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90_SB0857eng SEE INDEX Amends the Regulatory Agency Sunset Act to extend the sunset date of the Marriage and Family Therapy Licensing Act, the Illinois Nursing Act of 1987, the Nursing Home Administrators Licensing and Disciplinary Act, the Physician Assistant Practice Act of 1987, and the Illinois Speech-Language Pathology and Audiology Practice Act to January 1, 2008. Amends the Acupuncture Practice Act. Grants additional rulemaking authority to the Department of Professional Regulation. Changes the registration requirements to licensing requirements. Establishes the Board of Acupuncture and sets forth its powers and duties. Requires an applicant for licensure to provide proof to the Department that he or she has passed the National Commission for the Certification of Acupuncturists examination or a substantially equivalent examination approved by the Department. Provides that an applicant has 3 years from the date of application to complete the application process. Sets forth the procedures for restoring an expired license and placing a license on inactive status. Amends the Marriage and Family Therapy Licensing Act, the Illinois Nursing Act of 1987, the Nursing Home Administrators Licensing and Disciplinary Act, the Physician Assistant Practice Act of 1987, and the Illinois Speech-Language Pathology and Audiology Practice Act. Allows the Department or the Board or Committee to compel a licensee or applicant for licensure to submit to a mental or physical examination upon a showing of a possible violation of the Acts. Amends the licensing Acts to delete specified fee requirements and to provide that the Department of Professional Regulation shall set by rule fees for the administration of each licensing Act. In each licensing Act amended, makes technical and additional substantive changes. Reorganizes certain provisions within the Act. Deletes obsolete language in each licensing Act. Effective December 30, 1997, except that changes to the Acupuncture Practice Act take effect immediately. LRB9003267DPcc SB857 Engrossed LRB9003267DPcc 1 AN ACT to extend the boards of the Marriage and Family 2 Therapy Licensing Act and the Nursing Home Administrators 3 Licensing and Disciplinary Act and the committees of the 4 Illinois Nursing Act of 1987 and the Physician Assistant 5 Practice Act of 1987, concerning regulated professions, and 6 amending named Acts. 7 Be it enacted by the People of the State of Illinois, 8 represented in the General Assembly: 9 Section 5. The Regulatory Agency Sunset Act is amended 10 by changing Section 4.9 and adding Section 4.18 as follows: 11 (5 ILCS 80/4.9) (from Ch. 127, par. 1904.9) 12 (Text of Section before amendment by P.A. 89-702) 13 Sec. 4.9. The following Acts are repealed December 31, 14 1997: 15 The Medical Practice Act of 1987. 16 The Illinois Optometric Practice Act of 1987. 17 The Podiatric Medical Practice Act of 1987. 18The Nursing Home Administrators Licensing and19Disciplinary Act.20The Physician Assistant Practice Act of 1987.21The Illinois Nursing Act of 1987.22 The Clinical Social Work and Social Work Practice Act. 23 The Clinical Psychologist Licensing Act. 24 The Illinois Speech-Language Pathology and Audiology 25 Practice Act. 26The Marriage and Family Therapy Licensing Act.27 (Source: P.A. 89-706, eff. 1-31-97.) 28 (Text of Section after amendment by P.A. 89-702) 29 Sec. 4.9. The following Acts are repealed December 31, 30 1997: 31 The Podiatric Medical Practice Act of 1987. SB857 Engrossed -2- LRB9003267DPcc 1The Nursing Home Administrators Licensing and2Disciplinary Act.3The Physician Assistant Practice Act of 1987.4The Illinois Nursing Act of 1987.5 The Clinical Social Work and Social Work Practice Act. 6 The Illinois Speech-Language Pathology and Audiology 7 Practice Act. 8The Marriage and Family Therapy Licensing Act.9 (Source: P.A. 89-702, eff. 7-1-97; 89-706, eff. 1-31-97; 10 revised 2-7-97.) 11 (5 ILCS 80/4.18 new) 12 Sec. 4.18. Act repealed on January 1, 2008. The following 13 Act is repealed on January 1, 2008: 14 The Nursing Home Administrators Licensing and 15 Disciplinary Act. 16 The Physician Assistant Practice Act of 1987. 17 The Illinois Nursing Act of 1987. 18 The Marriage and Family Therapy Licensing Act. 19 Section 10. The Acupuncture Practice Act is amended by 20 changing Sections 10, 15, 20, 25, 35, 40, 50, 60, 70, 80, 90, 21 100, 110, 130, 140, 145, 150, 155, 160, 165, 170, 175, 180, 22 185, and 195 and by adding Sections 55, 75, 105, 135, 152, 23 and 154 as follows: 24 (225 ILCS 2/10) 25 Sec. 10. Definitions. As used in this Act: 26 "Acupuncture" means the evaluation or treatment of 27 persons affected through a method of stimulation of a certain 28 point or points on or immediately below the surface of the 29 body by the insertion of pre-sterilized, single-use, 30 disposable needles, unless medically contraindicated, with or 31 without the application of heat, electronic stimulation, or SB857 Engrossed -3- LRB9003267DPcc 1 manual pressure to prevent or modify the perception of pain, 2 to normalize physiological functions, or for the treatment of 3 certain diseases or dysfunctions of the body. Acupuncture 4 does not include radiology, electrosurgery, chiropractic 5 technique, physical therapy, naprapathic technique, use or 6 prescribing of any drugs, medications, herbal preparations, 7 nutritional supplements, serums, or vaccines, or 8 determination of a differential diagnosis. An acupuncturist 9 registered under this Act who is not also licensed as a 10 physical therapist under the Illinois Physical Therapy Act 11 shall not hold himself or herself out as being qualified to 12 provide physical therapy or physiotherapy services. An 13 acupuncturist shall refer to a licensed physician or dentist, 14 any patient whose condition should, at the time of evaluation 15 or treatment, be determined to be beyond the scope of 16 practice of the acupuncturist. 17 "Acupuncturist" means a person who practices acupuncture 18 and who is licensed by the Departmenthas met all19requirements as provided in this Act. 20 "Board" means the Board of Acupuncture. 21 "Dentist" means a person licensed under the Illinois 22 Dental Practice Act. 23 "Department" means the Department of Professional 24 Regulation. 25 "Director" means the Director of Professional Regulation. 26 "Physician" means a person licensed under the Medical 27 Practice Act of 1987. 28 "Referral by written order" for purposes of this Act 29 means a diagnosis, substantiated by signature of a physician 30 or dentist, that a patient's condition is such that it may be 31 treated by acupuncture as defined in this Act. The diagnosis 32 shall remain in effect until changed by the physician or 33 dentist who shall maintain management of the patient. 34 "State" includes: SB857 Engrossed -4- LRB9003267DPcc 1 (1) the states of the United States of America; 2 (2) the District of Columbia; and 3 (3) the Commonwealth of Puerto Rico. 4 (Source: P.A. 89-706, eff. 1-31-97.) 5 (225 ILCS 2/15) 6 Sec. 15. Who may practice acupuncture. No person 7 licensedregisteredunder this Act may treat human ailments 8 otherwise than by the practice of acupuncture as defined in 9 this Act; and no person licensedregisteredunder this Act 10 may practice acupuncture on another person without having on 11 file a written referral order from a physician or dentist 12 licensed in Illinois. A physician or dentist licensed in 13 Illinois may practice acupuncture. 14 (Source: P.A. 89-706, eff. 1-31-97.) 15 (225 ILCS 2/20) 16 Sec. 20.Registration;Exempt activities. This Act does 17 not prohibit any person licensed in this State as a dentist 18 or physician from engaging in the practice for which he or 19 she is licensed. 20 (Source: P.A. 89-706, eff. 1-31-97.) 21 (225 ILCS 2/25) 22 Sec. 25. Powers and duties of Department.Subject to23the provisions of this Act,The Department shall exercise 24 powers and duties under this Act as follows: 25 (1) Review applications to ascertain the 26 qualifications of applicants for licensureregistration. 27 (2) Adopt rules consistent with the provisions of 28 this Act for its administration and enforcement and may 29 prescribe forms that shall be used in connection with 30 this Act. The rules may define standards and criteria 31 for professional conduct and discipline. The Department SB857 Engrossed -5- LRB9003267DPcc 1 shall consult with the Board in adopting rules. Notice 2 of proposed rulemaking shall be transmitted to the Board, 3 and the Department shall review the Board's response and 4 any recommendations made in the response. 5 (3) The Department may at any time seek the advice 6 and the expert knowledge of the Board on any matter 7 relating to the administration of this Act. 8(3) Submit all registered complaints related to the9profession received by the Department to the Acupuncture10Examining Committee for review. The Department shall11also submit all complaints to the Medical Licensing Board12for review.13(4) Maintain a list of registered acupuncturists14authorized to practice in the State. This list shall15show the name of every registrant, his or her last known16place of residence, and the date and number of his or her17registration. Any interested person in the State may18obtain a copy of that list on application to the Director19and payment of the required fee.20 (Source: P.A. 89-706, eff. 1-31-97.) 21 (225 ILCS 2/35) 22 Sec. 35. Board of Acupuncture. The Director shall 23 appoint a Board of Acupuncture to consist of 7 persons who 24 shall be appointed by and shall serve in an advisory capacity 25 to the Director. Four members must hold an active license to 26 engage in the practice of acupuncture in this State, one 27 member shall be a chiropractic physician licensed under the 28 Medical Practice Act of 1987 who is actively engaged in the 29 practice of acupuncture, one member shall be a physician 30 licensed to practice medicine in all of its branches in 31 Illinois, and one member must be a member of the public who 32 is not licensed under this Act or a similar Act of another 33 jurisdiction and who has no connection with the profession. SB857 Engrossed -6- LRB9003267DPcc 1 The initial appointees who would otherwise be required to be 2 licensed acupuncturists shall instead be individuals who have 3 been practicing acupuncture for at least 5 years and who are 4 eligible under this Act for licensure as acupuncturists. 5 Members shall serve 4-year terms and until their 6 successors are appointed and qualified, except that of the 7 initial appointments, one member shall be appointed to serve 8 for 1 year, 2 members shall be appointed to serve for 2 9 years, 2 members shall be appointed to serve for 3 years, and 10 2 members shall be appointed to serve for 4 years and until 11 their successors are appointed and qualified. No member 12 shall be reappointed to the Board for a term that would cause 13 his or her continuous service on the Board to be longer than 14 8 consecutive years. Appointments to fill vacancies shall be 15 made in the same manner as original appointments for the 16 unexpired portion of the vacated term. Initial terms shall 17 begin upon the effective date of this amendatory Act of 1997. 18 The Board shall annually elect a chairperson and a 19 vice-chairperson who shall preside in the absence of the 20 chairperson. The membership of the Board should reasonably 21 reflect representation from the geographic areas in this 22 State. The Director may terminate the appointment of any 23 member for cause. The Director may give due consideration to 24 all recommendations of the Board. A majority of the Board 25 members currently appointed shall constitute a quorum. A 26 vacancy in the membership of the Board shall not impair the 27 right of a quorum to exercise the right and perform all the 28 duties of the Board. Members of the Board shall have no 29 liability in any action based upon any disciplinary 30 proceeding or other activity performed in good faith as a 31 member of the Board.Requirements for registration. No32person shall be registered to practice acupuncture unless he33or she has paid the required registration fee and34demonstrated competence in performing acupuncture bySB857 Engrossed -7- LRB9003267DPcc 1submitting proof of passing the National Commission for the2Certification of Acupuncturists examination.3 (Source: P.A. 89-706, eff. 1-31-97.) 4 (225 ILCS 2/40) 5 Sec. 40. Application for licensureregistration. 6 Applications for original licensureregistrationas an 7 acupuncturist shall be made to the Department in writing on 8 forms prescribed by the Department and shall be accompanied 9 by the required fee, which shall not be refundable. 10 Applicants shall submit with the application proof of 11 passing the National Commission for the Certification of 12 Acupuncturists examination or a substantially equivalent 13 examination approved by the Department or meeting any other 14 qualifications established by the Department. 15 An applicant has 3 years from the date of his or her 16 application to complete the application process. If the 17 process has not been completed in 3 years, the application 18 shall be denied, the fee shall be forfeited, and the 19 applicant must reapply and meet the requirements in effect at 20 the time of reapplication.Each application shall contain21proof of the particular qualifications required of the22applicant and shall be verified by the applicant under oath23or affirmation.24 (Source: P.A. 89-706, eff. 1-31-97.) 25 (225 ILCS 2/50) 26 Sec. 50. Practice prohibitedTitle and designation of27registered acupuncturists. Unless he or she has been issued, 28 by the Department, a valid, existing licenseregistrationas 29 an acupuncturist under this Act, no person may use the title 30 and designation of "Acupuncturist", "LicensedRegistered31 Acupuncturist", "Certified Acupuncturist", "C.A.", "Act.", 32 "Lic.Reg.Act.", or "Lic.Reg.Ac." either directly or SB857 Engrossed -8- LRB9003267DPcc 1 indirectly, in connection with his or her profession or 2 business. No person licensedregisteredunder this Act may 3 use the designation "medical", directly or indirectly, in 4 connection with his or her profession or business. Nothing 5 shall prevent a physician from using the designation 6 "Acupuncturist". 7 No person may practice, offer to practice, attempt to 8 practice, or hold himself or herself out to practice as a 9 licensed acupuncturist without being licensed under this Act. 10 (Source: P.A. 89-706, eff. 1-31-97.) 11 (225 ILCS 2/55 new) 12 Sec. 55. Endorsement. The Department may, at its 13 discretion, license as an acupuncturist without examination, 14 on payment of the fee, an applicant for licensure who is an 15 acupuncturist under the laws of another state if the 16 requirements pertaining to acupuncture in that state were at 17 the date of his or her licensure substantially equal to the 18 requirements in force in Illinois on that date or if an 19 applicant possesses individual qualifications that are 20 substantially equal to the requirements under this Act. 21 An applicant has 3 years from the date of his or her 22 application to complete the application process. If the 23 process has not been completed in 3 years, the application 24 shall be denied, the fee shall be forfeited, and the 25 applicant must reapply and meet the requirements in effect at 26 the time of reapplication. 27 (225 ILCS 2/60) 28 Sec. 60. Display of licenseregistration certificate; 29 change of address. A holder of a licenseregistration30certificateunder this Act shall display the license 31certificatein a conspicuous place in the office or offices 32 where the holder practices acupuncture. A licensee SB857 Engrossed -9- LRB9003267DPcc 1registrantshall, whenever requested, exhibit his or her 2 licensecertificate of registrationto any representative of 3 the Department and shall notify the Department of the address 4 or addresses, and of every change of address, where the 5 licenseeregistrantpractices acupuncture. 6 (Source: P.A. 89-706, eff. 1-31-97.) 7 (225 ILCS 2/70) 8 Sec. 70. Renewal, reinstatement, or restoration of 9 licenseregistration; continuing education; military service. 10 The expiration date and renewal period for each license 11registrationissued under this Act shall be set by rule. The 12 holder of a licenseregistration certificatemay renew that 13 licenseregistrationduring the month preceding its 14 expiration date by paying the required fee. 15 In order to renew or restore a license,All renewal16 applicants shall provide proof of having met the requirements 17 of continuing educationregistrationset forth in the rules 18 of the Department. 19 A person who has permitted his or her license to expire 20 or who has had his or her license on inactive status may have 21 the license restored by submitting an application to the 22 Department, by meeting continuing education requirements, and 23 by filing proof acceptable to the Department of fitness to 24 have the license restored, which may include sworn evidence 25 certifying to active practice in another jurisdiction 26 satisfactory to the Department and by paying the required 27 restoration fee. If the person has not maintained an active 28 practice in another jurisdiction satisfactory to the 29 Department, the Department shall determine, by an evaluation 30 program established by rule, his or her fitness to resume 31 active status and may require the person to complete a period 32 of evaluated clinical experience and may require successful 33 completion of a practical examination. SB857 Engrossed -10- LRB9003267DPcc 1 Any acupuncturist whose licenseregistrationexpired 2 while he or she was (1) in federal service on active duty 3 with the Armed Forces of the United States or the State 4 Militia called into service or training or (2) in training or 5 education under the supervision of the United States 6 preliminary to induction into the military service, however, 7 may have his or her registration restored without paying any 8 lapsed renewal fees if within 2 years after honorable 9 termination of service, training, or education, he or she 10 furnishes the Department with satisfactory evidence that he 11 or she has been so engaged and that his or her service, 12 training, or education has been terminated. 13 (Source: P.A. 89-706, eff. 1-31-97.) 14 (225 ILCS 2/75 new) 15 Sec. 75. Inactive licenses. A licensee who notifies the 16 Department in writing on forms prescribed by the Department 17 may elect to place his or her license on inactive status and 18 shall, subject to rules of the Department, be excused from 19 payment of renewal fees until he or she notifies the 20 Department in writing of his or her desire to resume active 21 status. A licensee requesting restoration from inactive 22 status shall be required to pay the current renewal fee, 23 shall meet the continuing education requirements, and shall 24 be required to restore his or her license as provided in 25 Section 70 of this Act. 26 (225 ILCS 2/80) 27 Sec. 80. Fees. The Department shall provide by rule for 28 a schedule of fees for the administration and enforcement of 29 this Act, including but not limited to original licensure, 30 renewal, and restoration. The fees shall be nonrefundable. 31The fees for application for registration, the renewal of a32registration, and all other purposes are not refundable andSB857 Engrossed -11- LRB9003267DPcc 1shall be adopted by rule.2 All fees collected under this Act shall be deposited into 3 the General Professions Dedicated Fund and shall be 4 appropriated to the Department for the ordinary and 5 contingent expenses of the Department in the administration 6 of this Act. 7 (Source: P.A. 89-706, eff. 1-31-97.) 8 (225 ILCS 2/90) 9 Sec. 90. Roster. The Department shall maintain a roster 10 of the names and addresses of all licenseesregistrantsand 11 of all personspersonwhose licensesregistrationshave been 12 disciplined. This roster shall be available upon written 13 request and payment of the required fee. 14 (Source: P.A. 89-706, eff. 1-31-97.) 15 (225 ILCS 2/100) 16 Sec. 100. Advertisement. Any person licensedregistered17 under this Act may advertise the availability of professional 18 services in the public media or on the premises where such 19 professional services are rendered. Such advertising shall 20 be limited to the following information: 21 (1) publication of the person's name, title, office 22 hours, address and telephone number; 23 (2) information pertaining to the person's areas of 24 specialization or limitation of professional practice; 25 (3) information on usual and customary fees for 26 routine professional services offered, which information 27 shall include, notification that fees may be adjusted due 28 to complications or unforeseen circumstances; 29 (4) announcement of the opening of, change of, 30 absence from, or return to business; 31 (5) announcement of additions to or deletions from 32 professional registered staff; and SB857 Engrossed -12- LRB9003267DPcc 1 (6) the issuance of business or appointment cards. 2It is unlawful for any person registered under this Act3to use testimonials or claims of superior quality of care to4entice the public. It shall be unlawful to advertise fee5comparisons of available services with those of other persons6providing acupuncture services.7 This Act does not authorize the advertising of 8 professional services that the offeror of such services is 9 not licensedregisteredto render. Nor shall the advertiser 10 use statements that contain false, fraudulent, deceptive, or 11 misleading material or guarantees of success, statements that 12 play upon the vanity or fears of the public, or statements 13 that promote or produce unfair competition. 14 (Source: P.A. 89-706, eff. 1-31-97.) 15 (225 ILCS 2/105 new) 16 Sec. 105. Unlicensed practice; civil penalty. A person 17 who practices, offers to practice, attempts to practice, or 18 holds himself or herself out to practice as a licensed 19 acupuncturist without being licensed under this Act shall, in 20 addition to any other penalty provided by law, pay a civil 21 penalty to the Department in an amount not to exceed $5,000 22 for each offense as determined by the Department. The civil 23 penalty shall be assessed by the Department after a hearing 24 is held in accordance with the provisions set forth in this 25 Act regarding the provision of a hearing for the discipline 26 of a licensee. 27 (225 ILCS 2/110) 28 Sec. 110. Grounds for disciplinary action. 29 (a) The Department may refuse to issue or to renew, 30 place on probation, suspend, revoke or take other 31 disciplinary action as deemed appropriate including the 32 imposition ofor may revoke a registration or imposefines SB857 Engrossed -13- LRB9003267DPcc 1 not to exceed $5,000 for each violation, as the Department 2 may deem proper, with regard to a licenseregistrationfor 3 any one or combination of the following causes: 4 (1) Violations of the Act or its rules. 5 (2) Conviction of any crime under the laws of any 6 U.S. jurisdiction that is (i) a felony, (ii) a 7 misdemeanor, an essential element of which is dishonesty, 8 or (iii) directly related to the practice of the 9 profession. 10 (3) Making any misrepresentation for the purpose of 11 obtaining a licenseregistration. 12 (4) Aiding or assisting another person in violating 13 any provision of this Act or its rules. 14 (5) Failing to provide information within 60 days 15 in response to a written request made by the Department 16 which has been sent by certified or registered mail to 17 the licensee'sregistrant'slast known address. 18 (6) Discipline by another U.S. jurisdiction or 19 foreign nation, if at least one of the grounds for the 20 discipline is the same or substantially equivalent to one 21 set forth in this Section. 22 (7) Solicitation of professional services by means 23 other than permitted under this Actadvertising. 24 (8) Failure to provide a patient with a copy of his 25 or her record upon the written request of the patient. 26 (9) Gross negligence in the practice of acupuncture 27Conviction by any court of competent jurisdiction, either28within or outside of this State, or any violation of any29law governing the practice of acupuncture; conviction in30this or another state of any crime which is a felony31under the laws of this State or conviction of a felony in32a federal court, if the Department determines after33investigation that the person has not been sufficiently34rehabilitated to warrant the public trust. SB857 Engrossed -14- LRB9003267DPcc 1 (10) Habitual or excessive use or addiction to 2 alcohol, narcotics, stimulants, or any other chemical 3 agent or drug that results in an acupuncturist's 4 inability to practice with reasonable judgment, skill, or 5 safety. 6 (11)(10)A finding that licensureregistrationhas 7 been applied for or obtained by fraudulent means. 8 (12) A pattern of practice or other behavior that 9 demonstrates incapacity or incompetence to practice under 10 this Act. 11 (13)(11)Being named as a perpetrator in an 12 indicated report by the Department of Children and Family 13 Services under the Abused and Neglected Child Reporting 14 Act and upon proof by clear and convincing evidence that 15 the licenseeregistranthas caused a child to be an 16 abused child or a neglected child as defined in the 17 Abused and Neglected Child Reporting Act. 18 (14)(12)Wilfully failing to report an instance of 19 suspected child abuse or neglect as required by the 20 Abused and Neglected Child Reporting Act. 21 (15)(13)The use of any words, abbreviations, 22 figures or letters (such as Acupuncturist, Licensed 23RegisteredAcupuncturist, Certified Acupuncturist, C.A., 24 Act., Lic.Reg.Act., or Lic.Reg.Ac.) with the 25 intention of indicating practice as a licensedregistered26 acupuncturist without a valid licenseregistrationas an 27 acupuncturist issued under this Act. 28 (16) Using testimonials or claims of superior 29 quality of care to entice the public or advertising fee 30 comparisons of available services with those of other 31 persons providing acupuncture services. 32 (17) Advertising of professional services that the 33 offeror of the services is not licensed to render. 34 Advertising of professional services that contains false, SB857 Engrossed -15- LRB9003267DPcc 1 fraudulent, deceptive, or misleading material or 2 guarantees of success, statements that play upon the 3 vanity or fears of the public, or statements that promote 4 or produce unfair competition. 5(14) The performance of acupuncture service in6conjunction with a scheme or plan with another person,7firm, or corporation known by the registrant to be8advertising in a manner contrary to this Act or otherwise9violating the laws of the State of Illinois concerning10the practice of acupuncture.11 (18)(15)Having treated ailments of human beings 12 other than by the practice of acupuncture as defined in 13 this Act, or having treated ailments of human beings as a 14 licensedregisteredacupuncturist independent of a 15 written referral order from a physician or dentist, or 16 having failed to notify the physician or dentist who 17 established the diagnosis that the patient is receiving 18 acupuncture treatment pursuant to that diagnosis. 19 (19) Unethical, unauthorized, or unprofessional 20 conduct as defined by rule. 21 (20) Physical illness including but not limited to 22 deterioration through the aging process, mental illness, 23 or disability that results in the inability to practice 24 the profession with reasonable judgment, skill, and 25 safety. 26 (21) Violation of the Health Care Worker 27 Self-Referral Act. 28 The entry of an order by a circuit court establishing 29 that any person holding a license under this Act is subject 30 to involuntary admission or judicial admission as provided 31 for in the Mental Health and Developmental Disabilities Code 32 operates as an automatic suspension of that license. That 33 person may have his or her license restored only upon the 34 determination by a circuit court that the patient is no SB857 Engrossed -16- LRB9003267DPcc 1 longer subject to involuntary admission or judicial admission 2 and the issuance of an order so finding and discharging the 3 patient and upon the Board's recommendation to the Department 4 that the license be restored. Where the circumstances so 5 indicate, the Board may recommend to the Department that it 6 require an examination prior to restoring a suspended 7 license. 8 The Department may refuse to issue or renew the license 9registrationof any person who fails to (i) file a return or 10 to pay the tax, penalty or interest shown in a filed return 11 or (ii) pay any final assessment of the tax, penalty, or 12 interest as required by any tax Act administered by the 13 Illinois Department of Revenue, until the time that the 14 requirements of that tax Act are satisfied. 15 In enforcing this Section, the Department or Board upon a 16 showing of a possible violation may compel an individual 17 licensed to practice under this Act, or who has applied for 18 licensure under this Act, to submit to a mental or physical 19 examination, or both, as required by and at the expense of 20 the Department. The Department or Board may order the 21 examining physician to present testimony concerning the 22 mental or physical examination of the licensee or applicant. 23 No information shall be excluded by reason of any common law 24 or statutory privilege relating to communications between the 25 licensee or applicant and the examining physician. The 26 examining physicians shall be specifically designated by the 27 Board or Department. The individual to be examined may have, 28 at his or her own expense, another physician of his or her 29 choice present during all aspects of this examination. 30 Failure of an individual to submit to a mental or physical 31 examination, when directed, shall be grounds for suspension 32 of his or her license until the individual submits to the 33 examination if the Department finds, after notice and 34 hearing, that the refusal to submit to the examination was SB857 Engrossed -17- LRB9003267DPcc 1 without reasonable cause. 2 If the Department or Board finds an individual unable to 3 practice because of the reasons set forth in this Section, 4 the Department or Board may require that individual to submit 5 to care, counseling, or treatment by physicians approved or 6 designated by the Department or Board, as a condition, term, 7 or restriction for continued, reinstated, or renewed 8 licensure to practice; or, in lieu of care, counseling, or 9 treatment, the Department may file, or the Board may 10 recommend to the Department to file, a complaint to 11 immediately suspend, revoke, or otherwise discipline the 12 license of the individual. An individual whose license was 13 granted, continued, reinstated, renewed, disciplined or 14 supervised subject to such terms, conditions, or 15 restrictions, and who fails to comply with such terms, 16 conditions, or restrictions, shall be referred to the 17 Director for a determination as to whether the individual 18 shall have his or her license suspended immediately, pending 19 a hearing by the Department. 20 In instances in which the Director immediately suspends a 21 person's license under this Section, a hearing on that 22 person's license must be convened by the Department within 15 23 days after the suspension and completed without appreciable 24 delay. The Department and Board shall have the authority to 25 review the subject individual's record of treatment and 26 counseling regarding the impairment to the extent permitted 27 by applicable federal statutes and regulations safeguarding 28 the confidentiality of medical records. 29 An individual licensed under this Act and affected under 30 this Section shall be afforded an opportunity to demonstrate 31 to the Department or Board that he or she can resume practice 32 in compliance with acceptable and prevailing standards under 33 the provisions of his or her license. 34 (Source: P.A. 89-706, eff. 1-31-97.) SB857 Engrossed -18- LRB9003267DPcc 1 (225 ILCS 2/130) 2 Sec. 130. Injunctions; criminal offenses; cease and 3 desist order. 4 (a) If any person violates the provisions of this Act, 5 the Director may, in the name of the People of the State of 6 Illinois, through the Attorney General of the State of 7 Illinois or the State's Attorney for any county in which the 8 action is brought, petition for an order enjoining the 9 violation or for an order enforcing compliance with this Act. 10 Upon the filing of a verified petition in court, the court 11 may issue a temporary restraining order, without notice or 12 conditionbond, and may preliminarily and permanently enjoin 13 the violation. If it is established that the person has 14 violated or is violating the injunction, the Court may punish 15 the offender for contempt of court. Proceedings under this 16 Section shall be in addition to, and not in lieu of, all 17 other remedies and penalties provided by this Act. 18 (b) Whenever in the opinion of the Department a person 19 violates a provision of this Act, the Department may issue a 20 rule to show cause why an order to cease and desist should 21 not be entered against that person. The rule shall clearly 22 set forth the grounds relied upon by the Department and shall 23 allow at least 7 days from the date of the rule to file an 24 answer to the satisfaction of the Department. Failure to 25 answer to the satisfaction of the Department shall cause an 26 order to cease and desist to be issued immediately. 27 (c)(b)Other than as provided in Section 20 of this 28 Act, if any person practices as an acupuncturist or holds 29 himself or herself out as a licensedregisteredacupuncturist 30 under this Act without being issued a valid existing license 31registrationby the Department, then any licensedregistered32 acupuncturist, any interested party, or any person injured 33 thereby may, in addition to the Director, petition for relief 34 as provided in subsection (a) of this Section. SB857 Engrossed -19- LRB9003267DPcc 1Whoever knowingly practices or offers to practice2acupuncture in this State without being registered for that3purpose shall be guilty of a Class A misdemeanor and for each4subsequent conviction, shall be guilty of a Class 4 felony.5Notwithstanding any other provision of this Act, all criminal6fines, monies, or other property collected or received by the7Department under this Section or any other State or federal8statute, including, but not limited to, property forfeited to9the Department under Section 505 of the Illinois Controlled10Substances Act, shall be deposited into the Professional11Regulation Evidence Fund.12(c) Whenever in the opinion of the Department any person13violates any provision of this Act, the Department may issue14a rule to show cause why an order to cease and desist should15not be entered against that person. The rule shall clearly16set forth the grounds relied upon the Department and shall17provide a period of 7 days from the date of the rule to file18an answer to the satisfaction of the Department. Failure to19answer to the satisfaction of the Department shall cause an20order to cease and desist to be issued immediately.21 (Source: P.A. 89-706, eff. 1-31-97.) 22 (225 ILCS 2/135 new) 23 Sec. 135. Criminal violations. Whoever knowingly 24 practices or offers to practice acupuncture in this State 25 without being licensed for that purpose shall be guilty of a 26 Class A misdemeanor and for each subsequent conviction shall 27 be guilty of a Class 4 felony. Notwithstanding any other 28 provision of this Act, all criminal fines, moneys, or other 29 property collected or received by the Department under this 30 Section or any other State or federal statute, including but 31 not limited to property forfeited to the Department under 32 Section 505 of the Illinois Controlled Substances Act, shall 33 be deposited into the Professional Regulation Evidence Fund. SB857 Engrossed -20- LRB9003267DPcc 1 (225 ILCS 2/140) 2 Sec. 140. Investigation; notice; hearing. Licenses may 3 be refused, revoked, suspended, or otherwise disciplined in 4 the manner provided by this Act and not otherwise. The 5 Department may upon its own motion and shall upon the 6 verified complaint in writing of any person setting forth 7 facts that if proven would constitute grounds for refusal to 8 issue or for suspension or revocation under this Act, 9 investigate the actions of a person applying for, holding, or 10 claiming to hold a license. The Department shall, before 11 refusing to issue or renew, suspending, or revoking a license 12 or taking other discipline pursuant to Section 110 of this 13 Act, and at least 30 days prior to the date set for the 14 hearing, notify in writing the applicant or licensee of any 15 charges made, shall afford the applicant or licensee an 16 opportunity to be heard in person or by counsel in reference 17 to the charges, and direct the applicant or licensee to file 18 a written answer to the Department under oath within 20 days 19 after the service of the notice and inform the applicant or 20 licensee that failure to file an answer will result in 21 default being taken against the applicant or licensee and 22 that the license may be suspended, revoked, placed on 23 probationary status, or other disciplinary action may be 24 taken, including limiting the scope, nature, or extent of 25 practice, as the Director may deem proper. Written notice 26 may be served by personal delivery to the applicant or 27 licensee or by mailing the notice by certified mail to his or 28 her last known place of residence or to the place of business 29 last specified by the applicant or licensee in his or her 30 last notification to the Department. If the person fails to 31 file an answer after receiving notice, his or her license 32 may, in the discretion of the Department, be suspended, 33 revoked, or placed on probationary status or the Department 34 may take whatever disciplinary action deemed proper, SB857 Engrossed -21- LRB9003267DPcc 1 including limiting the scope, nature, or extent of the 2 person's practice or the imposition of a fine, without a 3 hearing, if the act or acts charged constitute sufficient 4 grounds for such action under this Act. At the time and 5 place fixed in the notice, the Department shall proceed to 6 hearing of the charges and both the applicant or licensee and 7 the complainant shall be afforded ample opportunity to 8 present, in person or by counsel, any statements, testimony, 9 evidence, and arguments that may be pertinent to the charges 10 or to their defense. The Department may continue a hearing 11 from time to time. If the Board is not sitting at the time 12 and place fixed in the notice or at the time and place to 13 which the hearing shall have been continued, the Department 14 may continue the hearing for a period not to exceed 30 days. 15Investigation; notice; hearing. The Department may16investigate the actions of any applicant or of any person or17persons holding or claiming to hold a registration. Before18taking any disciplinary action with regard to any19registration, at least 30 days prior to the date set for the20hearing, the Department shall (i) notify the accused in21writing of any charges made and the time and place for a22hearing of the charges before the Department, (ii) direct him23or her to file a written answer with the Department under24oath within 20 days after the service of the notice, and25(iii) inform him or her that failure answer shall result in26default being taken against him or her and his or her27registration being disciplined, as the Department may deem28proper. The written notice may be served by personal29delivery or certified delivery or certified or registered30mail to the registrant. At the time and place fixed in the31notice, the Department shall proceed to hear the charges and32the parties, or their counsel, shall be accorded ample33opportunity to present any statements, testimony, evidence34and argument that may be pertinent to the charges or to theirSB857 Engrossed -22- LRB9003267DPcc 1defense. The Department may continue the hearing from time2to time. At the discretion of the Director, the accused3person's registration may be disciplined as the Director may4deem proper, including limiting the scope, nature, or extent5of the person's practice, without a hearing, if the act or6acts charged constitute sufficient grounds for that action7under this Act.8 (Source: P.A. 89-706, eff. 1-31-97.) 9 (225 ILCS 2/145) 10 Sec. 145. Formal hearing; preservation of record. The 11 Department, at its expense, shall preserve a record of all 12 proceedings at the formal hearing of any case involving the 13 refusal to issue or renew a licenseregistrationor 14 discipline of a licenseeregistrant. The notice of hearing, 15 complaint, and all other documents in the nature of pleadings 16 and written motions filed in the proceedings, the transcript 17 of testimony, the report of the hearing officer, and order of 18 the Department shall be the record of the proceeding. 19 (Source: P.A. 89-706, eff. 1-31-97.) 20 (225 ILCS 2/150) 21 Sec. 150. Witnesses; production of documents; contempt. 22 Any circuit court may, upon application of the Department or 23 its designee or of the applicant or licenseeregistrant24 against whom proceedings under Section 140 of this Act are 25 pending, enter an order requiring the attendance of witnesses 26 and their testimony and the production of documents, papers, 27 files, books, and records in connection with any hearing or 28 investigation. The court may compel obedience to its order 29 by proceedings for contempt. 30 (Source: P.A. 89-706, eff. 1-31-97.) 31 (225 ILCS 2/152 new) SB857 Engrossed -23- LRB9003267DPcc 1 Sec. 152. Certification of record. The Department shall 2 not be required to certify a record to the court, file any 3 answer in court, or otherwise appear in any court in a 4 judicial review proceeding, unless there is filed in the 5 court with the complaint a receipt from the Department 6 acknowledging payment of the costs of furnishing and 7 certifying the record. Failure on the part of the plaintiff 8 to file a receipt in court shall be grounds for dismissal of 9 the action. 10 (225 ILCS 2/154 new) 11 Sec. 154. Compelling testimony. Any circuit court may, 12 upon application of the Department or its designee or of the 13 applicant or licensee against whom proceedings pursuant to 14 Section 140 of this Act are pending, enter an order requiring 15 the attendance of witnesses and their testimony, and the 16 production of documents, papers, files, books, and records in 17 connection with any hearing or investigation. The court may 18 compel obedience to its order through proceedings for 19 contempt. 20 (225 ILCS 2/155) 21 Sec. 155. Subpoena; oaths. The Department shall have 22 power to subpoena and bring before it any person in this 23 State and to take testimony either orally or by deposition or 24 both with the same fees and mileage and in the same manner as 25 prescribed by law in judicial proceedings in civil cases in 26 circuit courts of this State. The Department shall also have 27 the power to subpoena the production of documents, papers, 28 files, books, and records in connection with a hearing or 29 investigation. 30 The Director and the hearing officer designated by the 31 Director shall each have power to administer oaths to 32 witnesses at any hearing that the Department is authorized to SB857 Engrossed -24- LRB9003267DPcc 1 conduct under this Act and any other oaths required or 2 authorized to be administered by the Department under this 3 Act. 4 (Source: P.A. 89-706, eff. 1-31-97.) 5 (225 ILCS 2/160) 6 Sec. 160. Findings of facts, conclusions of law, and 7 recommendations. At the conclusion of the hearing, the 8 hearing officer shall present to the Director a written 9 report of its findings of fact, conclusions of law, and 10 recommendations. The report shall contain a finding whether 11 or not the accused person violated this Act or failed to 12 comply with the conditions required in this Act. The hearing 13 officer shall specify the nature of the violation or failure 14 to comply and shall make his or her recommendations to the 15 Director. 16 The report of findings of fact, conclusions of law, and 17 recommendations of the hearing officer mayshallbe the basis 18 of the order of the Department. If the Director disagrees in 19 any regard with the report of the hearing officer, the 20 Director shallmayissue an order in contravention of the 21 report. Within 60 days after taking that action the Director 22 shall provide a written report to the hearing officer on any 23 deviation and shall specify with particularity the reasons 24 for the action in the final order. The finding is not 25 admissible in evidence against the person in a criminal 26 prosecution brought for the violation of this Act, but the 27 hearing and findings are not a bar to a criminal prosecution 28 brought for the violation of this Act. 29 (Source: P.A. 89-706, eff. 1-31-97.) 30 (225 ILCS 2/165) 31 Sec. 165. Hearing officer. The Director shall have the 32 authority to appoint any attorney duly licensed to practice SB857 Engrossed -25- LRB9003267DPcc 1 law in the State of Illinois to serve as the hearing officer 2 in any action for discipline of a licenseregistration. The 3 hearing officer shall have full authority to conduct the 4 hearing. The hearing officer shall report his or her findings 5 of fact, conclusions of law, and recommendations to the Board 6 and the Director. The Board shall have 60 days after receipt 7 of the report to review the report of the hearing officer and 8 to present its findings of fact, conclusions of law, and 9 recommendations to the Director. 10 (Source: P.A. 89-706, eff. 1-31-97.) 11 (225 ILCS 2/170) 12 Sec. 170. Service of report; rehearing; order. In any 13 case involving the discipline of a licenseregistration, a 14 copy of the hearing officer's report shall be served upon the 15 respondent by the Department, either personally or as 16 provided in this Act for the service of the notice of 17 hearing. Within 20 days after the service, the respondent 18 may present to the Department a motion in writing for a 19 rehearing that shall specify the particular grounds for 20 rehearing. If no motion for rehearing is filed, then upon 21 the expiration of the time specified for filing a motion, or 22 if a motion for rehearing is denied, then upon the denial the 23 Director may enter an order in accordance with this Act. If 24 the respondent orders from the reporting office and pays for 25 a transcript of the record within the time for filing a 26 motion for rehearing, the 20 day period within which the 27 motion may be filed shall commence upon the delivery of the 28 transcript to the respondent. 29 (Source: P.A. 89-706, eff. 1-31-97.) 30 (225 ILCS 2/175) 31 Sec. 175. Substantial justice to be done; rehearing. 32 Whenever the Director is satisfied that substantial justice SB857 Engrossed -26- LRB9003267DPcc 1 has not been done in the discipline of a license 2registration, the Director may order a rehearing by the same 3 or another hearing officer. 4 (Source: P.A. 89-706, eff. 1-31-97.) 5 (225 ILCS 2/180) 6 Sec. 180. Order or certified copy as prima facie proof. 7 An order or a certified copy thereof, over the seal of the 8 Department and purporting to be signed by the Director, shall 9 be prima facie proof: 10 (1) that the signature is the genuine signature of 11 the Director;and12 (2) that such Director is duly appointed and 13 qualified; and.14 (3) that the Board and its members are qualified to 15 act. 16 (Source: P.A. 89-706, eff. 1-31-97.) 17 (225 ILCS 2/185) 18 Sec. 185. Restoration of licenseregistration. At any 19 time after the suspension or revocation of any license 20registrationthe Department may restore it to the accused 21 person, unless after an investigation and a hearing the 22 Department determines that restoration is not in the public 23 interest. Where circumstances of suspension or revocation so 24 indicate, the Department may require an examination of the 25 accused person prior to restoring his or her license. 26 (Source: P.A. 89-706, eff. 1-31-97.) 27 (225 ILCS 2/195) 28 Sec. 195. Imminent danger to public; temporary 29 suspension. The Director may temporarily suspend the license 30registrationof an acupuncturist without a hearing, 31 simultaneously with the institution of proceedings for a SB857 Engrossed -27- LRB9003267DPcc 1 hearing provided for in Section 140 of this Act, if the 2 Director finds that evidence in his or her possession 3 indicates that continuation in practice would constitute an 4 imminent danger to the public. In the event that the 5 Director temporarily suspends a licenseregistrationwithout 6 a hearing, a hearing by the Department must be held within 30 7 days after the suspension has occurred and be concluded 8 without appreciable delay. 9 (Source: P.A. 89-706, eff. 1-31-97.) 10 (225 ILCS 2/45 rep.) 11 (225 ILCS 2/205 rep.) 12 Section 15. The Acupuncture Practice Act is amended by 13 repealing Sections 45 and 205. 14 Section 20. The Marriage and Family Therapy Licensing Act 15 is amended by changing Sections 20, 25, 30, 40, 45, 55, 60, 16 65, 85, 90, 95, and 165 as follows: 17 (225 ILCS 55/20) (from Ch. 111, par. 8351-20) 18 Sec. 20. Powers and duties of the Department. Subject 19 to the provisions of this Act, the Department shall exercise 20 the following functions, powers, and duties: 21 (a) Conduct or authorize examinations to ascertain 22 the fitness and qualifications of applicants for 23 licensure and issue licenses to those who are found to be 24 fit and qualified. 25 (b) Prescribe rulesand regulationsfor a method of 26 examination of candidates. 27 (b-5) Prescribe rules for determining approved 28 graduate programs and prepare and maintain a list of 29 colleges and universities offering approved programs. 30 (c) Conduct hearings on proceedings to revoke, 31 suspend, or refuse to issue licenses. SB857 Engrossed -28- LRB9003267DPcc 1 (d) Promulgate rulesand regulationsrequired for 2 the administration of this Act. 3 The Board may make recommendations on matters relating to 4 continuing education, including the number of hours necessary 5 for license renewal, waivers for those unable to meet the 6 requirements, and acceptable course content. 7 (Source: P.A. 87-783; 87-1237.) 8 (225 ILCS 55/25) (from Ch. 111, par. 8351-25) 9 Sec. 25. Marriage and Family Therapy Licensing and 10 Disciplinary Board. 11 (a) There is established within the Department the 12 Marriage and Family Therapy Licensing and Disciplinary Board 13 to be appointed by the Director. The Board shall be composed 14 of 7 persons who shall serve in an advisory capacity to the 15 Director. The Board shall elect a chairperson and a vice 16 chairpersonchairman. 17 (b) In appointing members of the Board, the Director 18 shall give due consideration to recommendations by members of 19 the profession of marriage and family therapy and by the 20 statewide organizations solely representing the interests of 21 marriage and family therapists. 22 (c) Five members of the Board shall be marriage and 23 family therapists who have been in active practice for at 24 least 5 years immediately preceding their appointment, or 25 engaged in the education and training of masters, doctoral, 26 or post-doctoral students of marriage and family therapy, or 27 engaged in marriage and family therapy research. Each 28 marriage or family therapy teacher or researcher shall have 29 spent the majority of the time devoted to the study or 30 research of marriage and family therapy during the 2 years 31 immediately preceding his or her appointment to the Board. 32 Theinitialappointees shall be licensed under this Act 33within one year after appointment to the Board. SB857 Engrossed -29- LRB9003267DPcc 1 (d) Two members shall be representatives of the general 2 public who have no direct affiliation or work experience with 3 the practice of marriage and family therapy and who clearly 4 represent consumer interests. 5 (e) Board membersOf the first Board members appointed,63 members shall be appointed to serve for 2 years, 2 shall be7appointed to serve for 3 years, and the remaining 2 shall be8appointed to serve for 4 years. Their successorsshall be 9 appointed for terms of 4 years each, except that any person 10 chosen to fill a vacancy shall be appointed only for the 11 unexpired term of the Board member whom he or she shall 12 succeed. Upon the expiration of this term of office, a Board 13 member shall continue to serve until a successor is appointed 14 and qualified. No member shall be reappointed to the Board 15 for a term that would cause continuous service on the Board 16 to be longer than 8 years. 17 (f) The membership of the Board shall reasonably reflect 18 representation from the various geographic areas of the 19 State. 20 (g) Members of the Board shall be immune from suit in 21 any action based upon any disciplinary proceedings or other 22 activities performed in good faith as members of the Board. 23 (h) The Director may remove any member of the Board for 24 any cause that, in the opinion of the Director, reasonably 25 justifies termination. 26 (i) The Director may consider the recommendations of the 27 Board on questions of standards of professional conduct, 28 discipline, and qualification of candidates or licensees 29 under this Act. 30 (j) The members of the Board shall be reimbursed for all 31 legitimate, necessary, and authorized expenses. 32 (k) A majority of the Board members currently appointed 33 shall constitute a quorum. A vacancy in the membership of the 34 Board shall not impair the right of a quorum to exercise all SB857 Engrossed -30- LRB9003267DPcc 1 the rights and perform all the duties of the Board. 2 (Source: P.A. 87-783; 87-1237.) 3 (225 ILCS 55/30) (from Ch. 111, par. 8351-30) 4 Sec. 30. Application. 5 (a) Applications for original licensure shall be made to 6 the Department in writing on forms prescribed by the 7 Department and shall be accompanied by the appropriate 8 documentation and the required fee, which fee is 9 nonrefundable. Any application shall require such 10 information as, in the judgment of the Department, will 11 enable the Department to pass on the qualifications of the 12 applicant for licensing. 13 (b) Applicants have 3 years from the date of application 14 to complete the application process. If the application has 15 not been completed within 3 years, the application shall be 16 denied, the fee shall be forfeited, and the applicant must 17 reapply and meet the requirements in effect at the time of 18 reapplication. 19 (c) A license shall not be denied to an applicant 20 because of the applicant's race, religion, creed, national 21 origin, political beliefs or activities, age, sex, sexual 22 orientation, or physical impairmentIf an applicant neglects,23fails or refuses to take an examination, or fails to pass an24examination for a license under this Act within 3 years after25filing an application, the application is denied. However,26the applicant may thereafter make a new application27accompanied by the required fee and shall meet the28requirements in force at the time of making the new29application. 30 (Source: P.A. 87-783; 87-1237.) 31 (225 ILCS 55/40) (from Ch. 111, par. 8351-40) 32 Sec. 40. Qualifications for licensure. SB857 Engrossed -31- LRB9003267DPcc 1 (a) A person is qualified for licensure as a marriage 2 and family therapist if that person: 3 (1) is at least 21 years of age; 4 (2) has applied in writing on forms prepared and 5 furnished by the Department; 6 (3) (blank); 7 (4) has not engaged or is not engaged in any 8 practice or conduct that would be grounds for 9 disciplining a licensee under Section 85 of this Act; 10 (5) satisfies the education and experience 11 requirements of subsection (b) of this Section; and 12 (6) passes a written examination authorized by the 13 Department. 14 (b) Any person who applies to the Department shall be 15 issued a license by the Department if the person meets the 16 qualifications set forth in subsection (a) of this Section 17 and provides evidence to the Department that the person: 18 (1) holds a master's or doctoral degree in marriage 19 and family therapy approved by the Department from a 20 regionally accredited educational institution; holds a 21 master's or doctoral degree from a regionally accredited 22 educational institution in marriage and family therapy or 23 in a related field with an equivalent course of study in 24 marriage and family therapy that is recommended by the 25 Board and approved by the Department; or holds a master's 26 or doctoral degree from a program accredited by the 27 commission on accreditations for marriage and family 28 therapy education of the American Association for 29 Marriage and Family Therapists; 30 (2) following the receipt of the first qualifying 31 degree, has at least 2 years of experience, as defined by 32 rule, in the practice of marriage and family therapy, 33 including at least 1,000 hours of face-to-face contact 34 with couples and families for the purpose of evaluation SB857 Engrossed -32- LRB9003267DPcc 1 and treatment; 2 (3) has completed at least 200 hours of supervision 3 of marriage and family therapy, as defined by rule. 4 (Source: P.A. 89-387, eff. 8-20-95.) 5 (225 ILCS 55/45) (from Ch. 111, par. 8351-45) 6 Sec. 45. Licenses; renewals; restoration; person in 7 military service. 8 (a) The expiration date and renewal period for each 9 license issued under this Act shall be set by rule. As a 10 condition for renewal of a license, the licensee shall be 11 required to complete continuing education under requirements 12 set forth in rules of the Department. 13 (b) Any person who has permitted his or her license to 14 expire may have his or her license restored by making 15 application to the Department and filing proof acceptable to 16 the Department of fitness to have his or her license 17 restored, which may include sworn evidence certifying to 18 active practice in another jurisdiction satisfactory to the 19 Department, complying with any continuing education 20 requirements, and paying the required restoration fee. 21 (c) If the person has not maintained an active practice 22 in another jurisdiction satisfactory to the Department, the 23 Board shall determine, by an evaluation program established 24 by rule, the person's fitness to resume active status and may 25 require the person to complete a period of evaluated clinical 26 experience and successful completion of a practical 27 examination. 28 However, any person whose license expired while (i) in 29 federal service on active duty with the Armed Forces of the 30 United States or called into service or training with the 31 State Militia, or (ii) in training or education under the 32 supervision of the United States preliminary to induction 33 into the military service may have his or her license renewed SB857 Engrossed -33- LRB9003267DPcc 1 or restored without paying any lapsed renewal fees if, within 2 2 years after honorable termination of the service, training 3 or education, except under condition other than honorable, he 4 or she furnishes the Department with satisfactory evidence to 5 the effect that he or she has been so engaged and that the 6 service, training, or education has been so terminated. 7 (d) Any person who notifies the Department, in writing 8 on forms prescribed by the Department, may place his or her 9 license on inactive status and shall be excused from the 10 payment of renewal fees until the person notifies the 11 Department in writing of the intention to resume active 12 practice. 13 (e) Any person requesting his or her license be changed 14 from inactive to active status shall be required to pay the 15 current renewal fee and shall also demonstrate compliance 16 with the continuing education requirements. 17 (f) Any marriage and family therapist whose license is 18 nonrenewed or on inactive status shall not engage in the 19 practice of marriage and family therapy in the State of 20 Illinois and use the title or advertise that he or she 21 performs the services of a "licensed marriage and family 22 therapist". 23 (g) Any person violating subsection (f) of this Section 24 shall be considered to be practicing without a license and 25 will be subject to the disciplinary provisions of this Act. 26 (h) (Blank)A license to practice shall not be denied27any applicant because of the applicant's race, religion,28creed, national origin, political beliefs or activities, age,29sex, sexual orientation, or physical impairment. 30 (Source: P.A. 87-783; 87-1237.) 31 (225 ILCS 55/55) (from Ch. 111, par. 8351-55) 32 Sec. 55. Fees.The fees imposed under this Act are as33follows and are not refundable:SB857 Engrossed -34- LRB9003267DPcc 1 (a) Except as provided in subsection (c), the fees for 2 the administration and enforcement of this Act, including but 3 not limited to original licensure, renewal, and restoration, 4 shall be set by rule of the Department. The fees shall be 5 nonrefundableThe fee for original application for a license6as a licensed marriage and family therapist is $100. 7 (b) (Blank)The fee for a temporary license is $100. 8 (c) In addition to the application fee, applicants for 9 the examination are required to pay, either to the Department 10 or the designated testing service, a fee covering the cost of 11 determining an applicant's eligibility and providing the 12 examination. Failure to appear for the examination on the 13 scheduled date, at the time and place specified, after the 14 applicant's application and fee for examination have been 15 received and acknowledged by the Department or the designated 16 testing service, shall result in the forfeiture of the fee. 17(d) The fee for the renewal of a license is $60 per18year.19(e) The fee for the restoration of a license that has20been expired for 5 years or less is $20 plus payment of all21unpaid fees for every year the license has been lapsed.22(f) The fee for the restoration of a license that has23been expired for more than 5 years is $200.24(g) The fee for the issuance of a duplicate license, a25replacement license for a license that has been lost or26destroyed, or a license with a change of name or address,27other than during the renewal period is $20. No fee is28required for name and address changes on Department records29when no duplicate license is issued.30(h) The fee for the certification of a license for any31purpose is $20.32(i) The fee to have the scoring of an examination33administered by the Department reviewed and verified is $20,34plus any fee charged by the testing service.SB857 Engrossed -35- LRB9003267DPcc 1(j) The fee for a wall license is the actual cost of2producing the license.3(k) The fee for a roster of persons licensed as marriage4and family therapists is the actual cost of production of the5roster.6(l) The fee for application for a license by a marriage7and family therapist licensed under the laws of another8jurisdiction is $200.9(m) The fee for application as a continuing education10sponsor is $500. State agencies, State colleges and State11universities in Illinois are exempt from paying this fee.12(n) The fee for renewal as a continuing education13sponsor is $125 per year.14 (Source: P.A. 87-783; 87-1237.) 15 (225 ILCS 55/60) (from Ch. 111, par. 8351-60) 16 Sec. 60. Payments; penalty for insufficient funds. Any 17 person who delivers a check or other payment to the 18 Department that is returned to the Department unpaid by the 19 financial institution upon which it is drawn shall pay to the 20 Department, in addition to the amount already owed to the 21 Department, a fine of $50. If a person practices without 22 paying the renewal fee or issuance fee and the fine due, an 23 additional fine of $100 shall be imposed. The fines imposed 24 by this Section are in addition to any other discipline 25 provided under this Act prohibiting unlicensed practice or 26 practice on a nonrenewed license. The Department shall notify 27 the person that payment of fees and fines shall be paid to 28 the Department by certified check or money order within 30 29 calendar days after notification. If, after the expiration of 30 30 days from the date of the notification, the person has 31 failed to submit the necessary remittance, the Department 32 shall automatically terminate the licenseor certificateor 33 deny the application, without hearing. If, after termination SB857 Engrossed -36- LRB9003267DPcc 1 or denial, the person seeks a licenseor certificate, he or 2 she shall apply to the Department for restoration or issuance 3 of the licenseor certificateand pay all fees and fines due 4 to the Department. The Department may establish a fee for the 5 processing of an application for restoration of a licenseor6certificateto pay all expenses of processing this 7 application. The Director may waive the fines due under this 8 Section in individual cases where the Director finds that the 9 fines would be unreasonable or unnecessarily burdensome. 10 (Source: P.A. 87-783; 87-1031; 87-1237; 88-45.) 11 (225 ILCS 55/65) (from Ch. 111, par. 8351-65) 12 Sec. 65. Endorsement. The Department may issue a license 13 as a licensed marriage and family therapist, without the 14 required examination, to an applicant licensed under the laws 15 of another state if the requirements for licensure in that 16 state are, on the date of licensure, substantially equal to 17 the requirements of this Act or to a person who, at the time 18 of his or her application for licensure, possessed individual 19 qualifications that were substantially equivalent to the 20 requirements then in force in this State. An applicant under 21 this Section shall pay all of the required fees. 22 Applicants have 3 years from the date of application to 23 complete the application process. If the process has not been 24 completed within the 3 years, the application shall be 25 denied, the fee shall be forfeited, and the applicant must 26 reapply and meet the requirements in effect at the time of 27 reapplication. 28 (Source: P.A. 87-783; 87-1237.) 29 (225 ILCS 55/85) (from Ch. 111, par. 8351-85) 30 Sec. 85. Refusal, revocation or suspension. 31 (a) The Department may refuse to issue or renew, or may 32 revoke a license, or may suspend, place on probation, fine, SB857 Engrossed -37- LRB9003267DPcc 1 or take any disciplinary action as the Department may deem 2 proper, including fines not to exceed $1000 for each 3 violation, with regard to any licenseeor certificatefor any 4 one or combination of the following causes: 5 (1) Material misstatement in furnishing information 6 to the Department. 7 (2) Violations of this Act or its rules. 8 (3) Conviction of any crime under the laws of the 9 United States or any state or territory thereof that is 10 (i) a felony, (ii) a misdemeanor, an essential element of 11 which is dishonesty, or (iii) a crime thatwhichis 12 related to the practice of the profession. 13 (4) Making any misrepresentation for the purpose of 14 obtaining a license or violating any provision of this 15 Act or its rules. 16 (5) Professional incompetence or gross negligence. 17 (6) Malpractice. 18 (7) Aiding or assisting another person in violating 19 any provision of this Act or its rules. 20 (8) Failing, within 60 days, to provide information 21 in response to a written request made by the Department. 22 (9) Engaging in dishonorable, unethical, or 23 unprofessional conduct of a character likely to deceive, 24 defraud or harm the public as defined by the rules of the 25 Department, or violating the rules of professional 26 conduct adopted by the Board and published by the 27 Department. 28 (10) Habitual or excessive use or addiction to 29 alcohol, narcotics, stimulants, or any other chemical 30 agent or drug that results in the inability to practice 31 with reasonable judgment, skill, or safety. 32 (11) Discipline by another state, territory, or 33 country if at least one of the grounds for the discipline 34 is the same or substantially equivalent to those set SB857 Engrossed -38- LRB9003267DPcc 1 forth in this Act. 2 (12) Directly or indirectly giving to or receiving 3 from any person, firm, corporation, partnership or 4 association any fee, commission, rebate, or other form of 5 compensation for any professional services not actually 6 or personally rendered. 7 (13) A finding by the Department that the licensee, 8 after having his or her license placed on probationary 9 status, has violated the terms of probation. 10 (14) Abandonment of a patient without cause. 11 (15) Willfully making or filing false records or 12 reports relating to a licensee's practice, including but 13 not limited to,false records filed with State agencies 14 or departments. 15 (16) Wilfully failing to report an instance of 16 suspected child abuse or neglect as required by the 17 Abused and Neglected Child Reporting Act. 18 (17) Being named as a perpetrator in an indicated 19 report by the Department of Children and Family Services 20 under the Abused and Neglected Child Reporting Act and 21 upon proof by clear and convincing evidence that the 22 licensee has caused a child to be an abused child or 23 neglected child as defined in the Abused and Neglected 24 Child Reporting Act. 25 (18) Physical or mental disability, including 26 deterioration through the aging process, or loss of 27 abilities and skills thatwhichresults in the inability 28 to practice the profession with reasonable judgment, 29 skill, or safety. 30 (19) Solicitation of professional services by using 31 false or misleading advertising. 32 (20) A finding that licensure has been applied for 33 or obtained by fraudulent means. 34 (21) Practicing or attempting to practice under a SB857 Engrossed -39- LRB9003267DPcc 1 name other than the full name as shown on the license or 2 any other legally authorized name. 3 (22) Gross overcharging for professional services 4 including filing statements for collection of fees or 5 moneysmoniesfor which services are not rendered. 6 (b) The Department shall deny any application for a 7 license, without hearing, or renewal under this Act to any 8 person who has defaulted on an educational loan guaranteed by 9 the Illinois Student Assistance Commission; however, the 10 Department may issue a license or renewal if the person in 11 default has established a satisfactory repayment record as 12 determined by the Illinois Student Assistance Commission. 13 (c) The determination by a circuit court that a licensee 14 is subject to involuntary admission or judicial admission, as 15 provided in the Mental Health and Developmental Disabilities 16 Code, operates as an automatic suspension. The suspension 17 will terminate only upon a finding by a court that the 18 patient is no longer subject to involuntary admission or 19 judicial admission and the issuance of an order so finding 20 and discharging the patient, and upon the recommendation of 21 the Board to the Director that the licensee be allowed to 22 resume his or her practice as a licensed marriage and family 23 therapist. 24 (d) The Department may refuse to issue or may suspend 25 the license of any person who fails to file a return, pay the 26 tax, penalty, or interest shown in a filed return or pay any 27 final assessment of tax, penalty, or interest, as required by 28 any tax Act administered by the Illinois Department of 29 Revenue, until the time the requirements of the tax Act are 30 satisfied. 31 (e) In enforcing this Section, the Department or Board 32 upon a showing of a possible violation may compel an 33 individual licensed to practice under this Act, or who has 34 applied for licensure under this Act, to submit to a mental SB857 Engrossed -40- LRB9003267DPcc 1 or physical examination, or both, as required by and at the 2 expense of the Department. The Department or Board may order 3 the examining physician to present testimony concerning the 4 mental or physical examination of the licensee or applicant. 5 No information shall be excluded by reason of any common law 6 or statutory privilege relating to communications between the 7 licensee or applicant and the examining physician. The 8 examining physicians shall be specifically designated by the 9 Board or Department. The individual to be examined may have, 10 at his or her own expense, another physician of his or her 11 choice present during all aspects of this examination. 12 Failure of an individual to submit to a mental or physical 13 examination, when directed, shall be grounds for suspension 14 of his or her license until the individual submits to the 15 examination if the Department finds, after notice and 16 hearing, that the refusal to submit to the examination was 17 without reasonable cause. 18 If the Department or Board finds an individual unable to 19 practice because of the reasons set forth in this Section, 20 the Department or Board may require that individual to submit 21 to care, counseling, or treatment by physicians approved or 22 designated by the Department or Board, as a condition, term, 23 or restriction for continued, reinstated, or renewed 24 licensure to practice; or, in lieu of care, counseling, or 25 treatment, the Department may file, or the Board may 26 recommend to the Department to file, a complaint to 27 immediately suspend, revoke, or otherwise discipline the 28 license of the individual. An individual whose license was 29 granted, continued, reinstated, renewed, disciplined or 30 supervised subject to such terms, conditions, or 31 restrictions, and who fails to comply with such terms, 32 conditions, or restrictions, shall be referred to the 33 Director for a determination as to whether the individual 34 shall have his or her license suspended immediately, pending SB857 Engrossed -41- LRB9003267DPcc 1 a hearing by the Department. 2 In instances in which the Director immediately suspends a 3 person's license under this Section, a hearing on that 4 person's license must be convened by the Department within 15 5 days after the suspension and completed without appreciable 6 delay. The Department and Board shall have the authority to 7 review the subject individual's record of treatment and 8 counseling regarding the impairment to the extent permitted 9 by applicable federal statutes and regulations safeguarding 10 the confidentiality of medical records. 11 An individual licensed under this Act and affected under 12 this Section shall be afforded an opportunity to demonstrate 13 to the Department or Board that he or she can resume practice 14 in compliance with acceptable and prevailing standards under 15 the provisions of his or her license. 16 (Source: P.A. 87-783; 87-1237.) 17 (225 ILCS 55/90) (from Ch. 111, par. 8351-90) 18 Sec. 90. Violations; injunctions; cease and desist 19 order. 20 (a) If any person violates a provision of this Act, the 21 Director may, in the name of the People of the State of 22 Illinois, through the Attorney General of the State of 23 Illinois, petition for an order enjoining the violation or 24 for an order enforcing compliance with this Act. Upon the 25 filing of a verified petition in court, the court may issue a 26 temporary restraining order, without notice or bond, and may 27 preliminarily and permanently enjoin the violation. If it is 28 established that the person has violated or is violating the 29 injunction, the Court may punish the offender for contempt of 30 court. Proceedings under this Section are in addition to, 31 and not in lieu of, all other remedies and penalties provided 32 by this Act. 33 (b) If any person practices as a marriage and family SB857 Engrossed -42- LRB9003267DPcc 1 therapist or holds himself or herself out as such without 2 having a valid licensecertificateunder this Act, then any 3 licensee, any interested party or any person injured thereby 4 may, in addition to the Director, petition for relief as 5 provided in subsection (a) of this Section. 6 (c) Whenever in the opinion of the Department any person 7 violates any provision of this Act, the Department may issue 8 a rule to show cause why an order to cease and desist should 9 not be entered against him or her. The rule shall clearly 10 set forth the grounds relied upon by the Department and shall 11 provide a period of 7 days from the date of the rule to file 12 an answer to the satisfaction of the Department. Failure to 13 answer to the satisfaction of the Department shall cause an 14 order to cease and desist to be issued immediately. 15 (Source: P.A. 87-783.) 16 (225 ILCS 55/95) (from Ch. 111, par. 8351-95) 17 Sec. 95. Investigation; notice and hearing. The 18 Department may investigate the actions or qualifications of 19 any person or persons holding or claiming to hold a license 20certificate of registration. Before suspending, revoking, 21 placing on probationary status, or taking any other 22 disciplinary action as the Department may deem proper with 23 regard to any licenseor certificate of registration, at 24 least 30 days before the date set for the hearing, the 25 Department shall (i) notify the accused in writing of any 26 charges made and the time and place for a hearing on the 27 charges before the Board, (ii) direct him or her to file a 28 written answer to the charges with the Board under oath 29 within 20 days after the service on him or her of such 30 notice, and (iii) inform him or her that if he or she fails 31 to file an answer, default will be taken against him or her 32 and his or her licenseor certificate of registrationmay be 33 suspended, revoked, placed on probationary status, or other SB857 Engrossed -43- LRB9003267DPcc 1 disciplinary action taken with regard to the licenseor2certificate, including limiting the scope, nature, or extent 3 of his or her practice, as the Department may deem proper. In 4 case the person, after receiving notice, fails to file an 5 answer, his or her licenseor certificatemay, in the 6 discretion of the Department, be suspended, revoked, placed 7 on probationary status, or the Department may take whatever 8 disciplinary action deemed proper, including limiting the 9 scope, nature, or extent of the person's practice or the 10 imposition of a fine, without a hearing, if the act or acts 11 charged constitute sufficient for such action under this Act. 12 This written notice and any notice in the subsequent 13 proceedings may be served by personal delivery to the accused 14 person, or by registered or certified mail to the address 15 last specified by the accused in his last notification to the 16 Department. In case the person fails to file an answer after 17 receiving notice, his or her licenseor certificatemay, in 18 the discretion of the Department, be suspended, revoked, or 19 placed on probationary status, or the Department may take 20 whatever disciplinary action deemed proper, including 21 limiting the scope, nature, or extent of the person's 22 practice or the imposition of a fine, without a hearing, if 23 the act or acts charged constitute sufficient grounds for 24 such action under this Act. The written answer shall be 25 served by personal delivery, certified delivery, or certified 26 or registered mail to the Department. At the time and place 27 fixed in the notice, the Department shall proceed to hear the 28 charges and the parties or their counsel shall be accorded 29 ample opportunity to present such statements, testimony, 30 evidence, and argument as may be pertinent to the charges or 31 to the defense thereto. The Department may continue such 32 hearing from time to time. At the discretion of the Director 33 after having first received the recommendation of the Board, 34 the accused person's licensecertificate of registrationmay SB857 Engrossed -44- LRB9003267DPcc 1 be suspended or revoked, if the evidence constitutes 2 sufficient grounds for such action under this Act. 3 (Source: P.A. 87-783; 87-1031; 87-1237; 88-45.) 4 (225 ILCS 55/165) (from Ch. 111, par. 8351-165) 5 Sec. 165. Illinois Administrative Procedure Act. The 6 Illinois Administrative Procedure Act is expressly adopted 7 and incorporated in this Act as if all of the provisions of 8 that Act were included in this Act, except that the provision 9 of paragraph (d) of Section 10-65 of the Illinois 10 Administrative Procedure Act, which provides that at hearings 11 the licensecertificateholder has the right to show 12 compliance with all lawful requirements for retention, 13 continuation or renewal of the certificate, is specifically 14 excluded. For the purpose of this Act the notice required 15 under Section 10-25 of the Illinois Administrative Procedure 16 Act is deemed sufficient when mailed to the last known 17 address of a party. 18 (Source: P.A. 87-783; 88-670, eff. 12-2-94.) 19 (225 ILCS 55/50 rep.) 20 Section 25. The Marriage and Family Therapy Licensing Act 21 is amended by repealing Section 50. 22 Section 30. The Illinois Nursing Act of 1987 is amended 23 by changing Sections 3, 4, 7, 10, 11, 12, 14, 16, 17, 21, 23, 24 24, 25, 26, 27, 30, 32, 33, 35, 36, 37, 38, 39, 40, 42, 43, 25 and 47 as follows: 26 (225 ILCS 65/3) (from Ch. 111, par. 3503) 27 Sec. 3. Definitions. Each of the following terms, when 28 used in this Act, shall have the meaning ascribed to it in 29 this Section, except where the context clearly indicates 30 otherwise: SB857 Engrossed -45- LRB9003267DPcc 1 (a) "Department" means the Department of Professional 2 Regulation; 3 (b) "Director" means the Director ofthe Department of4 Professional Regulation; 5 (c) "BoardCommittee" means the Board ofCommittee on6 Nursing appointed by the Director; 7 (d) "Academic year" means the customary annual schedule 8 of courses at a college, university, or approved school, 9 customarily regarded as the school year as distinguished from 10 the calendar year; 11 (e) "Approved program of professional nursing education" 12 and "approved program of practical nursing education" are 13 programs of professional or practical nursing, respectively, 14 approved by the Department under the provisions of this Act; 15 (f) "Nursing Act Coordinator" means a registered 16 professional nurse appointed by the Director to carry out the 17 administrative policies of the Department; 18 (g) "Assistant Nursing Act Coordinator" means a 19 registered professional nurse appointed by the Director to 20 assist in carrying out the administrative policies of the 21 Department; 22 (h) "Registered" is the equivalent of "licensed"; 23 (i) "Practical nurse" or "licensed practical nurse" 24 means a person who is licensed as a practical nurse under 25 this Act and practices practical nursing as defined in 26 paragraph (j) of this Section. Only a practical nurse 27 licensed under this Act is entitled to use the title 28 "licensed practical nurse" and the abbreviation "L.P.N."; 29 (j) "Practical nursing" means the performance, for 30 compensation, of acts in the care of the ill, injured, or 31 infirmed, selected by and performed under the direction of a 32 registered professional nurse, licensed physician, dentist, 33 or podiatrist, requiring the basic nursing skill, judgment, 34 and knowledge acquired by means of a completed course of SB857 Engrossed -46- LRB9003267DPcc 1 study in an approved practical nursing education program; 2 (k) "Registered nurse" or "registered professional 3 nurse" means a person who is licensed as a professional nurse 4 under this Act and practices nursing as defined in paragraph 5 (l) of this Section. Only a registered nurse licensed under 6 this Act is entitled to use the titles "registered nurse" and 7 "registered professional nurse" and the abbreviation, "R.N."; 8 (l) "Professional nursing" includes all its specialties, 9 and means the performance for compensation of any nursing 10 act,(1) in the nursing evaluation, observation, care, and 11 counsel of the ill, injured, or infirmed; (2) in the 12 maintenance of health or prevention of illness of others; (3) 13 in the administration of medications and treatments as 14 prescribed by a licensed physician, dentist, or podiatrist; 15 or (4) any act in the supervision or teaching of nursing, 16 which requires substantial, specialized judgment and skill 17 the proper performance of which is based on knowledge and 18 application of the principles of biological, physical, and 19 social science acquired by means of a completed course in an 20 approved school of professional nursing. The foregoing shall 21 not be deemed to include those acts of medical diagnosis or 22 prescription of therapeutic or corrective measures thatwhich23 are properly performed only by physicians licensed in the 24 State of Illinois; and 25 (m) "Current nursing practice update course" means a 26 planned nursing education curriculum approved by the 27 Department consisting of activities thatwhichhave 28 educational objectives, instructional methods, content or 29 subject matter, clinical practice, and evaluation methods, 30 related to basic review and updating content and specifically 31 planned for those nurses previously licensed in the United 32 States or its territories and preparing for reentry into 33 nursing practice. 34 (Source: P.A. 85-981.) SB857 Engrossed -47- LRB9003267DPcc 1 (225 ILCS 65/4) (from Ch. 111, par. 3504) 2 Sec. 4. Policy; application of Act. For the protection of 3 life and the promotion of health, and the prevention of 4 illness and communicable diseases, any person practicing or 5 offering to practice professional and practical nursing in 6 Illinois shall submit evidence that he or she is qualified to 7 practice, and shall be licensed ashereinafterprovided under 8 this Act. No person shall practice or offer to practice 9 professional or practical nursing in Illinois or use any 10 title, sign, card or device to indicate that such a person is 11 practicing professional or practical nursing unless such 12 person has been licensed under the provisions of this Act. 13 This Act does not prohibit the following: 14 (a) The practice of nursing in Federal employment in the 15 discharge of the employee's duties by a person who is 16 employed by the United States government or any bureau, 17 division or agency thereof and is a legally qualified and 18 licensed nurse of another state or territory and not in 19 conflict with Sections 6, 12,13,and 25 of this Act; 20 (b) Nursing thatwhichis included in their program of 21 study by students enrolled in programs of nursing or in 22 current nurse practice update courses approved by the 23 Department; 24 (c) The furnishing of nursing assistance in an 25 emergency; 26 (d) The practice of nursing by a nurse who holds an 27 active license in another state when providing services to 28 patients in Illinois during a bonafide emergency or in 29 immediate preparation for or during interstate transit; 30 (e) The incidental care of the sick by members of the 31 family, domestic servants or housekeepers, or care of the 32 sick where treatment is by prayer or spiritual means; 33 (f) Persons from being employed as nursing aides, 34 attendants, orderlies and other auxiliary workers in private SB857 Engrossed -48- LRB9003267DPcc 1 homes, long term care facilities, nurseries, hospitals or 2 other institutions; 3 (g) The practice of practical nursing by one who has 4 applied in writing to the Department in form and substance 5 satisfactory to the Department, for a license as a licensed 6 practical nurse and has complied with all the provisions 7 under Section 1213, except the passing of an examination to 8 be eligible to receive such license, until: the decision of 9 the Department that the applicant has failed to pass the next 10 available examination authorized by the Department, or 11 failed, without an approved excuse, to take the next 12 available examination authorized by the Department, or the 13 withdrawal of the application, not to exceed 3 months. No 14 applicant for licensure practicing under the provisions of 15 this paragraph shall practice practical nursing except under 16 the direct supervision of a registered professional nurse 17 licensed under this Act or a licensed physician, dentist or 18 podiatrist. In no instance shall any such applicant practice 19 or be employed in any supervisory capacity; 20 (h) The practice of practical nursing by one who is a 21 licensed practical nurse under the laws of another U.S. 22 jurisdiction and has applied in writing to the Department, in 23 form and substance satisfactory to the Department, for a 24 license as a licensed practical nurse and who is qualified to 25 receive such license under Section 1213, until: (1) the 26 expiration of 6 months after the filing of such written 27 application, or (2) the withdrawal of such application, or 28 (3) the denial of such application by the Department; 29 (i) The practice of professional nursing by one who has 30 applied in writing to the Department in form and substance 31 satisfactory to the Department for a license as a registered 32 professional nurse and has complied with all the provisions 33 under Section 12 except the passing of an examination to be 34 eligible to receive such license until: the decision of the SB857 Engrossed -49- LRB9003267DPcc 1 Department that the applicant has failed to pass the next 2 available examination authorized by the Department, or 3 failed, without an approved excuse, to take the next 4 available examination authorized by the Department or the 5 withdrawal of the application, not to exceed 3 months. No 6 applicant for licensure practicing under the provisions of 7 this paragraph shall practice professional nursing except 8 under the direct supervision of a registered professional 9 nurse licensed under this Act. In no instance shall any such 10 applicant practice or be employed in any supervisory 11 capacity; 12 (j) The practice of professional nursing by one who is a 13 registered professional nurse under the laws of another 14 state, territory of the United States or country and has 15 applied in writing to the Department, in form and substance 16 satisfactory to the Department, for a license as a registered 17 professional nurse and who is qualified to receive such 18 license under Section 12, until: (1) the expiration of 61219 months after the filing of such written application, or (2) 20 the withdrawal of such application, or (3) the denial of such 21 application by the Department; 22 (k) The practice of professional nursing thatwhichis 23 included in a program of study by one who is a registered 24 professional nurse under the laws of another state or 25 territory of the United States or foreign country, territory 26 or province and who is enrolled in a graduate nursing 27 education program or a program for the completion of a 28 baccalaureate nursing degree in this State which program 29 includes clinical supervision by faculty as determined by the 30 educational institution offering the program and the health 31 care organization where the practice of nursing occurs. The 32 educational institution will file with the Department each 33 academic term a list of the names and origin of license of 34 all professional nurses practicing nursing as part of their SB857 Engrossed -50- LRB9003267DPcc 1 programs under this provision; or 2 (l) Any person licensed in this State under any other 3 Act from engaging in the practice for which she or he is 4 licensed. 5 An applicant for license practicing under the exceptions 6 set forth in subparagraphs (g), (h), (i), and (j) of this 7 Section shall use the title R.N. Lic. Pend. or L.P.N. Lic. 8 Pend. respectively and no other. 9 (Source: P.A. 85-981.) 10 (225 ILCS 65/7) (from Ch. 111, par. 3507) 11 Sec. 7. Board. 12 (a) The Director shall appoint the BoardCommitteewhich 13 shall be composed of 9 registered professional nurses, 2 14 licensed practical nurses and one public member who shall be 15 a non-voting member and who is not a licensed health care 16 provider. Three registered nurses shall hold at least a 17 master's degree in nursing and be educators in professional 18 nursing programs, one representing baccalaureate nursing 19 education, one representing associate degree nursing 20 education, and one representing diploma education; one 21 registered nurse shall hold at least a bachelor's degree with 22 a major in nursing and be an educator in a licensed practical 23 nursing program; one registered nurse shall hold a master's 24 degree in nursing and shall represent nursing service 25 administration; 2 registered nurses shall represent clinical 26 nursing practice, one of whom shall have at least a master's 27 degree in nursing; and 2 registered nurses shall represent 28 advanced specialty practice. Each of the 11 nurses shall have 29 had a minimum of 5 years experience in nursing, 3threeof 30 which shall be in the area they represent on the Board 31committeeand be actively engaged in the area of nursing they 32 represent at the time of appointment and during their tenure 33 on the BoardCommittee. Members shall be appointed for a SB857 Engrossed -51- LRB9003267DPcc 1 term of 3 years. No member shall be eligible for appointment 2 to more than 2 consecutive terms and any appointment to fill 3 a vacancy shall be for the unexpired portion of the term. In 4 making BoardCommitteeappointments, the Director shall give 5 consideration to recommendations submitted by nursing 6 organizations. Consideration shall be given to equal 7 geographic representation. The BoardCommitteeshall receive 8 actual and necessary expenses incurred in the performance of 9 their duties. 10 In making the initial appointments, the Director shall 11 appoint all new members for terms of 2, 3 and 4 years and 12 such terms shall be staggered as follows: 3 shall be 13 appointed for terms of 2 years; 3 shall be appointed for 14 terms of 3 years;,and 3 shall be appointed for terms of 4 15 years.However, such appointment shall be made in a manner16so that each member appointed prior to January 1, 1987, whose17current appointed term has not expired, will be allowed to18serve out the remainder of his or her term.19 The Director may remove any member of the Boardcommittee20 for misconduct, incapacity, or neglect of duty. The Director 21 shall reduce to writing any causes for removal. 22 The BoardCommitteeshall meet annually to elect a 23 chairperson and vice chairperson. The BoardCommitteemay 24 hold such other meetings during the year as may be necessary 25 to conduct its business. Six voting members of the Board 26Committeeshall constitute a quorum at any meeting. Any 27 action taken by the BoardCommitteemust be on the 28 affirmative vote of 6 members. Voting by proxy shall not be 29 permitted. 30 The BoardCommitteeshall submit an annual report to the 31 Director. 32 The members of the BoardCommitteeshall be immune from 33 suit in any action based upon any disciplinary proceedings or 34 other acts performed in good faith as members of the Board SB857 Engrossed -52- LRB9003267DPcc 1Committee. 2 (b) The BoardCommitteeis authorized to: 3 (1) recommend the adoption and, from time to time, 4 the revision of such rules thatand regulations whichmay 5 be necessary to carry out the provisions of this Act; 6 (2) conduct hearings and disciplinary conferences 7 upon charges calling for discipline of a licensee as 8 provided in Section 25; 9 (3) report to the Department, upon completion of a 10 hearing, the disciplinary actions recommended to be taken 11 against persons violating this Act; 12 (4) recommend the approval, denial of approval, 13 withdrawal of approval, or discipline of nursing 14 education programs; 15 (5) participate in a national organization of state 16 boards of nursing; and 17 (6) recommend a list of the registered nurses to 18 serve as Nursing Act Coordinator and Assistant Nursing 19 Act Coordinator, respectively. 20 (Source: P.A. 87-268.) 21 (225 ILCS 65/10) (from Ch. 111, par. 3510) 22 Sec. 10. Department powers and duties. 23 (a) The Department shall exercise the powers and duties 24 prescribed by the Civil Administrative Code of Illinois for 25 administration of licensing acts and shall exercise such 26 other powers and duties necessary for effectuating the 27 purpose of this Act. None of the functions, powers or duties 28 of the Department with respect to licensure and examination, 29 shall be exercised by the Department except upon review by 30 the BoardCommittee. The Department shall promulgate rules 31 to implement, interpret, or make specific the provisions and 32 purposes of this Act; however no such rulemaking shall be 33 promulgated by the Department except upon review by the Board SB857 Engrossed -53- LRB9003267DPcc 1the affirmative vote of 5 members of the Committee. 2 (b) The Department shall: 3 (1) (blank);Issue quarterly to the Committee a4report of the status of all formal complaints filed by5the Department and significant issues as determined by6the Committee.7 (2) prepare and maintain a list of approved 8 programs of professional nursing education and programs 9 of practical nursing education in this State, whose 10 graduates, if they have the other necessary 11 qualifications provided in this Act, shall be eligible to 12 apply for a license to practice nursing in this State; 13 (3) promulgate rules defining what constitutes an 14 approved program of professional nursing education and 15 what constitutes an approved program of practical nursing 16 education; and 17 (4) promulgate rules for examination of candidates 18 for licenses; and for issuance of licenses authorizing 19 candidates upon passing an examination to practice under 20 this Act. 21 (Source: P.A. 85-981.) 22 (225 ILCS 65/11) (from Ch. 111, par. 3511) 23 Sec. 11. Nursing Act Coordinator. The Department shall 24 obtain, pursuant to the Personnel Code, as amended, a Nursing 25 Act Coordinator and assistants. The Nursing Act Coordinator 26 and assistants shall be professional nurses licensed in this 27 State and graduated from approved schools of nursing, and 28 each shall have been actively engaged in nursing education 29 not less than one year prior to appointment. The Nursing Act 30 Coordinator shall hold at least a master's degree in nursing 31 from an approved college or university; and have at least 5 32 years' experience since graduation in progressively 33 responsible positions in nursing education. Each assistant SB857 Engrossed -54- LRB9003267DPcc 1 shall hold at least a master's degree in nursing from an 2 approved college or university;and have at least 3 years'3 experience since graduation in progressively responsible 4 positions in nursing education. The Nursing Act Coordinator 5 and assistants shall perform such administrative functions as 6 may be delegated to them by the Director. 7 (Source: P.A. 85-981.) 8 (225 ILCS 65/12) (from Ch. 111, par. 3512) 9 Sec. 12. Qualifications for licensure. 10 (a) Each applicant who successfully meets the 11 requirements of this Section shall be entitled to licensure 12 as a Registered Nurse or Licensed Practical Nurse, whichever 13 is applicable. 14 (b) An applicant for licensure by examination to 15 practice as a registered nurse or licensed practical nurse 16 shall: 17 (1) submit a completed written application, on 18 forms provided by the Department and fees as established 19 by the Department; 20 (2) for registered nurse licensure, have completed 21 an approved professional nursing education program of not 22 less than 2 academic years and have graduated from the 23 program; for licensed practical nurse licensure, have 24 completed an approved practical nursing education program 25 of not less than one academic year and have graduated 26 from the program; 27 (3) have not violated the provisions of Section 25 28 of this Act. The Department may take into consideration 29 any felony conviction of the applicant, but such a 30 conviction shall not operate as an absolute bar to 31 licensure; 32 (4) meet all other requirements as established by 33 rule; SB857 Engrossed -55- LRB9003267DPcc 1 (5) pay, either to the Department or its designated 2 testing service, a fee covering the cost of providing the 3 examination. Failure to appear for the examination on the 4 scheduled date at the time and place specified after the 5 applicant's application for examination has been received 6 and acknowledged by the Department or the designated 7 testing service shall result in the forfeiture of the 8 examination fee. 9 If an applicant neglects, fails, or refuses to take an 10 examination or fails to pass an examination for a license 11 under this Act within 3 years after filing the application, 12 the application shall be denied. However, the applicant may 13 make a new application accompanied by the required fee and 14 provide evidence of meeting the requirements in force at the 15 time of the new application. 16 An applicant shall have one year from the date of 17 notification of successful completion of the examination to 18 apply to the Department for a license. If an applicant fails 19 to apply within one year, the applicant shall be required to 20 again take and pass the examination unless licensed in 21 another jurisdiction of the United States within 2 years of 22 passing the examination. 23 (c) An applicant for licensure who is a registered 24 professional nurse or a licensed practical nurse licensed by 25 examination under the laws of another state or territory of 26 the United States shall: 27 (1) submit a completed written application, on 28 forms supplied by the Department, and fees as established 29 by the Department; 30 (2) for registered nurse licensure, have completed 31 an approved professional nursing education program of not 32 less than 2 academic years and have graduated from the 33 program; for licensed practical nurse licensure, have 34 completed an approved practical nursing education program SB857 Engrossed -56- LRB9003267DPcc 1 of not less than one academic year and have graduated 2 from the program; 3 (3) submit verification of licensure status 4 directly from the United States jurisdiction of 5 licensure; 6 (4) have passed the examination authorized by the 7 Department; 8 (5) meet all other requirements as established by 9 rule. 10 (d) All applicants for licensure pursuant to this 11 Section who are graduates of nursing educational programs in 12 a country other than the United States or its territories 13 must submit to the Department certification of successful 14 completion of the Commission of Graduates of Foreign Nursing 15 Schools (CGFNS) examination. An applicant, who is unable to 16 provide appropriate documentation to satisfy CGFNS of her or 17 his educational qualifications for the CGFNS examination, 18 shall be required to pass an examination to test competency 19 in the English language which shall be prescribed by the 20 Department, if the applicant is determined by the Board to be 21 educationally prepared in nursing. The Board shall make 22 appropriate inquiry into the reasons for any adverse 23 determination by CGFNS before making its own decision. 24 An applicant licensed in another state or territory who 25 is applying for licensure and has received her or his 26 education in a country other than the United States or its 27 territories shall be exempt from the completion of the 28 Commission of Graduates of Foreign Nursing Schools (CGFNS) 29 examination if the applicant meets all of the following 30 requirements: 31 (1) successful passage of the licensure examination 32 authorized by the Department; 33 (2) holds an active, unencumbered license in 34 another state; and SB857 Engrossed -57- LRB9003267DPcc 1 (3) has been actively practicing for a minimum of 2 2 years in another state. 3 (e) No applicant shall be issued a license as a 4 registered nurse or practical nurse under this Section unless 5 he or she has passed the examination authorized by the 6 Department within 3 years of completion and graduation from 7 an approved nursing education program, unless such applicant 8 submits proof of successful completion of a 9 Department-authorized remedial nursing education program or 10 recompletion of an approved registered nursing program or 11 licensed practical nursing program, as appropriate. 12 (f) Pending the issuance of a license under subsection 13 (b) of this Section, the Department may grant an applicant a 14 temporary license to practice nursing as a registered nurse 15 or as a licensed practical nurse if the Department is 16 satisfied that the applicant holds an active, unencumbered 17 license in good standing in another jurisdiction. If the 18 applicant holds more than one current active license, or one 19 or more active temporary licenses from other jurisdictions, 20 the Department shall not issue a temporary license until it 21 is satisfied that each current active license held by the 22 applicant is unencumbered. The temporary license, which 23 shall be issued no later than 14 working days following 24 receipt by the Department of an application for the temporary 25 license, shall be granted upon the submission of the 26 following to the Department: 27 (1) a signed and completed application for 28 licensure under subsection (a) of this Section as a 29 registered nurse or a licensed practical nurse; 30 (2) proof of a current, active license in at least 31 one other jurisdiction and proof that each current active 32 license or temporary license held by the applicant is 33 unencumbered; 34 (3) a signed and completed application for a SB857 Engrossed -58- LRB9003267DPcc 1 temporary license; and 2 (4) the required permit fee. 3 (g) The Department may refuse to issue an applicant a 4 temporary license authorized pursuant to this Section if, 5 within 14 working days following its receipt of an 6 application for a temporary license, the Department 7 determines that: 8 (1) the applicant has been convicted of a crime 9 under the laws of a jurisdiction of the United States: 10 (i) which is a felony; or (ii) which is a misdemeanor 11 directly related to the practice of the profession, 12 within the last 5 years; 13 (2) within the last 5 years the applicant has had a 14 license or permit related to the practice of nursing 15 revoked, suspended, or placed on probation by another 16 jurisdiction, if at least one of the grounds for 17 revoking, suspending, or placing on probation is the same 18 or substantially equivalent to grounds in Illinois; or 19 (3) it intends to deny licensure by endorsement. 20 For purposes of this Section, an "unencumbered license" 21 means a license against which no disciplinary action has been 22 taken or is pending and for which all fees and charges are 23 paid and current. 24 (h) The Department may revoke a temporary license issued 25 pursuant to this Section if: 26 (1) it determines that the applicant has been 27 convicted of a crime under the law of any jurisdiction of 28 the United States that is (i) a felony or (ii) a 29 misdemeanor directly related to the practice of the 30 profession, within the last 5 years; 31 (2) it determines that within the last 5 years the 32 applicant has had a license or permit related to the 33 practice of nursing revoked, suspended, or placed on 34 probation by another jurisdiction, if at least one of the SB857 Engrossed -59- LRB9003267DPcc 1 grounds for revoking, suspending, or placing on probation 2 is the same or substantially equivalent to grounds in 3 Illinois; or 4 (3) it determines that it intends to deny licensure 5 by endorsement. 6 A temporary license or renewed temporary license shall 7 expire (i) upon issuance of an Illinois license or (ii) upon 8 notification that the Department intends to deny licensure by 9 endorsement. A temporary license shall expire 6 months from 10 the date of issuance. Further renewal may be granted by the 11 Department in hardship cases, as defined by rule. However, a 12 temporary license shall automatically expire upon issuance of 13 the Illinois license or upon notification that the Department 14 intends to deny licensure, whichever occurs first. No 15 extensions shall be granted beyond the 6-month period unless 16 approved by the Director. Notification by the Department 17 under this Section shall be by certified or registered mail. 18The Department shall issue a license to a person qualified19for licensure as a registered professional nurse if that20person:21(a) has applied in writing in form and substance22acceptable to the Department and has not violated the23provisions of Section 25 of this Act. The Department may24take into consideration any felony conviction of the25applicant, but such a conviction shall not operate as an26absolute bar to licensure;27(b) has completed an approved professional nursing28education program of not less than 2 academic years and29has graduated from the program;30(c) has satisfactorily completed an examination31authorized by the Department; and32(d) has paid the required fees.33An applicant who received her or his nursing education in34a country other than the United States or its territoriesSB857 Engrossed -60- LRB9003267DPcc 1shall be required to submit to the Department certification2of successful completion of the Commission of Graduates of3Foreign Nursing Schools (CGFNS) Examination. An applicant4who is unable to provide appropriate documentation to satisfy5CGFNS of her or his educational qualifications for the CGFNS6examination shall be required to pass an examination to test7competency in the English language which shall be prescribed8by the Department, if determined by the Committee to be9educationally prepared in nursing.10An applicant licensed in another State or territory who11is applying for licensure and has received his or her12education in a country other than the United States or its13territories shall be exempt from completion of the Commission14of Graduates of Foreign Nursing Schools (CGFNS) Examination15if the applicant meets all of the following requirements:16(1) successful passage of the examination17authorized by the Department;18(2) holds an active, unencumbered license in19another state; and20(3) has been actively practicing for a minimum of 221years in the other state.22The Committee shall make appropriate inquiry into the23reasons for any adverse determination by CGFNS before making24its own decision.25 (Source: P.A. 88-218.) 26 (225 ILCS 65/14) (from Ch. 111, par. 3514) 27 Sec. 14. Except for those applicants who have received 28 advanced graduate degrees in nursing from an approved program 29 with concurrent theory and clinical practice, the educational 30 requirements of Section 12 relating to registered 31 professional nursing andof Section 13 relating tolicensed 32 practical nursing shall not be deemed to have been satisfied 33 by the completion of any correspondence course or any program SB857 Engrossed -61- LRB9003267DPcc 1 of nursing thatwhichdoes not require coordinated or 2 concurrent theory and clinical practice. 3 (Source: P.A. 88-595, eff. 8-26-94.) 4 (225 ILCS 65/16) (from Ch. 111, par. 3516) 5 Sec. 16. Expiration of license; renewal. The expiration 6 date and renewal period for each license issued under this 7 Act shall be set by rule. The holder of a license may renew 8 the licensesuch certificateduring the month preceding the 9 expiration date of the licensethereofby paying the required 10 fee. It is the responsibility of the licensee to notify the 11 Department in writing of a change of address. 12 (Source: P.A. 85-981.) 13 (225 ILCS 65/17) (from Ch. 111, par. 3517) 14 Sec. 17. Restoration of license; temporary permit. 15 (a) Any license issued under this Act thatwhichhas 16 expired or thatwhichis on inactive status may be restored 17 by making application to the Department and filing proof of 18 fitness acceptable to the Department as specified by rule, to 19 have the license restored, and by paying the required 20 restoration fee. Such proof of fitness may include evidence 21 certifying to active lawful practice in another jurisdiction. 22 However, any license issued under this Act thatwhich23 expired while the licensee was (1) in federal service on 24 active duty with the Armed Forces of the United States, or 25 the State Militia called into service or training, or (2) in 26 training or education under the supervision of the United 27 States preliminary to induction into the military service, 28 may have the license restored without paying any lapsed 29 renewal fees if within 2 years after honorable termination of 30 such service, training, or education, the applicant furnishes 31 the Department with satisfactory evidence to the effect that 32 the applicant has been so engaged and that the individual's SB857 Engrossed -62- LRB9003267DPcc 1 service, training, or education has been so terminated. 2 Any licensee who shall engage in the practice of nursing 3 with a lapsed license or while on inactive status shall be 4 considered to be practicing without a license which shall be 5 grounds for discipline under Section 25 of this Act. 6 (b) Pending restoration of a license under subsection 7 (a) of this Section, the Department may grant an applicant a 8 temporary licensepermitto practice nursing as a registered 9 nurse or as a licensed practical nurse if the Department is 10 satisfied that the applicant holds an active, unencumbered 11 license in good standing in another jurisdiction. If the 12 applicant holds more than one current active license, or one 13 or more active temporary licensespermitsfrom other 14 jurisdictions, the Department shall not issue a temporary 15 licensepermituntil it is satisfied that each current active 16 licenseand permitheld by the applicant is unencumbered. The 17 temporary licensepermit, which shall be issued no later than 18 14 working days following receipt by the Department of an 19 application for the licensetherefore, shall be granted upon 20 the submission of the following to the Department: 21 (1) a signed and completed application for 22 restoration of licensure under this Section as a 23 registered nurse or a licensed practical nurse; 24 (2) proof of (i) a current, active license in at 25 least one other jurisdiction and proof that each current, 26 active license or temporary permit held by the applicant 27 is unencumbered or (ii) fitness to practice nursing in 28 Illinois as specified by rule; 29 (3) a signed and completed application for a 30 temporary permit; and 31 (4) the required permit feeof $25. 32 (c) The Department may refuse to issue to an applicant a 33 temporary permit authorized under this Section if, within 14 34 working days following its receipt of an application for a SB857 Engrossed -63- LRB9003267DPcc 1 temporary permit, the Department determines that: 2 (1) the applicant has been convicted within the 3 last 5 years of any crime under the laws of any 4 jurisdiction of the United States that is (i) a felony 5 or (ii) a misdemeanor directly related to the practice of 6 the profession; 7 (2) within the last 5 years the applicant had a 8 license or permit related to the practice of nursing 9 revoked, suspended, or placed on probation by another 10 jurisdiction if at least one of the grounds for revoking, 11 suspending, or placing on probation is the same or 12 substantially equivalent to grounds in Illinois; or 13 (3) it is determined by the Department that it 14 intends to deny restoration of the license. 15 For purposes of this Section, an "unencumbered license" 16 means any license against which no disciplinary action has 17 been taken or is pending and for which all fees and charges 18 are paid and current. 19 (d) The Department may revoke a temporary permit issued 20 under this Section if: 21 (1) it determines that the applicant has been 22 convicted within the last 5 years of any crime under the 23 law of any jurisdiction of the United States that is (i) 24 a felony or (ii) a misdemeanor directly related to the 25 practice of the profession; 26 (2) within the last 5 years the applicant had a 27 license or permit related to the practice of nursing 28 revoked, suspended, or placed on probation by another 29 jurisdiction, if at least one of the grounds for 30 revoking, suspending, or placing on probation is the same 31 or substantially equivalent to grounds in Illinois; or 32 (3) it is determined by the Department that it 33 intends to deny restoration of the license. 34 A temporary permit or renewed temporary permit shall SB857 Engrossed -64- LRB9003267DPcc 1 expire (i) upon issuance of an Illinois license or (ii) upon 2 notification that the Department intends to deny restoration 3 of licensure. A temporary permit shall expire 6 months from 4 the date of issuance. Further renewal may be granted by the 5 Department, in hardship cases, that shall automatically 6 expire upon issuance of the Illinois license or upon 7 notification that the Department intends to deny licensure, 8 whichever occurs first. No extensions shall be granted beyond 9 the 6 months period unless approved by the Director. 10 Notification by the Department under this Section shall be by 11 certified or registered mail. 12 (Source: P.A. 86-615; 87-1156.) 13 (225 ILCS 65/21) (from Ch. 111, par. 3521) 14 Sec. 21. Returned checks; fines. Any person who delivers 15 a check or other payment to the Department that is returned 16 to the Department unpaid by the financial institution upon 17 which it is drawn shall pay to the Department, in addition to 18 the amount already owed to the Department, a fine of $50. If 19 the check or other payment was for a renewal or issuance fee 20 and that person practices without paying the renewal fee or 21 issuance fee and the fine due, an additional fine of $100 22 shall be imposed. The fines imposed by this Section are in 23 addition to any other discipline provided under this Act for 24 unlicensed practice or practice on a nonrenewed license. The 25 Department shall notify the person that payment of fees and 26 fines shall be paid to the Department by certified check or 27 money order within 30 calendar days of the notification. If, 28 after the expiration of 30 days from the date of the 29 notification, the person has failed to submit the necessary 30 remittance, the Department shall automatically terminate the 31 licenseor certificateor deny the application, without 32 hearing. If, after termination or denial, the person seeks a 33 licenseor certificate, he or she shall apply to the SB857 Engrossed -65- LRB9003267DPcc 1 Department for restoration or issuance of the licenseor2certificateand pay all fees and fines due to the Department. 3 The Department may establish a fee for the processing of an 4 application for restoration of a licenseor certificateto 5 pay all expenses of processing this application. The Director 6 may waive the fines due under this Section in individual 7 cases where the Director finds that the fines would be 8 unreasonable or unnecessarily burdensome. 9 (Source: P.A. 86-596; 87-1031.) 10 (225 ILCS 65/23) (from Ch. 111, par. 3523) 11 Sec. 23. Fees.The following fees are not refundable:12 (a) The Department shall provide by rule for a schedule 13 of fees to be paid for licenses by all applicants. 14 (a-5) Except as provided in subsection (b), the fees for 15 the administration and enforcement of this Act, including but 16 not limited to original licensure, renewal, and restoration, 17 shall be set by rule. The fees shall not be refundable.The18fee for application for a Certificate of Registration as a19registered professional nurse and a licensed practical nurse20is $50.21 (b) In addition, applicants for any examination as a 22 Registered Professional Nurse or a Licensed Practical Nurse 23 shall be required to pay, either to the Department or to the 24 designated testing service, a fee covering the cost of 25 providing the examination. Failure to appear for the 26 examination on the scheduled date, at the time and place 27 specified, after the applicant's application for examination 28 has been received and acknowledged by the Department or the 29 designated testing service, shall result in the forfeiture of 30 the examination fee. 31(c) The fee for the renewal of a Certificate of32Registration shall be calculated at the rate of $20 per year.33(d) The fee for the restoration of a certificate ofSB857 Engrossed -66- LRB9003267DPcc 1registration other than from inactive status is $15 plus2payment of all lapsed renewal fees, but not to exceed $60.3(e) The fee for a license issued under the provisions of4Section 20, to a nurse licensed by examination under the laws5of another United States jurisdiction is $50.6(f) The fee for the issuance of a duplicate license, for7the issuance of a replacement license for a license which has8been lost or destroyed or for the issuance of a license with9a change of name or address other than during the renewal10period is $15. No fee is required for name and address11changes on Department records when no duplicate certificate12is issued.13(g) The fee for a certification of a registrant's record14for any purpose is $15.15(h) The fee to have the scoring of an examination16authorized by the Department reviewed and verified is $1517plus any fees charged by the applicable testing service.18(i) The fee for a wall certificate showing registration19shall be the actual cost of producing such certificate.20(j) The fee for a roster of persons registered as21Registered Professional Nurse in this State shall be the22actual cost of producing such a roster.23(k) All of the fees collected by the Department pursuant24to this Section shall be paid into the Nursing Dedicated and25Professional Fund.26(l) The fee for nurse licensing, disciplinary or27investigative records obtained pursuant to a subpoena is $128per page.29 (Source: P.A. 86-596; 86-1475.) 30 (225 ILCS 65/24) (from Ch. 111, par. 3524) 31 Sec. 24. Fund. There is hereby created within the State 32 Treasury the Nursing Dedicated and Professional Fund. The 33 monies in the Fund mayshallbe used by and at the direction SB857 Engrossed -67- LRB9003267DPcc 1 of the Department for the administration and enforcement of 2 this Act, including but not limited to: 3 (a) Distribution and publication of"the Illinois 4 Nursing Act"of 1987 and the rulesand regulationsat the 5 time of renewal to all Registered Professional Nurses and 6 Licensed Practical Nurses licensed by the Department.;7 (b) Employment of secretarial, nursing, 8 administrative, enforcement, and other staffresearch9assistancefor the administration of this Act.After10January 1, 1991, the Director shall employ, in conformity11with the Personnel Code, one full-time investigator for12every 10,000 nurses licensed to practice in the State;13 (c) Conducting a survey, as prescribed by rule of 14 the Department, once every 4 years during the license 15 renewal period.Surveying, every license renewal period,16the nurse population of Illinois, its employment,17earnings, distribution, education and other professional18and demographic characteristics, and for the publication19and distribution of the survey; and20 (d) Conducting of training seminars for licensees 21 under this Act relating to the obligations, 22 responsibilities, enforcement and other provisions of the 23 Act and its rulesthe regulations thereunder. 24 (e) Disposition of Fees: 25 (i) (Blank)Until January 1, 1991, 50% of the26fees collected pursuant to this Act shall be27deposited in the Nursing Dedicated and Professional28Fund and 50% shall be deposited in the General29Revenue Fund. 30 (ii)On or after January 1, 1991,All of the 31 fees and fines collected pursuant to this Act shall 32 be deposited in the Nursing Dedicated and 33 Professional Fund. 34 (iii) For the fiscal year beginning July 1, SB857 Engrossed -68- LRB9003267DPcc 1 1988, the moneysmoniesdeposited in the Nursing 2 Dedicated and Professional Fund shall be 3 appropriated to the Department for expenses of the 4 Department and the BoardCommitteein the 5 administration of this Act. All earnings received 6 from investment of moneysmoniesin the Nursing 7 Dedicated and Professional Fund shall be deposited 8 in the Nursing Dedicated and Professional Fund and 9 shall be used for the same purposes as fees 10 deposited in the Fund. 11 (iv) For the fiscal year beginning July 1, 12 1991 and for each fiscal year thereafter, either 10% 13 of the moneysmoniesdeposited in the Nursing 14 Dedicated and Professional Fund each year, not 15 including interest accumulated on such moneys 16monies, or any moneysmoniesdeposited in the Fund 17 in each year which are in excess of the amount 18 appropriated in that year to meet ordinary and 19 contingent expenses of the BoardCommittee, 20 whichever is less, shall be set aside and 21 appropriated to the Illinois Department of Public 22 Health for nursing scholarships awarded pursuant to 23 the Nursing Education Scholarship Law. 24 (v) Moneys in the Fund may be transferred to 25 the Professions Indirect Cost Fund as authorized 26 under Section 61e of the Civil Administrative Code 27 of Illinois. 28 In addition to any other permitted use of moneys in the 29 Fund, and notwithstanding any restriction on the use of the 30 Fund, moneys in the Nursing Dedicated and Professional Fund 31 may be transferred to the General Revenue Fund as authorized 32 by this amendatory Act of 1992. The General Assembly finds 33 that an excess of moneys exists in the Fund.On February 1,341992, the Comptroller shall order transferred and theSB857 Engrossed -69- LRB9003267DPcc 1Treasurer shall transfer $200,000 (or such lesser amount as2may be on deposit in the Fund and unexpended and unobligated3on that date) from the Fund to the General Revenue Fund.4 (Source: P.A. 89-204, eff. 1-1-96; 89-237, eff. 8-4-95; 5 89-626, eff. 8-9-96.) 6 (225 ILCS 65/25) (from Ch. 111, par. 3525) 7 Sec. 25. Grounds for disciplinary action. 8 (a) The Department may, upon recommendation of the Board 9Committee on Nursing, refuse to issue or to renew, or may 10 revoke, suspend, place on probation, reprimand, or take other 11 disciplinary action as the Department may deem appropriate, 12 with regard to a license for any one or a combination of the 13 causes set forth in subsection (b) belowin 25(b). Fines up 14 to $2,500 may be imposed in conjunction with other forms of 15 disciplinary action for those violations thatwhichresult in 16 monetary gain for the licensee. Fines shall not be the 17 exclusive disposition of any disciplinary action arising out 18 of conduct resulting in death or injury to a patient. Fines 19 shall not be assessed in disciplinary actions involving 20 mental or physical illness or impairment. All fines 21 collected under this Section shall be deposited in the 22 Nursing Dedicated and Professional Fund. 23 (b) The causes for disciplinary action are: 24 (1)1.Material deception in furnishing information 25 to the Department.;26 (2)2.Material violations of any provision of this 27 Actor of the Illinois Nursing Act, prior to the repeal28of this Act,or violation of the rules of or final 29 administrative action of the Director, after 30 consideration of the recommendation of the Board. 31Committee;32 (3)3.Conviction of any crime under the laws of 33 any jurisdiction of the United States: (i) which is a SB857 Engrossed -70- LRB9003267DPcc 1 felony; or (ii) which is a misdemeanor, an essential 2 element of which is dishonesty, or (iii) of any crime 3 which is directly related to the practice of the 4 profession.;5 (4)4.A pattern of practice or other behavior 6 which demonstrates incapacity or incompetency to practice 7 under this Act.;8 (5)5.Knowingly aiding or assisting another person 9 in violating any provision of this Act or rules.;10 (6)6.Failing, within 90 days, to provide a 11 response to a request for information in response to a 12 written request made by the Department by certified 13 mail.;14 (7)7.Engaging in dishonorable, unethical or 15 unprofessional conduct of a character likely to deceive, 16 defraud or harm the public, as defined by rule.;17 (8)8.Unlawful sale or distribution of any drug, 18 narcotic, or prescription device, or unlawful conversion 19 of any drug, narcotic or prescription device.;20 (9)9.Habitual or excessive use or addiction to 21 alcohol, narcotics, stimulants, or any other chemical 22 agent or drug which results in a nurses inability to 23 practice with reasonable judgment, skill or safety.;24 (10)10.Discipline by another U.S. jurisdiction or 25 foreign nation, if at least one of the grounds for the 26 discipline is the same or substantially equivalent to 27 those set forth in this Section.herein;28 (11)11.A finding that the licensee, after having 29 her or his license placed on probationary status, has 30 violated the terms of probation.;31 (12)12.Being named as a perpetrator in an 32 indicated report by the Department of Children and Family 33 Services and under the Abused and Neglected Child 34 Reporting Act, and upon proof by clear and convincing SB857 Engrossed -71- LRB9003267DPcc 1 evidence that the licensee has caused a child to be an 2 abused child or neglected child as defined in the Abused 3 and Neglected Child Reporting Act.;4 (13)13.Willful omission to file or record, or 5 willfully impeding the filing or recording or inducing 6 another person to omit to file or record medical reports 7 as required by law or willfully failing to report an 8 instance of suspected child abuse or neglect as required 9 by the Abused and Neglected Child Reporting Act.;10 (14)14.Gross negligence in the practice of 11 nursing.;12 (15)15.Holding oneself out to be practicing 13 nursing under any name other than one's own.;14 (16)16.Fraud, deceit or misrepresentation in 15 applying for or procuring a license under this Act or in 16 connection with applying for renewal of a license under 17 this Act.;18 (17)17.Allowing another person or organization to 19 use the licensees' license to deceive the public.;20 (18)18.Willfully making or filing false records 21 or reports in the licensee's practice as a nurse, 22 including,but not limited to, false records to support 23 claims against the medical assistance program of the 24 Department of Public Aid under the Illinois Public Aid 25 Code.;26 (19)19.Attempting to subvert or cheat on a nurse 27 licensing examination administered under this Act.;28 (20)20.Willfully or negligently violating the 29 confidentiality between nurse and patient except as 30 required by law.;31 (21)21.The use of any false, fraudulent, or 32 deceptive statement in any document connected with the 33 practice of nursing under this Act.;34 (22)22.Failure of a licensee to report to the SB857 Engrossed -72- LRB9003267DPcc 1 Department any adverse final action taken against such 2 licensee by another licensing jurisdiction (any other 3 jurisdiction of the United States or any foreign state or 4 country), by any peer review body, by any health care 5 institution, by any professional or nursing society or 6 association, by any governmental agency, by any law 7 enforcement agency, or by any court or a nursing 8 liability claim related to acts or conduct similar to 9 acts or conduct thatwhichwould constitute grounds for 10 action as defined in this Section.;11 (23)23.Failure of a licensee to report to the 12 Department surrender by the licensee of a license or 13 authorization to practice nursing in another state or 14 jurisdiction, or current surrender by the licensee of 15 membership on any nursing staff or in any nursing or 16 professional association or society while under 17 disciplinary investigation by any of those authorities or 18 bodies for acts or conduct similar to acts or conduct 19 thatwhichwould constitute grounds for action as defined 20 by this Section.;21 (24)24.The determination by a circuit court that 22 a licensee is subject to involuntary admission or 23 judicial admission as provided in the Mental Health and 24 Developmental Disabilities Code, as amended, operates as 25 an automatic suspension. TheSuchsuspension will end 26 only upon a finding by a court that the patient is no 27 longer subject to involuntary admission or judicial 28 admission and issues an order so finding and discharging 29 the patient; and upon the recommendation of the Board 30Committeeto the Director that the licensee be allowed to 31 resume his or her practice.;32 (25)25.The Department may refuse to issue or may 33 suspend the license of any person who fails to file a 34 return, or to pay the tax, penalty or interest shown in a SB857 Engrossed -73- LRB9003267DPcc 1 filed return, or to pay any final assessment of the tax, 2 penalty, or interest as required by any tax Act 3 administered by the Illinois Department of Revenue, until 4 such time as the requirements of any such tax Act are 5 satisfied.; and6 (26)26.Violation of the Health Care Worker 7 Self-Referral Act. 8 (27) Physical illness, including but not limited to 9 deterioration through the aging process or loss of motor 10 skill, mental illness, or disability that results in the 11 inability to practice the profession with reasonable 12 judgment, skill, or safety; 13 (c) In enforcing this Section, the Department or Board 14 upon a showing of a possible violation may compel an 15 individual licensed to practice under this Act, or who has 16 applied for licensure under this Act, to submit to a mental 17 or physical examination, or both, as required by and at the 18 expense of the Department. The Department or Board may order 19 the examining physician to present testimony concerning the 20 mental or physical examination of the licensee or applicant. 21 No information shall be excluded by reason of any common law 22 or statutory privilege relating to communications between the 23 licensee or applicant and the examining physician. The 24 examining physicians shall be specifically designated by the 25 Board or Department. The individual to be examined may have, 26 at his or her own expense, another physician of his or her 27 choice present during all aspects of this examination. 28 Failure of an individual to submit to a mental or physical 29 examination, when directed, shall be grounds for suspension 30 of his or her license until the individual submits to the 31 examination if the Department finds, after notice and 32 hearing, that the refusal to submit to the examination was 33 without reasonable cause. 34 If the Department or Board finds an individual unable to SB857 Engrossed -74- LRB9003267DPcc 1 practice because of the reasons set forth in this Section, 2 the Department or Board may require that individual to submit 3 to care, counseling, or treatment by physicians approved or 4 designated by the Department or Board, as a condition, term, 5 or restriction for continued, reinstated, or renewed 6 licensure to practice; or, in lieu of care, counseling, or 7 treatment, the Department may file, or the Board may 8 recommend to the Department to file, a complaint to 9 immediately suspend, revoke, or otherwise discipline the 10 license of the individual. An individual whose license was 11 granted, continued, reinstated, renewed, disciplined or 12 supervised subject to such terms, conditions, or 13 restrictions, and who fails to comply with such terms, 14 conditions, or restrictions, shall be referred to the 15 Director for a determination as to whether the individual 16 shall have his or her license suspended immediately, pending 17 a hearing by the Department. 18 In instances in which the Director immediately suspends a 19 person's license under this Section, a hearing on that 20 person's license must be convened by the Department within 15 21 days after the suspension and completed without appreciable 22 delay. The Department and Board shall have the authority to 23 review the subject individual's record of treatment and 24 counseling regarding the impairment to the extent permitted 25 by applicable federal statutes and regulations safeguarding 26 the confidentiality of medical records. 27 An individual licensed under this Act and affected under 28 this Section shall be afforded an opportunity to demonstrate 29 to the Department or Board that he or she can resume practice 30 in compliance with acceptable and prevailing standards under 31 the provisions of his or her license. 32 (Source: P.A. 86-596; 87-1207.) 33 (225 ILCS 65/26) (from Ch. 111, par. 3526) SB857 Engrossed -75- LRB9003267DPcc 1 Sec. 26. Limitation on action. All proceedings to 2 suspend, revoke, or take any other disciplinary action as the 3 Department may deem proper, with regard to a license on any 4 of the foregoing grounds may not be commenced later than 3 5 years next after the commission of any act which is a ground 6 for discipline or a final conviction order for any of the 7 acts described herein. In the event of the settlement of any 8 claim or cause of action in favor of the claimant or the 9 reduction to the final judgment of any civil action in favor 10 of the plaintiff, such claim, cause of action or civil action 11 being rounded on the allegation that a person licensed under 12 this Act was negligent in providing care, the Department 13 shall have an additional period of one year from the date of 14 such settlement or final judgment in which to investigate and 15 commence formal disciplinary proceedings under Section 25 of 16 this Act, except as otherwise provided by law. The time 17 during which the holder of the license was outside the State 18 of Illinois shall not be included within any period of time 19 limiting the commencement of disciplinary action by the Board 20Committee. 21 (Source: P.A. 85-981.) 22 (225 ILCS 65/27) (from Ch. 111, par. 3527) 23 (Text of Section before amendment by P.A. 89-507) 24 Sec. 27. Suspension for imminent danger. The Director of 25 the Department may, upon receipt of a written communication 26 from the Director of the Department of Mental Health and 27 Developmental Disabilities or Department of Public Aid or 28 Department of Public Health that continuation of practice of 29 a person licensed under this Act constitutes an immediate 30 danger to the public, immediately suspend the license of such 31 person without a hearing. In instances in which the Director 32 immediately suspends a license under this Section, a hearing 33 upon such person's license must be convened by the Department SB857 Engrossed -76- LRB9003267DPcc 1 within 3015days after such suspension and completed without 2 appreciable delay, such hearing held to determine whether to 3 recommend to the Director that the person's license be 4 revoked, suspended, placed on probationary status or 5 reinstated, or such person be subject to other disciplinary 6 action. In such hearing, the written communication and any 7 other evidence submitted therewith may be introduced as 8 evidence against such person; provided, however, the person, 9 or his or her counsel, shall have the opportunity to 10 discredit or impeach and submit evidence rebutting such 11 evidence. 12 (Source: P.A. 85-981.) 13 (Text of Section after amendment by P.A. 89-507) 14 Sec. 27. Suspension for imminent danger. The Director of 15 the Department may, upon receipt of a written communication 16 from the Secretary of Human Services, the Director of Public 17 Aid, or the Director of Public Health that continuation of 18 practice of a person licensed under this Act constitutes an 19 immediate danger to the public, immediately suspend the 20 license of such person without a hearing. In instances in 21 which the Director immediately suspends a license under this 22 Section, a hearing upon such person's license must be 23 convened by the Department within 3015days after such 24 suspension and completed without appreciable delay, such 25 hearing held to determine whether to recommend to the 26 Director that the person's license be revoked, suspended, 27 placed on probationary status or reinstated, or such person 28 be subject to other disciplinary action. In such hearing, 29 the written communication and any other evidence submitted 30 therewith may be introduced as evidence against such person; 31 provided, however, the person, or his or her counsel, shall 32 have the opportunity to discredit or impeach and submit 33 evidence rebutting such evidence. 34 (Source: P.A. 89-507, eff. 7-1-97.) SB857 Engrossed -77- LRB9003267DPcc 1 (225 ILCS 65/30) (from Ch. 111, par. 3530) 2 Sec. 30. Right to legal counsel. No action of a 3 disciplinarydiscliplinarynature thatwhichis predicated on 4 charges alleging unethical or unprofessional conduct of a 5 person who is a registered professional nurse or a licensed 6 practical nurse and thatwhichcan be reasonably expected to 7 affect adversely that person's maintenance of her or his 8 present, or her or his securing of future, employment as such 9 a nurse may be taken by the Department, by any association, 10 or by any person unless the person against whom such charges 11 are made is afforded the right to be represented by legal 12 counsel of her or his choosing and to present any witness, 13 whether an attorney or otherwise to testify on matters 14 relevant to such charges. 15 (Source: P.A. 85-981.) 16 (225 ILCS 65/32) (from Ch. 111, par. 3532) 17 Sec. 32. Investigation; notice; hearing. Prior to 18 bringing an action before the BoardCommittee, the Department 19 may investigate the actions of any applicant or of any person 20 or persons holding or claiming to hold a license. The 21 Department shall, before suspending, revoking, placing on 22 probationary status, or taking any other disciplinary action 23 as the Department may deem proper with regard to any license 24or certificate, at least 30 days prior to the date set for 25 the hearing, notify the accused in writing of any charges 26 made and the time and place for a hearing of the charges 27 before the BoardCommittee, direct her or him to file a 28 written answer thereto to the BoardCommitteeunder oath 29 within 20 days after the service of such notice and inform 30 the licensee that if she or he fails to file such answer 31 default will be taken against the licensee and such license 32or certificatemay be suspended, revoked, placed on 33 probationary status, or have other disciplinary action, SB857 Engrossed -78- LRB9003267DPcc 1 including limiting the scope, nature or extent of her or his 2 practice, as the Department may deem proper taken with regard 3 thereto. Such written notice may be served by personal 4 delivery or certified or registered mail to the respondent at 5 the address of her or his last notification to the 6 Department. At the time and place fixed in the notice, the 7 Department shall proceed to hear the charges and the parties 8 or their counsel shall be accorded ample opportunity to 9 present such statements, testimony, evidence and argument as 10 may be pertinent to the charges or to the defense to the 11 chargesthereto. The Department may continue asuchhearing 12 from time to time. In case the accused person, after 13 receiving notice, fails to file an answer, her or his license 14or certificatemay in the discretion of the Director, having 15 received first the recommendation of the BoardCommittee, be 16 suspended, revoked, placed on probationary status, or the 17 Director may take whatever disciplinary action as he or she 18 may deem proper, including limiting the scope, nature, or 19 extent of said person's practice, without a hearing, if the 20 act or acts charged constitute sufficient grounds for such 21 action under this Act. 22 (Source: P.A. 85-981.) 23 (225 ILCS 65/33) (from Ch. 111, par. 3533) 24 Sec. 33. Stenographer; transcript. The Department, at 25 its expense, shall provide a stenographer to take down the 26 testimony and preserve a record of all proceedings at the 27 hearing of any case wherein any disciplinary action is taken 28 regarding a license. The notice of hearing, complaint and 29 all other documents in the nature of pleadings and written 30 motions filed in the proceedings, the transcript of 31 testimony, the report of the BoardCommitteeand the orders 32 of the Department shall be the record of the proceedings. 33 The Department shall furnish a transcript of the record to SB857 Engrossed -79- LRB9003267DPcc 1 any person interested in the hearing upon payment of the fee 2 required under Section 60f of the Civil Administrative Code 3 of Illinois. 4 (Source: P.A. 87-1031.) 5 (225 ILCS 65/35) (from Ch. 111, par. 3535) 6 Sec. 35. Subpoena power; oaths. The Department shall have 7 power to subpoena and bring before it any person in this 8 State and to take testimony, either orally or by deposition 9 or both, with the same fees and mileage and in the same 10 manner as prescribed by law in judicial proceedings in civil 11 cases in circuit courts of this State. 12 The Director,and any member of the BoardCommittee13 designated by the Director,shall each have power to 14 administer oaths to witnesses at any hearing which the 15 Department is authorized to conduct under this Act, and any 16 other oaths required or authorized to be administered by the 17 Department under this Acthereunder. 18 (Source: P.A. 85-981.) 19 (225 ILCS 65/36) (from Ch. 111, par. 3536) 20 Sec. 36. Board report. At the conclusion of the hearing 21 the Boardcommitteeshall present to the Director a written 22 report of its findings of fact, conclusions of law, and 23 recommendations. The report shall contain a finding whether 24 or not the accused person violated this Act or failed to 25 comply with the conditions required in this Act. The report 26 shall specify the nature of the violation or failure to 27 comply, and the BoardCommitteeshall make its 28 recommendations to the Director. 29 The report of findings of fact, conclusions of law, and 30 recommendation of the Boardcommitteeshall be the basis for 31 the Department's order of refusal or for the granting of a 32 license or permit unless the Director shall determine that SB857 Engrossed -80- LRB9003267DPcc 1 the report is contrary to the manifest weight of the 2 evidence, in which case the Director may issue an order in 3 contravention of the report. The findings are not admissible 4 in evidence against the person in a criminal prosecution 5 brought for the violation of this Act, but the hearing and 6 findings are not a bar to a criminal prosecution brought for 7 the violation of this Act. 8 (Source: P.A. 85-981.) 9 (225 ILCS 65/37) (from Ch. 111, par. 3537) 10 Sec. 37. Hearing officer. The Director shall have the 11 authority to appoint an attorney duly licensed to practice 12 law in the State of Illinois to serve as the hearing officer 13 in any action before the BoardCommitteeto revoke, suspend, 14 place on probation, reprimand, fine, or take any other 15 disciplinary action with regard to a license. The hearing 16 officer shall have full authority to conduct the hearing. 17 The BoardCommitteeshall have the right to have at least one 18 member present at any hearing conducted by such hearing 19 officer. There may be present at least one RN member of the 20 BoardCommitteeat any such hearing or disciplinary 21 conference. An LPN member or LPN educator may be present for 22 hearings and disciplinary conferences of an LPN. The hearing 23 officer shall report her or his findings and recommendations 24 to the BoardCommitteewithin 30 days of the receipt of the 25 record. The BoardCommitteeshall have 90 days from receipt 26 of the report to review the report of the hearing officer and 27 present their findings of fact, conclusions of law and 28 recommendations to the Director. If the BoardCommittee29 fails to present its report within the 90-day period, the 30 Director may issue an order based on the report of the 31 hearing officer. However, if the BoardCommitteedoes 32 present its report within the specified 90 days, the 33 Director's order shall be based upon the report of the Board SB857 Engrossed -81- LRB9003267DPcc 1Committee. 2 (Source: P.A. 85-981.) 3 (225 ILCS 65/38) (from Ch. 111, par. 3538) 4 Sec. 38. Motion for rehearing. In any case involving 5 refusal to issue, renew, or the discipline of a license, a 6 copy of the Board'sCommittee'sreport shall be served upon 7 the respondent by the Department, either personally or as 8 provided in this Act, for the service of the notice of 9 hearing. Within 20 days after such service, the respondent 10 may present to the Department a motion in writing for a 11 rehearing, which motion shall specify the particular grounds 12 for a rehearingtherefor. If no motion for rehearing is 13 filed, then upon the expiration of the time then upon such 14 denial the Director may enter an order in accordance with 15 recommendations of the BoardCommitteeexcept as provided in 16 Section 36 and 37 of this Act. If the respondent shall order 17 from the reporting service, and pay for a transcript of the 18 record within the time for filing a motion for rehearing, the 19 20 day period within which such a motion may be filed shall 20 commence upon the delivery of the transcript to the 21 respondent. 22 (Source: P.A. 85-981.) 23 (225 ILCS 65/39) (from Ch. 111, par. 3539) 24 Sec. 39. Order for rehearing. Whenever the Director is 25 satisfied that substantial justice has not been done in the 26 revocation, suspension, or refusal to issue or renew a 27 license, the Director may order a hearing by the same or 28 another hearing officer or the BoardCommittee. 29 (Source: P.A. 85-981.) 30 (225 ILCS 65/40) (from Ch. 111, par. 3540) 31 Sec. 40. Order of Director. An order regarding any SB857 Engrossed -82- LRB9003267DPcc 1 disciplinary action, or a certified copy thereof over the 2 seal of the Department and purporting to be signed by the 3 Director shall be prima facie evidence that: 4 (a) such signature is the genuine signature of the 5 Director; 6 (b) that such Director is duly appointed and qualified; 7 and 8 (c) that the BoardCommitteeand the Board members 9thereofare qualified to act. 10 (Source: P.A. 85-981.) 11 (225 ILCS 65/42) (from Ch. 111, par. 3542) 12 Sec. 42. Surrender of license. Upon revocation or 13 suspension of any licenseor certificate, the licensee shall 14 forthwith surrender the license to the Department and if the 15 licensee fails to do so, the Department shall have the right 16 to seize the license. 17 (Source: P.A. 85-981.) 18 (225 ILCS 65/43) (from Ch. 111, par. 3543) 19 Sec. 43. Temporary suspension. The Director may 20 temporarily suspend the license of a nurse without a hearing, 21 simultaneously with the institution of proceedings for a 22 hearing provided for in Section 32 of this Act, if the 23 Director finds that evidence in his or her possession 24 indicates that continuation in practice would constitute an 25 imminent danger to the public. In the event that the 26 Director suspends, temporarily, this license without a 27 hearing, a hearing by the Department must be held within 30 28 days after thesuchsuspension has occurred, and be concluded 29 without appreciable delay. 30 Proceedings for judicial review shall be commenced in the 31 circuit court of the county in which the party applying for 32 review resides; but if the party is not a resident of this SB857 Engrossed -83- LRB9003267DPcc 1 State, the venue shall be in Sangamon County. 2 (Source: P.A. 85-981.) 3 (225 ILCS 65/47) (from Ch. 111, par. 3547) 4 Sec. 47. Pending actions.All licenses in effect on5December 31, 1987 and issued pursuant to the Illinois Nursing6Act, approved June 14, 1951, as amended, are reinstated for7the balance of the term for which last issued. All rules and8regulations in effect on December 31, 1987 and promulgated9pursuant to the Illinois Nursing Act, approved June 14, 1951,10as amended, shall remain in full force and effect on the11effective date of this Act without being promulgated again by12the Department, except to the extent any such rule or13regulation is inconsistent with any provision of this Act.14 All disciplinary actions taken or pending pursuant to the 15 Illinois Nursing Act, approved June 14, 1951, as amended, 16 shall, for the actions taken, remain in effect, and for the 17 actions pending, shall be continued, on the effective date of 18 this Act without having separate actions filed by the 19 Department. 20 (Source: P.A. 85-981.) 21 (225 ILCS 65/8 rep.) 22 (225 ILCS 65/9 rep.) 23 (225 ILCS 65/13 rep.) 24 (225 ILCS 65/15 rep.) 25 (225 ILCS 65/19 rep.) 26 Section 35. The Illinois Nursing Act of 1987 is amended 27 by repealing Sections 8, 9, 13, 15, and 19. 28 Section 40. The Nursing Home Administrators Licensing and 29 Disciplinary Act is amended by changing Sections 4, 5, 6, 7, 30 8, 9, 10, 11, 12, 13, 14, 15, 17, 18, 19, 20, 21, 22, 23, 24, 31 and 28 and by adding Sections 5.1, 20.1, and 24.1 as follows: SB857 Engrossed -84- LRB9003267DPcc 1 (225 ILCS 70/4) (from Ch. 111, par. 3654) 2 Sec. 4. Definitions.:For purposes of this Act, the 3 following definitions shall have the following meanings, 4 except where the context requires otherwise: 5 (1)1."Act" means the Nursing Home Administrators 6 Licensing and Disciplinary Act.;7 (2)2."Department" means the Department of 8 Professional Regulation.;9 (3)3."Director" means the Director of 10 Professional Regulation.;11 (4)4."Board" means the Nursing Home 12 Administrators Licensing and Disciplinary Board appointed 13 by the Governor.;14 (5)5."Nursing home administrator" means the 15 individual licensed under this Act and directly 16 responsible for planning, organizing, directing and 17 supervising the operation of a nursing home, or who in 18 fact performs such functions, whether or not such 19 functions are delegated to one or more other persons.;20 (6)6."Nursing home" or "facility" means any 21 entity thatwhichis required to be licensed by the 22IllinoisDepartment of Public Health under the Nursing 23 Home Care Act, as amended, other than a"sheltered care 24 home"as defined thereunder, and includes private homes 25home, institutions, buildings, residences, or other 26 places, whether operated for profit or not, irrespective 27 of the names attributed to them, county homes for the 28 infirm and chronically ill operated pursuant to the 29 County Nursing Home Act, as amended, and any similar 30 institutions operated by a political subdivision of the 31 State of Illinois thatwhichprovide, though their 32 ownership or management, maintenance, personal care, and 33 nursing for 3 or more persons, not related to the owner 34 by blood or marriage, or any similar facilities in which SB857 Engrossed -85- LRB9003267DPcc 1 maintenance is provided to 3 or more persons who by 2 reason of illness of physical infirmity require personal 3 care and nursing.;4 (7)7."Maintenance" means food, shelter and 5 laundry.;6 (8)8."Personal care" means assistance with meals, 7 dressing, movement, bathing, or other personal needs 8need, or general supervision of the physical and mental 9 well-being of an individual who because of age, physical, 10 or mental disability, emotion or behavior disorder, or 11 mental retardation is incapable of managing his or her 12 person, whether or not a guardian has been appointed for 13 such individual. For the purposes of this Act, this 14 definition does not include the professional services of 15 a nurse.;16 (9)9."Nursing" means professional nursing or 17 practical nursing as those terms are defined in the 18 Illinois Nursing Act of 1987, as amended, for sick or 19 infirm persons who are under the care and supervision of 20 licensed physicians or dentists.;21 (10)10."Disciplinary action" means revocation, 22 suspension, probation, supervision, reprimand, required 23 education, fines or any other action taken by the 24 Department against a person holding a license.;25 (11)11."Impaired" means the inability to practice 26 with reasonable skill and safety due to physical or 27 mental disabilities as evidenced by a written 28 determination or written consent based on clinical 29 evidence including deterioration through the aging 30 process or loss of motor skill, or abuse of drugs or 31 alcohol, of sufficient degree to diminish a person's 32 ability to administer a nursing home. 33 (Source: P.A. 86-820.) SB857 Engrossed -86- LRB9003267DPcc 1 (225 ILCS 70/5) (from Ch. 111, par. 3655) 2 (Text of Section before amendment by P.A. 89-507) 3 Sec. 5. Board. 4 (a) There is hereby created the Nursing Home 5 AdministratorsAdministrator'sLicensing and Disciplinary 6 Board. The Board shall consist of 9 members appointed by the 7 Governor. All shall be residents of the State of Illinois. 8 Three members shall be representatives of the general public. 9 Six members shall be nursing home administrators who for at 10 least 5 years prior to their appointments were licensed under 11 this Act. The public members shall have no responsibility 12 for management or formation of policy of, nor any financial 13 interest in, nursing homes as defined in this Act, nor any 14 other connection with the profession. In appointing licensed 15 nursing home administrators, the Governor shall take into 16 consideration the recommendations of the nursing home 17 professional associations. 18 (b) MembersInitial terms shall begin January 1, 1988.19Of the members of the Board first appointed, 3 shall be20appointed for terms of 2 years; 3 shall be appointed for21terms of 3 years, and 3 shall be appointed for terms of 422years. Upon the expiration of the term of any member, their23successorshall be appointed for a term of 4 years by the 24 Governor. The Governor shall fill any vacancy for the 25 remainder of the unexpired term. Any member of the Board may 26 be removed by the Governor for cause. Each member shall 27 serve on the Board until his or hertheirsuccessor is 28 appointed and qualified. No member of the Board shall serve 29 more than 2 consecutive 4 year terms. 30 In making appointments the Governor shall attempt to 31 insure that the various geographic regions of the State of 32 Illinois are properly represented. 33The Board in existence on the effective date of this Act34shall continue to exercise the powers and duties specifiedSB857 Engrossed -87- LRB9003267DPcc 1under this Act until a successor Board is designated by the2Governor. The Governor shall designate the successor Board3within 90 days of the effective date of this Act.4 (c) The Board shall annually elect one of its members as 5 chairperson andchairman,one as vice chairpersonchairman6and one as secretary. No officer shall be elected more than 7 twice in succession to the same office. Each officer shall 8 serve until his or hertheirsuccessor has been elected and 9 qualified. 10 (d) A majority of the Board members currently appointed 11 shall constitute a quorumFive members of the Board shall12constitute a quorum. A vacancy in the membership of the Board 13 shall not impair the right of a quorum to exercise all the 14 rights and perform all the duties of the Board.Any action15taken by the Board under this Act may be authorized by16resolution at any regular or special meeting and each such17resolution shall take effect immediately. The Board shall18meet at least quarterly. The Board is empowered to adopt all19rules and regulations necessary and incident to the powers20granted to it under this Act.21 (e) Each member,and member-officer,of the Board shall 22 receive a per diem stipend as the Directorof the Department,23hereinafter referred to as the Director,shall determine. 24 Each member shall be paid their necessary expenses while 25 engaged in the performance of his or hertheirduties. 26 (f) (Blank)The Director shall select a Nursing Home27Administrator Coordinator who shall not be a member of the28Board. The Nursing Home Administrator coordinator shall be29the designated administrator of this Act.30The Director shall employ, in conformity with the31Personnel Code, not less than one investigator for every 500032Nursing Home Administrators licensed in the State. Each33investigator shall be a college graduate with at least 234years' investigative experience or be a licensed Nursing HomeSB857 Engrossed -88- LRB9003267DPcc 1Administrator for 2 years. Upon the written request of the2Board, the Director shall employ, in conformity with the3Personnel Code, such other professional, technical,4investigative, and clerical help, either on a full or5part-time basis as the Board deems necessary for the proper6performance of its duties. 7 (g) (Blank)Upon the written request of the Board or the8Nursing Home Administrator Coordinator, the Department of9Alcoholism and Substance Abuse or the Department of State10Police may cooperate and assist in any investigation11undertaken by the Board. 12 (h) Members of the Board shall be immune from suit in 13 any action based upon any disciplinary proceedings or other 14 acts performed in good faith as members of the Board. 15 (i) (Blank)The Board may compile and establish a16statewide roster of Nursing Home Administrators and other17associated field professionals, including the several medical18specialties, who have agreed to serve from time to time as19advisors to the Nursing Home Administrator Coordinator. Such20advisors shall assist the Nursing Home Administrator21Coordinator in investigations and participation in complaints22against Nursing Home Administrators. Such advisors shall23serve under contract and shall be reimbursed at a rate set by24the Director for each and every day they shall be actually25advising the Nursing Home Administrator Coordinator, plus26reasonable expenses incurred. While serving in this27capacity, the advisor, for any act undertaken in good faith28and in the conduct of their duties under this Section, shall29be immune from civil suit.30The Department shall exercise the powers and duties31prescribed by the Civil Administrative Code of Illinois for32administration of licensing acts and shall exercise such33other powers and duties necessary for effectuating the34purpose of this Act. The Department shall promulgate rulesSB857 Engrossed -89- LRB9003267DPcc 1to implement, interpret, or make specific the provisions and2purposes of this Act; however no such rulemaking shall be3promulgated by the Department except upon the Board's written4approval. 5 (j) The Director shall give due consideration to all 6 recommendations of the Board. If the Director disagrees with 7 or takes action contrary to a recommendation of the Board, he 8 or she shall provide the Board with a written and specific 9 explanation of his or her action. 10 (Source: P.A. 85-932.) 11 (Text of Section after amendment by P.A. 89-507) 12 Sec. 5. Board. 13 (a) There is hereby created the Nursing Home 14 AdministratorsAdministrator'sLicensing and Disciplinary 15 Board. The Board shall consist of 9 members appointed by the 16 Governor. All shall be residents of the State of Illinois. 17 Three members shall be representatives of the general public. 18 Six members shall be nursing home administrators who for at 19 least 5 years prior to their appointments were licensed under 20 this Act. The public members shall have no responsibility 21 for management or formation of policy of, nor any financial 22 interest in, nursing homes as defined in this Act, nor any 23 other connection with the profession. In appointing licensed 24 nursing home administrators, the Governor shall take into 25 consideration the recommendations of the nursing home 26 professional associations. 27 (b) MembersInitial terms shall begin January 1, 1988.28Of the members of the Board first appointed, 3 shall be29appointed for terms of 2 years; 3 shall be appointed for30terms of 3 years, and 3 shall be appointed for terms of 431years. Upon the expiration of the term of any member, their32successorshall be appointed for a term of 4 years by the 33 Governor. The Governor shall fill any vacancy for the 34 remainder of the unexpired term. Any member of the Board may SB857 Engrossed -90- LRB9003267DPcc 1 be removed by the Governor for cause. Each member shall 2 serve on the Board until his or hertheirsuccessor is 3 appointed and qualified. No member of the Board shall serve 4 more than 2 consecutive 4 year terms. 5 In making appointments the Governor shall attempt to 6 insure that the various geographic regions of the State of 7 Illinois are properly represented. 8The Board in existence on the effective date of this Act9shall continue to exercise the powers and duties specified10under this Act until a successor Board is designated by the11Governor. The Governor shall designate the successor Board12within 90 days of the effective date of this Act.13 (c) The Board shall annually elect one of its members as 14 chairperson andchairman,one as vice chairpersonchairman15and one as secretary. No officer shall be elected more than 16 twice in succession to the same office. Each officer shall 17 serve until his or hertheirsuccessor has been elected and 18 qualified. 19 (d) A majority of the Board members currently appointed 20 shall constitute a quorumFive members of the Board shall21constitute a quorum. A vacancy in the membership of the Board 22 shall not impair the right of a quorum to exercise all the 23 rights and perform all the duties of the Board.Any action24taken by the Board under this Act may be authorized by25resolution at any regular or special meeting and each such26resolution shall take effect immediately. The Board shall27meet at least quarterly. The Board is empowered to adopt all28rules and regulations necessary and incident to the powers29granted to it under this Act.30 (e) Each member,and member-officer,of the Board shall 31 receive a per diem stipend as the Directorof the Department,32hereinafter referred to as the Director,shall determine. 33 Each member shall be paid their necessary expenses while 34 engaged in the performance of his or hertheirduties. SB857 Engrossed -91- LRB9003267DPcc 1 (f) (Blank)The Director shall select a Nursing Home2Administrator Coordinator who shall not be a member of the3Board. The Nursing Home Administrator coordinator shall be4the designated administrator of this Act.5The Director shall employ, in conformity with the6Personnel Code, not less than one investigator for every 50007Nursing Home Administrators licensed in the State. Each8investigator shall be a college graduate with at least 29years' investigative experience or be a licensed Nursing Home10Administrator for 2 years. Upon the written request of the11Board, the Director shall employ, in conformity with the12Personnel Code, such other professional, technical,13investigative, and clerical help, either on a full or14part-time basis as the Board deems necessary for the proper15performance of its duties. 16 (g) (Blank)Upon the written request of the Board or the17Nursing Home Administrator Coordinator, the Department of18Human Services or the Department of State Police may19cooperate and assist in any investigation undertaken by the20Board. 21 (h) Members of the Board shall be immune from suit in 22 any action based upon any disciplinary proceedings or other 23 acts performed in good faith as members of the Board. 24 (i) (Blank)The Board may compile and establish a25statewide roster of Nursing Home Administrators and other26associated field professionals, including the several medical27specialties, who have agreed to serve from time to time as28advisors to the Nursing Home Administrator Coordinator. Such29advisors shall assist the Nursing Home Administrator30Coordinator in investigations and participation in complaints31against Nursing Home Administrators. Such advisors shall32serve under contract and shall be reimbursed at a rate set by33the Director for each and every day they shall be actually34advising the Nursing Home Administrator Coordinator, plusSB857 Engrossed -92- LRB9003267DPcc 1reasonable expenses incurred. While serving in this2capacity, the advisor, for any act undertaken in good faith3and in the conduct of their duties under this Section, shall4be immune from civil suit.5The Department shall exercise the powers and duties6prescribed by the Civil Administrative Code of Illinois for7administration of licensing acts and shall exercise such8other powers and duties necessary for effectuating the9purpose of this Act. The Department shall promulgate rules10to implement, interpret, or make specific the provisions and11purposes of this Act; however no such rulemaking shall be12promulgated by the Department except upon the Board's written13approval. 14 (j) The Director shall give due consideration to all 15 recommendations of the Board. If the Director disagrees with 16 or takes action contrary to the recommendation of the Board, 17 he or she shall provide the Board with a written and specific 18 explanation of his or her action. 19 (Source: P.A. 89-507, eff. 7-1-97.) 20 (225 ILCS 70/5.1 new) 21 Sec. 5.1. Powers and duties; rules. The Department shall 22 exercise the powers and duties prescribed by the Civil 23 Administrative Code of Illinois for administration of 24 licensing acts and shall exercise such other powers and 25 duties necessary for effectuating the purposes of this Act. 26 The Department shall adopt rules to implement, interpret, or 27 make specific the provisions and purposes of this Act and may 28 prescribe forms that shall be issued in connection with 29 rulemaking. The Department shall transmit the proposed 30 rulemaking to the Board. 31 The Department may solicit the advice of the Board on any 32 matter relating to the administration and enforcement of this 33 Act. SB857 Engrossed -93- LRB9003267DPcc 1 The Director shall employ, in conformity with the 2 Personnel Code, professional, technical, investigative, and 3 clerical help on a full-time or part-time basis as necessary 4 for the proper performance of its duties. 5 Upon the written request of the Department, the 6 Department of Human Services or the Department of State 7 Police may cooperate and assist in any investigation 8 undertaken by the Board. 9 (225 ILCS 70/6) (from Ch. 111, par. 3656) 10 Sec. 6. Application procedure. Applications for original 11 licenses shall be made to the Department in writing on forms 12 prescribed by the Department and shall be accompanied by the 13 required fee, which shall not be refundable. TheAny such14 application shall requiresuchinformation as in the judgment 15 of the Department will enable the DepartmentBoardto pass on 16 the qualifications of the applicant for a license. 17 (Source: P.A. 85-932.) 18 (225 ILCS 70/7) (from Ch. 111, par. 3657) 19 Sec. 7. Examination. The Department shall authorize 20 examinations of applicants as nursing home administrators at 21 such times and places as it may determine. Examinations shall 22 be held not less frequently than 2 times every year. The 23 examination of applicants shall be of a character to give a 24 fair test of the qualifications of the applicant to practice 25 nursing home administration. 26 Applicants for examination as nursing home administrators 27 shall be required to pay, either to the Department or the 28 designated testing service, a fee covering the cost of 29 providing the examination. Failure to appear for the 30 examination on the scheduled date, at the time and place 31 specified, after the applicant's application for examination 32 has been received and acknowledged by the Department or the SB857 Engrossed -94- LRB9003267DPcc 1 designated testing service, shall result in the forfeiture of 2 the examination fee. 3 If an applicant neglects, fails or refuses to take an 4 examination or fails to pass an examination for a license 5 under this Act within 3 years after filing his or her 6 licensure application, the application shall be denied and 7 the examination shall be void. However, such applicant may 8 thereafter make a new application for examination accompanied 9 by the required fee, and must furnish proof of meeting 10 qualifications for examination in effect at the time of new 11 application. 12 An applicant shall have one year from the date of 13 notification of successful completion of the examination to 14 apply to the Department for a license. If an applicant fails 15 to apply within one year, the applicant shall be required to 16 again take and pass the examination. 17 The Department may employ consultants for the purpose of 18 preparing and conducting examinations. 19 (Source: P.A. 85-932.) 20 (225 ILCS 70/8) (from Ch. 111, par. 3658) 21 Sec. 8. Qualifications for license. A person is 22 qualified to receive a license as a nursing home 23 administrator: 24 (a) who is at least 21 years of age, 25 (b) who has not engaged in conduct or behavior 26 determined to be grounds for discipline under this Act, 27 (c) who is in sound physical and mental health, 28 (d) (blank), 29 (e) who is a graduate of a college or university 30 deemed reputable and in good standing by the Department, 31 or who has satisfactorily completed a course of 32 instruction approved by the Department containing 33 subjects embracing the laws governing the operation of SB857 Engrossed -95- LRB9003267DPcc 1 nursing homes, the protection of the health and safety of 2 patients in nursing homes and the elements of sound 3 nursing home administration, or who presents evidence to 4 the Department of education, training and experience 5 deemed by the Department to be equivalent toofeither of 6 the above, 7 (f) who passes a written examination conducted by 8 the Department to determine his or her fitness to receive 9 a license as a nursing home administrator, and 10 (g) who pays the required fee. 11 (Source: P.A. 89-387, eff. 8-20-95.) 12 (225 ILCS 70/9) (from Ch. 111, par. 3659) 13 Sec. 9. Temporary license without examination. The 14 Department may in its discretion issue without examination a 15 temporary license as a nursing home administrator to any 16 applicant who furnishes the Department with satisfactory 17 proof under oath, on forms prescribed by the Department, that 18 he or she: 19 (a) is at least 21 years of age, 20 (b)whohas not engaged in conduct or behavior 21 determined to be grounds for discipline under this Act, 22 (c) is in sound physical and mental health, 23 (d) (blank)is a citizen of the United States or is24a lawfully admitted alien, 25 (e) is a graduate of a college or university deemed 26 reputable and in good standing by the Department, or who 27 has satisfactorily completed a course of instruction 28 approved by the Department containing subjects embracing 29 the laws governing the operation of nursing homes, the 30 protection of the health and safety of patients in 31 nursing homes and the elements of sound nursing home 32 administration, or who presents evidence to the 33 Department of education, training, and experience deemed SB857 Engrossed -96- LRB9003267DPcc 1 by the Department to be equivalent to either of the 2 above, 3 (f)(g)has been accepted or appointed as a nursing 4 home administrator in a facility licensed to provide 5 nursing care by theIllinoisDepartment of Public Health, 6 and 7 (g)(h)pays the required fee. 8 The applicant shall indicate the beginning date of the 9 period for which he or she has been accepted or appointed,10 and shall specify the particular facility in which he or she 11 will serve as administrator. 12 After receiving a temporary license under this Section, 13 the holder of a temporary license shall take the examination 14 for a license under this Act that is scheduled to be given 15 before his or her temporary license expires. The temporary 16 license of an individual who passes the examination shall be 17 valid until he or she applies for and receives a license 18 under Section 7 of this Act. 19 Temporary licenses issued pursuant to this Section shall 20 be valid only for a period of one year from date of issuance. 21 A temporary license issued under this Section may be extended 22 only for one additional one-year period if the applicant took 23 the examination during the period of his or her temporary 24 license. The applicant shall retake the examination prior to 25 the expiration of the extended temporary license. The holder 26 of a temporary license shall be entitled to serve as a 27 nursing home administrator in the particular facility 28 indicated on his or her application, but he or she shall not 29 be entitled to engage in the practice of nursing home 30 administration in any other facility without first applying 31 to the Department and having been granted an amended 32 temporary license designating a different facility. 33 Upon the termination of his or her service or the lapse 34 or revocation of his or her license, whichever is sooner, the SB857 Engrossed -97- LRB9003267DPcc 1 holder of a temporary license shall surrender it to the 2 Department. 3 A temporary license may be revoked by the Department upon 4 proof that the holder has engaged in the practice of nursing 5 home administration in this State in a facility not named on 6 his or her application. 7 An applicant for a temporary license as a nursing home 8 administrator may act as a nursing home administrator for a 9 period of up to 60 days prior to the issuance of a license if 10 the applicant has submitted the required fee and an 11 application for licensure to the Department. This 60-day 12 period may be extended until the next Board meeting if action 13 by the Board is required. The applicant shall keep a copy of 14 the submitted application on the premises where the applicant 15 is engaged in the practice as a nursing home administrator. 16 The authority to practice shall terminate immediately 17 upon the denial of licensure by the Department or the 18 withdrawal of the application. 19 (Source: P.A. 89-197, eff. 7-21-95.) 20 (225 ILCS 70/10) (from Ch. 111, par. 3660) 21 Sec. 10. License requirement. It shall be unlawful for 22 any person to operate or manage a nursing home in the State 23 of Illinois unless he or she is licensed as a nursing home 24 administrator in accordance with this Act. 25 The practice of nursing home administration, or the use 26 of the title "Licensed Nursing Home Administrator", the 27 initials "N.H.A." or any other word or abbreviation 28 indicating that he or she is a nursing home administrator, by 29 any person who has not been issued a license or whose license 30 has been suspended or revoked is hereby declared to be 31 inimical to public health and welfare and to constitute a 32 public nuisance. 33 Nothing in this Act or in the rules adopted hereunder SB857 Engrossed -98- LRB9003267DPcc 1 shall require an administrator of any facility or institution 2 operated solely by and for persons who rely exclusively upon 3 treatment by spiritual means through prayer alone, in 4 accordance with the creed or tenets of any well-recognized 5 church or religious denomination, to be licensed as a nursing 6 home administrator. 7 (Source: P.A. 86-130.) 8 (225 ILCS 70/11) (from Ch. 111, par. 3661) 9 Sec. 11. Expiration; renewal; continuing education. The 10 expiration date and renewal period for each license issued 11 under this Act shall be set by rule. 12 Each licensee shall provide proof of having obtained 36 13 hours of continuing education in the 2 year period preceding 14 the renewal date of the license as a condition of license 15 renewal. The continuing education requirement may be waived 16 in part or in whole for such good cause as may be determined 17 by rule. 18 Any continuing education course for nursing home 19 administrators approved by the National Continuing Education 20 Review Service of the National Association of Boards of 21 Examiners of Nursing Home Administrators will be accepted 22 towardtowardsatisfaction of these requirements. 23 Any continuing education course for nursing home 24 administrators sponsored by the Life Services Network of 25 IllinoisIllinois Association of Homes for the Aging, 26 Illinois Council on Long Term Care, County Nursing Home 27 Association of Illinois, Illinois Health Care Association, 28 Illinois Chapter of American College of Health Care 29 Administrators, and the Illinois Nursing Home Administrators 30 Association will be accepted toward satisfaction of these 31 requirements. 32 Any school, college or university, State agency, or other 33 entity may apply to the DepartmentBoardfor approval as a SB857 Engrossed -99- LRB9003267DPcc 1 continuing education sponsor. Criteria for qualification as a 2 continuing education sponsor shall be established by rule. 3 It shall be the responsibility of each continuing 4 education sponsor to maintain records, as prescribed by rule, 5 to verify attendance. 6 The Department shall establish by rule a means for the 7 verification of completion of the continuing education 8 required by this Section. This verification may be 9 accomplished through audits of records maintained by 10 registrants; by requiring the filing of continuing education 11 certificates with the Department; or by other means 12 established by the Department. 13 Any nursing home administrator who has permitted his or 14 her license to expire or who has had his or her license on 15 inactive status may have his or her license restored by 16 making application to the Department and filing proof 17 acceptable to the Department of his or her fitness to have 18 his or her license restored and by paying the required fee. 19 Proof of fitness may include evidence certifying to active 20 lawful practice in another jurisdiction satisfactory to the 21 Department and by paying the required restoration fee. 22 However, any nursing home administrator whose license 23 expired while he or she was (1) in federal service on active 24 duty with the Armed Forces of the United States, or the State 25 Militia called into service or training, or (2) in training 26 or education under the supervision of the United States 27 preliminary to induction into the military services, may have 28 his or her license renewed or restored without paying any 29 lapsed renewal fees if within 2 years after honorable 30 termination of such service, training or education, he or she 31 furnishes the Department with satisfactory evidence to the 32 effect that he or she has been so engaged and that his or her 33 service, training or education has been so terminated. 34 (Source: P.A. 86-1472; 87-546.) SB857 Engrossed -100- LRB9003267DPcc 1 (225 ILCS 70/12) (from Ch. 111, par. 3662) 2 Sec. 12. Inactive status. Any nursing home administrator 3 who notifies the Department in writing on forms prescribed by 4 the Department, may elect to place his or her license on an 5 inactive status and shall, subject to rules of the 6 Department, be excused from payment of renewal fees and the 7 completion of continuing education requirements until he or 8 she notifies the Department in writing of his or her intent 9 to restore his or her license. 10 Any nursing home administrator requesting restoration 11 from inactive status shall be required to pay the current 12 renewal fee and shall be required to restore his or her 13 license, as provided by rule of the Department. 14 Any nursing home administrator whose license is in an 15 inactive status shall not practice as a nursing home 16 administrator in the State of Illinois. 17 Any licensee who shall practice as a nursing home 18 administrator while his or her license is lapsed or on 19 inactive status shall be considered to be practicing without 20 a license which shall be grounds for discipline under Section 21 17 of this Act. 22 (Source: P.A. 85-932.) 23 (225 ILCS 70/13) (from Ch. 111, par. 3663) 24 Sec. 13. Endorsement. The Department may, in its 25 discretion, license as a nursing home administrator, without 26 examination, on payment of the required fee, an applicant who 27 is so licensed under the laws of another U.S. jurisdiction, 28 if the requirements for licensure in the other jurisdiction 29 in which the applicant was licensed,were, at the date of his 30 or her licensure, substantially equivalent to the 31 requirements then in force in this State; or if the 32 applicant's qualifications were, at the date of his or her 33 licensure in the other jurisdiction, substantially equivalent SB857 Engrossed -101- LRB9003267DPcc 1 to the requirements then in force in this State. 2 Notwithstanding the provisions of this Section, all 3 applicants seeking licensure under this Section shall be 4 required to take and pass an examination testing the 5 applicant's knowledge of Illinois law relating to the 6 practice of nursing home administration. 7 Applicants have 3 years from the date of application to 8 complete the application process. If the process has not 9 been completed in 3 years, the application shall be denied, 10 the fee shall be forfeited, and the applicant must reapply 11 and meet the requirements in effect at the time of 12 reapplication. 13 (Source: P.A. 86-596.) 14 (225 ILCS 70/14) (from Ch. 111, par. 3664) 15 Sec. 14. Fees. 16 (a) Except as provided in subsection (b), the fees for 17 the administration and enforcement of this Act, including but 18 not limited to original licensure, renewal, and restoration 19 fees, shall be set by rule of the Department. Thefollowing20 fees shallarenot be refundable. 211. The fee for application for a license is $100.22 (b) Applicants2. In addition, applicantsfor any 23 examination shall be required to pay, either to the 24 Department or to the designated testing service, a fee 25 covering the cost of determining the applicant's eligibility 26 and providing the examination. Failure to appear for the 27 examination on the scheduled date,thetime, and place 28 specified, after the applicant's application for examination 29 has been received and acknowledged by the Department or the 30 designated testing service, shall result in the forfeiture of 31 the examination fee. 323. The fee for a license for a nursing home33administrator registered or licensed under the laws ofSB857 Engrossed -102- LRB9003267DPcc 1another U.S. jurisdiction is $150.24. The fee for the renewal of a license shall be3calculated at the rate of $50 per year.45. The fee for the restoration of a license other than5from inactive status is $10 plus payment of all lapsed6renewal fees.76. The fee to be paid by an applicant for a temporary8license as provided under Section 9 of this Act is $75.97. The fee for the issuance of a duplicate license, for10the issuance of a replacement license for a license which has11been lost or destroyed or for the issuance of a license with12a change of name or address other than during the renewal13period is $20.148. The fee to be paid for a certification of a15licensee's record for any purpose is $20.169. The fee to be paid to have the scoring of an17examination administered by the Department reviewed and18verified is $20 in addition to the fee required by the19testing service.2010. The fee by a licensee for a wall certificate showing21his licensure shall be the actual cost of producing such22certificate.2311. The fee for a roster of persons licensed as nursing24home administrators in this State shall be the actual cost of25producing such a roster.2612. The annual fee for continuing education sponsors is27$500, however State agencies, colleges and universities shall28be exempt from the payment of this fee.29 (Source: P.A. 85-932.) 30 (225 ILCS 70/15) (from Ch. 111, par. 3665) 31 Sec. 15. Returned checks; fines. Any person who delivers 32 a check or other payment to the Department that is returned 33 to the Department unpaid by the financial institution upon SB857 Engrossed -103- LRB9003267DPcc 1 which it is drawn shall pay to the Department, in addition to 2 the amount already owed to the Department, a fine of $50. If 3 the check or other payment was for a renewal or issuance fee 4 and that person practices without paying the renewal fee or 5 issuance fee and the fine due, an additional fine of $100 6 shall be imposed. The fines imposed by this Section are in 7 addition to any other discipline provided under this Act for 8 unlicensed practice or practice on a nonrenewed license. The 9 Department shall notify the person that payment of fees and 10 fines shall be paid to the Department by certified check or 11 money order within 30 calendar days of the notification. If, 12 after the expiration of 30 days from the date of the 13 notification, the person has failed to submit the necessary 14 remittance, the Department shall automatically terminate the 15 licenseor certificateor deny the application, without 16 hearing. If, after termination or denial, the person seeks a 17 licenseor certificate, he or she shall apply to the 18 Department for restoration or issuance of the licenseor19certificateand pay all fees and fines due to the Department. 20 The Department may establish a fee for the processing of an 21 application for restoration of a licenseor certificateto 22 pay all expenses of processing this application. The Director 23 may waive the fines due under this Section in individual 24 cases where the Director finds that the fines would be 25 unreasonable or unnecessarily burdensome. 26 (Source: P.A. 86-596; 87-1031.) 27 (225 ILCS 70/17) (from Ch. 111, par. 3667) 28 Sec. 17. Grounds for disciplinary action. 29 (a) The Department may impose fines not to exceed 30 $1,000, or may refuse to issue or to renew, or may revoke, 31 suspend, place on probation, censure, reprimand or take other 32 disciplinary action with regard to the license of any person, 33 for any one or combination of the following causes: SB857 Engrossed -104- LRB9003267DPcc 1 (1)1.Intentional material misstatement in 2 furnishing information to the Department. 3 (2)2.Conviction of any crime under the laws of 4 the United States or any state or territory thereof that 5whichis a felony orwhich isa misdemeanor of which,an 6 essential elementof whichis dishonesty, or of any crime 7 thatwhichis directly related to the practice of the 8 profession of nursing home administration. 9 (3)3.Making any misrepresentation for the purpose 10 of obtaining a licenselicenses, or violating any 11 provision of this Act. 12 (4)4.Immoral conduct in the commission of any 13 act, such as sexual abuse or sexual misconduct, related 14 to the licensee's practice. 15 (5)5.Failing to respond within 60 days, to a 16 written request made by the Department for information 17after consultation with the Nursing Home Administrator18Coordinator. 19 (6)6.Engaging in dishonorable, unethical or 20 unprofessional conduct of a character likely to deceive, 21 defraud or harm the public. 22 (7)7.Habitual use or addiction to alcohol, 23 narcotics, stimulants, or any other chemical agent or 24 drug which results in the inability to practice with 25 reasonable judgment, skill or safety. 26 (8)8.Discipline by another U.S. jurisdiction if 27 at least one of the grounds for the discipline is the 28 same or substantially equivalent to those set forth 29 herein. 30 (9)9.A finding by the Department that the 31 licensee, after having his or her license placed on 32 probationary status has violated the terms of probation. 33 (10)10.Willfully making or filing false records 34 or reports in his or her practice, including but not SB857 Engrossed -105- LRB9003267DPcc 1 limited to false records filed with State agencies or 2 departments. 3 (11)11.Physical illness, including but not 4 limited to, deterioration through the aging process, or 5 loss of motor skill thatwhichresults in the inability 6 to practice the profession with reasonable judgment, 7 skill or safety. 8 (12)12.Disregard or violation of this Act or of 9 any ruleor regulationissued pursuant to this Act 10thereto. 11 (13)13.Aiding or abetting another in the 12 violation of this Act or any rule or regulation issued 13 pursuant to this Actthereto. 14 (14)14.Allowing one's license to be used by an 15 unlicensed person. 16 (15)15.Conviction of any crime an essential 17 element of which is misstatement, fraud or dishonesty, or 18 conviction in this State or another state of any crime 19 thatwhichis a felony under the laws of this State or 20 conviction of a felony in a federal court. 21 (16)16.Professional incompetence in the practice 22 of nursing home administration. 23 (17)17.Conviction of a violation of Section 12-19 24 of the Criminal Code of 1961 for the abuse and gross 25 neglect of a long term care facility resident. 26 (18)18.Violation of the Nursing Home Care Act or 27 of any rule issued under the Nursing Home Care Act. 28 All proceedings to suspend, revoke, place on probationary 29 status, or take any other disciplinary action as the 30 Department may deem proper, with regard to a license on any 31 of the foregoing grounds, must be commenced within 3 years 32 next after receipt by the Department of (i) a complaint 33 alleging the commission of or notice of the conviction order 34 for any of the acts described herein or (ii) a referral for SB857 Engrossed -106- LRB9003267DPcc 1 investigation under Section 3-108 of the Nursing Home Care 2 Act. 3 The entry of an order or judgment by any circuit court 4 establishing that any person holding a license under this Act 5 is a person in need of mental treatment operates as a 6 suspension of that license. That person may resume their 7 practice only upon the entry of a Department order based upon 8 a finding by the Board that they have been determined to be 9 recovered from mental illness by the court and upon the 10 Board's recommendation that they be permitted to resume their 11 practice. 12 The Department, upon the recommendation of the Board, 13 shall adopt rules which set forth standards to be used in 14 determining what constitutes: 15 (a) when a person will be deemed sufficiently 16 rehabilitated to warrant the public trust; 17 (b) dishonorable, unethical or unprofessional 18 conduct of a character likely to deceive, defraud, or 19 harm the public; 20 (c) immoral conduct in the commission of any act 21 related to the licensee's practice; and 22 (d) professional incompetence in the practice of 23 nursing home administration. 24 However, no such rule shall be admissible into evidence 25 in any civil action except for review of a licensing or other 26 disciplinary action under this Act. 27 In enforcing this Section, the Department or Board, upon 28 a showing of a possible violationof paragraph 7 or 11, of29subsection (a), of Section 17, may compel any individual 30 licensed to practice under this Act, or who has applied for 31 licensure pursuant to this Act, to submit to a mental or 32 physical examination, or both, as required by and at the 33 expense of the Department. The examining physician or 34 physicians shall be those specifically designated by the SB857 Engrossed -107- LRB9003267DPcc 1 Department or Board. The Department or Board may order the 2 examining physician to present testimony concerning this 3 mental or physical examination of the licensee or applicant. 4 No information shall be excluded by reason of any common law 5 or statutory privilege relating to communications between the 6 licensee or applicant and the examining physician. The 7 individual to be examined may have, at his or her own 8 expense, another physician of his or her choice present 9 during all aspects of the examination. Failure of any 10 individual to submit to mental or physical examination, when 11 directed, shall be grounds for suspension of his or her 12 license until such time as the individual submits to the 13 examination if the DepartmentBoardfinds, after notice and 14 hearing, that the refusal to submit to the examination was 15 without reasonable cause. 16 If the Department or Board finds an individuala Nursing17Home Administratorunable to practice because of the reasons 18 set forth in this Section, the Department or Board shall 19 require such individual to submit to care, counseling, or 20 treatment by physicians approved or designated by the 21 Department or Board, as a condition, term, or restriction for 22 continued, reinstated, or renewed licensure to practice; or 23 in lieu of care, counseling, or treatment, the Department may 24 file, or the Board may recommend to the Department to file, a 25 complaint to immediately suspend, revoke, or otherwise 26 discipline the license of the individual. Any individual 27Administrator,whose license was granted pursuant to this 28 Act,or,continued, reinstated, renewed, disciplined or 29 supervised, subject to such terms, conditions or restrictions 30 who shall fail to comply with such terms, conditions or 31 restrictions, or to complete a required program of care,32counseling, or treatment, as determined by the Nursing Home33Administrator Coordinator,shall be referred to the Director 34 for a determination as to whether the licensee shall have his SB857 Engrossed -108- LRB9003267DPcc 1 or hertheirlicense suspended immediately, pending a hearing 2 by the DepartmentBoard. In instances in which the Director 3 immediately suspends a license under this Section, a hearing 4 upon such person's license must be convened by the Board 5 within 15 days after such suspension and completed without 6 appreciable delay. The Department and Board shall have the 7 authority to review the subject administrator's record of 8 treatment and counseling regarding the impairment, to the 9 extent permitted by applicable federal statutes and 10 regulations safeguarding the confidentiality of medical 11 records. 12 An individual licensed under this Act, affected under 13 this Section, shall be afforded an opportunity to demonstrate 14 to the Department or Board that he or shetheycan resume 15 practice in compliance with acceptable and prevailing 16 standards under the provisions of his or hertheirlicense. 17 (b)Immunity from prosecution.Any individual or 18 organization acting in good faith, and not in a wilful and 19 wanton manner, in complying with this Act by providing any 20 report or other information to the DepartmentBoard, or 21 assisting in the investigation or preparation of such 22 information, or by participating in proceedings of the 23 DepartmentBoard, or by serving as a member of the Board, 24 shall not, as a result of such actions, be subject to 25 criminal prosecution or civil damages. 26 (c)Indemnification.Members of the Board, and persons 27 retained under contract to assist and advisethe Nursing Home28Administrator Coordinatorin an investigation, shall be 29 indemnified by the State for any actions occurring within the 30 scope of services on or for the Board, done in good faith and 31 not wilful and wanton in nature. The Attorney General shall 32 defend all such actions unless he or she determines either 33 that there would be a conflict of interest in such 34 representation or that the actions complained of were not in SB857 Engrossed -109- LRB9003267DPcc 1 good faith or were wilful and wanton. 2 Should the Attorney General decline representation, a 3 person entitled to indemnification under this Section shall 4 have the right to employ counsel of his or her choice, whose 5 fees shall be provided by the State, after approval by the 6 Attorney General, unless there is a determination by a court 7 that the member's actions were not in good faith or were 8 wilful and wanton. 9 A person entitled to indemnification under this Section 10 must notify the Attorney General within 7 days of receipt of 11 notice of the initiation of any action involving services of 12 the Board. Failure to so notify the Attorney General shall 13 constitute an absolute waiver of the right to a defense and 14 indemnification. 15 The Attorney General shall determine within 7 days after 16 receiving such notice, whether he or she will undertake to 17 represent a person entitled to indemnification under this 18 Section. 19 (d) The determination by a circuit court that a licensee 20 is subject to involuntary admission or judicial admission as 21 provided in the"Mental Health and Developmental Disabilities 22 Code", as amended, operates as an automatic suspension. Such 23 suspension will end only upon a finding by a court that the 24 patient is no longer subject to involuntary admission or 25 judicial admission and issues an order so finding and 26 discharging the patient; and upon the recommendation of the 27 Board to the Director that the licensee be allowed to resume 28 his or her practice. 29 (e) The Department may refuse to issue or may suspend 30 the licensecertificateof any person who fails to file a 31 return, or to pay the tax, penalty or interest shown in a 32 filed return, or to pay any final assessment of tax, penalty 33 or interest, as required by any tax Act administered by the 34IllinoisDepartment of Revenue, until such time as the SB857 Engrossed -110- LRB9003267DPcc 1 requirements of any such tax Act are satisfied. 2 (f) TheIllinoisDepartment of Public Health shall 3 transmit to the Department a list of those facilities which 4 receive an "A" violation as defined in Section 1-129 of the 5 Nursing Home Care Act. 6 (Source: P.A. 89-197, eff. 7-21-95.) 7 (225 ILCS 70/18) (from Ch. 111, par. 3668) 8 Sec. 18. Cease and desist order. 9 (a) If any person who is not a licensed nursing home 10 administrator violates atheprovision of this Act, the 11 Director may, in the name of the People of the State of 12 Illinois, through the Attorney General of the State of 13 Illinois or the State's Attorney of any county in which the 14 action is brought, petition,for an order enjoining such 15 violation or for an order enforcing compliance with this Act. 16 Upon the filing of a verified petition in court, the court 17 may issue a temporary restraining order, without notice or 18 bond, and may preliminarily and permanently enjoin such 19 violation., andIf it is established that such person has 20 violated or is violating the injunction, the Court may punish 21 the offender for contempt of court. Proceedings under this 22 Section shall be in addition to, and not in lieu of, all 23 other remedies and penalties provided by this Act. 24 (b) If any person shall practice as a nursing home 25 administrator or hold himself or herself out as a nursing 26 home administrator without being licensed under the 27 provisions of this Act, then any licensed nursing home 28 administrator, any interested party, or any person injured 29 thereby may, in addition to the Director, petition for relief 30 as provided in subsection (a) of this Section. 31 Whoever knowingly practices or offers to practice nursing 32 home administration in this State without being licensed for 33 that purpose shall be guilty of a Class A misdemeanor and for SB857 Engrossed -111- LRB9003267DPcc 1 each subsequent conviction,shall be guilty of a Class 4 2 felony. 3 (c) Whenever in the opinion of the Department any person 4 not licensed in good standing violates any provision of this 5 Act, the Department may issue a rule to show cause why an 6 order to cease and desist should not be entered against him 7 or her. The rule shall clearly set forth the grounds relied 8 upon by the Department and shall provide a period of 7 9 working days from the date of the rule to file an answer to 10 the satisfaction of the Department. Failure to answer to the 11 satisfaction of the Department shall cause an order to cease 12 and desist to be issued immediatelyforthwith. 13 (Source: P.A. 85-932.) 14 (225 ILCS 70/19) (from Ch. 111, par. 3669) 15 Sec. 19. Investigation; hearing notification. Upon the 16 motion of either the Department or the Board or upon the 17 verified complaint in writing of any person setting forth 18 facts thatwhich, if proven, would constitute grounds for 19 suspension or revocation under Section 17 of this Act, the 20 Department shall investigate the actions of any person, so 21 accused, who holds or represents that he or she holdsthey22holda license. Such a person is hereinafter called the 23 accused. 24 The Department shall, before suspending, revoking, 25 placing on probationary status, or taking any other 26 disciplinary action as the Department may deem proper with 27 regard to any license at least 30 days prior to the date set 28 for the hearing, notify the accused in writing of any charges 29 made and the time and place for a hearing of the charges 30 before the Board, direct them to file their written answer to 31 such noticetheretoto the Board under oath within 30 days 32 after the service on them of such notice and inform them that 33 if they fail to file such answer default will be taken SB857 Engrossed -112- LRB9003267DPcc 1 against them and their license may be suspended, revoked, 2 placed on probationary status, or have other disciplinary 3 action, including limiting the scope, nature or extent of 4 their practice, as the Department may deem proper taken with 5 regard thereto. 6 Such written notice and any notice in such proceedings 7 thereafter may be served by delivery of the same, personally, 8 to the accusedperson, or by mailing the same by registered 9 or certified mail to the addresslast theretoforespecified 10 by the accused in their last notification to the Department. 11 (Source: P.A. 85-932.) 12 (225 ILCS 70/20) (from Ch. 111, par. 3670) 13 Sec. 20. Board hearing; recommendation. At the time and 14 place fixed in the notice, the Boardprovided for in this Act15 shall proceed to hear the charges and both the accused person 16 and the complainant shall be accorded ample opportunity to 17 present in person, or by counsel, such statements, testimony, 18 evidence and argument as may be pertinent to the charges or 19 to any defense thereto. The Board may continue such hearing 20 from time to time. If the Board is not sitting at the time 21 and place fixed in the notice or at the time and place to 22 which the hearing has been continued, the Department shall 23 continue such hearing for a period not to exceed 30 days. 24 In case the accused person, after receiving notice, fails 25 to file an answer, the Board may recommend that his or her 26 license be suspended, revoked or placed on probationary 27 status, or the Board may recommend whatever disciplinary 28 action as it may deem proper, without a hearing, if the act 29 or acts charged constitute sufficient grounds for such action 30 under this Act. 31 The Board has the authority to recommend to the Director 32 that probation be granted or that other disciplinary action,33 be taken as it deems proper. If disciplinary action, other SB857 Engrossed -113- LRB9003267DPcc 1 than suspension or revocation, is taken the Board may 2 recommend that the Director impose reasonable limitations and 3 requirements upon the accusedregistrantto insure compliance 4 with the terms of the probation or other disciplinary action, 5 including,but not limited to,regular reporting by the 6 accused to the Department of their actions, placing 7 themselves under the care of a qualified physician for 8 treatment, or limiting their practice in such manner as the 9 Director may require. 10The Director, after consultation with the Nursing Home11Administrator Coordinator, may temporarily suspend the12license of a nursing home administrator without a hearing,13simultaneously with the institution of proceedings for a14hearing provided under this Section if the Director finds15that evidence in his or her possession indicates that an16administrator's continuation in practice would constitute an17immediate danger to the public. If the Director suspends,18temporarily, the license of an administrator without a19hearing, a hearing by the Board shall be held within 15 days20after such suspension has occurred and shall be concluded21without appreciable delay.22 (Source: P.A. 85-932.) 23 (225 ILCS 70/20.1 new) 24 Sec. 20.1. Summary suspension. The Director may summarily 25 suspend the license of a nursing home administrator without a 26 hearing, simultaneously with the institution of proceedings 27 for a hearing provided under this Section if the Director 28 finds that evidence in his or her possession indicates that 29 an administrator's continuation in practice would constitute 30 an immediate danger to the public. If the Director summarily 31 suspends the license of an administrator without a hearing, a 32 hearing shall be held within 30 days after the suspension has 33 occurred. SB857 Engrossed -114- LRB9003267DPcc 1 (225 ILCS 70/21) (from Ch. 111, par. 3671) 2 Sec. 21. Appointment of hearing officer. The Director 3 shall have the authority to appoint an attorney duly licensed 4 to practice law in the State of Illinois to serve as the 5 hearing officer in any action for refusal to issue, renew, or 6 discipline a licensebefore the Board to suspend, revoke,7place on probationary status, or take any other disciplinary8action with regard to a license. The hearing officer shall 9 have full authority to conduct the hearing. There shall be 10 present at least one member of the Board at any such hearing. 11 The hearing officer shall report his or her findings of fact, 12 conclusions of law, and recommendations to the Boardwithin1330 days of the receipt of the record. The Board shall have 60 1490days afterfromreceipt of the report to review the report 15 of the hearing officer and present itstheirfindings of 16 fact, conclusions of law, and recommendations to the 17 Director. If the Board fails to present its report within the 18 6090day period, the Director may issue an order based on 19 the report of the hearing officer. However, if the Board 20 does present its report within the specified 6090days, the 21 Director's order shall be based upon the report of the Board. 22 If the Director disagrees with the recommendation of the 23 Board or the hearing officer, the Director may issue an order 24 in contravention of the Board's report. The Director shall 25 promptly provide a written explanation to the Board on any 26 such disagreement. 27 (Source: P.A. 85-932.) 28 (225 ILCS 70/22) (from Ch. 111, par. 3672) 29 Sec. 22. Subpoena power. The Board or Department has 30 power to subpoena and bring before it any person in this 31 State and to take testimony either orally or by deposition, 32 or both, with the same fees and mileage and in the same 33 manner as is prescribed by law for judicial proceedings in SB857 Engrossed -115- LRB9003267DPcc 1 civil cases. 2 The DepartmentBoard, upon a determination that probable 3 cause exists that a violation of one or more of the grounds 4 for discipline listed in Section 17 has occurred or is 5 occurring, may subpoena the records of an individual licensed 6 under this Act,provided,that prior to the submission of 7 such records to the Board, all information indicating the 8 identity of any resident shall be removed and deleted. The 9 use of such records shall be restricted to members of the 10 Board, the Nursing Home Administrator Coordinator,and 11 appropriate staff of the Department for the purpose of 12 determining the existence of one or more grounds for 13 discipline of the nursing home administrator as provided for 14 by Section 17 of this Act. Any such review of individual 15 residents' records shall be conducted by the Board in strict 16 confidentiality, provided that such resident records shall be 17 admissible in a disciplinary hearing, before the Department 18Board, when necessary to substantiate the grounds for 19 discipline alleged against the administrator licensed under 20 this Act, and provided further,that nothing herein shall be 21 deemed to supersede the provisions of Part 21 of Article VIII 22 of the"Code of Civil Procedure", as now or hereafter 23 amended, to the extent applicable. 24 The Director, the designated hearing officer, and any 25 member of the Boardeachhave the power to administer oaths 26 at any hearing thatwhichtheBoard orDepartment is 27 authorizedby lawto conduct and any other oaths authorized 28 in an Act administered by the Department. 29 (Source: P.A. 85-932.) 30 (225 ILCS 70/23) (from Ch. 111, par. 3673) 31 Sec. 23. Record of proceedings.Stenographer; transcript.32 The Department, at its expense, shallprovide a stenographer33to take down the testimony andpreserve a record of all SB857 Engrossed -116- LRB9003267DPcc 1 proceedings at any formalthehearing of any casewherein a2license may be revoked, suspended, placed on probationary3status, or other disciplinary action taken with regard4thereto. The notice of hearing, complaint,andall other 5 documents in the nature of pleadings and written motions 6 filed in the proceedings, the transcript of testimony, the 7 report of the Board, and the orders of the Department shall 8 beconstitutethe record of the proceedings. The Department 9 shall furnish a transcript of the record to any person 10 interested in such hearing upon payment of the fee required 11 under Section 60f of the Civil Administrative Code of 12 Illinois. 13 (Source: P.A. 87-1031.) 14 (225 ILCS 70/24) (from Ch. 111, par. 3674) 15 Sec. 24. Motion for rehearing. The Board shall present 16 to the Director a written report of its findings and 17 recommendations. A copy of such report shall be served upon 18 the accused person, either personally or byregistered or19 certified mail. Within 2030days after such service, the 20 accused person may present to the Department atheirmotion, 21 in writing, for a rehearing, whichwritten motionshall 22 specify the particular grounds for rehearingground therefor. 23 If the accused person orders and pays for a transcript of the 24 record as provided in Section 23, the time elapsing 25 thereafter and before such transcript is ready for delivery 26 to them shall not be counted as part of such 30 days. 27At the expiration of the time allowed for filing a motion28for rehearing, the Director may take the action recommended29by the Board.Upon the suspension, revocation, placement on30probationary status, or the taking of any other disciplinary31action, deemed proper by the Board, with regard to the32license, the accused shall surrender their license to the33Department, if ordered to do so by the Department, and uponSB857 Engrossed -117- LRB9003267DPcc 1their failure or refusal so to do, the Department may seize2the same.3Each order of revocation, suspension, or other4disciplinary action shall contain a brief, concise statement5of the ground or grounds upon which the Department's action6is based, as well as the specific terms and conditions of7such action. This document shall be retained as a permanent8record by the Board and the Director.9The Department shall at least annually publish a list of10the names of all persons disciplined under this Act in the11preceding 12 months. Such lists shall be mailed by the12Department to any person in the State upon request.13In those instances where an order of revocation,14suspension, or other disciplinary action has been rendered by15virtue of a Nursing Home Administrator's physical illness,16including, but not limited to, deterioration through the17aging process, or loss of motor skill which results in an18inability to practice with reasonable judgment, skill, or19safety, the Department shall only permit this document, and20the record of the hearing incident thereto, to be observed,21inspected, viewed, or copied pursuant to court order.22 (Source: P.A. 85-932.) 23 (225 ILCS 70/24.1 new) 24 Sec. 24.1. Surrender of license; record; list of 25 disciplinees. Upon the suspension, revocation, placement on 26 probationary status, or the taking of any other disciplinary 27 action deemed proper by the Board with regard to a license, 28 the accused shall surrender his or her license to the 29 Department, if ordered to do so by the Department, and upon 30 his or her failure or refusal to do so, the Department may 31 seize the license. 32 Each order of revocation, suspension, or other 33 disciplinary action shall contain a brief, concise statement SB857 Engrossed -118- LRB9003267DPcc 1 of the ground or grounds upon which the Department's action 2 is based, as well as the specific terms and conditions of 3 such action. This document shall be retained as a permanent 4 record by the Board and the Director. 5 The Department shall at least annually publish a list of 6 the names of all persons disciplined under this Act in the 7 preceding 12 months. Such lists shall be mailed by the 8 Department to any person in the State upon request. 9 In those instances where an order of revocation, 10 suspension, or other disciplinary action has been rendered by 11 virtue of a nursing home administrator's physical illness, 12 including but not limited to deterioration through the aging 13 process, or loss of motor skill that results in an inability 14 to practice with reasonable judgment, skill, or safety, the 15 Department shall only permit this document, and the record of 16 the hearing incident thereto, to be observed, inspected, 17 viewed, or copied pursuant to court order. 18 (225 ILCS 70/28) (from Ch. 111, par. 3678) 19 Sec. 28. Rehearing on order of Director. Whenever the 20 Director believes justice has not been done in the refusal to 21 issue or renew a license or revocation, suspension, or 22 discipline of a license, he or she may order a rehearing. 23None of the disciplinary functions, powers and duties24enumerated in this Act shall be exercised by the Department25except upon the action and report in writing of the Board.26In all instances, under this Act, in which the Board has27rendered a recommendation to the Director with respect to a28particular administrator, the Director shall, in the event29that he or she disagrees with or takes action contrary to the30recommendation of the Board, file with the Board and the31Secretary of State his or her specific written reasons of32disagreement with the Board. Such reasons shall be filed33within 30 days of the occurrence of the Director's contrarySB857 Engrossed -119- LRB9003267DPcc 1position having been taken.2The action and report in writing of a majority of the3Board designated is sufficient authority upon which the4Director may act.5Whenever the Director is satisfied that substantial6justice has not been done either in an examination, or in a7formal disciplinary action, or refusal to restore a license,8he or she may order a re-examination or re-hearing by the9same or other examiners.10 (Source: P.A. 85-932.) 11 (225 ILCS 70/37 rep.) 12 Section 45. The Nursing Home Administrators Licensing and 13 Disciplinary Act is amended by repealing Section 37. 14 Section 50. The Physician Assistant Practice Act of 1987 15 is amended by changing Sections 6, 9, 10, 11, 14, 16, 17, 21, 16 22.1, 22.2, 22.5, 22.7, 22.11, 22.12, and 24 and by adding 17 Section 14.1 as follows: 18 (225 ILCS 95/6) (from Ch. 111, par. 4606) 19 Sec. 6. Title; billing. No physician assistant shall use 20 the title of doctor or associate with his or her name or any 21 other term thatwhichwould indicate to other persons that he 22 or she is qualified to engage in the general practice of 23 medicine. A physician assistant shall not be allowed to bill 24 patients or in any way to charge for services. Nothing in 25 this Act, however, shall be so construed as to prevent the 26 employer of a physician assistant from charging for services 27 rendered by the physician assistant. The supervising 28 physician shall file with the Department notice of 29 employment, discharge, or supervisory control of a physician 30 assistant at the time of employment, discharge, or assumption 31 of supervisory control of a physician assistant. SB857 Engrossed -120- LRB9003267DPcc 1 (Source: P.A. 85-981.) 2 (225 ILCS 95/9) (from Ch. 111, par. 4609) 3 Sec. 9. Application for licensure. Applications for 4 original licenses shall be made to the Department in writing 5 on forms prescribed by the Department and shall be 6 accompanied by the required fee, which shall not be 7 refundable. AnAny suchapplication shall requiresuch8 information thatasin the judgment of the Department will 9 enable the Department to pass on the qualifications of the 10 applicant for a license. AnSuchapplication shall include 11 evidence of passage of the examination of the National 12 Commission on the Certification of Physician Assistants, or 13 its successor agency, and proof that the applicant holds a 14 valid certificate issued by that Commission. 15 Applicants have 3 years from the date of application to 16 complete the application process. If the process has not been 17 completed in 3 years, the application shall be denied, the 18 fee shall be forfeited, and the applicant must reapply and 19 meet the requirements in effect at the time of reapplication. 20If an applicant fails to obtain registration under this21Act within 3 years after filing his application, the22application shall be denied. However, such applicant may make23a new application, accompanied by the required fee.24 (Source: P.A. 86-596.) 25 (225 ILCS 95/10) (from Ch. 111, par. 4610) 26 Sec. 10. Identification. No person shall use the title or 27 perform the duties of "Physician assistant" unless he or she 28 is a qualified holder of a license issued by the Department 29certificateas provided in this Act. A physician assistant 30 shall wear on his or her person a visible identification 31 indicating that he or she is certified as a physician 32 assistant while acting in the course of his or her duties. SB857 Engrossed -121- LRB9003267DPcc 1 (Source: P.A. 85-981.) 2 (225 ILCS 95/11) (from Ch. 111, par. 4611) 3 Sec. 11. Committee. There is established a physician 4 assistant advisory committee to the Medical Licensing Board. 5 The physician assistant advisory committee shall review and 6 make recommendations to the Board regarding all matters 7 relating to physician assistants. The physician assistant 8 advisory committee shall be composed of 7 members. Three of 9 the 7 members shall be physicians, 2 of whom shall be members 10 of the Board and appointed to the advisory committee by the 11 chairman. One physician, not a member of the Board, shall be 12 a supervisor of a certified physician assistant and shall be 13 approved by the Governor from a list of Illinois physicians 14 supervising certified physician assistants. Three members 15 shall be physician assistants, certified under the law and 16 appointed by the Governor from a list of 10 names recommended 17 by the Board of Directors of the Illinois Academy of 18 Physician Assistants. One member, not employed or having any 19 material interest in any health care field, shall be 20 appointed by the Governor and represent the public. The 21 chairman of the physician assistant advisory committee shall 22 be a member elected by a majority vote of the physician 23 assistant advisory committee unless already a member of the 24 Board. The physician assistant advisory committee is required 25 to meet and report to the Board quarterly and as physician 26 assistant issues arise.Initial appointment to the physician27assistant advisory committee shall be made within 90 days28after the effective date of this Section.The terms of office 29 of each of the original 7 members shall be at staggered 30 intervals. One physician and one physician assistant shall 31 serve for a 2 year term. One physician and one physician 32 assistant shall serve a 3 year term. One physician, one 33 physician assistant and the public member shall serve a 4 SB857 Engrossed -122- LRB9003267DPcc 1 year term. Upon the expiration of the term of any member, his 2 successor shall be appointed for a term of 4 years in the 3 same manner as the initial appointment. No member shall serve 4 more than 2 consecutive terms. 5 The members of the physician assistant advisory committee 6 shall be reimbursed for all authorized legitimate and 7 necessary expenses incurred in attending the meetings of the 8 committee. 9 A majority of the physician assistant advisory committee 10 members currently appointed shall constitute a quorum. A 11 vacancy in the membership of the committee shall not impair 12 the right of a quorum to perform all of the duties of the 13 committee. 14 Members of the physician assistant advisory committee 15 shall have no liability for any action based upon a 16 disciplinary proceeding or other activity performed in good 17 faith as a member of the committee. 18 (Source: P.A. 85-981.) 19 (225 ILCS 95/14) (from Ch. 111, par. 4614) 20 Sec. 14. Issuance of license. 21 (a) Upon the satisfactory completion of application and 22 examination procedures and compliance with the applicable 23 rules of the Department, the Department shall issue a 24 physician assistant licensecertificateto the qualifying 25 applicant who holds a certificate issued by the National 26 Commission on the Certification of Physician Assistants or 27 equivalent successor agency. 28 (b)ThoseIndividuals who have successfully completed an 29 approved physician assistant program as determined by rules 30 of the Department, and who have made application to the 31 Department and submitted evidence to the Department of 32 admission to the certifying examination administered by the 33 National Commission on the Certification of Physician SB857 Engrossed -123- LRB9003267DPcc 1 Assistants, or its successor agency, shall be issued a 2 temporary license thatcertificate whichshall allow the 3 applicant to practice until: 4 (1) he or she receives certification from the 5 National Commission on the Certification of Physician 6 Assistants or its successor agency; or 7 (2) fifteen months have elapsed, whichever comes 8 first. 9 Under no circumstances shall such applicant continue to 10 practice on the temporary licensecertificateafter 11 notification that he or she has failed the examination. Such 12 authorization shall not be renewable. 13 (Source: P.A. 85-981.) 14 (225 ILCS 95/14.1 new) 15 Sec. 14.1. Fees. 16 (a) The Department shall provide by rule for a schedule 17 of fees to be paid for licenses by all applicants. All fees 18 are not refundable. 19 (b) Except as provided in subsection (c) below, the fees 20 for the administration and enforcement of this Act, including 21 but not limited to original licensure, renewal, and 22 restoration, shall be set by rule. 23 (c) All moneys collected under this Act by the 24 Department shall be deposited in the Illinois State Medical 25 Disciplinary Fund in the State Treasury and used (1) in the 26 exercise of its powers and performance of its duties under 27 this Act, as such use is made by the Department; (2) for 28 costs directly related to license renewal of persons licensed 29 under this Act; (3) for the costs incurred by the physician 30 assistant advisory committee in the exercise of its powers 31 and performance of its duties under this Act, as such use is 32 made by the Department; and (4) for direct and allocable 33 indirect costs related to the public purposes of the SB857 Engrossed -124- LRB9003267DPcc 1 Department of Professional Regulation. 2 All earnings received from investment of moneys in the 3 Illinois State Medical Disciplinary Fund shall be deposited 4 into the Illinois State Medical Disciplinary Fund and shall 5 be used for the same purposes as fees deposited in the Fund. 6 (225 ILCS 95/16) (from Ch. 111, par. 4616) 7 Sec. 16. Expiration; renewal. The expiration date and 8 renewal period for each license issued under this Act shall 9 be set by rule. Renewal shall be conditioned on paying the 10 required fee and by meeting such other requirements as may be 11 established by rule. 12 Any physician assistant who has permitted his or her 13 license to expire or who has had his or her license on 14 inactive status may have thehislicense restored by making 15 application to the Department and filing proof acceptable to 16 the Department of his or her fitness to have thehislicense 17 restored, and by paying the required fees.SuchProof of 18 fitness may include sworn evidence certifying to active 19 lawful practice in another jurisdiction. 20 If the physician assistant has not maintained an active 21 practice in another jurisdiction satisfactory to the 22 Department, the Department shall determine, by an evaluation 23 program established by rule, his or her fitness for 24 restoration of thehislicense and shall establish procedures 25 and requirements for such restoration. 26 However, any physician assistant whose license expired 27 while he or she was (1) in federal service on active duty 28 with the Armed Forces of the United States, or the State 29 Militia called into service or training, or (2) in training 30 or education under the supervision of the United States 31 preliminary to induction into the military service, may have 32 thehislicense restored without paying any lapsed renewal 33 fees if within 2 years after honorable termination of such SB857 Engrossed -125- LRB9003267DPcc 1 service, training, or education he or she furnishes the 2 Department with satisfactory evidence to the effect that he 3 or she has been so engaged and that his or her service, 4 training, or education has been so terminated. 5 (Source: P.A. 85-981.) 6 (225 ILCS 95/17) (from Ch. 111, par. 4617) 7 Sec. 17. Inactive status. Any physician assistant who 8 notified the Department in writing on forms prescribed by the 9 Department, may elect to place his or her license on an 10 inactive status and shall, subject to rules of the 11 Department, be excused from payment of renewal fees until he 12 or she notifies the Department in writing of his or her 13 intention to restore thehislicense. 14 Any physician assistant requesting restoration from 15 inactive status shall be required to pay the current renewal 16 fee and shall be required to restore his or her license, as 17 provided in Section 16 of this Act. 18 Any physician assistant whose license is in an inactive 19 status shall not practice in the State of Illinois. 20 Any licensee who shall engage in practice while his or 21 her license is lapsed or on inactive status shall be 22 considered to be practicing without a license, which shall be 23 grounds for discipline under Section 21 of this Act. 24 (Source: P.A. 85-981.) 25 (225 ILCS 95/21) (from Ch. 111, par. 4621) 26 Sec. 21. Grounds for disciplinary action. 27 (a) The Department may refuse to issue or to renew, or 28 may revoke, suspend, place on probation, censure or 29 reprimand, or take other disciplinary action with regard to 30 any license issued under this Act as the Department may deem 31 proper, including the issuance of fines not to exceed $5000 32 for each violation, for any one or combination of the SB857 Engrossed -126- LRB9003267DPcc 1 following causes: 2 (1)1.Material misstatement in furnishing 3 information to the Department.;4 (2)2.Violations of this Act, or the rules adopted 5 under this Actpromulgated hereunder.;6 (3)3.Conviction of any crime under the laws of 7 any U.S. jurisdiction thatthereof whichis a felony or 8 thatwhichis a misdemeanor, an essential element of 9 which is dishonesty, or of any crime which is directly 10 related to the practice of the profession.;11 (4)4.Making any misrepresentation for the purpose 12 of obtaining licenses.;13 (5)5.Professional incompetence.;14 (6)6.Aiding or assisting another person in 15 violating any provision of this Act or its rules.;16 (7)7.Failing, within 60 days, to provide 17 information in response to a written request made by the 18 Department.;19 (8)8.Engaging in dishonorable, unethical, or 20 unprofessional conduct, as defined by rule, of a 21 character likely to deceive, defraud, or harm the 22 public.;23 (9)9.Habitual or excessive use or addiction to 24 alcohol, narcotics, stimulants, or any other chemical 25 agent or drug thatwhichresults in a physician 26 assistant'sassistants'inability to practice with 27 reasonable judgment, skill, or safety.;28 (10)10.Discipline by another U.S. jurisdiction or 29 foreign nation, if at least one of the grounds fora30 discipline is the same or substantially equivalent to 31 those set forth in this Sectionherein.;32 (11)11.Directly or indirectly giving to or 33 receiving from any person, firm, corporation, 34 partnership, or association any fee, commission, rebate SB857 Engrossed -127- LRB9003267DPcc 1 or other form of compensation for any professional 2 services not actually or personally rendered.;3 (12)12.A finding by the Disciplinary Board that 4 the licensee, after having his or her license placed on 5 probationary status has violated the terms of probation.;6 (13)13.Abandonment of a patient.;7 (14)14.Willfully making or filing false records 8 or reports in his or her practice, including but not 9 limited to false records filed with state agencies or 10 departments.;11 (15)15.Willfully failing to report an instance of 12 suspected child abuse or neglect as required by the 13 Abused and Neglected Child Reporting Act.;14 (16)16.Physical illness, including but not 15 limited to, deterioration through the aging process, or 16 loss of motor skill, mental illness, or disability that 17whichresults in the inability to practice the profession 18 with reasonable judgment, skill or safety.;19 (17)17.Being named as a perpetrator in an 20 indicated report by the Department of Children and Family 21 Services under the Abused and Neglected Child Reporting 22 Act, and upon proof by clear and convincing evidence that 23 the licensee has caused a child to be an abused child or 24 neglected child as defined in the Abused and Neglected 25 Child Reporting Act.;26 (18)18.Conviction in this State or another state 27 of any crime thatwhichis a felony under the laws of 28 this State, or conviction of a felony in a federal 29 court.;30 (19)19.Gross malpractice resulting in permanent 31 injury or death of a patient.;32 (20)20.Employment of fraud, deception,or any 33 unlawful means in applying for or securing a license as a 34 physician assistant.;SB857 Engrossed -128- LRB9003267DPcc 1 (21)21.Exceeding the authority delegated to him 2 or her by his or her supervising physician in guidelines 3 established by the physician/physician assistant team.;4 (22)22.Immoral conduct in the commission of any 5 act, such as sexual abuse, sexual misconduct or sexual 6 exploitation,related to the licensee's practice.;7 (23)23.Violation of the Health Care Worker 8 Self-Referral Act. 9 (b) The Department may refuse to issue or may suspend 10 the license of any person who fails to file a return, or to 11 pay the tax, penalty or interest shown in a filed return, or 12 to pay any final assessment of the tax, penalty, or interest 13 as required by any tax Act administered by the Illinois 14 Department of Revenue, until such time as the requirements of 15 any such tax Act are satisfied. 16 (c) The determination by a circuit court that a licensee 17 is subject to involuntary admission or judicial admission as 18 provided in the Mental Health and Developmental Disabilities 19 Code operates as an automatic suspension. TheSuchsuspension 20 will end only upon a finding by a court that the patient is 21 no longer subject to involuntary admission or judicial 22 admission and issues an order so finding and discharging the 23 patient,;and upon the recommendation of the Disciplinary 24 Board to the Director that the licensee be allowed to resume 25 his or her practice. 26 (d) In enforcing this Section, the Department upon a 27 showing of a possible violation may compel an individual 28 licensed to practice under this Act, or who has applied for 29 licensure under this Act, to submit to a mental or physical 30 examination, or both, as required by and at the expense of 31 the Department. The Department may order the examining 32 physician to present testimony concerning the mental or 33 physical examination of the licensee or applicant. No 34 information shall be excluded by reason of any common law or SB857 Engrossed -129- LRB9003267DPcc 1 statutory privilege relating to communications between the 2 licensee or applicant and the examining physician. The 3 examining physicians shall be specifically designated by the 4 Department. The individual to be examined may have, at his or 5 her own expense, another physician of his or her choice 6 present during all aspects of this examination. Failure of 7 an individual to submit to a mental or physical examination, 8 when directed, shall be grounds for suspension of his or her 9 license until the individual submits to the examination if 10 the Department finds, after notice and hearing, that the 11 refusal to submit to the examination was without reasonable 12 cause. 13 If the Department finds an individual unable to practice 14 because of the reasons set forth in this Section, the 15 Department may require that individual to submit to care, 16 counseling, or treatment by physicians approved or designated 17 by the Department, as a condition, term, or restriction for 18 continued, reinstated, or renewed licensure to practice; or, 19 in lieu of care, counseling, or treatment, the Department may 20 file a complaint to immediately suspend, revoke, or otherwise 21 discipline the license of the individual. An individual whose 22 license was granted, continued, reinstated, renewed, 23 disciplined, or supervised subject to such terms, conditions, 24 or restrictions, and who fails to comply with such terms, 25 conditions, or restrictions, shall be referred to the 26 Director for a determination as to whether the individual 27 shall have his or her license suspended immediately, pending 28 a hearing by the Department. 29 In instances in which the Director immediately suspends a 30 person's license under this Section, a hearing on that 31 person's license must be convened by the Department within 15 32 days after the suspension and completed without appreciable 33 delay. The Department shall have the authority to review the 34 subject individual's record of treatment and counseling SB857 Engrossed -130- LRB9003267DPcc 1 regarding the impairment to the extent permitted by 2 applicable federal statutes and regulations safeguarding the 3 confidentiality of medical records. 4 An individual licensed under this Act and affected under 5 this Section shall be afforded an opportunity to demonstrate 6 to the Department that he or she can resume practice in 7 compliance with acceptable and prevailing standards under the 8 provisions of his or her license. 9 (Source: P.A. 87-1207.) 10 (225 ILCS 95/22.1) (from Ch. 111, par. 4622.1) 11 Sec. 22.1. Injunction. 12 (a) If any person violates the provision of this Act, 13 the Director may, in the name of the People of the State of 14 Illinois, through the Attorney General of the State of 15 Illinois, or the State's Attorney of any county in which the 16 action is brought, petition,for an order enjoining thesuch17 violation or for an order enforcing compliance with this Act. 18 Upon the filing of a verified petition in court, the court 19 may issue a temporary restraining order, without notice or 20 bond, and may preliminarily and permanently enjoin such 21 violation, and if it is established that such person has 22 violated or is violating the injunction, the Court may punish 23 the offender for contempt of court. Proceedings under this 24 Section shall be in addition to, and not in lieu of, all 25 other remedies and penalties provided by this Act. 26 (b) If any person shall practice as a physician 27 assistant or hold himself or herself out as a physician 28 assistant without being licensed under the provisions of this 29 Act, then any licensed physician assistant, any interested 30 party or any person injured thereby may, in addition to the 31 Director, petition for relief as provided in subsection (a) 32 of this Section. 33 (c) Whenever in the opinion of the Department any person SB857 Engrossed -131- LRB9003267DPcc 1 violates any provision of this Act, the Department may issue 2 a rule to show cause why an order to cease and desist should 3 not be entered against him. The rule shall clearly set forth 4 the grounds relied upon by the Department and shall provide a 5 period of 7 days from the date of the rule to file an answer 6 to the satisfaction of the Department. Failure to answer to 7 the satisfaction of the Department shall cause an order to 8 cease and desist to be issued forthwith. 9 (Source: P.A. 85-981.) 10 (225 ILCS 95/22.2) (from Ch. 111, par. 4622.2) 11 Sec. 22.2. Investigation; notice; hearing. The Department 12 may investigate the actions of any applicant or of any person 13 or persons holding or claiming to hold a license. The 14 Department shall, before suspending, revoking, placing on 15 probationary status, or taking any other disciplinary action 16 as the Department may deem proper with regard to any license 17or certificate, at least 30 days prior to the date set for 18 the hearing, notify the applicant or licenseeaccusedin 19 writing of any charges made and the time and place for a 20 hearing of the charges before the Disciplinary Board, direct 21 him or her to file his or her written answer thereto to the 22 Disciplinary Board under oath within 20 days after the 23 service on him or her of such notice and inform him or her 24 that if he or she fails to file such answer default will be 25 taken against him or her and his or her licenseor26certificatemay be suspended, revoked, placed on probationary 27 status, or have other disciplinary action, including limiting 28 the scope, nature or extent of his or her practice, as the 29 Department may deem proper taken with regard thereto. Such 30 written notice may be served by personal delivery or 31 certified or registered mail at the last address of his or 32 her last notification to the Department. At the time and 33 place fixed in the notice, the Department shall proceed to SB857 Engrossed -132- LRB9003267DPcc 1 hear the charges and the parties or their counsel shall be 2 accorded ample opportunity to present such statements, 3 testimony, evidence, and argument as may be pertinent to the 4 charges or to the defense thereto. The Department may 5 continue such hearing from time to time. In case the 6 applicant or licenseeaccused person, after receiving notice, 7 fails to file an answer, his or her licenseor certificate8 may in the discretion of the Director, having received first 9 the recommendation of the Disciplinary Board, be suspended, 10 revoked, placed on probationary status, or the Director may 11 take whatever disciplinary action as he or she may deem 12 proper, including limiting the scope, nature, or extent of 13 such person's practice, without a hearing, if the act or acts 14 charged constitute sufficient grounds for such action under 15 this Act. 16 (Source: P.A. 85-981.) 17 (225 ILCS 95/22.5) (from Ch. 111, par. 4622.5) 18 Sec. 22.5. Subpoena power; oaths. The Department shall 19 have power to subpoena and bring before it any personin this20Stateand to take testimony either orally or by deposition or 21 both, with the same fees and mileage and in the same manner 22 as prescribed by law in judicial proceedings in civil cases 23 in circuit courts of this State. 24 The Director, the designated hearing officer, and any 25 member of the Disciplinary Board designated by the Director 26 shall each have power to administer oaths to witnesses at any 27 hearing which the Department is authorized to conduct under 28 this Act,and any other oaths required or authorized to be 29 administered by the Department under this Acthereunder. 30 (Source: P.A. 85-981.) 31 (225 ILCS 95/22.7) (from Ch. 111, par. 4622.7) 32 Sec. 22.7. Hearing officer. Notwithstanding the SB857 Engrossed -133- LRB9003267DPcc 1 provisions of Section 22.2 of this Act, the Director shall 2 have the authority to appoint any attorney duly licensed to 3 practice law in the State of Illinois to serve as the hearing 4 officer in any action for refusal to issue or,renew, or for 5 discipline of, a licenseor certificate. The Director shall 6 notify the Disciplinary Board of any such appointment. The 7 hearing officer shall have full authority to conduct the 8 hearing. The hearing officer shall report his or her 9 findings of fact, conclusions of law, and recommendations to 10 the Disciplinary Board and the Director. The Disciplinary 11 Board shall have 60 days from receipt of the report to review 12 the report of the hearing officer and present their findings 13 of fact, conclusions of law, and recommendations to the 14 Director. If the Disciplinary Board fails to present its 15 report within the 60 day period, the Director shall issue an 16 order based on the report of the hearing officer. If the 17 Director disagrees in any regard with the report of the 18 Disciplinary Board or hearing officer, he or she may issue an 19 order in contravention thereof. The Director shall provide a 20 written explanation to the Disciplinary Board on any such 21 deviation, and shall specify with particularity the reasons 22 for such action in the final order. 23 (Source: P.A. 85-981.) 24 (225 ILCS 95/22.11) (from Ch. 111, par. 4622.11) 25 Sec. 22.11. Restoration of license. At any time after the 26 suspension or revocation of any license the Department may 27 restore it to the licenseeaccused person, unless after an 28 investigation and a hearing, the Department determines that 29 restoration is not in the public interest. Where 30 circumstances of suspension or revocation so indicate, the 31 Department may require an examination of the licensee prior 32 to restoring his or her license. 33 (Source: P.A. 85-981.) SB857 Engrossed -134- LRB9003267DPcc 1 (225 ILCS 95/22.12) (from Ch. 111, par. 4622.12) 2 Sec. 22.12. Surrender of license. Upon the revocation or 3 suspension of any license, the licensee shall immediately 4forthwithsurrender the license to the Department.andIf the 5 licensee fails to do so, the Department shall have the right 6 to seize the license. 7 (Source: P.A. 85-981.) 8 (225 ILCS 95/24) (from Ch. 111, par. 4624) 9 Sec. 24. Pending actions.All licenses in effect on10December 31, 1987 and issued pursuant to the "Physician's11Assistants Practice Act", approved September 11, 1975, as12amended, are reinstated for the balance of the term for which13last issued. All rules and regulations in effect on December1431, 1987 and promulgated pursuant to the "Physician's15Assistants Practice Act", approved September 11, 1975, as16amended, shall remain in full force and effect on the17effective date of this Act without being promulgated again by18the Department, except to the extent any such rule or19regulation is inconsistent with any provision of this Act.20 All disciplinary actions taken or pending pursuant to the 21"Physician's Assistants Practice Act", approved September 11, 22 1975, as amended, shall, for the actions taken, remain in 23 effect, and for the actions pending, shall be continued, on 24 the effective date of this Act without having separate 25 actionsfiled by the Department. 26 (Source: P.A. 85-981.) 27 (225 ILCS 95/18 rep.) 28 Section 55. The Physician Assistant Practice Act of 1987 29 is amended by repealing Section 18. 30 Section 95. No acceleration or delay. Where this Act 31 makes changes in a statute that is represented in this Act by SB857 Engrossed -135- LRB9003267DPcc 1 text that is not yet or no longer in effect (for example, a 2 Section represented by multiple versions), the use of that 3 text does not accelerate or delay the taking effect of (i) 4 the changes made by this Act or (ii) provisions derived from 5 any other Public Act. 6 Section 99. Effective date. This Act takes effect 7 December 30, 1997, except that Sections 10, 15, and 99 take 8 effect upon becoming law. SB857 Engrossed -136- LRB9003267DPcc 1 INDEX 2 Statutes amended in order of appearance 3 5 ILCS 80/4.9 from Ch. 127, par. 1904.9 4 5 ILCS 80/4.18 new 5 225 ILCS 2/10 6 225 ILCS 2/15 7 225 ILCS 2/20 8 225 ILCS 2/25 9 225 ILCS 2/35 10 225 ILCS 2/40 11 225 ILCS 2/50 12 225 ILCS 2/55 new 13 225 ILCS 2/60 14 225 ILCS 2/70 15 225 ILCS 2/75 new 16 225 ILCS 2/80 17 225 ILCS 2/90 18 225 ILCS 2/100 19 225 ILCS 2/105 new 20 225 ILCS 2/110 21 225 ILCS 2/130 22 225 ILCS 2/135 new 23 225 ILCS 2/140 24 225 ILCS 2/145 25 225 ILCS 2/150 26 225 ILCS 2/152 new 27 225 ILCS 2/154 new 28 225 ILCS 2/155 29 225 ILCS 2/160 30 225 ILCS 2/165 31 225 ILCS 2/170 32 225 ILCS 2/175 33 225 ILCS 2/180 34 225 ILCS 2/185 SB857 Engrossed -137- LRB9003267DPcc 1 225 ILCS 2/195 2 225 ILCS 2/45 rep. 3 225 ILCS 2/205 rep. 4 225 ILCS 55/20 from Ch. 111, par. 8351-20 5 225 ILCS 55/25 from Ch. 111, par. 8351-25 6 225 ILCS 55/30 from Ch. 111, par. 8351-30 7 225 ILCS 55/40 from Ch. 111, par. 8351-40 8 225 ILCS 55/45 from Ch. 111, par. 8351-45 9 225 ILCS 55/55 from Ch. 111, par. 8351-55 10 225 ILCS 55/60 from Ch. 111, par. 8351-60 11 225 ILCS 55/65 from Ch. 111, par. 8351-65 12 225 ILCS 55/85 from Ch. 111, par. 8351-85 13 225 ILCS 55/90 from Ch. 111, par. 8351-90 14 225 ILCS 55/95 from Ch. 111, par. 8351-95 15 225 ILCS 55/165 from Ch. 111, par. 8351-165 16 225 ILCS 55/50 rep. 17 225 ILCS 65/3 from Ch. 111, par. 3503 18 225 ILCS 65/4 from Ch. 111, par. 3504 19 225 ILCS 65/7 from Ch. 111, par. 3507 20 225 ILCS 65/10 from Ch. 111, par. 3510 21 225 ILCS 65/11 from Ch. 111, par. 3511 22 225 ILCS 65/12 from Ch. 111, par. 3512 23 225 ILCS 65/14 from Ch. 111, par. 3514 24 225 ILCS 65/16 from Ch. 111, par. 3516 25 225 ILCS 65/17 from Ch. 111, par. 3517 26 225 ILCS 65/21 from Ch. 111, par. 3521 27 225 ILCS 65/23 from Ch. 111, par. 3523 28 225 ILCS 65/24 from Ch. 111, par. 3524 29 225 ILCS 65/25 from Ch. 111, par. 3525 30 225 ILCS 65/26 from Ch. 111, par. 3526 31 225 ILCS 65/27 from Ch. 111, par. 3527 32 225 ILCS 65/30 from Ch. 111, par. 3530 33 225 ILCS 65/32 from Ch. 111, par. 3532 34 225 ILCS 65/33 from Ch. 111, par. 3533 SB857 Engrossed -138- LRB9003267DPcc 1 225 ILCS 65/35 from Ch. 111, par. 3535 2 225 ILCS 65/36 from Ch. 111, par. 3536 3 225 ILCS 65/37 from Ch. 111, par. 3537 4 225 ILCS 65/38 from Ch. 111, par. 3538 5 225 ILCS 65/39 from Ch. 111, par. 3539 6 225 ILCS 65/40 from Ch. 111, par. 3540 7 225 ILCS 65/42 from Ch. 111, par. 3542 8 225 ILCS 65/43 from Ch. 111, par. 3543 9 225 ILCS 65/47 from Ch. 111, par. 3547 10 225 ILCS 65/8 rep. 11 225 ILCS 65/9 rep. 12 225 ILCS 65/13 rep. 13 225 ILCS 65/15 rep. 14 225 ILCS 65/19 rep. 15 225 ILCS 70/4 from Ch. 111, par. 3654 16 225 ILCS 70/5 from Ch. 111, par. 3655 17 225 ILCS 70/5.1 new 18 225 ILCS 70/6 from Ch. 111, par. 3656 19 225 ILCS 70/7 from Ch. 111, par. 3657 20 225 ILCS 70/8 from Ch. 111, par. 3658 21 225 ILCS 70/9 from Ch. 111, par. 3659 22 225 ILCS 70/10 from Ch. 111, par. 3660 23 225 ILCS 70/11 from Ch. 111, par. 3661 24 225 ILCS 70/12 from Ch. 111, par. 3662 25 225 ILCS 70/13 from Ch. 111, par. 3663 26 225 ILCS 70/14 from Ch. 111, par. 3664 27 225 ILCS 70/15 from Ch. 111, par. 3665 28 225 ILCS 70/17 from Ch. 111, par. 3667 29 225 ILCS 70/18 from Ch. 111, par. 3668 30 225 ILCS 70/19 from Ch. 111, par. 3669 31 225 ILCS 70/20 from Ch. 111, par. 3670 32 225 ILCS 70/20.1 new 33 225 ILCS 70/21 from Ch. 111, par. 3671 34 225 ILCS 70/22 from Ch. 111, par. 3672 SB857 Engrossed -139- LRB9003267DPcc 1 225 ILCS 70/23 from Ch. 111, par. 3673 2 225 ILCS 70/24 from Ch. 111, par. 3674 3 225 ILCS 70/24.1 new 4 225 ILCS 70/28 from Ch. 111, par. 3678 5 225 ILCS 70/37 rep. 6 225 ILCS 95/6 from Ch. 111, par. 4606 7 225 ILCS 95/9 from Ch. 111, par. 4609 8 225 ILCS 95/10 from Ch. 111, par. 4610 9 225 ILCS 95/11 from Ch. 111, par. 4611 10 225 ILCS 95/14 from Ch. 111, par. 4614 11 225 ILCS 95/14.1 new 12 225 ILCS 95/16 from Ch. 111, par. 4616 13 225 ILCS 95/17 from Ch. 111, par. 4617 14 225 ILCS 95/21 from Ch. 111, par. 4621 15 225 ILCS 95/22.1 from Ch. 111, par. 4622.1 16 225 ILCS 95/22.2 from Ch. 111, par. 4622.2 17 225 ILCS 95/22.5 from Ch. 111, par. 4622.5 18 225 ILCS 95/22.7 from Ch. 111, par. 4622.7 19 225 ILCS 95/22.11 from Ch. 111, par. 4622.11 20 225 ILCS 95/22.12 from Ch. 111, par. 4622.12 21 225 ILCS 95/24 from Ch. 111, par. 4624 22 225 ILCS 95/18 rep. 23 225 ILCS 110/3 from Ch. 111, par. 7903 24 225 ILCS 110/3.5 new 25 225 ILCS 110/5 from Ch. 111, par. 7905 26 225 ILCS 110/7 from Ch. 111, par. 7907 27 225 ILCS 110/8 from Ch. 111, par. 7908 28 225 ILCS 110/9.5 new 29 225 ILCS 110/11 from Ch. 111, par. 7911 30 225 ILCS 110/13 from Ch. 111, par. 7913 31 225 ILCS 110/14 from Ch. 111, par. 7914 32 225 ILCS 110/16 from Ch. 111, par. 7916 33 225 ILCS 110/16.5 new 34 225 ILCS 110/17 from Ch. 111, par. 7917 SB857 Engrossed -140- LRB9003267DPcc 1 225 ILCS 110/18 from Ch. 111, par. 7918 2 225 ILCS 110/21 from Ch. 111, par. 7921 3 225 ILCS 110/22 from Ch. 111, par. 7922 4 225 ILCS 110/28 from Ch. 111, par. 7928 5 225 ILCS 110/28.5 new 6 225 ILCS 110/29.5 new 7 225 ILCS 110/30 from Ch. 111, par. 7930 8 225 ILCS 110/33 from Ch. 111, par. 7933 9 225 ILCS 110/6 rep. 10 225 ILCS 110/7.5 rep. 11 225 ILCS 110/9 rep. 12 225 ILCS 110/12 rep. 13 225 ILCS 110/31 rep. 14 225 ILCS 110/32 rep.