Bill Text: IL SB0105 | 2021-2022 | 102nd General Assembly | Chaptered
Bill Title: Reinserts the provisions of the introduced bill with the following changes: In a provision concerning clinical experience for an advanced practice registered nurse, provides that completion of the clinical experience must be attested to by the collaborating physician or physicians or employer (rather than the collaborating physician or physicians) and the advanced practice registered nurse. Provides that if the collaborating physician or physicians or employer is unable to attest to the completion of the clinical experience, the Department of Financial and Professional Regulation may accept other evidence of clinical experience as established by rule. Restores language concerning prescribing benzodiazepines or Schedule II narcotic drugs that was stricken in the introduced bill.
Spectrum: Partisan Bill (Democrat 3-0)
Status: (Passed) 2021-07-09 - Public Act . . . . . . . . . 102-0075 [SB0105 Detail]
Download: Illinois-2021-SB0105-Chaptered.html
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| Public Act 102-0075 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Nurse Practice Act is amended by changing | ||||
Section 65-43 as follows:
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(225 ILCS 65/65-43) | ||||
(Section scheduled to be repealed on January 1, 2028) | ||||
Sec. 65-43. Full practice authority. | ||||
(a) An Illinois-licensed advanced practice registered | ||||
nurse certified as a nurse practitioner, nurse midwife, or | ||||
clinical nurse specialist shall be deemed by law to possess | ||||
the ability to practice without a written collaborative | ||||
agreement as set forth in this Section. | ||||
(b) An advanced practice registered nurse certified as a | ||||
nurse midwife, clinical nurse specialist, or nurse | ||||
practitioner who files with the Department a notarized | ||||
attestation of completion of at least 250 hours of continuing | ||||
education or training and at least 4,000 hours of clinical | ||||
experience after first attaining national certification shall | ||||
not require a written collaborative agreement, except as | ||||
specified in subsection (c). Documentation of successful | ||||
completion shall be provided to the Department upon request. | ||||
Continuing education or training hours required by | ||||
subsection (b) shall be in the advanced practice registered | ||
nurse's area of certification as set forth by Department rule. | ||
The clinical experience must be in the advanced practice | ||
registered nurse's area of certification. The clinical | ||
experience shall be in collaboration with a physician or | ||
physicians. Completion of the clinical experience must be | ||
attested to by the collaborating physician or physicians or | ||
employer and the advanced practice registered nurse. If the | ||
collaborating physician or physicians or employer is unable to | ||
attest to the completion of the clinical experience, the | ||
Department may accept other evidence of clinical experience as | ||
established by rule. | ||
(c) The scope of practice of an advanced practice | ||
registered nurse with full practice authority includes: | ||
(1) all matters included in subsection (c) of Section | ||
65-30 of this Act; | ||
(2) practicing without a written collaborative | ||
agreement in all practice settings consistent with | ||
national certification; | ||
(3) authority to prescribe both legend drugs and | ||
Schedule II through V controlled substances; this | ||
authority includes prescription of, selection of, orders | ||
for, administration of, storage of, acceptance of samples | ||
of, and dispensing over the counter medications, legend | ||
drugs, and controlled substances categorized as any | ||
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; | ||
(4) prescribing benzodiazepines or Schedule II | ||
narcotic drugs, such as opioids, only in a consultation | ||
relationship with a physician; this consultation | ||
relationship shall be recorded in the Prescription | ||
Monitoring Program website, pursuant to Section 316 of the | ||
Illinois Controlled Substances Act, by the physician and | ||
advanced practice registered nurse with full practice | ||
authority and is not required to be filed with the | ||
Department; the specific Schedule II narcotic drug must be | ||
identified by either brand name or generic name; the | ||
specific Schedule II narcotic drug, such as an opioid, may | ||
be administered by oral dosage or topical or transdermal | ||
application; delivery by injection or other route of | ||
administration is not permitted; at least monthly, the | ||
advanced practice registered nurse and the physician must | ||
discuss the condition of any patients for whom a | ||
benzodiazepine or opioid is prescribed; nothing in this | ||
subsection shall be construed to require a prescription by | ||
an advanced practice registered nurse with full practice | ||
authority to require a physician name; | ||
(5) authority to obtain an Illinois controlled | ||
substance license and a federal Drug Enforcement | ||
Administration number; and | ||
(6) use of only local anesthetic. | ||
The scope of practice of an advanced practice registered | ||
nurse does not include operative surgery. Nothing in this | ||
Section shall be construed to preclude an advanced practice | ||
registered nurse from assisting in surgery. | ||
(d) The Department may adopt rules necessary to administer | ||
this Section, including, but not limited to, requiring the | ||
completion of forms and the payment of fees. | ||
(e) Nothing in this Act shall be construed to authorize an | ||
advanced practice registered nurse with full practice | ||
authority to provide health care services required by law or | ||
rule to be performed by a physician.
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(Source: P.A. 100-513, eff. 1-1-18; 101-13, eff. 6-12-19.)
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