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Public Act 101-0084 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Clinical Psychologist Licensing Act is | ||||
amended by changing Sections 4.2 and 4.3 as follows: | ||||
(225 ILCS 15/4.2) | ||||
(Section scheduled to be repealed on January 1, 2027) | ||||
Sec. 4.2. Prescribing psychologist license. | ||||
(a) A psychologist may apply to the Department for a | ||||
prescribing psychologist license. The application shall be | ||||
made on a form approved by the Department, include the payment | ||||
of any required fees, and be accompanied by evidence | ||||
satisfactory to the Department that the applicant: | ||||
(1) holds a current license to practice clinical | ||||
psychology in Illinois; | ||||
(2) has successfully completed the following minimum | ||||
educational and training requirements either during the | ||||
doctoral program required for licensure under this Section | ||||
or in an accredited undergraduate or master level program | ||||
prior to or subsequent to the doctoral program required | ||||
under this Section: | ||||
(A) specific minimum undergraduate biomedical | ||||
prerequisite coursework, including, but not limited |
to: Medical Terminology (class or proficiency); | ||
Chemistry or Biochemistry with lab (2 semesters); | ||
Human Physiology (one semester); Human Anatomy (one | ||
semester); Anatomy and Physiology; Microbiology with | ||
lab (one semester); and General Biology for science | ||
majors or Cell and Molecular Biology (one semester); | ||
(B) a minimum of 60 credit hours of didactic | ||
coursework, including, but not limited to: | ||
Pharmacology; Clinical Psychopharmacology; Clinical | ||
Anatomy and Integrated Science; Patient Evaluation; | ||
Advanced Physical Assessment; Research Methods; | ||
Advanced Pathophysiology; Diagnostic Methods; Problem | ||
Based Learning; and Clinical and Procedural Skills; | ||
and | ||
(C) a full-time practicum of 14 months' months | ||
supervised clinical training of at least 36 credit | ||
hours , including a research project; during the | ||
clinical rotation phase, students complete rotations | ||
in Emergency Medicine, Family Medicine, Geriatrics, | ||
Internal Medicine, Obstetrics and Gynecology, | ||
Pediatrics, Psychiatrics, Surgery, and one elective of | ||
the students' choice; program approval standards | ||
addressing faculty qualifications, regular competency | ||
evaluation and length of clinical rotations, and | ||
instructional settings, including , but not limited to, | ||
hospitals, medical centers, health care facilities |
located at federal and State prisons, hospital | ||
outpatient clinics, community mental health clinics, | ||
patient-centered medical homes or family-centered | ||
medical homes, women's medical health centers, and | ||
Federally Qualified Health Centers; the clinical | ||
training must meet the standards for: and correctional | ||
facilities, in accordance with those of the | ||
Accreditation Review Commission on Education for the | ||
Physician Assistant shall be set by Department by rule; | ||
(i) physician assistant education as defined | ||
by the Accreditation Review Commission on | ||
Education for the Physician Assistant; | ||
(ii) advanced practice nurse education as | ||
defined by the Commission on Collegiate Nursing | ||
Education for the Advanced Nurse Practitioner or | ||
the Accreditation Commission for Education in | ||
Nursing for the Advanced Nurse Practitioner; or | ||
(iii) medical education as defined by the | ||
Accreditation Council for Graduate Medical | ||
Education and shall be set by the Department by | ||
rule; | ||
(3) has completed a National Certifying Exam, as | ||
determined by rule; and | ||
(4) meets all other requirements for obtaining a | ||
prescribing psychologist license, as determined by rule. | ||
(b) The Department may issue a prescribing psychologist |
license if it finds that the applicant has met the requirements | ||
of subsection (a) of this Section. | ||
(c) A prescribing psychologist may only prescribe | ||
medication pursuant to the provisions of this Act if the | ||
prescribing psychologist: | ||
(1) continues to hold a current license to practice | ||
psychology in Illinois; | ||
(2) satisfies the continuing education requirements | ||
for prescribing psychologists, including 10 hours of | ||
continuing education annually in pharmacology from | ||
accredited providers; and | ||
(3) maintains a written collaborative agreement with a | ||
collaborating physician pursuant to Section 4.3 of this | ||
Act.
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(Source: P.A. 98-668, eff. 6-25-14 .) | ||
(225 ILCS 15/4.3) | ||
(Section scheduled to be repealed on January 1, 2027) | ||
Sec. 4.3. Written collaborative agreements. | ||
(a) A written collaborative agreement is required for all | ||
prescribing psychologists practicing under a prescribing | ||
psychologist license issued pursuant to Section 4.2 of this | ||
Act. | ||
(b) A written delegation of prescriptive authority by a | ||
collaborating physician may only include medications for the | ||
treatment of mental health disease or illness the collaborating |
physician generally provides to his or her patients in the | ||
normal course of his or her clinical practice with the | ||
exception of the following: | ||
(1) patients who are less than 17 years of age or over | ||
65 years of age; | ||
(2) patients during pregnancy; | ||
(3) patients with serious medical conditions, such as | ||
heart disease, cancer, stroke, or seizures, and with | ||
developmental disabilities and intellectual disabilities; | ||
and | ||
(4) prescriptive authority for benzodiazepine Schedule | ||
III controlled substances. | ||
(c) The collaborating physician shall file with the | ||
Department notice of delegation of prescriptive authority and | ||
termination of the delegation, in accordance with rules of the | ||
Department. Upon receipt of this notice delegating authority to | ||
prescribe any nonnarcotic Schedule III through V controlled | ||
substances, the licensed clinical psychologist shall be | ||
eligible to register for a mid-level practitioner controlled | ||
substance license under Section 303.05 of the Illinois | ||
Controlled Substances Act. | ||
(d) All of the following shall apply to delegation of | ||
prescriptive authority: | ||
(1) Any delegation of Schedule III through V controlled | ||
substances shall identify the specific controlled | ||
substance by brand name or generic name. No controlled |
substance to be delivered by injection may be delegated. No | ||
Schedule II controlled substance shall be delegated. | ||
(2) A prescribing psychologist shall not prescribe | ||
narcotic drugs, as defined in Section 102 of the Illinois | ||
Controlled Substances Act. | ||
Any prescribing psychologist who writes a prescription for | ||
a controlled substance without having valid and appropriate | ||
authority may be fined by the Department not more than $50 per | ||
prescription and the Department may take any other disciplinary | ||
action provided for in this Act. | ||
All prescriptions written by a prescribing psychologist | ||
must contain the name of the prescribing psychologist and his | ||
or her signature. The prescribing psychologist shall sign his | ||
or her own name. | ||
(e) The written collaborative agreement shall describe the | ||
working relationship of the prescribing psychologist with the | ||
collaborating physician and shall delegate prescriptive | ||
authority as provided in this Act. Collaboration does not | ||
require an employment relationship between the collaborating | ||
physician and prescribing psychologist. Absent an employment | ||
relationship, an agreement may not restrict third-party | ||
payment sources accepted by the prescribing psychologist. For | ||
the purposes of this Section, "collaboration" means the | ||
relationship between a prescribing psychologist and a | ||
collaborating physician with respect to the delivery of | ||
prescribing services in accordance with (1) the prescribing |
psychologist's training, education, and experience and (2) | ||
collaboration and consultation as documented in a jointly | ||
developed written collaborative agreement. | ||
(f) The agreement shall promote the exercise of | ||
professional judgment by the prescribing psychologist | ||
corresponding to his or her education and experience. | ||
(g) The collaborative agreement shall not be construed to | ||
require the personal presence of a physician at the place where | ||
services are rendered. Methods of communication shall be | ||
available for consultation with the collaborating physician in | ||
person or by telecommunications in accordance with established | ||
written guidelines as set forth in the written agreement. | ||
(h) Collaboration and consultation pursuant to all | ||
collaboration agreements shall be adequate if a collaborating | ||
physician does each of the following: | ||
(1) participates in the joint formulation and joint | ||
approval of orders or guidelines with the prescribing | ||
psychologist and he or she periodically reviews the | ||
prescribing psychologist's orders and the services | ||
provided patients under the orders in accordance with | ||
accepted standards of medical practice and prescribing | ||
psychologist practice; | ||
(2) provides collaboration and consultation with the | ||
prescribing psychologist in person at least once a month | ||
for review of safety and quality clinical care or | ||
treatment; |
(3) is available through telecommunications for | ||
consultation on medical problems, complications, | ||
emergencies, or patient referral; and | ||
(4) reviews medication orders of the prescribing | ||
psychologist no less than monthly, including review of | ||
laboratory tests and other tests as available. | ||
(i) The written collaborative agreement shall contain | ||
provisions detailing notice for termination or change of status | ||
involving a written collaborative agreement, except when the | ||
notice is given for just cause. | ||
(j) A copy of the signed written collaborative agreement | ||
shall be available to the Department upon request to either the | ||
prescribing psychologist or the collaborating physician. | ||
(k) Nothing in this Section shall be construed to limit the | ||
authority of a prescribing psychologist to perform all duties | ||
authorized under this Act. | ||
(l) A prescribing psychologist shall inform each | ||
collaborating physician of all collaborative agreements he or | ||
she has signed and provide a copy of these to any collaborating | ||
physician. | ||
(m) No collaborating physician shall enter into more than 3 | ||
collaborative agreements with prescribing psychologists.
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(Source: P.A. 98-668, eff. 6-25-14 .) | ||
Section 10. The Telehealth Act is amended by changing | ||
Section 5 as follows: |
(225 ILCS 150/5)
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Sec. 5. Definitions. As used in this Act: | ||
"Health care professional" includes physicians, physician | ||
assistants, dentists, optometrists, advanced practice | ||
registered nurses, clinical psychologists licensed in | ||
Illinois, prescribing psychologists licensed in Illinois, | ||
dentists, occupational therapists, pharmacists, physical | ||
therapists, clinical social workers, speech-language | ||
pathologists, audiologists, hearing instrument dispensers, and | ||
mental health professionals and clinicians authorized by | ||
Illinois law to provide mental health services.
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"Telehealth" means the evaluation, diagnosis, or | ||
interpretation of electronically transmitted patient-specific | ||
data between a remote location and a licensed health care | ||
professional that generates interaction or treatment | ||
recommendations. "Telehealth" includes telemedicine and the | ||
delivery of health care services provided by way of an | ||
interactive telecommunications system, as defined in | ||
subsection (a) of Section 356z.22 of the Illinois Insurance | ||
Code.
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(Source: P.A. 100-317, eff. 1-1-18; 100-644, eff. 1-1-19; | ||
100-930, eff. 1-1-19; revised 10-22-18.)
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Section 99. Effective date. This Act takes effect upon | ||
becoming law.
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