98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB1662

 

Introduced 2/13/2013, by Sen. Iris Y. Martinez

 

SYNOPSIS AS INTRODUCED:
 
New Act

    Creates the Interventional Surgical Pain Procedures for Chronic Pain Act. Prohibits the practice of interventional surgical pain procedures for pain medicine in this State unless the person is a physician licensed to practice medicine in all its branches. Defines "interventional surgical pain procedures". Exempts certain procedures from the Act. Authorizes the Department of Financial and Professional Regulation to adopt rules in consultation with the Medical Licensing Board as necessary to implement the Act. Effective on July 1, 2013.


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CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY
FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 1. Short title. This Act may be cited as the
5Interventional Surgical Pain Procedures for Chronic Pain Act.
 
6    Section 5. Definitions. For the purposes of this Act:
7    "Chronic pain" means a pain state which is present for more
8than 3 months duration. This does not include procedures for
9the treatment of acute pain resulting from surgery, labor pain,
10pain related to child birth, or treatment of acute pain seen in
11an emergency room setting.
12    "Department" means the Department of Financial and
13Professional Regulation.
14    "Interventional surgical pain procedures" means diagnostic
15or therapeutic surgical techniques for the treatment of chronic
16pain that may require the use of imaging guidance and involve:
17        (1) the cranial nerves and their branches (such as
18    occipital, supra-orbital, and temporal), including
19    destruction by chemical or other modalities;
20        (2) the facet joints of the cervical, thoracic, and
21    lumbar regions and surrounding nerve branches, including
22    destruction, ablation or denervation, aspiration of cysts
23    of small and large joints, and injection of contrast

 

 

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1    material with the use of imaging guidance;
2        (3) cervical, thoracic, or lumbar sympathetic
3    ganglion, visceral plexuses, or nerve blocks;
4        (4) epidural injections in the cervical, thoracic,
5    lumbar, caudal regions (interlaminar or transforaminal)
6    with or without the use of imaging guidance;
7        (5) intrathecal surgical placement of percutaneous or
8    tunneled intrathecal catheters or pumps or subcutaneous
9    port placement, not including procedures to refill these
10    pumps;
11        (6) injections into sacroiliac joint with or without
12    the use of image guidance, not including injections into
13    muscle and trigger point injections;
14        (7) provocative or analgesic discography, intradiscal
15    electrothermal therapy, or other intradiscal procedures in
16    which drugs, gases, biologic materials, or prosthesis are
17    placed or injected into the intervertebral disc;
18        (8) injection, destruction, or ablation of peripheral
19    nerves, including intercostals and radio frequency
20    ablation or chemical destruction of any nerve or nerve
21    groups or nerve plexus;
22        (9) spinal cord or peripheral nerve stimulator
23    placement; or
24        (10) spinal augmentation procedures, such as
25    vertebroplasty, kyphoplasty, sacroplasty, or other bone
26    augmentation procedures.
 

 

 

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1    Section 10. Prohibited practices and penalties. A person
2shall not practice or offer to practice interventional surgical
3pain procedures to diagnose and treat chronic pain in this
4State unless the person is a physician licensed to practice
5medicine in all its branches. A physician may be assisted in
6these procedures by a physician licensed to practice medicine
7in all its branches, advanced practice registered nurse,
8physician assistant, registered nurse, surgical assistant, or
9surgical technician. Interventional surgical procedures as
10defined in this Act may not be delegated. Any person who
11violates this Section commits a Class A misdemeanor and is
12subject to the injunction, punishment, and enforcement
13provisions set forth in the Medical Practice Act of 1987.
 
14    Section 15. Rulemaking authority. The Department may adopt
15rules, in consultation with the Medical Licensing Board, as
16necessary to implement this Act.
 
17    Section 20. Applicability.
18    (a) This Act does not prevent non-interventional therapy
19for chronic pain:
20        (1) performed by a licensed advanced practice nurse,
21    licensed dentist, licensed physician assistant, licensed
22    acupuncturist, licensed podiatrists, licensed hospice and
23    palliative care providers, or licensed physical therapist

 

 

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1    in accordance with the law.
2        (2) authorized by the statutory scope of practice for
3    other licensed health care workers or delegated by a
4    physician licensed under the Medical Practice Act of 1987.
5    (b) Nothing in this Act shall be construed to prohibit a
6licensed chiropractic physician from using procedures within
7the scope of practice of a chiropractic physician, as defined
8in the Medical Practice Act of 1987.
9    (c) Nothing in this Act shall be construed to prohibit the
10performance of acupuncture by an acupuncturist under the
11Acupuncture Practice Act.
12    (d) Nothing in this Act shall be construed to affect the
13service delivered by licensed nonphysician providers in a
14licensed hospital or its affiliates as defined under the
15Hospital Licensing Act or the University of Illinois Hospital
16Act or a licensed ambulatory surgical treatment center under
17the Ambulatory Surgical Treatment Center Act.
 
18    Section 99. Effective date. This Act takes effect July 1,
192013.