90th General Assembly
Summary of SB1585
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Senate Sponsors:
KARPIEL-PETERSON-DELEO-TROTTER-BURZYNSKI, WATSON, 
   MADIGAN,R, MYERS,J, BOMKE AND WALSH,L.

House Sponsors:
SAVIANO-RONEN-COULSON-GRANBERG-WINKEL

Short description: 
NURSING-ADV PRACT-LICENSE                                                  

Synopsis of Bill as introduced:
        Amends the Illinois Nursing Act of 1987.  Renames the Act as  the      
   Nursing  and  Advanced  Practice  Nursing  Act.   Reorganizes  certain      
   provisions  and  renumbers Sections within the Act.  Adds the Advanced      
   Practice Registered Nurses Title  to  provide  for  the  licensure  of      
   advanced  practice  registered  nurses meeting specified requirements.      
   Restricts the practice of advanced practice registered nursing to  the      
   terms of written collaborative and interactive team agreements entered      
   into  with  physicians  licensed  to  practice  medicine  in  all  its      
   branches.    Makes  other changes.  Amends the Medical Practice Act of      
   1987 to set forth the circumstances under which a  physician  licensed      
   to  practice  medicine in all its branches may delegate certain duties      
   to physician  assistants  and  advanced  practice  registered  nurses.      
   Amends  the  Pharmacy Practice Act of 1987 and the Illinois Controlled      
   Substances Act to expand the definition of "prescription"  under  each      
   Act to include orders for drugs issued by advanced practice registered      
   nurses  under  specified  conditions.   Amends the Physician Assistant      
   Practice Act of 1987 to  provide  that  the  delegation  of  physician      
   duties  to  a  physician  assistant  shall not limit the delegation of      
   duties by a physician to other personnel. Amends the Illinois Clinical      
   Laboratory and Blood Bank Act  to  add  advanced  practice  registered      
   nurses  to  the list of persons at whose request a clinical laboratory      
   may examine specimens.  Effective July 1, 1998.                             
        SENATE AMENDMENT NO. 1.                                                
          Deletes reference to:                                                
          210 ILCS 25/7-101               from Ch. 111 1/2, par. 627-101       
          225 ILCS 60/54.5 new                                                 
          225 ILCS 65/Title 5 heading new                                      
          225 ILCS 65/5-1, formerly 65/1                                       
          225 ILCS 65/5-5, formerly 65/2                                       
          225 ILCS 65/5-10, formerly 65/3                                      
          225 ILCS 65/5-15, formerly 65/4                                      
          225 ILCS 65/5-17, formerly 65/4.1                                    
          225 ILCS 65/5-22, formerly 65/4.2                                    
          225 ILCS 65/5-20, formerly 65/4.5                                    
          225 ILCS 65/5-25, formerly 65/5                                      
          225 ILCS 65/5-30, formerly 65/5.1                                    
          225 ILCS 65/Title 10 heading new                                     
          225 ILCS 65/10-5, formerly 65/5                                      
          225 ILCS 65/10-10 new                                                
          225 ILCS 65/10-15 new                                                
          225 ILCS 65/10-25, formerly 65/7                                     
          225 ILCS 65/10-30, formerly 65/12                                    
          225 ILCS 65/10-35, formerly 65/14                                    
          225 ILCS 65/10-40 new                                                
          225 ILCS 65/10-45 new                                                
          225 ILCS 65/10-50 new                                                
          225 ILCS 65/Title 15 heading new                                     
          225 ILCS 65/15-5 new                                                 
          225 ILCS 65/15-10 new                                                
          225 ILCS 65/15-15 new                                                
          225 ILCS 65/15-20 new                                                
          225 ILCS 65/15-25 new                                                
          225 ILCS 65/15-30 new                                                
          225 ILCS 65/15-35 new                                                
          225 ILCS 65/15-40 new                                                
          225 ILCS 65/15-45 new                                                
          225 ILCS 65/15-50 new                                                
          225 ILCS 65/15-55 new                                                
          225 ILCS 65/Title 20 heading new                                     
          225 ILCS 65/20-2 new                                                 
          225 ILCS 65/20-5, formerly, 65/16                                    
          225 ILCS 65/20-10, formerly 65/17                                    
          225 ILCS 65/20-15, formerly 65/18                                    
          225 ILCS 65/20-25, formerly 65/21                                    
          225 ILCS 65/20-30, formerly 65/22                                    
          225 ILCS 65/20-35, formerly 65/23                                    
          225 ILCS 65/20-40, formerly 65/24                                    
          225 ILCS 65/20-50, formerly 65/26                                    
          225 ILCS 65/20-55, formerly 65/27                                    
          225 ILCS 65/20-65, formerly 65/29                                    
          225 ILCS 65/20-70, formerly 65/30                                    
          225 ILCS 65/20-75, formerly 65/31                                    
          225 ILCS 65/20-80, formerly 65/32                                    
          225 ILCS 65/20-85, formerly 65/33                                    
          225 ILCS 65/20-90, formerly 65/34                                    
          225 ILCS 65/20-95, formerly 65/35                                    
          225 ILCS 65/20-100, formerly 65/36                                   
          225 ILCS 65/20-105, formerly 65/37                                   
          225 ILCS 65/20-110, formerly 65/38                                   
          225 ILCS 65/20-115, formerly 65/39                                   
          225 ILCS 65/20-120, formerly 65/40                                   
          225 ILCS 65/20-125, formerly 65/41                                   
          225 ILCS 65/20-130, formerly 65/42                                   
          225 ILCS 65/20-135, formerly 65/43                                   
          225 ILCS 65/20-140, formerly 65/44                                   
          225 ILCS 65/20-145, formerly 65/45                                   
          225 ILCS 65/20-150, formerly 65/46                                   
          225 ILCS 65/20-155, formerly 65/47                                   
          225 ILCS 65/20-160, formerly 65/48                                   
          225 ILCS 65/20-165, formerly 65/49                                   
          225 ILCS 65/10 rep.                                                  
          225 ILCS 65/11 rep.                                                  
          225 ILCS 65/20 rep.                                                  
          225 ILCS 65/25 rep.                                                  
          225 ILCS 65/28 rep.                                                  
          225 ILCS 85/3                   from Ch. 111, par. 4123              
          225 ILCS 85/4                   from Ch. 111, par. 4124              
          225 ILCS 95/7                   from Ch. 111, par. 4607              
          720 ILCS 570/102                from Ch. 56 1/2, par. 1102           
          720 ILCS 570/103                from Ch. 56 1/2, par. 1103           
          Adds reference to:                                                   
          225 ILCS 65/1                   from Ch. 111, par. 3501              
        Deletes everything.  Amends the Illinois Nursing Act of  1987  to      
   add a caption to the Act's short title provision.                           
        SENATE AMENDMENT NO. 3.                                                
          Deletes reference to:                                                
          225 ILCS 65/1                                                        
          Adds reference to:                                                   
          210 ILCS 25/7-101               from Ch. 111 1/2, par. 627-101       
          225 ILCS 60/22                  from Ch. 111, par. 4400-22           
          225 ILCS 60/54.5 new                                                 
          225 ILCS 65/Title 5 heading new                                      
          225 ILCS 65/5-1, formerly 65/1                                       
          225 ILCS 65/5-5, formerly 65/2                                       
          225 ILCS 65/5-10, formerly 65/3                                      
          225 ILCS 65/5-15, formerly 65/4                                      
          225 ILCS 65/5-17, formerly 65/4.1                                    
          225 ILCS 65/5-22, formerly 65/4.2                                    
          225 ILCS 65/5-20, formerly 65/4.5                                    
          225 ILCS 65/5-25, formerly 65/5                                      
          225 ILCS 65/5-30, formerly 65/5.1                                    
          225 ILCS 65/Title 10 heading new                                     
          225 ILCS 65/10-5, formerly 65/6                                      
          225 ILCS 65/10-10 new                                                
          225 ILCS 65/10-15 new                                                
          225 ILCS 65/10-25, formerly 65/7                                     
          225 ILCS 65/10-30, formerly 65/12                                    
          225 ILCS 65/10-35, formerly 65/14                                    
          225 ILCS 65/10-40 new                                                
          225 ILCS 65/10-45 new                                                
          225 ILCS 65/10-50 new                                                
          225 ILCS 65/Title 15 heading new                                     
          225 ILCS 65/15-5 new                                                 
          225 ILCS 65/15-10 new                                                
          225 ILCS 65/15-15 new                                                
          225 ILCS 65/15-20 new                                                
          225 ILCS 65/15-30 new                                                
          225 ILCS 65/15-35 new                                                
          225 ILCS 65/15-40 new                                                
          225 ILCS 65/15-45 new                                                
          225 ILCS 65/15-50 new                                                
          225 ILCS 65/15-55 new                                                
          225 ILCS 65/Title 20 heading new                                     
          225 ILCS 65/20-2 new                                                 
          225 ILCS 65/20-5, formerly, 65/16                                    
          225 ILCS 65/20-10, formerly 65/17                                    
          225 ILCS 65/20-15, formerly 65/18                                    
          225 ILCS 65/20-25, formerly 65/21                                    
          225 ILCS 65/20-30, formerly 65/22                                    
          225 ILCS 65/20-35, formerly 65/23                                    
          225 ILCS 65/20-40, formerly 65/24                                    
          225 ILCS 65/20-50, formerly 65/26                                    
          225 ILCS 65/20-55, formerly 65/27                                    
          225 ILCS 65/20-65, formerly 65/29                                    
          225 ILCS 65/20-70, formerly 65/30                                    
          225 ILCS 65/20-75, formerly 65/31                                    
          225 ILCS 65/20-80, formerly 65/32                                    
          225 ILCS 65/20-85, formerly 65/33                                    
          225 ILCS 65/20-90, formerly 65/34                                    
          225 ILCS 65/20-95, formerly 65/35                                    
          225 ILCS 65/20-100, formerly 65/36                                   
          225 ILCS 65/20-105, formerly 65/37                                   
          225 ILCS 65/20-110, formerly 65/38                                   
          225 ILCS 65/20-115, formerly 65/39                                   
          225 ILCS 65/20-120, formerly 65/40                                   
          225 ILCS 65/20-125, formerly 65/41                                   
          225 ILCS 65/20-130, formerly 65/42                                   
          225 ILCS 65/20-135, formerly 65/43                                   
          225 ILCS 65/20-140, formerly 65/44                                   
          225 ILCS 65/20-145, formerly 65/45                                   
          225 ILCS 65/20-150, formerly 65/46                                   
          225 ILCS 65/20-155, formerly 65/47                                   
          225 ILCS 65/20-160, formerly 65/48                                   
          225 ILCS 65/20-165, formerly 65/49                                   
          225 ILCS 65/10 rep.                                                  
          225 ILCS 65/11 rep.                                                  
          225 ILCS 65/20 rep.                                                  
          225 ILCS 65/25 rep.                                                  
          225 ILCS 65/28 rep.                                                  
          225 ILCS 85/3                   from Ch. 111, par. 4123              
          225 ILCS 85/4                   from Ch. 111, par. 4124              
          720 ILCS 570/102                from Ch. 56 1/2, par. 1102           
          720 ILCS 570/103                from Ch. 56 1/2, par. 1103           
          745 ILCS 49/3 new                                                    
          745 ILCS 49/10                                                       
          745 ILCS 49/25                                                       
          745 ILCS 49/30                                                       
          745 ILCS 49/34 new                                                   
          745 ILCS 49/35                                                       
          745 ILCS 49/40                                                       
          745 ILCS 49/45                                                       
          745 ILCS 49/60                                                       
          745 ILCS 49/70                                                       
          745 ILCS 49/75                                                       
        Deletes everything.   Reinserts  the  contents  of  the  bill  as      
   introduced  with  the  following  changes.   Changes  references  from      
   advanced  practice  registered  nurses to advanced practice nurses and      
   from collaborative and interactive team  agreements  to  collaborative      
   agreements.   Changes  provisions  concerning  what  physician medical      
   direction  is  adequate.   Removes  provisions  concerning   certified      
   registered   nurse   anesthetists.    Removes   provisions  concerning      
   corporate practice.   Adds  another  public  member  to  the  Advanced      
   Practice  Nursing Board and reduces by one the number of physicians on      
   the Board.  Changes  the  continuing  education  hours  to  50  hours.      
   Changes   some  of  the  grounds  for  disciplinary  action.   Removes      
   provisions amending the Physician  Assistant  Practice  Act  of  1987.      
   Further  amends  the Medical Practice Act of 1987 to require 150 hours      
   of continuing education per license renewal cycle (instead of 50 hours      
   each year) and to provide that a licensee who enters into an excessive      
   number of written  collaborative  agreements  with  licensed  advanced      
   practice nurses or who repeatedly fails to adequately collaborate with      
   or  provide medical direction to a licensed advanced practice nurse is      
   subject to disciplinary action.  Amends  the  Good  Samaritan  Act  to      
   exempt  advanced  practice  nurses  from civil liability for emergency      
   care.  Makes other changes.  Effective July 1, 1998.                        
          FISCAL NOTE (Dpt. of Professional Reg.)                              
          Total: 4 year revenue=$1,289,600 and 4 year expenses=$809,090.       
          JUDICIAL NOTE                                                        
          No decrease or increase in need for the number of judges.            
          STATE MANDATES FISCAL NOTE                                           
          Fails to create a State mandate.                                     
        HOUSE AMENDMENT NO. 1.                                                 
          Deletes reference to:                                                
          745 ILCS 49/3 new                                                    
          Adds reference to:                                                   
          20 ILCS 1705/56                 from Ch. 91 1/2, par. 100-56         
          20 ILCS 2310/55.37a             from Ch. 127, par. 55.37a            
          20 ILCS 2310/55.62a                                                  
          20 ILCS 3945/2                  from Ch. 144, par. 2002              
          110 ILCS 915/3                  from Ch. 144, par. 1403              
          110 ILCS 975/6                  from Ch. 144, par. 2756              
          110 ILCS 1010/11                from Ch. 144, par. 241               
          210 ILCS 5/6.5 new                                                   
          210 ILCS 40/2                   from Ch. 111 1/2, par. 4160-2        
          210 ILCS 45/1-118               from Ch. 111 1/2, par. 4151-118      
          210 ILCS 50/3.80                                                     
          210 ILCS 60/3                   from Ch. 111 1/2, par. 6103          
          210 ILCS 85/10                  from Ch. 111 1/2, par. 151           
          210 ILCS 85/10.7 new                                                 
          225 ILCS 47/15                                                       
          225 ILCS 65/15-100 new                                               
          225 ILCS 70/4                   from Ch. 111, par. 3654              
          225 ILCS 410/1-11               from Ch. 111, par. 1701-11           
          225 ILCS 510/3                  from Ch. 111, par. 953               
          305 ILCS 5/5-16.3                                                    
          305 ILCS 5/8A-7.1               from Ch. 23, par. 8A-7.1             
          410 ILCS 225/2                  from Ch. 111 1/2, par. 7022          
          720 ILCS 510/11                 from Ch. 38, par. 81-31              
          820 ILCS 405/230                from Ch. 48, par. 340                
        Amends the Hospital Licensing Act  of  1987  and  the  Ambulatory      
   Surgical  Treatment  Center  Act to add provisions concerning clinical      
   privileges for advanced practice nurses. Amends the  Illinois  Nursing      
   Act  of  1987.  Provides that an applicant for licensure under the Act      
   that fails to apply within one year of successful  completion  of  the      
   examination  must retake the examination unless licensed under another      
   jurisdiction of the United States  within  one  year  of  passing  the      
   examination.  Creates a Joint Committee on Licensure of CRNAs.  Amends      
   the  Health Care Worker Self-Referral Act to include advanced practice      
   registered nurses in  the  definition  of  "health  care  worker".  In      
   various  Acts, changes cross-references to the Illinois Nursing Act of      
   1987 to the Nursing and Advanced Practice Nursing Act.                      
 
Last action on Bill: PUBLIC ACT.............................. 90-0742

   Last action date: 98-08-13

           Location: Senate

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   1     SENATE -   2


   END OF INQUIRY 
                                                                               



 Full Text  Bill Status