HB0130 Enrolled LRB094 05160 RAS 35201 b

1     AN ACT concerning regulation.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 1. Short title. This Act may be cited as the Home
5 Health and Hospice Drug Dispensation and Administration Act.
 
6     Section 5. Legislative intent. The General Assembly
7 intends to protect the home health care and hospice services
8 patient by allowing authorized nursing employees in the home
9 health and hospice professions to have specified drugs readily
10 available when a patient may require their use.
 
11     Section 10. Definitions. In this Act:
12     "Authorized nursing employee" means a registered nurse or
13 advanced practice nurse, as defined in the Nursing and Advanced
14 Practice Nursing Act, who is employed by a home health agency
15 or hospice licensed in this State.
16     "Health care professional" means a physician licensed to
17 practice medicine in all its branches, an advanced practice
18 nurse who has a written collaborative agreement with a
19 collaborating physician that authorizes services under this
20 Act, or a physician assistant who has been delegated the
21 authority to perform services under this Act by his or her
22 supervising physician.
23     "Home health agency" has the meaning ascribed to it in
24 Section 2.04 of the Home Health Agency Licensing Act.
25     "Hospice" means a full hospice, as defined in Section 3 of
26 the Hospice Program Licensing Act.
27     "Physician" means a physician licensed under the Medical
28 Practice Act of 1987 to practice medicine in all its branches.
 
29     Section 15. Purchase of specified drugs. A home health
30 agency or hospice may purchase sealed portable containers of

 

 

HB0130 Enrolled - 2 - LRB094 05160 RAS 35201 b

1 drugs specified in Section 20 of this Act pursuant to a
2 prescription from its medical director who is a physician or
3 from a health care professional for the purpose of
4 administration to the agency's or hospice's patients under the
5 patient's treating health care professional's orders.
 
6     Section 20. Possession of specified drugs.
7     (a) A home health agency, hospice, or authorized nursing
8 employee of an agency or hospice, in compliance with this
9 Section, may possess or transport the following specified drugs
10 in a sealed portable container for the purpose of
11 administration to the agency's or hospice's patients pursuant
12 to the patient's treating health care professional's orders:
13         (1) Sterile saline in a sealed portable container of a
14     size determined by the dispensing pharmacist.
15         (2) Sterile water.
16         (3) Not more than 5 dosage units of any of the
17     following items in an individually sealed, unused portable
18     container:
19             (A) Heparin sodium lock flush in a concentration of
20         10 units per milliliter or 100 units per milliliter.
21             (B) Epinephrine HCI solution in a concentration of
22         one to 1,000.
23         (4) Not more than 2 dosage units of Diphenhydramine
24     (Benadryl) 50 milligrams intravenously in an individually
25     sealed, unused portable container, clearly labeled, and
26     placed in a protective carrier.
 
27     Section 25. Proper procedures.
28     (a) A home health agency, hospice, or authorized nursing
29 employee of an agency or hospice may purchase, possess, or
30 transport drugs listed in Section 20 of this Act in a sealed
31 portable container only if the agency or hospice has
32 established policies and procedures to ensure that:
33         (1) the container is handled properly with respect to
34     storage, transportation, and temperature stability;

 

 

HB0130 Enrolled - 3 - LRB094 05160 RAS 35201 b

1         (2) a drug is removed from the container only on a
2     health care professional's written or oral order;
3         (3) the administration of any drug in the container is
4     performed in accordance with a specific treatment
5     protocol; and
6         (4) the agency or hospice maintains a written signature
7     record of the dates and times the container is in the
8     possession of an authorized nursing employee.
9     (b) An authorized nursing employee of an agency or hospice
10 who administers a drug listed in Section 20 of this Act may
11 administer the drug only in the patient's residence under a
12 treating health care professional's orders in connection with
13 the provision of emergency treatment or the adjustment of
14 parenteral drug therapy.
15     (c) When an authorized nursing employee of an agency or
16 hospice administers a drug listed in Section 20 of this Act
17 pursuant to a treating health care professional's oral order,
18 the authorized nursing employee or the agency or hospice shall
19 reduce the order to written form and send this written
20 confirmation to the patient's treating health care
21 professional by mail or facsimile transmission, not later than
22 24 hours after receipt of the order.
23     (d) A pharmacist who dispenses a sealed portable container
24 under Section 20 of this Act shall ensure that the container:
25         (1) Is designed to allow access to the contents of the
26     container only if a tamper-proof seal is broken.
27         (2) Bears a label that lists the drugs in the container
28     and provides notice of the container's expiration date,
29     which is the earlier of:
30             (A) the date that is 6 months after the date on
31         which the container is dispensed; or
32             (B) the earliest expiration date of any drug in the
33         container.
34     (e) A pharmacy that dispenses a sealed portable container
35 under this Act shall provide written instructions and counsel
36 the authorized nursing employee of a home health agency or

 

 

HB0130 Enrolled - 4 - LRB094 05160 RAS 35201 b

1 hospice on the safe storage, transportation, and temperature
2 stability of the contents of the sealed container.
 
3     Section 99. Effective date. This Act takes effect upon
4 becoming law.