Bill Status of SB3421

Amends the Physician Assistant Practice Act of 1987. Provides that a physician assistant may prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of authority by a physician. Provides that a physician assistant may practice without a written collaborative agreement. Provides that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of AMA PRA Category 1 or equivalent continuing medical education or training and at least 2,000 hours of clinical experience in the specific field in which the physician assistant intends to practice after first attaining national certification shall not require a written collaborative agreement to practice. Makes changes in provisions concerning definitions; physician assistant title; collaboration requirements; written collaborative agreements, prescriptive authority, and physician assistants in hospitals, hospital affiliates, or ambulatory surgical treatment centers; inactive status; limitations; and grounds for disciplinary action. Amends the Illinois Controlled Substances Act to make corresponding changes.

Senate Committee Amendment No. 1

Deletes reference to:

225 ILCS 95/20

Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes. Provides that "physician assistant practice" means the performance of any medical service (rather than any legal medical service) for which the physician assistant has been prepared by the physician assistant's education, training, and experience and is competent to perform as determined through an employment agreement or the credentialing and privileging system of a licensed facility. Provides that no physician assistant shall use the title of doctor, physician, or associate with his or her name or any other term that would indicate to other persons that the physician assistant is a licensed physician (rather than a title or term that would indicate to other persons that he or she is qualified to engage in the general practice of medicine). Provides that no person shall use the title physician assistant, physician associate, PA, PA-C, or any other term that would indicate to other persons that the person is a licensed or board-certified physician assistant unless the person is licensed as a physician assistant under this Act. In a provision concerning continuing education for physician assistant license renewal, provides that continuing education programs shall be relevant to physician assistant practice (rather than shall be in the physician assistant's area of practice) and may be conducted or endorsed by educational institutions, hospitals, professional associations, or other organizations approved to offer continuing education under the Act or rules. Provides that a physician assistant with optimal practice authority may prescribe Schedule II narcotic drugs only in a consultation relationship with a physician. Provides that the consultation relationship shall be recorded on the Prescription Monitoring Program website, pursuant to the Illinois Controlled Substances Act, by the physician and the physician assistant with optimal practice authority, and is not required to be filed with the Department of Financial and Professional Regulation. Provides that at least monthly, the physician assistant with optimal practice authority and the physician must discuss the condition of any patients for whom a Schedule II narcotic drug is prescribed. Provides that the consultation relationship shall provide for physician availability for consultation on complex clinical cases and prescribing decisions, but shall not require the physical presence of the physician or constitute a written collaborative agreement (rather than a supervisory or collaborative agreement). In a provision concerning limitations, removes the prohibition that, pursuant to the Professional Service Corporation Act and the Medical Corporation Act, a person licensed under the Physician Assistant Practice Act of 1987 may not own a corporation for the purposes of practicing medicine. Removes the prohibition that, pursuant to the Professional Limited Liability Company Act, a person licensed under the Physician Assistant Practice Act of 1987 may not own a professional limited liability company for the purposes of practicing medicine. Makes other changes.

Actions

Date	Chamber	Action
2/04/2026	Senate	Filed with Secretary by Sen. Javier L. Cervantes
2/04/2026	Senate	First Reading
2/04/2026	Senate	Referred to Assignments
2/06/2026	Senate	Added as Co-Sponsor Sen. David Koehler
2/09/2026	Senate	Added as Co-Sponsor Sen. Mike Porfirio
2/11/2026	Senate	Added as Co-Sponsor Sen. Doris Turner
2/17/2026	Senate	Added as Co-Sponsor Sen. Mary Edly-Allen
2/17/2026	Senate	Assigned to Licensed Activities
2/18/2026	Senate	Added as Co-Sponsor Sen. Laura M. Murphy
2/18/2026	Senate	Added as Co-Sponsor Sen. Adriane Johnson
2/20/2026	Senate	Added as Co-Sponsor Sen. Napoleon Harris, III
2/20/2026	Senate	Added as Co-Sponsor Sen. Mark L. Walker
2/24/2026	Senate	Added as Co-Sponsor Sen. Paul Faraci
2/25/2026	Senate	Added as Co-Sponsor Sen. Karina Villa
2/25/2026	Senate	Added as Co-Sponsor Sen. Celina Villanueva
3/12/2026	Senate	Added as Co-Sponsor Sen. Sara Feigenholtz
3/13/2026	Senate	Rule 2-10 Committee Deadline Established As March 27, 2026
3/27/2026	Senate	Rule 2-10 Committee Deadline Established As April 24, 2026
4/16/2026	Senate	Added as Co-Sponsor Sen. Willie Preston
4/16/2026	Senate	Added as Co-Sponsor Sen. Christopher Belt
4/24/2026	Senate	Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026
5/06/2026	Senate	Senate Committee Amendment No. 1 Filed with Secretary by Sen. Javier L. Cervantes
5/06/2026	Senate	Senate Committee Amendment No. 1 Referred to Assignments
5/06/2026	Senate	Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
5/06/2026	Senate	Senate Committee Amendment No. 1 Adopted
5/06/2026	Senate	Do Pass as Amended Licensed Activities; 006-003-000
5/06/2026	Senate	Placed on Calendar Order of 2nd Reading May 7, 2026
5/12/2026	Senate	Senate Floor Amendment No. 2 Filed with Secretary by Sen. Javier L. Cervantes
5/12/2026	Senate	Senate Floor Amendment No. 2 Referred to Assignments
5/13/2026	Senate	Senate Floor Amendment No. 2 Assignments Refers to Licensed Activities
5/13/2026	Senate	Sponsor Removed Sen. Doris Turner
5/15/2026	Senate	Senate Floor Amendment No. 3 Filed with Secretary by Sen. Javier L. Cervantes
5/15/2026	Senate	Senate Floor Amendment No. 3 Referred to Assignments
5/15/2026	Senate	Rule 2-10 Third Reading Deadline Established As May 22, 2026