Bill Status of HB 421   99th General Assembly

Short Description:  NURSE-COLLABORATION-PRESCRIBE

House Sponsors
Rep. Sara Feigenholtz, Kelly M. Cassidy, John Bradley, Mary E. Flowers, Robyn Gabel, Jack D. Franks, Carol Ammons, Carol Sente and Linda Chapa LaVia

Senate Sponsors
(Sen. Heather A. Steans-Dan Kotowski-Terry Link, Melinda Bush-Pamela J. Althoff-Iris Y. Martinez, William R. Haine, Emil Jones, III, Kyle McCarter, Jason A. Barickman and Julie A. Morrison)


Last Action  View All Actions

DateChamber Action
  7/29/2015HousePublic Act . . . . . . . . . 99-0173

Statutes Amended In Order of Appearance
15 ILCS 335/4from Ch. 124, par. 24
20 ILCS 301/5-23
105 ILCS 5/22-30
105 ILCS 5/24-5from Ch. 122, par. 24-5
105 ILCS 5/24-6
105 ILCS 5/26-1from Ch. 122, par. 26-1
105 ILCS 5/27-8.1from Ch. 122, par. 27-8.1
210 ILCS 5/6.5
210 ILCS 25/7-101from Ch. 111 1/2, par. 627-101
210 ILCS 55/2.05from Ch. 111 1/2, par. 2802.05
210 ILCS 85/10.7
215 ILCS 5/356g.5
215 ILCS 5/356z.1
225 ILCS 25/8.1from Ch. 111, par. 2308.1
225 ILCS 60/22from Ch. 111, par. 4400-22
225 ILCS 60/54.5
225 ILCS 65/50-10was 225 ILCS 65/5-10
225 ILCS 65/65-30
225 ILCS 65/65-45was 225 ILCS 65/15-25
225 ILCS 65/70-5was 225 ILCS 65/10-45
225 ILCS 75/3.1
225 ILCS 84/57
225 ILCS 85/4from Ch. 111, par. 4124
225 ILCS 90/1from Ch. 111, par. 4251
225 ILCS 106/10
225 ILCS 135/10
225 ILCS 135/20
225 ILCS 135/95
405 ILCS 95/10
410 ILCS 45/6.2from Ch. 111 1/2, par. 1306.2
410 ILCS 70/2.2
410 ILCS 70/5from Ch. 111 1/2, par. 87-5
410 ILCS 70/5.5
410 ILCS 210/1from Ch. 111, par. 4501
410 ILCS 210/1.5
410 ILCS 210/2from Ch. 111, par. 4502
410 ILCS 210/3from Ch. 111, par. 4503
410 ILCS 225/2from Ch. 111 1/2, par. 7022
410 ILCS 305/3from Ch. 111 1/2, par. 7303
410 ILCS 325/3from Ch. 111 1/2, par. 7403
410 ILCS 325/4from Ch. 111 1/2, par. 7404
410 ILCS 335/5
410 ILCS 513/10
410 ILCS 642/10
625 ILCS 5/1-159.1from Ch. 95 1/2, par. 1-159.1
625 ILCS 5/3-616from Ch. 95 1/2, par. 3-616
625 ILCS 5/6-103from Ch. 95 1/2, par. 6-103
625 ILCS 5/6-106.1
625 ILCS 5/6-901from Ch. 95 1/2, par. 6-901
720 ILCS 570/102from Ch. 56 1/2, par. 1102
720 ILCS 570/303.05
225 ILCS 65/65-35 rep.
225 ILCS 65/65-40 rep.
225 ILCS 100/20.5 rep.

Synopsis As Introduced
Amends the Nurse Practice Act. Eliminates the requirement for a written collaborative agreement for all advanced practice nurses. Eliminates the requirement for an anesthesia plan for certified registered nurse anesthetists. Removes references to a written collaborative agreement and anesthesia plan throughout the Act. Repeals certain Sections of the Act and a Section of the Podiatric Medical Practice Act of 1987 concerning written collaborative agreements. Amends various other Acts to make related changes. Effective immediately.

House Committee Amendment No. 1
Deletes reference to:
210 ILCS 5/6.5
210 ILCS 85/10.7
225 ILCS 25/8.1
225 ILCS 60/22
225 ILCS 60/54.5
225 ILCS 65/65-30
225 ILCS 65/65-45
225 ILCS 65/70-5
225 ILCS 85/4
225 ILCS 65/65-35 rep.
225 ILCS 65/65-40 rep.
225 ILCS 100/20.5 rep.
720 ILCS 570/102
720 ILCS 570/303.05
Adds reference to:
225 ILCS 65/65-35was 225 ILCS 65/15-15

Replaces everything after the enacting clause. Amends the Nurse Practice Act. In provisions regarding written collaborative agreements, adds immunizations to the list of primary health treatment within the scope of an advanced practice nurse's training and experience. Makes a technical change. Amends various other Acts to specify that physician assistants and advanced practice nurses must be licensed and to remove references to written supervision agreements and written collaborative agreements. Effective immediately.

House Floor Amendment No. 2
Adds reference to:
225 ILCS 60/54.5
225 ILCS 65/65-35.1 new
225 ILCS 65/65-45was 225 ILCS 65/15-25
225 ILCS 100/20.5
305 ILCS 5/5-8from Ch. 23, par. 5-8
720 ILCS 570/102from Ch. 56 1/2, par. 1102
720 ILCS 570/303.05

Amends the Medical Practice Act of 1987. Provides that a written collaborative agreement shall be for services in the same area of practice or specialty as the collaborating physician in his or her clinical medical practice (rather than services the collaborating physician generally provides or may provide in his or her clinical medical practice). Makes changes concerning the criteria for a written collaborative agreement. Further amends the Nurse Practice Act. Provides that all advanced practice nurses may only practice in accordance with national certification and the Act. Makes changes in provisions concerning the requirements for written collaborative agreements. Exempts advanced practice nurses practicing in a hospital affiliate from having written collaborative agreements. Allows, but does not require, a hospital affiliate to grant advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate prescriptive authority for Schedule II through V controlled substances under specified conditions. Allows consultation through electronic communications. Provides that nothing in the Act shall be construed to authorize an advanced practice nurse to provide health care services required by law or rule to be performed by a physician. Amends the Podiatric Medical Practice Act of 1987 to make changes concerning the collaboration between a podiatric physician and an advanced practice nurse. Amends the Illinois Public Aid Code. Adds advanced practice nurses to the list of providers through whom the Department of Healthcare and Family Services may provide services in supplying medical assistance. Amends the Illinois Controlled Substances Act to provide prescriptive authority for Schedule II through V controlled substances for advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate. Makes other changes.

Actions 
DateChamber Action
  1/28/2015HouseFiled with the Clerk by Rep. Sara Feigenholtz
  1/30/2015HouseFirst Reading
  1/30/2015HouseReferred to Rules Committee
  2/4/2015HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  2/13/2015HouseAssigned to Health Care Licenses Committee
  2/19/2015HouseAdded Co-Sponsor Rep. John Bradley
  2/19/2015HouseAdded Co-Sponsor Rep. Mary E. Flowers
  3/19/2015HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Sara Feigenholtz
  3/19/2015HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  3/23/2015HouseHouse Committee Amendment No. 1 Rules Refers to Health Care Licenses Committee
  3/25/2015HouseHouse Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote
  3/25/2015HouseDo Pass as Amended / Short Debate Health Care Licenses Committee; 011-000-000
  3/25/2015HousePlaced on Calendar 2nd Reading - Short Debate
  4/16/2015HouseAdded Co-Sponsor Rep. Robyn Gabel
  4/20/2015HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Sara Feigenholtz
  4/20/2015HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  4/21/2015HouseHouse Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee
  4/21/2015HouseHouse Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 011-000-000
  4/22/2015HouseSecond Reading - Short Debate
  4/22/2015HouseHouse Floor Amendment No. 2 Adopted
  4/22/2015HousePlaced on Calendar Order of 3rd Reading - Short Debate
  4/23/2015HouseThird Reading - Short Debate - Passed 114-000-002
  4/23/2015HouseAdded Co-Sponsor Rep. Jack D. Franks
  4/23/2015HouseAdded Co-Sponsor Rep. Carol Ammons
  4/23/2015HouseAdded Co-Sponsor Rep. Carol Sente
  4/23/2015HouseAdded Co-Sponsor Rep. Linda Chapa LaVia
  4/23/2015SenateArrive in Senate
  4/23/2015SenatePlaced on Calendar Order of First Reading
  4/23/2015SenateChief Senate Sponsor Sen. Heather A. Steans
  4/23/2015SenateAdded as Alternate Chief Co-Sponsor Sen. Dan Kotowski
  4/23/2015SenateAdded as Alternate Chief Co-Sponsor Sen. Terry Link
  4/28/2015SenateFirst Reading
  4/28/2015SenateReferred to Assignments
  4/28/2015SenateAdded as Alternate Co-Sponsor Sen. Melinda Bush
  4/28/2015SenateAdded as Alternate Co-Sponsor Sen. William Delgado
  4/29/2015SenateAssigned to Licensed Activities and Pensions
  5/4/2015SenateSponsor Removed Sen. William Delgado
  5/5/2015SenateAdded as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
  5/5/2015SenateAdded as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
  5/5/2015SenateAdded as Alternate Co-Sponsor Sen. William R. Haine
  5/5/2015SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III
  5/7/2015SenateDo Pass Licensed Activities and Pensions; 007-000-000
  5/7/2015SenatePlaced on Calendar Order of 2nd Reading May 12, 2015
  5/12/2015SenateAdded as Alternate Co-Sponsor Sen. Kyle McCarter
  5/13/2015SenateAdded as Alternate Co-Sponsor Sen. Jason A. Barickman
  5/13/2015SenateAdded as Alternate Co-Sponsor Sen. Julie A. Morrison
  5/19/2015SenateSecond Reading
  5/19/2015SenatePlaced on Calendar Order of 3rd Reading May 20, 2015
  5/21/2015SenateThird Reading - Passed; 058-000-000
  5/21/2015HousePassed Both Houses
  6/19/2015HouseSent to the Governor
  7/29/2015HouseGovernor Approved
  7/29/2015HouseEffective Date July 29, 2015
  7/29/2015HousePublic Act . . . . . . . . . 99-0173

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