Illinois General Assembly - Full Text of HB2895
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Full Text of HB2895  103rd General Assembly

HB2895 103RD GENERAL ASSEMBLY

  
  

 


 
103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB2895

 

Introduced 2/16/2023, by Rep. Anna Moeller

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 5/6.5
225 ILCS 60/54.5
225 ILCS 65/65-35  was 225 ILCS 65/15-15
225 ILCS 65/65-45  was 225 ILCS 65/15-25

    Amends the Nurse Practice Act. Provides that a certified registered nurse anesthetist providing anesthesia services outside the hospital, ambulatory surgical treatment center, or hospital affiliate shall enter into a written collaborative agreement with a physician, podiatric physician, or dentist. Removes provisions providing that a certified registered nurse anesthetist, an anesthesiologist, a physician, a dentist, or a podiatric physician must participate through discussion of an agreement with the anesthesia plan and remain physically present and available on the premises during the delivery of anesthesia services. Makes corresponding changes in the Ambulatory Surgical Treatment Center Act and the Medical Practice Act of 1987. Effective immediately.


LRB103 30134 AMQ 56558 b

 

 

A BILL FOR

 

HB2895LRB103 30134 AMQ 56558 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Ambulatory Surgical Treatment Center Act is
5amended by changing Section 6.5 as follows:
 
6    (210 ILCS 5/6.5)
7    Sec. 6.5. Clinical privileges; advanced practice
8registered nurses. All ambulatory surgical treatment centers
9(ASTC) licensed under this Act shall comply with the following
10requirements:
11        (1) No ASTC policy, rule, regulation, or practice
12    shall be inconsistent with the provision of adequate
13    collaboration and consultation in accordance with Section
14    54.5 of the Medical Practice Act of 1987.
15        (2) Operative surgical procedures shall be performed
16    only by a physician licensed to practice medicine in all
17    its branches under the Medical Practice Act of 1987, a
18    dentist licensed under the Illinois Dental Practice Act,
19    or a podiatric physician licensed under the Podiatric
20    Medical Practice Act of 1987, with medical staff
21    membership and surgical clinical privileges granted by the
22    consulting committee of the ASTC. A licensed physician,
23    dentist, or podiatric physician may be assisted by a

 

 

HB2895- 2 -LRB103 30134 AMQ 56558 b

1    physician licensed to practice medicine in all its
2    branches, dentist, dental assistant, podiatric physician,
3    licensed advanced practice registered nurse, licensed
4    physician assistant, licensed registered nurse, licensed
5    practical nurse, surgical assistant, surgical technician,
6    or other individuals granted clinical privileges to assist
7    in surgery by the consulting committee of the ASTC.
8    Payment for services rendered by an assistant in surgery
9    who is not an ambulatory surgical treatment center
10    employee shall be paid at the appropriate non-physician
11    modifier rate if the payor would have made payment had the
12    same services been provided by a physician.
13        (2.5) A registered nurse licensed under the Nurse
14    Practice Act and qualified by training and experience in
15    operating room nursing shall be present in the operating
16    room and function as the circulating nurse during all
17    invasive or operative procedures. For purposes of this
18    paragraph (2.5), "circulating nurse" means a registered
19    nurse who is responsible for coordinating all nursing
20    care, patient safety needs, and the needs of the surgical
21    team in the operating room during an invasive or operative
22    procedure.
23        (3) An advanced practice registered nurse is not
24    required to possess prescriptive authority or a written
25    collaborative agreement meeting the requirements of the
26    Nurse Practice Act to provide advanced practice registered

 

 

HB2895- 3 -LRB103 30134 AMQ 56558 b

1    nursing services in an ambulatory surgical treatment
2    center. An advanced practice registered nurse must possess
3    clinical privileges granted by the consulting medical
4    staff committee and ambulatory surgical treatment center
5    in order to provide services. Individual advanced practice
6    registered nurses may also be granted clinical privileges
7    to order, select, and administer medications, including
8    controlled substances, to provide delineated care. The
9    attending physician must determine the advanced practice
10    registered nurse's role in providing care for his or her
11    patients, except as otherwise provided in the consulting
12    staff policies. The consulting medical staff committee
13    shall periodically review the services of advanced
14    practice registered nurses granted privileges.
15        (4) The anesthesia service shall be under the
16    direction of a physician licensed to practice medicine in
17    all its branches who has had specialized preparation or
18    experience in the area or who has completed a residency in
19    anesthesiology. An anesthesiologist, Board certified or
20    Board eligible, is recommended. Anesthesia services may
21    only be administered upon the request pursuant to the
22    order of a physician licensed to practice medicine in all
23    its branches, licensed dentist, or licensed podiatric
24    physician.
25            (A) The individuals who, with clinical privileges
26        granted by the medical staff and ASTC, may administer

 

 

HB2895- 4 -LRB103 30134 AMQ 56558 b

1        anesthesia services are limited to the following:
2                (i) an anesthesiologist; or
3                (ii) a physician licensed to practice medicine
4            in all its branches; or
5                (iii) a dentist with authority to administer
6            anesthesia under Section 8.1 of the Illinois
7            Dental Practice Act; or
8                (iv) a licensed certified registered nurse
9            anesthetist; or
10                (v) a podiatric physician licensed under the
11            Podiatric Medical Practice Act of 1987.
12            (B) (Blank). For anesthesia services, an
13        anesthesiologist shall participate through discussion
14        of and agreement with the anesthesia plan and shall
15        remain physically present and be available on the
16        premises during the delivery of anesthesia services
17        for diagnosis, consultation, and treatment of
18        emergency medical conditions. In the absence of
19        24-hour availability of anesthesiologists with
20        clinical privileges, an alternate policy (requiring
21        participation, presence, and availability of a
22        physician licensed to practice medicine in all its
23        branches) shall be developed by the medical staff
24        consulting committee in consultation with the
25        anesthesia service and included in the medical staff
26        consulting committee policies.

 

 

HB2895- 5 -LRB103 30134 AMQ 56558 b

1            (C) A certified registered nurse anesthetist is
2        not required to possess prescriptive authority or a
3        written collaborative agreement meeting the
4        requirements of Section 65-35 of the Nurse Practice
5        Act to provide anesthesia services ordered by a
6        licensed physician, dentist, or podiatric physician.
7        Licensed certified registered nurse anesthetists are
8        authorized to select, order, and administer drugs and
9        apply the appropriate medical devices in the provision
10        of anesthesia services under the anesthesia plan
11        agreed with by the anesthesiologist or, in the absence
12        of an available anesthesiologist with clinical
13        privileges, agreed with by the operating physician,
14        operating dentist, or operating podiatric physician in
15        accordance with the medical staff consulting committee
16        policies of a licensed ambulatory surgical treatment
17        center.
18(Source: P.A. 99-642, eff. 7-28-16; 100-513, eff. 1-1-18.)
 
19    Section 10. The Medical Practice Act of 1987 is amended by
20changing Section 54.5 as follows:
 
21    (225 ILCS 60/54.5)
22    (Section scheduled to be repealed on January 1, 2027)
23    Sec. 54.5. Physician delegation of authority to physician
24assistants, advanced practice registered nurses without full

 

 

HB2895- 6 -LRB103 30134 AMQ 56558 b

1practice authority, and prescribing psychologists.
2    (a) Physicians licensed to practice medicine in all its
3branches may delegate care and treatment responsibilities to a
4physician assistant under guidelines in accordance with the
5requirements of the Physician Assistant Practice Act of 1987.
6A physician licensed to practice medicine in all its branches
7may enter into collaborative agreements with no more than 7
8full-time equivalent physician assistants, except in a
9hospital, hospital affiliate, or ambulatory surgical treatment
10center as set forth by Section 7.7 of the Physician Assistant
11Practice Act of 1987 and as provided in subsection (a-5).
12    (a-5) A physician licensed to practice medicine in all its
13branches may collaborate with more than 7 physician assistants
14when the services are provided in a federal primary care
15health professional shortage area with a Health Professional
16Shortage Area score greater than or equal to 12, as determined
17by the United States Department of Health and Human Services.
18    The collaborating physician must keep appropriate
19documentation of meeting this exemption and make it available
20to the Department upon request.
21    (b) A physician licensed to practice medicine in all its
22branches in active clinical practice may collaborate with an
23advanced practice registered nurse in accordance with the
24requirements of the Nurse Practice Act. Collaboration is for
25the purpose of providing medical consultation, and no
26employment relationship is required. A written collaborative

 

 

HB2895- 7 -LRB103 30134 AMQ 56558 b

1agreement shall conform to the requirements of Section 65-35
2of the Nurse Practice Act. The written collaborative agreement
3shall be for services in the same area of practice or specialty
4as the collaborating physician in his or her clinical medical
5practice. A written collaborative agreement shall be adequate
6with respect to collaboration with advanced practice
7registered nurses if all of the following apply:
8        (1) The agreement is written to promote the exercise
9    of professional judgment by the advanced practice
10    registered nurse commensurate with his or her education
11    and experience.
12        (2) The advanced practice registered nurse provides
13    services based upon a written collaborative agreement with
14    the collaborating physician, except as set forth in
15    subsection (b-5) of this Section. With respect to labor
16    and delivery, the collaborating physician must provide
17    delivery services in order to participate with a certified
18    nurse midwife.
19        (3) Methods of communication are available with the
20    collaborating physician in person or through
21    telecommunications for consultation, collaboration, and
22    referral as needed to address patient care needs.
23    (b-5) An anesthesiologist or physician licensed to
24practice medicine in all its branches may collaborate with a
25certified registered nurse anesthetist in accordance with
26Section 65-35 of the Nurse Practice Act for the provision of

 

 

HB2895- 8 -LRB103 30134 AMQ 56558 b

1anesthesia services. With respect to the provision of
2anesthesia services, the collaborating anesthesiologist or
3physician shall have training and experience in the delivery
4of anesthesia services consistent with Department rules.
5Collaboration shall be adequate if: (1) an anesthesiologist or
6a physician participates in the joint formulation and joint
7approval of orders or guidelines and periodically reviews such
8orders and the services provided patients under such orders;
9and (2) for anesthesia services, the anesthesiologist or
10physician participates through discussion of and agreement
11with the anesthesia plan and is physically present and
12available on the premises during the delivery of anesthesia
13services for diagnosis, consultation, and treatment of
14emergency medical conditions. Anesthesia services in a
15hospital shall be conducted in accordance with Section 10.7 of
16the Hospital Licensing Act and in an ambulatory surgical
17treatment center in accordance with Section 6.5 of the
18Ambulatory Surgical Treatment Center Act.
19    (b-10) (Blank). The anesthesiologist or operating
20physician must agree with the anesthesia plan prior to the
21delivery of services.
22    (c) The collaborating physician shall have access to the
23medical records of all patients attended by a physician
24assistant. The collaborating physician shall have access to
25the medical records of all patients attended to by an advanced
26practice registered nurse.

 

 

HB2895- 9 -LRB103 30134 AMQ 56558 b

1    (d) (Blank).
2    (e) A physician shall not be liable for the acts or
3omissions of a prescribing psychologist, physician assistant,
4or advanced practice registered nurse solely on the basis of
5having signed a supervision agreement or guidelines or a
6collaborative agreement, an order, a standing medical order, a
7standing delegation order, or other order or guideline
8authorizing a prescribing psychologist, physician assistant,
9or advanced practice registered nurse to perform acts, unless
10the physician has reason to believe the prescribing
11psychologist, physician assistant, or advanced practice
12registered nurse lacked the competency to perform the act or
13acts or commits willful and wanton misconduct.
14    (f) A collaborating physician may, but is not required to,
15delegate prescriptive authority to an advanced practice
16registered nurse as part of a written collaborative agreement,
17and the delegation of prescriptive authority shall conform to
18the requirements of Section 65-40 of the Nurse Practice Act.
19    (g) A collaborating physician may, but is not required to,
20delegate prescriptive authority to a physician assistant as
21part of a written collaborative agreement, and the delegation
22of prescriptive authority shall conform to the requirements of
23Section 7.5 of the Physician Assistant Practice Act of 1987.
24    (h) (Blank).
25    (i) A collaborating physician shall delegate prescriptive
26authority to a prescribing psychologist as part of a written

 

 

HB2895- 10 -LRB103 30134 AMQ 56558 b

1collaborative agreement, and the delegation of prescriptive
2authority shall conform to the requirements of Section 4.3 of
3the Clinical Psychologist Licensing Act.
4    (j) As set forth in Section 22.2 of this Act, a licensee
5under this Act may not directly or indirectly divide, share,
6or split any professional fee or other form of compensation
7for professional services with anyone in exchange for a
8referral or otherwise, other than as provided in Section 22.2.
9(Source: P.A. 99-173, eff. 7-29-15; 100-453, eff. 8-25-17;
10100-513, eff. 1-1-18; 100-605, eff. 1-1-19; 100-863, eff.
118-14-18.)
 
12    Section 15. The Nurse Practice Act is amended by changing
13Sections 65-35 and 65-45 as follows:
 
14    (225 ILCS 65/65-35)   (was 225 ILCS 65/15-15)
15    (Section scheduled to be repealed on January 1, 2028)
16    Sec. 65-35. Written collaborative agreements.
17    (a) A written collaborative agreement is required for all
18advanced practice registered nurses engaged in clinical
19practice prior to meeting the requirements of Section 65-43,
20except for advanced practice registered nurses who are
21privileged to practice in a hospital, hospital affiliate, or
22ambulatory surgical treatment center.
23    (a-5) If an advanced practice registered nurse engages in
24clinical practice outside of a hospital, hospital affiliate,

 

 

HB2895- 11 -LRB103 30134 AMQ 56558 b

1or ambulatory surgical treatment center in which he or she is
2privileged to practice, the advanced practice registered nurse
3must have a written collaborative agreement, except as set
4forth in Section 65-43.
5    (b) A written collaborative agreement shall describe the
6relationship of the advanced practice registered nurse with
7the collaborating physician and shall describe the categories
8of care, treatment, or procedures to be provided by the
9advanced practice registered nurse. A collaborative agreement
10with a podiatric physician must be in accordance with
11subsection (c-5) or (c-15) of this Section. A certified
12registered nurse anesthetist providing anesthesia services
13outside the hospital, ambulatory surgical treatment center, or
14hospital affiliate shall enter into a written collaborative
15agreement with a physician, podiatric physician, or dentist. A
16collaborative agreement with a dentist must be in accordance
17with subsection (c-10) of this Section. A collaborative
18agreement with a podiatric physician must be in accordance
19with subsection (c-5) of this Section. Collaboration does not
20require an employment relationship between the collaborating
21physician and the advanced practice registered nurse.
22    The collaborative relationship under an agreement shall
23not be construed to require the personal presence of a
24collaborating physician at the place where services are
25rendered. Methods of communication shall be available for
26consultation with the collaborating physician in person or by

 

 

HB2895- 12 -LRB103 30134 AMQ 56558 b

1telecommunications or electronic communications as set forth
2in the written agreement.
3    (b-5) Absent an employment relationship, a written
4collaborative agreement may not (1) restrict the categories of
5patients of an advanced practice registered nurse within the
6scope of the advanced practice registered nurses training and
7experience, (2) limit third party payors or government health
8programs, such as the medical assistance program or Medicare
9with which the advanced practice registered nurse contracts,
10or (3) limit the geographic area or practice location of the
11advanced practice registered nurse in this State.
12    (c) (Blank). In the case of anesthesia services provided
13by a certified registered nurse anesthetist, an
14anesthesiologist, a physician, a dentist, or a podiatric
15physician must participate through discussion of and agreement
16with the anesthesia plan and remain physically present and
17available on the premises during the delivery of anesthesia
18services for diagnosis, consultation, and treatment of
19emergency medical conditions.
20    (c-5) A certified registered nurse anesthetist, who
21provides anesthesia services outside of a hospital or
22ambulatory surgical treatment center shall enter into a
23written collaborative agreement with an anesthesiologist or
24the physician licensed to practice medicine in all its
25branches or the podiatric physician performing the procedure.
26Outside of a hospital or ambulatory surgical treatment center,

 

 

HB2895- 13 -LRB103 30134 AMQ 56558 b

1the certified registered nurse anesthetist may provide only
2those services that the collaborating podiatric physician is
3authorized to provide pursuant to the Podiatric Medical
4Practice Act of 1987 and rules adopted thereunder. A certified
5registered nurse anesthetist may select, order, and administer
6medication, including controlled substances, and apply
7appropriate medical devices for delivery of anesthesia
8services under the anesthesia plan agreed with by the
9anesthesiologist or the operating physician or operating
10podiatric physician.
11    (c-10) A certified registered nurse anesthetist who
12provides anesthesia services in a dental office shall enter
13into a written collaborative agreement with an
14anesthesiologist or the physician licensed to practice
15medicine in all its branches or the operating dentist
16performing the procedure. The agreement shall describe the
17working relationship of the certified registered nurse
18anesthetist and dentist and shall authorize the categories of
19care, treatment, or procedures to be performed by the
20certified registered nurse anesthetist. In a collaborating
21dentist's office, the certified registered nurse anesthetist
22may only provide those services that the operating dentist
23with the appropriate permit is authorized to provide pursuant
24to the Illinois Dental Practice Act and rules adopted
25thereunder. For anesthesia services, an anesthesiologist,
26physician, or operating dentist shall participate through

 

 

HB2895- 14 -LRB103 30134 AMQ 56558 b

1discussion of and agreement with the anesthesia plan and shall
2remain physically present and be available on the premises
3during the delivery of anesthesia services for diagnosis,
4consultation, and treatment of emergency medical conditions. A
5certified registered nurse anesthetist may select, order, and
6administer medication, including controlled substances, and
7apply appropriate medical devices for delivery of anesthesia
8services under the anesthesia plan agreed with by the
9operating dentist.
10    (c-15) An advanced practice registered nurse who had a
11written collaborative agreement with a podiatric physician
12immediately before the effective date of Public Act 100-513
13may continue in that collaborative relationship or enter into
14a new written collaborative relationship with a podiatric
15physician under the requirements of this Section and Section
1665-40, as those Sections existed immediately before the
17amendment of those Sections by Public Act 100-513 with regard
18to a written collaborative agreement between an advanced
19practice registered nurse and a podiatric physician.
20    (d) A copy of the signed, written collaborative agreement
21must be available to the Department upon request from both the
22advanced practice registered nurse and the collaborating
23physician, dentist, or podiatric physician.
24    (e) Nothing in this Act shall be construed to limit the
25delegation of tasks or duties by a physician to a licensed
26practical nurse, a registered professional nurse, or other

 

 

HB2895- 15 -LRB103 30134 AMQ 56558 b

1persons in accordance with Section 54.2 of the Medical
2Practice Act of 1987. Nothing in this Act shall be construed to
3limit the method of delegation that may be authorized by any
4means, including, but not limited to, oral, written,
5electronic, standing orders, protocols, guidelines, or verbal
6orders.
7    (e-5) Nothing in this Act shall be construed to authorize
8an advanced practice registered nurse to provide health care
9services required by law or rule to be performed by a
10physician. The scope of practice of an advanced practice
11registered nurse does not include operative surgery. Nothing
12in this Section shall be construed to preclude an advanced
13practice registered nurse from assisting in surgery.
14    (f) An advanced practice registered nurse shall inform
15each collaborating physician, dentist, or podiatric physician
16of all collaborative agreements he or she has signed and
17provide a copy of these to any collaborating physician,
18dentist, or podiatric physician upon request.
19    (g) (Blank).
20(Source: P.A. 100-513, eff. 1-1-18; 100-577, eff. 1-26-18;
21100-1096, eff. 8-26-18; 101-13, eff. 6-12-19.)
 
22    (225 ILCS 65/65-45)   (was 225 ILCS 65/15-25)
23    (Section scheduled to be repealed on January 1, 2028)
24    Sec. 65-45. Advanced practice registered nursing in
25hospitals, hospital affiliates, or ambulatory surgical

 

 

HB2895- 16 -LRB103 30134 AMQ 56558 b

1treatment centers.
2    (a) An advanced practice registered nurse may provide
3services in a hospital or a hospital affiliate as those terms
4are defined in the Hospital Licensing Act or the University of
5Illinois Hospital Act or a licensed ambulatory surgical
6treatment center without a written collaborative agreement
7pursuant to Section 65-35 of this Act. An advanced practice
8registered nurse must possess clinical privileges recommended
9by the hospital medical staff and granted by the hospital or
10the consulting medical staff committee and ambulatory surgical
11treatment center in order to provide services. The medical
12staff or consulting medical staff committee shall periodically
13review the services of all advanced practice registered nurses
14granted clinical privileges, including any care provided in a
15hospital affiliate. Authority may also be granted when
16recommended by the hospital medical staff and granted by the
17hospital or recommended by the consulting medical staff
18committee and ambulatory surgical treatment center to
19individual advanced practice registered nurses to select,
20order, and administer medications, including controlled
21substances, to provide delineated care. In a hospital,
22hospital affiliate, or ambulatory surgical treatment center,
23the attending physician shall determine an advanced practice
24registered nurse's role in providing care for his or her
25patients, except as otherwise provided in the medical staff
26bylaws or consulting committee policies.

 

 

HB2895- 17 -LRB103 30134 AMQ 56558 b

1    (a-2) An advanced practice registered nurse privileged to
2order medications, including controlled substances, may
3complete discharge prescriptions provided the prescription is
4in the name of the advanced practice registered nurse and the
5attending or discharging physician.
6    (a-3) Advanced practice registered nurses practicing in a
7hospital or an ambulatory surgical treatment center are not
8required to obtain a mid-level controlled substance license to
9order controlled substances under Section 303.05 of the
10Illinois Controlled Substances Act.
11    (a-4) An advanced practice registered nurse meeting the
12requirements of Section 65-43 may be privileged to complete
13discharge orders and prescriptions under the advanced practice
14registered nurse's name.
15    (a-5) For anesthesia services provided by a certified
16registered nurse anesthetist, an anesthesiologist, physician,
17dentist, or podiatric physician shall participate through
18discussion of and agreement with the anesthesia plan and shall
19remain physically present and be available on the premises
20during the delivery of anesthesia services for diagnosis,
21consultation, and treatment of emergency medical conditions,
22unless hospital policy adopted pursuant to clause (B) of
23subdivision (3) of Section 10.7 of the Hospital Licensing Act
24or ambulatory surgical treatment center policy adopted
25pursuant to clause (B) of subdivision (3) of Section 6.5 of the
26Ambulatory Surgical Treatment Center Act provides otherwise. A

 

 

HB2895- 18 -LRB103 30134 AMQ 56558 b

1certified registered nurse anesthetist may select, order, and
2administer medication for anesthesia services under the
3anesthesia plan agreed to by the anesthesiologist or the
4physician, in accordance with hospital alternative policy or
5the medical staff consulting committee policies of a licensed
6ambulatory surgical treatment center.
7    (b) An advanced practice registered nurse who provides
8services in a hospital shall do so in accordance with Section
910.7 of the Hospital Licensing Act and, in an ambulatory
10surgical treatment center, in accordance with Section 6.5 of
11the Ambulatory Surgical Treatment Center Act. Nothing in this
12Act shall be construed to require an advanced practice
13registered nurse to have a collaborative agreement to practice
14in a hospital, hospital affiliate, or ambulatory surgical
15treatment center.
16    (c) Advanced practice registered nurses certified as nurse
17practitioners, nurse midwives, or clinical nurse specialists
18practicing in a hospital affiliate may be, but are not
19required to be, privileged to prescribe Schedule II through V
20controlled substances when such authority is recommended by
21the appropriate physician committee of the hospital affiliate
22and granted by the hospital affiliate. This authority may, but
23is not required to, include prescription of, selection of,
24orders for, administration of, storage of, acceptance of
25samples of, and dispensing over-the-counter medications,
26legend drugs, medical gases, and controlled substances

 

 

HB2895- 19 -LRB103 30134 AMQ 56558 b

1categorized as Schedule II through V controlled substances, as
2defined in Article II of the Illinois Controlled Substances
3Act, and other preparations, including, but not limited to,
4botanical and herbal remedies.
5    To prescribe controlled substances under this subsection
6(c), an advanced practice registered nurse certified as a
7nurse practitioner, nurse midwife, or clinical nurse
8specialist must obtain a controlled substance license.
9Medication orders shall be reviewed periodically by the
10appropriate hospital affiliate physicians committee or its
11physician designee.
12    The hospital affiliate shall file with the Department
13notice of a grant of prescriptive authority consistent with
14this subsection (c) and termination of such a grant of
15authority, in accordance with rules of the Department. Upon
16receipt of this notice of grant of authority to prescribe any
17Schedule II through V controlled substances, the licensed
18advanced practice registered nurse certified as a nurse
19practitioner, nurse midwife, or clinical nurse specialist may
20register for a mid-level practitioner controlled substance
21license under Section 303.05 of the Illinois Controlled
22Substances Act.
23    In addition, a hospital affiliate may, but is not required
24to, privilege an advanced practice registered nurse certified
25as a nurse practitioner, nurse midwife, or clinical nurse
26specialist to prescribe any Schedule II controlled substances,

 

 

HB2895- 20 -LRB103 30134 AMQ 56558 b

1if all of the following conditions apply:
2        (1) specific Schedule II controlled substances by oral
3    dosage or topical or transdermal application may be
4    designated, provided that the designated Schedule II
5    controlled substances are routinely prescribed by advanced
6    practice registered nurses in their area of certification;
7    the privileging documents must identify the specific
8    Schedule II controlled substances by either brand name or
9    generic name; privileges to prescribe or dispense Schedule
10    II controlled substances to be delivered by injection or
11    other route of administration may not be granted;
12        (2) any privileges must be controlled substances
13    limited to the practice of the advanced practice
14    registered nurse;
15        (3) any prescription must be limited to no more than a
16    30-day supply;
17        (4) the advanced practice registered nurse must
18    discuss the condition of any patients for whom a
19    controlled substance is prescribed monthly with the
20    appropriate physician committee of the hospital affiliate
21    or its physician designee; and
22        (5) the advanced practice registered nurse must meet
23    the education requirements of Section 303.05 of the
24    Illinois Controlled Substances Act.
25    (d) An advanced practice registered nurse meeting the
26requirements of Section 65-43 may be privileged to prescribe

 

 

HB2895- 21 -LRB103 30134 AMQ 56558 b

1controlled substances categorized as Schedule II through V in
2accordance with Section 65-43.
3(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)
 
4    Section 99. Effective date. This Act takes effect upon
5becoming law.