SB0199 EngrossedLRB103 25368 AMQ 51713 b


  
1    AN ACT concerning regulation.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  


 
4    Section 5. The Nurse Practice Act is amended  by changing 
5Section 65-43 as follows:
 
6    (225 ILCS 65/65-43)
7    (Section scheduled to be repealed on January 1, 2028)
8    Sec. 65-43. Full practice authority.
9    (a) An Illinois-licensed advanced practice registered 
10nurse certified as a nurse practitioner, nurse midwife, or 
11clinical nurse specialist shall be deemed by law to possess 
12the ability to practice without a written collaborative 
13agreement as set forth in this Section.
14    (b) An advanced practice registered nurse certified as a 
15nurse midwife, clinical nurse specialist, or nurse 
16practitioner who files with the Department a notarized 
17attestation of completion of at least 250 hours of continuing 
18education or training and at least 4,000 hours of clinical 
19experience after first attaining national certification shall 
20not require a written collaborative agreement.  Documentation 
21of successful completion shall be provided to the Department 
22upon request.
23    Continuing education or training hours required by 
 
 
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1subsection (b) shall be in the advanced practice registered 
2nurse's area of certification as set forth by Department rule.
3    The clinical experience must be in the advanced practice 
4registered nurse's area of certification. The clinical 
5experience shall be in collaboration with a physician or 
6physicians.  Completion of the clinical experience must be 
7attested to by the collaborating physician or physicians or 
8employer and the advanced practice registered nurse. If the 
9collaborating physician or physicians or employer is unable to 
10attest to the completion of the clinical experience, the 
11Department may accept other evidence of clinical experience as 
12established by rule. 
13    (c) The scope of practice of an advanced practice 
14registered nurse with full practice authority includes:
15        (1) all matters included in subsection (c) of Section 
16    65-30 of this Act;
17        (2) practicing without a written collaborative 
18    agreement in all practice settings consistent with 
19    national certification;
20        (3) authority to prescribe both legend drugs and 
21    Schedule II through V controlled substances; this 
22    authority includes prescription of, selection of, orders 
23    for, administration of, storage of, acceptance of samples 
24    of, and dispensing over the counter medications, legend 
25    drugs, and controlled substances categorized as any 
26    Schedule II through V controlled substances, as defined in 
 
 
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1    Article II of the Illinois Controlled Substances Act, and 
2    other preparations, including, but not limited to, 
3    botanical and herbal remedies;
4        (4) prescribing benzodiazepines or Schedule II 
5    narcotic drugs, such as opioids, only in a consultation 
6    relationship with a physician; this consultation 
7    relationship shall be recorded in the Prescription 
8    Monitoring Program website, pursuant to Section 316 of the 
9    Illinois Controlled Substances Act, by the physician and 
10    advanced practice registered nurse with full practice 
11    authority and is not required to be filed with the 
12    Department; the specific Schedule II narcotic drug must be 
13    identified by either brand name or generic name; the 
14    specific Schedule II narcotic drug, such as an opioid, may 
15    be administered by oral dosage or topical or transdermal 
16    application; delivery by injection or other route of 
17    administration is not permitted; at least monthly, the 
18    advanced practice registered nurse and the physician must 
19    discuss the condition of any patients for whom an a 
20    benzodiazepine or opioid is prescribed; nothing in this 
21    subsection shall be construed to require a prescription by 
22    an advanced practice registered nurse with full practice 
23    authority to require a physician name;
24        (4.5) prescribing up to a 120-day supply of 
25    benzodiazepines without a consultation relationship with a 
26    physician;  thereafter, continued prescription of 
 
 
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1    benzodiazepines shall require a consultation with a 
2    physician; nothing in this subsection shall be construed 
3    to require a prescription by an advanced practice 
4    registered nurse with full practice authority to require a 
5    physician name; 
6        (5) authority to obtain an Illinois controlled 
7    substance license and a federal Drug Enforcement 
8    Administration number; and
9        (6) use of only local anesthetic.
10    The scope of practice of an advanced practice registered 
11nurse does not include operative surgery. Nothing in this 
12Section shall be construed to preclude an advanced practice 
13registered nurse from assisting in surgery. 
14    (d) The Department may adopt rules necessary to administer 
15this Section, including, but not limited to, requiring the 
16completion of forms and the payment of fees.
17    (e) Nothing in this Act shall be construed to authorize an 
18advanced practice registered nurse with full practice 
19authority to provide health care services required by law or 
20rule to be performed by a physician. 

21(Source: P.A. 101-13, eff. 6-12-19; 102-75, eff. 1-1-22.)