treatment provider, or associate sex offender
provider as defined in this Act for the provision of sex
offender evaluations or sex offender treatment pursuant to the
Sex Offender Management Board Act, the Sexually Dangerous
Persons Act, or the Sexually Violent Persons Commitment Act
unless the person is licensed to do so by the Department. Any
evaluation or treatment services provided by a licensed health
care professional not licensed under this Act shall not be

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valid under the Sex Offender Management Board Act, the Sexually
Dangerous Persons Act, or the Sexually Violent Persons
Commitment Act. No business shall provide, attempt to provide,
or offer to provide sex offender evaluation services unless it
is organized under the Professional Service Corporation Act,
the Medical Corporation Act, or the Professional Limited
Liability Company Act.
(b) Nothing in this Act shall be construed to require any
licensed physician, advanced practice registered nurse,
physician assistant, or other health care professional to be
licensed under this Act for the provision of services for which
the person is otherwise licensed. This Act does not prohibit a
person licensed under any other Act in this State from engaging
in the practice for which he or she is licensed. This Act only
applies to the provision of sex offender evaluations or sex
offender treatment provided for the purposes of complying with
the Sex Offender Management Board Act, the Sexually Dangerous
Persons Act, or the Sexually Violent Persons Commitment Act.
(Source: P.A. 99-227, eff. 8-3-15.)
Section 205. The Registered Surgical Assistant and
Registered Surgical Technologist Title Protection Act is
amended by changing Section 40 as follows:
(225 ILCS 130/40)
(Section scheduled to be repealed on January 1, 2024)

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Sec. 40. Application of Act. This Act shall not be
construed to prohibit the following:
(1) A person licensed in this State under any other Act
from engaging in the practice for which he or she is
licensed, including but not limited to a physician licensed
to practice medicine in all its branches, physician
assistant, advanced practice registered nurse, or nurse
performing surgery-related tasks within the scope of his or
her license, nor are these individuals required to be
registered under this Act.
(2) A person from engaging in practice as a surgical
assistant or surgical technologist in the discharge of his
or her official duties as an employee of the United States
government.
(3) One or more registered surgical assistants or
surgical technologists from forming a professional service
corporation in accordance with the Professional Service
Corporation Act and applying for licensure as a corporation
providing surgical assistant or surgical technologist
services.
(4) A student engaging in practice as a surgical
assistant or surgical technologist under the direct
supervision of a physician licensed to practice medicine in
all of its branches as part of his or her program of study
at a school approved by the Department or in preparation to
qualify for the examination as prescribed under Sections 45

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and 50 of this Act.
(5) A person from assisting in surgery at a physician's
discretion, including but not limited to medical students
and residents, nor are medical students and residents
required to be registered under this Act.
(6) A hospital, health system or network, ambulatory
surgical treatment center, physician licensed to practice
medicine in all its branches, physician medical group, or
other entity that provides surgery-related services from
employing individuals that the entity considers competent
to assist in surgery. These entities are not required to
utilize registered surgical assistants or registered
surgical technologists when providing surgery-related
services to patients. Nothing in this subsection shall be
construed to limit the ability of an employer to utilize
the services of any person to assist in surgery within the
employment setting consistent with the individual's skill
and training.
(Source: P.A. 98-364, eff. 12-31-13.)
Section 210. The Genetic Counselor Licensing Act is amended
by changing Sections 90 and 95 as follows:
(225 ILCS 135/90)
(Section scheduled to be repealed on January 1, 2025)
Sec. 90. Privileged communications and exceptions.

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(a) With the exception of disclosure to the physician
performing or supervising a genetic test and to the referring
physician licensed to practice medicine in all its branches,
advanced practice registered nurse, or physician assistant, no
licensed genetic counselor shall disclose any information
acquired from persons consulting the counselor in a
professional capacity, except that which may be voluntarily
disclosed under any of the following circumstances:
(1) In the course of formally reporting, conferring, or
consulting with administrative superiors, colleagues, or
consultants who share professional responsibility, in
which instance all recipients of the information are
similarly bound to regard the communication as privileged.
(2) With the written consent of the person who provided
the information and about whom the information concerns.
(3) In the case of death or disability, with the
written consent of a personal representative.
(4) When a communication reveals the intended
commission of a crime or harmful act and such disclosure is
judged necessary in the professional judgment of the
licensed genetic counselor to protect any person from a
clear risk of serious mental or physical harm or injury or
to forestall a serious threat to the public safety.
(5) When the person waives the privilege by bringing
any public charges or filing a lawsuit against the
licensee.

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(b) Any person having access to records or anyone who
participates in providing genetic counseling services, or in
providing any human services, or is supervised by a licensed
genetic counselor is similarly bound to regard all information
and communications as privileged in accord with this Section.
(c) The Mental Health and Developmental Disabilities
Confidentiality Act is incorporated herein as if all of its
provisions were included in this Act. In the event of a
conflict between the application of this Section and the Mental
Health and Developmental Disabilities Confidentiality Act to a
specific situation, the provisions of the Mental Health and
Developmental Disabilities Confidentiality Act shall control.
(Source: P.A. 96-1313, eff. 7-27-10.)
(225 ILCS 135/95)
(Section scheduled to be repealed on January 1, 2025)
Sec. 95. Grounds for discipline.
(a) The Department may refuse to issue, renew, or may
revoke, suspend, place on probation, reprimand, or take other
disciplinary or non-disciplinary action as the Department
deems appropriate, including the issuance of fines not to
exceed $10,000 for each violation, with regard to any license
for any one or more of the following:
(1) Material misstatement in furnishing information to
the Department or to any other State agency.
(2) Violations or negligent or intentional disregard

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of this Act, or any of its rules.
(3) Conviction by plea of guilty or nolo contendere,
finding of guilt, jury verdict, or entry of judgment or
sentencing, including, but not limited to, convictions,
preceding sentences of supervision, conditional discharge,
or first offender probation, under the laws of any
jurisdiction of the United States: (i) that is a felony or
(ii) that is a misdemeanor, an essential element of which
is dishonesty, or that is directly related to the practice
of genetic counseling.
(4) Making any misrepresentation for the purpose of
obtaining a license, or violating any provision of this Act
or its rules.
(5) Negligence in the rendering of genetic counseling
services.
(6) Failure to provide genetic testing results and any
requested information to a referring physician licensed to
practice medicine in all its branches, advanced practice
registered nurse, or physician assistant.
(7) Aiding or assisting another person in violating any
provision of this Act or any rules.
(8) Failing to provide information within 60 days in
response to a written request made by the Department.
(9) Engaging in dishonorable, unethical, or
unprofessional conduct of a character likely to deceive,
defraud, or harm the public and violating the rules of

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professional conduct adopted by the Department.
(10) Failing to maintain the confidentiality of any
information received from a client, unless otherwise
authorized or required by law.
(10.5) Failure to maintain client records of services
provided and provide copies to clients upon request.
(11) Exploiting a client for personal advantage,
profit, or interest.
(12) Habitual or excessive use or addiction to alcohol,
narcotics, stimulants, or any other chemical agent or drug
which results in inability to practice with reasonable
skill, judgment, or safety.
(13) Discipline by another governmental agency or unit
of government, by any jurisdiction of the United States, or
by a 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.
(14) Directly or indirectly giving to or receiving from
any person, firm, corporation, partnership, or association
any fee, commission, rebate, or other form of compensation
for any professional service not actually rendered.
Nothing in this paragraph (14) affects any bona fide
independent contractor or employment arrangements among
health care professionals, health facilities, health care
providers, or other entities, except as otherwise
prohibited by law. Any employment arrangements may include

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provisions for compensation, health insurance, pension, or
other employment benefits for the provision of services
within the scope of the licensee's practice under this Act.
Nothing in this paragraph (14) shall be construed to
require an employment arrangement to receive professional
fees for services rendered.
(15) A finding by the Department that the licensee,
after having the license placed on probationary status has
violated the terms of probation.
(16) Failing to refer a client to other health care
professionals when the licensee is unable or unwilling to
adequately support or serve the client.
(17) Willfully filing false reports relating to a
licensee's practice, including but not limited to false
records filed with federal or State agencies or
departments.
(18) Willfully failing to report an instance of
suspected child abuse or neglect as required by the Abused
and Neglected Child Reporting Act.
(19) Being named as a perpetrator in an indicated
report by the Department of Children and Family Services
pursuant to 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.

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(20) Physical or mental disability, including
deterioration through the aging process or loss of
abilities and skills which results in the inability to
practice the profession with reasonable judgment, skill,
or safety.
(21) Solicitation of professional services by using
false or misleading advertising.
(22) Failure to file a return, or to pay the tax,
penalty of interest shown in a filed return, or to pay any
final assessment of tax, penalty or interest, as required
by any tax Act administered by the Illinois Department of
Revenue or any successor agency or the Internal Revenue
Service or any successor agency.
(23) Fraud or making any misrepresentation in applying
for or procuring a license under this Act or in connection
with applying for renewal of a license under this Act.
(24) Practicing or attempting to practice under a name
other than the full name as shown on the license or any
other legally authorized name.
(25) Gross overcharging for professional services,
including filing statements for collection of fees or
monies for which services are not rendered.
(26) (Blank).
(27) Charging for professional services not rendered,
including filing false statements for the collection of
fees for which services are not rendered.

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(28) Allowing one's license under this Act to be used
by an unlicensed person in violation of this Act.
(b) The Department shall deny, without hearing, any
application or renewal for a license under this Act to any
person who has defaulted on an educational loan guaranteed by
the Illinois Student State Assistance Commission; however, the
Department may issue a license or renewal if the person in
default has established a satisfactory repayment record as
determined by the Illinois Student Assistance Commission.
(c) The determination by a court that a licensee is subject
to involuntary admission or judicial admission as provided in
the Mental Health and Developmental Disabilities Code will
result in an automatic suspension of his or her license. The
suspension will end upon a finding by a court that the licensee
is no longer subject to involuntary admission or judicial
admission, the issuance of an order so finding and discharging
the patient, and the determination of the Secretary that the
licensee be allowed to resume professional practice.
(d) The Department may refuse to issue or renew or may
suspend without hearing the license of any person who fails to
file a return, 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 Act regarding the
payment of taxes administered by the Illinois Department of
Revenue until the requirements of the Act are satisfied in
accordance with subsection (g) of Section 2105-15 of the Civil

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Administrative Code of Illinois.
(e) In cases where the Department of Healthcare and Family
Services has previously determined that a licensee or a
potential licensee is more than 30 days delinquent in the
payment of child support and has subsequently certified the
delinquency to the Department, the Department may refuse to
issue or renew or may revoke or suspend that person's license
or may take other disciplinary action against that person based
solely upon the certification of delinquency made by the
Department of Healthcare and Family Services in accordance with
item (5) of subsection (a) of Section 2105-15 of the Department
of Professional Regulation Law of the Civil Administrative Code
of Illinois.
(f) All fines or costs imposed under this Section shall be
paid within 60 days after the effective date of the order
imposing the fine or costs or in accordance with the terms set
forth in the order imposing the fine.
(Source: P.A. 98-813, eff. 1-1-15; 99-173, eff. 7-29-15;
99-633, eff. 1-1-17; revised 10-27-16.)
Section 215. The Illinois Public Aid Code is amended by
changing Sections 5-8 and 12-4.37 as follows:
(305 ILCS 5/5-8) (from Ch. 23, par. 5-8)
Sec. 5-8. Practitioners. In supplying medical assistance,
the Illinois Department may provide for the legally authorized

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services of (i) persons licensed under the Medical Practice Act
of 1987, as amended, except as hereafter in this Section
stated, whether under a general or limited license, (ii)
persons licensed under the Nurse Practice Act as advanced
practice registered nurses, regardless of whether or not the
persons have written collaborative agreements, (iii) persons
licensed or registered under other laws of this State to
provide dental, medical, pharmaceutical, optometric,
podiatric, or nursing services, or other remedial care
recognized under State law, and (iv) persons licensed under
other laws of this State as a clinical social worker. The
Department shall adopt rules, no later than 90 days after the
effective date of this amendatory Act of the 99th General
Assembly, for the legally authorized services of persons
licensed under other laws of this State as a clinical social
worker. The Department may not provide for legally authorized
services of any physician who has been convicted of having
performed an abortion procedure in a wilful and wanton manner
on a woman who was not pregnant at the time such abortion
procedure was performed. The utilization of the services of
persons engaged in the treatment or care of the sick, which
persons are not required to be licensed or registered under the
laws of this State, is not prohibited by this Section.
(Source: P.A. 99-173, eff. 7-29-15; 99-621, eff. 1-1-17.)
(305 ILCS 5/12-4.37)

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Sec. 12-4.37. Children's Healthcare Partnership Pilot
Program.
(a) The Department of Healthcare and Family Services, in
cooperation with the Department of Human Services, shall
establish a Children's Healthcare Partnership Pilot Program in
Sangamon County to fund the provision of various health care
services by a single provider, or a group of providers that
have entered into an agreement for that purpose, at a single
location in the county. Services covered under the pilot
program shall include, but need not be limited to, family
practice, pediatric, nursing (including advanced practice
registered nursing), psychiatric, dental, and vision services.
The Departments shall fund the provision of all services
provided under the pilot program using a rate structure that is
cost-based. To be selected by the Departments as the provider
of health care services under the pilot program, a provider or
group of providers must serve a disproportionate share of
low-income or indigent patients, including recipients of
medical assistance under Article V of this Code. The
Departments shall adopt rules as necessary to implement this
Section.
(b) Implementation of this Section is contingent on federal
approval. The Department of Healthcare and Family Services
shall take appropriate action by January 1, 2010 to seek
federal approval.
(c) This Section is inoperative if the provider of health

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care services under the pilot program receives designation as a
Federally Qualified Health Center (FQHC) or FQHC Look-Alike.
(Source: P.A. 96-691, eff. 8-25-09; 96-1000, eff. 7-2-10.)
Section 220. The Older Adult Services Act is amended by
changing Section 35 as follows:
(320 ILCS 42/35)
Sec. 35. Older Adult Services Advisory Committee.
(a) The Older Adult Services Advisory Committee is created
to advise the directors of Aging, Healthcare and Family
Services, and Public Health on all matters related to this Act
and the delivery of services to older adults in general.
(b) The Advisory Committee shall be comprised of the
following:
(1) The Director of Aging or his or her designee, who
shall serve as chair and shall be an ex officio and
nonvoting member.
(2) The Director of Healthcare and Family Services and
the Director of Public Health or their designees, who shall
serve as vice-chairs and shall be ex officio and nonvoting
members.
(3) One representative each of the Governor's Office,
the Department of Healthcare and Family Services, the
Department of Public Health, the Department of Veterans'
Affairs, the Department of Human Services, the Department

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of Insurance, the Department of Commerce and Economic
Opportunity, the Department on Aging, the Department on
Aging's State Long Term Care Ombudsman, the Illinois
Housing Finance Authority, and the Illinois Housing
Development Authority, each of whom shall be selected by
his or her respective director and shall be an ex officio
and nonvoting member.
(4) Thirty members appointed by the Director of Aging
in collaboration with the directors of Public Health and
Healthcare and Family Services, and selected from the
recommendations of statewide associations and
organizations, as follows:
(A) One member representing the Area Agencies on
Aging;
(B) Four members representing nursing homes or
licensed assisted living establishments;
(C) One member representing home health agencies;
(D) One member representing case management
services;
(E) One member representing statewide senior
center associations;
(F) One member representing Community Care Program
homemaker services;
(G) One member representing Community Care Program
adult day services;
(H) One member representing nutrition project

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directors;
(I) One member representing hospice programs;
(J) One member representing individuals with
Alzheimer's disease and related dementias;
(K) Two members representing statewide trade or
labor unions;
(L) One advanced practice registered nurse with
experience in gerontological nursing;
(M) One physician specializing in gerontology;
(N) One member representing regional long-term
care ombudsmen;
(O) One member representing municipal, township,
or county officials;
(P) (Blank);
(Q) (Blank);
(R) One member representing the parish nurse
movement;
(S) One member representing pharmacists;
(T) Two members representing statewide
organizations engaging in advocacy or legal
representation on behalf of the senior population;
(U) Two family caregivers;
(V) Two citizen members over the age of 60;
(W) One citizen with knowledge in the area of
gerontology research or health care law;
(X) One representative of health care facilities

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licensed under the Hospital Licensing Act; and
(Y) One representative of primary care service
providers.
The Director of Aging, in collaboration with the Directors
of Public Health and Healthcare and Family Services, may
appoint additional citizen members to the Older Adult Services
Advisory Committee. Each such additional member must be either
an individual age 60 or older or an uncompensated caregiver for
a family member or friend who is age 60 or older.
(c) Voting members of the Advisory Committee shall serve
for a term of 3 years or until a replacement is named. All
members shall be appointed no later than January 1, 2005. Of
the initial appointees, as determined by lot, 10 members shall
serve a term of one year; 10 shall serve for a term of 2 years;
and 12 shall serve for a term of 3 years. Any member appointed
to fill a vacancy occurring prior to the expiration of the term
for which his or her predecessor was appointed shall be
appointed for the remainder of that term. The Advisory
Committee shall meet at least quarterly and may meet more
frequently at the call of the Chair. A simple majority of those
appointed shall constitute a quorum. The affirmative vote of a
majority of those present and voting shall be necessary for
Advisory Committee action. Members of the Advisory Committee
shall receive no compensation for their services.
(d) The Advisory Committee shall have an Executive
Committee comprised of the Chair, the Vice Chairs, and up to 15

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members of the Advisory Committee appointed by the Chair who
have demonstrated expertise in developing, implementing, or
coordinating the system restructuring initiatives defined in
Section 25. The Executive Committee shall have responsibility
to oversee and structure the operations of the Advisory
Committee and to create and appoint necessary subcommittees and
subcommittee members.
(e) The Advisory Committee shall study and make
recommendations related to the implementation of this Act,
including but not limited to system restructuring initiatives
as defined in Section 25 or otherwise related to this Act.
(Source: P.A. 95-331, eff. 8-21-07; 96-916, eff. 6-9-10.)
Section 225. The Abused and Neglected Child Reporting Act
is amended by changing Section 4 as follows:
(325 ILCS 5/4)
Sec. 4. Persons required to report; privileged
communications; transmitting false report. Any physician,
resident, intern, hospital, hospital administrator and
personnel engaged in examination, care and treatment of
persons, surgeon, dentist, dentist hygienist, osteopath,
chiropractor, podiatric physician, physician assistant,
substance abuse treatment personnel, funeral home director or
employee, coroner, medical examiner, emergency medical
technician, acupuncturist, crisis line or hotline personnel,

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school personnel (including administrators and both certified
and non-certified school employees), personnel of institutions
of higher education, educational advocate assigned to a child
pursuant to the School Code, member of a school board or the
Chicago Board of Education or the governing body of a private
school (but only to the extent required in accordance with
other provisions of this Section expressly concerning the duty
of school board members to report suspected child abuse),
truant officers, social worker, social services administrator,
domestic violence program personnel, registered nurse,
licensed practical nurse, genetic counselor, respiratory care
practitioner, advanced practice registered nurse, home health
aide, director or staff assistant of a nursery school or a
child day care center, recreational or athletic program or
facility personnel, early intervention provider as defined in
the Early Intervention Services System Act, law enforcement
officer, licensed professional counselor, licensed clinical
professional counselor, registered psychologist and assistants
working under the direct supervision of a psychologist,
psychiatrist, or field personnel of the Department of
Healthcare and Family Services, Juvenile Justice, Public
Health, Human Services (acting as successor to the Department
of Mental Health and Developmental Disabilities,
Rehabilitation Services, or Public Aid), Corrections, Human
Rights, or Children and Family Services, supervisor and
administrator of general assistance under the Illinois Public

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Aid Code, probation officer, animal control officer or Illinois
Department of Agriculture Bureau of Animal Health and Welfare
field investigator, or any other foster parent, homemaker or
child care worker having reasonable cause to believe a child
known to them in their professional or official capacity may be
an abused child or a neglected child shall immediately report
or cause a report to be made to the Department.
Any member of the clergy having reasonable cause to believe
that a child known to that member of the clergy in his or her
professional capacity may be an abused child as defined in item
(c) of the definition of "abused child" in Section 3 of this
Act shall immediately report or cause a report to be made to
the Department.
Any physician, physician's assistant, registered nurse,
licensed practical nurse, medical technician, certified
nursing assistant, social worker, or licensed professional
counselor of any office, clinic, or any other physical location
that provides abortions, abortion referrals, or contraceptives
having reasonable cause to believe a child known to him or her
in his or her professional or official capacity may be an
abused child or a neglected child shall immediately report or
cause a report to be made to the Department.
If an allegation is raised to a school board member during
the course of an open or closed school board meeting that a
child who is enrolled in the school district of which he or she
is a board member is an abused child as defined in Section 3 of

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this Act, the member shall direct or cause the school board to
direct the superintendent of the school district or other
equivalent school administrator to comply with the
requirements of this Act concerning the reporting of child
abuse. For purposes of this paragraph, a school board member is
granted the authority in his or her individual capacity to
direct the superintendent of the school district or other
equivalent school administrator to comply with the
requirements of this Act concerning the reporting of child
abuse.
Notwithstanding any other provision of this Act, if an
employee of a school district has made a report or caused a
report to be made to the Department under this Act involving
the conduct of a current or former employee of the school
district and a request is made by another school district for
the provision of information concerning the job performance or
qualifications of the current or former employee because he or
she is an applicant for employment with the requesting school
district, the general superintendent of the school district to
which the request is being made must disclose to the requesting
school district the fact that an employee of the school
district has made a report involving the conduct of the
applicant or caused a report to be made to the Department, as
required under this Act. Only the fact that an employee of the
school district has made a report involving the conduct of the
applicant or caused a report to be made to the Department may

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be disclosed by the general superintendent of the school
district to which the request for information concerning the
applicant is made, and this fact may be disclosed only in cases
where the employee and the general superintendent have not been
informed by the Department that the allegations were unfounded.
An employee of a school district who is or has been the subject
of a report made pursuant to this Act during his or her
employment with the school district must be informed by that
school district that if he or she applies for employment with
another school district, the general superintendent of the
former school district, upon the request of the school district
to which the employee applies, shall notify that requesting
school district that the employee is or was the subject of such
a report.
Whenever such person is required to report under this Act
in his capacity as a member of the staff of a medical or other
public or private institution, school, facility or agency, or
as a member of the clergy, he shall make report immediately to
the Department in accordance with the provisions of this Act
and may also notify the person in charge of such institution,
school, facility or agency, or church, synagogue, temple,
mosque, or other religious institution, or his designated agent
that such report has been made. Under no circumstances shall
any person in charge of such institution, school, facility or
agency, or church, synagogue, temple, mosque, or other
religious institution, or his designated agent to whom such

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notification has been made, exercise any control, restraint,
modification or other change in the report or the forwarding of
such report to the Department.
The privileged quality of communication between any
professional person required to report and his patient or
client shall not apply to situations involving abused or
neglected children and shall not constitute grounds for failure
to report as required by this Act or constitute grounds for
failure to share information or documents with the Department
during the course of a child abuse or neglect investigation. If
requested by the professional, the Department shall confirm in
writing that the information or documents disclosed by the
professional were gathered in the course of a child abuse or
neglect investigation.
The reporting requirements of this Act shall not apply to
the contents of a privileged communication between an attorney
and his or her client or to confidential information within the
meaning of Rule 1.6 of the Illinois Rules of Professional
Conduct relating to the legal representation of an individual
client.
A member of the clergy may claim the privilege under
Section 8-803 of the Code of Civil Procedure.
Any office, clinic, or any other physical location that
provides abortions, abortion referrals, or contraceptives
shall provide to all office personnel copies of written
information and training materials about abuse and neglect and

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the requirements of this Act that are provided to employees of
the office, clinic, or physical location who are required to
make reports to the Department under this Act, and instruct
such office personnel to bring to the attention of an employee
of the office, clinic, or physical location who is required to
make reports to the Department under this Act any reasonable
suspicion that a child known to him or her in his or her
professional or official capacity may be an abused child or a
neglected child. In addition to the above persons required to
report suspected cases of abused or neglected children, any
other person may make a report if such person has reasonable
cause to believe a child may be an abused child or a neglected
child.
Any person who enters into employment on and after July 1,
1986 and is mandated by virtue of that employment to report
under this Act, shall sign a statement on a form prescribed by
the Department, to the effect that the employee has knowledge
and understanding of the reporting requirements of this Act.
The statement shall be signed prior to commencement of the
employment. The signed statement shall be retained by the
employer. The cost of printing, distribution, and filing of the
statement shall be borne by the employer.
Within one year of initial employment and at least every 5
years thereafter, school personnel required to report child
abuse as provided under this Section must complete mandated
reporter training by a provider or agency with expertise in

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recognizing and reporting child abuse.
The Department shall provide copies of this Act, upon
request, to all employers employing persons who shall be
required under the provisions of this Section to report under
this Act.
Any person who knowingly transmits a false report to the
Department commits the offense of disorderly conduct under
subsection (a)(7) of Section 26-1 of the Criminal Code of 2012.
A violation of this provision is a Class 4 felony.
Any person who knowingly and willfully violates any
provision of this Section other than a second or subsequent
violation of transmitting a false report as described in the
preceding paragraph, is guilty of a Class A misdemeanor for a
first violation and a Class 4 felony for a second or subsequent
violation; except that if the person acted as part of a plan or
scheme having as its object the prevention of discovery of an
abused or neglected child by lawful authorities for the purpose
of protecting or insulating any person or entity from arrest or
prosecution, the person is guilty of a Class 4 felony for a
first offense and a Class 3 felony for a second or subsequent
offense (regardless of whether the second or subsequent offense
involves any of the same facts or persons as the first or other
prior offense).
A child whose parent, guardian or custodian in good faith
selects and depends upon spiritual means through prayer alone
for the treatment or cure of disease or remedial care may be

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considered neglected or abused, but not for the sole reason
that his parent, guardian or custodian accepts and practices
such beliefs.
A child shall not be considered neglected or abused solely
because the child is not attending school in accordance with
the requirements of Article 26 of the School Code, as amended.
Nothing in this Act prohibits a mandated reporter who
reasonably believes that an animal is being abused or neglected
in violation of the Humane Care for Animals Act from reporting
animal abuse or neglect to the Department of Agriculture's
Bureau of Animal Health and Welfare.
A home rule unit may not regulate the reporting of child
abuse or neglect in a manner inconsistent with the provisions
of this Section. This Section is a limitation under subsection
(i) of Section 6 of Article VII of the Illinois Constitution on
the concurrent exercise by home rule units of powers and
functions exercised by the State.
For purposes of this Section "child abuse or neglect"
includes abuse or neglect of an adult resident as defined in
this Act.
(Source: P.A. 97-189, eff. 7-22-11; 97-254, eff. 1-1-12;
97-387, eff. 8-15-11; 97-711, eff. 6-27-12; 97-813, eff.
7-13-12; 97-1150, eff. 1-25-13; 98-67, eff. 7-15-13; 98-214,
eff. 8-9-13; 98-408, eff. 7-1-14; 98-756, eff. 7-16-14.)
Section 230. The Health Care Workplace Violence Prevention

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Act is amended by changing Section 10 as follows:
(405 ILCS 90/10)
Sec. 10. Definitions. In this Act:
"Department" means (i) the Department of Human Services, in
the case of a health care workplace that is operated or
regulated by the Department of Human Services, or (ii) the
Department of Public Health, in the case of a health care
workplace that is operated or regulated by the Department of
Public Health.
"Director" means the Secretary of Human Services or the
Director of Public Health, as appropriate.
"Employee" means any individual who is employed on a
full-time, part-time, or contractual basis by a health care
workplace.
"Health care workplace" means a mental health facility or
developmental disability facility as defined in the Mental
Health and Developmental Disabilities Code, other than a
hospital or unit thereof licensed under the Hospital Licensing
Act or operated under the University of Illinois Hospital Act.
"Health care workplace" does not include, and shall not be
construed to include, any office of a physician licensed to
practice medicine in all its branches, an advanced practice
registered nurse, or a physician assistant, regardless of the
form of such office.
"Imminent danger" means a preliminary determination of

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immediate, threatened, or impending risk of physical injury as
determined by the employee.
"Responsible agency" means the State agency that (i)
licenses, certifies, registers, or otherwise regulates or
exercises jurisdiction over a health care workplace or a health
care workplace's activities or (ii) contracts with a health
care workplace for the delivery of health care services.
"Violence" or "violent act" means any act by a patient or
resident that causes or threatens to cause an injury to another
person.
(Source: P.A. 94-347, eff. 7-28-05.)
Section 235. The Perinatal Mental Health Disorders
Prevention and Treatment Act is amended by changing Section 10
as follows:
(405 ILCS 95/10)
Sec. 10. Definitions. In this Act:
"Hospital" has the meaning given to that term in the
Hospital Licensing Act.
"Licensed health care professional" means a physician
licensed to practice medicine in all its branches, a licensed
advanced practice registered nurse, or a licensed physician
assistant.
"Postnatal care" means an office visit to a licensed health
care professional occurring after birth, with reference to the

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infant or mother.
"Prenatal care" means an office visit to a licensed health
care professional for pregnancy-related care occurring before
birth.
"Questionnaire" means an assessment tool administered by a
licensed health care professional to detect perinatal mental
health disorders, such as the Edinburgh Postnatal Depression
Scale, the Postpartum Depression Screening Scale, the Beck
Depression Inventory, the Patient Health Questionnaire, or
other validated assessment methods.
(Source: P.A. 99-173, eff. 7-29-15.)
Section 240. The Epinephrine Auto-Injector Act is amended
by changing Section 5 as follows:
(410 ILCS 27/5)
Sec. 5. Definitions. As used in this Act:
"Administer" means to directly apply an epinephrine
auto-injector to the body of an individual.
"Authorized entity" means any entity or organization,
other than a school covered under Section 22-30 of the School
Code, in connection with or at which allergens capable of
causing anaphylaxis may be present, including, but not limited
to, independent contractors who provide student transportation
to schools, recreation camps, colleges and universities, day
care facilities, youth sports leagues, amusement parks,

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restaurants, sports arenas, and places of employment. The
Department shall, by rule, determine what constitutes a day
care facility under this definition.
"Department" means the Department of Public Health.
"Epinephrine auto-injector" means a single-use device used
for the automatic injection of a pre-measured dose of
epinephrine into the human body.
"Health care practitioner" means a physician licensed to
practice medicine in all its branches under the Medical
Practice Act of 1987, a physician assistant under the Physician
Assistant Practice Act of 1987 with prescriptive authority, or
an advanced practice registered nurse with prescribing
authority under Article 65 of the Nurse Practice Act.
"Pharmacist" has the meaning given to that term under
subsection (k-5) of Section 3 of the Pharmacy Practice Act.
"Undesignated epinephrine auto-injector" means an
epinephrine auto-injector prescribed in the name of an
authorized entity.
(Source: P.A. 99-711, eff. 1-1-17.)
Section 245. The Lead Poisoning Prevention Act is amended
by changing Section 6.2 as follows:
(410 ILCS 45/6.2) (from Ch. 111 1/2, par. 1306.2)
Sec. 6.2. Testing children and pregnant persons.
(a) Any physician licensed to practice medicine in all its

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branches or health care provider who sees or treats children 6
years of age or younger shall test those children for lead
poisoning when those children reside in an area defined as high
risk by the Department. Children residing in areas defined as
low risk by the Department shall be evaluated for risk by the
Childhood Lead Risk Questionnaire developed by the Department
and tested if indicated. Children shall be evaluated in
accordance with rules adopted by the Department.
(b) Each licensed, registered, or approved health care
facility serving children 6 years of age or younger, including,
but not limited to, health departments, hospitals, clinics, and
health maintenance organizations approved, registered, or
licensed by the Department, shall take the appropriate steps to
ensure that children 6 years of age or younger be evaluated for
risk or tested for lead poisoning or both.
(c) Children 7 years and older and pregnant persons may
also be tested by physicians or health care providers, in
accordance with rules adopted by the Department. Physicians and
health care providers shall also evaluate children for lead
poisoning in conjunction with the school health examination, as
required under the School Code, when, in the medical judgment
of the physician, advanced practice registered nurse, or
physician assistant, the child is potentially at high risk of
lead poisoning.
(d) (Blank).
(Source: P.A. 98-690, eff. 1-1-15; 99-78, eff. 7-20-15; 99-173,

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eff. 7-29-15.)
Section 250. The Medical Patient Rights Act is amended by
changing Section 7 as follows:
(410 ILCS 50/7)
Sec. 7. Patient examination. Any physician, medical
student, resident, advanced practice registered nurse,
registered nurse, or physician assistant who provides
treatment or care to a patient shall inform the patient of his
or her profession upon providing the treatment or care, which
includes but is not limited to any physical examination, such
as a pelvic examination. In the case of an unconscious patient,
any care or treatment must be related to the patient's illness,
condition, or disease.
(Source: P.A. 93-771, eff. 7-21-04.)
Section 255. The Sexual Assault Survivors Emergency
Treatment Act is amended by changing Sections 1a, 2.2, 5, 5.5,
and 6.5 as follows:
(410 ILCS 70/1a) (from Ch. 111 1/2, par. 87-1a)
Sec. 1a. Definitions. In this Act:
"Ambulance provider" means an individual or entity that
owns and operates a business or service using ambulances or
emergency medical services vehicles to transport emergency

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patients.
"Areawide sexual assault treatment plan" means a plan,
developed by the hospitals in the community or area to be
served, which provides for hospital emergency services to
sexual assault survivors that shall be made available by each
of the participating hospitals.
"Department" means the Department of Public Health.
"Emergency contraception" means medication as approved by
the federal Food and Drug Administration (FDA) that can
significantly reduce the risk of pregnancy if taken within 72
hours after sexual assault.
"Follow-up healthcare" means healthcare services related
to a sexual assault, including laboratory services and pharmacy
services, rendered within 90 days of the initial visit for
hospital emergency services.
"Forensic services" means the collection of evidence
pursuant to a statewide sexual assault evidence collection
program administered by the Department of State Police, using
the Illinois State Police Sexual Assault Evidence Collection
Kit.
"Health care professional" means a physician, a physician
assistant, or an advanced practice registered nurse.
"Hospital" has the meaning given to that term in the
Hospital Licensing Act.
"Hospital emergency services" means healthcare delivered
to outpatients within or under the care and supervision of

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personnel working in a designated emergency department of a
hospital, including, but not limited to, care ordered by such
personnel for a sexual assault survivor in the emergency
department.
"Illinois State Police Sexual Assault Evidence Collection
Kit" means a prepackaged set of materials and forms to be used
for the collection of evidence relating to sexual assault. The
standardized evidence collection kit for the State of Illinois
shall be the Illinois State Police Sexual Assault Evidence
Collection Kit.
"Law enforcement agency having jurisdiction" means the law
enforcement agency in the jurisdiction where an alleged sexual
assault or sexual abuse occurred.
"Nurse" means a nurse licensed under the Nurse Practice
Act.
"Physician" means a person licensed to practice medicine in
all its branches.
"Sexual assault" means an act of nonconsensual sexual
conduct or sexual penetration, as defined in Section 11-0.1 of
the Criminal Code of 2012, including, without limitation, acts
prohibited under Sections 11-1.20 through 11-1.60 of the
Criminal Code of 2012.
"Sexual assault survivor" means a person who presents for
hospital emergency services in relation to injuries or trauma
resulting from a sexual assault.
"Sexual assault transfer plan" means a written plan

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developed by a hospital and approved by the Department, which
describes the hospital's procedures for transferring sexual
assault survivors to another hospital in order to receive
emergency treatment.
"Sexual assault treatment plan" means a written plan
developed by a hospital that describes the hospital's
procedures and protocols for providing hospital emergency
services and forensic services to sexual assault survivors who
present themselves for such services, either directly or
through transfer from another hospital.
"Transfer services" means the appropriate medical
screening examination and necessary stabilizing treatment
prior to the transfer of a sexual assault survivor to a
hospital that provides hospital emergency services and
forensic services to sexual assault survivors pursuant to a
sexual assault treatment plan or areawide sexual assault
treatment plan.
"Voucher" means a document generated by a hospital at the
time the sexual assault survivor receives hospital emergency
and forensic services that a sexual assault survivor may
present to providers for follow-up healthcare.
(Source: P.A. 99-454, eff. 1-1-16; 99-801, eff. 1-1-17.)
(410 ILCS 70/2.2)
Sec. 2.2. Emergency contraception.
(a) The General Assembly finds:

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(1) Crimes of sexual assault and sexual abuse cause
significant physical, emotional, and psychological trauma
to the victims. This trauma is compounded by a victim's
fear of becoming pregnant and bearing a child as a result
of the sexual assault.
(2) Each year over 32,000 women become pregnant in the
United States as the result of rape and approximately 50%
of these pregnancies end in abortion.
(3) As approved for use by the Federal Food and Drug
Administration (FDA), emergency contraception can
significantly reduce the risk of pregnancy if taken within
72 hours after the sexual assault.
(4) By providing emergency contraception to rape
victims in a timely manner, the trauma of rape can be
significantly reduced.
(b) Within 120 days after the effective date of this
amendatory Act of the 92nd General Assembly, every hospital
providing services to sexual assault survivors in accordance
with a plan approved under Section 2 must develop a protocol
that ensures that each survivor of sexual assault will receive
medically and factually accurate and written and oral
information about emergency contraception; the indications and
counter-indications and risks associated with the use of
emergency contraception; and a description of how and when
victims may be provided emergency contraception upon the
written order of a physician licensed to practice medicine in

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all its branches, a licensed advanced practice registered
nurse, or a licensed physician assistant. The Department shall
approve the protocol if it finds that the implementation of the
protocol would provide sufficient protection for survivors of
sexual assault.
The hospital shall implement the protocol upon approval by
the Department. The Department shall adopt rules and
regulations establishing one or more safe harbor protocols and
setting minimum acceptable protocol standards that hospitals
may develop and implement. The Department shall approve any
protocol that meets those standards. The Department may provide
a sample acceptable protocol upon request.
(Source: P.A. 99-173, eff. 7-29-15.)
(410 ILCS 70/5) (from Ch. 111 1/2, par. 87-5)
Sec. 5. Minimum requirements for hospitals providing
hospital emergency services and forensic services to sexual
assault survivors.
(a) Every hospital providing hospital emergency services
and forensic services to sexual assault survivors under this
Act shall, as minimum requirements for such services, provide,
with the consent of the sexual assault survivor, and as ordered
by the attending physician, an advanced practice registered
nurse, or a physician assistant, the following:
(1) appropriate medical examinations and laboratory
tests required to ensure the health, safety, and welfare of

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a sexual assault survivor or which may be used as evidence
in a criminal proceeding against a person accused of the
sexual assault, or both; and records of the results of such
examinations and tests shall be maintained by the hospital
and made available to law enforcement officials upon the
request of the sexual assault survivor;
(2) appropriate oral and written information
concerning the possibility of infection, sexually
transmitted disease and pregnancy resulting from sexual
assault;
(3) appropriate oral and written information
concerning accepted medical procedures, medication, and
possible contraindications of such medication available
for the prevention or treatment of infection or disease
resulting from sexual assault;
(4) an amount of medication for treatment at the
hospital and after discharge as is deemed appropriate by
the attending physician, an advanced practice registered
nurse, or a physician assistant and consistent with the
hospital's current approved protocol for sexual assault
survivors;
(5) an evaluation of the sexual assault survivor's risk
of contracting human immunodeficiency virus (HIV) from the
sexual assault;
(6) written and oral instructions indicating the need
for follow-up examinations and laboratory tests after the

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sexual assault to determine the presence or absence of
sexually transmitted disease;
(7) referral by hospital personnel for appropriate
counseling; and
(8) when HIV prophylaxis is deemed appropriate, an
initial dose or doses of HIV prophylaxis, along with
written and oral instructions indicating the importance of
timely follow-up healthcare.
(b) Any person who is a sexual assault survivor who seeks
emergency hospital services and forensic services or follow-up
healthcare under this Act shall be provided such services
without the consent of any parent, guardian, custodian,
surrogate, or agent.
(b-5) Every treating hospital providing hospital emergency
and forensic services to sexual assault survivors shall issue a
voucher to any sexual assault survivor who is eligible to
receive one. The hospital shall make a copy of the voucher and
place it in the medical record of the sexual assault survivor.
The hospital shall provide a copy of the voucher to the sexual
assault survivor after discharge upon request.
(c) Nothing in this Section creates a physician-patient
relationship that extends beyond discharge from the hospital
emergency department.
(Source: P.A. 99-173, eff. 7-29-15; 99-454, eff. 1-1-16;
99-642, eff. 7-28-16.)

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(410 ILCS 70/5.5)
Sec. 5.5. Minimum reimbursement requirements for follow-up
healthcare.
(a) Every hospital, health care professional, laboratory,
or pharmacy that provides follow-up healthcare to a sexual
assault survivor, with the consent of the sexual assault
survivor and as ordered by the attending physician, an advanced
practice registered nurse, or physician assistant shall be
reimbursed for the follow-up healthcare services provided.
Follow-up healthcare services include, but are not limited to,
the following:
(1) a physical examination;
(2) laboratory tests to determine the presence or
absence of sexually transmitted disease; and
(3) appropriate medications, including HIV
prophylaxis.
(b) Reimbursable follow-up healthcare is limited to office
visits with a physician, advanced practice registered nurse, or
physician assistant within 90 days after an initial visit for
hospital emergency services.
(c) Nothing in this Section requires a hospital, health
care professional, laboratory, or pharmacy to provide
follow-up healthcare to a sexual assault survivor.
(Source: P.A. 99-173, eff. 7-29-15.)
(410 ILCS 70/6.5)

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Sec. 6.5. Written consent to the release of sexual assault
evidence for testing.
(a) Upon the completion of hospital emergency services and
forensic services, the health care professional providing the
forensic services shall provide the patient the opportunity to
sign a written consent to allow law enforcement to submit the
sexual assault evidence for testing. The written consent shall
be on a form included in the sexual assault evidence collection
kit and shall include whether the survivor consents to the
release of information about the sexual assault to law
enforcement.
(1) A survivor 13 years of age or older may sign the
written consent to release the evidence for testing.
(2) If the survivor is a minor who is under 13 years of
age, the written consent to release the sexual assault
evidence for testing may be signed by the parent, guardian,
investigating law enforcement officer, or Department of
Children and Family Services.
(3) If the survivor is an adult who has a guardian of
the person, a health care surrogate, or an agent acting
under a health care power of attorney, the consent of the
guardian, surrogate, or agent is not required to release
evidence and information concerning the sexual assault or
sexual abuse. If the adult is unable to provide consent for
the release of evidence and information and a guardian,
surrogate, or agent under a health care power of attorney

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is unavailable or unwilling to release the information,
then an investigating law enforcement officer may
authorize the release.
(4) Any health care professional, including any
physician, advanced practice registered nurse, physician
assistant, or nurse, sexual assault nurse examiner, and any
health care institution, including any hospital, who
provides evidence or information to a law enforcement
officer under a written consent as specified in this
Section is immune from any civil or professional liability
that might arise from those actions, with the exception of
willful or wanton misconduct. The immunity provision
applies only if all of the requirements of this Section are
met.
(b) The hospital shall keep a copy of a signed or unsigned
written consent form in the patient's medical record.
(c) If a written consent to allow law enforcement to test
the sexual assault evidence is not signed at the completion of
hospital emergency services and forensic services, the
hospital shall include the following information in its
discharge instructions:
(1) the sexual assault evidence will be stored for 5
years from the completion of an Illinois State Police
Sexual Assault Evidence Collection Kit, or 5 years from the
age of 18 years, whichever is longer;
(2) a person authorized to consent to the testing of

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the sexual assault evidence may sign a written consent to
allow law enforcement to test the sexual assault evidence
at any time during that 5-year period for an adult victim,
or until a minor victim turns 23 years of age by (A)
contacting the law enforcement agency having jurisdiction,
or if unknown, the law enforcement agency contacted by the
hospital under Section 3.2 of the Criminal Identification
Act; or (B) by working with an advocate at a rape crisis
center;
(3) the name, address, and phone number of the law
enforcement agency having jurisdiction, or if unknown the
name, address, and phone number of the law enforcement
agency contacted by the hospital under Section 3.2 of the
Criminal Identification Act; and
(4) the name and phone number of a local rape crisis
center.
(Source: P.A. 99-801, eff. 1-1-17.)
Section 260. The Consent by Minors to Medical Procedures
Act is amended by changing Sections 1, 1.5, 2, 3, and 5 as
follows:
(410 ILCS 210/1) (from Ch. 111, par. 4501)
Sec. 1. Consent by minor. The consent to the performance of
a medical or surgical procedure by a physician licensed to
practice medicine and surgery, a licensed advanced practice

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registered nurse, or a licensed physician assistant executed by
a married person who is a minor, by a parent who is a minor, by
a pregnant woman who is a minor, or by any person 18 years of
age or older, is not voidable because of such minority, and,
for such purpose, a married person who is a minor, a parent who
is a minor, a pregnant woman who is a minor, or any person 18
years of age or older, is deemed to have the same legal
capacity to act and has the same powers and obligations as has
a person of legal age.
(Source: P.A. 99-173, eff. 7-29-15.)
(410 ILCS 210/1.5)
Sec. 1.5. Consent by minor seeking care for primary care
services.
(a) The consent to the performance of primary care services
by a physician licensed to practice medicine in all its
branches, a licensed advanced practice registered nurse, or a
licensed physician assistant executed by a minor seeking care
is not voidable because of such minority, and for such purpose,
a minor seeking care is deemed to have the same legal capacity
to act and has the same powers and obligations as has a person
of legal age under the following circumstances:
(1) the health care professional reasonably believes
that the minor seeking care understands the benefits and
risks of any proposed primary care or services; and
(2) the minor seeking care is identified in writing as

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a minor seeking care by:
(A) an adult relative;
(B) a representative of a homeless service agency
that receives federal, State, county, or municipal
funding to provide those services or that is otherwise
sanctioned by a local continuum of care;
(C) an attorney licensed to practice law in this
State;
(D) a public school homeless liaison or school
social worker;
(E) a social service agency providing services to
at risk, homeless, or runaway youth; or
(F) a representative of a religious organization.
(b) A health care professional rendering primary care
services under this Section shall not incur civil or criminal
liability for failure to obtain valid consent or professional
discipline for failure to obtain valid consent if he or she
relied in good faith on the representations made by the minor
or the information provided under paragraph (2) of subsection
(a) of this Section. Under such circumstances, good faith shall
be presumed.
(c) The confidential nature of any communication between a
health care professional described in Section 1 of this Act and
a minor seeking care is not waived (1) by the presence, at the
time of communication, of any additional persons present at the
request of the minor seeking care, (2) by the health care

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professional's disclosure of confidential information to the
additional person with the consent of the minor seeking care,
when reasonably necessary to accomplish the purpose for which
the additional person is consulted, or (3) by the health care
professional billing a health benefit insurance or plan under
which the minor seeking care is insured, is enrolled, or has
coverage for the services provided.
(d) Nothing in this Section shall be construed to limit or
expand a minor's existing powers and obligations under any
federal, State, or local law. Nothing in this Section shall be
construed to affect the Parental Notice of Abortion Act of
1995. Nothing in this Section affects the right or authority of
a parent or legal guardian to verbally, in writing, or
otherwise authorize health care services to be provided for a
minor in their absence.
(e) For the purposes of this Section:
"Minor seeking care" means a person at least 14 years
of age but less than 18 years of age who is living separate
and apart from his or her parents or legal guardian,
whether with or without the consent of a parent or legal
guardian who is unable or unwilling to return to the
residence of a parent, and managing his or her own personal
affairs. "Minor seeking care" does not include minors who
are under the protective custody, temporary custody, or
guardianship of the Department of Children and Family
Services.

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"Primary care services" means health care services
that include screening, counseling, immunizations,
medication, and treatment of illness and conditions
customarily provided by licensed health care professionals
in an out-patient setting. "Primary care services" does not
include invasive care, beyond standard injections,
laceration care, or non-surgical fracture care.
(Source: P.A. 98-671, eff. 10-1-14; 99-173, eff. 7-29-15.)
(410 ILCS 210/2) (from Ch. 111, par. 4502)
Sec. 2. Any parent, including a parent who is a minor, may
consent to the performance upon his or her child of a medical
or surgical procedure by a physician licensed to practice
medicine and surgery, a licensed advanced practice registered
nurse, or a licensed physician assistant or a dental procedure
by a licensed dentist. The consent of a parent who is a minor
shall not be voidable because of such minority, but, for such
purpose, a parent who is a minor shall be deemed to have the
same legal capacity to act and shall have the same powers and
obligations as has a person of legal age.
(Source: P.A. 99-173, eff. 7-29-15.)
(410 ILCS 210/3) (from Ch. 111, par. 4503)
Sec. 3. (a) Where a hospital, a physician licensed to
practice medicine or surgery, a licensed advanced practice
registered nurse, or a licensed physician assistant renders

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emergency treatment or first aid or a licensed dentist renders
emergency dental treatment to a minor, consent of the minor's
parent or legal guardian need not be obtained if, in the sole
opinion of the physician, advanced practice registered nurse,
physician assistant, dentist, or hospital, the obtaining of
consent is not reasonably feasible under the circumstances
without adversely affecting the condition of such minor's
health.
(b) Where a minor is the victim of a predatory criminal
sexual assault of a child, aggravated criminal sexual assault,
criminal sexual assault, aggravated criminal sexual abuse or
criminal sexual abuse, as provided in Sections 11-1.20 through
11-1.60 of the Criminal Code of 2012, the consent of the
minor's parent or legal guardian need not be obtained to
authorize a hospital, physician, advanced practice registered
nurse, physician assistant, or other medical personnel to
furnish medical care or counseling related to the diagnosis or
treatment of any disease or injury arising from such offense.
The minor may consent to such counseling, diagnosis or
treatment as if the minor had reached his or her age of
majority. Such consent shall not be voidable, nor subject to
later disaffirmance, because of minority.
(Source: P.A. 99-173, eff. 7-29-15.)
(410 ILCS 210/5) (from Ch. 111, par. 4505)
Sec. 5. Counseling; informing parent or guardian. Any

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physician, advanced practice registered nurse, or physician
assistant, who provides diagnosis or treatment or any licensed
clinical psychologist or professionally trained social worker
with a master's degree or any qualified person employed (i) by
an organization licensed or funded by the Department of Human
Services, (ii) by units of local government, or (iii) by
agencies or organizations operating drug abuse programs funded
or licensed by the Federal Government or the State of Illinois
or any qualified person employed by or associated with any
public or private alcoholism or drug abuse program licensed by
the State of Illinois who provides counseling to a minor
patient who has come into contact with any sexually transmitted
disease referred to in Section 4 of this Act may, but shall not
be obligated to, inform the parent, parents, or guardian of the
minor as to the treatment given or needed. Any person described
in this Section who provides counseling to a minor who abuses
drugs or alcohol or has a family member who abuses drugs or
alcohol shall not inform the parent, parents, guardian, or
other responsible adult of the minor's condition or treatment
without the minor's consent unless that action is, in the
person's judgment, necessary to protect the safety of the
minor, a family member, or another individual.
Any such person shall, upon the minor's consent, make
reasonable efforts to involve the family of the minor in his or
her treatment, if the person furnishing the treatment believes
that the involvement of the family will not be detrimental to

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the progress and care of the minor. Reasonable effort shall be
extended to assist the minor in accepting the involvement of
his or her family in the care and treatment being given.
(Source: P.A. 93-962, eff. 8-20-04.)
Section 265. The Early Hearing Detection and Intervention
Act is amended by changing Section 10 as follows:
(410 ILCS 213/10)
Sec. 10. Reports to Department of Public Health.
Physicians, advanced practice registered nurses, physician
assistants, otolaryngologists, audiologists, ancillary health
care providers, early intervention programs and providers,
parent-to-parent support programs, the Department of Human
Services, and the University of Illinois at Chicago Division of
Specialized Care for Children shall report all hearing testing,
medical treatment, and intervention outcomes related to
newborn hearing screening or newly identified hearing loss for
children birth through 6 years of age to the Department.
Reporting shall be done within 7 days after the date of service
or after an inquiry from the Department. Reports shall be in a
format determined by the Department.
(Source: P.A. 99-834, eff. 8-19-16.)
Section 270. The Prenatal and Newborn Care Act is amended
by changing Sections 2 and 6 as follows:

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(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 registered nurse" or "APRN" "APN" means
an advanced practice registered nurse licensed under the Nurse
Practice Act.
"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.
"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.

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"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. 99-173, eff. 7-29-15.)
(410 ILCS 225/6) (from Ch. 111 1/2, par. 7026)
Sec. 6. Covered services.
(a) Covered services under the program may include, but are
not necessarily limited to, the following:
(1) Laboratory services related to a recipient's
pregnancy, performed or ordered by a physician, advanced
practice registered nurse, or physician assistant.
(2) Screening and treatment for sexually transmitted
disease.
(3) Prenatal visits to a physician in the physician's
office, an advanced practice registered nurse in the
advanced practice registered nurse's office, a physician
assistant in the physician assistant's office, or to a
hospital outpatient prenatal clinic, local health
department maternity clinic, or community health center.
(4) Radiology services which are directly related to
the pregnancy, are determined to be medically necessary and
are ordered by a physician, an advanced practice registered
nurse, or a physician assistant.

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(5) Pharmacy services related to the pregnancy.
(6) Other medical consultations related to the
pregnancy.
(7) Physician, advanced practice registered nurse,
physician assistant, or nurse services associated with
delivery.
(8) One postnatal office visit within 60 days after
delivery.
(9) Two EPSDT-equivalent screenings for the infant
within 90 days after birth.
(10) Social and support services.
(11) Nutrition services.
(12) Case management services.
(b) The following services shall not be covered under the
program:
(1) Services determined by the Department not to be
medically necessary.
(2) Services not directly related to the pregnancy,
except for the 2 covered EPSDT-equivalent screenings.
(3) Hospital inpatient services.
(4) Anesthesiologist and radiologist services during a
period of hospital inpatient care.
(5) Physician, advanced practice registered nurse, and
physician assistant hospital visits.
(6) Services considered investigational or
experimental.

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(Source: P.A. 93-962, eff. 8-20-04.)
Section 275. The AIDS Confidentiality Act is amended by
changing Section 3 as follows:
(410 ILCS 305/3) (from Ch. 111 1/2, par. 7303)
Sec. 3. Definitions. When used in this Act:
(a) "AIDS" means acquired immunodeficiency syndrome.
(b) "Authority" means the Illinois Health Information
Exchange Authority established pursuant to the Illinois Health
Information Exchange and Technology Act.
(c) "Business associate" has the meaning ascribed to it
under HIPAA, as specified in 45 CFR 160.103.
(d) "Covered entity" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.
(e) "De-identified information" means health information
that is not individually identifiable as described under HIPAA,
as specified in 45 CFR 164.514(b).
(f) "Department" means the Illinois Department of Public
Health or its designated agents.
(g) "Disclosure" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.
(h) "Health care operations" has the meaning ascribed to it
under HIPAA, as specified in 45 CFR 164.501.
(i) "Health care professional" means (i) a licensed
physician, (ii) a licensed physician assistant, (iii) a

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licensed advanced practice registered nurse, (iv) an advanced
practice registered nurse or physician assistant who practices
in a hospital or ambulatory surgical treatment center and
possesses appropriate clinical privileges, (v) a licensed
dentist, (vi) a licensed podiatric physician, or (vii) an
individual certified to provide HIV testing and counseling by a
state or local public health department.
(j) "Health care provider" has the meaning ascribed to it
under HIPAA, as specified in 45 CFR 160.103.
(k) "Health facility" means a hospital, nursing home, blood
bank, blood center, sperm bank, or other health care
institution, including any "health facility" as that term is
defined in the Illinois Finance Authority Act.
(l) "Health information exchange" or "HIE" means a health
information exchange or health information organization that
oversees and governs the electronic exchange of health
information that (i) is established pursuant to the Illinois
Health Information Exchange and Technology Act, or any
subsequent amendments thereto, and any administrative rules
adopted thereunder; (ii) has established a data sharing
arrangement with the Authority; or (iii) as of August 16, 2013,
was designated by the Authority Board as a member of, or was
represented on, the Authority Board's Regional Health
Information Exchange Workgroup; provided that such designation
shall not require the establishment of a data sharing
arrangement or other participation with the Illinois Health

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Information Exchange or the payment of any fee. In certain
circumstances, in accordance with HIPAA, an HIE will be a
business associate.
(m) "Health oversight agency" has the meaning ascribed to
it under HIPAA, as specified in 45 CFR 164.501.
(n) "HIPAA" means the Health Insurance Portability and
Accountability Act of 1996, Public Law 104-191, as amended by
the Health Information Technology for Economic and Clinical
Health Act of 2009, Public Law 111-05, and any subsequent
amendments thereto and any regulations promulgated thereunder.
(o) "HIV" means the human immunodeficiency virus.
(p) "HIV-related information" means the identity of a
person upon whom an HIV test is performed, the results of an
HIV test, as well as diagnosis, treatment, and prescription
information that reveals a patient is HIV-positive, including
such information contained in a limited data set. "HIV-related
information" does not include information that has been
de-identified in accordance with HIPAA.
(q) "Informed consent" means:
(1) where a health care provider, health care
professional, or health facility has implemented opt-in
testing, a process by which an individual or their legal
representative receives pre-test information, has an
opportunity to ask questions, and consents verbally or in
writing to the test without undue inducement or any element
of force, fraud, deceit, duress, or other form of

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constraint or coercion; or
(2) where a health care provider, health care
professional, or health facility has implemented opt-out
testing, the individual or their legal representative has
been notified verbally or in writing that the test is
planned, has received pre-test information, has been given
the opportunity to ask questions and the opportunity to
decline testing, and has not declined testing; where such
notice is provided, consent for opt-out HIV testing may be
incorporated into the patient's general consent for
medical care on the same basis as are other screening or
diagnostic tests; a separate consent for opt-out HIV
testing is not required.
In addition, where the person providing informed consent is
a participant in an HIE, informed consent requires a fair
explanation that the results of the patient's HIV test will be
accessible through an HIE and meaningful disclosure of the
patient's opt-out right under Section 9.6 of this Act.
A health care provider, health care professional, or health
facility undertaking an informed consent process for HIV
testing under this subsection may combine a form used to obtain
informed consent for HIV testing with forms used to obtain
written consent for general medical care or any other medical
test or procedure, provided that the forms make it clear that
the subject may consent to general medical care, tests, or
procedures without being required to consent to HIV testing,

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and clearly explain how the subject may decline HIV testing.
Health facility clerical staff or other staff responsible for
the consent form for general medical care may obtain consent
for HIV testing through a general consent form.
(r) "Limited data set" has the meaning ascribed to it under
HIPAA, as described in 45 CFR 164.514(e)(2).
(s) "Minimum necessary" means the HIPAA standard for using,
disclosing, and requesting protected health information found
in 45 CFR 164.502(b) and 164.514(d).
(s-1) "Opt-in testing" means an approach where an HIV test
is presented by offering the test and the patient accepts or
declines testing.
(s-3) "Opt-out testing" means an approach where an HIV test
is presented such that a patient is notified that HIV testing
may occur unless the patient declines.
(t) "Organized health care arrangement" has the meaning
ascribed to it under HIPAA, as specified in 45 CFR 160.103.
(u) "Patient safety activities" has the meaning ascribed to
it under 42 CFR 3.20.
(v) "Payment" has the meaning ascribed to it under HIPAA,
as specified in 45 CFR 164.501.
(w) "Person" includes any natural person, partnership,
association, joint venture, trust, governmental entity, public
or private corporation, health facility, or other legal entity.
(w-5) "Pre-test information" means:
(1) a reasonable explanation of the test, including its

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purpose, potential uses, limitations, and the meaning of
its results; and
(2) a reasonable explanation of the procedures to be
followed, including the voluntary nature of the test, the
availability of a qualified person to answer questions, the
right to withdraw consent to the testing process at any
time, the right to anonymity to the extent provided by law
with respect to participation in the test and disclosure of
test results, and the right to confidential treatment of
information identifying the subject of the test and the
results of the test, to the extent provided by law.
Pre-test information may be provided in writing, verbally,
or by video, electronic, or other means and may be provided as
designated by the supervising health care professional or the
health facility.
For the purposes of this definition, a qualified person to
answer questions is a health care professional or, when acting
under the supervision of a health care professional, a
registered nurse, medical assistant, or other person
determined to be sufficiently knowledgeable about HIV testing,
its purpose, potential uses, limitations, the meaning of the
test results, and the testing procedures in the professional
judgment of a supervising health care professional or as
designated by a health care facility.
(x) "Protected health information" has the meaning
ascribed to it under HIPAA, as specified in 45 CFR 160.103.

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(y) "Research" has the meaning ascribed to it under HIPAA,
as specified in 45 CFR 164.501.
(z) "State agency" means an instrumentality of the State of
Illinois and any instrumentality of another state that,
pursuant to applicable law or a written undertaking with an
instrumentality of the State of Illinois, is bound to protect
the privacy of HIV-related information of Illinois persons.
(aa) "Test" or "HIV test" means a test to determine the
presence of the antibody or antigen to HIV, or of HIV
infection.
(bb) "Treatment" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 164.501.
(cc) "Use" has the meaning ascribed to it under HIPAA, as
specified in 45 CFR 160.103, where context dictates.
(Source: P.A. 98-214, eff. 8-9-13; 98-1046, eff. 1-1-15; 99-54,
eff. 1-1-16; 99-173, eff. 7-29-15; 99-642, eff. 7-28-16.)
Section 280. The Illinois Sexually Transmissible Disease
Control Act is amended by changing Sections 3, 4, and 5.5 as
follows:
(410 ILCS 325/3) (from Ch. 111 1/2, par. 7403)
Sec. 3. Definitions. As used in this Act, unless the
context clearly requires otherwise:
(1) "Department" means the Department of Public Health.
(2) "Local health authority" means the full-time official

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health department of board of health, as recognized by the
Department, having jurisdiction over a particular area.
(3) "Sexually transmissible disease" means a bacterial,
viral, fungal or parasitic disease, determined by rule of the
Department to be sexually transmissible, to be a threat to the
public health and welfare, and to be a disease for which a
legitimate public interest will be served by providing for
regulation and treatment. In considering which diseases are to
be designated sexually transmissible diseases, the Department
shall consider such diseases as chancroid, gonorrhea,
granuloma inguinale, lymphogranuloma venereum, genital herpes
simplex, chlamydia, nongonococcal urethritis (NGU), pelvic
inflammatory disease (PID)/Acute Salpingitis, syphilis,
Acquired Immunodeficiency Syndrome (AIDS), and Human
Immunodeficiency Virus (HIV) for designation, and shall
consider the recommendations and classifications of the
Centers for Disease Control and other nationally recognized
medical authorities. Not all diseases that are sexually
transmissible need be designated for purposes of this Act.
(4) "Health care professional" means a physician licensed
to practice medicine in all its branches, a licensed physician
assistant, or a licensed advanced practice registered nurse.
(5) "Expedited partner therapy" means to prescribe,
dispense, furnish, or otherwise provide prescription
antibiotic drugs to the partner or partners of persons
clinically diagnosed as infected with a sexually transmissible

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disease, without physical examination of the partner or
partners.
(Source: P.A. 99-173, eff. 7-29-15.)
(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 registered
nurse licensed under the provisions of the Nurse Practice Act,
or a physician assistant licensed under the provisions of the
Physician Assistant Practice Act of 1987 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

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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. 99-173, eff. 7-29-15.)
(410 ILCS 325/5.5) (from Ch. 111 1/2, par. 7405.5)
Sec. 5.5. Risk assessment.
(a) Whenever the Department receives a report of HIV
infection or AIDS pursuant to this Act and the Department
determines that the subject of the report may present or may
have presented a possible risk of HIV transmission, the
Department shall, when medically appropriate, investigate the
subject of the report and that person's contacts as defined in
subsection (c), to assess the potential risks of transmission.
Any investigation and action shall be conducted in a timely
fashion. All contacts other than those defined in subsection
(c) shall be investigated in accordance with Section 5 of this
Act.
(b) If the Department determines that there is or may have
been potential risks of HIV transmission from the subject of

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the report to other persons, the Department shall afford the
subject the opportunity to submit any information and comment
on proposed actions the Department intends to take with respect
to the subject's contacts who are at potential risk of
transmission of HIV prior to notification of the subject's
contacts. The Department shall also afford the subject of the
report the opportunity to notify the subject's contacts in a
timely fashion who are at potential risk of transmission of HIV
prior to the Department taking any steps to notify such
contacts. If the subject declines to notify such contacts or if
the Department determines the notices to be inadequate or
incomplete, the Department shall endeavor to notify such other
persons of the potential risk, and offer testing and counseling
services to these individuals. When the contacts are notified,
they shall be informed of the disclosure provisions of the AIDS
Confidentiality Act and the penalties therein and this Section.
(c) Contacts investigated under this Section shall in the
case of HIV infection include (i) individuals who have
undergone invasive procedures performed by an HIV infected
health care provider and (ii) health care providers who have
performed invasive procedures for persons infected with HIV,
provided the Department has determined that there is or may
have been potential risk of HIV transmission from the health
care provider to those individuals or from infected persons to
health care providers. The Department shall have access to the
subject's records to review for the identity of contacts. The

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subject's records shall not be copied or seized by the
Department.
For purposes of this subsection, the term "invasive
procedures" means those procedures termed invasive by the
Centers for Disease Control in current guidelines or
recommendations for the prevention of HIV transmission in
health care settings, and the term "health care provider" means
any physician, dentist, podiatric physician, advanced practice
registered nurse, physician assistant, nurse, or other person
providing health care services of any kind.
(d) All information and records held by the Department and
local health authorities pertaining to activities conducted
pursuant to this Section shall be strictly confidential and
exempt from copying and inspection under the Freedom of
Information Act. Such information and records shall not be
released or made public by the Department or local health
authorities, and shall not be admissible as evidence, nor
discoverable in any action of any kind in any court or before
any tribunal, board, agency or person and shall be treated in
the same manner as the information and those records subject to
the provisions of Part 21 of Article VIII of the Code of Civil
Procedure except under the following circumstances:
(1) When made with the written consent of all persons
to whom this information pertains;
(2) When authorized under Section 8 to be released
under court order or subpoena pursuant to Section 12-5.01

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or 12-16.2 of the Criminal Code of 1961 or the Criminal
Code of 2012; or
(3) When made by the Department for the purpose of
seeking a warrant authorized by Sections 6 and 7 of this
Act. Such disclosure shall conform to the requirements of
subsection (a) of Section 8 of this Act.
(e) Any person who knowingly or maliciously disseminates
any information or report concerning the existence of any
disease under this Section is guilty of a Class A misdemeanor.
(Source: P.A. 98-214, eff. 8-9-13; 98-756, eff. 7-16-14;
99-642, eff. 7-28-16.)
Section 285. The Perinatal HIV Prevention Act is amended by
changing Section 5 as follows:
(410 ILCS 335/5)
Sec. 5. Definitions. In this Act:
"Department" means the Department of Public Health.
"Health care professional" means a physician licensed to
practice medicine in all its branches, a licensed physician
assistant, or a licensed advanced practice registered nurse.
"Health care facility" or "facility" means any hospital or
other institution that is licensed or otherwise authorized to
deliver health care services.
"Health care services" means any prenatal medical care or
labor or delivery services to a pregnant woman and her newborn

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infant, including hospitalization.
(Source: P.A. 99-173, eff. 7-29-15.)
Section 290. The Genetic Information Privacy Act is amended
by changing Section 10 as follows:
(410 ILCS 513/10)
Sec. 10. Definitions. As used in this Act:
"Authority" means the Illinois Health Information Exchange
Authority established pursuant to the Illinois Health
Information Exchange and Technology Act.
"Business associate" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.
"Covered entity" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.
"De-identified information" means health information that
is not individually identifiable as described under HIPAA, as
specified in 45 CFR 164.514(b).
"Disclosure" has the meaning ascribed to it under HIPAA, as
specified in 45 CFR 160.103.
"Employer" means the State of Illinois, any unit of local
government, and any board, commission, department,
institution, or school district, any party to a public
contract, any joint apprenticeship or training committee
within the State, and every other person employing employees
within the State.

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"Employment agency" means both public and private
employment agencies and any person, labor organization, or
labor union having a hiring hall or hiring office regularly
undertaking, with or without compensation, to procure
opportunities to work, or to procure, recruit, refer, or place
employees.
"Family member" means, with respect to an individual, (i)
the spouse of the individual; (ii) a dependent child of the
individual, including a child who is born to or placed for
adoption with the individual; (iii) any other person qualifying
as a covered dependent under a managed care plan; and (iv) all
other individuals related by blood or law to the individual or
the spouse or child described in subsections (i) through (iii)
of this definition.
"Genetic information" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.
"Genetic monitoring" means the periodic examination of
employees to evaluate acquired modifications to their genetic
material, such as chromosomal damage or evidence of increased
occurrence of mutations that may have developed in the course
of employment due to exposure to toxic substances in the
workplace in order to identify, evaluate, and respond to
effects of or control adverse environmental exposures in the
workplace.
"Genetic services" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.

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"Genetic testing" and "genetic test" have the meaning
ascribed to "genetic test" under HIPAA, as specified in 45 CFR
160.103.
"Health care operations" has the meaning ascribed to it
under HIPAA, as specified in 45 CFR 164.501.
"Health care professional" means (i) a licensed physician,
(ii) a licensed physician assistant, (iii) a licensed advanced
practice registered nurse, (iv) a licensed dentist, (v) a
licensed podiatrist, (vi) a licensed genetic counselor, or
(vii) an individual certified to provide genetic testing by a
state or local public health department.
"Health care provider" has the meaning ascribed to it under
HIPAA, as specified in 45 CFR 160.103.
"Health facility" means a hospital, blood bank, blood
center, sperm bank, or other health care institution, including
any "health facility" as that term is defined in the Illinois
Finance Authority Act.
"Health information exchange" or "HIE" means a health
information exchange or health information organization that
exchanges health information electronically that (i) is
established pursuant to the Illinois Health Information
Exchange and Technology Act, or any subsequent amendments
thereto, and any administrative rules promulgated thereunder;
(ii) has established a data sharing arrangement with the
Authority; or (iii) as of August 16, 2013, was designated by
the Authority Board as a member of, or was represented on, the

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Authority Board's Regional Health Information Exchange
Workgroup; provided that such designation shall not require the
establishment of a data sharing arrangement or other
participation with the Illinois Health Information Exchange or
the payment of any fee. In certain circumstances, in accordance
with HIPAA, an HIE will be a business associate.
"Health oversight agency" has the meaning ascribed to it
under HIPAA, as specified in 45 CFR 164.501.
"HIPAA" means the Health Insurance Portability and
Accountability Act of 1996, Public Law 104-191, as amended by
the Health Information Technology for Economic and Clinical
Health Act of 2009, Public Law 111-05, and any subsequent
amendments thereto and any regulations promulgated thereunder.
"Insurer" means (i) an entity that is subject to the
jurisdiction of the Director of Insurance and (ii) a managed
care plan.
"Labor organization" includes any organization, labor
union, craft union, or any voluntary unincorporated
association designed to further the cause of the rights of
union labor that is constituted for the purpose, in whole or in
part, of collective bargaining or of dealing with employers
concerning grievances, terms or conditions of employment, or
apprenticeships or applications for apprenticeships, or of
other mutual aid or protection in connection with employment,
including apprenticeships or applications for apprenticeships.
"Licensing agency" means a board, commission, committee,

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council, department, or officers, except a judicial officer, in
this State or any political subdivision authorized to grant,
deny, renew, revoke, suspend, annul, withdraw, or amend a
license or certificate of registration.
"Limited data set" has the meaning ascribed to it under
HIPAA, as described in 45 CFR 164.514(e)(2).
"Managed care plan" means a plan that establishes,
operates, or maintains a network of health care providers that
have entered into agreements with the plan to provide health
care services to enrollees where the plan has the ultimate and
direct contractual obligation to the enrollee to arrange for
the provision of or pay for services through:
(1) organizational arrangements for ongoing quality
assurance, utilization review programs, or dispute
resolution; or
(2) financial incentives for persons enrolled in the
plan to use the participating providers and procedures
covered by the plan.
A managed care plan may be established or operated by any
entity including a licensed insurance company, hospital or
medical service plan, health maintenance organization, limited
health service organization, preferred provider organization,
third party administrator, or an employer or employee
organization.
"Minimum necessary" means HIPAA's standard for using,
disclosing, and requesting protected health information found

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in 45 CFR 164.502(b) and 164.514(d).
"Nontherapeutic purpose" means a purpose that is not
intended to improve or preserve the life or health of the
individual whom the information concerns.
"Organized health care arrangement" has the meaning
ascribed to it under HIPAA, as specified in 45 CFR 160.103.
"Patient safety activities" has the meaning ascribed to it
under 42 CFR 3.20.
"Payment" has the meaning ascribed to it under HIPAA, as
specified in 45 CFR 164.501.
"Person" includes any natural person, partnership,
association, joint venture, trust, governmental entity, public
or private corporation, health facility, or other legal entity.
"Protected health information" has the meaning ascribed to
it under HIPAA, as specified in 45 CFR 164.103.
"Research" has the meaning ascribed to it under HIPAA, as
specified in 45 CFR 164.501.
"State agency" means an instrumentality of the State of
Illinois and any instrumentality of another state which
pursuant to applicable law or a written undertaking with an
instrumentality of the State of Illinois is bound to protect
the privacy of genetic information of Illinois persons.
"Treatment" has the meaning ascribed to it under HIPAA, as
specified in 45 CFR 164.501.
"Use" has the meaning ascribed to it under HIPAA, as
specified in 45 CFR 160.103, where context dictates.

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(Source: P.A. 98-1046, eff. 1-1-15; 99-173, eff. 7-29-15.)
Section 295. 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 registered nurse, as defined in the Nurse
Practice 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, a licensed advanced
practice registered nurse, or a licensed physician assistant.
"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. 99-173, eff. 7-29-15.)
Section 300. The Radiation Protection Act of 1990 is
amended by changing Sections 5 and 6 as follows:

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(420 ILCS 40/5) (from Ch. 111 1/2, par. 210-5)
(Section scheduled to be repealed on January 1, 2021)
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 registered 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 registered 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 Agency, except that persons enrolled in a
course of education approved by the Agency 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

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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 Agency 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 Agency to perform
radiography, has satisfied training requirements specific
to mammography, which the Agency shall establish by rule.
(c) Every operator of a radiation installation at which
mammography services are provided shall ensure and have

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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. 93-149, eff. 7-10-03; 94-104, eff. 7-1-05.)
(420 ILCS 40/6) (from Ch. 111 1/2, par. 210-6)
(Section scheduled to be repealed on January 1, 2021)
Sec. 6. Accreditation of administrators of radiation;
Limited scope accreditation; Rules and regulations; Education.
(a) The Agency shall promulgate such rules and regulations
as are necessary to establish accreditation standards and

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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 registered 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
Agency 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 Agency, 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 Agency 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 Agency
shall, in accordance with subsection (c) of this Section,

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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 Agency
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 Agency 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 Agency 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 Agency. The
examination shall be consistent with national standards in

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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 Agency
may assess a reasonable fee for such examinations to cover the
costs incurred by the Agency in conjunction with offering the
examinations.
(d) The Agency shall by rule or regulation exempt from
accreditation physician assistants, advanced practice
registered 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. 94-104, eff. 7-1-05; 95-777, eff. 8-4-08.)
Section 305. The Illinois Vehicle Code is amended by
changing Sections 1-159.1, 3-609, 3-616, 6-103, 6-106.1,
6-106.1a, 6-901, 11-501.01, 11-501.2, 11-501.6, 11-501.8,
11-1301.2, and 11-1301.5 as follows:
(625 ILCS 5/1-159.1) (from Ch. 95 1/2, par. 1-159.1)

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Sec. 1-159.1. Person with disabilities. A natural person
who, as determined by a licensed physician, by a licensed
physician assistant, or by a licensed advanced practice
registered nurse: (1) cannot walk without the use of, or
assistance from, a brace, cane, crutch, another person,
prosthetic device, wheelchair, or other assistive device; (2)
is restricted by lung disease to such an extent that his or her
forced (respiratory) expiratory volume for one second, when
measured by spirometry, is less than one liter, or the arterial
oxygen tension is less than 60 mm/hg on room air at rest; (3)
uses portable oxygen; (4) has a cardiac condition to the extent
that the person's functional limitations are classified in
severity as Class III or Class IV, according to standards set
by the American Heart Association; (5) is severely limited in
the person's ability to walk due to an arthritic, neurological,
oncological, or orthopedic condition; (6) cannot walk 200 feet
without stopping to rest because of one of the above 5
conditions; or (7) is missing a hand or arm or has permanently
lost the use of a hand or arm.
(Source: P.A. 98-405, eff. 1-1-14; 99-173, eff. 7-29-15.)
(625 ILCS 5/3-609) (from Ch. 95 1/2, par. 3-609)
Sec. 3-609. Plates for Veterans with Disabilities.
(a) Any veteran who holds proof of a service-connected
disability from the United States Department of Veterans
Affairs, and who has obtained certification from a licensed

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physician, physician assistant, or advanced practice
registered nurse that the service-connected disability
qualifies the veteran for issuance of registration plates or
decals to a person with disabilities in accordance with Section
3-616, may, without the payment of any registration fee, make
application to the Secretary of State for license plates for
veterans with disabilities displaying the international symbol
of access, for the registration of one motor vehicle of the
first division or one motor vehicle of the second division
weighing not more than 8,000 pounds.
(b) Any veteran who holds proof of a service-connected
disability from the United States Department of Veterans
Affairs, and whose degree of disability has been declared to be
50% or more, but whose disability does not qualify the veteran
for a plate or decal for persons with disabilities under
Section 3-616, may, without the payment of any registration
fee, make application to the Secretary for a special
registration plate without the international symbol of access
for the registration of one motor vehicle of the first division
or one motor vehicle of the second division weighing not more
than 8,000 pounds.
(c) Renewal of such registration must be accompanied with
documentation for eligibility of registration without fee
unless the applicant has a permanent qualifying disability, and
such registration plates may not be issued to any person not
eligible therefor. The Illinois Department of Veterans'

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Affairs may assist in providing the documentation of
disability.
(d) The design and color of the plates shall be within the
discretion of the Secretary, except that the plates issued
under subsection (b) of this Section shall not contain the
international symbol of access. The Secretary may, in his or
her discretion, allow the plates to be issued as vanity or
personalized plates in accordance with Section 3-405.1 of this
Code. Registration shall be for a multi-year period and may be
issued staggered registration.
(e) Any person eligible to receive license plates under
this Section who has been approved for benefits under the
Senior Citizens and Persons with Disabilities Property Tax
Relief Act, or who has claimed and received a grant under that
Act, shall pay a fee of $24 instead of the fee otherwise
provided in this Code for passenger cars displaying standard
multi-year registration plates issued under Section 3-414.1,
for motor vehicles registered at 8,000 pounds or less under
Section 3-815(a), or for recreational vehicles registered at
8,000 pounds or less under Section 3-815(b), for a second set
of plates under this Section.
(Source: P.A. 98-463, eff. 8-16-13; 99-143, eff. 7-27-15.)
(625 ILCS 5/3-616) (from Ch. 95 1/2, par. 3-616)
Sec. 3-616. Disability license plates.
(a) Upon receiving an application for a certificate of

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registration for a motor vehicle of the first division or for a
motor vehicle of the second division weighing no more than
8,000 pounds, accompanied with payment of the registration fees
required under this Code from a person with disabilities or a
person who is deaf or hard of hearing, the Secretary of State,
if so requested, shall issue to such person registration plates
as provided for in Section 3-611, provided that the person with
disabilities or person who is deaf or hard of hearing must not
be disqualified from obtaining a driver's license under
subsection 8 of Section 6-103 of this Code, and further
provided that any person making such a request must submit a
statement, certified by a licensed physician, by a licensed
physician assistant, or by a licensed advanced practice
registered nurse, to the effect that such person is a person
with disabilities as defined by Section 1-159.1 of this Code,
or alternatively provide adequate documentation that such
person has a Class 1A, Class 2A or Type Four disability under
the provisions of Section 4A of the Illinois Identification
Card Act. For purposes of this Section, an Illinois Person with
a Disability Identification Card issued pursuant to the
Illinois Identification Card Act indicating that the person
thereon named has a disability shall be adequate documentation
of such a disability.
(b) The Secretary shall issue plates under this Section to
a parent or legal guardian of a person with disabilities if the
person with disabilities has a Class 1A or Class 2A disability

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as defined in Section 4A of the Illinois Identification Card
Act or is a person with disabilities as defined by Section
1-159.1 of this Code, and does not possess a vehicle registered
in his or her name, provided that the person with disabilities
relies frequently on the parent or legal guardian for
transportation. Only one vehicle per family may be registered
under this subsection, unless the applicant can justify in
writing the need for one additional set of plates. Any person
requesting special plates under this subsection shall submit
such documentation or such physician's, physician assistant's,
or advanced practice registered nurse's statement as is
required in subsection (a) and a statement describing the
circumstances qualifying for issuance of special plates under
this subsection. An optometrist may certify a Class 2A Visual
Disability, as defined in Section 4A of the Illinois
Identification Card Act, for the purpose of qualifying a person
with disabilities for special plates under this subsection.
(c) The Secretary may issue a parking decal or device to a
person with disabilities as defined by Section 1-159.1 without
regard to qualification of such person with disabilities for a
driver's license or registration of a vehicle by such person
with disabilities or such person's immediate family, provided
such person with disabilities making such a request has been
issued an Illinois Person with a Disability Identification Card
indicating that the person named thereon has a Class 1A or
Class 2A disability, or alternatively, submits a statement

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certified by a licensed physician, or by a licensed physician
assistant or a licensed advanced practice registered nurse as
provided in subsection (a), to the effect that such person is a
person with disabilities as defined by Section 1-159.1. An
optometrist may certify a Class 2A Visual Disability as defined
in Section 4A of the Illinois Identification Card Act for the
purpose of qualifying a person with disabilities for a parking
decal or device under this subsection.
(d) The Secretary shall prescribe by rules and regulations
procedures to certify or re-certify as necessary the
eligibility of persons whose disabilities are other than
permanent for special plates or parking decals or devices
issued under subsections (a), (b) and (c). Except as provided
under subsection (f) of this Section, no such special plates,
decals or devices shall be issued by the Secretary of State to
or on behalf of any person with disabilities unless such person
is certified as meeting the definition of a person with
disabilities pursuant to Section 1-159.1 or meeting the
requirement of a Type Four disability as provided under Section
4A of the Illinois Identification Card Act for the period of
time that the physician, or the physician assistant or advanced
practice registered nurse as provided in subsection (a),
determines the applicant will have the disability, but not to
exceed 6 months from the date of certification or
recertification.
(e) Any person requesting special plates under this Section

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may also apply to have the special plates personalized, as
provided under Section 3-405.1.
(f) The Secretary of State, upon application, shall issue
disability registration plates or a parking decal to
corporations, school districts, State or municipal agencies,
limited liability companies, nursing homes, convalescent
homes, or special education cooperatives which will transport
persons with disabilities. The Secretary shall prescribe by
rule a means to certify or re-certify the eligibility of
organizations to receive disability plates or decals and to
designate which of the 2 person with disabilities emblems shall
be placed on qualifying vehicles.
(g) The Secretary of State, or his designee, may enter into
agreements with other jurisdictions, including foreign
jurisdictions, on behalf of this State relating to the
extension of parking privileges by such jurisdictions to
residents of this State with disabilities who display a special
license plate or parking device that contains the International
symbol of access on his or her motor vehicle, and to recognize
such plates or devices issued by such other jurisdictions. This
State shall grant the same parking privileges which are granted
to residents of this State with disabilities to any
non-resident whose motor vehicle is licensed in another state,
district, territory or foreign country if such vehicle displays
the international symbol of access or a distinguishing insignia
on license plates or parking device issued in accordance with

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the laws of the non-resident's state, district, territory or
foreign country.
(Source: P.A. 99-143, eff. 7-27-15; 99-173, eff. 7-29-15;
99-642, eff. 7-28-16.)
(625 ILCS 5/6-103) (from Ch. 95 1/2, par. 6-103)
Sec. 6-103. What persons shall not be licensed as drivers
or granted permits. The Secretary of State shall not issue,
renew, or allow the retention of any driver's license nor issue
any permit under this Code:
1. To any person, as a driver, who is under the age of
18 years except as provided in Section 6-107, and except
that an instruction permit may be issued under Section
6-107.1 to a child who is not less than 15 years of age if
the child is enrolled in an approved driver education
course as defined in Section 1-103 of this Code and
requires an instruction permit to participate therein,
except that an instruction permit may be issued under the
provisions of Section 6-107.1 to a child who is 17 years
and 3 months of age without the child having enrolled in an
approved driver education course and except that an
instruction permit may be issued to a child who is at least
15 years and 3 months of age, is enrolled in school, meets
the educational requirements of the Driver Education Act,
and has passed examinations the Secretary of State in his
or her discretion may prescribe;

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1.5. To any person at least 18 years of age but less
than 21 years of age unless the person has, in addition to
any other requirements of this Code, successfully
completed an adult driver education course as provided in
Section 6-107.5 of this Code;
2. To any person who is under the age of 18 as an
operator of a motorcycle other than a motor driven cycle
unless the person has, in addition to meeting the
provisions of Section 6-107 of this Code, successfully
completed a motorcycle training course approved by the
Illinois Department of Transportation and successfully
completes the required Secretary of State's motorcycle
driver's examination;
3. To any person, as a driver, whose driver's license
or permit has been suspended, during the suspension, nor to
any person whose driver's license or permit has been
revoked, except as provided in Sections 6-205, 6-206, and
6-208;
4. To any person, as a driver, who is a user of alcohol
or any other drug to a degree that renders the person
incapable of safely driving a motor vehicle;
5. To any person, as a driver, who has previously been
adjudged to be afflicted with or suffering from any mental
or physical disability or disease and who has not at the
time of application been restored to competency by the
methods provided by law;

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6. To any person, as a driver, who is required by the
Secretary of State to submit an alcohol and drug evaluation
or take an examination provided for in this Code unless the
person has successfully passed the examination and
submitted any required evaluation;
7. To any person who is required under the provisions
of the laws of this State to deposit security or proof of
financial responsibility and who has not deposited the
security or proof;
8. To any person when the Secretary of State has good
cause to believe that the person by reason of physical or
mental disability would not be able to safely operate a
motor vehicle upon the highways, unless the person shall
furnish to the Secretary of State a verified written
statement, acceptable to the Secretary of State, from a
competent medical specialist, a licensed physician
assistant, or a licensed advanced practice registered
nurse, to the effect that the operation of a motor vehicle
by the person would not be inimical to the public safety;
9. To any person, as a driver, who is 69 years of age
or older, unless the person has successfully complied with
the provisions of Section 6-109;
10. To any person convicted, within 12 months of
application for a license, of any of the sexual offenses
enumerated in paragraph 2 of subsection (b) of Section
6-205;

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11. To any person who is under the age of 21 years with
a classification prohibited in paragraph (b) of Section
6-104 and to any person who is under the age of 18 years
with a classification prohibited in paragraph (c) of
Section 6-104;
12. To any person who has been either convicted of or
adjudicated under the Juvenile Court Act of 1987 based upon
a violation of the Cannabis Control Act, the Illinois
Controlled Substances Act, or the Methamphetamine Control
and Community Protection Act while that person was in
actual physical control of a motor vehicle. For purposes of
this Section, any person placed on probation under Section
10 of the Cannabis Control Act, Section 410 of the Illinois
Controlled Substances Act, or Section 70 of the
Methamphetamine Control and Community Protection Act shall
not be considered convicted. Any person found guilty of
this offense, while in actual physical control of a motor
vehicle, shall have an entry made in the court record by
the judge that this offense did occur while the person was
in actual physical control of a motor vehicle and order the
clerk of the court to report the violation to the Secretary
of State as such. The Secretary of State shall not issue a
new license or permit for a period of one year;
13. To any person who is under the age of 18 years and
who has committed the offense of operating a motor vehicle
without a valid license or permit in violation of Section

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6-101 or a similar out of state offense;
14. To any person who is 90 days or more delinquent in
court ordered child support payments or has been
adjudicated in arrears in an amount equal to 90 days'
obligation or more and who has been found in contempt of
court for failure to pay the support, subject to the
requirements and procedures of Article VII of Chapter 7 of
the Illinois Vehicle Code;
14.5. To any person certified by the Illinois
Department of Healthcare and Family Services as being 90
days or more delinquent in payment of support under an
order of support entered by a court or administrative body
of this or any other State, subject to the requirements and
procedures of Article VII of Chapter 7 of this Code
regarding those certifications;
15. To any person released from a term of imprisonment
for violating Section 9-3 of the Criminal Code of 1961 or
the Criminal Code of 2012, or a similar provision of a law
of another state relating to reckless homicide or for
violating subparagraph (F) of paragraph (1) of subsection
(d) of Section 11-501 of this Code relating to aggravated
driving under the influence of alcohol, other drug or
drugs, intoxicating compound or compounds, or any
combination thereof, if the violation was the proximate
cause of a death, within 24 months of release from a term
of imprisonment;

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16. To any person who, with intent to influence any act
related to the issuance of any driver's license or permit,
by an employee of the Secretary of State's Office, or the
owner or employee of any commercial driver training school
licensed by the Secretary of State, or any other individual
authorized by the laws of this State to give driving
instructions or administer all or part of a driver's
license examination, promises or tenders to that person any
property or personal advantage which that person is not
authorized by law to accept. Any persons promising or
tendering such property or personal advantage shall be
disqualified from holding any class of driver's license or
permit for 120 consecutive days. The Secretary of State
shall establish by rule the procedures for implementing
this period of disqualification and the procedures by which
persons so disqualified may obtain administrative review
of the decision to disqualify;
17. To any person for whom the Secretary of State
cannot verify the accuracy of any information or
documentation submitted in application for a driver's
license;
18. To any person who has been adjudicated under the
Juvenile Court Act of 1987 based upon an offense that is
determined by the court to have been committed in
furtherance of the criminal activities of an organized
gang, as provided in Section 5-710 of that Act, and that

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involved the operation or use of a motor vehicle or the use
of a driver's license or permit. The person shall be denied
a license or permit for the period determined by the court;
or
19. Beginning July 1, 2017, to any person who has been
issued an identification card under the Illinois
Identification Card Act. Any such person may, at his or her
discretion, surrender the identification card in order to
become eligible to obtain a driver's license.
The Secretary of State shall retain all conviction
information, if the information is required to be held
confidential under the Juvenile Court Act of 1987.
(Source: P.A. 98-167, eff. 7-1-14; 98-756, eff. 7-16-14;
99-173, eff. 7-29-15; 99-511, eff. 1-1-17.)
(625 ILCS 5/6-106.1) (from Ch. 95 1/2, par. 6-106.1)
Sec. 6-106.1. School bus driver permit.
(a) The Secretary of State shall issue a school bus driver
permit to those applicants who have met all the requirements of
the application and screening process under this Section to
insure the welfare and safety of children who are transported
on school buses throughout the State of Illinois. Applicants
shall obtain the proper application required by the Secretary
of State from their prospective or current employer and submit
the completed application to the prospective or current
employer along with the necessary fingerprint submission as

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required by the Department of State Police to conduct
fingerprint based criminal background checks on current and
future information available in the state system and current
information available through the Federal Bureau of
Investigation's system. Applicants who have completed the
fingerprinting requirements shall not be subjected to the
fingerprinting process when applying for subsequent permits or
submitting proof of successful completion of the annual
refresher course. Individuals who on July 1, 1995 (the
effective date of Public Act 88-612) possess a valid school bus
driver permit that has been previously issued by the
appropriate Regional School Superintendent are not subject to
the fingerprinting provisions of this Section as long as the
permit remains valid and does not lapse. The applicant shall be
required to pay all related application and fingerprinting fees
as established by rule including, but not limited to, the
amounts established by the Department of State Police and the
Federal Bureau of Investigation to process fingerprint based
criminal background investigations. All fees paid for
fingerprint processing services under this Section shall be
deposited into the State Police Services Fund for the cost
incurred in processing the fingerprint based criminal
background investigations. All other fees paid under this
Section shall be deposited into the Road Fund for the purpose
of defraying the costs of the Secretary of State in
administering this Section. All applicants must:

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1. be 21 years of age or older;
2. possess a valid and properly classified driver's
license issued by the Secretary of State;
3. possess a valid driver's license, which has not been
revoked, suspended, or canceled for 3 years immediately
prior to the date of application, or have not had his or
her commercial motor vehicle driving privileges
disqualified within the 3 years immediately prior to the
date of application;
4. successfully pass a written test, administered by
the Secretary of State, on school bus operation, school bus
safety, and special traffic laws relating to school buses
and submit to a review of the applicant's driving habits by
the Secretary of State at the time the written test is
given;
5. demonstrate ability to exercise reasonable care in
the operation of school buses in accordance with rules
promulgated by the Secretary of State;
6. demonstrate physical fitness to operate school
buses by submitting the results of a medical examination,
including tests for drug use for each applicant not subject
to such testing pursuant to federal law, conducted by a
licensed physician, a licensed advanced practice
registered nurse, or a licensed physician assistant within
90 days of the date of application according to standards
promulgated by the Secretary of State;

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7. affirm under penalties of perjury that he or she has
not made a false statement or knowingly concealed a
material fact in any application for permit;
8. have completed an initial classroom course,
including first aid procedures, in school bus driver safety
as promulgated by the Secretary of State; and after
satisfactory completion of said initial course an annual
refresher course; such courses and the agency or
organization conducting such courses shall be approved by
the Secretary of State; failure to complete the annual
refresher course, shall result in cancellation of the
permit until such course is completed;
9. not have been under an order of court supervision
for or convicted of 2 or more serious traffic offenses, as
defined by rule, within one year prior to the date of
application that may endanger the life or safety of any of
the driver's passengers within the duration of the permit
period;
10. not have been under an order of court supervision
for or convicted of reckless driving, aggravated reckless
driving, driving while under the influence of alcohol,
other drug or drugs, intoxicating compound or compounds or
any combination thereof, or reckless homicide resulting
from the operation of a motor vehicle within 3 years of the
date of application;
11. not have been convicted of committing or attempting

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to commit any one or more of the following offenses: (i)
those offenses defined in Sections 8-1.2, 9-1, 9-1.2, 9-2,
9-2.1, 9-3, 9-3.2, 9-3.3, 10-1, 10-2, 10-3.1, 10-4, 10-5,
10-5.1, 10-6, 10-7, 10-9, 11-1.20, 11-1.30, 11-1.40,
11-1.50, 11-1.60, 11-6, 11-6.5, 11-6.6, 11-9, 11-9.1,
11-9.3, 11-9.4, 11-14, 11-14.1, 11-14.3, 11-14.4, 11-15,
11-15.1, 11-16, 11-17, 11-17.1, 11-18, 11-18.1, 11-19,
11-19.1, 11-19.2, 11-20, 11-20.1, 11-20.1B, 11-20.3,
11-21, 11-22, 11-23, 11-24, 11-25, 11-26, 11-30, 12-2.6,
12-3.1, 12-4, 12-4.1, 12-4.2, 12-4.2-5, 12-4.3, 12-4.4,
12-4.5, 12-4.6, 12-4.7, 12-4.9, 12-5.01, 12-6, 12-6.2,
12-7.1, 12-7.3, 12-7.4, 12-7.5, 12-11, 12-13, 12-14,
12-14.1, 12-15, 12-16, 12-16.2, 12-21.5, 12-21.6, 12-33,
12C-5, 12C-10, 12C-20, 12C-30, 12C-45, 16-16, 16-16.1,
18-1, 18-2, 18-3, 18-4, 18-5, 19-6, 20-1, 20-1.1, 20-1.2,
20-1.3, 20-2, 24-1, 24-1.1, 24-1.2, 24-1.2-5, 24-1.6,
24-1.7, 24-2.1, 24-3.3, 24-3.5, 24-3.8, 24-3.9, 31A-1,
31A-1.1, 33A-2, and 33D-1, and in subsection (b) of Section
8-1, and in subdivisions (a)(1), (a)(2), (b)(1), (e)(1),
(e)(2), (e)(3), (e)(4), and (f)(1) of Section 12-3.05, and
in subsection (a) and subsection (b), clause (1), of
Section 12-4, and in subsection (A), clauses (a) and (b),
of Section 24-3, and those offenses contained in Article
29D of the Criminal Code of 1961 or the Criminal Code of
2012; (ii) those offenses defined in the Cannabis Control
Act except those offenses defined in subsections (a) and

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(b) of Section 4, and subsection (a) of Section 5 of the
Cannabis Control Act; (iii) those offenses defined in the
Illinois Controlled Substances Act; (iv) those offenses
defined in the Methamphetamine Control and Community
Protection Act; (v) any offense committed or attempted in
any other state or against the laws of the United States,
which if committed or attempted in this State would be
punishable as one or more of the foregoing offenses; (vi)
the offenses defined in Section 4.1 and 5.1 of the Wrongs
to Children Act or Section 11-9.1A of the Criminal Code of
1961 or the Criminal Code of 2012; (vii) those offenses
defined in Section 6-16 of the Liquor Control Act of 1934;
and (viii) those offenses defined in the Methamphetamine
Precursor Control Act;
12. not have been repeatedly involved as a driver in
motor vehicle collisions or been repeatedly convicted of
offenses against laws and ordinances regulating the
movement of traffic, to a degree which indicates lack of
ability to exercise ordinary and reasonable care in the
safe operation of a motor vehicle or disrespect for the
traffic laws and the safety of other persons upon the
highway;
13. not have, through the unlawful operation of a motor
vehicle, caused an accident resulting in the death of any
person;
14. not have, within the last 5 years, been adjudged to

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be afflicted with or suffering from any mental disability
or disease; and
15. consent, in writing, to the release of results of
reasonable suspicion drug and alcohol testing under
Section 6-106.1c of this Code by the employer of the
applicant to the Secretary of State.
(b) A school bus driver permit shall be valid for a period
specified by the Secretary of State as set forth by rule. It
shall be renewable upon compliance with subsection (a) of this
Section.
(c) A school bus driver permit shall contain the holder's
driver's license number, legal name, residence address, zip
code, and date of birth, a brief description of the holder and
a space for signature. The Secretary of State may require a
suitable photograph of the holder.
(d) The employer shall be responsible for conducting a
pre-employment interview with prospective school bus driver
candidates, distributing school bus driver applications and
medical forms to be completed by the applicant, and submitting
the applicant's fingerprint cards to the Department of State
Police that are required for the criminal background
investigations. The employer shall certify in writing to the
Secretary of State that all pre-employment conditions have been
successfully completed including the successful completion of
an Illinois specific criminal background investigation through
the Department of State Police and the submission of necessary

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fingerprints to the Federal Bureau of Investigation for
criminal history information available through the Federal
Bureau of Investigation system. The applicant shall present the
certification to the Secretary of State at the time of
submitting the school bus driver permit application.
(e) Permits shall initially be provisional upon receiving
certification from the employer that all pre-employment
conditions have been successfully completed, and upon
successful completion of all training and examination
requirements for the classification of the vehicle to be
operated, the Secretary of State shall provisionally issue a
School Bus Driver Permit. The permit shall remain in a
provisional status pending the completion of the Federal Bureau
of Investigation's criminal background investigation based
upon fingerprinting specimens submitted to the Federal Bureau
of Investigation by the Department of State Police. The Federal
Bureau of Investigation shall report the findings directly to
the Secretary of State. The Secretary of State shall remove the
bus driver permit from provisional status upon the applicant's
successful completion of the Federal Bureau of Investigation's
criminal background investigation.
(f) A school bus driver permit holder shall notify the
employer and the Secretary of State if he or she is issued an
order of court supervision for or convicted in another state of
an offense that would make him or her ineligible for a permit
under subsection (a) of this Section. The written notification

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shall be made within 5 days of the entry of the order of court
supervision or conviction. Failure of the permit holder to
provide the notification is punishable as a petty offense for a
first violation and a Class B misdemeanor for a second or
subsequent violation.
(g) Cancellation; suspension; notice and procedure.
(1) The Secretary of State shall cancel a school bus
driver permit of an applicant whose criminal background
investigation discloses that he or she is not in compliance
with the provisions of subsection (a) of this Section.
(2) The Secretary of State shall cancel a school bus
driver permit when he or she receives notice that the
permit holder fails to comply with any provision of this
Section or any rule promulgated for the administration of
this Section.
(3) The Secretary of State shall cancel a school bus
driver permit if the permit holder's restricted commercial
or commercial driving privileges are withdrawn or
otherwise invalidated.
(4) The Secretary of State may not issue a school bus
driver permit for a period of 3 years to an applicant who
fails to obtain a negative result on a drug test as
required in item 6 of subsection (a) of this Section or
under federal law.
(5) The Secretary of State shall forthwith suspend a
school bus driver permit for a period of 3 years upon

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receiving notice that the holder has failed to obtain a
negative result on a drug test as required in item 6 of
subsection (a) of this Section or under federal law.
(6) The Secretary of State shall suspend a school bus
driver permit for a period of 3 years upon receiving notice
from the employer that the holder failed to perform the
inspection procedure set forth in subsection (a) or (b) of
Section 12-816 of this Code.
(7) The Secretary of State shall suspend a school bus
driver permit for a period of 3 years upon receiving notice
from the employer that the holder refused to submit to an
alcohol or drug test as required by Section 6-106.1c or has
submitted to a test required by that Section which
disclosed an alcohol concentration of more than 0.00 or
disclosed a positive result on a National Institute on Drug
Abuse five-drug panel, utilizing federal standards set
forth in 49 CFR 40.87.
The Secretary of State shall notify the State
Superintendent of Education and the permit holder's
prospective or current employer that the applicant has (1) has
failed a criminal background investigation or (2) is no longer
eligible for a school bus driver permit; and of the related
cancellation of the applicant's provisional school bus driver
permit. The cancellation shall remain in effect pending the
outcome of a hearing pursuant to Section 2-118 of this Code.
The scope of the hearing shall be limited to the issuance

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criteria contained in subsection (a) of this Section. A
petition requesting a hearing shall be submitted to the
Secretary of State and shall contain the reason the individual
feels he or she is entitled to a school bus driver permit. The
permit holder's employer shall notify in writing to the
Secretary of State that the employer has certified the removal
of the offending school bus driver from service prior to the
start of that school bus driver's next workshift. An employing
school board that fails to remove the offending school bus
driver from service is subject to the penalties defined in
Section 3-14.23 of the School Code. A school bus contractor who
violates a provision of this Section is subject to the
penalties defined in Section 6-106.11.
All valid school bus driver permits issued under this
Section prior to January 1, 1995, shall remain effective until
their expiration date unless otherwise invalidated.
(h) When a school bus driver permit holder who is a service
member is called to active duty, the employer of the permit
holder shall notify the Secretary of State, within 30 days of
notification from the permit holder, that the permit holder has
been called to active duty. Upon notification pursuant to this
subsection, (i) the Secretary of State shall characterize the
permit as inactive until a permit holder renews the permit as
provided in subsection (i) of this Section, and (ii) if a
permit holder fails to comply with the requirements of this
Section while called to active duty, the Secretary of State

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shall not characterize the permit as invalid.
(i) A school bus driver permit holder who is a service
member returning from active duty must, within 90 days, renew a
permit characterized as inactive pursuant to subsection (h) of
this Section by complying with the renewal requirements of
subsection (b) of this Section.
(j) For purposes of subsections (h) and (i) of this
Section:
"Active duty" means active duty pursuant to an executive
order of the President of the United States, an act of the
Congress of the United States, or an order of the Governor.
"Service member" means a member of the Armed Services or
reserve forces of the United States or a member of the Illinois
National Guard.
(k) A private carrier employer of a school bus driver
permit holder, having satisfied the employer requirements of
this Section, shall be held to a standard of ordinary care for
intentional acts committed in the course of employment by the
bus driver permit holder. This subsection (k) shall in no way
limit the liability of the private carrier employer for
violation of any provision of this Section or for the negligent
hiring or retention of a school bus driver permit holder.
(Source: P.A. 99-148, eff. 1-1-16; 99-173, eff. 7-29-15;
99-642, eff. 7-28-16.)
(625 ILCS 5/6-106.1a)

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Sec. 6-106.1a. Cancellation of school bus driver permit;
trace of alcohol.
(a) A person who has been issued a school bus driver permit
by the Secretary of State in accordance with Section 6-106.1 of
this Code and who drives or is in actual physical control of a
school bus or any other vehicle owned or operated by or for a
public or private school, or a school operated by a religious
institution, when the vehicle is being used over a regularly
scheduled route for the transportation of persons enrolled as
students in grade 12 or below, in connection with any activity
of the entities listed, upon the public highways of this State
shall be deemed to have given consent to a chemical test or
tests of blood, breath, other bodily substance, or urine for
the purpose of determining the alcohol content of the person's
blood if arrested, as evidenced by the issuance of a Uniform
Traffic Ticket for any violation of this Code or a similar
provision of a local ordinance, if a police officer has
probable cause to believe that the driver has consumed any
amount of an alcoholic beverage based upon evidence of the
driver's physical condition or other first hand knowledge of
the police officer. The test or tests shall be administered at
the direction of the arresting officer. The law enforcement
agency employing the officer shall designate which of the
aforesaid tests shall be administered. A urine or other bodily
substance test may be administered even after a blood or breath
test or both has been administered.

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(b) A person who is dead, unconscious, or who is otherwise
in a condition rendering that person incapable of refusal,
shall be deemed not to have withdrawn the consent provided by
paragraph (a) of this Section and the test or tests may be
administered subject to the following provisions:
(1) Chemical analysis of the person's blood, urine,
breath, or other bodily substance, to be considered valid
under the provisions of this Section, shall have been
performed according to standards promulgated by the
Department of State Police by an individual possessing a
valid permit issued by the Department of State Police for
this purpose. The Director of State Police is authorized to
approve satisfactory techniques or methods, to ascertain
the qualifications and competence of individuals to
conduct analyses, to issue permits that shall be subject to
termination or revocation at the direction of the
Department of State Police, and to certify the accuracy of
breath testing equipment. The Department of State Police
shall prescribe rules as necessary.
(2) When a person submits to a blood test at the
request of a law enforcement officer under the provisions
of this Section, only a physician authorized to practice
medicine, a licensed physician assistant, a licensed
advanced practice registered nurse, a registered nurse, or
other qualified person trained in venipuncture and acting
under the direction of a licensed physician may withdraw

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blood for the purpose of determining the alcohol content.
This limitation does not apply to the taking of breath,
other bodily substance, or urine specimens.
(3) The person tested may have a physician, qualified
technician, chemist, registered nurse, or other qualified
person of his or her own choosing administer a chemical
test or tests in addition to any test or tests administered
at the direction of a law enforcement officer. The test
administered at the request of the person may be admissible
into evidence at a hearing conducted in accordance with
Section 2-118 of this Code. The failure or inability to
obtain an additional test by a person shall not preclude
the consideration of the previously performed chemical
test.
(4) Upon a request of the person who submits to a
chemical test or tests at the request of a law enforcement
officer, full information concerning the test or tests
shall be made available to the person or that person's
attorney by the requesting law enforcement agency within 72
hours of receipt of the test result.
(5) Alcohol concentration means either grams of
alcohol per 100 milliliters of blood or grams of alcohol
per 210 liters of breath.
(6) If a driver is receiving medical treatment as a
result of a motor vehicle accident, a physician licensed to
practice medicine, licensed physician assistant, licensed

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advanced practice registered nurse, registered nurse, or
other qualified person trained in venipuncture and acting
under the direction of a licensed physician shall withdraw
blood for testing purposes to ascertain the presence of
alcohol upon the specific request of a law enforcement
officer. However, that testing shall not be performed
until, in the opinion of the medical personnel on scene,
the withdrawal can be made without interfering with or
endangering the well-being of the patient.
(c) A person requested to submit to a test as provided in
this Section shall be warned by the law enforcement officer
requesting the test that a refusal to submit to the test, or
submission to the test resulting in an alcohol concentration of
more than 0.00, may result in the loss of that person's
privilege to possess a school bus driver permit. The loss of
the individual's privilege to possess a school bus driver
permit shall be imposed in accordance with Section 6-106.1b of
this Code. A person requested to submit to a test under this
Section shall also acknowledge, in writing, receipt of the
warning required under this subsection (c). If the person
refuses to acknowledge receipt of the warning, the law
enforcement officer shall make a written notation on the
warning that the person refused to sign the warning. A person's
refusal to sign the warning shall not be evidence that the
person was not read the warning.
(d) If the person refuses testing or submits to a test that

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discloses an alcohol concentration of more than 0.00, the law
enforcement officer shall immediately submit a sworn report to
the Secretary of State on a form prescribed by the Secretary of
State certifying that the test or tests were requested under
subsection (a) and the person refused to submit to a test or
tests or submitted to testing which disclosed an alcohol
concentration of more than 0.00. The law enforcement officer
shall submit the same sworn report when a person who has been
issued a school bus driver permit and who was operating a
school bus or any other vehicle owned or operated by or for a
public or private school, or a school operated by a religious
institution, when the vehicle is being used over a regularly
scheduled route for the transportation of persons enrolled as
students in grade 12 or below, in connection with any activity
of the entities listed, submits to testing under Section
11-501.1 of this Code and the testing discloses an alcohol
concentration of more than 0.00 and less than the alcohol
concentration at which driving or being in actual physical
control of a motor vehicle is prohibited under paragraph (1) of
subsection (a) of Section 11-501.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary of State shall enter the school bus
driver permit sanction on the individual's driving record and
the sanction shall be effective on the 46th day following the
date notice of the sanction was given to the person.
The law enforcement officer submitting the sworn report

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shall serve immediate notice of this school bus driver permit
sanction on the person and the sanction shall be effective on
the 46th day following the date notice was given.
In cases where the blood alcohol concentration of more than
0.00 is established by a subsequent analysis of blood, other
bodily substance, or urine, the police officer or arresting
agency shall give notice as provided in this Section or by
deposit in the United States mail of that notice in an envelope
with postage prepaid and addressed to that person at his or her
last known address and the loss of the school bus driver permit
shall be effective on the 46th day following the date notice
was given.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary of State shall also give notice of the
school bus driver permit sanction to the driver and the
driver's current employer by mailing a notice of the effective
date of the sanction to the individual. However, shall the
sworn report be defective by not containing sufficient
information or be completed in error, the notice of the school
bus driver permit sanction may not be mailed to the person or
his current employer or entered to the driving record, but
rather the sworn report shall be returned to the issuing law
enforcement agency.
(e) A driver may contest this school bus driver permit
sanction by requesting an administrative hearing with the
Secretary of State in accordance with Section 2-118 of this

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Code. An individual whose blood alcohol concentration is shown
to be more than 0.00 is not subject to this Section if he or she
consumed alcohol in the performance of a religious service or
ceremony. An individual whose blood alcohol concentration is
shown to be more than 0.00 shall not be subject to this Section
if the individual's blood alcohol concentration resulted only
from ingestion of the prescribed or recommended dosage of
medicine that contained alcohol. The petition for that hearing
shall not stay or delay the effective date of the impending
suspension. The scope of this hearing shall be limited to the
issues of:
(1) whether the police officer had probable cause to
believe that the person was driving or in actual physical
control of a school bus or any other vehicle owned or
operated by or for a public or private school, or a school
operated by a religious institution, when the vehicle is
being used over a regularly scheduled route for the
transportation of persons enrolled as students in grade 12
or below, in connection with any activity of the entities
listed, upon the public highways of the State and the
police officer had reason to believe that the person was in
violation of any provision of this Code or a similar
provision of a local ordinance; and
(2) whether the person was issued a Uniform Traffic
Ticket for any violation of this Code or a similar
provision of a local ordinance; and

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(3) whether the police officer had probable cause to
believe that the driver had consumed any amount of an
alcoholic beverage based upon the driver's physical
actions or other first-hand knowledge of the police
officer; and
(4) whether the person, after being advised by the
officer that the privilege to possess a school bus driver
permit would be canceled if the person refused to submit to
and complete the test or tests, did refuse to submit to or
complete the test or tests to determine the person's
alcohol concentration; and
(5) whether the person, after being advised by the
officer that the privileges to possess a school bus driver
permit would be canceled if the person submits to a
chemical test or tests and the test or tests disclose an
alcohol concentration of more than 0.00 and the person did
submit to and complete the test or tests that determined an
alcohol concentration of more than 0.00; and
(6) whether the test result of an alcohol concentration
of more than 0.00 was based upon the person's consumption
of alcohol in the performance of a religious service or
ceremony; and
(7) whether the test result of an alcohol concentration
of more than 0.00 was based upon the person's consumption
of alcohol through ingestion of the prescribed or
recommended dosage of medicine.

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The Secretary of State may adopt administrative rules
setting forth circumstances under which the holder of a school
bus driver permit is not required to appear in person at the
hearing.
Provided that the petitioner may subpoena the officer, the
hearing may be conducted upon a review of the law enforcement
officer's own official reports. Failure of the officer to
answer the subpoena shall be grounds for a continuance if, in
the hearing officer's discretion, the continuance is
appropriate. At the conclusion of the hearing held under
Section 2-118 of this Code, the Secretary of State may rescind,
continue, or modify the school bus driver permit sanction.
(f) The results of any chemical testing performed in
accordance with subsection (a) of this Section are not
admissible in any civil or criminal proceeding, except that the
results of the testing may be considered at a hearing held
under Section 2-118 of this Code. However, the results of the
testing may not be used to impose driver's license sanctions
under Section 11-501.1 of this Code. A law enforcement officer
may, however, pursue a statutory summary suspension or
revocation of driving privileges under Section 11-501.1 of this
Code if other physical evidence or first hand knowledge forms
the basis of that suspension or revocation.
(g) This Section applies only to drivers who have been
issued a school bus driver permit in accordance with Section
6-106.1 of this Code at the time of the issuance of the Uniform

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Traffic Ticket for a violation of this Code or a similar
provision of a local ordinance, and a chemical test request is
made under this Section.
(h) The action of the Secretary of State in suspending,
revoking, canceling, or denying any license, permit,
registration, or certificate of title shall be subject to
judicial review in the Circuit Court of Sangamon County or in
the Circuit Court of Cook County, and the provisions of the
Administrative Review Law and its rules are hereby adopted and
shall apply to and govern every action for the judicial review
of final acts or decisions of the Secretary of State under this
Section.
(Source: P.A. 99-467, eff. 1-1-16; 99-697, eff. 7-29-16.)
(625 ILCS 5/6-901) (from Ch. 95 1/2, par. 6-901)
Sec. 6-901. Definitions. For the purposes of this Article:
"Board" means the Driver's License Medical Advisory Board.
"Medical examiner" or "medical practitioner" means:
(i) any person licensed to practice medicine in all its
branches in the State of Illinois or any other state;
(ii) a licensed physician assistant; or
(iii) a licensed advanced practice registered nurse.
(Source: P.A. 99-173, eff. 7-29-15.)
(625 ILCS 5/11-501.01)
Sec. 11-501.01. Additional administrative sanctions.

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(a) After a finding of guilt and prior to any final
sentencing or an order for supervision, for an offense based
upon an arrest for a violation of Section 11-501 or a similar
provision of a local ordinance, individuals shall be required
to undergo a professional evaluation to determine if an
alcohol, drug, or intoxicating compound abuse problem exists
and the extent of the problem, and undergo the imposition of
treatment as appropriate. Programs conducting these
evaluations shall be licensed by the Department of Human
Services. The cost of any professional evaluation shall be paid
for by the individual required to undergo the professional
evaluation.
(b) Any person who is found guilty of or pleads guilty to
violating Section 11-501, including any person receiving a
disposition of court supervision for violating that Section,
may be required by the Court to attend a victim impact panel
offered by, or under contract with, a county State's Attorney's
office, a probation and court services department, Mothers
Against Drunk Driving, or the Alliance Against Intoxicated
Motorists. All costs generated by the victim impact panel shall
be paid from fees collected from the offender or as may be
determined by the court.
(c) Every person found guilty of violating Section 11-501,
whose operation of a motor vehicle while in violation of that
Section proximately caused any incident resulting in an
appropriate emergency response, shall be liable for the expense

10000HB0313ham002 - 603 - LRB100 04130 SMS 22956 a
of an emergency response as provided in subsection (i) of this
Section.
(d) The Secretary of State shall revoke the driving
privileges of any person convicted under Section 11-501 or a
similar provision of a local ordinance.
(e) The Secretary of State shall require the use of
ignition interlock devices for a period not less than 5 years
on all vehicles owned by a person who has been convicted of a
second or subsequent offense of Section 11-501 or a similar
provision of a local ordinance. The person must pay to the
Secretary of State DUI Administration Fund an amount not to
exceed $30 for each month that he or she uses the device. The
Secretary shall establish by rule and regulation the procedures
for certification and use of the interlock system, the amount
of the fee, and the procedures, terms, and conditions relating
to these fees. During the time period in which a person is
required to install an ignition interlock device under this
subsection (e), that person shall only operate vehicles in
which ignition interlock devices have been installed, except as
allowed by subdivision (c)(5) or (d)(5) of Section 6-205 of
this Code.
(f) In addition to any other penalties and liabilities, a
person who is found guilty of or pleads guilty to violating
Section 11-501, including any person placed on court
supervision for violating Section 11-501, shall be assessed
$750, payable to the circuit clerk, who shall distribute the

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money as follows: $350 to the law enforcement agency that made
the arrest, and $400 shall be forwarded to the State Treasurer
for deposit into the General Revenue Fund. If the person has
been previously convicted of violating Section 11-501 or a
similar provision of a local ordinance, the fine shall be
$1,000, and the circuit clerk shall distribute $200 to the law
enforcement agency that made the arrest and $800 to the State
Treasurer for deposit into the General Revenue Fund. In the
event that more than one agency is responsible for the arrest,
the amount payable to law enforcement agencies shall be shared
equally. Any moneys received by a law enforcement agency under
this subsection (f) shall be used for enforcement and
prevention of driving while under the influence of alcohol,
other drug or drugs, intoxicating compound or compounds or any
combination thereof, as defined by Section 11-501 of this Code,
including but not limited to the purchase of law enforcement
equipment and commodities that will assist in the prevention of
alcohol related criminal violence throughout the State; police
officer training and education in areas related to alcohol
related crime, including but not limited to DUI training; and
police officer salaries, including but not limited to salaries
for hire back funding for safety checkpoints, saturation
patrols, and liquor store sting operations. Any moneys received
by the Department of State Police under this subsection (f)
shall be deposited into the State Police DUI Fund and shall be
used to purchase law enforcement equipment that will assist in

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the prevention of alcohol related criminal violence throughout
the State.
(g) The Secretary of State Police DUI Fund is created as a
special fund in the State treasury. All moneys received by the
Secretary of State Police under subsection (f) of this Section
shall be deposited into the Secretary of State Police DUI Fund
and, subject to appropriation, shall be used for enforcement
and prevention of driving while under the influence of alcohol,
other drug or drugs, intoxicating compound or compounds or any
combination thereof, as defined by Section 11-501 of this Code,
including but not limited to the purchase of law enforcement
equipment and commodities to assist in the prevention of
alcohol related criminal violence throughout the State; police
officer training and education in areas related to alcohol
related crime, including but not limited to DUI training; and
police officer salaries, including but not limited to salaries
for hire back funding for safety checkpoints, saturation
patrols, and liquor store sting operations.
(h) Whenever an individual is sentenced for an offense
based upon an arrest for a violation of Section 11-501 or a
similar provision of a local ordinance, and the professional
evaluation recommends remedial or rehabilitative treatment or
education, neither the treatment nor the education shall be the
sole disposition and either or both may be imposed only in
conjunction with another disposition. The court shall monitor
compliance with any remedial education or treatment

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recommendations contained in the professional evaluation.
Programs conducting alcohol or other drug evaluation or
remedial education must be licensed by the Department of Human
Services. If the individual is not a resident of Illinois,
however, the court may accept an alcohol or other drug
evaluation or remedial education program in the individual's
state of residence. Programs providing treatment must be
licensed under existing applicable alcoholism and drug
treatment licensure standards.
(i) In addition to any other fine or penalty required by
law, an individual convicted of a violation of Section 11-501,
Section 5-7 of the Snowmobile Registration and Safety Act,
Section 5-16 of the Boat Registration and Safety Act, or a
similar provision, whose operation of a motor vehicle,
snowmobile, or watercraft while in violation of Section 11-501,
Section 5-7 of the Snowmobile Registration and Safety Act,
Section 5-16 of the Boat Registration and Safety Act, or a
similar provision proximately caused an incident resulting in
an appropriate emergency response, shall be required to make
restitution to a public agency for the costs of that emergency
response. The restitution may not exceed $1,000 per public
agency for each emergency response. As used in this subsection
(i), "emergency response" means any incident requiring a
response by a police officer, a firefighter carried on the
rolls of a regularly constituted fire department, or an
ambulance. With respect to funds designated for the Department

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of State Police, the moneys shall be remitted by the circuit
court clerk to the State Police within one month after receipt
for deposit into the State Police DUI Fund. With respect to
funds designated for the Department of Natural Resources, the
Department of Natural Resources shall deposit the moneys into
the Conservation Police Operations Assistance Fund.
(j) A person that is subject to a chemical test or tests of
blood under subsection (a) of Section 11-501.1 or subdivision
(c)(2) of Section 11-501.2 of this Code, whether or not that
person consents to testing, shall be liable for the expense up
to $500 for blood withdrawal by a physician authorized to
practice medicine, a licensed physician assistant, a licensed
advanced practice registered nurse, a registered nurse, a
trained phlebotomist, a licensed paramedic, or a qualified
person other than a police officer approved by the Department
of State Police to withdraw blood, who responds, whether at a
law enforcement facility or a health care facility, to a police
department request for the drawing of blood based upon refusal
of the person to submit to a lawfully requested breath test or
probable cause exists to believe the test would disclose the
ingestion, consumption, or use of drugs or intoxicating
compounds if:
(1) the person is found guilty of violating Section
11-501 of this Code or a similar provision of a local
ordinance; or
(2) the person pleads guilty to or stipulates to facts

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supporting a violation of Section 11-503 of this Code or a
similar provision of a local ordinance when the plea or
stipulation was the result of a plea agreement in which the
person was originally charged with violating Section
11-501 of this Code or a similar local ordinance.
(Source: P.A. 98-292, eff. 1-1-14; 98-463, eff. 8-16-13;
98-973, eff. 8-15-14; 99-289, eff. 8-6-15; 99-296, eff. 1-1-16;
99-642, eff. 7-28-16.)
(625 ILCS 5/11-501.2) (from Ch. 95 1/2, par. 11-501.2)
Sec. 11-501.2. Chemical and other tests.
(a) Upon the trial of any civil or criminal action or
proceeding arising out of an arrest for an offense as defined
in Section 11-501 or a similar local ordinance or proceedings
pursuant to Section 2-118.1, evidence of the concentration of
alcohol, other drug or drugs, or intoxicating compound or
compounds, or any combination thereof in a person's blood or
breath at the time alleged, as determined by analysis of the
person's blood, urine, breath, or other bodily substance, shall
be admissible. Where such test is made the following provisions
shall apply:
1. Chemical analyses of the person's blood, urine,
breath, or other bodily substance to be considered valid
under the provisions of this Section shall have been
performed according to standards promulgated by the
Department of State Police by a licensed physician,

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registered nurse, trained phlebotomist, licensed
paramedic, or other individual possessing a valid permit
issued by that Department for this purpose. The Director of
State Police is authorized to approve satisfactory
techniques or methods, to ascertain the qualifications and
competence of individuals to conduct such analyses, to
issue permits which shall be subject to termination or
revocation at the discretion of that Department and to
certify the accuracy of breath testing equipment. The
Department of State Police shall prescribe regulations as
necessary to implement this Section.
2. When a person in this State shall submit to a blood
test at the request of a law enforcement officer under the
provisions of Section 11-501.1, only a physician
authorized to practice medicine, a licensed physician
assistant, a licensed advanced practice registered nurse,
a registered nurse, trained phlebotomist, or licensed
paramedic, or other qualified person approved by the
Department of State Police may withdraw blood for the
purpose of determining the alcohol, drug, or alcohol and
drug content therein. This limitation shall not apply to
the taking of breath, other bodily substance, or urine
specimens.
When a blood test of a person who has been taken to an
adjoining state for medical treatment is requested by an
Illinois law enforcement officer, the blood may be

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withdrawn only by a physician authorized to practice
medicine in the adjoining state, a licensed physician
assistant, a licensed advanced practice registered nurse,
a registered nurse, a trained phlebotomist acting under the
direction of the physician, or licensed paramedic. The law
enforcement officer requesting the test shall take custody
of the blood sample, and the blood sample shall be analyzed
by a laboratory certified by the Department of State Police
for that purpose.
3. The person tested may have a physician, or a
qualified technician, chemist, registered nurse, or other
qualified person of their own choosing administer a
chemical test or tests in addition to any administered at
the direction of a law enforcement officer. The failure or
inability to obtain an additional test by a person shall
not preclude the admission of evidence relating to the test
or tests taken at the direction of a law enforcement
officer.
4. Upon the request of the person who shall submit to a
chemical test or tests at the request of a law enforcement
officer, full information concerning the test or tests
shall be made available to the person or such person's
attorney.
5. Alcohol concentration shall mean either grams of
alcohol per 100 milliliters of blood or grams of alcohol
per 210 liters of breath.

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6. Tetrahydrocannabinol concentration means either 5
nanograms or more of delta-9-tetrahydrocannabinol per
milliliter of whole blood or 10 nanograms or more of
delta-9-tetrahydrocannabinol per milliliter of other
bodily substance.
(a-5) Law enforcement officials may use standardized field
sobriety tests approved by the National Highway Traffic Safety
Administration when conducting investigations of a violation
of Section 11-501 or similar local ordinance by drivers
suspected of driving under the influence of cannabis. The
General Assembly finds that standardized field sobriety tests
approved by the National Highway Traffic Safety Administration
are divided attention tasks that are intended to determine if a
person is under the influence of cannabis. The purpose of these
tests is to determine the effect of the use of cannabis on a
person's capacity to think and act with ordinary care and
therefore operate a motor vehicle safely. Therefore, the
results of these standardized field sobriety tests,
appropriately administered, shall be admissible in the trial of
any civil or criminal action or proceeding arising out of an
arrest for a cannabis-related offense as defined in Section
11-501 or a similar local ordinance or proceedings under
Section 2-118.1 or 2-118.2. Where a test is made the following
provisions shall apply:
1. The person tested may have a physician, or a
qualified technician, chemist, registered nurse, or other

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qualified person of their own choosing administer a
chemical test or tests in addition to the standardized
field sobriety test or tests administered at the direction
of a law enforcement officer. The failure or inability to
obtain an additional test by a person does not preclude the
admission of evidence relating to the test or tests taken
at the direction of a law enforcement officer.
2. Upon the request of the person who shall submit to a
standardized field sobriety test or tests at the request of
a law enforcement officer, full information concerning the
test or tests shall be made available to the person or the
person's attorney.
3. At the trial of any civil or criminal action or
proceeding arising out of an arrest for an offense as
defined in Section 11-501 or a similar local ordinance or
proceedings under Section 2-118.1 or 2-118.2 in which the
results of these standardized field sobriety tests are
admitted, the cardholder may present and the trier of fact
may consider evidence that the card holder lacked the
physical capacity to perform the standardized field
sobriety tests.
(b) Upon the trial of any civil or criminal action or
proceeding arising out of acts alleged to have been committed
by any person while driving or in actual physical control of a
vehicle while under the influence of alcohol, the concentration
of alcohol in the person's blood or breath at the time alleged

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as shown by analysis of the person's blood, urine, breath, or
other bodily substance shall give rise to the following
presumptions:
1. If there was at that time an alcohol concentration
of 0.05 or less, it shall be presumed that the person was
not under the influence of alcohol.
2. If there was at that time an alcohol concentration
in excess of 0.05 but less than 0.08, such facts shall not
give rise to any presumption that the person was or was not
under the influence of alcohol, but such fact may be
considered with other competent evidence in determining
whether the person was under the influence of alcohol.
3. If there was at that time an alcohol concentration
of 0.08 or more, it shall be presumed that the person was
under the influence of alcohol.
4. The foregoing provisions of this Section shall not
be construed as limiting the introduction of any other
relevant evidence bearing upon the question whether the
person was under the influence of alcohol.
(b-5) Upon the trial of any civil or criminal action or
proceeding arising out of acts alleged to have been committed
by any person while driving or in actual physical control of a
vehicle while under the influence of alcohol, other drug or
drugs, intoxicating compound or compounds or any combination
thereof, the concentration of cannabis in the person's whole
blood or other bodily substance at the time alleged as shown by

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analysis of the person's blood or other bodily substance shall
give rise to the following presumptions:
1. If there was a tetrahydrocannabinol concentration
of 5 nanograms or more in whole blood or 10 nanograms or
more in an other bodily substance as defined in this
Section, it shall be presumed that the person was under the
influence of cannabis.
2. If there was at that time a tetrahydrocannabinol
concentration of less than 5 nanograms in whole blood or
less than 10 nanograms in an other bodily substance, such
facts shall not give rise to any presumption that the
person was or was not under the influence of cannabis, but
such fact may be considered with other competent evidence
in determining whether the person was under the influence
of cannabis.
(c) 1. If a person under arrest refuses to submit to a
chemical test under the provisions of Section 11-501.1,
evidence of refusal shall be admissible in any civil or
criminal action or proceeding arising out of acts alleged to
have been committed while the person under the influence of
alcohol, other drug or drugs, or intoxicating compound or
compounds, or any combination thereof was driving or in actual
physical control of a motor vehicle.
2. Notwithstanding any ability to refuse under this Code to
submit to these tests or any ability to revoke the implied
consent to these tests, if a law enforcement officer has

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probable cause to believe that a motor vehicle driven by or in
actual physical control of a person under the influence of
alcohol, other drug or drugs, or intoxicating compound or
compounds, or any combination thereof has caused the death or
personal injury to another, the law enforcement officer shall
request, and that person shall submit, upon the request of a
law enforcement officer, to a chemical test or tests of his or
her blood, breath, other bodily substance, or urine for the
purpose of determining the alcohol content thereof or the
presence of any other drug or combination of both.
This provision does not affect the applicability of or
imposition of driver's license sanctions under Section
11-501.1 of this Code.
3. For purposes of this Section, a personal injury includes
any Type A injury as indicated on the traffic accident report
completed by a law enforcement officer that requires immediate
professional attention in either a doctor's office or a medical
facility. A Type A injury includes severe bleeding wounds,
distorted extremities, and injuries that require the injured
party to be carried from the scene.
(d) If a person refuses standardized field sobriety tests
under Section 11-501.9 of this Code, evidence of refusal shall
be admissible in any civil or criminal action or proceeding
arising out of acts committed while the person was driving or
in actual physical control of a vehicle and alleged to have
been impaired by the use of cannabis.

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(e) Department of State Police compliance with the changes
in this amendatory Act of the 99th General Assembly concerning
testing of other bodily substances and tetrahydrocannabinol
concentration by Department of State Police laboratories is
subject to appropriation and until the Department of State
Police adopt standards and completion validation. Any
laboratories that test for the presence of cannabis or other
drugs under this Article, the Snowmobile Registration and
Safety Act, or the Boat Registration and Safety Act must comply
with ISO/IEC 17025:2005.
(Source: P.A. 98-122, eff. 1-1-14; 98-973, eff. 8-15-14;
98-1172, eff. 1-12-15; 99-697, eff. 7-29-16.)
(625 ILCS 5/11-501.6) (from Ch. 95 1/2, par. 11-501.6)
Sec. 11-501.6. Driver involvement in personal injury or
fatal motor vehicle accident; chemical test.
(a) Any person who drives or is in actual control of a
motor vehicle upon the public highways of this State and who
has been involved in a personal injury or fatal motor vehicle
accident, shall be deemed to have given consent to a breath
test using a portable device as approved by the Department of
State Police or to a chemical test or tests of blood, breath,
other bodily substance, or urine for the purpose of determining
the content of alcohol, other drug or drugs, or intoxicating
compound or compounds of such person's blood if arrested as
evidenced by the issuance of a Uniform Traffic Ticket for any

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violation of the Illinois Vehicle Code or a similar provision
of a local ordinance, with the exception of equipment
violations contained in Chapter 12 of this Code, or similar
provisions of local ordinances. The test or tests shall be
administered at the direction of the arresting officer. The law
enforcement agency employing the officer shall designate which
of the aforesaid tests shall be administered. Up to 2
additional tests of urine or other bodily substance may be
administered even after a blood or breath test or both has been
administered. Compliance with this Section does not relieve
such person from the requirements of Section 11-501.1 of this
Code.
(b) Any person who is dead, unconscious or who is otherwise
in a condition rendering such person incapable of refusal shall
be deemed not to have withdrawn the consent provided by
subsection (a) of this Section. In addition, if a driver of a
vehicle is receiving medical treatment as a result of a motor
vehicle accident, any physician licensed to practice medicine,
licensed physician assistant, licensed advanced practice
registered nurse, registered nurse or a phlebotomist acting
under the direction of a licensed physician shall withdraw
blood for testing purposes to ascertain the presence of
alcohol, other drug or drugs, or intoxicating compound or
compounds, upon the specific request of a law enforcement
officer. However, no such testing shall be performed until, in
the opinion of the medical personnel on scene, the withdrawal

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can be made without interfering with or endangering the
well-being of the patient.
(c) A person requested to submit to a test as provided
above shall be warned by the law enforcement officer requesting
the test that a refusal to submit to the test, or submission to
the test resulting in an alcohol concentration of 0.08 or more,
or testing discloses the presence of cannabis as listed in the
Cannabis Control Act with a tetrahydrocannabinol concentration
as defined in paragraph 6 of subsection (a) of Section 11-501.2
of this Code, or any amount of a drug, substance, or
intoxicating compound resulting from the unlawful use or
consumption of a controlled substance listed in the Illinois
Controlled Substances Act, an intoxicating compound listed in
the Use of Intoxicating Compounds Act, or methamphetamine as
listed in the Methamphetamine Control and Community Protection
Act as detected in such person's blood, other bodily substance,
or urine, may result in the suspension of such person's
privilege to operate a motor vehicle. If the person is also a
CDL holder, he or she shall be warned by the law enforcement
officer requesting the test that a refusal to submit to the
test, or submission to the test resulting in an alcohol
concentration of 0.08 or more, or any amount of a drug,
substance, or intoxicating compound resulting from the
unlawful use or consumption of cannabis, as covered by the
Cannabis Control Act, a controlled substance listed in the
Illinois Controlled Substances Act, an intoxicating compound

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listed in the Use of Intoxicating Compounds Act, or
methamphetamine as listed in the Methamphetamine Control and
Community Protection Act as detected in the person's blood,
other bodily substance, or urine, may result in the
disqualification of the person's privilege to operate a
commercial motor vehicle, as provided in Section 6-514 of this
Code. The length of the suspension shall be the same as
outlined in Section 6-208.1 of this Code regarding statutory
summary suspensions.
A person requested to submit to a test shall also
acknowledge, in writing, receipt of the warning required under
this Section. If the person refuses to acknowledge receipt of
the warning, the law enforcement officer shall make a written
notation on the warning that the person refused to sign the
warning. A person's refusal to sign the warning shall not be
evidence that the person was not read the warning.
(d) If the person refuses testing or submits to a test
which discloses an alcohol concentration of 0.08 or more, the
presence of cannabis as listed in the Cannabis Control Act with
a tetrahydrocannabinol concentration as defined in paragraph 6
of subsection (a) of Section 11-501.2 of this Code, or any
amount of a drug, substance, or intoxicating compound in such
person's blood or urine resulting from the unlawful use or
consumption of a controlled substance listed in the Illinois
Controlled Substances Act, an intoxicating compound listed in
the Use of Intoxicating Compounds Act, or methamphetamine as

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listed in the Methamphetamine Control and Community Protection
Act, the law enforcement officer shall immediately submit a
sworn report to the Secretary of State on a form prescribed by
the Secretary, certifying that the test or tests were requested
under subsection (a) and the person refused to submit to a test
or tests or submitted to testing which disclosed an alcohol
concentration of 0.08 or more, the presence of cannabis as
listed in the Cannabis Control Act with a tetrahydrocannabinol
concentration as defined in paragraph 6 of subsection (a) of
Section 11-501.2 of this Code, or any amount of a drug,
substance, or intoxicating compound in such person's blood,
other bodily substance, or urine, resulting from the unlawful
use or consumption of a controlled substance listed in the
Illinois Controlled Substances Act, an intoxicating compound
listed in the Use of Intoxicating Compounds Act, or
methamphetamine as listed in the Methamphetamine Control and
Community Protection Act. If the person is also a CDL holder
and refuses testing or submits to a test which discloses an
alcohol concentration of 0.08 or more, or any amount of a drug,
substance, or intoxicating compound in the person's blood,
other bodily substance, or urine resulting from the unlawful
use or consumption of cannabis listed in the Cannabis Control
Act, a controlled substance listed in the Illinois Controlled
Substances Act, an intoxicating compound listed in the Use of
Intoxicating Compounds Act, or methamphetamine as listed in the
Methamphetamine Control and Community Protection Act, the law

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enforcement officer shall immediately submit a sworn report to
the Secretary of State on a form prescribed by the Secretary,
certifying that the test or tests were requested under
subsection (a) and the person refused to submit to a test or
tests or submitted to testing which disclosed an alcohol
concentration of 0.08 or more, or any amount of a drug,
substance, or intoxicating compound in such person's blood,
other bodily substance, or urine, resulting from the unlawful
use or consumption of cannabis listed in the Cannabis Control
Act, a controlled substance listed in the Illinois Controlled
Substances Act, an intoxicating compound listed in the Use of
Intoxicating Compounds Act, or methamphetamine as listed in the
Methamphetamine Control and Community Protection Act.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary shall enter the suspension and
disqualification to the individual's driving record and the
suspension and disqualification shall be effective on the 46th
day following the date notice of the suspension was given to
the person.
The law enforcement officer submitting the sworn report
shall serve immediate notice of this suspension on the person
and such suspension and disqualification shall be effective on
the 46th day following the date notice was given.
In cases involving a person who is not a CDL holder where
the blood alcohol concentration of 0.08 or more, or blood
testing discloses the presence of cannabis as listed in the

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Cannabis Control Act with a tetrahydrocannabinol concentration
as defined in paragraph 6 of subsection (a) of Section 11-501.2
of this Code, or any amount of a drug, substance, or
intoxicating compound resulting from the unlawful use or
consumption of a controlled substance listed in the Illinois
Controlled Substances Act, an intoxicating compound listed in
the Use of Intoxicating Compounds Act, or methamphetamine as
listed in the Methamphetamine Control and Community Protection
Act, is established by a subsequent analysis of blood, other
bodily substance, or urine collected at the time of arrest, the
arresting officer shall give notice as provided in this Section
or by deposit in the United States mail of such notice in an
envelope with postage prepaid and addressed to such person at
his or her address as shown on the Uniform Traffic Ticket and
the suspension shall be effective on the 46th day following the
date notice was given.
In cases involving a person who is a CDL holder where the
blood alcohol concentration of 0.08 or more, or any amount of a
drug, substance, or intoxicating compound resulting from the
unlawful use or consumption of cannabis as listed in the
Cannabis Control Act, a controlled substance listed in the
Illinois Controlled Substances Act, an intoxicating compound
listed in the Use of Intoxicating Compounds Act, or
methamphetamine as listed in the Methamphetamine Control and
Community Protection Act, is established by a subsequent
analysis of blood, other bodily substance, or urine collected

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at the time of arrest, the arresting officer shall give notice
as provided in this Section or by deposit in the United States
mail of such notice in an envelope with postage prepaid and
addressed to the person at his or her address as shown on the
Uniform Traffic Ticket and the suspension and disqualification
shall be effective on the 46th day following the date notice
was given.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary shall also give notice of the suspension
and disqualification to the driver by mailing a notice of the
effective date of the suspension and disqualification to the
individual. However, should the sworn report be defective by
not containing sufficient information or be completed in error,
the notice of the suspension and disqualification shall not be
mailed to the person or entered to the driving record, but
rather the sworn report shall be returned to the issuing law
enforcement agency.
(e) A driver may contest this suspension of his or her
driving privileges and disqualification of his or her CDL
privileges by requesting an administrative hearing with the
Secretary in accordance with Section 2-118 of this Code. At the
conclusion of a hearing held under Section 2-118 of this Code,
the Secretary may rescind, continue, or modify the orders of
suspension and disqualification. If the Secretary does not
rescind the orders of suspension and disqualification, a
restricted driving permit may be granted by the Secretary upon

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application being made and good cause shown. A restricted
driving permit may be granted to relieve undue hardship to
allow driving for employment, educational, and medical
purposes as outlined in Section 6-206 of this Code. The
provisions of Section 6-206 of this Code shall apply. In
accordance with 49 C.F.R. 384, the Secretary of State may not
issue a restricted driving permit for the operation of a
commercial motor vehicle to a person holding a CDL whose
driving privileges have been suspended, revoked, cancelled, or
disqualified.
(f) (Blank).
(g) For the purposes of this Section, a personal injury
shall include any type A injury as indicated on the traffic
accident report completed by a law enforcement officer that
requires immediate professional attention in either a doctor's
office or a medical facility. A type A injury shall include
severely bleeding wounds, distorted extremities, and injuries
that require the injured party to be carried from the scene.
(Source: P.A. 99-467, eff. 1-1-16; 99-697, eff. 7-29-16.)
(625 ILCS 5/11-501.8)
Sec. 11-501.8. Suspension of driver's license; persons
under age 21.
(a) A person who is less than 21 years of age and who
drives or is in actual physical control of a motor vehicle upon
the public highways of this State shall be deemed to have given

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consent to a chemical test or tests of blood, breath, other
bodily substance, or urine for the purpose of determining the
alcohol content of the person's blood if arrested, as evidenced
by the issuance of a Uniform Traffic Ticket for any violation
of the Illinois Vehicle Code or a similar provision of a local
ordinance, if a police officer has probable cause to believe
that the driver has consumed any amount of an alcoholic
beverage based upon evidence of the driver's physical condition
or other first hand knowledge of the police officer. The test
or tests shall be administered at the direction of the
arresting officer. The law enforcement agency employing the
officer shall designate which of the aforesaid tests shall be
administered. Up to 2 additional tests of urine or other bodily
substance may be administered even after a blood or breath test
or both has been administered.
(b) A person who is dead, unconscious, or who is otherwise
in a condition rendering that person incapable of refusal,
shall be deemed not to have withdrawn the consent provided by
paragraph (a) of this Section and the test or tests may be
administered subject to the following provisions:
(i) Chemical analysis of the person's blood, urine,
breath, or other bodily substance, to be considered valid
under the provisions of this Section, shall have been
performed according to standards promulgated by the
Department of State Police by an individual possessing a
valid permit issued by that Department for this purpose.

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The Director of State Police is authorized to approve
satisfactory techniques or methods, to ascertain the
qualifications and competence of individuals to conduct
analyses, to issue permits that shall be subject to
termination or revocation at the direction of that
Department, and to certify the accuracy of breath testing
equipment. The Department of State Police shall prescribe
regulations as necessary.
(ii) When a person submits to a blood test at the
request of a law enforcement officer under the provisions
of this Section, only a physician authorized to practice
medicine, a licensed physician assistant, a licensed
advanced practice registered nurse, a registered nurse, or
other qualified person trained in venipuncture and acting
under the direction of a licensed physician may withdraw
blood for the purpose of determining the alcohol content
therein. This limitation does not apply to the taking of
breath, other bodily substance, or urine specimens.
(iii) The person tested may have a physician, qualified
technician, chemist, registered nurse, or other qualified
person of his or her own choosing administer a chemical
test or tests in addition to any test or tests administered
at the direction of a law enforcement officer. The failure
or inability to obtain an additional test by a person shall
not preclude the consideration of the previously performed
chemical test.

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(iv) Upon a request of the person who submits to a
chemical test or tests at the request of a law enforcement
officer, full information concerning the test or tests
shall be made available to the person or that person's
attorney.
(v) Alcohol concentration means either grams of
alcohol per 100 milliliters of blood or grams of alcohol
per 210 liters of breath.
(vi) If a driver is receiving medical treatment as a
result of a motor vehicle accident, a physician licensed to
practice medicine, licensed physician assistant, licensed
advanced practice registered nurse, registered nurse, or
other qualified person trained in venipuncture and acting
under the direction of a licensed physician shall withdraw
blood for testing purposes to ascertain the presence of
alcohol upon the specific request of a law enforcement
officer. However, that testing shall not be performed
until, in the opinion of the medical personnel on scene,
the withdrawal can be made without interfering with or
endangering the well-being of the patient.
(c) A person requested to submit to a test as provided
above shall be warned by the law enforcement officer requesting
the test that a refusal to submit to the test, or submission to
the test resulting in an alcohol concentration of more than
0.00, may result in the loss of that person's privilege to
operate a motor vehicle and may result in the disqualification

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of the person's privilege to operate a commercial motor
vehicle, as provided in Section 6-514 of this Code, if the
person is a CDL holder. The loss of driving privileges shall be
imposed in accordance with Section 6-208.2 of this Code.
A person requested to submit to a test shall also
acknowledge, in writing, receipt of the warning required under
this Section. If the person refuses to acknowledge receipt of
the warning, the law enforcement officer shall make a written
notation on the warning that the person refused to sign the
warning. A person's refusal to sign the warning shall not be
evidence that the person was not read the warning.
(d) If the person refuses testing or submits to a test that
discloses an alcohol concentration of more than 0.00, the law
enforcement officer shall immediately submit a sworn report to
the Secretary of State on a form prescribed by the Secretary of
State, certifying that the test or tests were requested under
subsection (a) and the person refused to submit to a test or
tests or submitted to testing which disclosed an alcohol
concentration of more than 0.00. The law enforcement officer
shall submit the same sworn report when a person under the age
of 21 submits to testing under Section 11-501.1 of this Code
and the testing discloses an alcohol concentration of more than
0.00 and less than 0.08.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary of State shall enter the suspension and
disqualification on the individual's driving record and the

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suspension and disqualification shall be effective on the 46th
day following the date notice of the suspension was given to
the person. If this suspension is the individual's first
driver's license suspension under this Section, reports
received by the Secretary of State under this Section shall,
except during the time the suspension is in effect, be
privileged information and for use only by the courts, police
officers, prosecuting authorities, the Secretary of State, or
the individual personally, unless the person is a CDL holder,
is operating a commercial motor vehicle or vehicle required to
be placarded for hazardous materials, in which case the
suspension shall not be privileged. Reports received by the
Secretary of State under this Section shall also be made
available to the parent or guardian of a person under the age
of 18 years that holds an instruction permit or a graduated
driver's license, regardless of whether the suspension is in
effect.
The law enforcement officer submitting the sworn report
shall serve immediate notice of this suspension on the person
and the suspension and disqualification shall be effective on
the 46th day following the date notice was given.
In cases where the blood alcohol concentration of more than
0.00 is established by a subsequent analysis of blood, other
bodily substance, or urine, the police officer or arresting
agency shall give notice as provided in this Section or by
deposit in the United States mail of that notice in an envelope

10000HB0313ham002 - 630 - LRB100 04130 SMS 22956 a
with postage prepaid and addressed to that person at his last
known address and the loss of driving privileges shall be
effective on the 46th day following the date notice was given.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary of State shall also give notice of the
suspension and disqualification to the driver by mailing a
notice of the effective date of the suspension and
disqualification to the individual. However, should the sworn
report be defective by not containing sufficient information or
be completed in error, the notice of the suspension and
disqualification shall not be mailed to the person or entered
to the driving record, but rather the sworn report shall be
returned to the issuing law enforcement agency.
(e) A driver may contest this suspension and
disqualification by requesting an administrative hearing with
the Secretary of State in accordance with Section 2-118 of this
Code. An individual whose blood alcohol concentration is shown
to be more than 0.00 is not subject to this Section if he or she
consumed alcohol in the performance of a religious service or
ceremony. An individual whose blood alcohol concentration is
shown to be more than 0.00 shall not be subject to this Section
if the individual's blood alcohol concentration resulted only
from ingestion of the prescribed or recommended dosage of
medicine that contained alcohol. The petition for that hearing
shall not stay or delay the effective date of the impending
suspension. The scope of this hearing shall be limited to the

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issues of:
(1) whether the police officer had probable cause to
believe that the person was driving or in actual physical
control of a motor vehicle upon the public highways of the
State and the police officer had reason to believe that the
person was in violation of any provision of the Illinois
Vehicle Code or a similar provision of a local ordinance;
and
(2) whether the person was issued a Uniform Traffic
Ticket for any violation of the Illinois Vehicle Code or a
similar provision of a local ordinance; and
(3) whether the police officer had probable cause to
believe that the driver had consumed any amount of an
alcoholic beverage based upon the driver's physical
actions or other first-hand knowledge of the police
officer; and
(4) whether the person, after being advised by the
officer that the privilege to operate a motor vehicle would
be suspended if the person refused to submit to and
complete the test or tests, did refuse to submit to or
complete the test or tests to determine the person's
alcohol concentration; and
(5) whether the person, after being advised by the
officer that the privileges to operate a motor vehicle
would be suspended if the person submits to a chemical test
or tests and the test or tests disclose an alcohol

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concentration of more than 0.00, did submit to and complete
the test or tests that determined an alcohol concentration
of more than 0.00; and
(6) whether the test result of an alcohol concentration
of more than 0.00 was based upon the person's consumption
of alcohol in the performance of a religious service or
ceremony; and
(7) whether the test result of an alcohol concentration
of more than 0.00 was based upon the person's consumption
of alcohol through ingestion of the prescribed or
recommended dosage of medicine.
At the conclusion of the hearing held under Section 2-118
of this Code, the Secretary of State may rescind, continue, or
modify the suspension and disqualification. If the Secretary of
State does not rescind the suspension and disqualification, a
restricted driving permit may be granted by the Secretary of
State upon application being made and good cause shown. A
restricted driving permit may be granted to relieve undue
hardship by allowing driving for employment, educational, and
medical purposes as outlined in item (3) of part (c) of Section
6-206 of this Code. The provisions of item (3) of part (c) of
Section 6-206 of this Code and of subsection (f) of that
Section shall apply. The Secretary of State shall promulgate
rules providing for participation in an alcohol education and
awareness program or activity, a drug education and awareness
program or activity, or both as a condition to the issuance of

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a restricted driving permit for suspensions imposed under this
Section.
(f) The results of any chemical testing performed in
accordance with subsection (a) of this Section are not
admissible in any civil or criminal proceeding, except that the
results of the testing may be considered at a hearing held
under Section 2-118 of this Code. However, the results of the
testing may not be used to impose driver's license sanctions
under Section 11-501.1 of this Code. A law enforcement officer
may, however, pursue a statutory summary suspension or
revocation of driving privileges under Section 11-501.1 of this
Code if other physical evidence or first hand knowledge forms
the basis of that suspension or revocation.
(g) This Section applies only to drivers who are under age
21 at the time of the issuance of a Uniform Traffic Ticket for
a violation of the Illinois Vehicle Code or a similar provision
of a local ordinance, and a chemical test request is made under
this Section.
(h) The action of the Secretary of State in suspending,
revoking, cancelling, or disqualifying any license or permit
shall be subject to judicial review in the Circuit Court of
Sangamon County or in the Circuit Court of Cook County, and the
provisions of the Administrative Review Law and its rules are
hereby adopted and shall apply to and govern every action for
the judicial review of final acts or decisions of the Secretary
of State under this Section.

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(Source: P.A. 99-467, eff. 1-1-16; 99-697, eff. 7-29-16.)
(625 ILCS 5/11-1301.2) (from Ch. 95 1/2, par. 11-1301.2)
Sec. 11-1301.2. Special decals for parking; persons with
disabilities.
(a) The Secretary of State shall provide for, by
administrative rules, the design, size, color, and placement of
a person with disabilities motorist decal or device and shall
provide for, by administrative rules, the content and form of
an application for a person with disabilities motorist decal or
device, which shall be used by local authorities in the
issuance thereof to a person with temporary disabilities,
provided that the decal or device is valid for no more than 90
days, subject to renewal for like periods based upon continued
disability, and further provided that the decal or device
clearly sets forth the date that the decal or device expires.
The application shall include the requirement of an Illinois
Identification Card number or a State of Illinois driver's
license number. This decal or device may be used by the
authorized holder to designate and identify a vehicle not owned
or displaying a registration plate as provided in Sections
3-609 and 3-616 of this Act to designate when the vehicle is
being used to transport said person or persons with
disabilities, and thus is entitled to enjoy all the privileges
that would be afforded a person with disabilities licensed
vehicle. Person with disabilities decals or devices issued and

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displayed pursuant to this Section shall be recognized and
honored by all local authorities regardless of which local
authority issued such decal or device.
The decal or device shall be issued only upon a showing by
adequate documentation that the person for whose benefit the
decal or device is to be used has a disability as defined in
Section 1-159.1 of this Code and the disability is temporary.
(b) The local governing authorities shall be responsible
for the provision of such decal or device, its issuance and
designated placement within the vehicle. The cost of such decal
or device shall be at the discretion of such local governing
authority.
(c) The Secretary of State may, pursuant to Section
3-616(c), issue a person with disabilities parking decal or
device to a person with disabilities as defined by Section
1-159.1. Any person with disabilities parking decal or device
issued by the Secretary of State shall be registered to that
person with disabilities in the form to be prescribed by the
Secretary of State. The person with disabilities parking decal
or device shall not display that person's address. One
additional decal or device may be issued to an applicant upon
his or her written request and with the approval of the
Secretary of State. The written request must include a
justification of the need for the additional decal or device.
(c-5) Beginning January 1, 2014, the Secretary shall
provide by administrative rule for the issuance of a separate

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and distinct parking decal or device for persons with
disabilities as defined by Section 1-159.1 of this Code and who
meet the qualifications under this subsection. The authorized
holder of a decal or device issued under this subsection (c-5)
shall be exempt from the payment of fees generated by parking
in a metered space, a parking area subject to paragraph (10) of
subsection (a) of Section 11-209 of this Code, or a publicly
owned parking area.
The Secretary shall issue a meter-exempt decal or device to
a person with disabilities who: (i) has been issued
registration plates under subsection (a) of Section 3-609 or
Section 3-616 of this Code or a special decal or device under
this Section, (ii) holds a valid Illinois driver's license, and
(iii) is unable to do one or more of the following:
(1) manage, manipulate, or insert coins, or obtain
tickets or tokens in parking meters or ticket machines in
parking lots, due to the lack of fine motor control of both
hands;
(2) reach above his or her head to a height of 42
inches from the ground, due to a lack of finger, hand, or
upper extremity strength or mobility;
(3) approach a parking meter due to his or her use of a
wheelchair or other device for mobility; or
(4) walk more than 20 feet due to an orthopedic,
neurological, cardiovascular, or lung condition in which
the degree of debilitation is so severe that it almost

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completely impedes the ability to walk.
The application for a meter-exempt parking decal or device
shall contain a statement certified by a licensed physician,
physician assistant, or advanced practice registered nurse
attesting to the permanent nature of the applicant's condition
and verifying that the applicant meets the physical
qualifications specified in this subsection (c-5).
Notwithstanding the requirements of this subsection (c-5),
the Secretary shall issue a meter-exempt decal or device to a
person who has been issued registration plates under Section
3-616 of this Code or a special decal or device under this
Section, if the applicant is the parent or guardian of a person
with disabilities who is under 18 years of age and incapable of
driving.
(d) Replacement decals or devices may be issued for lost,
stolen, or destroyed decals upon application and payment of a
$10 fee. The replacement fee may be waived for individuals that
have claimed and received a grant under the Senior Citizens and
Persons with Disabilities Property Tax Relief Act.
(e) A person classified as a veteran under subsection (e)
of Section 6-106 of this Code that has been issued a decal or
device under this Section shall not be required to submit
evidence of disability in order to renew that decal or device
if, at the time of initial application, he or she submitted
evidence from his or her physician or the Department of
Veterans' Affairs that the disability is of a permanent nature.

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However, the Secretary shall take reasonable steps to ensure
the veteran still resides in this State at the time of the
renewal. These steps may include requiring the veteran to
provide additional documentation or to appear at a Secretary of
State facility. To identify veterans who are eligible for this
exemption, the Secretary shall compare the list of the persons
who have been issued a decal or device to the list of persons
who have been issued a vehicle registration plate for veterans
with disabilities under Section 3-609 of this Code, or who are
identified as a veteran on their driver's license under Section
6-110 of this Code or on their identification card under
Section 4 of the Illinois Identification Card Act.
(Source: P.A. 98-463, eff. 8-16-13; 98-577, eff. 1-1-14;
98-879, eff. 1-1-15; 99-143, eff. 7-27-15.)
(625 ILCS 5/11-1301.5)
Sec. 11-1301.5. Fictitious or unlawfully altered
disability license plate or parking decal or device.
(a) As used in this Section:
"Fictitious disability license plate or parking decal or
device" means any issued disability license plate or parking
decal or device, or any license plate issued to a veteran with
a disability under Section 3-609 of this Code, that has been
issued by the Secretary of State or an authorized unit of local
government that was issued based upon false information
contained on the required application.

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"False information" means any incorrect or inaccurate
information concerning the name, date of birth, social security
number, driver's license number, physician certification, or
any other information required on the Persons with Disabilities
Certification for Plate or Parking Placard, on the Application
for Replacement Disability Parking Placard, or on the
application for license plates issued to veterans with
disabilities under Section 3-609 of this Code, that falsifies
the content of the application.
"Unlawfully altered disability license plate or parking
permit or device" means any disability license plate or parking
permit or device, or any license plate issued to a veteran with
a disability under Section 3-609 of this Code, issued by the
Secretary of State or an authorized unit of local government
that has been physically altered or changed in such manner that
false information appears on the license plate or parking decal
or device.
"Authorized holder" means an individual issued a
disability license plate under Section 3-616 of this Code or an
individual issued a parking decal or device under Section
11-1301.2 of this Code, or an individual issued a license plate
for veterans with disabilities under Section 3-609 of this
Code.
(b) It is a violation of this Section for any person:
(1) to knowingly possess any fictitious or unlawfully
altered disability license plate or parking decal or

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device;
(2) to knowingly issue or assist in the issuance of, by
the Secretary of State or unit of local government, any
fictitious disability license plate or parking decal or
device;
(3) to knowingly alter any disability license plate or
parking decal or device;
(4) to knowingly manufacture, possess, transfer, or
provide any documentation used in the application process
whether real or fictitious, for the purpose of obtaining a
fictitious disability license plate or parking decal or
device;
(5) to knowingly provide any false information to the
Secretary of State or a unit of local government in order
to obtain a disability license plate or parking decal or
device;
(6) to knowingly transfer a disability license plate or
parking decal or device for the purpose of exercising the
privileges granted to an authorized holder of a disability
license plate or parking decal or device under this Code in
the absence of the authorized holder; or
(7) who is a physician, physician assistant, or
advanced practice registered nurse to knowingly falsify a
certification that a person is a person with disabilities
as defined by Section 1-159.1 of this Code.
(c) Sentence.

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(1) Any person convicted of a violation of paragraph
(1), (2), (3), (4), (5), or (7) of subsection (b) of this
Section shall be guilty of a Class A misdemeanor and fined
not less than $1,000 for a first offense and shall be
guilty of a Class 4 felony and fined not less than $2,000
for a second or subsequent offense. Any person convicted of
a violation of subdivision (b)(6) of this Section is guilty
of a Class A misdemeanor and shall be fined not less than
$1,000 for a first offense and not less than $2,000 for a
second or subsequent offense. The circuit clerk shall
distribute one-half of any fine imposed on any person who
is found guilty of or pleads guilty to violating this
Section, including any person placed on court supervision
for violating this Section, to the law enforcement agency
that issued the citation or made the arrest. If more than
one law enforcement agency is responsible for issuing the
citation or making the arrest, one-half of the fine imposed
shall be shared equally.
(2) Any person who commits a violation of this Section
or a similar provision of a local ordinance may have his or
her driving privileges suspended or revoked by the
Secretary of State for a period of time determined by the
Secretary of State. The Secretary of State may suspend or
revoke the parking decal or device or the disability
license plate of any person who commits a violation of this
Section.

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(3) Any police officer may seize the parking decal or
device from any person who commits a violation of this
Section. Any police officer may seize the disability
license plate upon authorization from the Secretary of
State. Any police officer may request that the Secretary of
State revoke the parking decal or device or the disability
license plate of any person who commits a violation of this
Section.
(Source: P.A. 98-463, eff. 8-16-13; 99-143, eff. 7-27-15.)
Section 310. The Boat Registration and Safety Act is
amended by changing Section 5-16c as follows:
(625 ILCS 45/5-16c)
Sec. 5-16c. Operator involvement in personal injury or
fatal boating accident; chemical tests.
(a) Any person who operates or is in actual physical
control of a motorboat within this State and who has been
involved in a personal injury or fatal boating accident shall
be deemed to have given consent to a breath test using a
portable device as approved by the Department of State Police
or to a chemical test or tests of blood, breath, other bodily
substance, or urine for the purpose of determining the content
of alcohol, other drug or drugs, or intoxicating compound or
compounds of the person's blood if arrested as evidenced by the
issuance of a uniform citation for a violation of the Boat

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Registration and Safety Act or a similar provision of a local
ordinance, with the exception of equipment violations
contained in Article IV of this Act or similar provisions of
local ordinances. The test or tests shall be administered at
the direction of the arresting officer. The law enforcement
agency employing the officer shall designate which of the
aforesaid tests shall be administered. Up to 2 additional tests
of urine or other bodily substance may be administered even
after a blood or breath test or both has been administered.
Compliance with this Section does not relieve the person from
the requirements of any other Section of this Act.
(b) Any person who is dead, unconscious, or who is
otherwise in a condition rendering that person incapable of
refusal shall be deemed not to have withdrawn the consent
provided by subsection (a) of this Section. In addition, if an
operator of a motorboat is receiving medical treatment as a
result of a boating accident, any physician licensed to
practice medicine, licensed physician assistant, licensed
advanced practice registered nurse, registered nurse, or a
phlebotomist acting under the direction of a licensed physician
shall withdraw blood for testing purposes to ascertain the
presence of alcohol, other drug or drugs, or intoxicating
compound or compounds, upon the specific request of a law
enforcement officer. However, this testing shall not be
performed until, in the opinion of the medical personnel on
scene, the withdrawal can be made without interfering with or

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endangering the well-being of the patient.
(c) A person who is a CDL holder requested to submit to a
test under subsection (a) of this Section shall be warned by
the law enforcement officer requesting the test that a refusal
to submit to the test, or submission to the test resulting in
an alcohol concentration of 0.08 or more, or any amount of a
drug, substance, or intoxicating compound resulting from the
unlawful use or consumption of cannabis listed in the Cannabis
Control Act, a controlled substance listed in the Illinois
Controlled Substances Act, an intoxicating compound listed in
the Use of Intoxicating Compounds Act, or methamphetamine as
listed in the Methamphetamine Control and Community Protection
Act as detected in the person's blood, other bodily substance,
or urine, may result in the suspension of the person's
privilege to operate a motor vehicle and may result in the
disqualification of the person's privilege to operate a
commercial motor vehicle, as provided in Section 6-514 of the
Illinois Vehicle Code. A person who is not a CDL holder
requested to submit to a test under subsection (a) of this
Section shall be warned by the law enforcement officer
requesting the test that a refusal to submit to the test, or
submission to the test resulting in an alcohol concentration of
0.08 or more, a tetrahydrocannabinol concentration in the
person's whole blood or other bodily substance as defined in
paragraph 6 of subsection (a) of Section 11-501.2 of the
Illinois Vehicle Code, or any amount of a drug, substance, or

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intoxicating compound resulting from the unlawful use or
consumption of a controlled substance listed in the Illinois
Controlled Substances Act, an intoxicating compound listed in
the Use of Intoxicating Compounds Act, or methamphetamine as
listed in the Methamphetamine Control and Community Protection
Act as detected in the person's blood, other bodily substance,
or urine, may result in the suspension of the person's
privilege to operate a motor vehicle. The length of the
suspension shall be the same as outlined in Section 6-208.1 of
the Illinois Vehicle Code regarding statutory summary
suspensions.
(d) If the person is a CDL holder and refuses testing or
submits to a test which discloses an alcohol concentration of
0.08 or more, or any amount of a drug, substance, or
intoxicating compound in the person's blood, other bodily
substance, or urine resulting from the unlawful use or
consumption of cannabis listed in the Cannabis Control Act, a
controlled substance listed in the Illinois Controlled
Substances Act, an intoxicating compound listed in the Use of
Intoxicating Compounds Act, or methamphetamine as listed in the
Methamphetamine Control and Community Protection Act, the law
enforcement officer shall immediately submit a sworn report to
the Secretary of State on a form prescribed by the Secretary of
State, certifying that the test or tests were requested under
subsection (a) of this Section and the person refused to submit
to a test or tests or submitted to testing which disclosed an

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alcohol concentration of 0.08 or more, or any amount of a drug,
substance, or intoxicating compound in the person's blood,
other bodily substance, or urine, resulting from the unlawful
use or consumption of cannabis listed in the Cannabis Control
Act, a controlled substance listed in the Illinois Controlled
Substances Act, an intoxicating compound listed in the Use of
Intoxicating Compounds Act, or methamphetamine as listed in the
Methamphetamine Control and Community Protection Act. If the
person is not a CDL holder and refuses testing or submits to a
test which discloses an alcohol concentration of 0.08 or more,
a tetrahydrocannabinol concentration in the person's whole
blood or other bodily substance as defined in paragraph 6 of
subsection (a) of Section 11-501.2 of the Illinois Vehicle
Code, or any amount of a drug, substance, or intoxicating
compound in the person's blood, other bodily substance, or
urine resulting from the unlawful use or consumption of a
controlled substance listed in the Illinois Controlled
Substances Act, an intoxicating compound listed in the Use of
Intoxicating Compounds Act, or methamphetamine as listed in the
Methamphetamine Control and Community Protection Act, the law
enforcement officer shall immediately submit a sworn report to
the Secretary of State on a form prescribed by the Secretary of
State, certifying that the test or tests were requested under
subsection (a) of this Section and the person refused to submit
to a test or tests or submitted to testing which disclosed an
alcohol concentration of 0.08 or more, a tetrahydrocannabinol

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concentration in the person's whole blood or other bodily
substance as defined in paragraph 6 of subsection (a) of
Section 11-501.2 of the Illinois Vehicle Code, or any amount of
a drug, substance, or intoxicating compound in the person's
blood or urine, resulting from the unlawful use or consumption
of a controlled substance listed in the Illinois Controlled
Substances Act, an intoxicating compound listed in the Use of
Intoxicating Compounds Act, or methamphetamine as listed in the
Methamphetamine Control and Community Protection Act.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary of State shall enter the suspension and
disqualification to the person's driving record and the
suspension and disqualification shall be effective on the 46th
day following the date notice of the suspension was given to
the person.
The law enforcement officer submitting the sworn report
shall serve immediate notice of this suspension on the person
and this suspension and disqualification shall be effective on
the 46th day following the date notice was given.
In cases involving a person who is a CDL holder where the
blood alcohol concentration of 0.08 or more, or any amount of a
drug, substance, or intoxicating compound resulting from the
unlawful use or consumption of cannabis listed in the Cannabis
Control Act, a controlled substance listed in the Illinois
Controlled Substances Act, an intoxicating compound listed in
the Use of Intoxicating Compounds Act, or methamphetamine as

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listed in the Methamphetamine Control and Community Protection
Act, is established by a subsequent analysis of blood, other
bodily substance, or urine collected at the time of arrest, the
arresting officer shall give notice as provided in this Section
or by deposit in the United States mail of this notice in an
envelope with postage prepaid and addressed to the person at
his or her address as shown on the uniform citation and the
suspension and disqualification shall be effective on the 46th
day following the date notice was given. In cases involving a
person who is not a CDL holder where the blood alcohol
concentration of 0.08 or more, a tetrahydrocannabinol
concentration in the person's whole blood or other bodily
substance as defined in paragraph 6 of subsection (a) of
Section 11-501.2 of the Illinois Vehicle Code, or any amount of
a drug, substance, or intoxicating compound resulting from the
unlawful use or consumption of a controlled substance listed in
the Illinois Controlled Substances Act, an intoxicating
compound listed in the Use of Intoxicating Compounds Act, or
methamphetamine as listed in the Methamphetamine Control and
Community Protection Act, is established by a subsequent
analysis of blood, other bodily substance, or urine collected
at the time of arrest, the arresting officer shall give notice
as provided in this Section or by deposit in the United States
mail of this notice in an envelope with postage prepaid and
addressed to the person at his or her address as shown on the
uniform citation and the suspension shall be effective on the

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46th day following the date notice was given.
Upon receipt of the sworn report of a law enforcement
officer, the Secretary of State shall also give notice of the
suspension and disqualification to the person by mailing a
notice of the effective date of the suspension and
disqualification to the person. However, should the sworn
report be defective by not containing sufficient information or
be completed in error, the notice of the suspension and
disqualification shall not be mailed to the person or entered
to the driving record, but rather the sworn report shall be
returned to the issuing law enforcement agency.
(e) A person may contest this suspension of his or her
driving privileges and disqualification of his or her CDL
privileges by requesting an administrative hearing with the
Secretary of State in accordance with Section 2-118 of the
Illinois Vehicle Code. At the conclusion of a hearing held
under Section 2-118 of the Illinois Vehicle Code, the Secretary
of State may rescind, continue, or modify the orders of
suspension and disqualification. If the Secretary of State does
not rescind the orders of suspension and disqualification, a
restricted driving permit may be granted by the Secretary of
State upon application being made and good cause shown. A
restricted driving permit may be granted to relieve undue
hardship to allow driving for employment, educational, and
medical purposes as outlined in Section 6-206 of the Illinois
Vehicle Code. The provisions of Section 6-206 of the Illinois

10000HB0313ham002 - 650 - LRB100 04130 SMS 22956 a
Vehicle Code shall apply. In accordance with 49 C.F.R. 384, the
Secretary of State may not issue a restricted driving permit
for the operation of a commercial motor vehicle to a person
holding a CDL whose driving privileges have been suspended,
revoked, cancelled, or disqualified.
(f) For the purposes of this Section, a personal injury
shall include any type A injury as indicated on the accident
report completed by a law enforcement officer that requires
immediate professional attention in a doctor's office or a
medical facility. A type A injury shall include severely
bleeding wounds, distorted extremities, and injuries that
require the injured party to be carried from the scene.
(Source: P.A. 98-103, eff. 1-1-14; 99-697, eff. 7-29-16.)
Section 315. The Criminal Code of 2012 is amended by
changing Section 9-1 as follows:
(720 ILCS 5/9-1) (from Ch. 38, par. 9-1)
Sec. 9-1. First degree Murder - Death penalties -
Exceptions - Separate Hearings - Proof - Findings - Appellate
procedures - Reversals.
(a) A person who kills an individual without lawful
justification commits first degree murder if, in performing the
acts which cause the death:
(1) he either intends to kill or do great bodily harm
to that individual or another, or knows that such acts will

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cause death to that individual or another; or
(2) he knows that such acts create a strong probability
of death or great bodily harm to that individual or
another; or
(3) he is attempting or committing a forcible felony
other than second degree murder.
(b) Aggravating Factors. A defendant who at the time of the
commission of the offense has attained the age of 18 or more
and who has been found guilty of first degree murder may be
sentenced to death if:
(1) the murdered individual was a peace officer or
fireman killed in the course of performing his official
duties, to prevent the performance of his official duties,
or in retaliation for performing his official duties, and
the defendant knew or should have known that the murdered
individual was a peace officer or fireman; or
(2) the murdered individual was an employee of an
institution or facility of the Department of Corrections,
or any similar local correctional agency, killed in the
course of performing his official duties, to prevent the
performance of his official duties, or in retaliation for
performing his official duties, or the murdered individual
was an inmate at such institution or facility and was
killed on the grounds thereof, or the murdered individual
was otherwise present in such institution or facility with
the knowledge and approval of the chief administrative

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officer thereof; or
(3) the defendant has been convicted of murdering two
or more individuals under subsection (a) of this Section or
under any law of the United States or of any state which is
substantially similar to subsection (a) of this Section
regardless of whether the deaths occurred as the result of
the same act or of several related or unrelated acts so
long as the deaths were the result of either an intent to
kill more than one person or of separate acts which the
defendant knew would cause death or create a strong
probability of death or great bodily harm to the murdered
individual or another; or
(4) the murdered individual was killed as a result of
the hijacking of an airplane, train, ship, bus or other
public conveyance; or
(5) the defendant committed the murder pursuant to a
contract, agreement or understanding by which he was to
receive money or anything of value in return for committing
the murder or procured another to commit the murder for
money or anything of value; or
(6) the murdered individual was killed in the course of
another felony if:
(a) the murdered individual:
(i) was actually killed by the defendant, or
(ii) received physical injuries personally
inflicted by the defendant substantially

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contemporaneously with physical injuries caused by
one or more persons for whose conduct the defendant
is legally accountable under Section 5-2 of this
Code, and the physical injuries inflicted by
either the defendant or the other person or persons
for whose conduct he is legally accountable caused
the death of the murdered individual; and
(b) in performing the acts which caused the death
of the murdered individual or which resulted in
physical injuries personally inflicted by the
defendant on the murdered individual under the
circumstances of subdivision (ii) of subparagraph (a)
of paragraph (6) of subsection (b) of this Section, the
defendant acted with the intent to kill the murdered
individual or with the knowledge that his acts created
a strong probability of death or great bodily harm to
the murdered individual or another; and
(c) the other felony was an inherently violent
crime or the attempt to commit an inherently violent
crime. In this subparagraph (c), "inherently violent
crime" includes, but is not limited to, armed robbery,
robbery, predatory criminal sexual assault of a child,
aggravated criminal sexual assault, aggravated
kidnapping, aggravated vehicular hijacking, aggravated
arson, aggravated stalking, residential burglary, and
home invasion; or

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(7) the murdered individual was under 12 years of age
and the death resulted from exceptionally brutal or heinous
behavior indicative of wanton cruelty; or
(8) the defendant committed the murder with intent to
prevent the murdered individual from testifying or
participating in any criminal investigation or prosecution
or giving material assistance to the State in any
investigation or prosecution, either against the defendant
or another; or the defendant committed the murder because
the murdered individual was a witness in any prosecution or
gave material assistance to the State in any investigation
or prosecution, either against the defendant or another;
for purposes of this paragraph (8), "participating in any
criminal investigation or prosecution" is intended to
include those appearing in the proceedings in any capacity
such as trial judges, prosecutors, defense attorneys,
investigators, witnesses, or jurors; or
(9) the defendant, while committing an offense
punishable under Sections 401, 401.1, 401.2, 405, 405.2,
407 or 407.1 or subsection (b) of Section 404 of the
Illinois Controlled Substances Act, or while engaged in a
conspiracy or solicitation to commit such offense,
intentionally killed an individual or counseled,
commanded, induced, procured or caused the intentional
killing of the murdered individual; or
(10) the defendant was incarcerated in an institution

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or facility of the Department of Corrections at the time of
the murder, and while committing an offense punishable as a
felony under Illinois law, or while engaged in a conspiracy
or solicitation to commit such offense, intentionally
killed an individual or counseled, commanded, induced,
procured or caused the intentional killing of the murdered
individual; or
(11) the murder was committed in a cold, calculated and
premeditated manner pursuant to a preconceived plan,
scheme or design to take a human life by unlawful means,
and the conduct of the defendant created a reasonable
expectation that the death of a human being would result
therefrom; or
(12) the murdered individual was an emergency medical
technician - ambulance, emergency medical technician -
intermediate, emergency medical technician - paramedic,
ambulance driver, or other medical assistance or first aid
personnel, employed by a municipality or other
governmental unit, killed in the course of performing his
official duties, to prevent the performance of his official
duties, or in retaliation for performing his official
duties, and the defendant knew or should have known that
the murdered individual was an emergency medical
technician - ambulance, emergency medical technician -
intermediate, emergency medical technician - paramedic,
ambulance driver, or other medical assistance or first aid

10000HB0313ham002 - 656 - LRB100 04130 SMS 22956 a
personnel; or
(13) the defendant was a principal administrator,
organizer, or leader of a calculated criminal drug
conspiracy consisting of a hierarchical position of
authority superior to that of all other members of the
conspiracy, and the defendant counseled, commanded,
induced, procured, or caused the intentional killing of the
murdered person; or
(14) the murder was intentional and involved the
infliction of torture. For the purpose of this Section
torture means the infliction of or subjection to extreme
physical pain, motivated by an intent to increase or
prolong the pain, suffering or agony of the victim; or
(15) the murder was committed as a result of the
intentional discharge of a firearm by the defendant from a
motor vehicle and the victim was not present within the
motor vehicle; or
(16) the murdered individual was 60 years of age or
older and the death resulted from exceptionally brutal or
heinous behavior indicative of wanton cruelty; or
(17) the murdered individual was a person with a
disability and the defendant knew or should have known that
the murdered individual was a person with a disability. For
purposes of this paragraph (17), "person with a disability"
means a person who suffers from a permanent physical or
mental impairment resulting from disease, an injury, a

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functional disorder, or a congenital condition that
renders the person incapable of adequately providing for
his or her own health or personal care; or
(18) the murder was committed by reason of any person's
activity as a community policing volunteer or to prevent
any person from engaging in activity as a community
policing volunteer; or
(19) the murdered individual was subject to an order of
protection and the murder was committed by a person against
whom the same order of protection was issued under the
Illinois Domestic Violence Act of 1986; or
(20) the murdered individual was known by the defendant
to be a teacher or other person employed in any school and
the teacher or other employee is upon the grounds of a
school or grounds adjacent to a school, or is in any part
of a building used for school purposes; or
(21) the murder was committed by the defendant in
connection with or as a result of the offense of terrorism
as defined in Section 29D-14.9 of this Code.
(b-5) Aggravating Factor; Natural Life Imprisonment. A
defendant who has been found guilty of first degree murder and
who at the time of the commission of the offense had attained
the age of 18 years or more may be sentenced to natural life
imprisonment if (i) the murdered individual was a physician,
physician assistant, psychologist, nurse, or advanced practice
registered nurse, (ii) the defendant knew or should have known

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that the murdered individual was a physician, physician
assistant, psychologist, nurse, or advanced practice
registered nurse, and (iii) the murdered individual was killed
in the course of acting in his or her capacity as a physician,
physician assistant, psychologist, nurse, or advanced practice
registered nurse, or to prevent him or her from acting in that
capacity, or in retaliation for his or her acting in that
capacity.
(c) Consideration of factors in Aggravation and
Mitigation.
The court shall consider, or shall instruct the jury to
consider any aggravating and any mitigating factors which are
relevant to the imposition of the death penalty. Aggravating
factors may include but need not be limited to those factors
set forth in subsection (b). Mitigating factors may include but
need not be limited to the following:
(1) the defendant has no significant history of prior
criminal activity;
(2) the murder was committed while the defendant was
under the influence of extreme mental or emotional
disturbance, although not such as to constitute a defense
to prosecution;
(3) the murdered individual was a participant in the
defendant's homicidal conduct or consented to the
homicidal act;
(4) the defendant acted under the compulsion of threat

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or menace of the imminent infliction of death or great
bodily harm;
(5) the defendant was not personally present during
commission of the act or acts causing death;
(6) the defendant's background includes a history of
extreme emotional or physical abuse;
(7) the defendant suffers from a reduced mental
capacity.
(d) Separate sentencing hearing.
Where requested by the State, the court shall conduct a
separate sentencing proceeding to determine the existence of
factors set forth in subsection (b) and to consider any
aggravating or mitigating factors as indicated in subsection
(c). The proceeding shall be conducted:
(1) before the jury that determined the defendant's
guilt; or
(2) before a jury impanelled for the purpose of the
proceeding if:
A. the defendant was convicted upon a plea of
guilty; or
B. the defendant was convicted after a trial before
the court sitting without a jury; or
C. the court for good cause shown discharges the
jury that determined the defendant's guilt; or
(3) before the court alone if the defendant waives a
jury for the separate proceeding.

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(e) Evidence and Argument.
During the proceeding any information relevant to any of
the factors set forth in subsection (b) may be presented by
either the State or the defendant under the rules governing the
admission of evidence at criminal trials. Any information
relevant to any additional aggravating factors or any
mitigating factors indicated in subsection (c) may be presented
by the State or defendant regardless of its admissibility under
the rules governing the admission of evidence at criminal
trials. The State and the defendant shall be given fair
opportunity to rebut any information received at the hearing.
(f) Proof.
The burden of proof of establishing the existence of any of
the factors set forth in subsection (b) is on the State and
shall not be satisfied unless established beyond a reasonable
doubt.
(g) Procedure - Jury.
If at the separate sentencing proceeding the jury finds
that none of the factors set forth in subsection (b) exists,
the court shall sentence the defendant to a term of
imprisonment under Chapter V of the Unified Code of
Corrections. If there is a unanimous finding by the jury that
one or more of the factors set forth in subsection (b) exist,
the jury shall consider aggravating and mitigating factors as
instructed by the court and shall determine whether the
sentence of death shall be imposed. If the jury determines

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unanimously, after weighing the factors in aggravation and
mitigation, that death is the appropriate sentence, the court
shall sentence the defendant to death. If the court does not
concur with the jury determination that death is the
appropriate sentence, the court shall set forth reasons in
writing including what facts or circumstances the court relied
upon, along with any relevant documents, that compelled the
court to non-concur with the sentence. This document and any
attachments shall be part of the record for appellate review.
The court shall be bound by the jury's sentencing
determination.
If after weighing the factors in aggravation and
mitigation, one or more jurors determines that death is not the
appropriate sentence, the court shall sentence the defendant to
a term of imprisonment under Chapter V of the Unified Code of
Corrections.
(h) Procedure - No Jury.
In a proceeding before the court alone, if the court finds
that none of the factors found in subsection (b) exists, the
court shall sentence the defendant to a term of imprisonment
under Chapter V of the Unified Code of Corrections.
If the Court determines that one or more of the factors set
forth in subsection (b) exists, the Court shall consider any
aggravating and mitigating factors as indicated in subsection
(c). If the Court determines, after weighing the factors in
aggravation and mitigation, that death is the appropriate

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sentence, the Court shall sentence the defendant to death.
If the court finds that death is not the appropriate
sentence, the court shall sentence the defendant to a term of
imprisonment under Chapter V of the Unified Code of
Corrections.
(h-5) Decertification as a capital case.
In a case in which the defendant has been found guilty of
first degree murder by a judge or jury, or a case on remand for
resentencing, and the State seeks the death penalty as an
appropriate sentence, on the court's own motion or the written
motion of the defendant, the court may decertify the case as a
death penalty case if the court finds that the only evidence
supporting the defendant's conviction is the uncorroborated
testimony of an informant witness, as defined in Section 115-21
of the Code of Criminal Procedure of 1963, concerning the
confession or admission of the defendant or that the sole
evidence against the defendant is a single eyewitness or single
accomplice without any other corroborating evidence. If the
court decertifies the case as a capital case under either of
the grounds set forth above, the court shall issue a written
finding. The State may pursue its right to appeal the
decertification pursuant to Supreme Court Rule 604(a)(1). If
the court does not decertify the case as a capital case, the
matter shall proceed to the eligibility phase of the sentencing
hearing.
(i) Appellate Procedure.

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The conviction and sentence of death shall be subject to
automatic review by the Supreme Court. Such review shall be in
accordance with rules promulgated by the Supreme Court. The
Illinois Supreme Court may overturn the death sentence, and
order the imposition of imprisonment under Chapter V of the
Unified Code of Corrections if the court finds that the death
sentence is fundamentally unjust as applied to the particular
case. If the Illinois Supreme Court finds that the death
sentence is fundamentally unjust as applied to the particular
case, independent of any procedural grounds for relief, the
Illinois Supreme Court shall issue a written opinion explaining
this finding.
(j) Disposition of reversed death sentence.
In the event that the death penalty in this Act is held to
be unconstitutional by the Supreme Court of the United States
or of the State of Illinois, any person convicted of first
degree murder shall be sentenced by the court to a term of
imprisonment under Chapter V of the Unified Code of
Corrections.
In the event that any death sentence pursuant to the
sentencing provisions of this Section is declared
unconstitutional by the Supreme Court of the United States or
of the State of Illinois, the court having jurisdiction over a
person previously sentenced to death shall cause the defendant
to be brought before the court, and the court shall sentence
the defendant to a term of imprisonment under Chapter V of the

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Unified Code of Corrections.
(k) Guidelines for seeking the death penalty.
The Attorney General and State's Attorneys Association
shall consult on voluntary guidelines for procedures governing
whether or not to seek the death penalty. The guidelines do not
have the force of law and are only advisory in nature.
(Source: P.A. 99-143, eff. 7-27-15.)
Section 320. The Illinois Controlled Substances Act is
amended by changing Sections 102, 302, 303.05, 313, and 320 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 or her 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:

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(1) a practitioner (or, in his or her presence, by his
or her authorized agent),
(2) the patient or research subject pursuant to an
order, 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,
dispenser, prescriber, or practitioner. 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,
corticosteroids, and dehydroepiandrosterone), and includes:
(i) 3[beta],17-dihydroxy-5a-androstane,
(ii) 3[alpha],17[beta]-dihydroxy-5a-androstane,
(iii) 5[alpha]-androstan-3,17-dione,
(iv) 1-androstenediol (3[beta],
17[beta]-dihydroxy-5[alpha]-androst-1-ene),
(v) 1-androstenediol (3[alpha],
17[beta]-dihydroxy-5[alpha]-androst-1-ene),
(vi) 4-androstenediol
(3[beta],17[beta]-dihydroxy-androst-4-ene),
(vii) 5-androstenediol
(3[beta],17[beta]-dihydroxy-androst-5-ene),

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(viii) 1-androstenedione
([5alpha]-androst-1-en-3,17-dione),
(ix) 4-androstenedione
(androst-4-en-3,17-dione),
(x) 5-androstenedione
(androst-5-en-3,17-dione),
(xi) bolasterone (7[alpha],17a-dimethyl-17[beta]-
hydroxyandrost-4-en-3-one),
(xii) boldenone (17[beta]-hydroxyandrost-
1,4,-diene-3-one),
(xiii) boldione (androsta-1,4-
diene-3,17-dione),
(xiv) calusterone (7[beta],17[alpha]-dimethyl-17
[beta]-hydroxyandrost-4-en-3-one),
(xv) clostebol (4-chloro-17[beta]-
hydroxyandrost-4-en-3-one),
(xvi) dehydrochloromethyltestosterone (4-chloro-
17[beta]-hydroxy-17[alpha]-methyl-
androst-1,4-dien-3-one),
(xvii) desoxymethyltestosterone
(17[alpha]-methyl-5[alpha]
-androst-2-en-17[beta]-ol)(a.k.a., madol),
(xviii) [delta]1-dihydrotestosterone (a.k.a.
'1-testosterone') (17[beta]-hydroxy-
5[alpha]-androst-1-en-3-one),
(xix) 4-dihydrotestosterone (17[beta]-hydroxy-

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androstan-3-one),
(xx) drostanolone (17[beta]-hydroxy-2[alpha]-methyl-
5[alpha]-androstan-3-one),
(xxi) ethylestrenol (17[alpha]-ethyl-17[beta]-
hydroxyestr-4-ene),
(xxii) fluoxymesterone (9-fluoro-17[alpha]-methyl-
1[beta],17[beta]-dihydroxyandrost-4-en-3-one),
(xxiii) formebolone (2-formyl-17[alpha]-methyl-11[alpha],
17[beta]-dihydroxyandrost-1,4-dien-3-one),
(xxiv) furazabol (17[alpha]-methyl-17[beta]-
hydroxyandrostano[2,3-c]-furazan),
(xxv) 13[beta]-ethyl-17[beta]-hydroxygon-4-en-3-one)
(xxvi) 4-hydroxytestosterone (4,17[beta]-dihydroxy-
androst-4-en-3-one),
(xxvii) 4-hydroxy-19-nortestosterone (4,17[beta]-
dihydroxy-estr-4-en-3-one),
(xxviii) mestanolone (17[alpha]-methyl-17[beta]-
hydroxy-5-androstan-3-one),
(xxix) mesterolone (1amethyl-17[beta]-hydroxy-
[5a]-androstan-3-one),
(xxx) methandienone (17[alpha]-methyl-17[beta]-
hydroxyandrost-1,4-dien-3-one),
(xxxi) methandriol (17[alpha]-methyl-3[beta],17[beta]-
dihydroxyandrost-5-ene),
(xxxii) methenolone (1-methyl-17[beta]-hydroxy-
5[alpha]-androst-1-en-3-one),

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(xxxiii) 17[alpha]-methyl-3[beta], 17[beta]-
dihydroxy-5a-androstane),
(xxxiv) 17[alpha]-methyl-3[alpha],17[beta]-dihydroxy
-5a-androstane),
(xxxv) 17[alpha]-methyl-3[beta],17[beta]-
dihydroxyandrost-4-ene),
(xxxvi) 17[alpha]-methyl-4-hydroxynandrolone (17[alpha]-
methyl-4-hydroxy-17[beta]-hydroxyestr-4-en-3-one),
(xxxvii) methyldienolone (17[alpha]-methyl-17[beta]-
hydroxyestra-4,9(10)-dien-3-one),
(xxxviii) methyltrienolone (17[alpha]-methyl-17[beta]-
hydroxyestra-4,9-11-trien-3-one),
(xxxix) methyltestosterone (17[alpha]-methyl-17[beta]-
hydroxyandrost-4-en-3-one),
(xl) mibolerone (7[alpha],17a-dimethyl-17[beta]-
hydroxyestr-4-en-3-one),
(xli) 17[alpha]-methyl-[delta]1-dihydrotestosterone
(17b[beta]-hydroxy-17[alpha]-methyl-5[alpha]-
androst-1-en-3-one)(a.k.a. '17-[alpha]-methyl-
1-testosterone'),
(xlii) nandrolone (17[beta]-hydroxyestr-4-en-3-one),
(xliii) 19-nor-4-androstenediol (3[beta], 17[beta]-
dihydroxyestr-4-ene),
(xliv) 19-nor-4-androstenediol (3[alpha], 17[beta]-
dihydroxyestr-4-ene),
(xlv) 19-nor-5-androstenediol (3[beta], 17[beta]-

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dihydroxyestr-5-ene),
(xlvi) 19-nor-5-androstenediol (3[alpha], 17[beta]-
dihydroxyestr-5-ene),
(xlvii) 19-nor-4,9(10)-androstadienedione
(estra-4,9(10)-diene-3,17-dione),
(xlviii) 19-nor-4-androstenedione (estr-4-
en-3,17-dione),
(xlix) 19-nor-5-androstenedione (estr-5-
en-3,17-dione),
(l) norbolethone (13[beta], 17a-diethyl-17[beta]-
hydroxygon-4-en-3-one),
(li) norclostebol (4-chloro-17[beta]-
hydroxyestr-4-en-3-one),
(lii) norethandrolone (17[alpha]-ethyl-17[beta]-
hydroxyestr-4-en-3-one),
(liii) normethandrolone (17[alpha]-methyl-17[beta]-
hydroxyestr-4-en-3-one),
(liv) oxandrolone (17[alpha]-methyl-17[beta]-hydroxy-
2-oxa-5[alpha]-androstan-3-one),
(lv) oxymesterone (17[alpha]-methyl-4,17[beta]-
dihydroxyandrost-4-en-3-one),
(lvi) oxymetholone (17[alpha]-methyl-2-hydroxymethylene-
17[beta]-hydroxy-(5[alpha]-androstan-3-one),
(lvii) stanozolol (17[alpha]-methyl-17[beta]-hydroxy-
(5[alpha]-androst-2-eno[3,2-c]-pyrazole),
(lviii) stenbolone (17[beta]-hydroxy-2-methyl-

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(5[alpha]-androst-1-en-3-one),
(lix) testolactone (13-hydroxy-3-oxo-13,17-
secoandrosta-1,4-dien-17-oic
acid lactone),
(lx) testosterone (17[beta]-hydroxyandrost-
4-en-3-one),
(lxi) tetrahydrogestrinone (13[beta], 17[alpha]-
diethyl-17[beta]-hydroxygon-
4,9,11-trien-3-one),
(lxii) trenbolone (17[beta]-hydroxyestr-4,9,
11-trien-3-one).
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

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successor agency.
(d-5) "Clinical Director, Prescription Monitoring Program"
means a Department of Human Services administrative employee
licensed to either prescribe or dispense controlled substances
who shall run the clinical aspects of the Department of Human
Services Prescription Monitoring Program and its Prescription
Information Library.
(d-10) "Compounding" means the preparation and mixing of
components, excluding flavorings, (1) as the result of a
prescriber's prescription drug order or initiative based on the
prescriber-patient-pharmacist relationship in the course of
professional practice or (2) for the purpose of, or incident
to, research, teaching, or chemical analysis and not for sale
or dispensing. "Compounding" includes the preparation of drugs
or devices in anticipation of receiving prescription drug
orders based on routine, regularly observed dispensing
patterns. Commercially available products may be compounded
for dispensing to individual patients only if both of the
following conditions are met: (i) the commercial product is not
reasonably available from normal distribution channels in a
timely manner to meet the patient's needs and (ii) the
prescribing practitioner has requested that the drug be
compounded.
(e) "Control" means to add a drug or other substance, or
immediate precursor, to a Schedule whether by transfer from
another Schedule or otherwise.

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(f) "Controlled Substance" means (i) a drug, substance,
immediate precursor, or synthetic drug in the Schedules of
Article II of this Act or (ii) a drug or other substance, or
immediate precursor, designated as a controlled substance by
the Department through administrative rule. The term does not
include distilled spirits, wine, malt beverages, or tobacco, as
those terms are defined or used in the Liquor Control Act of
1934 and the Tobacco Products Tax Act of 1995.
(f-5) "Controlled substance analog" means a substance:
(1) the chemical structure of which is substantially
similar to the chemical structure of a controlled substance
in Schedule I or II;
(2) which has a stimulant, depressant, or
hallucinogenic effect on the central nervous system that is
substantially similar to or greater than the stimulant,
depressant, or hallucinogenic effect on the central
nervous system of a controlled substance in Schedule I or
II; or
(3) with respect to a particular person, which such
person represents or intends to have a stimulant,
depressant, or hallucinogenic effect on the central
nervous system that is substantially similar to or greater
than the stimulant, depressant, or hallucinogenic effect
on the central nervous system of a controlled substance in
Schedule I or II.
(g) "Counterfeit substance" means a controlled substance,

10000HB0313ham002 - 673 - LRB100 04130 SMS 22956 a
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) (Blank).
(k) "Department of Corrections" means the Department of
Corrections of the State of Illinois or its successor agency.
(l) "Department of Financial and Professional Regulation"
means the Department of Financial and Professional Regulation
of the State of Illinois or its successor agency.
(m) "Depressant" means any drug that (i) causes an overall
depression of central nervous system functions, (ii) causes
impaired consciousness and awareness, and (iii) can be
habit-forming or lead to a substance abuse problem, including
but not limited to alcohol, cannabis and its active principles
and their analogs, benzodiazepines and their analogs,
barbiturates and their analogs, opioids (natural and

10000HB0313ham002 - 674 - LRB100 04130 SMS 22956 a
synthetic) and their analogs, and chloral hydrate and similar
sedative hypnotics.
(n) (Blank).
(o) "Director" means the Director of the Illinois State
Police or his or her 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-3) "Electronic health record" or "EHR" means an

10000HB0313ham002 - 675 - LRB100 04130 SMS 22956 a
electronic record of health-related information on an
individual that is created, gathered, managed, and consulted by
authorized health care clinicians and staff.
(t-5) "Euthanasia agency" means an entity certified by the
Department of Financial and 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 or
her 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:

10000HB0313ham002 - 676 - LRB100 04130 SMS 22956 a
(1) lack of consistency of prescriber-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 (recognizing that there may be
clinical circumstances where more or less than the usual
dose may be used legitimately),
(5) unusual geographic distances between patient,
pharmacist and prescriber,
(6) consistent prescribing of habit-forming drugs.
(u-0.5) "Hallucinogen" means a drug that causes markedly
altered sensory perception leading to hallucinations of any
type.
(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.
(u-5) "Illinois State Police" means the State Police of the
State of Illinois, or its successor agency.
(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;

10000HB0313ham002 - 677 - LRB100 04130 SMS 22956 a
(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

10000HB0313ham002 - 678 - LRB100 04130 SMS 22956 a
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

10000HB0313ham002 - 679 - LRB100 04130 SMS 22956 a
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 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 or her own use; or
(2) by a practitioner, or his or her authorized agent
under his or her supervision, the preparation,
compounding, packaging, or labeling of a controlled
substance:
(a) as an incident to his or her administering or
dispensing of a controlled substance in the course of

10000HB0313ham002 - 680 - LRB100 04130 SMS 22956 a
his or her professional practice; or
(b) as an incident to lawful research, teaching or
chemical analysis and not for sale.
(z-1) (Blank).
(z-5) "Medication shopping" means the conduct prohibited
under subsection (a) of Section 314.5 of this Act.
(z-10) "Mid-level practitioner" means (i) a physician
assistant who has been delegated authority to prescribe through
a written delegation of authority by a physician licensed to
practice medicine in all of its branches, in accordance with
Section 7.5 of the Physician Assistant Practice Act of 1987,
(ii) an advanced practice registered nurse who has been
delegated authority to prescribe through a written delegation
of authority by a physician licensed to practice medicine in
all of its branches or by a podiatric physician, in accordance
with Section 65-40 of the Nurse Practice Act, (iii) an advanced
practice registered nurse certified as a nurse practitioner,
nurse midwife, or clinical nurse specialist who has been
granted authority to prescribe by a hospital affiliate in
accordance with Section 65-45 of the Nurse Practice Act, (iv)
an animal euthanasia agency, or (v) a prescribing psychologist.
(aa) "Narcotic drug" means any of the following, whether
produced directly or indirectly by extraction from substances
of vegetable origin, or independently by means of chemical
synthesis, or by a combination of extraction and chemical
synthesis:

10000HB0313ham002 - 681 - LRB100 04130 SMS 22956 a
(1) opium, opiates, derivatives of opium and opiates,
including their isomers, esters, ethers, salts, and salts
of isomers, esters, and ethers, whenever the existence of
such isomers, esters, ethers, and salts is possible within
the specific chemical designation; however the term
"narcotic drug" does not include the isoquinoline
alkaloids of opium;
(2) (blank);
(3) opium poppy and poppy straw;
(4) coca leaves, except coca leaves and extracts of
coca leaves from which substantially all of the cocaine and
ecgonine, and their isomers, derivatives and salts, have
been removed;
(5) cocaine, its salts, optical and geometric isomers,
and salts of isomers;
(6) ecgonine, its derivatives, their salts, isomers,
and salts of isomers;
(7) any compound, mixture, or preparation which
contains any quantity of any of the substances referred to
in subparagraphs (1) through (6).
(bb) "Nurse" means a registered nurse licensed under the
Nurse Practice 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

10000HB0313ham002 - 682 - LRB100 04130 SMS 22956 a
forming or addiction sustaining liability.
(ee) "Opium poppy" means the plant of the species Papaver
somniferum L., except its seeds.
(ee-5) "Oral dosage" means a tablet, capsule, elixir, or
solution or other liquid form of medication intended for
administration by mouth, but the term does not include a form
of medication intended for buccal, sublingual, or transmucosal
administration.
(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 license or
certificate of registration as a registered pharmacist, a local
registered pharmacist or a registered assistant pharmacist
under the Pharmacy Practice Act.
(ii) "Pharmacy" means any store, ship or other place in
which pharmacy is authorized to be practiced under the Pharmacy
Practice Act.
(ii-5) "Pharmacy shopping" means the conduct prohibited
under subsection (b) of Section 314.5 of this Act.
(ii-10) "Physician" (except when the context otherwise
requires) means a person licensed to practice medicine in all
of its branches.

10000HB0313ham002 - 683 - LRB100 04130 SMS 22956 a
(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, optometrist, podiatric
physician, veterinarian, scientific investigator, pharmacist,
physician assistant, advanced practice registered 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; the term does not mean a written
prescription that is individually generated by machine or
computer in the prescriber's office.
(mm) "Prescriber" means a physician licensed to practice
medicine in all its branches, dentist, optometrist,
prescribing psychologist licensed under Section 4.2 of the
Clinical Psychologist Licensing Act with prescriptive
authority delegated under Section 4.3 of the Clinical
Psychologist Licensing Act, podiatric physician, or
veterinarian who issues a prescription, a physician assistant
who issues a prescription for a controlled substance in

10000HB0313ham002 - 684 - LRB100 04130 SMS 22956 a
accordance with Section 303.05, a written delegation, and a
written supervision agreement required under Section 7.5 of the
Physician Assistant Practice Act of 1987, an advanced practice
registered nurse with prescriptive authority delegated under
Section 65-40 of the Nurse Practice Act and in accordance with
Section 303.05, a written delegation, and a written
collaborative agreement under Section 65-35 of the Nurse
Practice Act, or an advanced practice registered nurse
certified as a nurse practitioner, nurse midwife, or clinical
nurse specialist who has been granted authority to prescribe by
a hospital affiliate in accordance with Section 65-45 of the
Nurse Practice Act and in accordance with Section 303.05.
(nn) "Prescription" means a written, facsimile, or oral
order, or an electronic order that complies with applicable
federal requirements, of a physician licensed to practice
medicine in all its branches, dentist, podiatric physician or
veterinarian for any controlled substance, of an optometrist in
accordance with Section 15.1 of the Illinois Optometric
Practice Act of 1987, of a prescribing psychologist licensed
under Section 4.2 of the Clinical Psychologist Licensing Act
with prescriptive authority delegated under Section 4.3 of the
Clinical Psychologist Licensing Act, of a physician assistant
for a controlled substance in accordance with Section 303.05, a
written delegation, and a written supervision agreement
required under Section 7.5 of the Physician Assistant Practice
Act of 1987, of an advanced practice registered nurse with

10000HB0313ham002 - 685 - LRB100 04130 SMS 22956 a
prescriptive authority delegated under Section 65-40 of the
Nurse Practice Act who issues a prescription for a controlled
substance in accordance with Section 303.05, a written
delegation, and a written collaborative agreement under
Section 65-35 of the Nurse Practice Act, or of an advanced
practice registered nurse certified as a nurse practitioner,
nurse midwife, or clinical nurse specialist who has been
granted authority to prescribe by a hospital affiliate in
accordance with Section 65-45 of the Nurse Practice Act and in
accordance with Section 303.05 when required by law.
(nn-5) "Prescription Information Library" (PIL) means an
electronic library that contains reported controlled substance
data.
(nn-10) "Prescription Monitoring Program" (PMP) means the
entity that collects, tracks, and stores reported data on
controlled substances and select drugs pursuant to Section 316.
(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.
(qq-5) "Secretary" means, as the context requires, either
the Secretary of the Department or the Secretary of the

10000HB0313ham002 - 686 - LRB100 04130 SMS 22956 a
Department of Financial and Professional Regulation, and the
Secretary's designated agents.
(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.
(rr-5) "Stimulant" means any drug that (i) causes an
overall excitation of central nervous system functions, (ii)
causes impaired consciousness and awareness, and (iii) can be
habit-forming or lead to a substance abuse problem, including
but not limited to amphetamines and their analogs,
methylphenidate and its analogs, cocaine, and phencyclidine
and its analogs.
(ss) "Ultimate user" means a person who lawfully possesses
a controlled substance for his or her own use or for the use of
a member of his or her household or for administering to an
animal owned by him or her or by a member of his or her
household.
(Source: P.A. 98-214, eff. 8-9-13; 98-668, eff. 6-25-14;
98-756, eff. 7-16-14; 98-1111, eff. 8-26-14; 99-78, eff.
7-20-15; 99-173, eff. 7-29-15; 99-371, eff. 1-1-16; 99-480,
eff. 9-9-15; 99-642, eff. 7-28-16.)
(720 ILCS 570/302) (from Ch. 56 1/2, par. 1302)
Sec. 302. (a) Every person who manufactures, distributes,
or dispenses any controlled substances; engages in chemical

10000HB0313ham002 - 687 - LRB100 04130 SMS 22956 a
analysis, research, or instructional activities which utilize
controlled substances; purchases, stores, or administers
euthanasia drugs, within this State; provides canine odor
detection services; proposes to engage in the manufacture,
distribution, or dispensing of any controlled substance;
proposes to engage in chemical analysis, research, or
instructional activities which utilize controlled substances;
proposes to engage in purchasing, storing, or administering
euthanasia drugs; or proposes to provide canine odor detection
services within this State, must obtain a registration issued
by the Department of Financial and Professional Regulation in
accordance with its rules. The rules shall include, but not be
limited to, setting the expiration date and renewal period for
each registration under this Act. The Department, any facility
or service licensed by the Department, and any veterinary
hospital or clinic operated by a veterinarian or veterinarians
licensed under the Veterinary Medicine and Surgery Practice Act
of 2004 or maintained by a State-supported or publicly funded
university or college shall be exempt from the regulation
requirements of this Section; however, such exemption shall not
operate to bar the University of Illinois from requesting, nor
the Department of Financial and Professional Regulation from
issuing, a registration to the University of Illinois
Veterinary Teaching Hospital under this Act. Neither a request
for such registration nor the issuance of such registration to
the University of Illinois shall operate to otherwise waive or

10000HB0313ham002 - 688 - LRB100 04130 SMS 22956 a
modify the exemption provided in this subsection (a).
(b) Persons registered by the Department of Financial and
Professional Regulation under this Act to manufacture,
distribute, or dispense controlled substances, engage in
chemical analysis, research, or instructional activities which
utilize controlled substances, purchase, store, or administer
euthanasia drugs, or provide canine odor detection services,
may possess, manufacture, distribute, engage in chemical
analysis, research, or instructional activities which utilize
controlled substances, dispense those substances, or purchase,
store, or administer euthanasia drugs, or provide canine odor
detection services to the extent authorized by their
registration and in conformity with the other provisions of
this Article.
(c) The following persons need not register and may
lawfully possess controlled substances under this Act:
(1) an agent or employee of any registered
manufacturer, distributor, or dispenser of any controlled
substance if he or she is acting in the usual course of his
or her employer's lawful business or employment;
(2) a common or contract carrier or warehouseman, or an
agent or employee thereof, whose possession of any
controlled substance is in the usual lawful course of such
business or employment;
(3) an ultimate user or a person in possession of a
controlled substance prescribed for the ultimate user

10000HB0313ham002 - 689 - LRB100 04130 SMS 22956 a
under a lawful prescription of a practitioner, including an
advanced practice registered nurse, practical nurse, or
registered nurse licensed under the Nurse Practice Act, or
a physician assistant licensed under the Physician
Assistant Practice Act of 1987, who provides hospice
services to a hospice patient or who provides home health
services to a person, or a person in possession of any
controlled substance pursuant to a lawful prescription of a
practitioner or in lawful possession of a Schedule V
substance. In this Section, "home health services" has the
meaning ascribed to it in the Home Health, Home Services,
and Home Nursing Agency Licensing Act; and "hospice
patient" and "hospice services" have the meanings ascribed
to them in the Hospice Program Licensing Act;
(4) officers and employees of this State or of the
United States while acting in the lawful course of their
official duties which requires possession of controlled
substances;
(5) a registered pharmacist who is employed in, or the
owner of, a pharmacy licensed under this Act and the
Federal Controlled Substances Act, at the licensed
location, or if he or she is acting in the usual course of
his or her lawful profession, business, or employment;
(6) a holder of a temporary license issued under
Section 17 of the Medical Practice Act of 1987 practicing
within the scope of that license and in compliance with the

10000HB0313ham002 - 690 - LRB100 04130 SMS 22956 a
rules adopted under this Act. In addition to possessing
controlled substances, a temporary license holder may
order, administer, and prescribe controlled substances
when acting within the scope of his or her license and in
compliance with the rules adopted under this Act.
(d) A separate registration is required at each place of
business or professional practice where the applicant
manufactures, distributes, or dispenses controlled substances,
or purchases, stores, or administers euthanasia drugs. Persons
are required to obtain a separate registration for each place
of business or professional practice where controlled
substances are located or stored. A separate registration is
not required for every location at which a controlled substance
may be prescribed.
(e) The Department of Financial and Professional
Regulation or the Illinois State Police may inspect the
controlled premises, as defined in Section 502 of this Act, of
a registrant or applicant for registration in accordance with
this Act and the rules promulgated hereunder and with regard to
persons licensed by the Department, in accordance with
subsection (bb) of Section 30-5 of the Alcoholism and Other
Drug Abuse and Dependency Act and the rules and regulations
promulgated thereunder.
(Source: P.A. 99-163, eff. 1-1-16; 99-247, eff. 8-3-15; 99-642,
eff. 7-28-16.)

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(720 ILCS 570/303.05)
Sec. 303.05. Mid-level practitioner registration.
(a) The Department of Financial and Professional
Regulation shall register licensed physician assistants,
licensed advanced practice registered nurses, and prescribing
psychologists licensed under Section 4.2 of the Clinical
Psychologist Licensing Act to prescribe and dispense
controlled substances under Section 303 and euthanasia
agencies to purchase, store, or administer animal euthanasia
drugs under the following circumstances:
(1) with respect to physician assistants,
(A) the physician assistant has been delegated
written authority to prescribe any Schedule III
through V controlled substances 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; and the physician assistant has
completed the appropriate application forms and has
paid the required fees as set by rule; or
(B) the physician assistant has been delegated
authority by a supervising physician licensed to
practice medicine in all its branches to prescribe or
dispense Schedule II controlled substances through a
written delegation of authority and under the
following conditions:
(i) Specific Schedule II controlled substances

10000HB0313ham002 - 692 - LRB100 04130 SMS 22956 a
by oral dosage or topical or transdermal
application may be delegated, provided that the
delegated Schedule II controlled substances are
routinely prescribed by the supervising physician.
This delegation must identify the specific
Schedule II controlled substances by either brand
name or generic name. Schedule II controlled
substances to be delivered by injection or other
route of administration may not be delegated;
(ii) any delegation must be of controlled
substances prescribed by the supervising
physician;
(iii) all prescriptions must be limited to no
more than a 30-day supply, with any continuation
authorized only after prior approval of the
supervising physician;
(iv) the physician assistant must discuss the
condition of any patients for whom a controlled
substance is prescribed monthly with the
delegating physician;
(v) the physician assistant must have
completed the appropriate application forms and
paid the required fees as set by rule;
(vi) the physician assistant must provide
evidence of satisfactory completion of 45 contact
hours in pharmacology from any physician assistant

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program accredited by the Accreditation Review
Commission on Education for the Physician
Assistant (ARC-PA), or its predecessor agency, for
any new license issued with Schedule II authority
after the effective date of this amendatory Act of
the 97th General Assembly; and
(vii) the physician assistant must annually
complete at least 5 hours of continuing education
in pharmacology;
(2) with respect to advanced practice registered
nurses,
(A) the advanced practice registered nurse has
been delegated authority to prescribe any Schedule III
through V controlled substances by a collaborating
physician licensed to practice medicine in all its
branches or a collaborating podiatric physician in
accordance with Section 65-40 of the Nurse Practice
Act. The advanced practice registered nurse has
completed the appropriate application forms and has
paid the required fees as set by rule; or
(B) the advanced practice registered nurse has
been delegated authority by a collaborating physician
licensed to practice medicine in all its branches or
collaborating podiatric physician to prescribe or
dispense Schedule II controlled substances through a
written delegation of authority and under the

10000HB0313ham002 - 694 - LRB100 04130 SMS 22956 a
following conditions:
(i) specific Schedule II controlled substances
by oral dosage or topical or transdermal
application may be delegated, provided that the
delegated Schedule II controlled substances are
routinely prescribed by the collaborating
physician or podiatric physician. This delegation
must identify the specific Schedule II controlled
substances by either brand name or generic name.
Schedule II controlled substances to be delivered
by injection or other route of administration may
not be delegated;
(ii) any delegation must be of controlled
substances prescribed by the collaborating
physician or podiatric physician;
(iii) all prescriptions must be limited to no
more than a 30-day supply, with any continuation
authorized only after prior approval of the
collaborating physician or podiatric physician;
(iv) the advanced practice registered nurse
must discuss the condition of any patients for whom
a controlled substance is prescribed monthly with
the delegating physician or podiatric physician or
in the course of review as required by Section
65-40 of the Nurse Practice Act;
(v) the advanced practice registered nurse

10000HB0313ham002 - 695 - LRB100 04130 SMS 22956 a
must have completed the appropriate application
forms and paid the required fees as set by rule;
(vi) the advanced practice registered nurse
must provide evidence of satisfactory completion
of at least 45 graduate contact hours in
pharmacology for any new license issued with
Schedule II authority after the effective date of
this amendatory Act of the 97th General Assembly;
and
(vii) the advanced practice registered nurse
must annually complete 5 hours of continuing
education in pharmacology;
(2.5) with respect to advanced practice registered
nurses certified as nurse practitioners, nurse midwives,
or clinical nurse specialists practicing in a hospital
affiliate,
(A) the advanced practice registered nurse
certified as a nurse practitioner, nurse midwife, or
clinical nurse specialist has been granted authority
to prescribe any Schedule II through V controlled
substances by the hospital affiliate upon the
recommendation of the appropriate physician committee
of the hospital affiliate in accordance with Section
65-45 of the Nurse Practice Act, has completed the
appropriate application forms, and has paid the
required fees as set by rule; and

10000HB0313ham002 - 696 - LRB100 04130 SMS 22956 a
(B) an advanced practice registered nurse
certified as a nurse practitioner, nurse midwife, or
clinical nurse specialist has been granted authority
to prescribe any Schedule II controlled substances by
the hospital affiliate upon the recommendation of the
appropriate physician committee of the hospital
affiliate, then the following conditions must be met:
(i) specific Schedule II controlled substances
by oral dosage or topical or transdermal
application may be designated, provided that the
designated Schedule II controlled substances are
routinely prescribed by advanced practice
registered nurses in their area of certification;
this grant of authority must identify the specific
Schedule II controlled substances by either brand
name or generic name; authority to prescribe or
dispense Schedule II controlled substances to be
delivered by injection or other route of
administration may not be granted;
(ii) any grant of authority must be controlled
substances limited to the practice of the advanced
practice registered nurse;
(iii) any prescription must be limited to no
more than a 30-day supply;
(iv) the advanced practice registered nurse
must discuss the condition of any patients for whom

10000HB0313ham002 - 697 - LRB100 04130 SMS 22956 a
a controlled substance is prescribed monthly with
the appropriate physician committee of the
hospital affiliate or its physician designee; and
(v) the advanced practice registered nurse
must meet the education requirements of this
Section;
(3) with respect to animal euthanasia agencies, the
euthanasia agency has obtained a license from the
Department of Financial and Professional Regulation and
obtained a registration number from the Department; or
(4) with respect to prescribing psychologists, the
prescribing psychologist has been delegated authority to
prescribe any nonnarcotic Schedule III through V
controlled substances by a collaborating physician
licensed to practice medicine in all its branches in
accordance with Section 4.3 of the Clinical Psychologist
Licensing Act, and the prescribing psychologist 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 or licensed podiatric physician has
delegated prescriptive authority, except that an animal
euthanasia agency does not have any prescriptive authority. A
physician assistant and an advanced practice registered nurse
are prohibited from prescribing medications and controlled

10000HB0313ham002 - 698 - LRB100 04130 SMS 22956 a
substances not set forth in the required written delegation of
authority.
(c) Upon completion of all registration requirements,
physician assistants, advanced practice registered nurses, and
animal euthanasia agencies may be issued a mid-level
practitioner controlled substances license for Illinois.
(d) A collaborating physician or podiatric physician may,
but is not required to, delegate prescriptive authority to an
advanced practice registered nurse as part of a written
collaborative agreement, and the delegation of prescriptive
authority shall conform to the requirements of Section 65-40 of
the Nurse Practice Act.
(e) A supervising physician may, but is not required to,
delegate prescriptive authority to a physician assistant as
part of a written supervision agreement, and the delegation of
prescriptive authority shall conform to the requirements of
Section 7.5 of the Physician Assistant Practice Act of 1987.
(f) Nothing in this Section shall be construed to prohibit
generic substitution.
(Source: P.A. 98-214, eff. 8-9-13; 98-668, eff. 6-25-14;
99-173, eff. 7-29-15.)
(720 ILCS 570/313) (from Ch. 56 1/2, par. 1313)
Sec. 313. (a) Controlled substances which are lawfully
administered in hospitals or institutions licensed under the
Hospital Licensing Act shall be exempt from the requirements of

10000HB0313ham002 - 699 - LRB100 04130 SMS 22956 a
Sections 312 and 316, except that the prescription for the
controlled substance shall be in writing on the patient's
record, signed by the prescriber, and dated, and shall state
the name and quantity of controlled substances ordered and the
quantity actually administered. The records of such
prescriptions shall be maintained for two years and shall be
available for inspection by officers and employees of the
Illinois State Police and the Department of Financial and
Professional Regulation.
The exemption under this subsection (a) does not apply to a
prescription (including an outpatient prescription from an
emergency department or outpatient clinic) for more than a
72-hour supply of a discharge medication to be consumed outside
of the hospital or institution.
(b) Controlled substances that can lawfully be
administered or dispensed directly to a patient in a long-term
care facility licensed by the Department of Public Health as a
skilled nursing facility, intermediate care facility, or
long-term care facility for residents under 22 years of age,
are exempt from the requirements of Section 312 except that a
prescription for a Schedule II controlled substance must be
either a prescription signed by the prescriber or a
prescription transmitted by the prescriber or prescriber's
agent to the dispensing pharmacy by facsimile. The facsimile
serves as the original prescription and must be maintained for
2 years from the date of issue in the same manner as a written

10000HB0313ham002 - 700 - LRB100 04130 SMS 22956 a
prescription signed by the prescriber.
(c) A prescription that is generated for a Schedule II
controlled substance to be compounded for direct
administration to a patient in a private residence, long-term
care facility, or hospice program may be transmitted by
facsimile by the prescriber or the prescriber's agent to the
pharmacy providing the home infusion services. The facsimile
serves as the original prescription for purposes of this
paragraph (c) and it shall be maintained in the same manner as
the original prescription.
(c-1) A prescription generated for a Schedule II controlled
substance for a patient residing in a hospice certified by
Medicare under Title XVIII of the Social Security Act or
licensed by the State may be transmitted by the practitioner or
the practitioner's agent to the dispensing pharmacy by
facsimile or electronically as provided in Section 311.5. The
practitioner or practitioner's agent must note on the
prescription that the patient is a hospice patient. The
facsimile or electronic record serves as the original
prescription for purposes of this paragraph (c-1) and it shall
be maintained in the same manner as the original prescription.
(d) Controlled substances which are lawfully administered
and/or dispensed in drug abuse treatment programs licensed by
the Department shall be exempt from the requirements of
Sections 312 and 316, except that the prescription for such
controlled substances shall be issued and authenticated on

10000HB0313ham002 - 701 - LRB100 04130 SMS 22956 a
official prescription logs prepared and maintained in
accordance with 77 Ill. Adm. Code 2060: Alcoholism and
Substance Abuse Treatment and Intervention Licenses, and in
compliance with other applicable State and federal laws. The
Department-licensed drug treatment program shall report
applicable prescriptions via electronic record keeping
software approved by the Department. This software must be
compatible with the specifications of the Department. Drug
abuse treatment programs shall report to the Department
methadone prescriptions or medications dispensed through the
use of Department-approved File Transfer Protocols (FTPs).
Methadone prescription records must be maintained in
accordance with the applicable requirements as set forth by the
Department in accordance with 77 Ill. Adm. Code 2060:
Alcoholism and Substance Abuse Treatment and Intervention
Licenses, and in compliance with other applicable State and
federal laws.
(e) Nothing in this Act shall be construed to limit the
authority of a hospital pursuant to Section 65-45 of the Nurse
Practice Act to grant hospital clinical privileges to an
individual advanced practice registered nurse to select, order
or administer medications, including controlled substances to
provide services within a hospital. Nothing in this Act shall
be construed to limit the authority of an ambulatory surgical
treatment center pursuant to Section 65-45 of the Nurse
Practice Act to grant ambulatory surgical treatment center

10000HB0313ham002 - 702 - LRB100 04130 SMS 22956 a
clinical privileges to an individual advanced practice
registered nurse to select, order or administer medications,
including controlled substances to provide services within an
ambulatory surgical treatment center.
(Source: P.A. 97-334, eff. 1-1-12.)
(720 ILCS 570/320)
Sec. 320. Advisory committee.
(a) There is created a Prescription Monitoring Program
Advisory Committee to assist the Department of Human Services
in implementing the Prescription Monitoring Program created by
this Article and to advise the Department on the professional
performance of prescribers and dispensers and other matters
germane to the advisory committee's field of competence.
(b) The Clinical Director of the Prescription Monitoring
Program shall appoint members to serve on the advisory
committee. The advisory committee shall be composed of
prescribers and dispensers as follows: 4 physicians licensed to
practice medicine in all its branches; one advanced practice
registered nurse; one physician assistant; one optometrist;
one dentist; one podiatric physician; and 3 pharmacists. The
Clinical Director of the Prescription Monitoring Program may
appoint a representative of an organization representing a
profession required to be appointed. The Clinical Director of
the Prescription Monitoring Program shall serve as the chair of
the committee.

10000HB0313ham002 - 703 - LRB100 04130 SMS 22956 a
(c) The advisory committee may appoint its other officers
as it deems appropriate.
(d) The members of the advisory committee shall receive no
compensation for their services as members of the advisory
committee but may be reimbursed for their actual expenses
incurred in serving on the advisory committee.
(e) The advisory committee shall:
(1) provide a uniform approach to reviewing this Act in
order to determine whether changes should be recommended to
the General Assembly;
(2) review current drug schedules in order to manage
changes to the administrative rules pertaining to the
utilization of this Act;
(3) review the following: current clinical guidelines
developed by health care professional organizations on the
prescribing of opioids or other controlled substances;
accredited continuing education programs related to
prescribing and dispensing; programs or information
developed by health care professional organizations that
may be used to assess patients or help ensure compliance
with prescriptions; updates from the Food and Drug
Administration, the Centers for Disease Control and
Prevention, and other public and private organizations
which are relevant to prescribing and dispensing; relevant
medical studies; and other publications which involve the
prescription of controlled substances;

10000HB0313ham002 - 704 - LRB100 04130 SMS 22956 a
(4) make recommendations for inclusion of these
materials or other studies which may be effective resources
for prescribers and dispensers on the Internet website of
the inquiry system established under Section 318;
(5) on at least a quarterly basis, review the content
of the Internet website of the inquiry system established
pursuant to Section 318 to ensure this Internet website has
the most current available information;
(6) on at least a quarterly basis, review opportunities
for federal grants and other forms of funding to support
projects which will increase the number of pilot programs
which integrate the inquiry system with electronic health
records; and
(7) on at least a quarterly basis, review communication
to be sent to all registered users of the inquiry system
established pursuant to Section 318, including
recommendations for relevant accredited continuing
education and information regarding prescribing and
dispensing.
(f) The Clinical Director of the Prescription Monitoring
Program shall select 5 members, 3 physicians and 2 pharmacists,
of the Prescription Monitoring Program Advisory Committee to
serve as members of the peer review subcommittee. The purpose
of the peer review subcommittee is to advise the Program on
matters germane to the advisory committee's field of
competence, establish a formal peer review of professional

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performance of prescribers and dispensers, and develop
communications to transmit to prescribers and dispensers. The
deliberations, information, and communications of the peer
review subcommittee are privileged and confidential and shall
not be disclosed in any manner except in accordance with
current law.
(1) The peer review subcommittee shall periodically
review the data contained within the prescription
monitoring program to identify those prescribers or
dispensers who may be prescribing or dispensing outside the
currently accepted standards in the course of their
professional practice.
(2) The peer review subcommittee may identify
prescribers or dispensers who may be prescribing outside
the currently accepted medical standards in the course of
their professional practice and send the identified
prescriber or dispenser a request for information
regarding their prescribing or dispensing practices. This
request for information shall be sent via certified mail,
return receipt requested. A prescriber or dispenser shall
have 30 days to respond to the request for information.
(3) The peer review subcommittee shall refer a
prescriber or a dispenser to the Department of Financial
and Professional Regulation in the following situations:
(i) if a prescriber or dispenser does not respond
to three successive requests for information;

10000HB0313ham002 - 706 - LRB100 04130 SMS 22956 a
(ii) in the opinion of a majority of members of the
peer review subcommittee, the prescriber or dispenser
does not have a satisfactory explanation for the
practices identified by the peer review subcommittee
in its request for information; or
(iii) following communications with the peer
review subcommittee, the prescriber or dispenser does
not sufficiently rectify the practices identified in
the request for information in the opinion of a
majority of the members of the peer review
subcommittee.
(4) The Department of Financial and Professional
Regulation may initiate an investigation and discipline in
accordance with current laws and rules for any prescriber
or dispenser referred by the peer review subcommittee.
(5) The peer review subcommittee shall prepare an
annual report starting on July 1, 2017. This report shall
contain the following information: the number of times the
peer review subcommittee was convened; the number of
prescribers or dispensers who were reviewed by the peer
review committee; the number of requests for information
sent out by the peer review subcommittee; and the number of
prescribers or dispensers referred to the Department of
Financial and Professional Regulation. The annual report
shall be delivered electronically to the Department and to
the General Assembly. The report prepared by the peer

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review subcommittee shall not identify any prescriber,
dispenser, or patient.
(Source: P.A. 99-480, eff. 9-9-15.)
Section 325. The Code of Civil Procedure is amended by
changing Section 8-2001 as follows:
(735 ILCS 5/8-2001) (from Ch. 110, par. 8-2001)
Sec. 8-2001. Examination of health care records.
(a) In this Section:
"Health care facility" or "facility" means a public or
private hospital, ambulatory surgical treatment center,
nursing home, independent practice association, or physician
hospital organization, or any other entity where health care
services are provided to any person. The term does not include
a health care practitioner.
"Health care practitioner" means any health care
practitioner, including a physician, dentist, podiatric
physician, advanced practice registered nurse, physician
assistant, clinical psychologist, or clinical social worker.
The term includes a medical office, health care clinic, health
department, group practice, and any other organizational
structure for a licensed professional to provide health care
services. The term does not include a health care facility.
(b) Every private and public health care facility shall,
upon the request of any patient who has been treated in such

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health care facility, or any person, entity, or organization
presenting a valid authorization for the release of records
signed by the patient or the patient's legally authorized
representative, or as authorized by Section 8-2001.5, permit
the patient, his or her health care practitioner, authorized
attorney, or any person, entity, or organization presenting a
valid authorization for the release of records signed by the
patient or the patient's legally authorized representative to
examine the health care facility patient care records,
including but not limited to the history, bedside notes,
charts, pictures and plates, kept in connection with the
treatment of such patient, and permit copies of such records to
be made by him or her or his or her health care practitioner or
authorized attorney.
(c) Every health care practitioner shall, upon the request
of any patient who has been treated by the health care
practitioner, or any person, entity, or organization
presenting a valid authorization for the release of records
signed by the patient or the patient's legally authorized
representative, permit the patient and the patient's health
care practitioner or authorized attorney, or any person,
entity, or organization presenting a valid authorization for
the release of records signed by the patient or the patient's
legally authorized representative, to examine and copy the
patient's records, including but not limited to those relating
to the diagnosis, treatment, prognosis, history, charts,

10000HB0313ham002 - 709 - LRB100 04130 SMS 22956 a
pictures and plates, kept in connection with the treatment of
such patient.
(d) A request for copies of the records shall be in writing
and shall be delivered to the administrator or manager of such
health care facility or to the health care practitioner. The
person (including patients, health care practitioners and
attorneys) requesting copies of records shall reimburse the
facility or the health care practitioner at the time of such
copying for all reasonable expenses, including the costs of
independent copy service companies, incurred in connection
with such copying not to exceed a $20 handling charge for
processing the request and the actual postage or shipping
charge, if any, plus: (1) for paper copies 75 cents per page
for the first through 25th pages, 50 cents per page for the
26th through 50th pages, and 25 cents per page for all pages in
excess of 50 (except that the charge shall not exceed $1.25 per
page for any copies made from microfiche or microfilm; records
retrieved from scanning, digital imaging, electronic
information or other digital format do not qualify as
microfiche or microfilm retrieval for purposes of calculating
charges); and (2) for electronic records, retrieved from a
scanning, digital imaging, electronic information or other
digital format in an electronic document, a charge of 50% of
the per page charge for paper copies under subdivision (d)(1).
This per page charge includes the cost of each CD Rom, DVD, or
other storage media. Records already maintained in an

10000HB0313ham002 - 710 - LRB100 04130 SMS 22956 a
electronic or digital format shall be provided in an electronic
format when so requested. If the records system does not allow
for the creation or transmission of an electronic or digital
record, then the facility or practitioner shall inform the
requester in writing of the reason the records can not be
provided electronically. The written explanation may be
included with the production of paper copies, if the requester
chooses to order paper copies. These rates shall be
automatically adjusted as set forth in Section 8-2006. The
facility or health care practitioner may, however, charge for
the reasonable cost of all duplication of record material or
information that cannot routinely be copied or duplicated on a
standard commercial photocopy machine such as x-ray films or
pictures.
(d-5) The handling fee shall not be collected from the
patient or the patient's personal representative who obtains
copies of records under Section 8-2001.5.
(e) The requirements of this Section shall be satisfied
within 30 days of the receipt of a written request by a patient
or by his or her legally authorized representative, health care
practitioner, authorized attorney, or any person, entity, or
organization presenting a valid authorization for the release
of records signed by the patient or the patient's legally
authorized representative. If the facility or health care
practitioner needs more time to comply with the request, then
within 30 days after receiving the request, the facility or

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health care practitioner must provide the requesting party with
a written statement of the reasons for the delay and the date
by which the requested information will be provided. In any
event, the facility or health care practitioner must provide
the requested information no later than 60 days after receiving
the request.
(f) A health care facility or health care practitioner must
provide the public with at least 30 days prior notice of the
closure of the facility or the health care practitioner's
practice. The notice must include an explanation of how copies
of the facility's records may be accessed by patients. The
notice may be given by publication in a newspaper of general
circulation in the area in which the health care facility or
health care practitioner is located.
(g) Failure to comply with the time limit requirement of
this Section shall subject the denying party to expenses and
reasonable attorneys' fees incurred in connection with any
court ordered enforcement of the provisions of this Section.
(Source: P.A. 97-623, eff. 11-23-11; 97-867, eff. 7-30-12;
98-214, eff. 8-9-13; 98-756, eff. 7-16-14.)
Section 330. The Good Samaritan Act is amended by changing
Sections 30, 34, and 68 as follows:
(745 ILCS 49/30)
Sec. 30. Free medical clinic; exemption from civil

10000HB0313ham002 - 712 - LRB100 04130 SMS 22956 a
liability for services performed without compensation.
(a) A person licensed under the Medical Practice Act of
1987, a person licensed to practice the treatment of human
ailments in any other state or territory of the United States,
or a health care professional, including but not limited to an
advanced practice registered nurse, physician assistant,
nurse, pharmacist, physical therapist, podiatric physician, or
social worker licensed in this State or any other state or
territory of the United States, who, in good faith, provides
medical treatment, diagnosis, or advice as a part of the
services of an established free medical clinic providing care
to medically indigent patients which is limited to care that
does not require the services of a licensed hospital or
ambulatory surgical treatment center and who receives no fee or
compensation from that source shall not be liable for civil
damages as a result of his or her acts or omissions in
providing that medical treatment, except for willful or wanton
misconduct.
(b) For purposes of this Section, a "free medical clinic"
is:
(1) an organized community based program providing
medical care without charge to individuals unable to pay
for it, at which the care provided does not include the use
of general anesthesia or require an overnight stay in a
health-care facility; or
(2) a program organized by a certified local health

10000HB0313ham002 - 713 - LRB100 04130 SMS 22956 a
department pursuant to Part 600 of Title 77 of the Illinois
Administrative Code, utilizing health professional members
of the Volunteer Medical Reserve Corps (the federal
organization under 42 U.S.C. 300hh-15) providing medical
care without charge to individuals unable to pay for it, at
which the care provided does not include an overnight stay
in a health-care facility.
(c) The provisions of subsection (a) of this Section do not
apply to a particular case unless the free medical clinic has
posted in a conspicuous place on its premises an explanation of
the exemption from civil liability provided herein.
(d) The immunity from civil damages provided under
subsection (a) also applies to physicians, hospitals, and other
health care providers that provide further medical treatment,
diagnosis, or advice to a patient upon referral from an
established free medical clinic without fee or compensation.
(e) Nothing in this Section prohibits a free medical clinic
from accepting voluntary contributions for medical services
provided to a patient who has acknowledged his or her ability
and willingness to pay a portion of the value of the medical
services provided.
Any voluntary contribution collected for providing care at
a free medical clinic shall be used only to pay overhead
expenses of operating the clinic. No portion of any moneys
collected shall be used to provide a fee or other compensation
to any person licensed under Medical Practice Act of 1987.

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(f) The changes to this Section made by this amendatory Act
of the 99th General Assembly apply only to causes of action
accruing on or after the effective date of this amendatory Act
of the 99th General Assembly.
(Source: P.A. 98-214, eff. 8-9-13; 99-42, eff. 1-1-16.)
(745 ILCS 49/34)
Sec. 34. Advanced practice registered nurse; exemption
from civil liability for emergency care. A person licensed as
an advanced practice registered nurse under the Nurse Practice
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. 95-639, eff. 10-5-07.)
(745 ILCS 49/68)
Sec. 68. Disaster Relief Volunteers. Any firefighter,
licensed emergency medical technician (EMT) as defined by
Section 3.50 of the Emergency Medical Services (EMS) Systems
Act, physician, dentist, podiatric physician, optometrist,
pharmacist, advanced practice registered nurse, physician
assistant, or nurse who in good faith and without fee or
compensation provides health care services as a disaster relief
volunteer shall not, as a result of his or her acts or
omissions, except willful and wanton misconduct on the part of

10000HB0313ham002 - 715 - LRB100 04130 SMS 22956 a
the person, in providing health care services, be liable to a
person to whom the health care services are provided for civil
damages. This immunity applies to health care services that are
provided without fee or compensation during or within 10 days
following the end of a disaster or catastrophic event.
The immunity provided in this Section only applies to a
disaster relief volunteer who provides health care services in
relief of an earthquake, hurricane, tornado, nuclear attack,
terrorist attack, epidemic, or pandemic without fee or
compensation for providing the volunteer health care services.
The provisions of this Section shall not apply to any
health care facility as defined in Section 8-2001 of the Code
of Civil Procedure or to any practitioner, who is not a
disaster relief volunteer, providing health care services in a
hospital or health care facility.
(Source: P.A. 98-214, eff. 8-9-13.)
Section 335. The Health Care Surrogate Act is amended by
changing Section 65 as follows:
(755 ILCS 40/65)
Sec. 65. Department of Public Health Uniform POLST form.
(a) An individual of sound mind and having reached the age
of majority or having obtained the status of an emancipated
person pursuant to the Emancipation of Minors Act may execute a
document (consistent with the Department of Public Health

10000HB0313ham002 - 716 - LRB100 04130 SMS 22956 a
Uniform POLST form described in Section 2310-600 of the
Department of Public Health Powers and Duties Law of the Civil
Administrative Code of Illinois) directing that resuscitating
efforts shall not be implemented. Such a document may also be
executed by an attending health care practitioner. If more than
one practitioner shares that responsibility, any of the
attending health care practitioners may act under this Section.
Notwithstanding the existence of a do-not-resuscitate (DNR)
order or Department of Public Health Uniform POLST form,
appropriate organ donation treatment may be applied or
continued temporarily in the event of the patient's death, in
accordance with subsection (g) of Section 20 of this Act, if
the patient is an organ donor.
(a-5) Execution of a Department of Public Health Uniform
POLST form is voluntary; no person can be required to execute
either form. A person who has executed a Department of Public
Health Uniform POLST form should review the form annually and
when the person's condition changes.
(b) Consent to a Department of Public Health Uniform POLST
form may be obtained from the individual, or from another
person at the individual's direction, or from the individual's
legal guardian, agent under a power of attorney for health
care, or surrogate decision maker, and witnessed by one
individual 18 years of age or older, who attests that the
individual, other person, guardian, agent, or surrogate (1) has
had an opportunity to read the form; and (2) has signed the

10000HB0313ham002 - 717 - LRB100 04130 SMS 22956 a
form or acknowledged his or her signature or mark on the form
in the witness's presence.
(b-5) As used in this Section, "attending health care
practitioner" means an individual who (1) is an Illinois
licensed physician, advanced practice registered nurse,
physician assistant, or licensed resident after completion of
one year in a program; (2) is selected by or assigned to the
patient; and (3) has primary responsibility for treatment and
care of the patient. "POLST" means practitioner orders for
life-sustaining treatments.
(c) Nothing in this Section shall be construed to affect
the ability of an individual to include instructions in an
advance directive, such as a power of attorney for health care.
The uniform form may, but need not, be in the form adopted by
the Department of Public Health pursuant to Section 2310-600 of
the Department of Public Health Powers and Duties Law (20 ILCS
2310/2310-600).
(d) A health care professional or health care provider may
presume, in the absence of knowledge to the contrary, that a
completed Department of Public Health Uniform POLST form, or a
copy of that form or a previous version of the uniform form, is
valid. A health care professional or health care provider, or
an employee of a health care professional or health care
provider, who in good faith complies with a cardiopulmonary
resuscitation (CPR) or life-sustaining treatment order,
Department of Public Health Uniform POLST form, or a previous

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version of the uniform form made in accordance with this Act is
not, as a result of that compliance, subject to any criminal or
civil liability, except for willful and wanton misconduct, and
may not be found to have committed an act of unprofessional
conduct.
(e) Nothing in this Section or this amendatory Act of the
94th General Assembly or this amendatory Act of the 98th
General Assembly shall be construed to affect the ability of a
physician or other practitioner to make a do-not-resuscitate
order.
(Source: P.A. 98-1110, eff. 8-26-14; 99-319, eff. 1-1-16.)
Section 340. The Illinois Power of Attorney Act is amended
by changing Sections 4-5.1 and 4-10 as follows:
(755 ILCS 45/4-5.1)
Sec. 4-5.1. Limitations on who may witness health care
agencies.
(a) Every health care agency shall bear the signature of a
witness to the signing of the agency. No witness may be under
18 years of age. None of the following licensed professionals
providing services to the principal may serve as a witness to
the signing of a health care agency:
(1) the attending physician, advanced practice
registered nurse, physician assistant, dentist, podiatric
physician, optometrist, or psychologist of the principal,

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or a relative of the physician, advanced practice
registered nurse, physician assistant, dentist, podiatric
physician, optometrist, or psychologist;
(2) an owner, operator, or relative of an owner or
operator of a health care facility in which the principal
is a patient or resident;
(3) a parent, sibling, or descendant, or the spouse of
a parent, sibling, or descendant, of either the principal
or any agent or successor agent, regardless of whether the
relationship is by blood, marriage, or adoption;
(4) an agent or successor agent for health care.
(b) The prohibition on the operator of a health care
facility from serving as a witness shall extend to directors
and executive officers of an operator that is a corporate
entity but not other employees of the operator such as, but not
limited to, non-owner chaplains or social workers, nurses, and
other employees.
(Source: P.A. 98-1113, eff. 1-1-15; 99-328, eff. 1-1-16.)
(755 ILCS 45/4-10) (from Ch. 110 1/2, par. 804-10)
Sec. 4-10. Statutory short form power of attorney for
health care.
(a) The form prescribed in this Section (sometimes also
referred to in this Act as the "statutory health care power")
may be used to grant an agent powers with respect to the
principal's own health care; but the statutory health care

10000HB0313ham002 - 720 - LRB100 04130 SMS 22956 a
power is not intended to be exclusive nor to cover delegation
of a parent's power to control the health care of a minor
child, and no provision of this Article shall be construed to
invalidate or bar use by the principal of any other or
different form of power of attorney for health care.
Nonstatutory health care powers must be executed by the
principal, designate the agent and the agent's powers, and
comply with the limitations in Section 4-5 of this Article, but
they need not be witnessed or conform in any other respect to
the statutory health care power.
No specific format is required for the statutory health
care power of attorney other than the notice must precede the
form. The statutory health care power may be included in or
combined with any other form of power of attorney governing
property or other matters.
(b) The Illinois Statutory Short Form Power of Attorney for
Health Care shall be substantially as follows:
NOTICE TO THE INDIVIDUAL SIGNING
THE POWER OF ATTORNEY FOR HEALTH CARE
No one can predict when a serious illness or accident might
occur. When it does, you may need someone else to speak or make
health care decisions for you. If you plan now, you can
increase the chances that the medical treatment you get will be
the treatment you want.
In Illinois, you can choose someone to be your "health care

10000HB0313ham002 - 721 - LRB100 04130 SMS 22956 a
agent". Your agent is the person you trust to make health care
decisions for you if you are unable or do not want to make them
yourself. These decisions should be based on your personal
values and wishes.
It is important to put your choice of agent in writing. The
written form is often called an "advance directive". You may
use this form or another form, as long as it meets the legal
requirements of Illinois. There are many written and on-line
resources to guide you and your loved ones in having a
conversation about these issues. You may find it helpful to
look at these resources while thinking about and discussing
your advance directive.
WHAT ARE THE THINGS I WANT MY
HEALTH CARE AGENT TO KNOW?
The selection of your agent should be considered carefully,
as your agent will have the ultimate decision making authority
once this document goes into effect, in most instances after
you are no longer able to make your own decisions. While the
goal is for your agent to make decisions in keeping with your
preferences and in the majority of circumstances that is what
happens, please know that the law does allow your agent to make
decisions to direct or refuse health care interventions or
withdraw treatment. Your agent will need to think about
conversations you have had, your personality, and how you
handled important health care issues in the past. Therefore, it

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is important to talk with your agent and your family about such
things as:
(i) What is most important to you in your life?
(ii) How important is it to you to avoid pain and
suffering?
(iii) If you had to choose, is it more important to you
to live as long as possible, or to avoid prolonged
suffering or disability?
(iv) Would you rather be at home or in a hospital for
the last days or weeks of your life?
(v) Do you have religious, spiritual, or cultural
beliefs that you want your agent and others to consider?
(vi) Do you wish to make a significant contribution to
medical science after your death through organ or whole
body donation?
(vii) Do you have an existing advanced directive, such
as a living will, that contains your specific wishes about
health care that is only delaying your death? If you have
another advance directive, make sure to discuss with your
agent the directive and the treatment decisions contained
within that outline your preferences. Make sure that your
agent agrees to honor the wishes expressed in your advance
directive.
WHAT KIND OF DECISIONS CAN MY AGENT MAKE?
If there is ever a period of time when your physician

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determines that you cannot make your own health care decisions,
or if you do not want to make your own decisions, some of the
decisions your agent could make are to:
(i) talk with physicians and other health care
providers about your condition.
(ii) see medical records and approve who else can see
them.
(iii) give permission for medical tests, medicines,
surgery, or other treatments.
(iv) choose where you receive care and which physicians
and others provide it.
(v) decide to accept, withdraw, or decline treatments
designed to keep you alive if you are near death or not
likely to recover. You may choose to include guidelines
and/or restrictions to your agent's authority.
(vi) agree or decline to donate your organs or your
whole body if you have not already made this decision
yourself. This could include donation for transplant,
research, and/or education. You should let your agent know
whether you are registered as a donor in the First Person
Consent registry maintained by the Illinois Secretary of
State or whether you have agreed to donate your whole body
for medical research and/or education.
(vii) decide what to do with your remains after you
have died, if you have not already made plans.
(viii) talk with your other loved ones to help come to

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a decision (but your designated agent will have the final
say over your other loved ones).
Your agent is not automatically responsible for your health
care expenses.
WHOM SHOULD I CHOOSE TO BE MY HEALTH CARE AGENT?
You can pick a family member, but you do not have to. Your
agent will have the responsibility to make medical treatment
decisions, even if other people close to you might urge a
different decision. The selection of your agent should be done
carefully, as he or she will have ultimate decision-making
authority for your treatment decisions once you are no longer
able to voice your preferences. Choose a family member, friend,
or other person who:
(i) is at least 18 years old;
(ii) knows you well;
(iii) you trust to do what is best for you and is
willing to carry out your wishes, even if he or she may not
agree with your wishes;
(iv) would be comfortable talking with and questioning
your physicians and other health care providers;
(v) would not be too upset to carry out your wishes if
you became very sick; and
(vi) can be there for you when you need it and is
willing to accept this important role.

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WHAT IF MY AGENT IS NOT AVAILABLE OR IS
UNWILLING TO MAKE DECISIONS FOR ME?
If the person who is your first choice is unable to carry
out this role, then the second agent you chose will make the
decisions; if your second agent is not available, then the
third agent you chose will make the decisions. The second and
third agents are called your successor agents and they function
as back-up agents to your first choice agent and may act only
one at a time and in the order you list them.
WHAT WILL HAPPEN IF I DO NOT
CHOOSE A HEALTH CARE AGENT?
If you become unable to make your own health care decisions
and have not named an agent in writing, your physician and
other health care providers will ask a family member, friend,
or guardian to make decisions for you. In Illinois, a law
directs which of these individuals will be consulted. In that
law, each of these individuals is called a "surrogate".
There are reasons why you may want to name an agent rather
than rely on a surrogate:
(i) The person or people listed by this law may not be
who you would want to make decisions for you.
(ii) Some family members or friends might not be able
or willing to make decisions as you would want them to.
(iii) Family members and friends may disagree with one
another about the best decisions.

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(iv) Under some circumstances, a surrogate may not be
able to make the same kinds of decisions that an agent can
make.
WHAT IF THERE IS NO ONE AVAILABLE
WHOM I TRUST TO BE MY AGENT?
In this situation, it is especially important to talk to
your physician and other health care providers and create
written guidance about what you want or do not want, in case
you are ever critically ill and cannot express your own wishes.
You can complete a living will. You can also write your wishes
down and/or discuss them with your physician or other health
care provider and ask him or her to write it down in your
chart. You might also want to use written or on-line resources
to guide you through this process.
WHAT DO I DO WITH THIS FORM ONCE I COMPLETE IT?
Follow these instructions after you have completed the
form:
(i) Sign the form in front of a witness. See the form
for a list of who can and cannot witness it.
(ii) Ask the witness to sign it, too.
(iii) There is no need to have the form notarized.
(iv) Give a copy to your agent and to each of your
successor agents.
(v) Give another copy to your physician.

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(vi) Take a copy with you when you go to the hospital.
(vii) Show it to your family and friends and others who
care for you.
WHAT IF I CHANGE MY MIND?
You may change your mind at any time. If you do, tell
someone who is at least 18 years old that you have changed your
mind, and/or destroy your document and any copies. If you wish,
fill out a new form and make sure everyone you gave the old
form to has a copy of the new one, including, but not limited
to, your agents and your physicians.
WHAT IF I DO NOT WANT TO USE THIS FORM?
In the event you do not want to use the Illinois statutory
form provided here, any document you complete must be executed
by you, designate an agent who is over 18 years of age and not
prohibited from serving as your agent, and state the agent's
powers, but it need not be witnessed or conform in any other
respect to the statutory health care power.
If you have questions about the use of any form, you may
want to consult your physician, other health care provider,
and/or an attorney.
MY POWER OF ATTORNEY FOR HEALTH CARE
THIS POWER OF ATTORNEY REVOKES ALL PREVIOUS POWERS OF ATTORNEY

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FOR HEALTH CARE. (You must sign this form and a witness must
also sign it before it is valid)
My name (Print your full name):..........
My address:..................................................
I WANT THE FOLLOWING PERSON TO BE MY HEALTH CARE AGENT
(an agent is your personal representative under state and
federal law):
(Agent name).................
(Agent address).............
(Agent phone number).........................................
(Please check box if applicable) .... If a guardian of my
person is to be appointed, I nominate the agent acting under
this power of attorney as guardian.
SUCCESSOR HEALTH CARE AGENT(S) (optional):
If the agent I selected is unable or does not want to make
health care decisions for me, then I request the person(s) I
name below to be my successor health care agent(s). Only one
person at a time can serve as my agent (add another page if you
want to add more successor agent names):
.....................
(Successor agent #1 name, address and phone number)
..........

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(Successor agent #2 name, address and phone number)
MY AGENT CAN MAKE HEALTH CARE DECISIONS FOR ME, INCLUDING:
(i) Deciding to accept, withdraw or decline treatment
for any physical or mental condition of mine, including
life-and-death decisions.
(ii) Agreeing to admit me to or discharge me from any
hospital, home, or other institution, including a mental
health facility.
(iii) Having complete access to my medical and mental
health records, and sharing them with others as needed,
including after I die.
(iv) Carrying out the plans I have already made, or, if
I have not done so, making decisions about my body or
remains, including organ, tissue or whole body donation,
autopsy, cremation, and burial.
The above grant of power is intended to be as broad as
possible so that my agent will have the authority to make any
decision I could make to obtain or terminate any type of health
care, including withdrawal of nutrition and hydration and other
life-sustaining measures.
I AUTHORIZE MY AGENT TO (please check any one box):
.... Make decisions for me only when I cannot make them for
myself. The physician(s) taking care of me will determine
when I lack this ability.

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(If no box is checked, then the box above shall be
implemented.) OR
.... Make decisions for me only when I cannot make them for
myself. The physician(s) taking care of me will determine
when I lack this ability. Starting now, for the purpose of
assisting me with my health care plans and decisions, my
agent shall have complete access to my medical and mental
health records, the authority to share them with others as
needed, and the complete ability to communicate with my
personal physician(s) and other health care providers,
including the ability to require an opinion of my physician
as to whether I lack the ability to make decisions for
myself. OR
.... Make decisions for me starting now and continuing
after I am no longer able to make them for myself. While I
am still able to make my own decisions, I can still do so
if I want to.
The subject of life-sustaining treatment is of particular
importance. Life-sustaining treatments may include tube
feedings or fluids through a tube, breathing machines, and CPR.
In general, in making decisions concerning life-sustaining
treatment, your agent is instructed to consider the relief of
suffering, the quality as well as the possible extension of
your life, and your previously expressed wishes. Your agent
will weigh the burdens versus benefits of proposed treatments

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in making decisions on your behalf.
Additional statements concerning the withholding or
removal of life-sustaining treatment are described below.
These can serve as a guide for your agent when making decisions
for you. Ask your physician or health care provider if you have
any questions about these statements.
SELECT ONLY ONE STATEMENT BELOW THAT BEST EXPRESSES YOUR WISHES
(optional):
.... The quality of my life is more important than the
length of my life. If I am unconscious and my attending
physician believes, in accordance with reasonable medical
standards, that I will not wake up or recover my ability to
think, communicate with my family and friends, and
experience my surroundings, I do not want treatments to
prolong my life or delay my death, but I do want treatment
or care to make me comfortable and to relieve me of pain.
.... Staying alive is more important to me, no matter how
sick I am, how much I am suffering, the cost of the
procedures, or how unlikely my chances for recovery are. I
want my life to be prolonged to the greatest extent
possible in accordance with reasonable medical standards.
SPECIFIC LIMITATIONS TO MY AGENT'S DECISION-MAKING AUTHORITY:
The above grant of power is intended to be as broad as
possible so that your agent will have the authority to make any

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decision you could make to obtain or terminate any type of
health care. If you wish to limit the scope of your agent's
powers or prescribe special rules or limit the power to
authorize autopsy or dispose of remains, you may do so
specifically in this form.
..................................
..............................
My signature:..................
Today's date:................................................
HAVE YOUR WITNESS AGREE TO WHAT IS WRITTEN BELOW, AND THEN
COMPLETE THE SIGNATURE PORTION:
I am at least 18 years old. (check one of the options
below):
.... I saw the principal sign this document, or
.... the principal told me that the signature or mark on
the principal signature line is his or hers.
I am not the agent or successor agent(s) named in this
document. I am not related to the principal, the agent, or the
successor agent(s) by blood, marriage, or adoption. I am not
the principal's physician, advanced practice registered nurse,
dentist, podiatric physician, optometrist, psychologist, or a
relative of one of those individuals. I am not an owner or
operator (or the relative of an owner or operator) of the
health care facility where the principal is a patient or

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resident.
Witness printed name:............
Witness address:..............
Witness signature:...............
Today's date:................................................
(c) The statutory short form power of attorney for health
care (the "statutory health care power") authorizes the agent
to make any and all health care decisions on behalf of the
principal which the principal could make if present and under
no disability, subject to any limitations on the granted powers
that appear on the face of the form, to be exercised in such
manner as the agent deems consistent with the intent and
desires of the principal. The agent will be under no duty to
exercise granted powers or to assume control of or
responsibility for the principal's health care; but when
granted powers are exercised, the agent will be required to use
due care to act for the benefit of the principal in accordance
with the terms of the statutory health care power and will be
liable for negligent exercise. The agent may act in person or
through others reasonably employed by the agent for that
purpose but may not delegate authority to make health care
decisions. The agent may sign and deliver all instruments,
negotiate and enter into all agreements and do all other acts
reasonably necessary to implement the exercise of the powers
granted to the agent. Without limiting the generality of the

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foregoing, the statutory health care power shall include the
following powers, subject to any limitations appearing on the
face of the form:
(1) The agent is authorized to give consent to and
authorize or refuse, or to withhold or withdraw consent to,
any and all types of medical care, treatment or procedures
relating to the physical or mental health of the principal,
including any medication program, surgical procedures,
life-sustaining treatment or provision of food and fluids
for the principal.
(2) The agent is authorized to admit the principal to
or discharge the principal from any and all types of
hospitals, institutions, homes, residential or nursing
facilities, treatment centers and other health care
institutions providing personal care or treatment for any
type of physical or mental condition. The agent shall have
the same right to visit the principal in the hospital or
other institution as is granted to a spouse or adult child
of the principal, any rule of the institution to the
contrary notwithstanding.
(3) The agent is authorized to contract for any and all
types of health care services and facilities in the name of
and on behalf of the principal and to bind the principal to
pay for all such services and facilities, and to have and
exercise those powers over the principal's property as are
authorized under the statutory property power, to the

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extent the agent deems necessary to pay health care costs;
and the agent shall not be personally liable for any
services or care contracted for on behalf of the principal.
(4) At the principal's expense and subject to
reasonable rules of the health care provider to prevent
disruption of the principal's health care, the agent shall
have the same right the principal has to examine and copy
and consent to disclosure of all the principal's medical
records that the agent deems relevant to the exercise of
the agent's powers, whether the records relate to mental
health or any other medical condition and whether they are
in the possession of or maintained by any physician,
psychiatrist, psychologist, therapist, hospital, nursing
home or other health care provider. The authority under
this paragraph (4) applies to any information governed by
the Health Insurance Portability and Accountability Act of
1996 ("HIPAA") and regulations thereunder. The agent
serves as the principal's personal representative, as that
term is defined under HIPAA and regulations thereunder.
(5) The agent is authorized: to direct that an autopsy
be made pursuant to Section 2 of "An Act in relation to
autopsy of dead bodies", approved August 13, 1965,
including all amendments; to make a disposition of any part
or all of the principal's body pursuant to the Illinois
Anatomical Gift Act, as now or hereafter amended; and to
direct the disposition of the principal's remains.

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(6) At any time during which there is no executor or
administrator appointed for the principal's estate, the
agent is authorized to continue to pursue an application or
appeal for government benefits if those benefits were
applied for during the life of the principal.
(d) A physician may determine that the principal is unable
to make health care decisions for himself or herself only if
the principal lacks decisional capacity, as that term is
defined in Section 10 of the Health Care Surrogate Act.
(e) If the principal names the agent as a guardian on the
statutory short form, and if a court decides that the
appointment of a guardian will serve the principal's best
interests and welfare, the court shall appoint the agent to
serve without bond or security.
(Source: P.A. 98-1113, eff. 1-1-15; 99-328, eff. 1-1-16.)
Section 995. No acceleration or delay. Where this Act makes
changes in a statute that is represented in this Act by text
that is not yet or no longer in effect (for example, a Section
represented by multiple versions), the use of that text does
not accelerate or delay the taking effect of (i) the changes
made by this Act or (ii) provisions derived from any other
Public Act.
Section 999. Effective date. This Act takes effect upon
becoming law.".