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94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006 SB2824
Introduced 1/20/2006, by Sen. Antonio Munoz SYNOPSIS AS INTRODUCED: |
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New Act |
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720 ILCS 570/102 |
from Ch. 56 1/2, par. 1102 |
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Creates the Naturopathic Medical Practice Act. Provides for the regulation of naturopathic physicians through licensure by the Department of Financial and Professional Regulation. Establishes the Board of Naturopathic Medicine, the Naturopathic Childbirth Attendance Advisory Committee, and the Naturopathic Formulary Committee. Sets forth provisions concerning licensure, scope of practice, duties of the Department, and administrative procedure.
Amends the Illinois Controlled Substances Act to add naturopathic physicians who issue a prescription for a controlled substance in accordance with the naturopathic formulary to the definition of "prescriber".
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CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY | |
FISCAL NOTE ACT MAY APPLY |
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A BILL FOR
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SB2824 |
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LRB094 16430 RAS 51690 b |
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| AN ACT concerning regulation.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 1. Short Title. This Act may be cited as the |
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| Naturopathic Medical Practice Act . |
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| Section 5. Purpose.
The practice of naturopathic medicine |
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| in the State of Illinois is declared to affect the public |
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| health, safety, and welfare and to be subject to regulation and |
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| control in the public interest. It is further declared to be a |
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| matter of public interest and concern that naturopathic |
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| physicians and the practice of naturopathic medicine, as |
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| defined in this Act, merit and receive the confidence of the |
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| public, that only qualified persons be authorized to practice |
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| naturopathic medicine in the State of Illinois, and that no |
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| person shall practice naturopathic medicine without a valid |
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| existing license to do so. The General Assembly recognizes that |
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| naturopathic physicians are a distinct health care profession |
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| that affects the public health, safety, and welfare and |
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| increases freedom of choice in health care. This Act shall be |
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| liberally construed to best carry out these subjects and |
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| purposes. |
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| Section 10. Definitions. In this Act:
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| "Approved naturopathic medical program" means any of the |
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| following: |
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| (1) a naturopathic medical education program in the |
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| United States accredited by the Council on Naturopathic |
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| Medical Education, or an equivalent federally recognized |
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| accrediting body for the naturopathic medical profession |
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| recognized by the Board, that offers graduate-level |
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| full-time didactic and supervised clinical training |
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| leading to the degree of Doctor of Naturopathy or Doctor of |
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LRB094 16430 RAS 51690 b |
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| Naturopathic Medicine and is part of an institution of |
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| higher education that is either accredited or is a |
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| candidate for accreditation by a regional institutional |
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| accrediting agency recognized by the United States |
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| Secretary of Education; |
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| (2) a full-time structured curriculum, having been not |
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| less than 132 weeks in duration, requiring completion |
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| within a period of not less than 35 months, and offered |
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| prior to the existence of the CNME, in basic sciences and |
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| supervised patient care comprising a doctoral naturopathic |
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| medical education offered by a degree-granting college or |
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| university that is reputable and in good standing in the |
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| judgment of the Board; or |
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| (3) a full-time structured curriculum, having been not |
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| less than 132 weeks in duration and requiring completion |
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| within a period of not less than 35 months, in basic |
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| sciences and supervised patient care comprising a doctoral |
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| naturopathic medical education offered by a |
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| degree-granting college or university in Canada that is |
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| reputable and in good standing in the judgment of the Board |
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| and has provincial approval for participation in |
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| government funded student aid programs; such course, as a |
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| prerequisite to graduation therefrom, . |
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| "Board" means the Board of Naturopathic Medicine appointed |
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| by the Secretary. |
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| "CNME" means the Council on Naturopathic Medical |
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| Education. |
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| "Committee" means the Naturopathic Childbirth Attendance |
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| Advisory Committee.
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| "Council" means the Naturopathic Formulary Council |
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| comprised of members appointed pursuant to this Act to |
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| determine and authorize the formulary list. |
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| "Department" means the Department of Financial and |
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| Professional Regulation. |
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| "Minor office procedures" means the methods used for the |
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| repair of and provision of care incidental to superficial |
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LRB094 16430 RAS 51690 b |
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| lacerations and abrasions or superficial lesions and the |
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| removal of foreign bodies located in the superficial tissues. |
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| "Naturopathic childbirth attendance" means the specialty |
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| practice of natural childbirth by a naturopathic physician that |
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| meets the additional requirements set forth in this Act, that |
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| includes the management of normal pregnancy, normal labor and |
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| delivery, and the normal postpartum period, including normal |
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| newborn care. |
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| "Naturopathic formulary" means the list of natural |
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| medicines, nonprescription and prescription that naturopathic |
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| physicians use in the practice of the profession, as determined |
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| by the Council and reviewed by the Board.
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| "Naturopathic medicine" means a system of primary health |
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| care for the prevention, diagnosis, and treatment of human |
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| health conditions, injury, and disease; the promotion or |
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| restoration of health; and the support and stimulation of a |
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| patient's inherent self-healing processes through patient |
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| education and the use of natural therapies and therapeutic |
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| substances. |
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| "Naturopathic physician" means a practitioner of |
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| naturopathic medicine who has been properly licensed for that |
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| purpose by the Department under this Act. "Naturopathic |
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| physician" includes all titles and designations associated |
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| with the practice of naturopathic medicine, including, "doctor |
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| of naturopathic medicine", "doctor of naturopathy", |
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| "naturopathic doctor", "naturopath", "doctor of naturopathic |
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| medicine", "doctor of naturopathy", "naturopathic medical |
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| doctor", "N.D.", "ND", "N.M.D", and "NMD". |
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| "Naturopathic residency" means a post-graduate medical |
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| education program approved by the Council on Naturopathic |
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| Medical Education, a subcommittee thereof, or an equivalent |
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| agency, as recognized by the Board, that provides a structured |
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| curriculum with diagnosis and management of patients under |
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| appropriate levels of supervision for graduates of an approved |
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| naturopathic medical program. |
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| "Prescription drug" means any drug defined by Section |
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LRB094 16430 RAS 51690 b |
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| 503(b) of the federal Food, Drug and Cosmetic Act with a label |
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| that is required to bear the statement "RX only". |
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| "Secretary" means the Secretary of Financial and |
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| Professional Regulation.
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| Section 15. Exemption from civil liability. Exemption from |
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| civil liability for emergency care is as provided in the Good |
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| Samaritan Act.
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| While serving upon any professional utilization committee, |
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| professional review organization, peer review committee, |
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| mediation committee, board of Secretaries considering matters |
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| of peer review, or review committee sanctioned by the |
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| profession, a person shall not be liable for civil damages as a |
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| result of his or her acts, omissions, or decisions in |
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| connection with his or her duties on such committees or boards, |
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| except in cases involving willful or wanton misconduct.
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| Section 20. Exceptions.
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| (a) This Act does not prohibit or restrict any of the |
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| following: |
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| (1) Any person licensed to practice medicine in all of |
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| its branches under the Medical Practice Act of 1987 who |
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| engages in the practice for which he or she is licensed. |
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| (2) The practice of a profession by individuals who are |
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| licensed, certified, or registered under the laws of this |
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| State who are performing services within their authorized |
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| scope of practice.
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| (3) The practice of naturopathic medicine by an |
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| individual employed by the government of the United States |
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| while the individual is engaged in the performance of |
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| duties prescribed by the laws and regulations of the United |
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| States. |
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| (4) The practice of naturopathic medicine by students |
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| enrolled in an approved naturopathic medical college. The |
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| performance of services shall be pursuant to a course of |
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| instruction or assignments from an instructor and under the |
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| supervision of the instructor, who shall be a naturopathic |
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| physician licensed under this Act or a duly licensed |
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| professional in the instructed field. |
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| (5) Any person treating himself or herself or his or |
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| her family members based on religious or health beliefs. |
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| (6) Any person who sells vitamins and herbs who |
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| provides information about such products. |
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| (7) Any person or practitioner who recommends any |
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| therapy that is within the scope of practice of |
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| naturopathic physicians and that is within that |
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| individual's legal rights or scope of practice granted by |
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| the existing laws of this State. |
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| (b) This Act shall not be construed to prohibit the |
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| practice of naturopathic medicine by persons who are licensed |
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| to practice naturopathic medicine in any other state or |
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| district in the United States who enter this State to consult |
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| with a naturopathic physician licensed under this Act; |
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| provided, however, that the consultation is limited to |
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| examination, recommendation, or testimony in litigation.
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| Section 25. Title and designation. |
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| (a) Licensees shall use the title "naturopathic physician" |
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| and the recognized abbreviation "N.D.". |
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| (b) Naturopathic physicians shall have the exclusive right |
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| to use the terms: "naturopathic physician", "naturopathic |
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| doctor", "naturopath", "doctor of naturopathic medicine", |
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| "doctor of naturopathy", "naturopathic medical doctor", |
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| "naturopathic medicine", "naturopathic health care", |
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| "naturopathy", "N.D.", "ND", "N.M.D." and "NMD". |
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| (c) No person shall represent himself or herself to the |
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| public as a naturopathic physician, a doctor of naturopathic |
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| medicine, a doctor of naturopathy, or as being otherwise |
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| authorized to practice naturopathic medicine in this State |
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| without first obtaining from the Department a license to |
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| practice naturopathic medicine under this Act. |
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| (d) The titles and designations set forth in this Section |
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LRB094 16430 RAS 51690 b |
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| identify naturopathic physicians and are restricted to |
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| describing and identifying licensed practitioners.
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| Section 30. Powers and duties of the Department and the |
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| Secretary.
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| (a) The Department shall exercise the powers and duties |
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| prescribed by the Civil Administrative Code of Illinois for the |
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| administration of licensing acts and shall exercise such other |
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| powers and duties conferred by this Act. |
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| (b) The Department may adopt rules consistent with the |
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| provisions of this Act, for the administration and enforcement |
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| thereof and may prescribe forms that shall be issued in |
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| connection therewith. |
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| (c) The Department shall adopt the competency-based |
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| national examination approved by the Board as the naturopathic |
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| licensing examination. |
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| (d) The Secretary 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 and |
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| licensees under this Act. |
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| (e) The Department may, at any time, seek the expert advice |
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| and knowledge of the Board on any matter relating to the |
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| administration or enforcement of this Act. Notice of proposed |
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| rulemaking shall be transmitted to the Board and the Department |
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| shall review the response of the Board and any recommendations |
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| made in response. |
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| (f) The Secretary shall issue licenses, and renewals |
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| thereof, to all persons who meet the qualifications for |
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| licensure as determined by the Board.
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| (g) The Department shall establish rules for continuing |
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| education as recommended by the Board. |
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| (h) The Secretary shall consult the Board on matters |
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| involving all of the following: |
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| (1) The qualifications of candidates who apply for |
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| licensure to practice naturopathic medicine in Illinois. |
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| (2) The content of any clinical, practical, or |
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LRB094 16430 RAS 51690 b |
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| residency requirement. |
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| (3) The content of rules and proposed rules governing |
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| the practice of naturopathic medicine in Illinois. |
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| (4) The investigation of complaints from naturopathic |
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| physicians and the public and the technical aspects of the |
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| complaint; |
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| (5) The requirements for issuance and renewal of |
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| naturopathic medical licenses.
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| Section 35. Naturopathic Medical Licensing Board.
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| (a) There is hereby created the Naturopathic Medical |
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| Licensing Board, which shall consist of 7 members appointed by |
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| the Secretary, 5 of whom shall be licensed naturopathic |
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| physicians who are in good standing in this State, are |
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| residents of this State, and have been engaged in the practice |
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| or instruction of naturopathic medicine for at least 3 years |
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| and 2 of whom shall be residents of this State who are not, and |
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| never have been, licensed health care practitioners and hold no |
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| interest in naturopathic education, naturopathic business, or |
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| naturopathic practice. |
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| (b) The Secretary shall take into consideration |
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| recommendations from the Illinois Association of Naturopathic |
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| Physicians in determining the names of naturopathic physicians |
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| eligible to serve on the Board. |
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| (c) Members shall serve for terms of 4 years and shall |
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| serve until a successor is appointed, except that, for the |
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| purpose of staggering terms, the Secretary shall initially |
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| appoint to the Board 3 members for terms of 4 years each, 2 |
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| members for terms of 3 years each, and 2 members for terms of 2 |
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| years each.
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| (d) Appointments to fill vacancies shall be made in the |
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| same manner as original appointments, for the unexpired portion |
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| of the vacated term.
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| (e) The Secretary may remove any member of the Board for |
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| cause prior to the expiration of the member's term. |
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| (f) The Board, within 30 days after its appointment, and at |
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| least annually thereafter, shall hold a meeting and elect a |
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| chairperson and vice-chairperson. The Board may hold |
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| additional meetings at the call of the chair or at the written |
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| request of any 2 members of the Board. The Board may appoint |
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| committees as it deems necessary to carry out its duties. |
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| (g) A majority of the Board shall constitute a quorum. A |
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| vacancy in the membership of the Board shall not impair the |
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| right of the quorum to exercise the rights and perform all of |
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| the duties of the Board. |
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| (h) Members of the Board shall be immune from suit in any |
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| action based upon any disciplinary proceedings or other |
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| activities performed in good faith as members of the Board. |
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| (i) The members of the Board shall each receive as |
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| compensation a reasonable sum as determined by the Secretary |
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| for each day actually engaged in the duties of office and all |
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| legitimate and necessary expenses incurred in attending the |
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| meetings of the Board.
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| Section 40. Duties of the Board.
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| (a) The Board may recommend such rules as are necessary to |
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| carry out the purposes of this Act and recommend disciplinary |
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| action as provided for under this Act. |
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| (b) The Board shall determine the qualifications of persons |
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| applying for licensure and define, by rule, the appropriate |
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| scope of naturopathic medicine in this State, provided however, |
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| that the scope of practice may not exceed that defined in this |
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| Act. |
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| (c) The Board shall review the content of rules and |
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| proposed rules governing the practice of naturopathic medicine |
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| in Illinois.
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| (d) The Board shall evaluate the content of any clinical, |
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| practical, or residency requirement. |
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| (e) The Board shall grant approval for naturopathic |
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| childbirth attendance privileges to those licensees who apply, |
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| provided that such applicants can document training and |
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| experience equal to or greater than that required by the |
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LRB094 16430 RAS 51690 b |
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| Childbirth Attendance Advisory Committee. |
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| (f) The Board shall establish, by rule, examination |
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| standards, dates, and locations. |
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| (g) The Board shall recommend the minimum amount and type |
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| of continuing education to be required for each naturopathic |
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| physician seeking licensure renewal.
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| Section 45. Naturopathic Formulary Council.
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| (a) There is hereby established a Naturopathic Formulary |
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| Council, separate and distinct from the Board, to be composed |
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| of 5 members, 2 of whom shall be naturopathic physicians |
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| licensed under this Act and appointed by the Board, 2 of whom |
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| shall be pharmacists licensed under Illinois Pharmacy Practice |
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| Act and appointed by the Board from a list of nominees provided |
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| by the State Board of Pharmacy, and one of whom shall be a |
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| physician licensed under the Medical Practice Act of 1987 and |
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| appointed by the Board from a list of nominees provided by the |
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| Medical Licensing Board. |
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| (b) It shall be the duty of the Council to establish a |
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| formulary for use by naturopathic physicians. Immediately upon |
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| adoption or revision of the formulary, the Council shall |
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| transmit the approved formulary to the Department and the |
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| Department shall adopt the formulary by temporary rule. |
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| (c) The formulary will be reviewed annually by the Council, |
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| or at any time at the request of the Board. |
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| (d) The formulary list may not go beyond the scope of |
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| natural medicines, prescription substances and devices covered |
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| by approved naturopathic education and training and existing |
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| naturopathic formularies, or continuing education approved by |
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| the Board. |
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| (e) The naturopathic formulary shall not include medicines |
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| and devices that are inconsistent with the training provided by |
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| approved naturopathic medical programs. |
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| (f) Nothing in this Act shall allow a naturopathic |
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| physician to dispense, administer, or prescribe any legend drug |
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| or device as defined in the Illinois Controlled Substance Act, |
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| unless such prescription drug or legend device is specifically |
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| included in the naturopathic formulary.
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| Section 50. Naturopathic childbirth attendance.
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| (a) The Secretary shall establish a Naturopathic |
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| Childbirth Attendance Advisory Committee to issue |
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| recommendations concerning the practice of naturopathic |
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| childbirth attendance based upon a review of naturopathic |
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| medical education and training. The Committee shall be |
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| comprised of 4 members, one of whom shall be a medical doctor |
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| with a clinical specialty or board certification in obstetrics, |
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| one of whom shall be a certified nurse midwife, and 2 of whom |
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| shall be naturopathic physicians with clinical experience in |
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| natural childbirth. |
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| (b) The Committee shall review naturopathic education and |
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| training and make specific recommendations to the Department |
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| regarding the practice of naturopathic childbirth attendance |
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| and qualifications for the practice of naturopathic childbirth |
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| attendance. The Department shall adopt these recommendations |
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| as rule for use in reviewing all naturopathic physician |
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| applicants seeking privileges to perform naturopathic |
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| childbirth attendance. |
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| (c) A person must pass the North American Registry of |
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| Midwives (NARM) examination, or an examination that is |
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| determined by the Committee to be equivalent, to practice |
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| naturopathic childbirth attendance. |
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| (d) The Committee shall make recommendations to the Board |
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| concerning the practice of naturopathic childbirth attendance.
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| Section 55. Qualifications for licensure. |
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| (a) Applicants for a license to practice naturopathic |
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| medicine under this Act must submit the following to the Board: |
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| (1) an application for licensure designed and approved |
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| by the Department; |
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| (2) an application fee established by the Department; |
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| (3) documentation attesting to the applicant's good, |
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| ethical, and professional reputation; |
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| (4) evidence that the applicant is a graduate of an |
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| approved naturopathic medical program, in accordance with |
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| the requirements of this Act, and that he or she has |
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| successfully passed a competency-based national |
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| naturopathic licensing examination administered by the |
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| North American Board of Naturopathic Examiners or an |
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| equivalent agency, as recognized by the Board; and |
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| (5) in the case of graduates of degree-granting |
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| approved naturopathic medical programs, evidence of |
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| successful passage of a State competency examination |
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| approved by the Board or a Canadian provincial examination. |
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| (b) The Department shall adopt rules instituting a |
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| naturopathic medicine residency program of no less than one |
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| year post-doctoral duration with medical schools, teaching |
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| hospitals, clinics, and private practices. These rules shall be |
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| consistent with the residency standards of the CNME. The Board |
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| shall recommend the time upon which residency shall become a |
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| prerequisite for licensure, and this recommendation shall |
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| include an assessment of the availability of an adequate number |
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| of CNME-approved residencies. The Department shall implement a |
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| mandatory residency program within a reasonable amount of time |
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| after the effective date of this Act and shall present a |
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| progress report to the Department on or before October 1, 2007.
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| Section 60. Scope of practice.
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| (a) A naturopathic physician may order and perform physical |
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| and laboratory examinations consistent with naturopathic |
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| education and training, for diagnostic purposes, including, |
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| but not limited to, phlebotomy, clinical laboratory tests, |
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| orificial examinations, and physiological function tests. |
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| (b) A naturopathic physician may order diagnostic imaging |
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| studies consistent with naturopathic training. |
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| (c) A naturopathic physician may dispense, administer, |
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| order, and prescribe or perform any of the following: |
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| (1) Food, extracts of food, nutraceuticals, vitamins, |
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| amino acids, minerals, enzymes, botanicals and their |
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| extracts, botanical medicines, homeopathic medicines, all |
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| dietary supplements, and nonprescription drugs, as defined |
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| by the federal Food, Drug, and Cosmetic Act. |
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| (2) Prescription substances as determined by the |
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| Naturopathic Formulary Council. |
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| (3) Hot or cold hydrotherapy, naturopathic physical |
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| medicine, electromagnetic energy, colon hydrotherapy, and |
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| therapeutic exercise. |
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| (4) Devices, including, but not limited to, |
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| therapeutic devices, barrier contraception, and durable |
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| medical equipment.
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| (5) Health education and health counseling. |
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| (6) Repair and care incidental to superficial |
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| lacerations and abrasions. |
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| (7) Removal of foreign bodies located in the |
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| superficial tissues. |
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| (8) Musculoskeletal manipulation consistent with |
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| naturopathic education and training, not to exceed level 4 |
20 |
| high velocity manipulation. |
21 |
| (d) A naturopathic physician may utilize routes of |
22 |
| administration that include oral, nasal, auricular, ocular, |
23 |
| rectal, vaginal, transdermal, intradermal, subcutaneous, |
24 |
| intravenous, and intramuscular and are consistent with the |
25 |
| education and training of a naturopathic physician. |
26 |
| (e) A naturopathic physician may perform those therapies in |
27 |
| which he or she is trained and educated, and are approved by |
28 |
| the Board.
|
29 |
| Section 65. Prohibitions. A naturopathic physician |
30 |
| licensed under this Act may not do any of the following: |
31 |
|
(1) Prescribe, dispense, or administer any controlled |
32 |
| substance or device identified in the federal Controlled |
33 |
| Substance Act, as amended, except as authorized by this |
34 |
| Act. |
35 |
| (2) Perform surgical procedures other than those minor |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
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|
1 |
| office procedures authorized by this Act. |
2 |
| (3) Practice or claim to practice as a medical doctor, |
3 |
| osteopath, dentist, podiatrist, optometrist, psychologist, |
4 |
| advanced practice professional nurse, physician assistant, |
5 |
| chiropractor, physical therapist, acupuncturist, or any |
6 |
| other health care professional not authorized under this |
7 |
| Act, unless licensed to do so. |
8 |
| (4) Use general or spinal anesthetics. |
9 |
| (5) Administer ionizing radioactive substances for |
10 |
| therapeutic purposes. |
11 |
| (6) Perform surgical procedures using a laser device. |
12 |
| (7) Perform surgical procedures involving the eye, |
13 |
| ear, tendons, nerves, veins, or arteries extending beyond |
14 |
| superficial tissue. |
15 |
| (8) Induce or perform abortions. |
16 |
| (9) Treat any lesion suspicious of malignancy or |
17 |
| requiring surgical removal. Lesions suspicious of |
18 |
| malignancy or requiring surgical removal shall be referred |
19 |
| to an appropriately licensed health care professional. |
20 |
| Nothing in this Act shall prohibit treatment of a person |
21 |
| with suspicious or malignant lesions in collaboration with |
22 |
| a physician licensed to practice medicine in all of its |
23 |
| branches. |
24 |
| (10) Perform acupuncture, unless licensed as an |
25 |
| acupuncturist, as defined in the Illinois Acupuncture |
26 |
| Practice Act.
|
27 |
| Section 70. Licensure without examination. The Department |
28 |
| may issue a license without examination to any applicant who |
29 |
| submits an application for licensure, together with the |
30 |
| appropriate fee, and proof acceptable to the Department of |
31 |
| current licensure in good standing in another state, the |
32 |
| District of Columbia, or a territory of the United States whose |
33 |
| standards for licensure are at least equivalent to those of |
34 |
| this State. |
35 |
| Any applicant seeking a license without examination under |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
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|
1 |
| this Section shall provide proof of licensure in good standing |
2 |
| in all states in which he or she is licensed.
|
3 |
| Section 75. License expiration; renewal. The expiration |
4 |
| date and renewal period for each license issued under this Act |
5 |
| shall be set by rule. The Department shall adopt rules for |
6 |
| continuing education required for the renewal of licenses. |
7 |
| Section 80. Fees. The fees assessed under this Act shall be |
8 |
| determined by rule. All fees and fines collected under this Act |
9 |
| shall be deposited into the General Professions Dedicated Fund. |
10 |
| All moneys in the Fund shall be used by the Department, as |
11 |
| appropriated, for the ordinary and contingent expenses of the |
12 |
| Department. |
13 |
| Section 85. Mandated reporting. |
14 |
| (a) The following persons shall report to the Department, |
15 |
| in writing and within 30 days after becoming aware of such |
16 |
| information, any information that the person has reason to |
17 |
| believe indicates that a naturopathic physician is or may be |
18 |
| medically or legally incompetent, engaged in the unauthorized |
19 |
| practice of naturopathic medicine, guilty of unprofessional |
20 |
| conduct, or mentally or physically unable to engage safely in |
21 |
| the practice of naturopathic medicine: |
22 |
| (1) naturopathic physicians licensed under this Act; |
23 |
| (2) licensed health care providers;
|
24 |
| (3) employees of licensed health care institutions in |
25 |
| the State; |
26 |
| (4) State agency employees; and |
27 |
| (5) State law enforcement personnel. |
28 |
| (b) A naturopathic physician's voluntary resignation from |
29 |
| the staff of a health care institution, voluntary limitation of |
30 |
| staff privileges, or failure to reapply for hospital privileges |
31 |
| at such an institution, shall be promptly reported to the |
32 |
| Department by the health care institution and the licensee, if |
33 |
| such action occurs while the licensee is under investigation by |
|
|
|
SB2824 |
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|
1 |
| the institution or a committee thereof for any reason related |
2 |
| to possible medical incompetence, unprofessional conduct, or |
3 |
| mental or physical impairment. |
4 |
| (c) Upon receiving a credible complaint or report |
5 |
| concerning a licensee, or on its own motion, the Department may |
6 |
| investigate any evidence of a licensee's medical incompetence, |
7 |
| unprofessional conduct, or inability to engage safely in the |
8 |
| practice of medicine due to mental or physical illness. |
9 |
| (d) Any person, institution, agency, or organization |
10 |
| required to report under this Section who does so in good faith |
11 |
| shall not be subject to civil damages or criminal prosecution |
12 |
| for so reporting. |
13 |
| (e) Within 10 days after receipt of a report mandated under |
14 |
| this Section, the Secretary shall acknowledge receipt of all |
15 |
| reports and any complaint against a licensee submitted to the |
16 |
| Department. Within 10 days thereafter, the Secretary shall |
17 |
| inform any person or entity whose report or complaint has |
18 |
| resulted in action by the Department, of the final disposition |
19 |
| of the matter. |
20 |
| (f) Any person or entity who fails to make a report as |
21 |
| mandated under this Section may be assessed by the Secretary, |
22 |
| in his or her discretion and after consultation with the Board, |
23 |
| a civil penalty. Assessment of a civil penalty pursuant to this |
24 |
| subsection shall be supported by substantial evidence and may |
25 |
| be appealed to the circuit court. On appeal, the circuit court |
26 |
| may receive any relevant evidence supporting or opposing the |
27 |
| assessment and may affirm or reverse the Secretary's decision.
|
28 |
| Section 90. Refusal of licensure. |
29 |
| (a) The Department may refuse to issue or renew a license |
30 |
| on any of the following grounds: |
31 |
| (1) The conviction of a felony, a criminal conviction |
32 |
| record, or a pending criminal charge relating to an |
33 |
| offense, the circumstances of which substantially relate |
34 |
| to the practice of naturopathic medicine. |
35 |
| (2) Impairment related to drugs or alcohol that would |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| limit an applicant's ability to undertake the practice of |
2 |
| naturopathic medicine in a manner consistent with the |
3 |
| safety of the public. |
4 |
| (3) Mental incompetence that impairs an applicant's |
5 |
| ability to undertake the practice of naturopathic medicine |
6 |
| in a manner consistent with the safety of the public, as |
7 |
| determined by a physician.
|
8 |
| (b) The Department shall not reinstate the license of a |
9 |
| naturopathic physician until such time as the Department is |
10 |
| satisfied that such person has complied with all the terms and |
11 |
| conditions set forth in the final order and that such person is |
12 |
| capable of safely engaging in the practice of naturopathic |
13 |
| medicine.
|
14 |
| Section 95. Disciplinary action. The following acts |
15 |
| constitute grounds for denial of a license or disciplinary |
16 |
| action: |
17 |
| (1) Attempting to obtain, obtaining, or renewing a |
18 |
| license to practice naturopathic medicine by bribery, or by |
19 |
| fraudulent misrepresentation. |
20 |
| (2) Having a license to practice naturopathic medicine |
21 |
| revoked, suspended, or otherwise acted against, including |
22 |
| the denial of licensure, by the licensing authority of |
23 |
| another state, territory, or country. |
24 |
| (3) Being convicted or found guilty, regardless of |
25 |
| adjudication, of a crime in any jurisdiction which directly |
26 |
| relates to the practice of naturopathic medicine or to the |
27 |
| ability to practice naturopathic medicine. Any plea of nolo |
28 |
| contendere shall be considered a conviction for purposes of |
29 |
| this Act. |
30 |
| (4) False, deceptive, or misleading advertising. |
31 |
| (5) Advertising, practicing, or attempting to practice |
32 |
| under a name other than one's own. |
33 |
| (6) Aiding, assisting, procuring, or advising any |
34 |
| unlicensed person to practice naturopathic medicine |
35 |
| contrary to this Act or a rule of the Department or the |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| Board. |
2 |
| (7) Making or filing a report which the licensee knows |
3 |
| to be false, intentionally or negligently failing to file a |
4 |
| report or record required by State or federal law, or |
5 |
| willfully impeding or obstructing such filing or inducing |
6 |
| another person to do so. Such reports or records shall |
7 |
| include only those which are signed in the capacity as a |
8 |
| licensed naturopathic physician. |
9 |
| (8) Paying or receiving any commission, bonus, |
10 |
| kickback, or rebate, or engaging in any split-fee |
11 |
| arrangement in any form whatsoever with a physician, |
12 |
| organization, agency, or person, either directly or |
13 |
| indirectly, for patients referred to providers of health |
14 |
| care goods and services, including, but not limited to, |
15 |
| hospitals, nursing homes, clinical laboratories, |
16 |
| ambulatory surgical centers, or pharmacies. The provisions |
17 |
| of this paragraph shall not be construed to prevent a |
18 |
| doctor of naturopathic medicine or naturopathic physician |
19 |
| from receiving a fee for professional consultation |
20 |
| services. |
21 |
| (9) Exercising influence within a patient-physician |
22 |
| relationship for the purposes of engaging a patient in |
23 |
| sexual activity. A patient shall be presumed to be |
24 |
| incapable of giving free, full, and informed consent to |
25 |
| sexual activity with her or his naturopathic physician.
|
26 |
| (10) Failing to keep written medical records |
27 |
| justifying the course of treatment of the patient, |
28 |
| including, but not limited to, patient histories, |
29 |
| examination results, test results, imaging results, and |
30 |
| records of the prescribing, dispensing, and administering |
31 |
| of drugs. |
32 |
| (11) Gross or repeated malpractice or the failure to |
33 |
| practice naturopathic medicine with that level of care, |
34 |
| skill, and treatment that is recognized by a reasonably |
35 |
| prudent similarly situated naturopathic physician as being |
36 |
| acceptable under similar conditions and circumstances. |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
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|
1 |
| (12) Delegating professional responsibilities to a |
2 |
| person while knowing or having reason to know that the |
3 |
| person is not qualified by training, experience, or |
4 |
| licensure to perform such responsibilities. |
5 |
| (13) Violating any provision of this Act or any rules |
6 |
| adopted pursuant to this Act. |
7 |
| (14) Selling, fraudulently obtaining, or furnishing |
8 |
| any naturopathic diploma, license, record, or registration |
9 |
| or aiding or abetting in the same. |
10 |
| (15) Practicing naturopathic medicine under the cover |
11 |
| of any diploma, license, record, or registration illegally |
12 |
| or fraudulently obtained or secured or issued unlawfully or |
13 |
| upon fraudulent representations. |
14 |
| (16) Advertising the practice of naturopathic medicine |
15 |
| under a name other than one's own or under an assumed name. |
16 |
| (17) Falsely impersonating another practitioner of a |
17 |
| like or different name. |
18 |
| (18) Practicing or advertising the practice of |
19 |
| naturopathic medicine or using in connection with one's own |
20 |
| name any designation tending to imply or to designate a |
21 |
| person as a practitioner of naturopathic medicine without |
22 |
| then being lawfully licensed and authorized to practice |
23 |
| naturopathic medicine in this State. |
24 |
| (19) Practicing naturopathic medicine under a |
25 |
| suspended or revoked license.
|
26 |
| Section 100. Returned checks; fines. Any person who |
27 |
| delivers a check or other payment to the Department that is |
28 |
| returned to the Department unpaid by the financial institution |
29 |
| upon which it is drawn shall pay to the Department, in addition |
30 |
| to the amount already owed to the Department, a fine of $50. |
31 |
| The fines imposed by this Section are in addition to any other |
32 |
| discipline provided under this Act for unlicensed practice or |
33 |
| practice on a nonrenewed license. The Department shall notify |
34 |
| the person that fees and fines shall be paid to the Department |
35 |
| by certified check or money order within 30 calendar days of |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
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|
1 |
| the notification. If, after the expiration of 30 days from the |
2 |
| date of the notification, the person has failed to submit the |
3 |
| necessary remittance, the Department shall automatically |
4 |
| terminate the license or deny the application, without hearing. |
5 |
| If, after termination or denial, the person seeks a license, he |
6 |
| or she shall apply to the Department for restoration or |
7 |
| issuance of the license and pay all fees and fines due to the |
8 |
| Department. The Department may establish a fee for the |
9 |
| processing of an application for restoration of a license to |
10 |
| defray all expenses of processing the application. The |
11 |
| Secretary may waive the fines due under this Section in |
12 |
| individual cases where the Secretary finds that the fines would |
13 |
| be unreasonable or unnecessarily burdensome. |
14 |
| Section 105. Injunctions; cease and desist orders.
|
15 |
| (a) If any person violates any provision of this Act, the |
16 |
| Secretary may, in the name of the People of the State of |
17 |
| Illinois, through the Attorney General of the State of Illinois |
18 |
| or the State's Attorney of any county in which the action is |
19 |
| brought, petition for an order enjoining the violation or for |
20 |
| an order enforcing compliance with this Act. Upon the filing of |
21 |
| a verified petition in court, the court may issue a temporary |
22 |
| restraining order, without notice or bond, and may |
23 |
| preliminarily and permanently enjoin the violation. If it is |
24 |
| established that the person has violated or is violating the |
25 |
| injunction, the Court may punish the offender for contempt of |
26 |
| court. Proceedings under this Section shall be in addition to, |
27 |
| and not in lieu of, all other remedies and penalties provided |
28 |
| by this Act. |
29 |
| (b) If any person practices as a naturopathic physician or |
30 |
| holds himself or herself out as a naturopathic physician |
31 |
| without being licensed under the provisions of this Act then |
32 |
| any licensed naturopathic physician, any interested party, or |
33 |
| any person injured thereby may, in addition to the Secretary, |
34 |
| petition for relief as provided in subsection (a) of this |
35 |
| Section. |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| (c) Whenever in the opinion of the Department any person |
2 |
| violates any provision of this Act, the Department may issue a |
3 |
| rule to show cause why an order to cease and desist should not |
4 |
| be entered against that person. The rule shall clearly set |
5 |
| forth the grounds relied upon by the Department and shall |
6 |
| provide a period of 7 days after the date of the rule to file an |
7 |
| answer to the satisfaction of the Department. Failure to answer |
8 |
| to the satisfaction of the Department shall cause an order to |
9 |
| cease and desist to be issued immediately.
|
10 |
| Section 110. Violation; penalty. Whoever knowingly |
11 |
| practices or offers to practice naturopathic medicine in this |
12 |
| State without being licensed for that purpose shall be guilty |
13 |
| of a Class A misdemeanor. |
14 |
| Section 115. Investigation; notice; hearing. The |
15 |
| Department may investigate the actions of any applicant or of |
16 |
| any person or persons holding or claiming to hold a license. |
17 |
| Before refusing to issue, refusing to renew, or taking any |
18 |
| disciplinary action regarding a license, the Department shall, |
19 |
| at least 30 days prior to the date set for the hearing, notify |
20 |
| in writing the applicant for, or holder of, a license of the |
21 |
| nature of any charges and that a hearing will be held on a date |
22 |
| designated. The Department shall direct the applicant or |
23 |
| licensee to file a written answer with the Committee under oath |
24 |
| within 20 days after the service of the notice and inform the |
25 |
| applicant or licensee that failure to file an answer shall |
26 |
| result in default being taken against the applicant or licensee |
27 |
| and that the license may be suspended, revoked, or placed on |
28 |
| probationary status, or that other disciplinary action may be |
29 |
| taken, including limiting the scope, nature, or extent of |
30 |
| practice, as the Secretary may deem proper. Written notice may |
31 |
| be served by personal delivery or certified or registered mail |
32 |
| to the respondent at the address of his or her last |
33 |
| notification to the Department. If the person fails to file an |
34 |
| answer after receiving notice, his or her license may, in the |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| discretion of the Department, be suspended, revoked, or placed |
2 |
| on probationary status, or the Department may take any |
3 |
| disciplinary action deemed proper, including limiting the |
4 |
| scope, nature, or extent of the person's practice or the |
5 |
| imposition of a fine, without a hearing, if the act or acts |
6 |
| charged constitute sufficient grounds for such action under |
7 |
| this Act. At the time and place fixed in the notice, the |
8 |
| Committee shall proceed to hear the charges and the parties or |
9 |
| their counsel shall be accorded ample opportunity to present |
10 |
| such statements, testimony, evidence and argument as may be |
11 |
| pertinent to the charges or to their defense. The Committee may |
12 |
| continue a hearing from time to time. |
13 |
| Section 120. Formal hearing; preservation of record. The |
14 |
| Department, at its expense, shall preserve a record of all |
15 |
| proceedings at the formal hearing of any case. The notice of |
16 |
| hearing, complaint, and all other documents in the nature of |
17 |
| pleadings and written motions filed in the proceedings, the |
18 |
| transcript of testimony, the report of the Committee or hearing |
19 |
| officer, and order of the Department shall be the record of the |
20 |
| proceeding. The Department shall furnish a transcript of the |
21 |
| record to any person interested in the hearing upon payment of |
22 |
| the fee required under Section 2105-115 of the Department of |
23 |
| Professional Regulation Law (20 ILCS 2105/2105-115). |
24 |
| Section 125. Witnesses; production of documents; contempt.
|
25 |
| Any circuit court may, upon application of the Department or |
26 |
| its designee or of the applicant or licensee against whom |
27 |
| proceedings under Section 95 of this Act are pending, enter an |
28 |
| order requiring the attendance of witnesses and their testimony |
29 |
| and the production of documents, papers, files, books, and |
30 |
| records in connection with any hearing or investigation. The |
31 |
| court may compel obedience to its order by proceedings for |
32 |
| contempt. |
33 |
| Section 130. Subpoena; oaths. The Department shall have |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| power to subpoena and bring before it any person in this State |
2 |
| and to take testimony either orally or by deposition or both |
3 |
| with the same fees and mileage and in the same manner as |
4 |
| prescribed in civil cases in circuit courts of this State. |
5 |
| The Secretary, the designated hearing officer, and every |
6 |
| member of the Committee has power to administer oaths to |
7 |
| witnesses at any hearing that the Department is authorized to |
8 |
| conduct and any other oaths authorized in any Act administered |
9 |
| by the Department. Any circuit court may, upon application of |
10 |
| the Department or its designee or upon application of the |
11 |
| person against whom proceedings under this Act are pending, |
12 |
| enter an order requiring the attendance of witnesses and their |
13 |
| testimony, and the production of documents, papers, files, |
14 |
| books and records in connection with any hearing or |
15 |
| investigation. The court may compel obedience to its order by |
16 |
| proceedings for contempt.
|
17 |
| Section 135. Findings of facts, conclusions of law, and |
18 |
| recommendations. At the conclusion of the hearing the |
19 |
| Committee shall present to the Secretary a written report of |
20 |
| its findings of fact, conclusions of law, and recommendations. |
21 |
| The report shall contain a finding whether or not the accused |
22 |
| person violated this Act or failed to comply with the |
23 |
| conditions required in this Act. The Committee shall specify |
24 |
| the nature of the violation or failure to comply and shall make |
25 |
| its recommendations to the Secretary. |
26 |
|
The report of findings of fact, conclusions of law, and |
27 |
| recommendations of the Committee shall be the basis for the |
28 |
| Department's order. If the Secretary disagrees in any regard |
29 |
| with the report of the Committee, the Secretary may issue an |
30 |
| order in contravention of the report. The finding is not |
31 |
| admissible in evidence against the person in a criminal |
32 |
| prosecution brought for the violation of this Act, but the |
33 |
| hearing and findings are not a bar to a criminal prosecution |
34 |
| brought for the violation of this Act.
|
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| Section 140. Hearing officer. The Secretary shall have the |
2 |
| authority to appoint any attorney duly licensed to practice law |
3 |
| in the State of Illinois to serve as the hearing officer in any |
4 |
| action for Departmental refusal to issue, renew, or license an |
5 |
| applicant, or disciplinary action against a licensee. The |
6 |
| hearing officer shall have full authority to conduct the |
7 |
| hearing. The hearing officer shall report his or her findings |
8 |
| of fact, conclusions of law, and recommendations to the |
9 |
| Committee and the Secretary. The Committee shall have 60 |
10 |
| calendar days from receipt of the report to review the report |
11 |
| of the hearing officer and present its findings of fact, |
12 |
| conclusions of law, and recommendations to the Secretary. If |
13 |
| the Committee fails to present its report within the 60 |
14 |
| calendar day period, the Secretary may issue an order based on |
15 |
| the report of the hearing officer. If the Secretary disagrees |
16 |
| with the recommendation of the Committee or hearing officer, he |
17 |
| or she may issue an order in contravention of that |
18 |
| recommendation. |
19 |
| Section 145. Service of report; rehearing; order. In any |
20 |
| case involving the discipline of a license, a copy of the |
21 |
| Committee's report shall be served upon the respondent by the |
22 |
| Department, either personally or as provided in this Act for |
23 |
| the service of the notice of hearing. Within 20 days after the |
24 |
| service, the respondent may present to the Department a motion |
25 |
| in writing for a rehearing that shall specify the particular |
26 |
| grounds for rehearing. If no motion for rehearing is filed, |
27 |
| then upon the expiration of the time specified for filing a |
28 |
| motion, or if a motion for rehearing is denied, then upon the |
29 |
| denial the Secretary may enter an order in accordance with this |
30 |
| Act. If the respondent orders from the reporting service and |
31 |
| pays for a transcript of the record within the time for filing |
32 |
| a motion for rehearing, the 20 calendar day period within which |
33 |
| the motion may be filed shall commence upon the delivery of the |
34 |
| transcript to the respondent. |
|
|
|
SB2824 |
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LRB094 16430 RAS 51690 b |
|
|
1 |
| Section 150. Substantial justice to be done; rehearing.
|
2 |
| Whenever the Secretary is satisfied that substantial justice |
3 |
| has not been done in the revocation, suspension, or refusal to |
4 |
| issue or renew a license, the Secretary may order a rehearing |
5 |
| by the same or another hearing officer or by the Committee. |
6 |
| Section 155. Order or certified copy as prima facie proof.
|
7 |
| An order or a certified copy thereof, over the seal of the |
8 |
| Department and purporting to be signed by the Secretary, shall |
9 |
| be prima facie proof: |
10 |
| (a) that the signature is the genuine signature of the |
11 |
| Secretary;
|
12 |
| (b) that such Secretary is duly appointed and qualified; |
13 |
| (c) that the Committee and its members are qualified to |
14 |
| act.
|
15 |
| Section 160. Restoration of license. At any time after the |
16 |
| suspension or revocation of any license the Department may |
17 |
| restore the license to the accused person, unless after an |
18 |
| investigation and a hearing the Department determines that |
19 |
| restoration is not in the public interest. |
20 |
| Section 165. Surrender of license. Upon the revocation or |
21 |
| suspension of any license, the licensee shall immediately |
22 |
| surrender the license to the Department. If the licensee fails |
23 |
| to do so, the Department shall have the right to seize the |
24 |
| license. |
25 |
| Section 170. Imminent danger to public; summary |
26 |
| suspension. The Secretary may summarily suspend the license of |
27 |
| a naturopathic physician without a hearing, simultaneously |
28 |
| with the institution of proceedings for a hearing provided for |
29 |
| in this Act, if the Secretary finds that evidence in his or her |
30 |
| possession indicates that continuation in practice would |
31 |
| constitute an imminent danger to the public. In the event that |
32 |
| the Secretary summarily suspends a license without a hearing, a |
|
|
|
SB2824 |
- 25 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| hearing by the Department must be held within 30 days after the |
2 |
| suspension has occurred. |
3 |
| Section 175. Review under Administrative Review Law. All |
4 |
| final administrative decisions of the Department are subject to |
5 |
| judicial review under the Administrative Review Law and its |
6 |
| rules. The term "administrative decision" is defined as in |
7 |
| Section 3 101 of the Code of Civil Procedure. |
8 |
| Section 180. The Department shall not be required to |
9 |
| certify any record to the Court or file any answer in court or |
10 |
| otherwise appear in any court in a judicial review proceeding, |
11 |
| unless there is filed in the court, with the complaint, a |
12 |
| receipt from the Department acknowledging payment of the costs |
13 |
| of furnishing and certifying the record. Failure on the part |
14 |
| of the plaintiff to file a receipt in court shall be grounds |
15 |
| for dismissal of the action. |
16 |
| Section 185. Administrative Procedure Act. The Illinois |
17 |
| Administrative Procedure Act is expressly adopted and |
18 |
| incorporated in this Act as if all of the provisions of that |
19 |
| Act were included in this Act, except that the provision of |
20 |
| paragraph (d) of Section 10 65 of the Illinois Administrative |
21 |
| Procedure Act, which provides that at hearings the licensee has |
22 |
| the right to show compliance with all lawful requirements for |
23 |
| retention, continuation, or renewal of the license, is |
24 |
| specifically excluded. For the purpose of this Act, the notice |
25 |
| required under Section 10 25 of the Administrative Procedure |
26 |
| Act is deemed sufficient when mailed to the last known address |
27 |
| of a party. |
28 |
| Section 190. Severability. If any provision of this Act or |
29 |
| its application to any person or circumstance is held invalid, |
30 |
| the remainder of the act or the application of the provision to |
31 |
| other persons or circumstances is not affected. |
|
|
|
SB2824 |
- 26 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| Section 195. The Illinois Controlled Substances Act is |
2 |
| amended by changing Section 102 as follows: |
3 |
| (720 ILCS 570/102) (from Ch. 56 1/2, par. 1102) |
4 |
| Sec. 102. Definitions. As used in this Act, unless the |
5 |
| context
otherwise requires:
|
6 |
| (a) "Addict" means any person who habitually uses any drug, |
7 |
| chemical,
substance or dangerous drug other than alcohol so as |
8 |
| to endanger the public
morals, health, safety or welfare or who |
9 |
| is so far addicted to the use of a
dangerous drug or controlled |
10 |
| substance other than alcohol as to have lost
the power of self |
11 |
| control with reference to his addiction.
|
12 |
| (b) "Administer" means the direct application of a |
13 |
| controlled
substance, whether by injection, inhalation, |
14 |
| ingestion, or any other
means, to the body of a patient, |
15 |
| research subject, or animal (as
defined by the Humane |
16 |
| Euthanasia in Animal Shelters Act) by:
|
17 |
| (1) a practitioner (or, in his presence, by his |
18 |
| authorized agent),
|
19 |
| (2) the patient or research subject at the lawful |
20 |
| direction of the
practitioner, or
|
21 |
| (3) a euthanasia technician as defined by the Humane |
22 |
| Euthanasia in
Animal Shelters Act.
|
23 |
| (c) "Agent" means an authorized person who acts on behalf |
24 |
| of or at
the direction of a manufacturer, distributor, or |
25 |
| dispenser. It does not
include a common or contract carrier, |
26 |
| public warehouseman or employee of
the carrier or warehouseman.
|
27 |
| (c-1) "Anabolic Steroids" means any drug or hormonal |
28 |
| substance,
chemically and pharmacologically related to |
29 |
| testosterone (other than
estrogens, progestins, and |
30 |
| corticosteroids) that promotes muscle growth,
and includes:
|
31 |
| (i) boldenone,
|
32 |
| (ii) chlorotestosterone,
|
33 |
| (iii) chostebol,
|
34 |
| (iv) dehydrochlormethyltestosterone,
|
35 |
| (v) dihydrotestosterone,
|
|
|
|
SB2824 |
- 27 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| (vi) drostanolone,
|
2 |
| (vii) ethylestrenol,
|
3 |
| (viii) fluoxymesterone,
|
4 |
| (ix) formebulone,
|
5 |
| (x) mesterolone,
|
6 |
| (xi) methandienone,
|
7 |
| (xii) methandranone,
|
8 |
| (xiii) methandriol,
|
9 |
| (xiv) methandrostenolone,
|
10 |
| (xv) methenolone,
|
11 |
| (xvi) methyltestosterone,
|
12 |
| (xvii) mibolerone,
|
13 |
| (xviii) nandrolone,
|
14 |
| (xix) norethandrolone,
|
15 |
| (xx) oxandrolone,
|
16 |
| (xxi) oxymesterone,
|
17 |
| (xxii) oxymetholone,
|
18 |
| (xxiii) stanolone,
|
19 |
| (xxiv) stanozolol,
|
20 |
| (xxv) testolactone,
|
21 |
| (xxvi) testosterone,
|
22 |
| (xxvii) trenbolone, and
|
23 |
| (xxviii) any salt, ester, or isomer of a drug or |
24 |
| substance described
or listed in this paragraph, if |
25 |
| that salt, ester, or isomer promotes muscle
growth.
|
26 |
| Any person who is otherwise lawfully in possession of an |
27 |
| anabolic
steroid, or who otherwise lawfully manufactures, |
28 |
| distributes, dispenses,
delivers, or possesses with intent to |
29 |
| deliver an anabolic steroid, which
anabolic steroid is |
30 |
| expressly intended for and lawfully allowed to be
administered |
31 |
| through implants to livestock or other nonhuman species, and
|
32 |
| which is approved by the Secretary of Health and Human Services |
33 |
| for such
administration, and which the person intends to |
34 |
| administer or have
administered through such implants, shall |
35 |
| not be considered to be in
unauthorized possession or to |
36 |
| unlawfully manufacture, distribute, dispense,
deliver, or |
|
|
|
SB2824 |
- 28 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| possess with intent to deliver such anabolic steroid for
|
2 |
| purposes of this Act.
|
3 |
| (d) "Administration" means the Drug Enforcement |
4 |
| Administration,
United States Department of Justice, or its |
5 |
| successor agency.
|
6 |
| (e) "Control" means to add a drug or other substance, or |
7 |
| immediate
precursor, to a Schedule under Article II of this Act |
8 |
| whether by
transfer from another Schedule or otherwise.
|
9 |
| (f) "Controlled Substance" means a drug, substance, or |
10 |
| immediate
precursor in the Schedules of Article II of this Act.
|
11 |
| (g) "Counterfeit substance" means a controlled substance, |
12 |
| which, or
the container or labeling of which, without |
13 |
| authorization bears the
trademark, trade name, or other |
14 |
| identifying mark, imprint, number or
device, or any likeness |
15 |
| thereof, of a manufacturer, distributor, or
dispenser other |
16 |
| than the person who in fact manufactured, distributed,
or |
17 |
| dispensed the substance.
|
18 |
| (h) "Deliver" or "delivery" means the actual, constructive |
19 |
| or
attempted transfer of possession of a controlled substance, |
20 |
| with or
without consideration, whether or not there is an |
21 |
| agency relationship.
|
22 |
| (i) "Department" means the Illinois Department of Human |
23 |
| Services (as
successor to the Department of Alcoholism and |
24 |
| Substance Abuse) or its successor agency.
|
25 |
| (j) "Department of State Police" means the Department of |
26 |
| State
Police of the State of Illinois or its successor agency.
|
27 |
| (k) "Department of Corrections" means the Department of |
28 |
| Corrections
of the State of Illinois or its successor agency.
|
29 |
| (l) "Department of Professional Regulation" means the |
30 |
| Department
of Professional Regulation of the State of Illinois |
31 |
| or its successor agency.
|
32 |
| (m) "Depressant" or "stimulant substance" means:
|
33 |
| (1) a drug which contains any quantity of (i) |
34 |
| barbituric acid or
any of the salts of barbituric acid |
35 |
| which has been designated as habit
forming under section |
36 |
| 502 (d) of the Federal Food, Drug, and Cosmetic
Act (21 |
|
|
|
SB2824 |
- 29 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| U.S.C. 352 (d)); or
|
2 |
| (2) a drug which contains any quantity of (i) |
3 |
| amphetamine or
methamphetamine and any of their optical |
4 |
| isomers; (ii) any salt of
amphetamine or methamphetamine or |
5 |
| any salt of an optical isomer of
amphetamine; or (iii) any |
6 |
| substance which the Department, after
investigation, has |
7 |
| found to be, and by rule designated as, habit forming
|
8 |
| because of its depressant or stimulant effect on the |
9 |
| central nervous
system; or
|
10 |
| (3) lysergic acid diethylamide; or
|
11 |
| (4) any drug which contains any quantity of a substance |
12 |
| which the
Department, after investigation, has found to |
13 |
| have, and by rule
designated as having, a potential for |
14 |
| abuse because of its depressant or
stimulant effect on the |
15 |
| central nervous system or its hallucinogenic
effect.
|
16 |
| (n) (Blank).
|
17 |
| (o) "Director" means the Director of the Department of |
18 |
| State Police or
the Department of Professional Regulation or |
19 |
| his designated agents.
|
20 |
| (p) "Dispense" means to deliver a controlled substance to |
21 |
| an
ultimate user or research subject by or pursuant to the |
22 |
| lawful order of
a prescriber, including the prescribing, |
23 |
| administering, packaging,
labeling, or compounding necessary |
24 |
| to prepare the substance for that
delivery.
|
25 |
| (q) "Dispenser" means a practitioner who dispenses.
|
26 |
| (r) "Distribute" means to deliver, other than by |
27 |
| administering or
dispensing, a controlled substance.
|
28 |
| (s) "Distributor" means a person who distributes.
|
29 |
| (t) "Drug" means (1) substances recognized as drugs in the |
30 |
| official
United States Pharmacopoeia, Official Homeopathic |
31 |
| Pharmacopoeia of the
United States, or official National |
32 |
| Formulary, or any supplement to any
of them; (2) substances |
33 |
| intended for use in diagnosis, cure, mitigation,
treatment, or |
34 |
| prevention of disease in man or animals; (3) substances
(other |
35 |
| than food) intended to affect the structure of any function of
|
36 |
| the body of man or animals and (4) substances intended for use |
|
|
|
SB2824 |
- 30 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| as a
component of any article specified in clause (1), (2), or |
2 |
| (3) of this
subsection. It does not include devices or their |
3 |
| components, parts, or
accessories.
|
4 |
| (t-5) "Euthanasia agency" means
an entity certified by the |
5 |
| Department of Professional Regulation for the
purpose of animal |
6 |
| euthanasia that holds an animal control facility license or
|
7 |
| animal
shelter license under the Animal Welfare Act. A |
8 |
| euthanasia agency is
authorized to purchase, store, possess, |
9 |
| and utilize Schedule II nonnarcotic and
Schedule III |
10 |
| nonnarcotic drugs for the sole purpose of animal euthanasia.
|
11 |
| (t-10) "Euthanasia drugs" means Schedule II or Schedule III |
12 |
| substances
(nonnarcotic controlled substances) that are used |
13 |
| by a euthanasia agency for
the purpose of animal euthanasia.
|
14 |
| (u) "Good faith" means the prescribing or dispensing of a |
15 |
| controlled
substance by a practitioner in the regular course of |
16 |
| professional
treatment to or for any person who is under his |
17 |
| treatment for a
pathology or condition other than that |
18 |
| individual's physical or
psychological dependence upon or |
19 |
| addiction to a controlled substance,
except as provided herein: |
20 |
| and application of the term to a pharmacist
shall mean the |
21 |
| dispensing of a controlled substance pursuant to the
|
22 |
| prescriber's order which in the professional judgment of the |
23 |
| pharmacist
is lawful. The pharmacist shall be guided by |
24 |
| accepted professional
standards including, but not limited to |
25 |
| the following, in making the
judgment:
|
26 |
| (1) lack of consistency of doctor-patient |
27 |
| relationship,
|
28 |
| (2) frequency of prescriptions for same drug by one |
29 |
| prescriber for
large numbers of patients,
|
30 |
| (3) quantities beyond those normally prescribed,
|
31 |
| (4) unusual dosages,
|
32 |
| (5) unusual geographic distances between patient, |
33 |
| pharmacist and
prescriber,
|
34 |
| (6) consistent prescribing of habit-forming drugs.
|
35 |
| (u-1) "Home infusion services" means services provided by a |
36 |
| pharmacy in
compounding solutions for direct administration to |
|
|
|
SB2824 |
- 31 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| a patient in a private
residence, long-term care facility, or |
2 |
| hospice setting by means of parenteral,
intravenous, |
3 |
| intramuscular, subcutaneous, or intraspinal infusion.
|
4 |
| (v) "Immediate precursor" means a substance:
|
5 |
| (1) which the Department has found to be and by rule |
6 |
| designated as
being a principal compound used, or produced |
7 |
| primarily for use, in the
manufacture of a controlled |
8 |
| substance;
|
9 |
| (2) which is an immediate chemical intermediary used or |
10 |
| likely to
be used in the manufacture of such controlled |
11 |
| substance; and
|
12 |
| (3) the control of which is necessary to prevent, |
13 |
| curtail or limit
the manufacture of such controlled |
14 |
| substance.
|
15 |
| (w) "Instructional activities" means the acts of teaching, |
16 |
| educating
or instructing by practitioners using controlled |
17 |
| substances within
educational facilities approved by the State |
18 |
| Board of Education or
its successor agency.
|
19 |
| (x) "Local authorities" means a duly organized State, |
20 |
| County or
Municipal peace unit or police force.
|
21 |
| (y) "Look-alike substance" means a substance, other than a |
22 |
| controlled
substance which (1) by overall dosage unit |
23 |
| appearance, including shape,
color, size, markings or lack |
24 |
| thereof, taste, consistency, or any other
identifying physical |
25 |
| characteristic of the substance, would lead a reasonable
person |
26 |
| to believe that the substance is a controlled substance, or (2) |
27 |
| is
expressly or impliedly represented to be a controlled |
28 |
| substance or is
distributed under circumstances which would |
29 |
| lead a reasonable person to
believe that the substance is a |
30 |
| controlled substance. For the purpose of
determining whether |
31 |
| the representations made or the circumstances of the
|
32 |
| distribution would lead a reasonable person to believe the |
33 |
| substance to be
a controlled substance under this clause (2) of |
34 |
| subsection (y), the court or
other authority may consider the |
35 |
| following factors in addition to any other
factor that may be |
36 |
| relevant:
|
|
|
|
SB2824 |
- 32 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| (a) statements made by the owner or person in control |
2 |
| of the substance
concerning its nature, use or effect;
|
3 |
| (b) statements made to the buyer or recipient that the |
4 |
| substance may
be resold for profit;
|
5 |
| (c) whether the substance is packaged in a manner |
6 |
| normally used for the
illegal distribution of controlled |
7 |
| substances;
|
8 |
| (d) whether the distribution or attempted distribution |
9 |
| included an
exchange of or demand for money or other |
10 |
| property as consideration, and
whether the amount of the |
11 |
| consideration was substantially greater than the
|
12 |
| reasonable retail market value of the substance.
|
13 |
| Clause (1) of this subsection (y) shall not apply to a |
14 |
| noncontrolled
substance in its finished dosage form that was |
15 |
| initially introduced into
commerce prior to the initial |
16 |
| introduction into commerce of a controlled
substance in its |
17 |
| finished dosage form which it may substantially resemble.
|
18 |
| Nothing in this subsection (y) prohibits the dispensing or |
19 |
| distributing
of noncontrolled substances by persons authorized |
20 |
| to dispense and
distribute controlled substances under this |
21 |
| Act, provided that such action
would be deemed to be carried |
22 |
| out in good faith under subsection (u) if the
substances |
23 |
| involved were controlled substances.
|
24 |
| Nothing in this subsection (y) or in this Act prohibits the |
25 |
| manufacture,
preparation, propagation, compounding, |
26 |
| processing, packaging, advertising
or distribution of a drug or |
27 |
| drugs by any person registered pursuant to
Section 510 of the |
28 |
| Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360).
|
29 |
| (y-1) "Mail-order pharmacy" means a pharmacy that is |
30 |
| located in a state
of the United States, other than Illinois, |
31 |
| that delivers, dispenses or
distributes, through the United |
32 |
| States Postal Service or other common
carrier, to Illinois |
33 |
| residents, any substance which requires a prescription.
|
34 |
| (z) "Manufacture" means the production, preparation, |
35 |
| propagation,
compounding, conversion or processing of a |
36 |
| controlled substance other than methamphetamine, either
|
|
|
|
SB2824 |
- 33 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| directly or indirectly, by extraction from substances of |
2 |
| natural origin,
or independently by means of chemical |
3 |
| synthesis, or by a combination of
extraction and chemical |
4 |
| synthesis, and includes any packaging or
repackaging of the |
5 |
| substance or labeling of its container, except that
this term |
6 |
| does not include:
|
7 |
| (1) by an ultimate user, the preparation or compounding |
8 |
| of a
controlled substance for his own use; or
|
9 |
| (2) by a practitioner, or his authorized agent under |
10 |
| his
supervision, the preparation, compounding, packaging, |
11 |
| or labeling of a
controlled substance:
|
12 |
| (a) as an incident to his administering or |
13 |
| dispensing of a
controlled substance in the course of |
14 |
| his professional practice; or
|
15 |
| (b) as an incident to lawful research, teaching or |
16 |
| chemical
analysis and not for sale.
|
17 |
| (z-1) (Blank).
|
18 |
| (aa) "Narcotic drug" means any of the following, whether |
19 |
| produced
directly or indirectly by extraction from substances |
20 |
| of natural origin,
or independently by means of chemical |
21 |
| synthesis, or by a combination of
extraction and chemical |
22 |
| synthesis:
|
23 |
| (1) opium and opiate, and any salt, compound, |
24 |
| derivative, or
preparation of opium or opiate;
|
25 |
| (2) any salt, compound, isomer, derivative, or |
26 |
| preparation thereof
which is chemically equivalent or |
27 |
| identical with any of the substances
referred to in clause |
28 |
| (1), but not including the isoquinoline alkaloids
of opium;
|
29 |
| (3) opium poppy and poppy straw;
|
30 |
| (4) coca leaves and any salts, compound, isomer, salt |
31 |
| of an isomer,
derivative, or preparation of coca leaves |
32 |
| including cocaine or ecgonine,
and any salt, compound, |
33 |
| isomer, derivative, or preparation thereof which is
|
34 |
| chemically equivalent or identical with any of these |
35 |
| substances, but not
including decocainized coca leaves or |
36 |
| extractions of coca leaves which do
not contain cocaine or |
|
|
|
SB2824 |
- 34 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| ecgonine (for the purpose of this paragraph, the
term |
2 |
| "isomer" includes optical, positional and geometric |
3 |
| isomers).
|
4 |
| (bb) "Nurse" means a registered nurse licensed under the
|
5 |
| Nursing and Advanced Practice Nursing Act.
|
6 |
| (cc) (Blank).
|
7 |
| (dd) "Opiate" means any substance having an addiction |
8 |
| forming or
addiction sustaining liability similar to morphine |
9 |
| or being capable of
conversion into a drug having addiction |
10 |
| forming or addiction sustaining
liability.
|
11 |
| (ee) "Opium poppy" means the plant of the species Papaver
|
12 |
| somniferum L., except its seeds.
|
13 |
| (ff) "Parole and Pardon Board" means the Parole and Pardon |
14 |
| Board of
the State of Illinois or its successor agency.
|
15 |
| (gg) "Person" means any individual, corporation, |
16 |
| mail-order pharmacy,
government or governmental subdivision or |
17 |
| agency, business trust, estate,
trust, partnership or |
18 |
| association, or any other entity.
|
19 |
| (hh) "Pharmacist" means any person who holds a certificate |
20 |
| of
registration as a registered pharmacist, a local registered |
21 |
| pharmacist
or a registered assistant pharmacist under the |
22 |
| Pharmacy Practice Act of 1987.
|
23 |
| (ii) "Pharmacy" means any store, ship or other place in |
24 |
| which
pharmacy is authorized to be practiced under the Pharmacy |
25 |
| Practice Act of 1987.
|
26 |
| (jj) "Poppy straw" means all parts, except the seeds, of |
27 |
| the opium
poppy, after mowing.
|
28 |
| (kk) "Practitioner" means a physician licensed to practice |
29 |
| medicine in all
its branches, dentist, podiatrist,
|
30 |
| veterinarian, scientific investigator, pharmacist, physician |
31 |
| assistant,
advanced practice nurse,
licensed practical
nurse, |
32 |
| registered nurse, hospital, laboratory, or pharmacy, or other
|
33 |
| person licensed, registered, or otherwise lawfully permitted |
34 |
| by the
United States or this State to distribute, dispense, |
35 |
| conduct research
with respect to, administer or use in teaching |
36 |
| or chemical analysis, a
controlled substance in the course of |
|
|
|
SB2824 |
- 35 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| professional practice or research.
|
2 |
| (ll) "Pre-printed prescription" means a written |
3 |
| prescription upon which
the designated drug has been indicated |
4 |
| prior to the time of issuance.
|
5 |
| (mm) "Prescriber" means a physician licensed to practice |
6 |
| medicine in all
its branches, dentist, podiatrist or
|
7 |
| veterinarian who issues a prescription, a physician assistant |
8 |
| who
issues a
prescription for a Schedule III, IV, or V |
9 |
| controlled substance
in accordance
with Section 303.05 and the |
10 |
| written guidelines required under Section 7.5
of the
Physician |
11 |
| Assistant Practice Act of 1987, or an advanced practice
nurse |
12 |
| with prescriptive authority in accordance with Section 303.05
|
13 |
| and a written
collaborative agreement under Sections 15-15 and |
14 |
| 15-20 of
the Nursing and Advanced Practice Nursing Act , or a |
15 |
| naturopathic physician who issues a prescription for a |
16 |
| controlled substance in accordance with the naturopathic |
17 |
| formulary established under Section 45 of the Naturopathic |
18 |
| Medical Practice Act .
|
19 |
| (nn) "Prescription" means a lawful written, facsimile, or |
20 |
| verbal order
of
a physician licensed to practice medicine in |
21 |
| all its branches,
dentist, podiatrist or veterinarian for any |
22 |
| controlled
substance, of a physician assistant for a Schedule |
23 |
| III, IV, or V
controlled substance
in accordance with Section |
24 |
| 303.05 and the written guidelines required under
Section 7.5 of |
25 |
| the
Physician Assistant Practice Act of 1987, or of an advanced |
26 |
| practice
nurse who issues a prescription for a Schedule III, |
27 |
| IV, or V
controlled substance in accordance
with
Section 303.05 |
28 |
| and a written collaborative agreement under Sections 15-15
and
|
29 |
| 15-20 of the Nursing and Advanced Practice Nursing Act.
|
30 |
| (oo) "Production" or "produce" means manufacture, |
31 |
| planting,
cultivating, growing, or harvesting of a controlled |
32 |
| substance other than methamphetamine.
|
33 |
| (pp) "Registrant" means every person who is required to |
34 |
| register
under Section 302 of this Act.
|
35 |
| (qq) "Registry number" means the number assigned to each |
36 |
| person
authorized to handle controlled substances under the |
|
|
|
SB2824 |
- 36 - |
LRB094 16430 RAS 51690 b |
|
|
1 |
| laws of the United
States and of this State.
|
2 |
| (rr) "State" includes the State of Illinois and any state, |
3 |
| district,
commonwealth, territory, insular possession thereof, |
4 |
| and any area
subject to the legal authority of the United |
5 |
| States of America.
|
6 |
| (ss) "Ultimate user" means a person who lawfully possesses |
7 |
| a
controlled substance for his own use or for the use of a |
8 |
| member of his
household or for administering to an animal owned |
9 |
| by him or by a member
of his household.
|
10 |
| (Source: P.A. 93-596, eff. 8-26-03; 93-626, eff. 12-23-03; |
11 |
| 94-556, eff. 9-11-05.)
|