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90_HB3382 New Act 5 ILCS 80/4.19 new Creates the Orthotics, Prosthetics, and Pedorthics Practice Act. Provides for the licensure of orthotists, pedorthists, and prosthetists. Amends the Regulatory Agency Sunset Act to repeal the Orthotics, Prosthetics, and Pedorthics Practice Act on January 1, 2009. Effective January 1, 1999. LRB9010628LDdv LRB9010628LDdv 1 AN ACT to create the Orthotics, Prosthetics, and 2 Pedorthics Practice Act. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 1. Short title. This Act may be cited as the 6 Orthotics, Prosthetics, and Pedorthics Practice Act. 7 Section 5. Declaration of public policy. The practice 8 of orthotics and prosthetics in the State of Illinois is an 9 allied health profession recognized by the American Medical 10 Association, with educational standards established by the 11 Commission on Accreditation of Allied Health Education 12 Programs. The practice of pedorthics in the State of 13 Illinois is an allied health profession recognized by the 14 American Academy of Orthopaedic Surgeons, with educational 15 standards established by the Board for Certification in 16 Pedorthics. The increasing population of elderly and 17 physically challenged individuals who need orthotic, 18 prosthetic, and pedorthic services requires that the 19 orthotic, prosthetic, and pedorthic professions be regulated 20 to ensure the provision of high-quality services and devices. 21 The people of Illinois deserve the best care available, and 22 will benefit from the assurance of initial and ongoing 23 professional competence of the orthotists, prosthetists, and 24 pedorthists practicing in this State. The practice of 25 orthotics, prosthetics, and pedorthics serves to improve and 26 enhance the lives of individuals with disabilities by 27 enabling them to resume productive lives following serious 28 illness, injury, or trauma. Unregulated dispensing of 29 orthotic, prosthetic, and pedorthic care does not adequately 30 meet the needs or serve the interests of the public. In 31 keeping with State requirements imposed on similar health -2- LRB9010628LDdv 1 disciplines, licensure of the orthotic, prosthetic, and 2 pedorthic professions will help ensure the health and safety 3 of consumers, as well as maximize their functional abilities 4 and productivity levels. This Act shall be liberally 5 construed to best carry out these subjects and purposes. 6 Section 10. Definitions. As used in this Act: 7 "Assistant" means a person who assists an orthotist, 8 prosthetist, or prosthetist/orthotist with patient care 9 services and fabrication of orthoses or prostheses under the 10 supervision of a licensed orthotist or prosthetist. 11 "Board" means the Board of Orthotics, Prosthetics, and 12 Pedorthics. 13 "Custom" means that an orthosis, prosthesis, or pedorthic 14 device is designed, fabricated, and aligned specifically for 15 one person in accordance with sound biomechanical principles. 16 "Custom fitted" means that a prefabricated orthosis, 17 prosthesis, or pedorthic device is modified and aligned 18 specifically for one person in accordance with sound 19 biomechanical principles. 20 "Department" means the Department of Professional 21 Regulation. 22 "Director" means the Director of Professional Regulation. 23 "Facility" means the business location where orthotic, 24 prosthetic, or pedorthic care is provided and, in the case of 25 an orthotic/prosthetic facility, has the appropriate clinical 26 and laboratory space and equipment to provide comprehensive 27 orthotic or prosthetic care and, in the case of a pedorthic 28 facility, has the appropriate clinical space and equipment to 29 provide pedorthic care. Licensed orthotists, prosthetists, 30 and pedorthists must be available to either provide care or 31 supervise the provision of care by registered staff. 32 "Licensed orthotist" means a person licensed under this 33 Act to practice orthotics and who represents himself or -3- LRB9010628LDdv 1 herself to the public by title or description of services 2 that includes the term "orthotic", "orthotist", "brace", or a 3 similar title or description of services. 4 "Licensed pedorthist" means a person licensed under this 5 Act to practice pedorthics and who represents himself or 6 herself to the public by the title or description of services 7 that include the term "pedorthic", "pedorthist", or a similar 8 title or description of services. 9 "Licensed physician" means a person licensed under the 10 Medical Practice Act of 1987 or a person licensed under the 11 Podiatric Medical Practice Act of 1987. 12 "Licensed prosthetist" means a person licensed under this 13 Act to practice prosthetics and who represents himself or 14 herself to the public by title or description of services 15 that includes the term "prosthetic", "prosthetist", 16 "artificial limb", or a similar title or description of 17 services. 18 "Orthosis" means a custom-fabricated or custom-fitted 19 brace or support designed to provide for alignment, 20 correction, or prevention of neuromuscular or musculoskeletal 21 dysfunction, disease, injury, or deformity. "Orthosis" does 22 not include fabric or elastic supports, corsets, arch 23 supports, low-temperature plastic splints, trusses, elastic 24 hoses, canes, crutches, soft cervical collars, dental 25 appliances, or other similar devices carried in stock and 26 sold as "over-the-counter" items by a drug store, department 27 store, corset shop, or surgical supply facility. 28 "Orthotic and Prosthetic Education Program" means a 29 course of instruction accredited by the Commission on 30 Accreditation of Allied Health Education Programs, consisting 31 of (i) a basic curriculum of college level instruction in 32 math, physics, biology, chemistry, and psychology and (ii) a 33 specific curriculum in orthotic or prosthetic courses, 34 including: (A) lectures covering pertinent anatomy, -4- LRB9010628LDdv 1 biomechanics, pathomechanics, prosthetic-orthotic components 2 and materials, training and functional capabilities, 3 prosthetic or orthotic performance evaluation, prescription 4 considerations, etiology of amputations and disease processes 5 necessitating prosthetic or orthotic use, and medical 6 management; (B) subject matter related to pediatric and 7 geriatric problems; (C) instruction in acute care 8 techniques, such as immediate and early post-surgical 9 prosthetics, fracture bracing, and halo cast techniques; and 10 (D) lectures, demonstrations, and laboratory experiences 11 related to the entire process of measuring, casting, fitting, 12 fabricating, aligning, and completing prostheses or orthoses. 13 "Orthotic and prosthetic scope of practice" means a list 14 of tasks, with relative weight given to such factors as 15 importance, criticality, and frequency, based on 16 internationally accepted standards of orthotic and prosthetic 17 care as outlined by the International Society of Prosthetics 18 and Orthotics' professional profile for Category I and 19 Category III orthotic and prosthetic personnel. 20 "Orthotics" means the science and practice of evaluating, 21 measuring, designing, fabricating, assembling, fitting, 22 adjusting, or servicing an orthosis under an order from a 23 licensed physician, chiropractor, or podiatrist for the 24 correction or alleviation of neuromuscular or musculoskeletal 25 dysfunction, disease, injury, or deformity. 26 "Orthotist" means a person who measures, designs, 27 fabricates, fits, or services orthoses and assists in the 28 formulation of the prescription of orthoses as prescribed by 29 a licensed physician for the support or correction of 30 disabilities caused by neuro-musculoskeletal diseases, 31 injuries, or deformities. 32 "Over-the-counter" means a prefabricated, mass produced 33 device that is prepackaged and requires no professional 34 advice or judgement in either size selection or use, -5- LRB9010628LDdv 1 including fabric or elastic supports, corsets, generic arch 2 supports, elastic hoses. 3 "Pedorthic device" means therapeutic footwear, foot 4 orthoses for use at the ankle or below, and modified footwear 5 made for therapeutic purposes. "Pedorthic device" does not 6 include non-therapeutic accommodative inlays or 7 non-therapeutic accommodative footwear, regardless of method 8 of manufacture, shoe modifications made for non-therapeutic 9 purposes, unmodified, over-the-counter shoes, or 10 prefabricated foot care products. 11 "Pedorthic education program" means a course of 12 instruction accredited by the Board for Certification in 13 Pedothics consisting of (i) a basic curriculum of instruction 14 in foot related pathology of diseases, anatomy, and 15 biomechanics and (ii) a specific curriculum in pedorthic 16 courses, including, lectures covering shoes, foot orthoses, 17 and shoe modifications, pedorthic components and materials, 18 training and functional capabilities, pedorthic performance 19 evaluation, prescription considerations, etiology of disease 20 processes necessitating use of pedorthic devices, medical 21 management, subject matter related to pediatric and geriatric 22 problems, and lectures demonstrations, and laboratory 23 experiences related to the entire process of measuring and 24 casting, fitting, fabricating, aligning, and completing 25 pedorthic devices. 26 "Pedorthic scope of practice" means a list of tasks with 27 relative weight given to such factors as importance, 28 criticality, and frequency based on nationally accepted 29 standards of pedorthic care as outlined by the Board for 30 Certification in Pedorthics' comprehensive analysis with an 31 empirical validation study of the profession performed by an 32 independent testing company. 33 "Pedorthics" means the science and practice of 34 evaluating, measuring, designing, fabricating, assembling, -6- LRB9010628LDdv 1 fitting, adjusting, or servicing a pedorthic device under an 2 order from a licensed physician, chiropractor or podiatrist 3 for the correction or alleviation of neuromuscular or 4 musculoskeletal dysfunction, disease, injury, or deformity. 5 "Pedorthist" means a person who measures, designs, 6 fabricates, fits, or services pedorthic devices and assists 7 in the formulation of the prescription of pedorthic devices 8 as prescribed by a licensed physician for the support or 9 correction of disabilities caused by neuro-musculoskeletal 10 diseases, injuries, or deformities. 11 "Person" means a natural person. 12 "Prosthesis" means an artificial medical device that is 13 not surgically implanted and that is used to replace a 14 missing limb, appendage, or any other external human body 15 part including an artificial limb, hand, or foot. 16 "Prosthesis" does not include artificial eyes, ears, fingers, 17 or toes, dental appliances, cosmetic devices such as 18 artificial breasts, eyelashes, or wigs, or other devices that 19 do not have a significant impact on the musculoskeletal 20 functions of the body. 21 "Prosthetics" means the science and practice of 22 evaluating, measuring, designing, fabricating, assembling, 23 fitting, adjusting, or servicing a prosthesis under an order 24 from a licensed physician. 25 "Prosthetist" means a person who measures, designs, 26 fabricates, fits, or services prostheses and assists in the 27 formulation of the prescription of prostheses as prescribed 28 by a licensed physician for the replacement of external parts 29 of the human body lost due to amputation or congenital 30 deformities or absences. 31 "Prosthetist/orthotist" means a person who practices both 32 disciplines of prosthetics and orthotics and who represents 33 himself or herself to the public by title or by description 34 of services. -7- LRB9010628LDdv 1 "Registered prosthetist/orthotist assistant" means a 2 person registered under this Act who assists a licensed 3 orthotist or prosthetist with patient care services and the 4 fabrication of orthoses or prostheses. 5 "Registered pedorthic technician" means a person 6 registered under this Act who assists a pedorthist with 7 fabrication of pedorthic devices. 8 "Registered prosthetic/orthotic technician" means a 9 person registered under this Act who assists an orthotist or 10 prosthetist with fabrication of orthoses or prostheses. 11 "Resident" means a person who has completed an education 12 program in either orthotics or prosthetics and is continuing 13 his or her clinical education in a residency accredited by 14 the National Commission on Orthotic and Prosthetic Education 15 "Technician" means a person who assists an orthotist, 16 prosthetist, prosthetist/orthotist, or pedorthist with 17 fabrication of orthoses, prostheses, or pedorthic devices but 18 does not provide direct patient care. 19 Section 15. Exceptions. This Act shall not be construed 20 to prohibit: 21 (1) a physician licensed in this State to practice 22 medicine in all its branches from engaging in the practice 23 for which he or she is licensed; 24 (2) a person licensed in this State under any other Act 25 from engaging in the practice for which he or she is 26 licensed; 27 (3) the practice of orthotics, prosthetics, or pedorthics 28 by a person who is employed by the federal government or any 29 bureau, division, or agency of the federal government while 30 in the discharge of the employee's official duties; 31 (4) the practice of orthotics, prosthetics, or pedorthics 32 by (i) a student enrolled in a school of orthotics, 33 prosthetics, or pedorthics, (ii) a resident continuing his or -8- LRB9010628LDdv 1 her clinical education in a residency accredited by the 2 National Commission on Orthotic and Prosthetic Education, or 3 (iii) a student in a qualified work experience program or 4 internship in pedorthics; 5 (5) the practice of orthotics, prosthetics, or pedorthics 6 by one who is an orthotist, prosthetist, or pedorthist 7 licensed under the laws of another state or territory of the 8 United States or another country and has applied in writing 9 to the Department, in a form and substance satisfactory to 10 the Department, for a license as orthotist, prosthetist, or 11 pedorthist and who is qualified to receive the license under 12 Section 40 until (i) the expiration of 6 months after the 13 filing of the written application, (ii) the withdrawal of the 14 application, or (iii) the denial of the application by the 15 Department; or 16 (6) a person licensed by this State as a physical 17 therapist or occupational therapist from engaging in the 18 practice of his or her profession or applying temporary or 19 low-temperature orthotic devices. 20 Section 20. Powers and duties of the Department. 21 (a) The Department shall exercise the powers and duties 22 prescribed by the Civil Administrative Code of Illinois for 23 the administration of licensure Acts and shall exercise other 24 powers and duties necessary for effectuating the purposes of 25 this Act. 26 (b) The Department may adopt rules to administer and 27 enforce this Act including, but not limited to, fees for 28 original licensure and renewal and restoration of licenses 29 and may prescribe forms to be issued to implement its rules. 30 The Department shall exercise the powers and duties 31 prescribed by this Act. At a minimum, the rules adopted by 32 the Department shall include standards and criteria for 33 licensure and for professional conduct and discipline. The -9- LRB9010628LDdv 1 Department shall consult with the Board in adopting rules. 2 Notice of proposed rulemaking shall be transmitted to the 3 Board, and the Department shall review the Board's response 4 and any recommendations made in writing with proper 5 explanation of deviations from the Board's recommendations 6 and response. 7 (c) The Department at any time may seek the expert advice 8 and knowledge of the Board on any matter relating to the 9 enforcement of this Act. 10 (d) The Department shall issue a quarterly report to the 11 Board of the status of all complaints related to the 12 profession and filed with the Department. 13 (e) Department may adopt rules as necessary to establish 14 eligibility for facility registration and standards. 15 Section 25. Board of Orthotics, Prosthetics, and 16 Pedorthics. 17 (a) There is established a Board of Orthotics, 18 Prosthetics, and Pedorthics, which shall consist of 7 voting 19 members to be appointed by the Governor. Four members shall 20 be practicing licensed orthotists, licensed prosthetists, or 21 licensed pedorthists. These members may be licensed in more 22 than one discipline and their appointments must equally 23 represent all 3 disciplines. One member shall be a member of 24 the public who is a consumer of orthotic, prosthetic, or 25 pedorthic professional services. One member shall be a 26 public member who is not licensed under this Act or a 27 consumer of services licensed under this Act. One member 28 shall be licensed by the State as a doctor of medicine or 29 osteopathy specializing in orthopedic surgery or a doctor of 30 podiatry. 31 (b) Each member of the Board shall serve a term of 3 32 years, except that of the initial appointments to the Board, 33 2 members shall be appointed for one year, 2 members shall be -10- LRB9010628LDdv 1 appointed for 2 years, and 3 members shall be appointed for 3 2 years. Each member shall hold office and execute his or her 3 Board responsibilities until the qualification and 4 appointment of his or her successor. No member of the Board 5 shall serve more than 8 consecutive years or 2 full terms, 6 whichever is greater. 7 (c) Members of the Board shall receive as compensation a 8 reasonable sum as determined by the Director for each day 9 actually engaged in the duties of the office and shall be 10 reimbursed for reasonable expenses incurred in performing the 11 duties of the office. 12 (d) A quorum of the Board shall consist of a majority of 13 Board members currently appointed. 14 (e) The Governor may terminate the appointment of any 15 member for cause which, in the opinion of the Governor 16 reasonably justifies termination, which may include, but is 17 not limited to, a Board member who does not attend 2 18 consecutive meetings. 19 (f) Membership of the Board should reasonably reflect 20 representation from the geographic areas in this State. 21 Section 30. Board; immunity; chairperson. 22 (a) Members of the Board shall be immune from suit in any 23 action based upon any disciplinary proceeding or other 24 activities preformed in good faith as members of the Board. 25 (b) The Board shall annually elect a chairperson and vice 26 chairperson who shall be licensed under this Act. 27 Section 35. Application for original or temporary 28 license. An application for an original or temporary license 29 shall be made to the Department in writing on a form 30 prescribed by the Department and shall be accompanied by the 31 required fee, which shall not be refundable. An application 32 shall require information that in the judgement of the -11- LRB9010628LDdv 1 Department will enable the Department to pass on the 2 qualifications of the applicant for a license. 3 Section 40. Qualifications for licensure as orthotist, 4 prosthetist, or pedorthist. 5 (a) To qualify for a license to practice orthotics or 6 prosthetics, a person shall: 7 (1) possess a baccalaureate degree from a college or 8 university; 9 (2) have completed the amount of formal training, 10 including, but not limited to, any hours of classroom 11 education and clinical practice established by the 12 Commission on Accreditation of Allied Health Education 13 Programs for an Orthotic and Prosthetic Education 14 Program; 15 (3) complete a clinical residency in the 16 professional area for which a license is sought in 17 accordance with standards, guidelines, or procedures for 18 residencies inside or outside this State established by 19 the National Commission on Orthotic Prosthetic Education 20 or by the Board. The majority of training must be devoted 21 to services performed under the supervision of a licensed 22 practitioner of orthotics or prosthetics or a person 23 certified as a Certified Orthotist (CO), Certified 24 Prosthetist (CP), or Certified Prosthetist Orthotist 25 (CPO) whose certification was obtained before the 26 effective date of this Act; 27 (4) pass all written, practical, and oral 28 examinations that are required and approved by the 29 American Board for Certification in Prosthetics and 30 Orthotics, Incorporated, or hold similar certifications 31 from other accrediting bodies with equivalent educational 32 requirements and examination standards in orthotics and 33 prosthetics; or -12- LRB9010628LDdv 1 (5) be qualified to practice in accordance with 2 internationally accepted standards of orthotic and 3 prosthetic care as outlined by the International Society 4 of Prosthetics and Orthotics' professional profile for 5 Category I orthotic and prosthetic personnel. 6 (b) To qualify for a license to practice pedorthics, a 7 person shall: 8 (1) possess a high school diploma or its equivalent; 9 (2) have completed the amount of formal training, 10 including, but not limited to, any hours of classroom 11 education and clinical practice established by the Board 12 for Certification in Pedorthics for a Pedorthic Education 13 Program; 14 (3) complete a qualified work experience program or 15 internship in pedorthics in accordance with any 16 standards, guidelines, or procedures established by the 17 Board for Certification in Pedorthics; 18 (4) pass all examinations that are required and 19 approved by the Board for Certification in Pedorthics, or 20 hold similar certifications from other accrediting bodies 21 with equivalent educational requirements and examination 22 standards in pedorthics; and 23 (5) be qualified to practice in accordance with 24 nationally accepted standards of pedorthic care as 25 outlined by the Board for Certification in Pedorthics. 26 (c) The standards and requirements for licensure 27 established by the Department shall be substantially equal to 28 or in excess of standards commonly accepted in the profession 29 of orthotics, prosthetics, or pedorthics. The Department 30 shall adopt rules as necessary to set the standards and 31 requirements. 32 (d) A person may be licensed in more than one discipline. 33 Section 45. Examination requirement. -13- LRB9010628LDdv 1 (a) The Department may authorize examinations of 2 applicants as orthotists, prosthetists, or pedorthists at 3 times and places as it may determine. The examination of 4 applicants shall be of a character to fairly test the 5 qualifications of the applicant to practice orthotics, 6 prosthetics, or pedorthics. 7 (b) Applicants for examination as orthotists, 8 prosthetists, and pedorthists shall be required to pay, 9 either to the Department or the designated testing service, a 10 fee covering the cost of providing the examination. Failure 11 to appear for the examination on the scheduled date at the 12 time and place specified after the applicant's application 13 for examination has been received and acknowledged by the 14 Department or the designated testing service shall result in 15 the forfeiture of the examination fee. 16 (c) If an applicant neglects, fails, or refuses to take 17 an examination or fails to pass an examination for a license 18 under this Act within 3 years after filing his or her 19 application, the application shall be denied. All fees are 20 nonrefundable. The applicant may make a new application for 21 examination accompanied by the required fee and must furnish 22 proof of meeting qualifications for licensure in effect at 23 the time of new application. 24 (d) The Department shall set by rule the maximum number 25 of attempts that an applicant may make to pass the 26 examination within a specified period of time. The 27 Department shall also determine any further training required 28 before a reexamination. 29 (e) The Department may employ consultants for the purpose 30 of preparing and conducting examinations. An applicant for 31 an examination as an orthotist, a prosthetist, or pedorthist 32 shall be required to pay, either to the Department or to the 33 designated testing service, a fee covering the cost of 34 providing the examination. -14- LRB9010628LDdv 1 Section 50. Qualifications for registration as an 2 assistant or technician. The Department shall adopt rules as 3 necessary to set standards and requirements for registration 4 to practice orthotics and prosthetics as an assistant or 5 orthotics, prosthetics, and pedorthics as a technician. The 6 Department may authorize examinations of applicants as an 7 orthotic or prosthetic assistant or an orthotic, prosthetic, 8 or pedorthic technician at times and places as it may 9 determine. The examination of applicants shall be of a 10 character to fairly test the qualifications of the applicant 11 to practice orthotics, prosthetics or pedorthics. 12 Section 55. Implementation of Act. 13 (a) Within 6 months after the effective date of this Act, 14 a person practicing orthotics, prosthetics, or pedorthics or 15 representing himself or herself as a practitioner of 16 orthotics, prosthetics, or pedorthics shall register with the 17 Department on forms provided by the Department and shall pay 18 the appropriate registration fee. 19 (b) From one year after the effective date of this Act 20 until January 1, 2001, no person shall engage in the practice 21 of orthotics, prosthetics, or pedorthics without a license or 22 certificate of registration. 23 (c) Until January 1, 2000, a person certified as a 24 Certified Orthotist (CO), Certified Prosthetist (CP), or 25 Certified Prosthetist Orthotist (CPO) by the American Board 26 for Certification in Prosthetics and Orthotics, Incorporated, 27 or holding similar certifications from other accrediting 28 bodies with equivalent educational requirements and 29 examination standards may apply for and shall be granted 30 orthotic or prosthetic licensure under this Act upon payment 31 of the required fee. After that date, any applicant for 32 licensure as an orthotist or a prosthetist shall meet the 33 requirements of subsection (a) of Section 40 of this Act. -15- LRB9010628LDdv 1 (d) Until January 1, 2000, a person certified as a 2 Certified Pedorthist (CPed) by the Board for Certification in 3 Pedorthics, Incorporated or a person certified as a Certified 4 Orthotist (CO) or Certified Prosthetist Orthotist (CPO) by 5 the American Board for Certification in Prosthetics and 6 Orthotics, Incorporated, or holding similar certifications 7 from other accrediting bodies with equivalent educational 8 requirements and examination standards may apply for and 9 shall be granted pedorthic licensure under this Act upon 10 payment of the required fee. After that date, any applicant 11 for licensure as a pedorthist shall meet the requirements of 12 subsection (b) of Section 40 of this Act. 13 (e) A person who does not qualify for licensure under 14 Section 40 or subsection (c) or (d) of this Section shall not 15 practice orthotics, prosthetics, or pedorthics without a 16 certificate of registration. Until June 30, 1999, the 17 Department shall issue a nonrenewable certificate of 18 registration to an applicant upon payment of a $500 fee. The 19 certificate of registration shall automatically expire on 20 December 31, 2000. A registrant issued a certificate under 21 this subsection (e) shall be subject to the disciplinary 22 provisions of this Act in the same manner as a licensee. 23 (f) On and after December 31, 2000, no person shall 24 practice orthotics, prosthetics, or pedorthics in this State 25 or hold himself or herself out as being able to practice 26 either profession, unless he or she is licensed in accordance 27 with Section 40 of this Act. 28 (g) Notwithstanding any other provision of this Section, 29 a person who has practiced full time for the past 7 years in 30 a prosthetic/orthotic facility as an orthotist, prosthetist, 31 prosthetist/orthotist, assistant, or technician or in a 32 pedorthic facility as a pedorthist or pedorthic technician on 33 the effective date of this Act may file an application with 34 the Board within 60 days after the effective date of this Act -16- LRB9010628LDdv 1 in order to continue to practice orthotics, prosthetics, or 2 pedorthics at his or her identified level of practice. The 3 applicant shall be issued a license or certificate of 4 registration to practice orthotics, prosthetics, or 5 pedorthics under the provisions of this Act without 6 examination upon receipt by the Department of payment of the 7 licensing or registration fee required under Section 70 of 8 this Act and after the Board has completed an investigation 9 of the applicant's work history. The Board shall complete 10 its investigation for the purposes of this Section within 6 11 months of the date of the application. The investigation may 12 include, but is not limited to, completion by the applicant 13 of a questionnaire regarding the applicant's work history and 14 scope of practice. 15 Section 60. Renewal; restoration; military service. 16 (a) The expiration date and renewal period for each 17 license issued under this Act shall be set by rule of the 18 Department. The Board shall establish continuing education 19 requirements for the renewal of a license. These 20 requirements shall be based on established standards of 21 competence. 22 (b) A person who has permitted his or her license to 23 expire or who has had his or her license on inactive status 24 may have his or her license restored by (i) making 25 application to the Department, (ii) filing proof acceptable 26 to the Department of his or her fitness to have his or her 27 license restored including, but not limited to, sworn 28 evidence certifying to active practice in another 29 jurisdiction satisfactory to the Department, and (iii) paying 30 the required restoration fee. If the person has not 31 maintained an active practice in another jurisdiction 32 satisfactory to the Department, the Board shall determine, by 33 an evaluation program established by rule, his or her fitness -17- LRB9010628LDdv 1 to resume active status and may require the person to 2 complete a period of evaluated clinical experience and may 3 require successful completion of an examination. 4 (c) A person whose license expired while he or she was 5 (i) in federal service on active duty within the armed forces 6 of the United States or with the State militia called into 7 service or training or (ii) in training or education under 8 the supervision of the United States preliminary to induction 9 into military service may have his or her license renewed or 10 restored without paying a lapsed renewal fee if, within 2 11 years after termination from the service, training, or 12 education except under conditions other than honorable, he or 13 she furnished the Department with satisfactory evidence that 14 he or she has been so engaged and that his or her service, 15 training, or education has been terminated. 16 Section 65. Elective inactive status. A person who 17 notifies the Department in writing on forms prescribed by the 18 Department may elect to place his or her license on an 19 inactive status and shall, subject to rules of the 20 Department, be excused from payment of renewal fees until he 21 or she notifies the Department in writing of his or her 22 desire to resume active status. 23 A person requesting restoration from inactive status 24 shall be required to pay the current renewal fee and shall be 25 required to restore his or her license as provided in Section 26 60 of this Act. 27 An orthotist, prosthetist, or pedorthist whose license is 28 on inactive status shall not practice orthotics, prosthetics, 29 or pedorthics in this State. 30 Section 70. Endorsement; temporary license. 31 (a) The Department may, at its discretion, license as 32 either an orthotist, prosthetist, or pedorthist, without -18- LRB9010628LDdv 1 examination and on payment of the required fee, an applicant 2 who is an orthotist, prosthetist, or pedorthist who is (i) 3 licensed under the laws of another state, territory, or 4 country, if the requirements for licensure in that state, 5 territory, or country in which the applicant was licensed 6 were, at the date of his or her licensure, substantially 7 equal to the requirements in force in this State on that date 8 or (ii) certified by a national certification organization 9 with educational and testing standards equal to or more 10 stringent than the licensing requirements of this State. 11 (b) The Board may issue a temporary license to a person 12 who: 13 (1) has become a resident of this State within the 14 last 6 months or who has moved to this State with the 15 intent to fulfill residency requirements; 16 (2) has applied for a license as an orthotist, 17 prosthetist, or pedorthist; and 18 (3) has been licensed by a state of former residence 19 that has licensing requirements equal to or more 20 stringent than the requirements of this Act. 21 A temporary license shall be valid for one year from the 22 date of issuance and may be renewed upon presentation of 23 good cause to the Board for up to one additional year. 24 Section 75. Fees. 25 (a) The Department shall provide by rule for a schedule 26 of fees to be paid for licenses by all applicants. All fees 27 are not refundable. 28 (b) The fees for the administration and enforcement of 29 this Act including, but not limited to, original licensure, 30 renewal, and restoration shall be set by rule by the 31 Department. 32 (c) All fees and fines collected under this Act shall be 33 deposited into the General Professions Dedicated Fund. -19- LRB9010628LDdv 1 Section 80. Roster of licensees and registrants. The 2 Department shall maintain a current roster of the names and 3 addresses of all licensees, registrants, and all persons 4 whose licenses have been suspended or revoked within the 5 previous year. This roster shall be available upon written 6 request and payment of the required fee. 7 Section 85. Practice by corporations. Nothing in this 8 Act shall restrict licensees from forming professional 9 service corporations under the provisions of the Professional 10 Service Corporation Act. 11 Section 90. Grounds for discipline. 12 (a) The Department may refuse to issue or renew a 13 license, may revoke or suspend a license, or may suspend, 14 place on probation, censure, or reprimand a licensee for one 15 or any combination of the following: 16 (1) Making a material misstatement in furnishing 17 information to the Department or the Board. 18 (2) Violations of or negligent or intentional 19 disregard of this Act or its rules. 20 (3) Conviction of any crime that under the laws of 21 the United States or of a state or territory of the 22 United States is a felony or a misdemeanor, an essential 23 element of which is dishonesty, or of a crime that is 24 directly related to the practice of the profession. 25 (4) Making a misrepresentation for the purpose of 26 obtaining a license. 27 (5) Professional incompetence. 28 (6) Malpractice. 29 (7) Aiding or assisting another person in violating 30 a provision of this Act or its rules. 31 (8) Failing to provide information within 60 days in 32 response to a written request made by the Department. -20- LRB9010628LDdv 1 (9) Engaging in dishonorable, unethical, or 2 unprofessional conduct or conduct of a character likely 3 to deceive, defraud, or harm the public. 4 (10) Habitual intoxication or addiction to the use 5 of drugs. 6 (11) Discipline by another state or territory of the 7 United States, the federal government, or foreign nation, 8 if at least one of the grounds for the discipline is the 9 same or substantially equivalent to one set forth in this 10 Section. 11 (12) Directly or indirectly giving to or receiving 12 from a person, firm, corporation, partnership, or 13 association a fee, commission, rebate, or other form of 14 compensation for professional services not actually or 15 personally rendered. 16 (13) A finding by the Board that the licensee or 17 registrant, after having his or her license placed on 18 probationary status, has violated the terms of probation. 19 (14) Abandonment of a patient or client. 20 (15) Wilfully making or filing false records or 21 reports in his or her practice including, but not limited 22 to, false records filed with State agencies or 23 departments. 24 (16) Wilfully failing to report an instance of 25 suspected child abuse or neglect as required by the 26 Abused and Neglected Child Reporting Act. 27 (17) Physical illness including, but not limited to, 28 deterioration through the aging process or loss of motor 29 skill that results in the inability to practice the 30 profession with reasonable judgement, skill, or safety. 31 (18) Solicitation of professional services using 32 false or misleading advertising. 33 (b) The determination by a circuit court that a licensee 34 or registrant is subject to involuntary admission or judicial -21- LRB9010628LDdv 1 admission, as provided in the Mental Health and Developmental 2 Disabilities Code, operates as an automatic suspension. The 3 suspension will end only upon (i) a finding by a court that 4 the patient is no longer subject to involuntary admission or 5 judicial admission and the issuance of a court order so 6 finding and discharging the patient and (ii) the 7 recommendation of the Board to the Director that the licensee 8 or registrant be allowed to resume his or her practice. 9 Section 95. Injunction; cease and desist order. 10 (a) If any person violates a provision of this Act, the 11 Director may, in the name of the People of the State of 12 Illinois and through the Attorney General of the State of 13 Illinois, petition for an order enjoining the violation or 14 for an order enforcing compliance with this Act. Upon the 15 filing of a verified petition in court, the court may issue a 16 temporary restraining order, without notice or bond, and may 17 preliminarily and permanently enjoin the violation. If it is 18 established that the person has violated or is violating the 19 injunction, the court may punish the offender for contempt of 20 court. Proceedings under this Section shall be in addition 21 to, and not in lieu of, all other remedies and penalties 22 provided by this Act. 23 (b) If a person practices as an orthotist, prosthetist, 24 or pedorthist or holds himself or herself out as an 25 orthotist, prosthetist, or pedorthist without being licensed 26 or registered under the provisions of this Act, then any 27 other licensed or registered orthotist, prosthetist, or 28 pedorthist, any interested party, or any person injured by 29 the person may, in addition to the Director, petition for 30 relief as provided in subsection (a) of this Section. 31 (c) Whenever in the opinion of the Department a person 32 violates a provision of this Act, the Department may issue a 33 rule to show cause why an order to cease and desist should -22- LRB9010628LDdv 1 not be entered against him or her. The rule shall clearly 2 set forth the grounds relied upon by the Department and shall 3 provide a period of 7 days from the date of the rule to file 4 an answer to the satisfaction of the Department. Failure to 5 answer to the satisfaction of the Department shall cause an 6 order to cease and desist to be issued immediately. 7 Section 100. Investigations; notice and hearing. The 8 Department may investigate the actions of an applicant or of 9 a person or persons holding or claiming to hold a license. 10 Before refusing to issue or renew a license, the Department 11 shall, at least 10 days prior to the date set for the 12 hearing, notify in writing the applicant for or holder of a 13 license of the nature of the charges and that a hearing will 14 be held on the date designated. The written notice may be 15 served by personal delivery or by certified or registered 16 mail to the respondent at the address disclosed on his or her 17 last notification to the Department. At the time and place 18 fixed in the notice, the Board shall proceed to hear the 19 charges. The parties or their counsel shall be afforded 20 ample opportunity to present statements, testimony, evidence, 21 and argument that may be pertinent to the charges or to the 22 defense to the charges. The Board may continue the hearing 23 from time to time. 24 Section 105. Transcript. The Department, at its own 25 expense, shall preserve a record of all proceedings at the 26 formal hearing of a case involving the refusal to issue or 27 renew a license. The notice of hearing, complaint, and all 28 other documents in the nature of pleadings and written 29 motions filed in the proceedings, the transcript of 30 testimony, the report of the Board, and orders of the 31 Department shall be in the record of the proceeding. -23- LRB9010628LDdv 1 Section 110. Compelling testimony. A circuit court may, 2 upon application of the Director or his or her designee or 3 the applicant or licensee against whom proceedings under 4 Section 100 of this Act are pending, enter an order requiring 5 the attendance of witnesses and their testimony and requiring 6 the production of documents, papers, files, books, and 7 records in connection with a hearing or investigation. The 8 court may compel obedience to its order through contempt 9 proceedings. 10 Section 115. Board findings and recommendations. At the 11 conclusion of a hearing, the Board shall present to the 12 Director a written report of its findings and 13 recommendations. The report shall contain a finding of 14 whether or not the accused person violated this Act or failed 15 to comply with the conditions required in this Act. The 16 Board shall specify the nature of the violation or failure to 17 comply and shall make its recommendations to the Director. 18 The report of findings and recommendations of the Board shall 19 be the basis for the Department's order for the refusal or 20 for the granting of a license, unless the Director determines 21 that the Board report is contrary to the manifest weight of 22 the evidence, in which case the Director may issue an order 23 in contravention to the Board report. A Board finding is not 24 admissible in evidence against the person in a criminal 25 prosecution brought for a violation of this Act, but the 26 hearing and finding are not a bar to a criminal prosecution 27 brought for a violation of this Act. 28 Section 120. Motion for rehearing. In any case 29 involving the refusal to issue or renew a license or the 30 discipline of a licensee, a copy of the Board's report shall 31 be served upon the respondent by the Department, either 32 personally or as provided in this Act for the service of the -24- LRB9010628LDdv 1 notice of hearing. Within 20 days after service, the 2 respondent may present to the Department a motion in writing 3 for a rehearing, which shall specify the particular grounds 4 for rehearing. If no motion for rehearing is filed, then 5 upon the expiration of the time specified for filing the 6 motion, or if a motion for rehearing is denied, upon the 7 denial, the Director may enter an order in accordance with 8 recommendations of the Board, except as provided in Section 9 115 of this Act. If the respondent orders from the reporting 10 service and pays for a transcript of the record within the 11 time for filing a motion for rehearing, the 20-day period 12 within which the motion may be filed shall commence upon the 13 delivery of the transcript to the respondent. 14 Section 125. Rehearing on order of Director. Whenever 15 the Director is not satisfied that substantial justice has 16 been done in the revocation, suspension, or refusal to issue 17 or renew a license the Director may order a rehearing by the 18 same or other examiners. 19 Section 130. Appointment of hearing officer. The 20 Director shall have the authority to appoint an attorney 21 licensed to practice law in the State of Illinois to serve as 22 a hearing officer in an action for refusal to issue or renew 23 a license or to discipline a licensee. The hearing officer 24 shall have full authority to conduct the hearing. The 25 hearing officer shall report his or her findings and 26 recommendations to the Board and the Director. The Board 27 shall have 60 days from receipt of the report to review the 28 report of the hearing officer and present its findings of 29 fact, conclusions of law, and recommendations to the 30 Director. If the Board fails to present its report within 31 the 60-day period, the Director shall issue an order based on 32 the report of the hearing officer. If the Director -25- LRB9010628LDdv 1 determines that the Board's report is contrary to the 2 manifest weight of the evidence, he or she may issue an order 3 in contravention of the Board's report. 4 Section 135. Order or certified copy. An order or a 5 certified copy of an order, over the seal of the Department 6 and purporting to be signed by the Director, shall be prima 7 facie proof: 8 (1) that the signature is the genuine signature of the 9 Director; 10 (2) that the Director is duly appointed and qualified; 11 and 12 (3) that the Board and its members are qualified to act. 13 Section 140. Restoration of suspended or revoked 14 license. At any time after the suspension or revocation of 15 any license, the Department may restore the license to the 16 accused person upon the written recommendation of the Board 17 unless, after an investigation and a hearing, the Board 18 determines that restoration is not in the public interest. 19 Section 145. Surrender of license. Upon the revocation 20 or suspension of a license, the licensee shall immediately 21 surrender the license to the Department, and if the licensee 22 fails to do so, the Department shall have the right to seize 23 the license. 24 Section 150. Temporary suspension of a license. The 25 Director may temporarily suspend the license of an orthotist, 26 prosthetist, or pedorthist without a hearing simultaneously 27 with the institution of proceedings for a hearing provided 28 for in Section 95 of this Act if the Director finds that 29 evidence in his or her possession indicates that a licensee's 30 continuation in practice would constitute an imminent danger -26- LRB9010628LDdv 1 to the public. If the Director temporarily suspends a 2 license without a hearing, a hearing by the Board must be 3 held within 30 days after the suspension. 4 Section 155. Administrative Review Law; venue. All 5 final administrative decisions of the Department are subject 6 to judicial review pursuant to the provisions of the 7 Administrative Review Law and its rules. The term 8 "administrative decision" has the same meaning as in Section 9 3-101 of the Administrative Review Law. Proceedings for 10 judicial review shall be commenced in the circuit court of 11 the county in which the party applying for review resides, 12 but if the party is not a resident of this State, the venue 13 shall be in Sangamon County. 14 Section 160. Certifications of record; costs. The 15 Department shall not be required to certify any record to the 16 Court or file any answer in court or otherwise appear in any 17 court in a judicial review proceeding unless there is filed 18 in the court with the complaint a receipt from the Department 19 acknowledging payment of the costs of furnishing and 20 certifying the record, which shall be computed at the rate of 21 20 cents per page of the record. Failure on the part of a 22 plaintiff to file a receipt in court shall be grounds for 23 dismissal of the action. 24 Section 165. Penalties. A person who is found to have 25 violated a provision of this Act is guilty of a Class A 26 misdemeanor for a first offense and is guilty of a Class 4 27 felony for a second or subsequent offense. 28 Section 170. Illinois Administrative Procedure Act. The 29 Illinois Administrative Procedure Act is hereby expressly 30 adopted and incorporated in this Act as if all of the -27- LRB9010628LDdv 1 provisions of that Act were included in this Act, except that 2 the provision of subsection (d) of Section 10-65 of the 3 Illinois Administrative Procedure Act, which provides that at 4 hearings the licensee has the right to show compliance with 5 all lawful requirements for retention, continuation, or 6 renewal of the license, is specifically excluded and for 7 purposes of this Act. The notice required under Section 8 10-25 of the Illinois Administrative Procedure Act is deemed 9 sufficient when mailed to the last known address of a party. 10 Section 175. Home rule preemption. It is declared to be 11 the public policy of this State, pursuant to paragraph (h) of 12 Section 6 of Article VII of the Illinois Constitution of 1970 13 that a power or function set forth in this Act to be 14 exercised by the State is an exclusive State power or 15 function. No power or function granted under this Act shall 16 be exercised concurrently, either directly or indirectly, by 17 a unit of local government, including home rule units, except 18 as otherwise provided in this Act. 19 Section 250. The Regulatory Agency Sunset Act is amended 20 by adding Section 4.19 as follows: 21 (5 ILCS 80/4.19 new) 22 Sec. 4.19. Act repealed on January 1, 2009. The following 23 Act is repealed on January 1, 2009: 24 The Illinois Orthotics, Prosthetics, and Pedorthics 25 Practice Act. 26 Section 999. Effective date. This Act takes effect on 27 January 1, 1999.