093_HB3047enr HB3047 Enrolled LRB093 06091 AMC 06196 b 1 AN ACT concerning physician assistants. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Physician Assistant Practice Act of 1987 5 is amended by changing Section 7 as follows: 6 (225 ILCS 95/7) (from Ch. 111, par. 4607) 7 (Section scheduled to be repealed on January 1, 2008) 8 Sec. 7. Supervision requirements. No more than 2 9 physician assistants shall be supervised by the supervising 10 physician, although a physician assistant shall be able to 11 hold more than one professional position. Each supervising 12 physician shall file a notice of supervision of such 13 physician assistant according to the rules of the Department. 14 However, the alternate supervising physician may supervise 15 more than 2 physician assistants when the supervising 16 physician is unable to provide such supervision consistent 17 with the definition of alternate physician in Section 4. 18 Physician assistants shall be supervised only by 19 physicians as defined in this Act who are engaged in clinical 20 practice, or in clinical practice in public health or other 21 community health facilities. 22 Nothing in this Act shall be construed to limit the 23 delegation of tasks or duties by a physician to a nurse or 24 other appropriately trained personnel. 25 Nothing in this Act shall be construed to prohibit the 26 employment of physician assistants by a hospital, nursing 27 home or other health care facility where such physician 28 assistants function under the supervision of a supervising 29 physician. 30 Physician assistants may be employed by the Department of 31 Corrections or the Department of Human Services (as successor HB3047 Enrolled -2- LRB093 06091 AMC 06196 b 1 to the Department of Mental Health and Developmental 2 Disabilities) for service in facilities maintained by such 3 Departments and affiliated training facilities in programs 4 conducted under the authority of the Director of Corrections 5 or the Secretary of Human Services. Each physician assistant 6 employed by the Department of Corrections or the Department 7 of Human Services (as successor to the Department of Mental 8 Health and Developmental Disabilities) shall be under the 9 supervision of a physician engaged in clinical practice and 10 direct patient care. Duties of each physician assistant 11 employed by such Departments are limited to those within the 12 scope of practice of the supervising physician who is fully 13 responsible for all physician assistant activities. 14 A physician assistant may be employed by a practice group 15 or other entity employing multiple physicians at one or more 16 locations. In that case, one of the physicians practicing at 17 a location shall be designated the supervising physician. 18 The other physicians with that practice group or other entity 19 who practice in the same general type of practice or 20 specialty as the supervising physician may supervise the 21 physician assistant with respect to their patients without 22 being deemed alternate supervising physicians for the purpose 23 of this Act. 24 (Source: P.A. 89-507, eff. 7-1-97; 90-116, eff. 7-14-97.) 25 Section 10. The Radiation Protection Act of 1990 is 26 amended by changing Sections 5 and 6 as follows: 27 (420 ILCS 40/5) (from Ch. 111 1/2, par. 210-5) 28 (Section scheduled to be repealed on January 1, 2011) 29 Sec. 5. Limitations on application of radiation to human 30 beings and requirements for radiation installation operators 31 providing mammography services. 32 (a) No person shall intentionally administer radiation HB3047 Enrolled -3- LRB093 06091 AMC 06196 b 1 to a human being unless such person is licensed to practice a 2 treatment of human ailments by virtue of the Illinois 3 Medical, Dental or Podiatric Medical Practice Acts, or, as 4 physician assistant, advanced practice nurse, technician, 5 nurse, or other assistant, is acting under the supervision, 6 prescription or direction of such licensed person. However, 7 no such physician assistant, advanced practice nurse, 8 technician, nurse, or other assistant acting under the 9 supervision of a person licensed under the Medical Practice 10 Act of 1987, shall administer radiation to human beings 11 unless accredited by the Department of Nuclear Safety, except 12 that persons enrolled in a course of education approved by 13 the Department of Nuclear Safety may apply ionizing radiation 14 to human beings as required by their course of study when 15 under the direct supervision of a person licensed under the 16 Medical Practice Act of 1987. No person authorized by this 17 Section to apply ionizing radiation shall apply such 18 radiation except to those parts of the human body specified 19 in the Act under which such person or his supervisor is 20 licensed. No person may operate a radiation installation 21 where ionizing radiation is administered to human beings 22 unless all persons who administer ionizing radiation in that 23 radiation installation are licensed, accredited, or exempted 24 in accordance with this Section. Nothing in this Section 25 shall be deemed to relieve a person from complying with the 26 provisions of Section 10. 27 (b) In addition, no person shall provide mammography 28 services unless all of the following requirements are met: 29 (1) the mammography procedures are performed using 30 a radiation machine that is specifically designed for 31 mammography; 32 (2) the mammography procedures are performed using 33 a radiation machine that is used solely for performing 34 mammography procedures; HB3047 Enrolled -4- LRB093 06091 AMC 06196 b 1 (3) the mammography procedures are performed using 2 equipment that has been subjected to a quality assurance 3 program that satisfies quality assurance requirements 4 which the Department shall establish by rule; 5 (4) beginning one year after the effective date of 6 this amendatory Act of 1991, if the mammography procedure 7 is performed by a radiologic technologist, that 8 technologist, in addition to being accredited by the 9 Department to perform radiography, has satisfied training 10 requirements specific to mammography, which the 11 Department shall establish by rule. 12 (c) Every operator of a radiation installation at which 13 mammography services are provided shall ensure and have 14 confirmed by each mammography patient that the patient is 15 provided with a pamphlet which is orally reviewed with the 16 patient and which contains the following: 17 (1) how to perform breast self-examination; 18 (2) that early detection of breast cancer is 19 maximized through a combined approach, using monthly 20 breast self-examination, a thorough physical examination 21 performed by a physician, and mammography performed at 22 recommended intervals; 23 (3) that mammography is the most accurate method 24 for making an early detection of breast cancer, however, 25 no diagnostic tool is 100% effective; 26 (4) that if the patient is self-referred and does 27 not have a primary care physician, or if the patient is 28 unfamiliar with the breast examination procedures, that 29 the patient has received information regarding public 30 health services where she can obtain a breast examination 31 and instructions. 32 (Source: P.A. 89-187, eff. 7-19-95.) 33 (420 ILCS 40/6) (from Ch. 111 1/2, par. 210-6) HB3047 Enrolled -5- LRB093 06091 AMC 06196 b 1 (Section scheduled to be repealed on January 1, 2011) 2 Sec. 6. Accreditation of administrators of radiation; 3 Limited scope accreditation; Rules and regulations; 4 Education. 5 (a) The Department shall promulgate such rules and 6 regulations as are necessary to establish accreditation 7 standards and procedures, including a minimum course of 8 education and continuing education requirements in the 9 administration of radiation to human beings, which are 10 appropriate to the classification of accreditation and which 11 are to be met by all physician assistants, advanced practice 12 nurses, nurses, technicians, or other assistants who 13 administer radiation to human beings under the supervision of 14 a person licensed under the Medical Practice Act of 1987. 15 Such rules and regulations may provide for different classes 16 of accreditation based on evidence of national certification, 17 clinical experience or community hardship as conditions of 18 initial and continuing accreditation. The rules and 19 regulations of the Department shall be consistent with 20 national standards in regard to the protection of the health 21 and safety of the general public. 22 (b) The rules and regulations shall also provide that 23 persons who have been accredited by the Department, in 24 accordance with the Radiation Protection Act, without passing 25 an examination, will remain accredited as provided in Section 26 43 of this Act and that those persons may be accredited, 27 without passing an examination, to use other equipment, 28 procedures, or supervision within the original category of 29 accreditation if the Department receives written assurances 30 from a person licensed under the Medical Practice Act of 31 1987, that the person accredited has the necessary skill and 32 qualifications for such additional equipment procedures or 33 supervision. The Department shall, in accordance with 34 subsection (c) of this Section, provide for the accreditation HB3047 Enrolled -6- LRB093 06091 AMC 06196 b 1 of nurses, technicians, or other assistants, unless exempted 2 elsewhere in this Act, to perform a limited scope of 3 diagnostic radiography procedures of the chest, the 4 extremities, skull and sinuses, or the spine, while under the 5 supervision of a person licensed under the Medical Practice 6 Act of 1987. 7 (c) The rules or regulations promulgated by the 8 Department pursuant to subsection (a) shall establish 9 standards and procedures for accrediting persons to perform a 10 limited scope of diagnostic radiography procedures. The rules 11 or regulations shall require persons seeking limited scope 12 accreditation to register with the Department as a 13 "student-in-training," and declare those procedures in which 14 the student will be receiving training. The 15 student-in-training registration shall be valid for a period 16 of 16 months, during which the time the student may, under 17 the supervision of a person licensed under the Medical 18 Practice Act of 1987, perform the diagnostic radiography 19 procedures listed on the student's registration. The 20 student-in-training registration shall be nonrenewable. 21 Upon expiration of the 16 month training period, the 22 student shall be prohibited from performing diagnostic 23 radiography procedures unless accredited by the Department to 24 perform such procedures. In order to be accredited to 25 perform a limited scope of diagnostic radiography procedures, 26 an individual must pass an examination offered by the 27 Department. The examination shall be consistent with 28 national standards in regard to protection of public health 29 and safety. The examination shall consist of a standardized 30 component covering general principles applicable to 31 diagnostic radiography procedures and a clinical component 32 specific to the types of procedures for which accreditation 33 is being sought. The Department may assess a reasonable fee 34 for such examinations to cover the costs incurred by the HB3047 Enrolled -7- LRB093 06091 AMC 06196 b 1 Department in conjunction with offering the examinations. 2 (d) The Department shall by rule or regulation exempt 3 from accreditation physician assistants, advanced practice 4 nurses, nurses, technicians, or other assistants who 5 administer radiation to human beings under supervision of a 6 person licensed to practice under the Medical Practice Act of 7 1987 when the services are performed on employees of a 8 business at a medical facility owned and operated by the 9 business. Such exemption shall only apply to the equipment, 10 procedures and supervision specific to the medical facility 11 owned and operated by the business. 12 (Source: P.A. 90-14, eff. 7-1-97.) 13 Section 99. Effective date. This Act takes effect upon 14 becoming law.