Illinois General Assembly - Bill Status for HB0421

Amends the Nurse Practice Act. Eliminates the requirement for a written collaborative agreement for all advanced practice nurses. Eliminates the requirement for an anesthesia plan for certified registered nurse anesthetists. Removes references to a written collaborative agreement and anesthesia plan throughout the Act. Repeals certain Sections of the Act and a Section of the Podiatric Medical Practice Act of 1987 concerning written collaborative agreements. Amends various other Acts to make related changes. Effective immediately.

Replaces everything after the enacting clause. Amends the Nurse Practice Act. In provisions regarding written collaborative agreements, adds immunizations to the list of primary health treatment within the scope of an advanced practice nurse's training and experience. Makes a technical change. Amends various other Acts to specify that physician assistants and advanced practice nurses must be licensed and to remove references to written supervision agreements and written collaborative agreements. Effective immediately.

Amends the Medical Practice Act of 1987. Provides that a written collaborative agreement shall be for services in the same area of practice or specialty as the collaborating physician in his or her clinical medical practice (rather than services the collaborating physician generally provides or may provide in his or her clinical medical practice). Makes changes concerning the criteria for a written collaborative agreement. Further amends the Nurse Practice Act. Provides that all advanced practice nurses may only practice in accordance with national certification and the Act. Makes changes in provisions concerning the requirements for written collaborative agreements. Exempts advanced practice nurses practicing in a hospital affiliate from having written collaborative agreements. Allows, but does not require, a hospital affiliate to grant advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate prescriptive authority for Schedule II through V controlled substances under specified conditions. Allows consultation through electronic communications. Provides that nothing in the Act shall be construed to authorize an advanced practice nurse to provide health care services required by law or rule to be performed by a physician. Amends the Podiatric Medical Practice Act of 1987 to make changes concerning the collaboration between a podiatric physician and an advanced practice nurse. Amends the Illinois Public Aid Code. Adds advanced practice nurses to the list of providers through whom the Department of Healthcare and Family Services may provide services in supplying medical assistance. Amends the Illinois Controlled Substances Act to provide prescriptive authority for Schedule II through V controlled substances for advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate. Makes other changes.

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