093_SB0308 LRB093 06607 LRD 06737 b 1 AN ACT concerning psychologists. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Clinical Psychologist Licensing Act is 5 amended by changing Sections 2 and 15 and by adding Sections 6 5.1, 5.2, 5.3, 5.4, 5.5, and 5.6 as follows: 7 (225 ILCS 15/2) (from Ch. 111, par. 5352) 8 Sec. 2. Definitions. As used in this Act: 9 (1) "Department" means the Department of 10 Professional Regulation. 11 (2) "Director" means the Director of Professional 12 Regulation. 13 (3) "Board" means the Clinical Psychologists 14 Licensing and Disciplinary Board appointed by the 15 Director. 16 (4) "Person" means an individual, association, 17 partnership or corporation. 18 (5) "Clinical psychology" means the independent 19 evaluation, classification and treatment of mental, 20 emotional, behavioral or nervous disorders or conditions, 21 developmental disabilities, alcoholism and substance 22 abuse, disorders of habit or conduct, the psychological 23 aspects of physical illness. The practice of clinical 24 psychology includes psychoeducational evaluation, 25 therapy, remediation and consultation, the use of 26 psychological and neuropsychological testing, assessment, 27 psychotherapy, psychoanalysis, hypnosis, biofeedback, and 28 behavioral modification when any of these are used for 29 the purpose of preventing or eliminating psychopathology, 30 or for the amelioration of psychological disorders of 31 individuals or groups. "Clinical psychology" does not -2- LRB093 06607 LRD 06737 b 1 include the use of hypnosis by unlicensed persons 2 pursuant to Section 3. 3 (6) A person represents himself to be a "clinical 4 psychologist" within the meaning of this Act when he or 5 she holds himself out to the public by any title or 6 description of services incorporating the words 7 "psychological", "psychologic", "psychologist", 8 "psychology", or "clinical psychologist" or under such 9 title or description offers to render or renders clinical 10 psychological services as defined in paragraph (7) of 11 this Section to individuals, corporations, or the public 12 for remuneration. 13 (7) "Clinical psychological services" refers to any 14 services under paragraph (5) of this Section if the words 15 "psychological", "psychologic", "psychologist", 16 "psychology" or "clinical psychologist" are used to 17 describe such services by the person or organization 18 offering to render or rendering them. 19 (8) "Drugs" shall have the same meaning as that 20 term is given in the Pharmacy Practice Act of 1987. 21 (9) "Medicines" shall have the same meaning as that 22 term is given in the Pharmacy Practice Act of 1987. 23 (10) "Prescription" means an order for a drug, 24 laboratory test, or any medicines, devices, or 25 treatments, including controlled substances, as defined 26 by State law. 27 (11) "Prescriptive authority" means the authority 28 to prescribe and dispense drugs, medicines, or other 29 treatment procedures. 30 (12) "Psychologist certified to prescribe" means a 31 licensed, doctoral-level psychologist who has undergone 32 specialized training, has passed an examination accepted 33 by the Illinois Clinical Psychologist Licensing and 34 Disciplinary Board, and has received a current -3- LRB093 06607 LRD 06737 b 1 certificate granting prescriptive authority that has not 2 been revoked or suspended from the Illinois Clinical 3 Psychologist Licensing and Disciplinary Board. 4 This Act shall not apply to persons lawfully carrying on 5 their particular profession or business under any valid 6 existing regulatory Act of the State. 7 (Source: P.A. 89-702, eff. 7-1-97; 90-473, eff. 1-1-98.) 8 (225 ILCS 15/5.1 new) 9 Sec. 5.1. Certification to prescribe drugs. The 10 Illinois Clinical Psychologist Licensing and Disciplinary 11 Board shall certify licensed, doctoral-level psychologists to 12 prescribe and dispense drugs in accordance with applicable 13 State and federal laws. The Board shall develop and implement 14 procedures for reviewing educational and training credentials 15 for that certification process in accordance with current 16 standards of professional practice. The Illinois Clinical 17 Psychologist Licensing and Disciplinary Board may seek the 18 advice of other State agencies with relevant experience in 19 devising the certification procedures and criteria. 20 (225 ILCS 15/5.2 new) 21 Sec. 5.2. Application requirements for prescriptive 22 authority. 23 (a) The Department shall grant certification to a 24 psychologist who applies for prescriptive authority and 25 demonstrates by official transcript or other official 26 evidence satisfactory to the Illinois Clinical Psychologist 27 Licensing and Disciplinary Board all of the following: 28 (1) completion of a doctoral program in psychology 29 from a regionally-accredited university or professional 30 school or, if the program is not accredited at the time 31 of graduation, completion of a doctoral program in 32 psychology that meets recognized acceptable professional -4- LRB093 06607 LRD 06737 b 1 standards as determined by the Illinois Clinical 2 Psychologist Licensing and Disciplinary Board; 3 (2) that he or she holds a current license to 4 practice psychology in Illinois; 5 (3) completion of an organized program of intensive 6 didactic instruction as defined by the Illinois Clinical 7 Psychologist Licensing and Disciplinary Board within the 8 5-year period immediately before the date of application, 9 consisting of a minimum of 300 contact hours and 10 consisting of the following core areas of instruction: 11 neuroscience, pharmacology, psychopharmacology, 12 physiology, pathophysiology, appropriate and relevant 13 physical and laboratory assessment, and clinical 14 pharmacotherapeutics; 15 (4) that he or she has obtained supervised and 16 relevant clinical experience sufficient to achieve 17 competency in the treatment of a diverse patient 18 population under the direction of qualified 19 practitioners, as determined by the Illinois Clinical 20 Psychologist Licensing and Disciplinary Board, within the 21 5-year period immediately preceding the date of 22 application that includes the pharmacological treatment 23 of a minimum of 100 patients under the full supervision 24 and control of a designated qualified practitioner, who 25 will then certify the clinical competency of the 26 candidate for certification; and 27 (5) that he or she has passed a certifying 28 examination administered by the Illinois Clinical 29 Psychologist Licensing and Disciplinary Board. 30 (b) The Department shall grant certification to a 31 psychologist who applies for prescriptive authority, has 32 completed the requirements specified in subsection (a), 33 except that the academic requirements in paragraph (3) of 34 subsection (a) have been met more than 5 years prior to the -5- LRB093 06607 LRD 06737 b 1 application for prescriptive authority, and has completed 24 2 hours of continuing education in the 2 years immediately 3 prior to application as specified in Section 5.3. 4 (225 ILCS 15/5.3 new) 5 Sec. 5.3. Renewal of prescriptive authority. 6 (a) The Illinois Clinical Psychologist Licensing and 7 Disciplinary Board shall establish by rule a method for the 8 annual renewal of prescriptive authority at the time of or in 9 conjunction with the renewal of clinical psychology licenses. 10 (b) Each applicant for renewal of prescriptive authority 11 shall present satisfactory evidence to the Illinois Clinical 12 Psychologist Licensing and Disciplinary Board demonstrating 13 the completion of 24 required hours of instruction relevant 14 to prescriptive authority during the 24 months prior to 15 application for renewal. 16 (225 ILCS 15/5.4 new) 17 Sec. 5.4. Prescribing practices. 18 (a) Every prescription by a psychologist certified to 19 prescribe shall comply with all applicable State and federal 20 laws, be identified as issued by the psychologist as a 21 "psychologist certified to prescribe", and shall include the 22 prescriber's identification number assigned by the Illinois 23 Clinical Psychologist Licensing and Disciplinary Board. 24 (b) Records of all prescriptions shall be maintained in 25 patient records. 26 (c) A psychologist shall not delegate the prescribing of 27 drugs to any other person. 28 (225 ILCS 15/5.5 new) 29 Sec. 5.5. Controlled substance prescriptive authority. 30 (a) When authorized to prescribe controlled substances, 31 each psychologist certified to prescribe shall file in a -6- LRB093 06607 LRD 06737 b 1 timely manner any and all individual Drug Enforcement Agency 2 (DEA) registrations and numbers with the Illinois Clinical 3 Psychologist Licensing and Disciplinary Board. 4 (b) The Illinois Clinical Psychologist Licensing and 5 Disciplinary Board shall maintain current records of every 6 psychologist certified to prescribe, including DEA 7 registration and numbers. 8 (225 ILCS 15/5.6 new) 9 Sec. 5.6. Interaction with the Illinois State Board of 10 Pharmacy. 11 (a) The Illinois Clinical Psychologist Licensing and 12 Disciplinary Board shall transmit to the Illinois State Board 13 of Pharmacy an annual list of psychologists certified to 14 prescribe containing the following information: 15 (1) the name of the psychologist; 16 (2) the psychologist's identification number 17 assigned by the Illinois Clinical Psychologist Licensing 18 and Disciplinary Board; and 19 (3) the effective date of prescriptive authority. 20 (b) The Illinois Clinical Psychologist Licensing and 21 Disciplinary Board shall promptly forward to the Illinois 22 State Board of Pharmacy the names and titles of psychologists 23 added to or deleted from the annual list of psychologists 24 certified to prescribe. 25 (c) The Illinois Clinical Psychologist Licensing and 26 Disciplinary Board shall notify the Illinois State Board of 27 Pharmacy in a timely manner upon termination, suspension, or 28 reinstatement of a psychologist's prescriptive authority. 29 (225 ILCS 15/15) (from Ch. 111, par. 5365) 30 Sec. 15. Disciplinary action; grounds. 31 (a) The Department may refuse to issue, refuse to renew, 32 suspend, or revoke any license, or may place on probation, -7- LRB093 06607 LRD 06737 b 1 censure, reprimand, or take other disciplinary action deemed 2 appropriate by the Department, including the imposition of 3 fines not to exceed $5000 for each violation, with regard to 4 any license issued under the provisions of this Act for any 5 one or a combination of the following reasons: 6 (1) Conviction of any crime that is a felony under the 7 laws of the United States or any state or territory thereof 8 or that is a misdemeanor of which an essential element is 9 dishonesty, or any crime that is directly related to the 10 practice of the profession. 11 (2) Gross negligence in the rendering of clinical 12 psychological services. 13 (3) Using fraud or making any misrepresentation in 14 applying for a license or in passing the examination provided 15 for in this Act. 16 (4) Aiding or abetting or conspiring to aid or abet a 17 person, not a clinical psychologist licensed under this Act, 18 in representing himself or herself as so licensed or in 19 applying for a license under this Act. 20 (5) Violation of any provision of this Act or the rules 21 promulgated thereunder. 22 (6) Professional connection or association with any 23 person, firm, association, partnership or corporation holding 24 himself, herself, themselves, or itself out in any manner 25 contrary to this Act. 26 (7) Unethical, unauthorized or unprofessional conduct as 27 defined by rule. In establishing those rules, the Department 28 shall consider, though is not bound by, the ethical standards 29 for psychologists promulgated by recognized national 30 psychology associations. 31 (8) Aiding or assisting another person in violating any 32 provisions of this Act or the rules promulgated thereunder. 33 (9) Failing to provide, within 60 days, information in 34 response to a written request made by the Department. -8- LRB093 06607 LRD 06737 b 1 (10) Habitual or excessive use or addiction to alcohol, 2 narcotics, stimulants, or any other chemical agent or drug 3 that results in a clinical psychologist's inability to 4 practice with reasonable judgment, skill or safety. 5 (11) Discipline by another state, territory, the 6 District of Columbia or foreign country, if at least one of 7 the grounds for the discipline is the same or substantially 8 equivalent to those set forth herein. 9 (12) Directly or indirectly giving or receiving from any 10 person, firm, corporation, association or partnership any 11 fee, commission, rebate or other form of compensation for any 12 professional service not actually or personally rendered. 13 (13) A finding by the Board that the licensee, after 14 having his or her license placed on probationary status has 15 violated the terms of probation. 16 (14) Willfully making or filing false records or 17 reports, including but not limited to, false records or 18 reports filed with State agencies or departments. 19 (15) Physical illness, including but not limited to, 20 deterioration through the aging process, mental illness or 21 disability that results in the inability to practice the 22 profession with reasonable judgment, skill and safety. 23 (16) Willfully failing to report an instance of 24 suspected child abuse or neglect as required by the Abused 25 and Neglected Child Reporting Act. 26 (17) Being named as a perpetrator in an indicated report 27 by the Department of Children and Family Services pursuant to 28 the Abused and Neglected Child Reporting Act, and upon proof 29 by clear and convincing evidence that the licensee has caused 30 a child to be an abused child or neglected child as defined 31 in the Abused and Neglected Child Reporting Act. 32 (18) Violation of the Health Care Worker Self-Referral 33 Act. 34 (19) Making a material misstatement in furnishing -9- LRB093 06607 LRD 06737 b 1 information to the Department, any other State or federal 2 agency, or any other entity. 3 The entry of an order by any circuit court establishing 4 that any person holding a license under this Act is subject 5 to involuntary admission or judicial admission as provided 6 for in the Mental Health and Developmental Disabilities Code, 7 operates as an automatic suspension of that license. That 8 person may have his or her license restored only upon the 9 determination by a circuit court that the patient is no 10 longer subject to involuntary admission or judicial admission 11 and the issuance of an order so finding and discharging the 12 patient and upon the Board's recommendation to the Department 13 that the license be restored. Where the circumstances so 14 indicate, the Board may recommend to the Department that it 15 require an examination prior to restoring any license so 16 automatically suspended. 17 The Department may refuse to issue or may suspend the 18 license of any person who fails to file a return, or to pay 19 the tax, penalty or interest shown in a filed return, or to 20 pay any final assessment of the tax penalty or interest, as 21 required by any tax Act administered by the Illinois 22 Department of Revenue, until such time as the requirements of 23 any such tax Act are satisfied. 24 In enforcing this Section, the Board upon a showing of a 25 possible violation may compel any person licensed to practice 26 under this Act, or who has applied for licensure or 27 certification pursuant to this Act, to submit to a mental or 28 physical examination, or both, as required by and at the 29 expense of the Department. The examining physicians or 30 clinical psychologists shall be those specifically designated 31 by the Board. The Board or the Department may order the 32 examining physician or clinical psychologist to present 33 testimony concerning this mental or physical examination of 34 the licensee or applicant. No information shall be excluded -10- LRB093 06607 LRD 06737 b 1 by reason of any common law or statutory privilege relating 2 to communications between the licensee or applicant and the 3 examining physician or clinical psychologist. The person to 4 be examined may have, at his or her own expense, another 5 physician or clinical psychologist of his or her choice 6 present during all aspects of the examination. Failure of 7 any person to submit to a mental or physical examination, 8 when directed, shall be grounds for suspension of a license 9 until the person submits to the examination if the Board 10 finds, after notice and hearing, that the refusal to submit 11 to the examination was without reasonable cause. 12 If the Board finds a person unable to practice because of 13 the reasons set forth in this Section, the Board may require 14 that person to submit to care, counseling or treatment by 15 physicians or clinical psychologists approved or designated 16 by the Board, as a condition, term, or restriction for 17 continued, reinstated, or renewed licensure to practice; or, 18 in lieu of care, counseling or treatment, the Board may 19 recommend to the Department to file a complaint to 20 immediately suspend, revoke or otherwise discipline the 21 license of the person. Any person whose license was granted, 22 continued, reinstated, renewed, disciplined or supervised 23 subject to such terms, conditions or restrictions, and who 24 fails to comply with such terms, conditions or restrictions, 25 shall be referred to the Director for a determination as to 26 whether the person shall have his or her license suspended 27 immediately, pending a hearing by the Board. 28 In instances in which the Director immediately suspends a 29 person's license under this Section, a hearing on that 30 person's license must be convened by the Board within 15 days 31 after the suspension and completed without appreciable delay. 32 The Board shall have the authority to review the subject 33 person's record of treatment and counseling regarding the 34 impairment, to the extent permitted by applicable federal -11- LRB093 06607 LRD 06737 b 1 statutes and regulations safeguarding the confidentiality of 2 medical records. 3 A person licensed under this Act and affected under this 4 Section shall be afforded an opportunity to demonstrate to 5 the Board that he or she can resume practice in compliance 6 with acceptable and prevailing standards under the provisions 7 of his or her license. 8 (b) The Illinois Clinical Psychologist Licensing and 9 Disciplinary Board shall prescribe by rule criteria for 10 disciplining, suspending, or revoking the prescriptive 11 authority of a psychologist certified to prescribe. The 12 Illinois Clinical Psychologist Licensing and Disciplinary 13 Board shall have the power and duty to require remediation, 14 suspension, or revocation of a psychologist's prescriptive 15 authority for a specified period of time to be determined at 16 the discretion of the Illinois Clinical Psychologist 17 Licensing and Disciplinary Board in accordance with State 18 law. 19 (Source: P.A. 89-702, eff. 7-1-97.) 20 Section 10. The Nursing and Advanced Practice Nursing 21 Act is amended by changing Section 5-10 as follows: 22 (225 ILCS 65/5-10) 23 Sec. 5-10. Definitions. Each of the following terms, 24 when used in this Act, shall have the meaning ascribed to it 25 in this Section, except where the context clearly indicates 26 otherwise: 27 (a) "Department" means the Department of Professional 28 Regulation. 29 (b) "Director" means the Director of Professional 30 Regulation. 31 (c) "Board" means the Board of Nursing appointed by the 32 Director. -12- LRB093 06607 LRD 06737 b 1 (d) "Academic year" means the customary annual schedule 2 of courses at a college, university, or approved school, 3 customarily regarded as the school year as distinguished from 4 the calendar year. 5 (e) "Approved program of professional nursing education" 6 and "approved program of practical nursing education" are 7 programs of professional or practical nursing, respectively, 8 approved by the Department under the provisions of this Act. 9 (f) "Nursing Act Coordinator" means a registered 10 professional nurse appointed by the Director to carry out the 11 administrative policies of the Department. 12 (g) "Assistant Nursing Act Coordinator" means a 13 registered professional nurse appointed by the Director to 14 assist in carrying out the administrative policies of the 15 Department. 16 (h) "Registered" is the equivalent of "licensed". 17 (i) "Practical nurse" or "licensed practical nurse" 18 means a person who is licensed as a practical nurse under 19 this Act and practices practical nursing as defined in 20 paragraph (j) of this Section. Only a practical nurse 21 licensed under this Act is entitled to use the title 22 "licensed practical nurse" and the abbreviation "L.P.N.". 23 (j) "Practical nursing" means the performance of nursing 24 acts requiring the basic nursing knowledge, judgement, and 25 skill acquired by means of completion of an approved 26 practical nursing education program. Practical nursing 27 includes assisting in the nursing process as delegated by and 28 under the direction of a registered professional nurse. The 29 practical nurse may work under the direction of a licensed 30 physician, dentist, podiatrist, or other health care 31 professional determined by the Department. 32 (k) "Registered Nurse" or "Registered Professional 33 Nurse" means a person who is licensed as a professional nurse 34 under this Act and practices nursing as defined in paragraph -13- LRB093 06607 LRD 06737 b 1 (l) of this Section. Only a registered nurse licensed under 2 this Act is entitled to use the titles "registered nurse" and 3 "registered professional nurse" and the abbreviation, "R.N.". 4 (l) "Registered professional nursing practice" includes 5 all nursing specialities and means the performance of any 6 nursing act based upon professional knowledge, judgment, and 7 skills acquired by means of completion of an approved 8 registered professional nursing education program. A 9 registered professional nurse provides nursing care 10 emphasizing the importance of the whole and the 11 interdependence of its parts through the nursing process to 12 individuals, groups, families, or communities, that includes 13 but is not limited to: (1) the assessment of healthcare 14 needs, nursing diagnosis, planning, implementation, and 15 nursing evaluation; (2) the promotion, maintenance, and 16 restoration of health; (3) counseling, patient education, 17 health education, and patient advocacy; (4) the 18 administration of medications and treatments as prescribed by 19 a physician licensed to practice medicine in all of its 20 branches, a licensed dentist, a licensed podiatrist, a 21 psychologist certified to prescribe, or a licensed 22 optometrist or as prescribed by a physician assistant in 23 accordance with written guidelines required under the 24 Physician Assistant Practice Act of 1987 or by an advanced 25 practice nurse in accordance with a written collaborative 26 agreement required under the Nursing and Advanced Practice 27 Nursing Act; (5) the coordination and management of the 28 nursing plan of care; (6) the delegation to and supervision 29 of individuals who assist the registered professional nurse 30 implementing the plan of care; and (7) teaching and 31 supervision of nursing students. The foregoing shall not be 32 deemed to include those acts of medical diagnosis or 33 prescription of therapeutic or corrective measures that are 34 properly performed only by physicians licensed in the State -14- LRB093 06607 LRD 06737 b 1 of Illinois. 2 (m) "Current nursing practice update course" means a 3 planned nursing education curriculum approved by the 4 Department consisting of activities that have educational 5 objectives, instructional methods, content or subject matter, 6 clinical practice, and evaluation methods, related to basic 7 review and updating content and specifically planned for 8 those nurses previously licensed in the United States or its 9 territories and preparing for reentry into nursing practice. 10 (n) "Professional assistance program for nurses" means a 11 professional assistance program that meets criteria 12 established by the Board of Nursing and approved by the 13 Director, which provides a non-disciplinary treatment 14 approach for nurses licensed under this Act whose ability to 15 practice is compromised by alcohol or chemical substance 16 addiction. 17 (Source: P.A. 90-61, eff. 12-30-97; 90-248, eff. 1-1-98; 18 90-655, eff. 7-30-98; 90-742, eff. 8-13-98.) 19 Section 15. The Pharmacy Practice Act of 1987 is amended 20 by changing Sections 3 and 4 as follows: 21 (225 ILCS 85/3) (from Ch. 111, par. 4123) 22 (Section scheduled to be repealed on January 1, 2008) 23 (Text of Section before amendment by P.A. 92-880) 24 Sec. 3. Definitions. For the purpose of this Act, except 25 where otherwise limited therein: 26 (a) "Pharmacy" or "drugstore" means and includes every 27 store, shop, pharmacy department, or other place where 28 pharmaceutical care is provided by a pharmacist (1) where 29 drugs, medicines, or poisons are dispensed, sold or offered 30 for sale at retail, or displayed for sale at retail; or (2) 31 where prescriptions of physicians, dentists, veterinarians, 32 podiatrists, psychologists certified to prescribe, or -15- LRB093 06607 LRD 06737 b 1 therapeutically certified optometrists, within the limits of 2 their licenses, are compounded, filled, or dispensed; or (3) 3 which has upon it or displayed within it, or affixed to or 4 used in connection with it, a sign bearing the word or words 5 "Pharmacist", "Druggist", "Pharmacy", "Pharmaceutical Care", 6 "Apothecary", "Drugstore", "Medicine Store", "Prescriptions", 7 "Drugs", "Medicines", or any word or words of similar or like 8 import, either in the English language or any other language; 9 or (4) where the characteristic prescription sign (Rx) or 10 similar design is exhibited; or (5) any store, or shop, or 11 other place with respect to which any of the above words, 12 objects, signs or designs are used in any advertisement. 13 (b) "Drugs" means and includes (l) articles recognized 14 in the official United States Pharmacopoeia/National 15 Formulary (USP/NF), or any supplement thereto and being 16 intended for and having for their main use the diagnosis, 17 cure, mitigation, treatment or prevention of disease in man 18 or other animals, as approved by the United States Food and 19 Drug Administration, but does not include devices or their 20 components, parts, or accessories; and (2) all other articles 21 intended for and having for their main use the diagnosis, 22 cure, mitigation, treatment or prevention of disease in man 23 or other animals, as approved by the United States Food and 24 Drug Administration, but does not include devices or their 25 components, parts, or accessories; and (3) articles (other 26 than food) having for their main use and intended to affect 27 the structure or any function of the body of man or other 28 animals; and (4) articles having for their main use and 29 intended for use as a component or any articles specified in 30 clause (l), (2) or (3); but does not include devices or their 31 components, parts or accessories. 32 (c) "Medicines" means and includes all drugs intended 33 for human or veterinary use approved by the United States 34 Food and Drug Administration. -16- LRB093 06607 LRD 06737 b 1 (d) "Practice of pharmacy" means the provision of 2 pharmaceutical care to patients as determined by the 3 pharmacist's professional judgment in the following areas, 4 which may include but are not limited to (1) patient 5 counseling, (2) interpretation and assisting in the 6 monitoring of appropriate drug use and prospective drug 7 utilization review, (3) providing information on the 8 therapeutic values, reactions, drug interactions, side 9 effects, uses, selection of medications and medical devices, 10 and outcome of drug therapy, (4) participation in drug 11 selection, drug monitoring, drug utilization review, 12 evaluation, administration, interpretation, application of 13 pharmacokinetic and laboratory data to design safe and 14 effective drug regimens, (5) drug research (clinical and 15 scientific), and (6) compounding and dispensing of drugs and 16 medical devices. 17 (e) "Prescription" means and includes any written, oral, 18 facsimile, or electronically transmitted order for drugs or 19 medical devices, issued by a physician licensed to practice 20 medicine in all its branches, dentist, veterinarian, or 21 podiatrist, or therapeutically certified optometrist, within 22 the limits of their licenses, by a physician assistant in 23 accordance with subsection (f) of Section 4, or by an 24 advanced practice nurse in accordance with subsection (g) of 25 Section 4, containing the following: (l) name of the patient; 26 (2) date when prescription was issued; (3) name and strength 27 of drug or description of the medical device prescribed; and 28 (4) quantity, (5) directions for use, (6) prescriber's name, 29 address and signature, and (7) DEA number where required, for 30 controlled substances. DEA numbers shall not be required on 31 inpatient drug orders. 32 (f) "Person" means and includes a natural person, 33 copartnership, association, corporation, government entity, 34 or any other legal entity. -17- LRB093 06607 LRD 06737 b 1 (g) "Department" means the Department of Professional 2 Regulation. 3 (h) "Board of Pharmacy" or "Board" means the State Board 4 of Pharmacy of the Department of Professional Regulation. 5 (i) "Director" means the Director of Professional 6 Regulation. 7 (j) "Drug product selection" means the interchange for a 8 prescribed pharmaceutical product in accordance with Section 9 25 of this Act and Section 3.14 of the Illinois Food, Drug 10 and Cosmetic Act. 11 (k) "Inpatient drug order" means an order issued by an 12 authorized prescriber for a resident or patient of a facility 13 licensed under the Nursing Home Care Act or the Hospital 14 Licensing Act, or "An Act in relation to the founding and 15 operation of the University of Illinois Hospital and the 16 conduct of University of Illinois health care programs", 17 approved July 3, 1931, as amended, or a facility which is 18 operated by the Department of Human Services (as successor to 19 the Department of Mental Health and Developmental 20 Disabilities) or the Department of Corrections. 21 (k-5) "Pharmacist" means an individual currently 22 licensed by this State to engage in the practice of pharmacy. 23 (l) "Pharmacist in charge" means the licensed pharmacist 24 whose name appears on a pharmacy license who is responsible 25 for all aspects of the operation related to the practice of 26 pharmacy. 27 (m) "Dispense" means the delivery of drugs and medical 28 devices, in accordance with applicable State and federal laws 29 and regulations, to the patient or the patient's 30 representative authorized to receive these products, 31 including the compounding, packaging, and labeling necessary 32 for delivery, and any recommending or advising concerning the 33 contents and therapeutic values and uses thereof. "Dispense" 34 does not mean the physical delivery to a patient or a -18- LRB093 06607 LRD 06737 b 1 patient's representative in a home or institution by a 2 designee of a pharmacist or by common carrier. "Dispense" 3 also does not mean the physical delivery of a drug or medical 4 device to a patient or patient's representative by a 5 pharmacist's designee within a pharmacy or drugstore while 6 the pharmacist is on duty and the pharmacy is open. 7 (n) "Mail-order pharmacy" means a pharmacy that is 8 located in a state of the United States, other than Illinois, 9 that delivers, dispenses or distributes, through the United 10 States Postal Service or other common carrier, to Illinois 11 residents, any substance which requires a prescription. 12 (o) "Compounding" means the preparation, mixing, 13 assembling, packaging, or labeling of a drug or medical 14 device: (1) as the result of a practitioner's prescription 15 drug order or initiative that is dispensed pursuant to a 16 prescription in the course of professional practice; or (2) 17 for the purpose of, or incident to, research, teaching, or 18 chemical analysis; or (3) in anticipation of prescription 19 drug orders based on routine, regularly observed prescribing 20 patterns. 21 (p) "Confidential information" means information, 22 maintained by the pharmacist in the patient's records, 23 released only (i) to the patient or, as the patient directs, 24 to other practitioners and other pharmacists or (ii) to any 25 other person authorized by law to receive the information. 26 (q) "Prospective drug review" or "drug utilization 27 evaluation" means a screening for potential drug therapy 28 problems due to therapeutic duplication, drug-disease 29 contraindications, drug-drug interactions (including serious 30 interactions with nonprescription or over-the-counter drugs), 31 drug-food interactions, incorrect drug dosage or duration of 32 drug treatment, drug-allergy interactions, and clinical abuse 33 or misuse. 34 (r) "Patient counseling" means the communication between -19- LRB093 06607 LRD 06737 b 1 a pharmacist or a student pharmacist under the direct 2 supervision of a pharmacist and a patient or the patient's 3 representative about the patient's medication or device for 4 the purpose of optimizing proper use of prescription 5 medications or devices. The offer to counsel by the 6 pharmacist or the pharmacist's designee, and subsequent 7 patient counseling by the pharmacist or student pharmacist, 8 shall be made in a face-to-face communication with the 9 patient or patient's representative unless, in the 10 professional judgment of the pharmacist, a face-to-face 11 communication is deemed inappropriate or unnecessary. In 12 that instance, the offer to counsel or patient counseling may 13 be made in a written communication, by telephone, or in a 14 manner determined by the pharmacist to be appropriate. 15 (s) "Patient profiles" or "patient drug therapy record" 16 means the obtaining, recording, and maintenance of patient 17 prescription and personal information. 18 (t) "Pharmaceutical care" includes, but is not limited 19 to, the act of monitoring drug use and other patient care 20 services intended to achieve outcomes that improve the 21 patient's quality of life but shall not include the sale of 22 over-the-counter drugs by a seller of goods and services who 23 does not dispense prescription drugs. 24 (u) "Medical device" means an instrument, apparatus, 25 implement, machine, contrivance, implant, in vitro reagent, 26 or other similar or related article, including any component 27 part or accessory, required under federal law to bear the 28 label "Caution: Federal law requires dispensing by or on the 29 order of a physician". A seller of goods and services who, 30 only for the purpose of retail sales, compounds, sells, 31 rents, or leases medical devices shall not, by reasons 32 thereof, be required to be a licensed pharmacy. 33 (Source: P.A. 89-202, eff. 7-21-95; 89-507, eff. 7-1-97; 34 90-116, eff. 7-14-97; 90-253, eff. 7-29-97; 90-655, eff. -20- LRB093 06607 LRD 06737 b 1 7-30-98; 90-742, eff. 8-13-98.) 2 (Text of Section after amendment by P.A. 92-880) 3 Sec. 3. Definitions. For the purpose of this Act, except 4 where otherwise limited therein: 5 (a) "Pharmacy" or "drugstore" means and includes every 6 store, shop, pharmacy department, or other place where 7 pharmaceutical care is provided by a pharmacist (1) where 8 drugs, medicines, or poisons are dispensed, sold or offered 9 for sale at retail, or displayed for sale at retail; or (2) 10 where prescriptions of physicians, dentists, veterinarians, 11 podiatrists, psychologists certified to prescribe, or 12 therapeutically certified optometrists, within the limits of 13 their licenses, are compounded, filled, or dispensed; or (3) 14 which has upon it or displayed within it, or affixed to or 15 used in connection with it, a sign bearing the word or words 16 "Pharmacist", "Druggist", "Pharmacy", "Pharmaceutical Care", 17 "Apothecary", "Drugstore", "Medicine Store", "Prescriptions", 18 "Drugs", "Medicines", or any word or words of similar or like 19 import, either in the English language or any other language; 20 or (4) where the characteristic prescription sign (Rx) or 21 similar design is exhibited; or (5) any store, or shop, or 22 other place with respect to which any of the above words, 23 objects, signs or designs are used in any advertisement. 24 (b) "Drugs" means and includes (l) articles recognized 25 in the official United States Pharmacopoeia/National 26 Formulary (USP/NF), or any supplement thereto and being 27 intended for and having for their main use the diagnosis, 28 cure, mitigation, treatment or prevention of disease in man 29 or other animals, as approved by the United States Food and 30 Drug Administration, but does not include devices or their 31 components, parts, or accessories; and (2) all other articles 32 intended for and having for their main use the diagnosis, 33 cure, mitigation, treatment or prevention of disease in man 34 or other animals, as approved by the United States Food and -21- LRB093 06607 LRD 06737 b 1 Drug Administration, but does not include devices or their 2 components, parts, or accessories; and (3) articles (other 3 than food) having for their main use and intended to affect 4 the structure or any function of the body of man or other 5 animals; and (4) articles having for their main use and 6 intended for use as a component or any articles specified in 7 clause (l), (2) or (3); but does not include devices or their 8 components, parts or accessories. 9 (c) "Medicines" means and includes all drugs intended 10 for human or veterinary use approved by the United States 11 Food and Drug Administration. 12 (d) "Practice of pharmacy" means the provision of 13 pharmaceutical care to patients as determined by the 14 pharmacist's professional judgment in the following areas, 15 which may include but are not limited to (1) patient 16 counseling, (2) interpretation and assisting in the 17 monitoring of appropriate drug use and prospective drug 18 utilization review, (3) providing information on the 19 therapeutic values, reactions, drug interactions, side 20 effects, uses, selection of medications and medical devices, 21 and outcome of drug therapy, (4) participation in drug 22 selection, drug monitoring, drug utilization review, 23 evaluation, administration, interpretation, application of 24 pharmacokinetic and laboratory data to design safe and 25 effective drug regimens, (5) drug research (clinical and 26 scientific), and (6) compounding and dispensing of drugs and 27 medical devices. 28 (e) "Prescription" means and includes any written, oral, 29 facsimile, or electronically transmitted order for drugs or 30 medical devices, issued by a physician licensed to practice 31 medicine in all its branches, dentist, veterinarian, or 32 podiatrist, or therapeutically certified optometrist, within 33 the limits of their licenses, by a physician assistant in 34 accordance with subsection (f) of Section 4, or by an -22- LRB093 06607 LRD 06737 b 1 advanced practice nurse in accordance with subsection (g) of 2 Section 4, containing the following: (l) name of the patient; 3 (2) date when prescription was issued; (3) name and strength 4 of drug or description of the medical device prescribed; and 5 (4) quantity, (5) directions for use, (6) prescriber's name, 6 address and signature, and (7) DEA number where required, for 7 controlled substances. DEA numbers shall not be required on 8 inpatient drug orders. 9 (f) "Person" means and includes a natural person, 10 copartnership, association, corporation, government entity, 11 or any other legal entity. 12 (g) "Department" means the Department of Professional 13 Regulation. 14 (h) "Board of Pharmacy" or "Board" means the State Board 15 of Pharmacy of the Department of Professional Regulation. 16 (i) "Director" means the Director of Professional 17 Regulation. 18 (j) "Drug product selection" means the interchange for a 19 prescribed pharmaceutical product in accordance with Section 20 25 of this Act and Section 3.14 of the Illinois Food, Drug 21 and Cosmetic Act. 22 (k) "Inpatient drug order" means an order issued by an 23 authorized prescriber for a resident or patient of a facility 24 licensed under the Nursing Home Care Act or the Hospital 25 Licensing Act, or "An Act in relation to the founding and 26 operation of the University of Illinois Hospital and the 27 conduct of University of Illinois health care programs", 28 approved July 3, 1931, as amended, or a facility which is 29 operated by the Department of Human Services (as successor to 30 the Department of Mental Health and Developmental 31 Disabilities) or the Department of Corrections. 32 (k-5) "Pharmacist" means an individual currently 33 licensed by this State to engage in the practice of pharmacy. 34 (l) "Pharmacist in charge" means the licensed pharmacist -23- LRB093 06607 LRD 06737 b 1 whose name appears on a pharmacy license and who is 2 responsible for all aspects of the operation related to the 3 practice of pharmacy. 4 (m) "Dispense" means the delivery of drugs and medical 5 devices, in accordance with applicable State and federal laws 6 and regulations, to the patient or the patient's 7 representative authorized to receive these products, 8 including the compounding, packaging, and labeling necessary 9 for delivery, and any recommending or advising concerning the 10 contents and therapeutic values and uses thereof. "Dispense" 11 does not mean the physical delivery to a patient or a 12 patient's representative in a home or institution by a 13 designee of a pharmacist or by common carrier. "Dispense" 14 also does not mean the physical delivery of a drug or medical 15 device to a patient or patient's representative by a 16 pharmacist's designee within a pharmacy or drugstore while 17 the pharmacist is on duty and the pharmacy is open. 18 (n) "Mail-order pharmacy" means a pharmacy that is 19 located in a state of the United States, other than Illinois, 20 that delivers, dispenses or distributes, through the United 21 States Postal Service or other common carrier, to Illinois 22 residents, any substance which requires a prescription. 23 (o) "Compounding" means the preparation, mixing, 24 assembling, packaging, or labeling of a drug or medical 25 device: (1) as the result of a practitioner's prescription 26 drug order or initiative that is dispensed pursuant to a 27 prescription in the course of professional practice; or (2) 28 for the purpose of, or incident to, research, teaching, or 29 chemical analysis; or (3) in anticipation of prescription 30 drug orders based on routine, regularly observed prescribing 31 patterns. 32 (p) "Confidential information" means information, 33 maintained by the pharmacist in the patient's records, 34 released only (i) to the patient or, as the patient directs, -24- LRB093 06607 LRD 06737 b 1 to other practitioners and other pharmacists or (ii) to any 2 other person authorized by law to receive the information. 3 (q) "Prospective drug review" or "drug utilization 4 evaluation" means a screening for potential drug therapy 5 problems due to therapeutic duplication, drug-disease 6 contraindications, drug-drug interactions (including serious 7 interactions with nonprescription or over-the-counter drugs), 8 drug-food interactions, incorrect drug dosage or duration of 9 drug treatment, drug-allergy interactions, and clinical abuse 10 or misuse. 11 (r) "Patient counseling" means the communication between 12 a pharmacist or a student pharmacist under the direct 13 supervision of a pharmacist and a patient or the patient's 14 representative about the patient's medication or device for 15 the purpose of optimizing proper use of prescription 16 medications or devices. The offer to counsel by the 17 pharmacist or the pharmacist's designee, and subsequent 18 patient counseling by the pharmacist or student pharmacist, 19 shall be made in a face-to-face communication with the 20 patient or patient's representative unless, in the 21 professional judgment of the pharmacist, a face-to-face 22 communication is deemed inappropriate or unnecessary. In 23 that instance, the offer to counsel or patient counseling may 24 be made in a written communication, by telephone, or in a 25 manner determined by the pharmacist to be appropriate. 26 (s) "Patient profiles" or "patient drug therapy record" 27 means the obtaining, recording, and maintenance of patient 28 prescription and personal information. 29 (t) "Pharmaceutical care" includes, but is not limited 30 to, the act of monitoring drug use and other patient care 31 services intended to achieve outcomes that improve the 32 patient's quality of life but shall not include the sale of 33 over-the-counter drugs by a seller of goods and services who 34 does not dispense prescription drugs. -25- LRB093 06607 LRD 06737 b 1 (u) "Medical device" means an instrument, apparatus, 2 implement, machine, contrivance, implant, in vitro reagent, 3 or other similar or related article, including any component 4 part or accessory, required under federal law to bear the 5 label "Caution: Federal law requires dispensing by or on the 6 order of a physician". A seller of goods and services who, 7 only for the purpose of retail sales, compounds, sells, 8 rents, or leases medical devices shall not, by reasons 9 thereof, be required to be a licensed pharmacy. 10 (v) "Unique identifier" means an electronic signature, 11 handwritten signature or initials, thumb print, or other 12 acceptable individual biometric or electronic identification 13 process as approved by the Department. 14 (Source: P.A. 92-880, eff. 1-1-04.) 15 (225 ILCS 85/4) (from Ch. 111, par. 4124) 16 Sec. 4. Exemptions. Nothing contained in any Section of 17 this Act shall apply to, or in any manner interfere with: 18 (a) the lawful practice of any physician licensed to 19 practice medicine in all of its branches, dentist, 20 podiatrist, veterinarian, psychologist certified to 21 prescribe, or therapeutically or diagnostically certified 22 optometrist within the limits of his or her license, or 23 prevent him or her from supplying to his or her bona fide 24 patients such drugs, medicines, or poisons as may seem to him 25 appropriate; 26 (b) the sale of compressed gases; 27 (c) the sale of patent or proprietary medicines and 28 household remedies when sold in original and unbroken 29 packages only, if such patent or proprietary medicines and 30 household remedies be properly and adequately labeled as to 31 content and usage and generally considered and accepted as 32 harmless and nonpoisonous when used according to the 33 directions on the label, and also do not contain opium or -26- LRB093 06607 LRD 06737 b 1 coca leaves, or any compound, salt or derivative thereof, or 2 any drug which, according to the latest editions of the 3 following authoritative pharmaceutical treatises and 4 standards, namely, The United States Pharmacopoeia/National 5 Formulary (USP/NF), the United States Dispensatory, and the 6 Accepted Dental Remedies of the Council of Dental 7 Therapeutics of the American Dental Association or any or 8 either of them, in use on the effective date of this Act, or 9 according to the existing provisions of the Federal Food, 10 Drug, and Cosmetic Act and Regulations of the Department of 11 Health and Human Services, Food and Drug Administration, 12 promulgated thereunder now in effect, is designated, 13 described or considered as a narcotic, hypnotic, habit 14 forming, dangerous, or poisonous drug; 15 (d) the sale of poultry and livestock remedies in 16 original and unbroken packages only, labeled for poultry and 17 livestock medication; 18 (e) the sale of poisonous substances or mixture of 19 poisonous substances, in unbroken packages, for nonmedicinal 20 use in the arts or industries or for insecticide purposes; 21 provided, they are properly and adequately labeled as to 22 content and such nonmedicinal usage, in conformity with the 23 provisions of all applicable federal, state and local laws 24 and regulations promulgated thereunder now in effect relating 25 thereto and governing the same, and those which are required 26 under such applicable laws and regulations to be labeled with 27 the word "Poison", are also labeled with the word "Poison" 28 printed thereon in prominent type and the name of a readily 29 obtainable antidote with directions for its administration; 30 (f) the delegation of limited prescriptive authority by 31 a physician licensed to practice medicine in all its branches 32 to a physician assistant under Section 7.5 of the Physician 33 Assistant Practice Act of 1987. This delegated authority may 34 but is not required to include prescription of Schedule III, -27- LRB093 06607 LRD 06737 b 1 IV, or V controlled substances, as defined in Article II of 2 the Illinois Controlled Substances Act, in accordance with 3 written guidelines under Section 7.5 of the Physician 4 Assistant Practice Act of 1987; and 5 (g) The delegation of limited prescriptive authority by 6 a physician licensed to practice medicine in all its branches 7 to an advanced practice nurse in accordance with a written 8 collaborative agreement under Sections 15-15 and 15-20 of the 9 Nursing and Advanced Practice Nursing Act. This delegated 10 authority may but is not required to include the prescription 11 of Schedule III, IV, or V controlled substances as defined in 12 Article II of the Illinois Controlled Substances Act. 13 (Source: P.A. 90-116, eff. 7-14-97; 90-253, eff. 7-29-97; 14 90-655, eff. 7-30-98; 90-742, eff. 8-13-98.) 15 Section 20. The Illinois Controlled Substances Act is 16 amended by changing Section 102 as follows: 17 (720 ILCS 570/102) (from Ch. 56 1/2, par. 1102) 18 Sec. 102. Definitions. As used in this Act, unless the 19 context otherwise requires: 20 (a) "Addict" means any person who habitually uses any 21 drug, chemical, substance or dangerous drug other than 22 alcohol so as to endanger the public morals, health, safety 23 or welfare or who is so far addicted to the use of a 24 dangerous drug or controlled substance other than alcohol as 25 to have lost the power of self control with reference to his 26 addiction. 27 (b) "Administer" means the direct application of a 28 controlled substance, whether by injection, inhalation, 29 ingestion, or any other means, to the body of a patient or 30 research subject by: 31 (1) a practitioner (or, in his presence, by his 32 authorized agent), or -28- LRB093 06607 LRD 06737 b 1 (2) the patient or research subject at the lawful 2 direction of the practitioner. 3 (c) "Agent" means an authorized person who acts on 4 behalf of or at the direction of a manufacturer, distributor, 5 or dispenser. It does not include a common or contract 6 carrier, public warehouseman or employee of the carrier or 7 warehouseman. 8 (c-1) "Anabolic Steroids" means any drug or hormonal 9 substance, chemically and pharmacologically related to 10 testosterone (other than estrogens, progestins, and 11 corticosteroids) that promotes muscle growth, and includes: 12 (i) boldenone, 13 (ii) chlorotestosterone, 14 (iii) chostebol, 15 (iv) dehydrochlormethyltestosterone, 16 (v) dihydrotestosterone, 17 (vi) drostanolone, 18 (vii) ethylestrenol, 19 (viii) fluoxymesterone, 20 (ix) formebulone, 21 (x) mesterolone, 22 (xi) methandienone, 23 (xii) methandranone, 24 (xiii) methandriol, 25 (xiv) methandrostenolone, 26 (xv) methenolone, 27 (xvi) methyltestosterone, 28 (xvii) mibolerone, 29 (xviii) nandrolone, 30 (xix) norethandrolone, 31 (xx) oxandrolone, 32 (xxi) oxymesterone, 33 (xxii) oxymetholone, 34 (xxiii) stanolone, -29- LRB093 06607 LRD 06737 b 1 (xxiv) stanozolol, 2 (xxv) testolactone, 3 (xxvi) testosterone, 4 (xxvii) trenbolone, and 5 (xxviii) any salt, ester, or isomer of a drug 6 or substance described or listed in this paragraph, 7 if that salt, ester, or isomer promotes muscle 8 growth. 9 Any person who is otherwise lawfully in possession of an 10 anabolic steroid, or who otherwise lawfully manufactures, 11 distributes, dispenses, delivers, or possesses with intent to 12 deliver an anabolic steroid, which anabolic steroid is 13 expressly intended for and lawfully allowed to be 14 administered through implants to livestock or other nonhuman 15 species, and which is approved by the Secretary of Health and 16 Human Services for such administration, and which the person 17 intends to administer or have administered through such 18 implants, shall not be considered to be in unauthorized 19 possession or to unlawfully manufacture, distribute, 20 dispense, deliver, or possess with intent to deliver such 21 anabolic steroid for purposes of this Act. 22 (d) "Administration" means the Drug Enforcement 23 Administration, United States Department of Justice, or its 24 successor agency. 25 (e) "Control" means to add a drug or other substance, or 26 immediate precursor, to a Schedule under Article II of this 27 Act whether by transfer from another Schedule or otherwise. 28 (f) "Controlled Substance" means a drug, substance, or 29 immediate precursor in the Schedules of Article II of this 30 Act. 31 (g) "Counterfeit substance" means a controlled 32 substance, which, or the container or labeling of which, 33 without authorization bears the trademark, trade name, or 34 other identifying mark, imprint, number or device, or any -30- LRB093 06607 LRD 06737 b 1 likeness thereof, of a manufacturer, distributor, or 2 dispenser other than the person who in fact manufactured, 3 distributed, or dispensed the substance. 4 (h) "Deliver" or "delivery" means the actual, 5 constructive or attempted transfer of possession of a 6 controlled substance, with or without consideration, whether 7 or not there is an agency relationship. 8 (i) "Department" means the Illinois Department of Human 9 Services (as successor to the Department of Alcoholism and 10 Substance Abuse) or its successor agency. 11 (j) "Department of State Police" means the Department of 12 State Police of the State of Illinois or its successor 13 agency. 14 (k) "Department of Corrections" means the Department of 15 Corrections of the State of Illinois or its successor agency. 16 (l) "Department of Professional Regulation" means the 17 Department of Professional Regulation of the State of 18 Illinois or its successor agency. 19 (m) "Depressant" or "stimulant substance" means: 20 (1) a drug which contains any quantity of (i) 21 barbituric acid or any of the salts of barbituric acid 22 which has been designated as habit forming under section 23 502 (d) of the Federal Food, Drug, and Cosmetic Act (21 24 U.S.C. 352 (d)); or 25 (2) a drug which contains any quantity of (i) 26 amphetamine or methamphetamine and any of their optical 27 isomers; (ii) any salt of amphetamine or methamphetamine 28 or any salt of an optical isomer of amphetamine; or (iii) 29 any substance which the Department, after investigation, 30 has found to be, and by rule designated as, habit forming 31 because of its depressant or stimulant effect on the 32 central nervous system; or 33 (3) lysergic acid diethylamide; or 34 (4) any drug which contains any quantity of a -31- LRB093 06607 LRD 06737 b 1 substance which the Department, after investigation, has 2 found to have, and by rule designated as having, a 3 potential for abuse because of its depressant or 4 stimulant effect on the central nervous system or its 5 hallucinogenic effect. 6 (n) (Blank). 7 (o) "Director" means the Director of the Department of 8 State Police or the Department of Professional Regulation or 9 his designated agents. 10 (p) "Dispense" means to deliver a controlled substance 11 to an ultimate user or research subject by or pursuant to the 12 lawful order of a prescriber, including the prescribing, 13 administering, packaging, labeling, or compounding necessary 14 to prepare the substance for that delivery. 15 (q) "Dispenser" means a practitioner who dispenses. 16 (r) "Distribute" means to deliver, other than by 17 administering or dispensing, a controlled substance. 18 (s) "Distributor" means a person who distributes. 19 (t) "Drug" means (1) substances recognized as drugs in 20 the official United States Pharmacopoeia, Official 21 Homeopathic Pharmacopoeia of the United States, or official 22 National Formulary, or any supplement to any of them; (2) 23 substances intended for use in diagnosis, cure, mitigation, 24 treatment, or prevention of disease in man or animals; (3) 25 substances (other than food) intended to affect the structure 26 of any function of the body of man or animals and (4) 27 substances intended for use as a component of any article 28 specified in clause (1), (2), or (3) of this subsection. It 29 does not include devices or their components, parts, or 30 accessories. 31 (t-5) "Euthanasia agency" means an entity certified by 32 the Department of Professional Regulation for the purpose of 33 animal euthanasia that holds an animal control facility 34 license or animal shelter license under the Animal Welfare -32- LRB093 06607 LRD 06737 b 1 Act. A euthanasia agency is authorized to purchase, store, 2 possess, and utilize Schedule II nonnarcotic and Schedule III 3 nonnarcotic drugs for the sole purpose of animal euthanasia. 4 (u) "Good faith" means the prescribing or dispensing of 5 a controlled substance by a practitioner in the regular 6 course of professional treatment to or for any person who is 7 under his treatment for a pathology or condition other than 8 that individual's physical or psychological dependence upon 9 or addiction to a controlled substance, except as provided 10 herein: and application of the term to a pharmacist shall 11 mean the dispensing of a controlled substance pursuant to the 12 prescriber's order which in the professional judgment of the 13 pharmacist is lawful. The pharmacist shall be guided by 14 accepted professional standards including, but not limited to 15 the following, in making the judgment: 16 (1) lack of consistency of doctor-patient 17 relationship, 18 (2) frequency of prescriptions for same drug by one 19 prescriber for large numbers of patients, 20 (3) quantities beyond those normally prescribed, 21 (4) unusual dosages, 22 (5) unusual geographic distances between patient, 23 pharmacist and prescriber, 24 (6) consistent prescribing of habit-forming drugs. 25 (u-1) "Home infusion services" means services provided 26 by a pharmacy in compounding solutions for direct 27 administration to a patient in a private residence, long-term 28 care facility, or hospice setting by means of parenteral, 29 intravenous, intramuscular, subcutaneous, or intraspinal 30 infusion. 31 (v) "Immediate precursor" means a substance: 32 (1) which the Department has found to be and by 33 rule designated as being a principal compound used, or 34 produced primarily for use, in the manufacture of a -33- LRB093 06607 LRD 06737 b 1 controlled substance; 2 (2) which is an immediate chemical intermediary 3 used or likely to be used in the manufacture of such 4 controlled substance; and 5 (3) the control of which is necessary to prevent, 6 curtail or limit the manufacture of such controlled 7 substance. 8 (w) "Instructional activities" means the acts of 9 teaching, educating or instructing by practitioners using 10 controlled substances within educational facilities approved 11 by the State Board of Education or its successor agency. 12 (x) "Local authorities" means a duly organized State, 13 County or Municipal peace unit or police force. 14 (y) "Look-alike substance" means a substance, other than 15 a controlled substance which (1) by overall dosage unit 16 appearance, including shape, color, size, markings or lack 17 thereof, taste, consistency, or any other identifying 18 physical characteristic of the substance, would lead a 19 reasonable person to believe that the substance is a 20 controlled substance, or (2) is expressly or impliedly 21 represented to be a controlled substance or is distributed 22 under circumstances which would lead a reasonable person to 23 believe that the substance is a controlled substance. For the 24 purpose of determining whether the representations made or 25 the circumstances of the distribution would lead a reasonable 26 person to believe the substance to be a controlled substance 27 under this clause (2) of subsection (y), the court or other 28 authority may consider the following factors in addition to 29 any other factor that may be relevant: 30 (a) statements made by the owner or person in 31 control of the substance concerning its nature, use or 32 effect; 33 (b) statements made to the buyer or recipient that 34 the substance may be resold for profit; -34- LRB093 06607 LRD 06737 b 1 (c) whether the substance is packaged in a manner 2 normally used for the illegal distribution of controlled 3 substances; 4 (d) whether the distribution or attempted 5 distribution included an exchange of or demand for money 6 or other property as consideration, and whether the 7 amount of the consideration was substantially greater 8 than the reasonable retail market value of the substance. 9 Clause (1) of this subsection (y) shall not apply to a 10 noncontrolled substance in its finished dosage form that was 11 initially introduced into commerce prior to the initial 12 introduction into commerce of a controlled substance in its 13 finished dosage form which it may substantially resemble. 14 Nothing in this subsection (y) prohibits the dispensing 15 or distributing of noncontrolled substances by persons 16 authorized to dispense and distribute controlled substances 17 under this Act, provided that such action would be deemed to 18 be carried out in good faith under subsection (u) if the 19 substances involved were controlled substances. 20 Nothing in this subsection (y) or in this Act prohibits 21 the manufacture, preparation, propagation, compounding, 22 processing, packaging, advertising or distribution of a drug 23 or drugs by any person registered pursuant to Section 510 of 24 the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360). 25 (y-1) "Mail-order pharmacy" means a pharmacy that is 26 located in a state of the United States, other than Illinois, 27 that delivers, dispenses or distributes, through the United 28 States Postal Service or other common carrier, to Illinois 29 residents, any substance which requires a prescription. 30 (z) "Manufacture" means the production, preparation, 31 propagation, compounding, conversion or processing of a 32 controlled substance, either directly or indirectly, by 33 extraction from substances of natural origin, or 34 independently by means of chemical synthesis, or by a -35- LRB093 06607 LRD 06737 b 1 combination of extraction and chemical synthesis, and 2 includes any packaging or repackaging of the substance or 3 labeling of its container, except that this term does not 4 include: 5 (1) by an ultimate user, the preparation or 6 compounding of a controlled substance for his own use; or 7 (2) by a practitioner, or his authorized agent 8 under his supervision, the preparation, compounding, 9 packaging, or labeling of a controlled substance: 10 (a) as an incident to his administering or 11 dispensing of a controlled substance in the course 12 of his professional practice; or 13 (b) as an incident to lawful research, 14 teaching or chemical analysis and not for sale. 15 (z-1) "Methamphetamine manufacturing chemical" means any 16 of the following chemicals or substances containing any of 17 the following chemicals: benzyl methyl ketone, ephedrine, 18 methyl benzyl ketone, phenylacetone, phenyl-2-propanone, or 19 pseudoephedrine or any of the salts, optical isomers, or 20 salts of optical isomers of the above-listed chemicals. 21 (aa) "Narcotic drug" means any of the following, whether 22 produced directly or indirectly by extraction from substances 23 of natural origin, or independently by means of chemical 24 synthesis, or by a combination of extraction and chemical 25 synthesis: 26 (1) opium and opiate, and any salt, compound, 27 derivative, or preparation of opium or opiate; 28 (2) any salt, compound, isomer, derivative, or 29 preparation thereof which is chemically equivalent or 30 identical with any of the substances referred to in 31 clause (1), but not including the isoquinoline alkaloids 32 of opium; 33 (3) opium poppy and poppy straw; 34 (4) coca leaves and any salts, compound, isomer, -36- LRB093 06607 LRD 06737 b 1 salt of an isomer, derivative, or preparation of coca 2 leaves including cocaine or ecgonine, and any salt, 3 compound, isomer, derivative, or preparation thereof 4 which is chemically equivalent or identical with any of 5 these substances, but not including decocainized coca 6 leaves or extractions of coca leaves which do not contain 7 cocaine or ecgonine (for the purpose of this paragraph, 8 the term "isomer" includes optical, positional and 9 geometric isomers). 10 (bb) "Nurse" means a registered nurse licensed under the 11 Nursing and Advanced Practice Nursing Act. 12 (cc) (Blank). 13 (dd) "Opiate" means any substance having an addiction 14 forming or addiction sustaining liability similar to morphine 15 or being capable of conversion into a drug having addiction 16 forming or addiction sustaining liability. 17 (ee) "Opium poppy" means the plant of the species 18 Papaver somniferum L., except its seeds. 19 (ff) "Parole and Pardon Board" means the Parole and 20 Pardon Board of the State of Illinois or its successor 21 agency. 22 (gg) "Person" means any individual, corporation, 23 mail-order pharmacy, government or governmental subdivision 24 or agency, business trust, estate, trust, partnership or 25 association, or any other entity. 26 (hh) "Pharmacist" means any person who holds a 27 certificate of registration as a registered pharmacist, a 28 local registered pharmacist or a registered assistant 29 pharmacist under the Pharmacy Practice Act of 1987. 30 (ii) "Pharmacy" means any store, ship or other place in 31 which pharmacy is authorized to be practiced under the 32 Pharmacy Practice Act of 1987. 33 (jj) "Poppy straw" means all parts, except the seeds, of 34 the opium poppy, after mowing. -37- LRB093 06607 LRD 06737 b 1 (kk) "Practitioner" means a physician licensed to 2 practice medicine in all its branches, dentist, podiatrist, 3 veterinarian, psychologist, scientific investigator, 4 pharmacist, physician assistant, advanced practice nurse, 5 licensed practical nurse, registered nurse, hospital, 6 laboratory, or pharmacy, or other person licensed, 7 registered, or otherwise lawfully permitted by the United 8 States or this State to distribute, dispense, conduct 9 research with respect to, administer or use in teaching or 10 chemical analysis, a controlled substance in the course of 11 professional practice or research. 12 (ll) "Pre-printed prescription" means a written 13 prescription upon which the designated drug has been 14 indicated prior to the time of issuance. 15 (mm) "Prescriber" means a physician licensed to practice 16 medicine in all its branches, dentist, podiatrist, 17 psychologist certified to prescribe or veterinarian who 18 issues a prescription, a physician assistant who issues a 19 prescription for a Schedule III, IV, or V controlled 20 substance in accordance with Section 303.05 and the written 21 guidelines required under Section 7.5 of the Physician 22 Assistant Practice Act of 1987, or an advanced practice nurse 23 with prescriptive authority in accordance with Section 303.05 24 and a written collaborative agreement under Sections 15-15 25 and 15-20 of the Nursing and Advanced Practice Nursing Act. 26 (nn) "Prescription" means a lawful written, facsimile, 27 or verbal order of a physician licensed to practice medicine 28 in all its branches, dentist, podiatrist or veterinarian for 29 any controlled substance, of a physician assistant for a 30 Schedule III, IV, or V controlled substance in accordance 31 with Section 303.05 and the written guidelines required under 32 Section 7.5 of the Physician Assistant Practice Act of 1987, 33 or of an advanced practice nurse who issues a prescription 34 for a Schedule III, IV, or V controlled substance in -38- LRB093 06607 LRD 06737 b 1 accordance with Section 303.05 and a written collaborative 2 agreement under Sections 15-15 and 15-20 of the Nursing and 3 Advanced Practice Nursing Act. 4 (oo) "Production" or "produce" means manufacture, 5 planting, cultivating, growing, or harvesting of a controlled 6 substance. 7 (pp) "Registrant" means every person who is required to 8 register under Section 302 of this Act. 9 (qq) "Registry number" means the number assigned to each 10 person authorized to handle controlled substances under the 11 laws of the United States and of this State. 12 (rr) "State" includes the State of Illinois and any 13 state, district, commonwealth, territory, insular possession 14 thereof, and any area subject to the legal authority of the 15 United States of America. 16 (ss) "Ultimate user" means a person who lawfully 17 possesses a controlled substance for his own use or for the 18 use of a member of his household or for administering to an 19 animal owned by him or by a member of his household. 20 (Source: P.A. 91-403, eff. 1-1-00; 91-714, eff. 6-2-00; 21 92-449, eff. 1-1-02.) 22 Section 95. No acceleration or delay. Where this Act 23 makes changes in a statute that is represented in this Act by 24 text that is not yet or no longer in effect (for example, a 25 Section represented by multiple versions), the use of that 26 text does not accelerate or delay the taking effect of (i) 27 the changes made by this Act or (ii) provisions derived from 28 any other Public Act.