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Sen. M. Maggie Crotty
Filed: 4/11/2005
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| AMENDMENT TO SENATE BILL 139
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| AMENDMENT NO. ______. Amend Senate Bill 139, AS AMENDED, by |
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| replacing everything after the enacting clause with the |
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| following:
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| "Section 5. The Regulatory Sunset Act is amended by |
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| changing Section 4.16 and by adding Section 4.26 as follows:
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| (5 ILCS 80/4.16)
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| Sec. 4.16. Acts repealed January 1, 2006. The following |
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| Acts are repealed January 1, 2006:
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| The Respiratory Care Practice Act.
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| The Hearing Instrument Consumer Protection Act.
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| The Illinois Dental Practice Act.
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| The Professional Geologist Licensing Act.
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| The Illinois Athletic Trainers Practice Act.
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| The Barber, Cosmetology, Esthetics, and Nail Technology |
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| Act of 1985.
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| The Collection Agency Act.
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| The Illinois Roofing Industry Licensing Act.
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| The Illinois Physical Therapy Act.
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| (Source: P.A. 89-33, eff. 1-1-96; 89-72, eff. 12-31-95; 89-80, |
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| eff. 6-30-95;
89-116, eff. 7-7-95; 89-366, eff. 7-1-96; 89-387, |
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| eff. 8-20-95; 89-626, eff.
8-9-96.)
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| (5 ILCS 80/4.26 new)
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| Sec. 4.26. Act repealed on January 1, 2016. The following |
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| Act is repealed on January 1, 2016: |
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| The Respiratory Care Practice Act. |
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| Section 10. The Respiratory Care Practice Act is amended by |
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| changing Sections 10, 15, 20, 35, 50, and 95 as follows:
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| (225 ILCS 106/10)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 10. Definitions. In this Act:
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| "Advanced practice nurse" means an advanced practice nurse |
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| licensed under the Nursing and Advanced Practice Nursing Act.
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| "Board" means the Respiratory Care Board appointed by the |
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| Director. |
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| "Basic respiratory care activities" means and includes all |
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| of the following activities: |
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| (1) Cleaning, disinfecting, and sterilizing equipment |
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| used in the practice of respiratory care as delegated by a |
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| licensed health care professional or other authorized |
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| licensed personnel. |
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| (2) Assembling equipment used in the practice of |
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| respiratory care as delegated by a licensed health care |
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| professional or other authorized licensed personnel. |
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| (3) Collecting and reviewing patient data through |
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| non-invasive means, provided that the collection and |
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| review does not include the individual's interpretation of |
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| the clinical significance of the data. Collecting and |
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| reviewing patient data includes the performance of pulse |
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| oximetry and non-invasive monitoring procedures in order |
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| to obtain vital signs and notification to licensed health |
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| care professionals and other authorized licensed personnel |
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| in a timely manner. |
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| (4) Maintaining a nasal cannula or face mask for oxygen |
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| therapy in the proper position on the patient's face. |
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| (5) Assembling a nasal cannula or face mask for oxygen |
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| therapy at patient bedside in preparation for use. |
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| (6) Maintaining a patient's natural airway by |
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| physically manipulating the jaw and neck, suctioning the |
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| oral cavity, or suctioning the mouth or nose with a bulb |
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| syringe. |
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| (7) Performing assisted ventilation during emergency |
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| resuscitation using a manual resuscitator. |
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| (8) Using of a manual resuscitator at the direction of |
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| a licensed health care professional or other authorized |
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| licensed personnel who is present and performing routine |
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| airway suctioning. These activities do not include care of |
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| a patient's artificial airway or the adjustment of |
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| mechanical ventilator settings while a patient is |
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| connected to the ventilator.
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| "Basic respiratory care activities" does not mean activities |
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| that involve any of the following:
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| (1) Specialized knowledge that results from a course of |
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| education or training in respiratory care. |
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| (2) An unreasonable risk of a negative outcome for the |
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| patient. |
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| (3) The assessment or making of a decision concerning |
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| patient care. |
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| (4) The administration of aerosol medication or |
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| oxygen. |
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| (5) The insertion and maintenance of an artificial |
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| airway. |
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| (6) Mechanical ventilatory support. |
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| (7) Patient assessment. |
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| (8) Patient education.
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| "Department" means the Department of Professional |
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| Regulation.
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| "Director" means the Director of
Professional Regulation.
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| "Licensed" means that which is required to hold oneself
out |
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| as
a respiratory care
practitioner as defined in this Act.
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| "Licensed health care professional" means a physician |
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| licensed to practice medicine in all its branches, an advanced |
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| practice nurse who has a written collaborative agreement with a |
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| collaborating physician that authorizes the advanced practice |
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| nurse to transmit orders to a respiratory care practitioner, or |
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| a physician assistant who has been delegated the authority to |
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| transmit orders to a respiratory care practitioner by his or |
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| her supervising physician
physician" means a physician |
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| licensed to practice medicine in all
its branches .
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| "Order" means a written, oral, or telecommunicated |
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| authorization for respiratory care services for a patient by |
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| (i) a licensed health care professional who maintains medical |
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| supervision of the patient and makes a diagnosis or verifies |
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| that the patient's condition is such that it may be treated by |
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| a respiratory care practitioner or (ii) a certified registered |
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| nurse anesthetist in a licensed hospital.
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| "Other authorized licensed personnel" means a licensed |
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| respiratory care practitioner, a licensed registered nurse, or |
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| a licensed practical nurse whose scope of practice authorizes |
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| the professional to supervise an individual who is not |
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| licensed, certified, or registered as a health professional. |
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| "Proximate supervision" means a situation in which an |
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| individual is
responsible for directing the actions of another |
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| individual in the facility and is physically close enough to be |
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| readily available, if needed, by the supervised individual.
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| "Respiratory care" and "cardiorespiratory care"
mean |
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| preventative services, evaluation and assessment services, |
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| therapeutic services, and rehabilitative services under the |
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| order of a licensed health care professional or a certified |
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| registered nurse anesthetist in a licensed hospital for an |
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| individual with a disorder, disease, or abnormality of the |
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| cardiopulmonary system. These terms include, but are not |
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| limited to, measuring, observing, assessing, and monitoring |
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| signs and symptoms, reactions, general behavior, and general |
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| physical response of individuals to respiratory care services, |
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| including the determination of whether those signs, symptoms, |
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| reactions, behaviors, or general physical responses exhibit |
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| abnormal characteristics; the administration of |
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| pharmacological and therapeutic agents related to respiratory |
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| care services; the collection of blood specimens and other |
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| bodily fluids and tissues for, and the performance of, |
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| cardiopulmonary diagnostic testing procedures, including, but |
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| not limited to, blood gas analysis; development, |
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| implementation, and modification of respiratory care treatment |
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| plans based on assessed abnormalities of the cardiopulmonary |
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| system, respiratory care guidelines, referrals, and orders of a |
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| licensed health care professional; application, operation, and |
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| management of mechanical ventilatory support and other means of |
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| life support; and the initiation of emergency procedures under |
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| the rules promulgated by the Department. A respiratory care |
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| practitioner shall refer to a physician licensed to practice |
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| medicine in all its branches any patient whose condition, at |
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| the time of evaluation or treatment, is determined to be beyond |
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| the scope of practice of the respiratory care practitioner.
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| include, but are not limited to, direct and indirect
services |
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| in the implementation of treatment, management, disease |
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| prevention,
diagnostic testing, monitoring, and care of |
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| patients with deficiencies and
abnormalities associated with |
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| the cardiopulmonary system, including (i) a
determination of |
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| whether such signs and symptoms, reactions, behavior, and
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| general response exhibit abnormal characteristics and (ii) |
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| implementation of
treatment based on the observed |
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| abnormalities, of appropriate reporting,
referral, respiratory |
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| care protocols, or changes in treatment pursuant to the
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| written, oral, or telephone transmitted orders of a
licensed |
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| physician.
"Respiratory care" includes the transcription and |
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| implementation of written,
oral, and telephone transmitted |
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| orders by a licensed physician
pertaining to the practice of |
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| respiratory care and the initiation of emergency
procedures |
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| under rules promulgated by the Board or as otherwise permitted |
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| in
this Act. The practice of respiratory care may be
performed |
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| in any clinic, hospital, skilled nursing facility, private |
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| dwelling,
or other place considered appropriate by the Board in |
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| accordance with the
written, oral, or telephone transmitted |
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| order of a
physician and
shall be performed under the direction |
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| of a licensed
physician. "Respiratory
care" includes |
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| inhalation and respiratory therapy.
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| "Respiratory care education program" means a course of |
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| academic study leading
to eligibility for registry or |
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| certification in respiratory care. The training
is to be |
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| approved by an accrediting agency recognized by the Board and |
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| shall
include an evaluation of competence through a |
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| standardized testing mechanism
that is determined by the Board |
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| to be both valid and reliable.
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| "Respiratory care practitioner" means a person who is |
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| licensed by the
Department of Professional Regulation and meets |
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| all of the following
criteria:
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| (1) The person is engaged in the practice of |
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| cardiorespiratory care and
has the knowledge and skill |
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| necessary to administer respiratory care.
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| (2) The person is capable of serving as a resource to |
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| the
licensed
health care professional
physician in
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| relation to the technical aspects of cardiorespiratory |
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| care and the safe and
effective methods for administering |
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| cardiorespiratory care modalities.
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| (3) The person is able to function in situations of |
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| unsupervised patient
contact requiring great individual |
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| judgment.
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| (4) The person is capable of supervising, directing, or |
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| teaching less
skilled personnel in the provision of |
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| respiratory care services.
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| (Source: P.A. 89-33, eff. 1-1-96.)
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| (225 ILCS 106/15)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 15. Exemptions.
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| (a) This Act does not prohibit a person legally regulated |
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| in this State by
any other Act from engaging in any practice |
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| for which he or she is authorized .
as long as he or she does not |
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| represent himself or herself by the title of
respiratory care |
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| practitioner. This Act does not prohibit the
practice of |
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| nonregulated professions whose practitioners are engaged in |
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| the
delivery of respiratory care as long as these practitioners |
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| do not represent
themselves as or use the title of a |
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| respiratory care practitioner.
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| (b) Nothing in this Act shall prohibit the practice of |
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| respiratory care by a
person who is employed by the United |
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| States government or any bureau, division,
or agency thereof
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| while in the discharge of the employee's official duties.
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| (c) Nothing in this Act shall be construed to limit the |
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| activities and
services of a person enrolled in an approved |
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| course of study leading to a
degree or certificate of registry |
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| or certification eligibility in respiratory
care if these |
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| activities and services constitute a part of a supervised |
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| course
of study and if the person is designated by a title |
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| which clearly indicates his
or her status as a student or |
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| trainee. Status as a student or trainee shall
not exceed 3 |
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| years from the date of enrollment in an approved course.
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| (d) Nothing in this Act shall prohibit a person from |
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| treating ailments by
spiritual means through prayer alone in |
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| accordance with the tenets and
practices of a recognized church |
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| or religious denomination.
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| (e) Nothing in this Act shall be construed to prevent a |
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| person who is a
registered nurse , an advanced practice nurse,
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| or a certified registered nurse anesthetist or a licensed
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| practical nurse , a physician assistant, or a physician licensed |
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| to practice medicine in all its branches from providing |
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| respiratory care.
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| (f) Nothing in this Act shall limit a person who is |
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| credentialed by the
National Society for Cardiopulmonary |
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| Technology or the National Board for
Respiratory Care from |
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| performing pulmonary function tests and related
respiratory |
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| care procedures related to the pulmonary function test for |
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| which appropriate competencies have been
demonstrated.
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| (g) Nothing in this Act shall prohibit the collection and |
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| analysis of blood
by clinical laboratory personnel meeting the |
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| personnel standards of the
Illinois Clinical Laboratory Act.
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| (h)
Nothing in this Act shall prohibit a polysomnographic |
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| technologist, technician, or trainee, as defined in the job |
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| descriptions jointly accepted by the American Academy of Sleep |
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| Medicine, the Association of Polysomnographic Technologists, |
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| the Board of Registered Polysomnographic Technologists, and |
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| the American Society of Electroneurodiagnostic Technologists, |
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| from performing activities within the scope of practice of |
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| polysomnographic technology while under the direction of a |
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| physician licensed in this State
limit the activities of a |
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| person who is not
licensed under this Act from performing |
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| respiratory care if he or she does
not
represent himself or |
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| herself as a respiratory care practitioner .
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| (i)
Nothing in this Act shall prohibit a family member from |
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| providing respiratory care services to an ill person
qualified |
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| members of other
professional groups, including but not limited |
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| to nurses, from performing or
advertising that he or she |
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| performs the work of a respiratory care practitioner
in a |
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| manner consistent with his or her training, or any code of |
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| ethics of
his or her
respective professions, but only if he or |
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| she does not represent
himself or herself
by any
title or |
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| description as a respiratory care practitioner .
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| (j) Nothing in this Act shall be construed to limit an |
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| unlicensed practitioner in a licensed hospital who is working |
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| under the proximate supervision of a licensed health care |
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| professional or other authorized licensed personnel and |
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| providing direct patient care services from performing basic |
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| respiratory care activities if the unlicensed practitioner
(i) |
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| has demonstrated competency to perform the basic respiratory |
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| care activities to the facility that employs or contracts with |
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| the individual and
(ii) is, at a minimum, evaluated annually, |
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| with the competency of the unlicensed practitioner's |
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| performance of basic respiratory care activities documented by |
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| the facility.
This Act does not prohibit a hospital, nursing |
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| home, long-term care
facility, home health agency, health |
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| system or network, or any other
organization or institution |
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| that provides health or illness care for
individuals or |
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| communities from providing respiratory care through
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| practitioners that the organization considers competent. These |
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| entities shall
not be required to utilize licensed respiratory |
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| care practitioners to practice
respiratory care when providing |
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| respiratory care for their patients or
customers. |
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| Organizations providing respiratory care may decide who is
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| competent to deliver that respiratory care. Nothing in this Act |
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| shall be
construed to limit the ability of an employer to |
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| utilize a respiratory care
practitioner within the employment |
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| setting consistent with the individual's
skill and training.
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| (k) Nothing in this Act shall be construed to prohibit a |
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| person enrolled in an approved course of study leading to a |
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| degree or certification in a health care-related discipline |
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| that provides respiratory care activities within his or her |
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| scope of practice and employed in a licensed hospital in order |
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| to provide direct patient care services under the direction of |
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| other authorized licensed personnel from providing respiratory |
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| care activities.
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| (Source: P.A. 91-259, eff. 1-1-00.)
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| (225 ILCS 106/20)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 20. Restrictions and limitations.
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| (a) No person shall, without a valid license as a |
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| respiratory care
practitioner (i) hold himself or herself out |
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| to the public as a respiratory
care practitioner; or (ii) use |
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| the title "respiratory care practitioner" ; or (iii) perform the |
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| duties of a respiratory care practitioner, except as provided |
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| in Section 15 of this Act .
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| (b) Nothing in the Act shall be construed to permit a |
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| person licensed as
a respiratory care practitioner to engage in |
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| any manner in the practice of
medicine in all its branches as |
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| defined by State law.
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| (Source: P.A. 89-33, eff. 1-1-96.)
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| (225 ILCS 106/35)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 35. Respiratory Care Board.
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| (a) The Director shall appoint a Respiratory Care Board |
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| which shall serve in
an advisory capacity to the Director. The |
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| Board shall consist of 9 persons of
which 4 members shall be |
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| currently engaged in the practice of respiratory care
with a
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| minimum of 3 years practice in the State of Illinois, 3 members |
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| shall be
qualified medical directors, and 2 members shall be |
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| hospital administrators.
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| (b) Members shall be appointed to a 3-year term; except, |
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| initial appointees
shall serve the following terms: 3 members |
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| shall serve for one year, 3 members
shall serve for 2 years, |
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| and 3 members shall serve for 3 years. A member whose
term has |
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| expired shall continue to serve until his or her successor is
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| appointed and qualified. No member shall be reappointed to the |
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| Board for a
term that would cause his or her continuous service |
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| on the Board to be longer
than 8 years. Appointments to fill |
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| vacancies shall be made in the same manner
as original |
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| appointments for the unexpired portion of the vacated term.
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| Initial terms shall begin upon the effective date of this Act.
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| (c) The membership of the Board shall reasonably represent |
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| all the
geographic
areas in this State. The Director shall |
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| consider the recommendations of the
organization representing |
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| the largest number of respiratory care practitioners
for |
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| appointment of the respiratory care practitioner members of the |
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| Board and
the organization representing the largest number of |
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| licensed
physicians licensed to practice medicine in all its |
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| branches for the
appointment of medical directors to the board.
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| (d) The Director has the authority to remove any member of |
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| the Board from
office for neglect of any duty required by law, |
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| for incompetence
incompetency , or for
unprofessional or |
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| dishonorable conduct.
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| (e) The Director shall consider the recommendations of the |
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| Board on
questions involving standards of professional |
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| conduct, discipline, and
qualifications of candidates for |
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| licensure under this Act.
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| (f) The members of the Board shall be reimbursed for all |
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| legitimate and
necessary expenses incurred in attending |
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| meetings of the Board.
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| (g) Every 3 years after the effective date of this |
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| amendatory Act of the 94th General Assembly, the Board shall |
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| conduct a study and report its findings to the Governor and the |
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| General Assembly on the effects of this Act on the access, |
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| quality, and cost of respiratory care services in the State.
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| (Source: P.A. 89-33, eff. 1-1-96.)
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| (225 ILCS 106/50)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 50. Qualifications for a license.
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| (a) A person is qualified to be licensed as a licensed |
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| respiratory care
practitioner, and the Department may issue a |
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| license authorizing the practice
of respiratory care to an |
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| applicant who:
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| (1) has applied in writing on the prescribed form and |
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| has paid the
required fee;
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| (2) has successfully completed a respiratory care |
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| training program
approved by the Department;
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| (3) has successfully passed an examination for the |
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| practice of respiratory
care authorized by the Department , |
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| within 5 years of making application ; and
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| (4) has paid the fees required by this Act.
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| Any person who has received certification by any state or |
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| national
organization whose standards are accepted by the |
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| Department as being
substantially similar to the standards in |
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| this Act may apply for a respiratory
care practitioner license |
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| without examination.
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| (b) Beginning 6 months after December 31, 2005, all |
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| individuals who provide satisfactory evidence to the |
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| Department of 3 years of experience, with a minimum of 400 |
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| hours per year, in the practice of respiratory care during the |
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| 5 years immediately preceding December 31, 2005 shall be issued |
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| a license. This experience must have been obtained while under |
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| the supervision of a certified respiratory therapist, a |
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| registered respiratory therapist, or a licensed registered |
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| nurse or under the supervision or direction of a licensed |
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| health care professional. All applications for a license under |
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| this subsection (b) shall be postmarked within 12 months after |
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| December 31, 2005.
All individuals who, on the effective date |
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| of this Act, provide
satisfactory evidence to the Department of |
28 |
| 3 years experience in the practice
of respiratory care during |
29 |
| the 5 years immediately preceding the effective date
of this |
30 |
| Act shall be issued a license. To qualify for a license under
|
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| subsection (b), all applications for a license under this |
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| subsection (b) shall
be filed within 24 months after the |
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| effective date of this Act.
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| (c) A person may practice as a respiratory care |
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| practitioner if he or she has applied in writing to the |
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| Department in form and substance satisfactory to the Department |
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| for a license as a registered respiratory care practitioner and |
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| has complied with all the provisions under this Section except |
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| for the passing of an examination to be eligible to receive |
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| such license, until the Department has made the decision that |
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| the applicant has failed to pass the next available examination |
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| authorized by the Department or has failed, without an approved |
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| excuse, to take the next available examination authorized by |
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| the Department or until the withdrawal of the application, but |
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| not to exceed 6 months. An applicant practicing professional |
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| registered respiratory care under this subsection (c) who |
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| passes the examination, however, may continue to practice under |
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| this subsection (c) until such time as he or she receives his |
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| or her license to practice or until the Department notifies him |
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| or her that the license has been denied. No applicant for |
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| licensure practicing under the provisions of this subsection |
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| (c) shall practice professional respiratory care except under |
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| the direct supervision of a licensed health care professional |
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| or authorized licensed personnel. In no instance shall any such |
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| applicant practice or be employed in any supervisory capacity. |
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| (Source: P.A. 89-33, eff. 1-1-96.)
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| (225 ILCS 106/95)
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| (Section scheduled to be repealed on January 1, 2006)
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| Sec. 95. Grounds for discipline.
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| (a) The Department may refuse to issue, renew, or may |
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| revoke, suspend, place
on probation, reprimand, or take other |
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| disciplinary action as the Department
considers appropriate, |
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| including the issuance of fines not to exceed $5,000 for
each |
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| violation, with regard to any license for any one or more of |
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| the
following:
|
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| (1) Material misstatement in furnishing information to |
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| the Department or
to any other State or federal agency.
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| (2) Violations of this Act, or any
of its rules.
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| (3) Conviction of any crime under the laws of the |
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| United States or any
state or territory thereof that is a |
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| felony or a misdemeanor, an essential
element of which is |
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| dishonesty, or of any crime that is directly related to the
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| practice of the profession.
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| (4) Making any misrepresentation for the purpose of |
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| obtaining a license.
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| (5) Professional incompetence or negligence in the |
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| rendering of
respiratory care services.
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| (6) Malpractice.
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| (7) Aiding or assisting another person in violating any |
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| rules or
provisions of this Act.
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| (8) Failing to provide information within 60 days in |
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| response to a written
request made by the Department.
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| (9) Engaging in dishonorable, unethical, or |
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| unprofessional conduct of a
character likely to deceive, |
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| defraud, or harm the public.
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| (10) Violating the rules of professional conduct |
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| adopted by the
Department.
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| (11) Discipline by another jurisdiction, if at least |
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| one of the grounds
for the discipline is the same or |
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| substantially equivalent to those set forth
in this Act.
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| (12) Directly or indirectly giving to or receiving from |
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| any person, firm,
corporation, partnership, or association |
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| any fee, commission, rebate, or other
form of compensation |
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| for any professional services not actually rendered.
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| (13) A finding by the Department that the licensee, |
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| after having the
license placed on probationary status, has |
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| violated the terms of the probation.
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| (14) Abandonment of a patient.
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| (15) Willfully filing false reports relating to a |
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| licensee's practice
including, but not limited to, false |
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| records filed with a federal or State
agency or department.
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| (16) Willfully failing to report an instance of |
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| suspected child abuse or
neglect as required by the Abused |
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| and Neglected Child Reporting Act.
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| (17) Providing respiratory care, other than pursuant |
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| to an order
the
prescription
of a licensed
physician .
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| (18) Physical or mental disability
including, but not |
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| limited to, deterioration through
the aging process or loss |
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| of motor skills that results in the inability to
practice |
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| the profession with reasonable judgment, skill, or safety.
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| (19) Solicitation of professional services by using |
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| false or misleading
advertising.
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| (20) Failure to file a tax return, or to pay the tax, |
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| penalty, or interest
shown in a filed return, or to pay any |
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| final assessment of tax penalty, or
interest, as required |
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| by any tax Act administered by the Illinois Department of
|
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| Revenue or any successor agency or the Internal Revenue |
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| Service or
any
successor agency.
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| (21) Irregularities in billing a third party for |
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| services rendered or in
reporting charges for services not |
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| rendered.
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| (22) Being named as a perpetrator in an indicated |
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| report by the Department
of Children and Family Services |
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| under the Abused and Neglected Child Reporting
Act, and |
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| upon proof by clear and convincing evidence that the |
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| licensee has
caused a child to be an abused child or |
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| neglected child as defined in the
Abused and Neglected |
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| Child Reporting Act.
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| (23) Habitual or excessive use or addiction to alcohol, |
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| narcotics,
stimulants, or any other chemical agent or drug |
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| that results in an inability to
practice with reasonable |
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| skill, judgment, or safety.
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| (24) Being named as a perpetrator in an indicated |
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| report by the
Department on Aging under the Elder Abuse and |
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| Neglect Act, and upon proof by
clear and convincing |
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| evidence that the licensee has caused an elderly person to
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| be abused or neglected as defined in the Elder Abuse and |
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| Neglect Act.
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| (25) Willfully failing to report an instance of |
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| suspected elder abuse or
neglect as required by the Elder |
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| Abuse and Neglect Act.
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| (b) The determination by a court that a licensee is subject |
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| to involuntary
admission or judicial admission as provided in |
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| the Mental Health and
Developmental Disabilities Code will |
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| result in an automatic suspension of his
or
her license. The |
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| suspension will end upon a finding by a court that the
licensee |
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| is no
longer subject to involuntary admission or judicial |
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| admission, the issuance
of an order so finding and discharging |
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| the patient, and the recommendation of
the Board to the |
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| Director that the licensee be allowed to resume his or her
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| practice.
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| (Source: P.A. 90-655, eff. 7-30-98; 91-259, eff. 1-1-00.)
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| (225 ILCS 106/55 rep.)
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| Section 15. The Respiratory Care Practice Act is amended by |
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| repealing Section 55.
|
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| Section 99. Effective date. This Act takes effect upon |
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| becoming law.".
|