HB 421 is sponsored by Sara Feigenholtz (Democrat), Melinda Bush, William R. Haine, Emil Jones, III (Democrat), Kyle McCarter, Jason A. Barickman, and Julie A. Morrison (Democrat).

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Illinois 99th Regular Session Status: Enacted 3 D cosponsors

HB 421 — NURSE-COLLABORATION-PRESCRIBE

Last action July 29, 2015 — Public Act . . . . . . . . . 99-0173

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✓
Introduced
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In Committee
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Passed House
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Passed Senate
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To Executive
6
Enacted

This bill has been enacted into law. Introduced January 28, 2015. Enacted.

Prognosis

Likely to advance 82% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

Enacted

Current position in the legislative process.
7 sponsors

0 primary, 7 co-sponsors signed on.
Single-party support

Sponsorship is currently within one party (3 D).
Cleared a recorded vote

Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

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.

Bill Text

What changed in the latest version

185 added · 185 removed

Plain-language change summary

The recent update to Bill HB 421 has resulted in a change from the "Engrossed" version to the "Enrolled" version, indicating final approval of the bill's text. This transition usually signifies that the bill is ready to be sent to the governor for signing, representing a critical step in the legislative process. The modification in labeling highlights that the bill has been finalized and is no longer subject to further amendments. This matters because it signals the bill's imminent enactment, bringing potential new laws into effect.

HB0421 ~~Engrossed~~Enrolled LRB099 05828 HAF 25872 b AN ACT concerning regulation.

The card shall be prepared and supplied by the HB0421 ~~Engrossed~~Enrolled - 2 - LRB099 05828 HAF 25872 b Secretary of State and shall include a photograph and signature or mark of the applicant.

For the purposes of this subsection HB0421 ~~Engrossed~~Enrolled - 3 - LRB099 05828 HAF 25872 b (a-10), "peace officer" means any person who by virtue of his or her office or public employment is vested by law with a duty to maintain public order or to make arrests for a violation of any penal statute of this State, whether that duty extends to all violations or is limited to specific violations.

However, the Secretary of State may provide by rule for the issuance of Illinois Person with a Disability Identification Cards without photographs if the applicant has a bona fide religious HB0421 ~~Engrossed~~Enrolled - 4 - LRB099 05828 HAF 25872 b objection to being photographed or to the display of his or her photograph.

HB0421 ~~Engrossed~~Enrolled - 5 - LRB099 05828 HAF 25872 b Notwithstanding any other provisions of law, an Illinois Person with a Disability Identification Card, or evidence that the Secretary of State has issued an Illinois Person with a Disability Identification Card, shall not be used by any person other than the person named on such card to prove that the person named on such card is a disabled person or for any other purpose unless the card is used for the benefit of the person named on such card, and the person named on such card consents to such use at the time the card is so used.

The color designated for Illinois Identification Cards or Illinois Person with a Disability Identification Cards for persons under the age of 21 shall be at the discretion of the HB0421 ~~Engrossed~~Enrolled - 6 - LRB099 05828 HAF 25872 b Secretary of State.

The veteran designation shall be available to a person identified as a veteran under HB0421 ~~Engrossed~~Enrolled - 7 - LRB099 05828 HAF 25872 b subsection (b) of Section 5 of this Act who was discharged or separated under honorable conditions.

HB0421 ~~Engrossed~~Enrolled - 8 - LRB099 05828 HAF 25872 b (20 ILCS 301/5-23) Sec.

HB0421 ~~Engrossed~~Enrolled - 9 - LRB099 05828 HAF 25872 b (1) The Director may establish a program to provide for the production and publication, in electronic and other formats, of drug overdose prevention, recognition, and response literature.

Such programs may include the prescribing of naloxone hydrochloride or any HB0421 ~~Engrossed~~Enrolled - 10 - LRB099 05828 HAF 25872 b other similarly acting and equally safe drug approved by the U.S.

(3) The Director shall give preference for grants to proposals that, in addition to providing life-saving HB0421 ~~Engrossed~~Enrolled - 11 - LRB099 05828 HAF 25872 b interventions and responses, provide information to drug users on how to access drug treatment or other strategies for abstaining from illegal drugs.

(F) The institution of education and training HB0421 ~~Engrossed~~Enrolled - 12 - LRB099 05828 HAF 25872 b projects on drug overdose response and treatment for emergency services and law enforcement personnel.

(2) A person who is not otherwise licensed to administer an opioid antidote may in an emergency administer without fee an opioid antidote if the person has received the patient information specified in paragraph (4) of this subsection and believes in good faith that HB0421 ~~Engrossed~~Enrolled - 13 - LRB099 05828 HAF 25872 b another person is experiencing a drug overdose.

The Director of the Division of Alcoholism and Substance Abuse, in HB0421 ~~Engrossed~~Enrolled - 14 - LRB099 05828 HAF 25872 b consultation with statewide organizations representing physicians, advanced practice nurses, physician assistants, substance abuse programs, and other interested groups, shall develop and disseminate to health care professionals, community-based organizations, substance abuse programs, and other organizations training materials in video, electronic, or other formats to facilitate the provision of such patient information.

"Patient" includes a person who is not at risk of HB0421 ~~Engrossed~~Enrolled - 15 - LRB099 05828 HAF 25872 b opioid overdose but who, in the judgment of the physician, may be in a position to assist another individual during an overdose and who has received patient information as required in paragraph (2) of this subsection on the indications for and administration of an opioid antidote.

"Epinephrine auto-injector" means a single-use device used for the automatic injection of a pre-measured dose of HB0421 ~~Engrossed~~Enrolled - 16 - LRB099 05828 HAF 25872 b epinephrine into the human body.

HB0421 ~~Engrossed~~Enrolled - 17 - LRB099 05828 HAF 25872 b "Trained personnel" means any school employee or volunteer personnel authorized in Sections 10-22.34, 10-22.34a, and 10-22.34b of this Code who has completed training under subsection (g) of this Section to recognize and respond to anaphylaxis.

and (2) the parents or guardians of the pupil provide to the school (i) the prescription label, which must contain the name of the asthma medication, the prescribed dosage, and the time at which or circumstances under which the asthma medication is to be administered, or (ii) for the HB0421 ~~Engrossed~~Enrolled - 18 - LRB099 05828 HAF 25872 b self-administration or self-carry of an epinephrine auto-injector, a written statement from the pupil's physician, physician assistant, or advanced practice nurse containing the following information:

(i) provide an undesignated epinephrine auto-injector to a student for self-administration only or any HB0421 ~~Engrossed~~Enrolled - 19 - LRB099 05828 HAF 25872 b personnel authorized under a student's Individual Health Care Action Plan, Illinois Food Allergy Emergency Action Plan and Treatment Authorization Form, or plan pursuant to Section 504 of the federal Rehabilitation Act of 1973 to administer to the student, that meets the student's prescription on file;

(c) The school district, public school, or nonpublic school must inform the parents or guardians of the pupil, in writing, that the school district, public school, or nonpublic school and its employees and agents, including a physician, physician assistant, or advanced practice nurse providing standing protocol or prescription for school epinephrine auto-injectors, are to incur no liability or professional discipline, except for willful and wanton conduct, as a result of any injury arising from the administration of asthma medication or of an epinephrine auto-injector regardless of whether authorization was given by the pupil's parents or guardians or by the pupil's physician, physician assistant, or HB0421 ~~Engrossed~~Enrolled - 20 - LRB099 05828 HAF 25872 b advanced practice nurse.

(c-5) Upon the effective date of this amendatory Act of the 98th General Assembly, when a school nurse or trained personnel administers an undesignated epinephrine auto-injector to a person whom the school nurse or trained personnel in good faith believes is having an anaphylactic reaction, notwithstanding the lack of notice to the parents or guardians of the pupil or the absence of the parents or guardians signed statement acknowledging no liability, except for willful and wanton conduct, the school district, public school, or nonpublic HB0421 ~~Engrossed~~Enrolled - 21 - LRB099 05828 HAF 25872 b school and its employees and agents, and a physician, a physician assistant, or an advanced practice nurse providing standing protocol or prescription for undesignated epinephrine auto-injectors, are to incur no liability or professional discipline, except for willful and wanton conduct, as a result of any injury arising from the use of an undesignated epinephrine auto-injector regardless of whether authorization was given by the pupil's parents or guardians or by the pupil's physician, physician assistant, or advanced practice nurse.

(e-5) Provided that the requirements of this Section are fulfilled, a school nurse or trained personnel may administer HB0421 ~~Engrossed~~Enrolled - 22 - LRB099 05828 HAF 25872 b an undesignated epinephrine auto-injector to any person whom the school nurse or trained personnel in good faith believes to be having an anaphylactic reaction (i) while in school, (ii) while at a school-sponsored activity, (iii) while under the supervision of school personnel, or (iv) before or after normal school activities, such as while in before-school or after-school care on school-operated property.

HB0421 ~~Engrossed~~Enrolled - 23 - LRB099 05828 HAF 25872 b (f-5) Upon any administration of an epinephrine auto-injector, a school district, public school, or nonpublic school must immediately activate the EMS system and notify the student's parent, guardian, or emergency contact, if known.

HB0421 ~~Engrossed~~Enrolled - 24 - LRB099 05828 HAF 25872 b (2) a review of high-risk areas within the school and its related facilities;

(i) Within 3 days after the administration of an HB0421 ~~Engrossed~~Enrolled - 25 - LRB099 05828 HAF 25872 b undesignated epinephrine auto-injector by a school nurse, trained personnel, or a student at a school or school-sponsored activity, the school must report to the Board in a form and manner prescribed by the Board the following information:

(a) In this Section, "employee" means any employee of a HB0421 ~~Engrossed~~Enrolled - 26 - LRB099 05828 HAF 25872 b school district, a student teacher, an employee of a contractor that provides services to students or in schools, or any other individual subject to the requirements of Section 10-21.9 or 34-18.5 of this Code.

The board may from time to time require an examination of any employee by a physician licensed in Illinois to practice medicine and surgery in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to perform health HB0421 ~~Engrossed~~Enrolled - 27 - LRB099 05828 HAF 25872 b examinations, or a licensed physician assistant who has been delegated the authority to perform health examinations by his or her supervising physician and shall pay the expenses thereof from school funds.

HB0421 ~~Engrossed~~Enrolled - 28 - LRB099 05828 HAF 25872 b Sick leave shall be interpreted to mean personal illness, quarantine at home, serious illness or death in the immediate family or household, or birth, adoption, or placement for adoption.

HB0421 ~~Engrossed~~Enrolled - 29 - LRB099 05828 HAF 25872 b If, by reason of any change in the boundaries of school districts, or by reason of the creation of a new school district, the employment of a teacher is transferred to a new or different board, the accumulated sick leave of such teacher is not thereby lost, but is transferred to such new or different district.

provided, that the following children shall not be HB0421 ~~Engrossed~~Enrolled - 30 - LRB099 05828 HAF 25872 b required to attend the public schools:

the exemptions in this paragraph (2) do not apply to any female who is pregnant or the mother of one or more children, except where a female is unable to attend school due to a complication arising from her pregnancy and the existence of such complication is certified to the county HB0421 ~~Engrossed~~Enrolled - 31 - LRB099 05828 HAF 25872 b or district truant officer by a competent physician;

but nothing in this paragraph 5 shall be construed to limit the right of any school board, at its discretion, to excuse an absence on HB0421 ~~Engrossed~~Enrolled - 32 - LRB099 05828 HAF 25872 b any other day by reason of the observance of a religious holiday.

upon entering the HB0421 ~~Engrossed~~Enrolled - 33 - LRB099 05828 HAF 25872 b sixth and ninth grades of any public, private, or parochial school;

(1.5) In compliance with rules adopted by the Department of Public Health and except as otherwise provided in this Section, all children in kindergarten and the second and sixth grades of HB0421 ~~Engrossed~~Enrolled - 34 - LRB099 05828 HAF 25872 b any public, private, or parochial school shall have a dental examination.

Each of these children shall present proof of having been examined by a physician licensed to practice medicine in all of its branches or a licensed optometrist within the previous year, in accordance with this Section and rules adopted under this HB0421 ~~Engrossed~~Enrolled - 35 - LRB099 05828 HAF 25872 b Section, before October 15th of the school year.

The rules and regulations of the Department of Public Health shall specify that a tuberculosis skin test screening shall be HB0421 ~~Engrossed~~Enrolled - 36 - LRB099 05828 HAF 25872 b included as a required part of each health examination included under this Section if the child resides in an area designated by the Department of Public Health as having a high incidence of tuberculosis.

Physicians licensed to practice medicine in all HB0421 ~~Engrossed~~Enrolled - 37 - LRB099 05828 HAF 25872 b its branches or licensed optometrists shall perform all eye examinations required by this Section and shall sign all report forms required by subsection (4) of this Section that pertain to the eye examination.

Your child is not required to undergo this vision screening if an optometrist or ophthalmologist has completed and signed a report form indicating that an examination has been administered within the previous 12 months." (3) Every child shall, at or about the same time as he or she receives a health examination required by subsection (1) of this Section, present to the local school proof of having HB0421 ~~Engrossed~~Enrolled - 38 - LRB099 05828 HAF 25872 b received such immunizations against preventable communicable diseases as the Department of Public Health shall require by rules and regulations promulgated pursuant to this Section and the Communicable Disease Prevention Act.

To establish a date before October 15 of the current school year for the health examination or immunization as required, a school district must HB0421 ~~Engrossed~~Enrolled - 39 - LRB099 05828 HAF 25872 b give notice of the requirements of this Section 60 days prior to the earlier established date.

If the student is an out-of-state transfer student and does not have the proof required under this subsection (5) before October 15 of the HB0421 ~~Engrossed~~Enrolled - 40 - LRB099 05828 HAF 25872 b current year or whatever date is set by the school district, then he or she may only attend classes (i) if he or she has proof that an appointment for the required vaccinations has been scheduled with a party authorized to submit proof of the required vaccinations.

Show all 183 changed lines (143 more)

The immunization data made HB0421 ~~Engrossed~~Enrolled - 41 - LRB099 05828 HAF 25872 b publicly available must be identical to the data the school district or school has reported to the State Board of Education.

(7) Upon determining that the number of pupils who are HB0421 ~~Engrossed~~Enrolled - 42 - LRB099 05828 HAF 25872 b required to be in compliance with subsection (5) of this Section is below 90% of the number of pupils enrolled in the school district, 10% of each State aid payment made pursuant to Section 18-8.05 to the school district for such year may be withheld by the State Board of Education until the number of students in compliance with subsection (5) is the applicable specified percentage or higher.

(9) For the purposes of this Section, "nursery schools" means those nursery schools operated by elementary school systems or secondary level school units or institutions of HB0421 ~~Engrossed~~Enrolled - 43 - LRB099 05828 HAF 25872 b higher learning.

A clinical laboratory shall examine specimens only at the request of (i) a licensed physician, (ii) a licensed dentist, (iii) a licensed podiatric physician, (iv) a licensed optometrist, (v) a licensed physician assistant in accordance with the written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987 or when authorized under Section 7.7 of the Physician Assistant Practice Act of 1987, (v-A) a licensed an advanced practice nurse in accordance with the written collaborative agreement required under Section 65-35 of the Nurse Practice Act or when authorized under Section 65-45 of the Nurse Practice Act, (vi) an authorized law enforcement agency or, in the case of blood alcohol, at the request of the individual for whom the test is to be performed in compliance with Sections 11-501 and 11-501.1 of the Illinois Vehicle Code, or (vii) a genetic counselor with the specific authority from a referral to order a test or tests pursuant to subsection (b) of Section 20 of the Genetic HB0421 ~~Engrossed~~Enrolled - 44 - LRB099 05828 HAF 25872 b Counselor Licensing Act.

Such services include part time and intermittent nursing services HB0421 ~~Engrossed~~Enrolled - 45 - LRB099 05828 HAF 25872 b and other therapeutic services such as physical therapy, occupational therapy, speech therapy, medical social services, or services provided by a home health aide.

(b) Every insurer shall provide, in each group or individual policy, contract, or certificate of accident or health insurance issued or renewed for persons who are residents of Illinois, coverage for complete and thorough clinical breast examinations as indicated by guidelines of practice, performed by a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a collaborative agreement with a collaborating physician that authorizes breast examinations, or a licensed physician assistant who has been delegated authority to provide HB0421 ~~Engrossed~~Enrolled - 46 - LRB099 05828 HAF 25872 b breast examinations, to check for lumps and other changes for the purpose of early detection and prevention of breast cancer as follows:

HB0421 ~~Engrossed~~Enrolled - 47 - LRB099 05828 HAF 25872 b (Source:

The written collaborative agreement shall be for services in HB0421 ~~Engrossed~~Enrolled - 48 - LRB099 05828 HAF 25872 b the same area of practice or specialty as the collaborating physician generally provides or may provide in his or her clinical medical practice.

With respect to labor and delivery, the collaborating physician must provide delivery services in order to participate with a HB0421 ~~Engrossed~~Enrolled - 49 - LRB099 05828 HAF 25872 b certified nurse midwife.

and (2) for anesthesia services, the anesthesiologist or HB0421 ~~Engrossed~~Enrolled - 50 - LRB099 05828 HAF 25872 b physician participates through discussion of and agreement with the anesthesia plan and is physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.

(e) A physician shall not be liable for the acts or omissions of a prescribing psychologist, physician assistant, or advanced practice nurse solely on the basis of having signed a supervision agreement or guidelines or a collaborative agreement, an order, a standing medical order, a standing delegation order, or other order or guideline authorizing a prescribing psychologist, physician assistant, or advanced practice nurse to perform acts, unless the physician has reason HB0421 ~~Engrossed~~Enrolled - 51 - LRB099 05828 HAF 25872 b to believe the prescribing psychologist, physician assistant, or advanced practice nurse lacked the competency to perform the act or acts or commits willful and wanton misconduct.

This definition shall not be construed to prohibit an advanced practice nurse from providing primary health treatment or care within the scope of his or her training and experience, including, but not limited to, health screenings, patient histories, physical examinations, women's health examinations, or school physicals that may be provided as part of the routine practice of an advanced practice nurse HB0421 ~~Engrossed~~Enrolled - 52 - LRB099 05828 HAF 25872 b or on a volunteer basis.

or (iv) clinical nurse HB0421 ~~Engrossed~~Enrolled - 53 - LRB099 05828 HAF 25872 b specialist (CNS) and has been licensed by the Department.

"Current nursing practice update course" means a planned nursing education curriculum approved by the Department consisting of activities that have educational objectives, instructional methods, content or subject matter, clinical practice, and evaluation methods, related to basic review and HB0421 ~~Engrossed~~Enrolled - 54 - LRB099 05828 HAF 25872 b updating content and specifically planned for those nurses previously licensed in the United States or its territories and preparing for reentry into nursing practice.

"Physician" means a person licensed to practice medicine in HB0421 ~~Engrossed~~Enrolled - 55 - LRB099 05828 HAF 25872 b all its branches under the Medical Practice Act of 1987.

Only a HB0421 ~~Engrossed~~Enrolled - 56 - LRB099 05828 HAF 25872 b registered nurse licensed under this Act is entitled to use the titles "registered nurse" and "registered professional nurse" and the abbreviation, "R.N.".

(6) the delegation to and supervision of HB0421 ~~Engrossed~~Enrolled - 57 - LRB099 05828 HAF 25872 b individuals who assist the registered professional nurse implementing the plan of care;

(a) A written collaborative agreement is required for all HB0421 ~~Engrossed~~Enrolled - 58 - LRB099 05828 HAF 25872 b advanced practice nurses engaged in clinical practice, except for advanced practice nurses who are authorized to practice in a hospital, hospital affiliate, or ambulatory surgical treatment center.

HB0421 ~~Engrossed~~Enrolled - 59 - LRB099 05828 HAF 25872 b The agreement shall promote the exercise of professional judgment by the advanced practice nurse commensurate with his or her education and experience.

(b-5) Absent an employment relationship, a written collaborative agreement may not (1) restrict the categories of patients of an advanced practice nurse within the scope of the advanced practice nurses training and experience, (2) limit third party payors or government health programs, such as the HB0421 ~~Engrossed~~Enrolled - 60 - LRB099 05828 HAF 25872 b medical assistance program or Medicare with which the advanced practice nurse contracts, or (3) limit the geographic area or practice location of the advanced practice nurse in this State.

In the case of anesthesia services provided by a certified registered nurse HB0421 ~~Engrossed~~Enrolled - 61 - LRB099 05828 HAF 25872 b anesthetist, an anesthesiologist, a physician, a dentist, or a podiatric physician must participate through discussion of and agreement with the anesthesia plan and remain physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.

A certified registered nurse anesthetist may select, order, and administer medication, including controlled substances, and apply appropriate medical devices for delivery of anesthesia services under the anesthesia plan agreed with by the HB0421 ~~Engrossed~~Enrolled - 62 - LRB099 05828 HAF 25872 b anesthesiologist or the operating physician or operating podiatric physician.

HB0421 ~~Engrossed~~Enrolled - 63 - LRB099 05828 HAF 25872 b (d) A copy of the signed, written collaborative agreement must be available to the Department upon request from both the advanced practice nurse and the collaborating physician, dentist, or podiatric physician.

For the purposes of this Act, "generally provides or may provide in his or her clinical medical practice" means categories of care or treatment, not specific tasks or duties, the physician provides individually or through delegation to other persons so that the physician has the experience and ability to provide collaboration and HB0421 ~~Engrossed~~Enrolled - 64 - LRB099 05828 HAF 25872 b consultation.

Any advanced practice nurse required to enter into a written collaborative agreement with a collaborating physician or collaborating podiatrist is authorized to continue to practice for up to 90 days after the termination of a collaborative agreement provided the advanced practice nurse seeks any needed collaboration at a local hospital and refers HB0421 ~~Engrossed~~Enrolled - 65 - LRB099 05828 HAF 25872 b patients who require services beyond the training and experience of the advanced practice nurse to a physician or other health care provider.

Authority may also be granted when recommended by the hospital medical staff and granted by the hospital or recommended by the consulting medical staff committee and ambulatory surgical treatment center to individual advanced practice nurses to select, order, and administer medications, including controlled substances, HB0421 ~~Engrossed~~Enrolled - 66 - LRB099 05828 HAF 25872 b to provide delineated care.

(a-5) For anesthesia services provided by a certified registered nurse anesthetist, an anesthesiologist, physician, dentist, or podiatric physician shall participate through discussion of and agreement with the anesthesia plan and shall remain physically present and be available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions, unless hospital policy adopted pursuant to clause (B) of subdivision (3) of Section 10.7 of the Hospital Licensing Act or ambulatory surgical treatment center policy adopted HB0421 ~~Engrossed~~Enrolled - 67 - LRB099 05828 HAF 25872 b pursuant to clause (B) of subdivision (3) of Section 6.5 of the Ambulatory Surgical Treatment Center Act provides otherwise.

This authority may, but is not required to, include prescription of, selection of, orders for, administration of, storage of, acceptance of samples of, and dispensing over-the-counter medications, legend drugs, medical gases, and controlled substances categorized as Schedule II through V controlled substances, as defined in Article II of the Illinois Controlled Substances Act, and other HB0421 ~~Engrossed~~Enrolled - 68 - LRB099 05828 HAF 25872 b preparations, including, but not limited to, botanical and herbal remedies.

(1) specific Schedule II controlled substances by oral dosage or topical or transdermal application may be HB0421 ~~Engrossed~~Enrolled - 69 - LRB099 05828 HAF 25872 b designated, provided that the designated Schedule II controlled substances are routinely prescribed by advanced practice nurses in their area of certification;

HB0421 ~~Engrossed~~Enrolled - 70 - LRB099 05828 HAF 25872 b (225 ILCS 75/3.1) (Section scheduled to be repealed on January 1, 2024) Sec.

HB0421 ~~Engrossed~~Enrolled - 71 - LRB099 05828 HAF 25872 b (d) An occupational therapist shall refer to a licensed physician, dentist, optometrist, advanced practice nurse, physician assistant, or podiatric physician any patient whose medical condition should, at the time of evaluation or treatment, be determined to be beyond the scope of practice of the occupational therapist.

A licensed orthotist, prosthetist, or pedorthist may provide care or services only if the care or services are provided pursuant to an order from (i) a licensed physician, (ii) a licensed podiatric physician, (iii) a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician or podiatric physician that specifically authorizes ordering the services of an orthotist, prosthetist or pedorthist, or (iv) an advanced practice nurse who practices in a hospital or ambulatory surgical treatment center and possesses clinical privileges to order services of an orthotist, prosthetist, or pedorthist, or (v) a licensed HB0421 ~~Engrossed~~Enrolled - 72 - LRB099 05828 HAF 25872 b physician assistant who has been delegated the authority to order the services of an orthotist, prosthetist, or pedorthist by his or her supervising physician.

(B) Alleviating impairments, functional limitations, or disabilities by designing, implementing, and modifying therapeutic interventions that may include, but are not limited to, the evaluation or treatment of a person through HB0421 ~~Engrossed~~Enrolled - 73 - LRB099 05828 HAF 25872 b the use of the effective properties of physical measures and heat, cold, light, water, radiant energy, electricity, sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental impairment, functional limitation, or disability.

(a) performance of specialized tests and measurements, (b) administration of specialized treatment procedures, (c) interpretation of referrals from physicians, dentists, advanced practice nurses, physician assistants, and podiatric physicians, (d) establishment, and modification of physical therapy treatment programs, (e) administration of topical medication used in generally accepted physical therapy procedures when such medication is prescribed by the patient's physician, licensed to practice medicine in all its branches, the patient's physician licensed to practice podiatric medicine, the patient's advanced practice nurse, the patient's physician assistant, or the patient's dentist, and (f) HB0421 ~~Engrossed~~Enrolled - 74 - LRB099 05828 HAF 25872 b supervision or teaching of physical therapy.

(6) "Referral" means a written or oral authorization for physical therapy services for a patient by a physician, dentist, advanced practice nurse, physician assistant, or HB0421 ~~Engrossed~~Enrolled - 75 - LRB099 05828 HAF 25872 b podiatric physician who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by a physical therapist.

HB0421 ~~Engrossed~~Enrolled - 76 - LRB099 05828 HAF 25872 b (10) "Physical therapy aide" means a person who has received on the job training, specific to the facility in which he is employed, but who has not completed an approved physical therapist assistant program.

A written collaborative agreement shall conform to the requirements of HB0421 ~~Engrossed~~Enrolled - 77 - LRB099 05828 HAF 25872 b Section 65-35 of the Nurse Practice Act.

(1) (3) The advance practice nurse provides services that the collaborating podiatric physician generally provides to his or her patients in the normal course of HB0421 ~~Engrossed~~Enrolled - 78 - LRB099 05828 HAF 25872 b clinical practice.

(7) The agreement contains provisions detailing notice for termination or change of status involving a written collaborative agreement, except when such notice is given HB0421 ~~Engrossed~~Enrolled - 79 - LRB099 05828 HAF 25872 b for just cause.

The Respiratory Care Practice Act is amended by HB0421 ~~Engrossed~~Enrolled - 80 - LRB099 05828 HAF 25872 b changing Section 10 as follows:

Collecting and reviewing patient data includes the performance of pulse oximetry and non-invasive monitoring procedures in order to obtain vital signs and notification to licensed health care professionals and other authorized licensed personnel HB0421 ~~Engrossed~~Enrolled - 81 - LRB099 05828 HAF 25872 b in a timely manner.

HB0421 ~~Engrossed~~Enrolled - 82 - LRB099 05828 HAF 25872 b (4) The administration of aerosol medication or oxygen.

"Order" means a written, oral, or telecommunicated authorization for respiratory care services for a patient by (i) a licensed health care professional who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by HB0421 ~~Engrossed~~Enrolled - 83 - LRB099 05828 HAF 25872 b a respiratory care practitioner or (ii) a certified registered nurse anesthetist in a licensed hospital or ambulatory surgical treatment center.

the administration of pharmacological and therapeutic agents related to respiratory HB0421 ~~Engrossed~~Enrolled - 84 - LRB099 05828 HAF 25872 b care services;

(1) The person is engaged in the practice of HB0421 ~~Engrossed~~Enrolled - 85 - LRB099 05828 HAF 25872 b cardiorespiratory care and has the knowledge and skill necessary to administer respiratory care.

"Address of record" means the designated address recorded by the Department in the applicant's or licensee's application file or license file as maintained by the Department's HB0421 ~~Engrossed~~Enrolled - 86 - LRB099 05828 HAF 25872 b licensure maintenance unit.

This HB0421 ~~Engrossed~~Enrolled - 87 - LRB099 05828 HAF 25872 b assessment may involve:

HB0421 ~~Engrossed~~Enrolled - 88 - LRB099 05828 HAF 25872 b "Genetic testing" and "genetic test" mean a test or analysis of human genes, gene products, DNA, RNA, chromosomes, proteins, or metabolites that detects genotypes, mutations, chromosomal changes, abnormalities, or deficiencies, including carrier status, that (i) are linked to physical or mental disorders or impairments, (ii) indicate a susceptibility to illness, disease, impairment, or other disorders, whether physical or mental, or (iii) demonstrate genetic or chromosomal damage due to environmental factors.

A qualified supervisor may be provided at the applicant's place of work, or HB0421 ~~Engrossed~~Enrolled - 89 - LRB099 05828 HAF 25872 b may be contracted by the applicant to provide supervision.

(a) Except as provided in Section 15, no person shall, without a valid license as a genetic counselor issued by the Department (i) in any manner hold himself or herself out to the HB0421 ~~Engrossed~~Enrolled - 90 - LRB099 05828 HAF 25872 b public as a genetic counselor under this Act;

Genetic testing shall be ordered by a physician licensed to practice medicine HB0421 ~~Engrossed~~Enrolled - 91 - LRB099 05828 HAF 25872 b in all its branches or a genetic counselor pursuant to a referral that gives the specific authority to order genetic tests.

HB0421 ~~Engrossed~~Enrolled - 92 - LRB099 05828 HAF 25872 b (d) Nothing in this Act shall be construed as permitting persons licensed as genetic counselors to engage in any manner in the practice of medicine in all its branches as defined by law in this State.

HB0421 ~~Engrossed~~Enrolled - 93 - LRB099 05828 HAF 25872 b (1) Material misstatement in furnishing information to the Department or to any other State agency.

HB0421 ~~Engrossed~~Enrolled - 94 - LRB099 05828 HAF 25872 b (9) Engaging in dishonorable, unethical, or unprofessional conduct of a character likely to deceive, defraud, or harm the public and violating the rules of professional conduct adopted by the Department.

Nothing in this paragraph (14) affects any bona fide independent contractor or employment arrangements among HB0421 ~~Engrossed~~Enrolled - 95 - LRB099 05828 HAF 25872 b health care professionals, health facilities, health care providers, or other entities, except as otherwise prohibited by law.

(19) Being named as a perpetrator in an indicated report by the Department of Children and Family Services pursuant to the Abused and Neglected Child Reporting Act, and upon proof by clear and convincing evidence that the HB0421 ~~Engrossed~~Enrolled - 96 - LRB099 05828 HAF 25872 b licensee has caused a child to be an abused child or neglected child as defined in the Abused and Neglected Child Reporting Act.

(26) Providing genetic counseling services to HB0421 ~~Engrossed~~Enrolled - 97 - LRB099 05828 HAF 25872 b individuals, couples, groups, or families without a referral from either a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to make referrals to a genetic counselor, or a licensed physician assistant who has been delegated authority to make referrals to genetic counselors.

The suspension will end upon a finding by a court that the licensee is no longer subject to involuntary admission or judicial HB0421 ~~Engrossed~~Enrolled - 98 - LRB099 05828 HAF 25872 b admission, the issuance of an order so finding and discharging the patient, and the determination of the Secretary that the licensee be allowed to resume professional practice.

(f) All fines or costs imposed under this Section shall be paid within 60 days after the effective date of the order HB0421 ~~Engrossed~~Enrolled - 99 - LRB099 05828 HAF 25872 b imposing the fine or costs or in accordance with the terms set forth in the order imposing the fine.

The utilization of the services of persons engaged in the treatment or care of the HB0421 ~~Engrossed~~Enrolled - 100 - LRB099 05828 HAF 25872 b sick, which persons are not required to be licensed or registered under the laws of this State, is not prohibited by this Section.

"Questionnaire" means an assessment tool administered by a HB0421 ~~Engrossed~~Enrolled - 101 - LRB099 05828 HAF 25872 b licensed health care professional to detect perinatal mental health disorders, such as the Edinburgh Postnatal Depression Scale, the Postpartum Depression Screening Scale, the Beck Depression Inventory, the Patient Health Questionnaire, or other validated assessment methods.

(b) Each licensed, registered, or approved health care facility serving children 6 years of age or younger, including, but not limited to, health departments, hospitals, clinics, and health maintenance organizations approved, registered, or licensed by the Department, shall take the appropriate steps to HB0421 ~~Engrossed~~Enrolled - 102 - LRB099 05828 HAF 25872 b ensure that children 6 years of age or younger be evaluated for risk or tested for lead poisoning or both.

(1) Crimes of sexual assault and sexual abuse cause significant physical, emotional, and psychological trauma HB0421 ~~Engrossed~~Enrolled - 103 - LRB099 05828 HAF 25872 b to the victims.

and a description of how and when victims may be provided emergency contraception upon the written order of a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating HB0421 ~~Engrossed~~Enrolled - 104 - LRB099 05828 HAF 25872 b physician that authorizes prescription of emergency contraception, or a licensed physician assistant who has been delegated authority to prescribe emergency contraception.

(a) Every hospital providing hospital emergency services and forensic services to sexual assault survivors under this Act shall, as minimum requirements for such services, provide, with the consent of the sexual assault survivor, and as ordered by the attending physician, an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of emergency services, or a HB0421 ~~Engrossed~~Enrolled - 105 - LRB099 05828 HAF 25872 b physician assistant who has been delegated authority to provide hospital emergency services and forensic services, the following:

(5) an evaluation of the sexual assault survivor's risk HB0421 ~~Engrossed~~Enrolled - 106 - LRB099 05828 HAF 25872 b of contracting human immunodeficiency virus (HIV) from the sexual assault;

(a) Every hospital, health care professional, laboratory, HB0421 ~~Engrossed~~Enrolled - 107 - LRB099 05828 HAF 25872 b or pharmacy that provides follow-up healthcare to a sexual assault survivor, with the consent of the sexual assault survivor and as ordered by the attending physician, an advanced practice nurse who has a written collaborative agreement with a collaborating physician, or physician assistant who has been delegated authority by a supervising physician shall be reimbursed for the follow-up healthcare services provided.

HB0421 ~~Engrossed~~Enrolled - 108 - LRB099 05828 HAF 25872 b (410 ILCS 210/1) (from Ch.

(a) The consent to the performance of primary care services by a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of services for minors, or a licensed HB0421 ~~Engrossed~~Enrolled - 109 - LRB099 05828 HAF 25872 b physician assistant who has been delegated authority to provide services for minors executed by a minor seeking care is not voidable because of such minority, and for such purpose, a minor seeking care is deemed to have the same legal capacity to act and has the same powers and obligations as has a person of legal age under the following circumstances:

(b) A health care professional rendering primary care services under this Section shall not incur civil or criminal liability for failure to obtain valid consent or professional HB0421 ~~Engrossed~~Enrolled - 110 - LRB099 05828 HAF 25872 b discipline for failure to obtain valid consent if he or she relied in good faith on the representations made by the minor or the information provided under paragraph (2) of subsection (a) of this Section.

HB0421 ~~Engrossed~~Enrolled - 111 - LRB099 05828 HAF 25872 b "Minor seeking care" means a person at least 14 years of age but less than 18 years of age who is living separate and apart from his or her parents or legal guardian, whether with or without the consent of a parent or legal guardian who is unable or unwilling to return to the residence of a parent, and managing his or her own personal affairs.

Any parent, including a parent who is a minor, may consent to the performance upon his or her child of a medical or surgical procedure by a physician licensed to practice medicine and surgery, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of services for minors, or HB0421 ~~Engrossed~~Enrolled - 112 - LRB099 05828 HAF 25872 b a licensed physician assistant who has been delegated authority to provide services for minors or a dental procedure by a licensed dentist.

(b) Where a minor is the victim of a predatory criminal sexual assault of a child, aggravated criminal sexual assault, criminal sexual assault, aggravated criminal sexual abuse or HB0421 ~~Engrossed~~Enrolled - 113 - LRB099 05828 HAF 25872 b criminal sexual abuse, as provided in Sections 11-1.20 through 11-1.60 of the Criminal Code of 2012, the consent of the minor's parent or legal guardian need not be obtained to authorize a hospital, physician, advanced practice nurse, physician assistant, or other medical personnel to furnish medical care or counseling related to the diagnosis or treatment of any disease or injury arising from such offense.

"Early and Periodic Screening, Diagnosis and Treatment HB0421 ~~Engrossed~~Enrolled - 114 - LRB099 05828 HAF 25872 b (EPSDT)" means the provision of preventative health care under 42 C.F.R.

HB0421 ~~Engrossed~~Enrolled - 115 - LRB099 05828 HAF 25872 b (410 ILCS 305/3) (from Ch.

(i) "Health care professional" means (i) a licensed physician, (ii) a licensed physician assistant to whom the physician assistant's supervising physician has delegated the provision of AIDS and HIV-related health services, (iii) a licensed an advanced practice registered nurse who has a written collaborative agreement with a collaborating physician HB0421 ~~Engrossed~~Enrolled - 116 - LRB099 05828 HAF 25872 b which authorizes the provision of AIDS and HIV-related health services, (iv) a licensed dentist, (v) a licensed podiatric physician, or (vi) an individual certified to provide HIV testing and counseling by a state or local public health department.

In certain circumstances, in accordance with HIPAA, an HIE will be a HB0421 ~~Engrossed~~Enrolled - 117 - LRB099 05828 HAF 25872 b business associate.

(2) a fair explanation of the procedures to be HB0421 ~~Engrossed~~Enrolled - 118 - LRB099 05828 HAF 25872 b followed, including the voluntary nature of the test, the right to withdraw consent to the testing process at any time, the right to anonymity to the extent provided by law with respect to participation in the test and disclosure of test results, and the right to confidential treatment of information identifying the subject of the test and the results of the test, to the extent provided by law;

HB0421 ~~Engrossed~~Enrolled - 119 - LRB099 05828 HAF 25872 b (s) "Minimum necessary" means the HIPAA standard for using, disclosing, and requesting protected health information found in 45 CFR 164.502(b) and 164.514(d).

HB0421 ~~Engrossed~~Enrolled - 120 - LRB099 05828 HAF 25872 b (cc) "Use" has the meaning ascribed to it under HIPAA, as specified in 45 CFR 160.103, where context dictates.

In considering which diseases are to be designated sexually transmissible diseases, the Department shall consider such diseases as chancroid, gonorrhea, granuloma inguinale, lymphogranuloma venereum, genital herpes simplex, chlamydia, nongonococcal urethritis (NGU), pelvic inflammatory disease (PID)/Acute Salpingitis, syphilis, Acquired Immunodeficiency Syndrome (AIDS), and Human HB0421 ~~Engrossed~~Enrolled - 121 - LRB099 05828 HAF 25872 b Immunodeficiency Virus (HIV) for designation, and shall consider the recommendations and classifications of the Centers for Disease Control and other nationally recognized medical authorities.

7404) HB0421 ~~Engrossed~~Enrolled - 122 - LRB099 05828 HAF 25872 b Sec.

(c) Any person who knowingly or maliciously disseminates any false information or report concerning the existence of any HB0421 ~~Engrossed~~Enrolled - 123 - LRB099 05828 HAF 25872 b sexually transmissible disease under this Section is guilty of a Class A misdemeanor.

HB0421 ~~Engrossed~~Enrolled - 124 - LRB099 05828 HAF 25872 b "Health care services" means any prenatal medical care or labor or delivery services to a pregnant woman and her newborn infant, including hospitalization.

"Employer" means the State of Illinois, any unit of local government, and any board, commission, department, institution, or school district, any party to a public contract, any joint apprenticeship or training committee HB0421 ~~Engrossed~~Enrolled - 125 - LRB099 05828 HAF 25872 b within the State, and every other person employing employees within the State.

HB0421 ~~Engrossed~~Enrolled - 126 - LRB099 05828 HAF 25872 b "Genetic services" has the meaning ascribed to it under HIPAA, as specified in 45 CFR 160.103.

"Health information exchange" or "HIE" means a health information exchange or health information organization that HB0421 ~~Engrossed~~Enrolled - 127 - LRB099 05828 HAF 25872 b exchanges health information electronically that (i) is established pursuant to the Illinois Health Information Exchange and Technology Act, or any subsequent amendments thereto, and any administrative rules promulgated thereunder;

"Labor organization" includes any organization, labor union, craft union, or any voluntary unincorporated association designed to further the cause of the rights of HB0421 ~~Engrossed~~Enrolled - 128 - LRB099 05828 HAF 25872 b union labor that is constituted for the purpose, in whole or in part, of collective bargaining or of dealing with employers concerning grievances, terms or conditions of employment, or apprenticeships or applications for apprenticeships, or of other mutual aid or protection in connection with employment, including apprenticeships or applications for apprenticeships.

A managed care plan may be established or operated by any HB0421 ~~Engrossed~~Enrolled - 129 - LRB099 05828 HAF 25872 b entity including a licensed insurance company, hospital or medical service plan, health maintenance organization, limited health service organization, preferred provider organization, third party administrator, or an employer or employee organization.

"State agency" means an instrumentality of the State of Illinois and any instrumentality of another state which HB0421 ~~Engrossed~~Enrolled - 130 - LRB099 05828 HAF 25872 b pursuant to applicable law or a written undertaking with an instrumentality of the State of Illinois is bound to protect the privacy of genetic information of Illinois persons.

HB0421 ~~Engrossed~~Enrolled - 131 - LRB099 05828 HAF 25872 b "Home health agency" has the meaning ascribed to it in Section 2.04 of the Home Health, Home Services, and Home Nursing Agency Licensing Act.

(2) is restricted by lung disease to such an extent that his or her HB0421 ~~Engrossed~~Enrolled - 132 - LRB099 05828 HAF 25872 b forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter, or the arterial oxygen tension is less than 60 mm/hg on room air at rest;

(a) Upon receiving an application for a certificate of registration for a motor vehicle of the first division or for a motor vehicle of the second division weighing no more than 8,000 pounds, accompanied with payment of the registration fees required under this Code from a person with disabilities or a person who is deaf or hard of hearing, the Secretary of State, if so requested, shall issue to such person registration plates as provided for in Section 3-611, provided that the person with disabilities or person who is deaf or hard of hearing must not be disqualified from obtaining a driver's license under HB0421 ~~Engrossed~~Enrolled - 133 - LRB099 05828 HAF 25872 b subsection 8 of Section 6-103 of this Code, and further provided that any person making such a request must submit a statement, certified by a licensed physician, by a licensed physician assistant who has been delegated the authority to make this certification by his or her supervising physician, or by a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to make this certification, to the effect that such person is a person with disabilities as defined by Section 1-159.1 of this Code, or alternatively provide adequate documentation that such person has a Class 1A, Class 2A or Type Four disability under the provisions of Section 4A of the Illinois Identification Card Act.

(b) The Secretary shall issue plates under this Section to a parent or legal guardian of a person with disabilities if the person with disabilities has a Class 1A or Class 2A disability as defined in Section 4A of the Illinois Identification Card Act or is a person with disabilities as defined by Section 1-159.1 of this Code, and does not possess a vehicle registered in his or her name, provided that the person with disabilities relies frequently on the parent or legal guardian for HB0421 ~~Engrossed~~Enrolled - 134 - LRB099 05828 HAF 25872 b transportation.

An optometrist may certify a Class 2A Visual Disability as defined in Section HB0421 ~~Engrossed~~Enrolled - 135 - LRB099 05828 HAF 25872 b 4A of the Illinois Identification Card Act for the purpose of qualifying a person with disabilities for a parking decal or device under this subsection.

(f) The Secretary of State, upon application, shall issue disability registration plates or a parking decal to corporations, school districts, State or municipal agencies, limited liability companies, nursing homes, convalescent HB0421 ~~Engrossed~~Enrolled - 136 - LRB099 05828 HAF 25872 b homes, or special education cooperatives which will transport persons with disabilities.

What persons shall not be licensed as drivers HB0421 ~~Engrossed~~Enrolled - 137 - LRB099 05828 HAF 25872 b or granted permits.

To any person who is under the age of 18 as an operator of a motorcycle other than a motor driven cycle HB0421 ~~Engrossed~~Enrolled - 138 - LRB099 05828 HAF 25872 b unless the person has, in addition to meeting the provisions of Section 6-107 of this Code, successfully completed a motorcycle training course approved by the Illinois Department of Transportation and successfully completes the required Secretary of State's motorcycle driver's examination;

To any person who is required under the provisions of the laws of this State to deposit security or proof of HB0421 ~~Engrossed~~Enrolled - 139 - LRB099 05828 HAF 25872 b financial responsibility and who has not deposited the security or proof;

To any person who is under the age of 21 years with a classification prohibited in paragraph (b) of Section HB0421 ~~Engrossed~~Enrolled - 140 - LRB099 05828 HAF 25872 b 6-104 and to any person who is under the age of 18 years with a classification prohibited in paragraph (c) of Section 6-104;

To any person who is 90 days or more delinquent in HB0421 ~~Engrossed~~Enrolled - 141 - LRB099 05828 HAF 25872 b court ordered child support payments or has been adjudicated in arrears in an amount equal to 90 days' obligation or more and who has been found in contempt of court for failure to pay the support, subject to the requirements and procedures of Article VII of Chapter 7 of the Illinois Vehicle Code;

To any person who, with intent to influence any act related to the issuance of any driver's license or permit, HB0421 ~~Engrossed~~Enrolled - 142 - LRB099 05828 HAF 25872 b by an employee of the Secretary of State's Office, or the owner or employee of any commercial driver training school licensed by the Secretary of State, or any other individual authorized by the laws of this State to give driving instructions or administer all or part of a driver's license examination, promises or tenders to that person any property or personal advantage which that person is not authorized by law to accept.

The person shall be denied HB0421 ~~Engrossed~~Enrolled - 143 - LRB099 05828 HAF 25872 b a license or permit for the period determined by the court.

Applicants who have completed the fingerprinting requirements shall not be subjected to the fingerprinting process when applying for subsequent permits or submitting proof of successful completion of the annual HB0421 ~~Engrossed~~Enrolled - 144 - LRB099 05828 HAF 25872 b refresher course.

possess a valid driver's license, which has not been revoked, suspended, or canceled for 3 years immediately prior to the date of application, or have not had his or her commercial motor vehicle driving privileges disqualified within the 3 years immediately prior to the HB0421 ~~Engrossed~~Enrolled - 145 - LRB099 05828 HAF 25872 b date of application;

have completed an initial classroom course, HB0421 ~~Engrossed~~Enrolled - 146 - LRB099 05828 HAF 25872 b including first aid procedures, in school bus driver safety as promulgated by the Secretary of State;

(i) those offenses defined in Sections 8-1.2, 9-1, 9-1.2, 9-2, 9-2.1, 9-3, 9-3.2, 9-3.3, 10-1, 10-2, 10-3.1, 10-4, 10-5, 10-5.1, 10-6, 10-7, 10-9, 11-1.20, 11-1.30, 11-1.40, HB0421 ~~Engrossed~~Enrolled - 147 - LRB099 05828 HAF 25872 b 11-1.50, 11-1.60, 11-6, 11-6.5, 11-6.6, 11-9, 11-9.1, 11-9.3, 11-9.4, 11-14, 11-14.1, 11-14.3, 11-14.4, 11-15, 11-15.1, 11-16, 11-17, 11-17.1, 11-18, 11-18.1, 11-19, 11-19.1, 11-19.2, 11-20, 11-20.1, 11-20.1B, 11-20.3, 11-21, 11-22, 11-23, 11-24, 11-25, 11-26, 11-30, 12-2.6, 12-3.1, 12-4, 12-4.1, 12-4.2, 12-4.2-5, 12-4.3, 12-4.4, 12-4.5, 12-4.6, 12-4.7, 12-4.9, 12-5.01, 12-6, 12-6.2, 12-7.1, 12-7.3, 12-7.4, 12-7.5, 12-11, 12-13, 12-14, 12-14.1, 12-15, 12-16, 12-16.2, 12-21.5, 12-21.6, 12-33, 12C-5, 12C-10, 12C-20, 12C-30, 12C-45, 16-16, 16-16.1, 18-1, 18-2, 18-3, 18-4, 18-5, 19-6, 20-1, 20-1.1, 20-1.2, 20-1.3, 20-2, 24-1, 24-1.1, 24-1.2, 24-1.2-5, 24-1.6, 24-1.7, 24-2.1, 24-3.3, 24-3.5, 24-3.8, 24-3.9, 31A-1, 31A-1.1, 33A-2, and 33D-1, and in subsection (b) of Section 8-1, and in subdivisions (a)(1), (a)(2), (b)(1), (e)(1), (e)(2), (e)(3), (e)(4), and (f)(1) of Section 12-3.05, and in subsection (a) and subsection (b), clause (1), of Section 12-4, and in subsection (A), clauses (a) and (b), of Section 24-3, and those offenses contained in Article 29D of the Criminal Code of 1961 or the Criminal Code of 2012;

(iv) those offenses defined in the Methamphetamine Control and Community HB0421 ~~Engrossed~~Enrolled - 148 - LRB099 05828 HAF 25872 b Protection Act;

consent, in writing, to the release of results of reasonable suspicion drug and alcohol testing under HB0421 ~~Engrossed~~Enrolled - 149 - LRB099 05828 HAF 25872 b Section 6-106.1c of this Code by the employer of the applicant to the Secretary of State.

The applicant shall present the certification to the Secretary of State at the time of HB0421 ~~Engrossed~~Enrolled - 150 - LRB099 05828 HAF 25872 b submitting the school bus driver permit application.

Failure of the permit holder to provide the notification is punishable as a petty offense for a first violation and a Class B misdemeanor for a second or HB0421 ~~Engrossed~~Enrolled - 151 - LRB099 05828 HAF 25872 b subsequent violation.

(6) The Secretary of State shall suspend a school bus HB0421 ~~Engrossed~~Enrolled - 152 - LRB099 05828 HAF 25872 b driver permit for a period of 3 years upon receiving notice from the employer that the holder failed to perform the inspection procedure set forth in subsection (a) or (b) of Section 12-816 of this Code.

The HB0421 ~~Engrossed~~Enrolled - 153 - LRB099 05828 HAF 25872 b permit holder's employer shall notify in writing to the Secretary of State that the employer has certified the removal of the offending school bus driver from service prior to the start of that school bus driver's next workshift.

(i) A school bus driver permit holder who is a service member returning from active duty must, within 90 days, renew a permit characterized as inactive pursuant to subsection (h) of HB0421 ~~Engrossed~~Enrolled - 154 - LRB099 05828 HAF 25872 b this Section by complying with the renewal requirements of subsection (b) of this Section.

(ii) a licensed physician assistant who has been delegated the performance of medical examinations by his or HB0421 ~~Engrossed~~Enrolled - 155 - LRB099 05828 HAF 25872 b her supervising physician;

(1) a practitioner (or, in his or her presence, by his or her authorized agent), HB0421 ~~Engrossed~~Enrolled - 156 - LRB099 05828 HAF 25872 b (2) the patient or research subject pursuant to an order, or (3) a euthanasia technician as defined by the Humane Euthanasia in Animal Shelters Act.

(i) 3[beta],17-dihydroxy-5a-androstane, (ii) 3[alpha],17[beta]-dihydroxy-5a-androstane, (iii) 5[alpha]-androstan-3,17-dione, (iv) 1-androstenediol (3[beta], 17[beta]-dihydroxy-5[alpha]-androst-1-ene), (v) 1-androstenediol (3[alpha], 17[beta]-dihydroxy-5[alpha]-androst-1-ene), (vi) 4-androstenediol (3[beta],17[beta]-dihydroxy-androst-4-ene), (vii) 5-androstenediol (3[beta],17[beta]-dihydroxy-androst-5-ene), (viii) 1-androstenedione ([5alpha]-androst-1-en-3,17-dione), HB0421 ~~Engrossed~~Enrolled - 157 - LRB099 05828 HAF 25872 b (ix) 4-androstenedione (androst-4-en-3,17-dione), (x) 5-androstenedione (androst-5-en-3,17-dione), (xi) bolasterone (7[alpha],17a-dimethyl-17[beta]- hydroxyandrost-4-en-3-one), (xii) boldenone (17[beta]-hydroxyandrost- 1,4,-diene-3-one), (xiii) boldione (androsta-1,4- diene-3,17-dione), (xiv) calusterone (7[beta],17[alpha]-dimethyl-17 [beta]-hydroxyandrost-4-en-3-one), (xv) clostebol (4-chloro-17[beta]- hydroxyandrost-4-en-3-one), (xvi) dehydrochloromethyltestosterone (4-chloro- 17[beta]-hydroxy-17[alpha]-methyl- androst-1,4-dien-3-one), (xvii) desoxymethyltestosterone (17[alpha]-methyl-5[alpha] -androst-2-en-17[beta]-ol)(a.k.a., madol), (xviii) [delta]1-dihydrotestosterone (a.k.a.

'1-testosterone') (17[beta]-hydroxy- 5[alpha]-androst-1-en-3-one), (xix) 4-dihydrotestosterone (17[beta]-hydroxy- androstan-3-one), (xx) drostanolone (17[beta]-hydroxy-2[alpha]-methyl- HB0421 ~~Engrossed~~Enrolled - 158 - LRB099 05828 HAF 25872 b 5[alpha]-androstan-3-one), (xxi) ethylestrenol (17[alpha]-ethyl-17[beta]- hydroxyestr-4-ene), (xxii) fluoxymesterone (9-fluoro-17[alpha]-methyl- 1[beta],17[beta]-dihydroxyandrost-4-en-3-one), (xxiii) formebolone (2-formyl-17[alpha]-methyl-11[alpha], 17[beta]-dihydroxyandrost-1,4-dien-3-one), (xxiv) furazabol (17[alpha]-methyl-17[beta]- hydroxyandrostano[2,3-c]-furazan), (xxv) 13[beta]-ethyl-17[beta]-hydroxygon-4-en-3-one) (xxvi) 4-hydroxytestosterone (4,17[beta]-dihydroxy- androst-4-en-3-one), (xxvii) 4-hydroxy-19-nortestosterone (4,17[beta]- dihydroxy-estr-4-en-3-one), (xxviii) mestanolone (17[alpha]-methyl-17[beta]- hydroxy-5-androstan-3-one), (xxix) mesterolone (1amethyl-17[beta]-hydroxy- [5a]-androstan-3-one), (xxx) methandienone (17[alpha]-methyl-17[beta]- hydroxyandrost-1,4-dien-3-one), (xxxi) methandriol (17[alpha]-methyl-3[beta],17[beta]- dihydroxyandrost-5-ene), (xxxii) methenolone (1-methyl-17[beta]-hydroxy- 5[alpha]-androst-1-en-3-one), (xxxiii) 17[alpha]-methyl-3[beta], 17[beta]- dihydroxy-5a-androstane), HB0421 ~~Engrossed~~Enrolled - 159 - LRB099 05828 HAF 25872 b (xxxiv) 17[alpha]-methyl-3[alpha],17[beta]-dihydroxy -5a-androstane), (xxxv) 17[alpha]-methyl-3[beta],17[beta]- dihydroxyandrost-4-ene), (xxxvi) 17[alpha]-methyl-4-hydroxynandrolone (17[alpha]- methyl-4-hydroxy-17[beta]-hydroxyestr-4-en-3-one), (xxxvii) methyldienolone (17[alpha]-methyl-17[beta]- hydroxyestra-4,9(10)-dien-3-one), (xxxviii) methyltrienolone (17[alpha]-methyl-17[beta]- hydroxyestra-4,9-11-trien-3-one), (xxxix) methyltestosterone (17[alpha]-methyl-17[beta]- hydroxyandrost-4-en-3-one), (xl) mibolerone (7[alpha],17a-dimethyl-17[beta]- hydroxyestr-4-en-3-one), (xli) 17[alpha]-methyl-[delta]1-dihydrotestosterone (17b[beta]-hydroxy-17[alpha]-methyl-5[alpha]- androst-1-en-3-one)(a.k.a.

'17-[alpha]-methyl- 1-testosterone'), (xlii) nandrolone (17[beta]-hydroxyestr-4-en-3-one), (xliii) 19-nor-4-androstenediol (3[beta], 17[beta]- dihydroxyestr-4-ene), (xliv) 19-nor-4-androstenediol (3[alpha], 17[beta]- dihydroxyestr-4-ene), (xlv) 19-nor-5-androstenediol (3[beta], 17[beta]- dihydroxyestr-5-ene), (xlvi) 19-nor-5-androstenediol (3[alpha], 17[beta]- HB0421 ~~Engrossed~~Enrolled - 160 - LRB099 05828 HAF 25872 b dihydroxyestr-5-ene), (xlvii) 19-nor-4,9(10)-androstadienedione (estra-4,9(10)-diene-3,17-dione), (xlviii) 19-nor-4-androstenedione (estr-4- en-3,17-dione), (xlix) 19-nor-5-androstenedione (estr-5- en-3,17-dione), (l) norbolethone (13[beta], 17a-diethyl-17[beta]- hydroxygon-4-en-3-one), (li) norclostebol (4-chloro-17[beta]- hydroxyestr-4-en-3-one), (lii) norethandrolone (17[alpha]-ethyl-17[beta]- hydroxyestr-4-en-3-one), (liii) normethandrolone (17[alpha]-methyl-17[beta]- hydroxyestr-4-en-3-one), (liv) oxandrolone (17[alpha]-methyl-17[beta]-hydroxy- 2-oxa-5[alpha]-androstan-3-one), (lv) oxymesterone (17[alpha]-methyl-4,17[beta]- dihydroxyandrost-4-en-3-one), (lvi) oxymetholone (17[alpha]-methyl-2-hydroxymethylene- 17[beta]-hydroxy-(5[alpha]-androstan-3-one), (lvii) stanozolol (17[alpha]-methyl-17[beta]-hydroxy- (5[alpha]-androst-2-eno[3,2-c]-pyrazole), (lviii) stenbolone (17[beta]-hydroxy-2-methyl- (5[alpha]-androst-1-en-3-one), (lix) testolactone (13-hydroxy-3-oxo-13,17- HB0421 ~~Engrossed~~Enrolled - 161 - LRB099 05828 HAF 25872 b secoandrosta-1,4-dien-17-oic acid lactone), (lx) testosterone (17[beta]-hydroxyandrost- 4-en-3-one), (lxi) tetrahydrogestrinone (13[beta], 17[alpha]- diethyl-17[beta]-hydroxygon- 4,9,11-trien-3-one), (lxii) trenbolone (17[beta]-hydroxyestr-4,9, 11-trien-3-one).

(d-5) "Clinical Director, Prescription Monitoring Program" HB0421 ~~Engrossed~~Enrolled - 162 - LRB099 05828 HAF 25872 b means a Department of Human Services administrative employee licensed to either prescribe or dispense controlled substances who shall run the clinical aspects of the Department of Human Services Prescription Monitoring Program and its Prescription Information Library.

(f) "Controlled Substance" means (i) a drug, substance, or immediate precursor in the Schedules of Article II of this Act HB0421 ~~Engrossed~~Enrolled - 163 - LRB099 05828 HAF 25872 b or (ii) a drug or other substance, or immediate precursor, designated as a controlled substance by the Department through administrative rule.

(g) "Counterfeit substance" means a controlled substance, which, or the container or labeling of which, without authorization bears the trademark, trade name, or other HB0421 ~~Engrossed~~Enrolled - 164 - LRB099 05828 HAF 25872 b identifying mark, imprint, number or device, or any likeness thereof, of a manufacturer, distributor, or dispenser other than the person who in fact manufactured, distributed, or dispensed the substance.

HB0421 ~~Engrossed~~Enrolled - 165 - LRB099 05828 HAF 25872 b (n) (Blank).

(t-5) "Euthanasia agency" means an entity certified by the Department of Financial and Professional Regulation for the purpose of animal euthanasia that holds an animal control HB0421 ~~Engrossed~~Enrolled - 166 - LRB099 05828 HAF 25872 b facility license or animal shelter license under the Animal Welfare Act.

(1) lack of consistency of prescriber-patient relationship, (2) frequency of prescriptions for same drug by one prescriber for large numbers of patients, (3) quantities beyond those normally prescribed, (4) unusual dosages (recognizing that there may be HB0421 ~~Engrossed~~Enrolled - 167 - LRB099 05828 HAF 25872 b clinical circumstances where more or less than the usual dose may be used legitimately), (5) unusual geographic distances between patient, pharmacist and prescriber, (6) consistent prescribing of habit-forming drugs.

HB0421 ~~Engrossed~~Enrolled - 168 - LRB099 05828 HAF 25872 b (w) "Instructional activities" means the acts of teaching, educating or instructing by practitioners using controlled substances within educational facilities approved by the State Board of Education or its successor agency.

HB0421 ~~Engrossed~~Enrolled - 169 - LRB099 05828 HAF 25872 b (c) whether the substance is packaged in a manner normally used for the illegal distribution of controlled substances;

(y-1) "Mail-order pharmacy" means a pharmacy that is located in a state of the United States that delivers, HB0421 ~~Engrossed~~Enrolled - 170 - LRB099 05828 HAF 25872 b dispenses or distributes, through the United States Postal Service or other common carrier, to Illinois residents, any substance which requires a prescription.

HB0421 ~~Engrossed~~Enrolled - 171 - LRB099 05828 HAF 25872 b (z-10) "Mid-level practitioner" means (i) a physician assistant who has been delegated authority to prescribe through a written delegation of authority by a physician licensed to practice medicine in all of its branches, in accordance with Section 7.5 of the Physician Assistant Practice Act of 1987, (ii) an advanced practice nurse who has been delegated authority to prescribe through a written delegation of authority by a physician licensed to practice medicine in all of its branches or by a podiatric physician, in accordance with Section 65-40 of the Nurse Practice Act, (iii) an advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act, (iv) an animal euthanasia agency, or (v) (iv) a prescribing psychologist.

however the term "narcotic drug" does not include the isoquinoline HB0421 ~~Engrossed~~Enrolled - 172 - LRB099 05828 HAF 25872 b alkaloids of opium;

(ee-5) "Oral dosage" means a tablet, capsule, elixir, or solution or other liquid form of medication intended for administration by mouth, but the term does not include a form HB0421 ~~Engrossed~~Enrolled - 173 - LRB099 05828 HAF 25872 b of medication intended for buccal, sublingual, or transmucosal administration.

(kk) "Practitioner" means a physician licensed to practice medicine in all its branches, dentist, optometrist, podiatric physician, veterinarian, scientific investigator, pharmacist, physician assistant, advanced practice nurse, licensed HB0421 ~~Engrossed~~Enrolled - 174 - LRB099 05828 HAF 25872 b practical nurse, registered nurse, hospital, laboratory, or pharmacy, or other person licensed, registered, or otherwise lawfully permitted by the United States or this State to distribute, dispense, conduct research with respect to, administer or use in teaching or chemical analysis, a controlled substance in the course of professional practice or research.

(mm) "Prescriber" means a physician licensed to practice medicine in all its branches, dentist, optometrist, prescribing psychologist licensed under Section 4.2 of the Clinical Psychologist Licensing Act with prescriptive authority delegated under Section 4.3 of the Clinical Psychologist Licensing Act, podiatric physician, or veterinarian who issues a prescription, a physician assistant who issues a prescription for a controlled substance in accordance with Section 303.05, a written delegation, and a written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987, or an advanced practice nurse with prescriptive authority delegated under Section 65-40 of the Nurse Practice Act and in accordance with Section 303.05, a written delegation, and a written HB0421 ~~Engrossed~~Enrolled - 175 - LRB099 05828 HAF 25872 b collaborative agreement under Section 65-35 of the Nurse Practice Act, or an advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act and in accordance with Section 303.05.

(nn) "Prescription" means a written, facsimile, or oral order, or an electronic order that complies with applicable federal requirements, of a physician licensed to practice medicine in all its branches, dentist, podiatric physician or veterinarian for any controlled substance, of an optometrist for a Schedule II, III, IV, or V controlled substance in accordance with Section 15.1 of the Illinois Optometric Practice Act of 1987, of a prescribing psychologist licensed under Section 4.2 of the Clinical Psychologist Licensing Act with prescriptive authority delegated under Section 4.3 of the Clinical Psychologist Licensing Act, of a physician assistant for a controlled substance in accordance with Section 303.05, a written delegation, and a written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987, or of an advanced practice nurse with prescriptive authority delegated under Section 65-40 of the Nurse Practice Act who issues a prescription for a controlled substance in accordance with Section 303.05, a written delegation, and a written collaborative agreement under Section 65-35 of the Nurse Practice Act, or of an advanced practice nurse certified HB0421 ~~Engrossed~~Enrolled - 176 - LRB099 05828 HAF 25872 b as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act and in accordance with Section 303.05 when required by law.

(rr) "State" includes the State of Illinois and any state, district, commonwealth, territory, insular possession thereof, and any area subject to the legal authority of the United HB0421 ~~Engrossed~~Enrolled - 177 - LRB099 05828 HAF 25872 b States of America.

(a) The Department of Financial and Professional Regulation shall register licensed physician assistants, licensed advanced practice nurses, and prescribing psychologists licensed under Section 4.2 of the Clinical Psychologist Licensing Act to prescribe and dispense controlled substances under Section 303 and euthanasia agencies to purchase, store, or administer animal euthanasia HB0421 ~~Engrossed~~Enrolled - 178 - LRB099 05828 HAF 25872 b drugs under the following circumstances:

HB0421 ~~Engrossed~~Enrolled - 179 - LRB099 05828 HAF 25872 b (ii) any delegation must be of controlled substances prescribed by the supervising physician;

HB0421 ~~Engrossed~~Enrolled - 180 - LRB099 05828 HAF 25872 b (2) with respect to advanced practice nurses, (A) the advanced practice nurse has been delegated authority to prescribe any Schedule III through V controlled substances by a collaborating physician licensed to practice medicine in all its branches or a collaborating podiatric physician in accordance with Section 65-40 of the Nurse Practice Act.

Schedule II controlled substances to be delivered by injection or other route of administration may HB0421 ~~Engrossed~~Enrolled - 181 - LRB099 05828 HAF 25872 b not be delegated;

HB0421 ~~Engrossed~~Enrolled - 182 - LRB099 05828 HAF 25872 b (2.5) with respect to advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate, (A) the advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist has been granted authority to prescribe any Schedule II through V controlled substances by the hospital affiliate upon the recommendation of the appropriate physician committee of the hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act, has completed the appropriate application forms, and has paid the required fees as set by rule;

(i) specific Schedule II controlled substances by oral dosage or topical or transdermal application may be designated, provided that the designated Schedule II controlled substances are routinely prescribed by advanced practice nurses HB0421 ~~Engrossed~~Enrolled - 183 - LRB099 05828 HAF 25872 b in their area of certification;

or (4) with respect to prescribing psychologists, the prescribing psychologist has been delegated authority to prescribe any nonnarcotic Schedule III through V HB0421 ~~Engrossed~~Enrolled - 184 - LRB099 05828 HAF 25872 b controlled substances by a collaborating physician licensed to practice medicine in all its branches in accordance with Section 4.3 of the Clinical Psychologist Licensing Act, and the prescribing psychologist has completed the appropriate application forms and has paid the required fees as set by rule.

(e) A supervising physician may, but is not required to, HB0421 ~~Engrossed~~Enrolled - 185 - LRB099 05828 HAF 25872 b delegate prescriptive authority to a physician assistant as part of a written supervision agreement, and the delegation of prescriptive authority shall conform to the requirements of Section 7.5 of the Physician Assistant Practice Act of 1987.

Latest

HB0421 ~~Engrossed~~ LRB099 05828 HAF 25872 b AN ACT concerning regulation.

HB0421 Enrolled LRB099 05828 HAF 25872 b AN ACT concerning regulation.

The card shall be prepared and supplied by the HB0421 ~~Engrossed~~ - 2 - LRB099 05828 HAF 25872 b Secretary of State and shall include a photograph and signature or mark of the applicant.

The card shall be prepared and supplied by the HB0421 Enrolled - 2 - LRB099 05828 HAF 25872 b Secretary of State and shall include a photograph and signature or mark of the applicant.

For the purposes of this subsection HB0421 ~~Engrossed~~ - 3 - LRB099 05828 HAF 25872 b (a-10), "peace officer" means any person who by virtue of his or her office or public employment is vested by law with a duty to maintain public order or to make arrests for a violation of any penal statute of this State, whether that duty extends to all violations or is limited to specific violations.

For the purposes of this subsection HB0421 Enrolled - 3 - LRB099 05828 HAF 25872 b (a-10), "peace officer" means any person who by virtue of his or her office or public employment is vested by law with a duty to maintain public order or to make arrests for a violation of any penal statute of this State, whether that duty extends to all violations or is limited to specific violations.

However, the Secretary of State may provide by rule for the issuance of Illinois Person with a Disability Identification Cards without photographs if the applicant has a bona fide religious HB0421 ~~Engrossed~~ - 4 - LRB099 05828 HAF 25872 b objection to being photographed or to the display of his or her photograph.

However, the Secretary of State may provide by rule for the issuance of Illinois Person with a Disability Identification Cards without photographs if the applicant has a bona fide religious HB0421 Enrolled - 4 - LRB099 05828 HAF 25872 b objection to being photographed or to the display of his or her photograph.

HB0421 ~~Engrossed~~ - 5 - LRB099 05828 HAF 25872 b Notwithstanding any other provisions of law, an Illinois Person with a Disability Identification Card, or evidence that the Secretary of State has issued an Illinois Person with a Disability Identification Card, shall not be used by any person other than the person named on such card to prove that the person named on such card is a disabled person or for any other purpose unless the card is used for the benefit of the person named on such card, and the person named on such card consents to such use at the time the card is so used.

HB0421 Enrolled - 5 - LRB099 05828 HAF 25872 b Notwithstanding any other provisions of law, an Illinois Person with a Disability Identification Card, or evidence that the Secretary of State has issued an Illinois Person with a Disability Identification Card, shall not be used by any person other than the person named on such card to prove that the person named on such card is a disabled person or for any other purpose unless the card is used for the benefit of the person named on such card, and the person named on such card consents to such use at the time the card is so used.

The color designated for Illinois Identification Cards or Illinois Person with a Disability Identification Cards for persons under the age of 21 shall be at the discretion of the HB0421 ~~Engrossed~~ - 6 - LRB099 05828 HAF 25872 b Secretary of State.

The color designated for Illinois Identification Cards or Illinois Person with a Disability Identification Cards for persons under the age of 21 shall be at the discretion of the HB0421 Enrolled - 6 - LRB099 05828 HAF 25872 b Secretary of State.

The veteran designation shall be available to a person identified as a veteran under HB0421 ~~Engrossed~~ - 7 - LRB099 05828 HAF 25872 b subsection (b) of Section 5 of this Act who was discharged or separated under honorable conditions.

The veteran designation shall be available to a person identified as a veteran under HB0421 Enrolled - 7 - LRB099 05828 HAF 25872 b subsection (b) of Section 5 of this Act who was discharged or separated under honorable conditions.

HB0421 ~~Engrossed~~ - 8 - LRB099 05828 HAF 25872 b (20 ILCS 301/5-23) Sec.

HB0421 Enrolled - 8 - LRB099 05828 HAF 25872 b (20 ILCS 301/5-23) Sec.

HB0421 ~~Engrossed~~ - 9 - LRB099 05828 HAF 25872 b (1) The Director may establish a program to provide for the production and publication, in electronic and other formats, of drug overdose prevention, recognition, and response literature.

HB0421 Enrolled - 9 - LRB099 05828 HAF 25872 b (1) The Director may establish a program to provide for the production and publication, in electronic and other formats, of drug overdose prevention, recognition, and response literature.

Such programs may include the prescribing of naloxone hydrochloride or any HB0421 ~~Engrossed~~ - 10 - LRB099 05828 HAF 25872 b other similarly acting and equally safe drug approved by the U.S.

Such programs may include the prescribing of naloxone hydrochloride or any HB0421 Enrolled - 10 - LRB099 05828 HAF 25872 b other similarly acting and equally safe drug approved by the U.S.

(3) The Director shall give preference for grants to proposals that, in addition to providing life-saving HB0421 ~~Engrossed~~ - 11 - LRB099 05828 HAF 25872 b interventions and responses, provide information to drug users on how to access drug treatment or other strategies for abstaining from illegal drugs.

(3) The Director shall give preference for grants to proposals that, in addition to providing life-saving HB0421 Enrolled - 11 - LRB099 05828 HAF 25872 b interventions and responses, provide information to drug users on how to access drug treatment or other strategies for abstaining from illegal drugs.

(F) The institution of education and training HB0421 ~~Engrossed~~ - 12 - LRB099 05828 HAF 25872 b projects on drug overdose response and treatment for emergency services and law enforcement personnel.

(F) The institution of education and training HB0421 Enrolled - 12 - LRB099 05828 HAF 25872 b projects on drug overdose response and treatment for emergency services and law enforcement personnel.

(2) A person who is not otherwise licensed to administer an opioid antidote may in an emergency administer without fee an opioid antidote if the person has received the patient information specified in paragraph (4) of this subsection and believes in good faith that HB0421 ~~Engrossed~~ - 13 - LRB099 05828 HAF 25872 b another person is experiencing a drug overdose.

(2) A person who is not otherwise licensed to administer an opioid antidote may in an emergency administer without fee an opioid antidote if the person has received the patient information specified in paragraph (4) of this subsection and believes in good faith that HB0421 Enrolled - 13 - LRB099 05828 HAF 25872 b another person is experiencing a drug overdose.

The Director of the Division of Alcoholism and Substance Abuse, in HB0421 ~~Engrossed~~ - 14 - LRB099 05828 HAF 25872 b consultation with statewide organizations representing physicians, advanced practice nurses, physician assistants, substance abuse programs, and other interested groups, shall develop and disseminate to health care professionals, community-based organizations, substance abuse programs, and other organizations training materials in video, electronic, or other formats to facilitate the provision of such patient information.

The Director of the Division of Alcoholism and Substance Abuse, in HB0421 Enrolled - 14 - LRB099 05828 HAF 25872 b consultation with statewide organizations representing physicians, advanced practice nurses, physician assistants, substance abuse programs, and other interested groups, shall develop and disseminate to health care professionals, community-based organizations, substance abuse programs, and other organizations training materials in video, electronic, or other formats to facilitate the provision of such patient information.

"Patient" includes a person who is not at risk of HB0421 ~~Engrossed~~ - 15 - LRB099 05828 HAF 25872 b opioid overdose but who, in the judgment of the physician, may be in a position to assist another individual during an overdose and who has received patient information as required in paragraph (2) of this subsection on the indications for and administration of an opioid antidote.

"Patient" includes a person who is not at risk of HB0421 Enrolled - 15 - LRB099 05828 HAF 25872 b opioid overdose but who, in the judgment of the physician, may be in a position to assist another individual during an overdose and who has received patient information as required in paragraph (2) of this subsection on the indications for and administration of an opioid antidote.

"Epinephrine auto-injector" means a single-use device used for the automatic injection of a pre-measured dose of HB0421 ~~Engrossed~~ - 16 - LRB099 05828 HAF 25872 b epinephrine into the human body.

"Epinephrine auto-injector" means a single-use device used for the automatic injection of a pre-measured dose of HB0421 Enrolled - 16 - LRB099 05828 HAF 25872 b epinephrine into the human body.

HB0421 ~~Engrossed~~ - 17 - LRB099 05828 HAF 25872 b "Trained personnel" means any school employee or volunteer personnel authorized in Sections 10-22.34, 10-22.34a, and 10-22.34b of this Code who has completed training under subsection (g) of this Section to recognize and respond to anaphylaxis.

HB0421 Enrolled - 17 - LRB099 05828 HAF 25872 b "Trained personnel" means any school employee or volunteer personnel authorized in Sections 10-22.34, 10-22.34a, and 10-22.34b of this Code who has completed training under subsection (g) of this Section to recognize and respond to anaphylaxis.

and (2) the parents or guardians of the pupil provide to the school (i) the prescription label, which must contain the name of the asthma medication, the prescribed dosage, and the time at which or circumstances under which the asthma medication is to be administered, or (ii) for the HB0421 ~~Engrossed~~ - 18 - LRB099 05828 HAF 25872 b self-administration or self-carry of an epinephrine auto-injector, a written statement from the pupil's physician, physician assistant, or advanced practice nurse containing the following information:

and (2) the parents or guardians of the pupil provide to the school (i) the prescription label, which must contain the name of the asthma medication, the prescribed dosage, and the time at which or circumstances under which the asthma medication is to be administered, or (ii) for the HB0421 Enrolled - 18 - LRB099 05828 HAF 25872 b self-administration or self-carry of an epinephrine auto-injector, a written statement from the pupil's physician, physician assistant, or advanced practice nurse containing the following information:

(i) provide an undesignated epinephrine auto-injector to a student for self-administration only or any HB0421 ~~Engrossed~~ - 19 - LRB099 05828 HAF 25872 b personnel authorized under a student's Individual Health Care Action Plan, Illinois Food Allergy Emergency Action Plan and Treatment Authorization Form, or plan pursuant to Section 504 of the federal Rehabilitation Act of 1973 to administer to the student, that meets the student's prescription on file;

(i) provide an undesignated epinephrine auto-injector to a student for self-administration only or any HB0421 Enrolled - 19 - LRB099 05828 HAF 25872 b personnel authorized under a student's Individual Health Care Action Plan, Illinois Food Allergy Emergency Action Plan and Treatment Authorization Form, or plan pursuant to Section 504 of the federal Rehabilitation Act of 1973 to administer to the student, that meets the student's prescription on file;

(c) The school district, public school, or nonpublic school must inform the parents or guardians of the pupil, in writing, that the school district, public school, or nonpublic school and its employees and agents, including a physician, physician assistant, or advanced practice nurse providing standing protocol or prescription for school epinephrine auto-injectors, are to incur no liability or professional discipline, except for willful and wanton conduct, as a result of any injury arising from the administration of asthma medication or of an epinephrine auto-injector regardless of whether authorization was given by the pupil's parents or guardians or by the pupil's physician, physician assistant, or HB0421 ~~Engrossed~~ - 20 - LRB099 05828 HAF 25872 b advanced practice nurse.

(c) The school district, public school, or nonpublic school must inform the parents or guardians of the pupil, in writing, that the school district, public school, or nonpublic school and its employees and agents, including a physician, physician assistant, or advanced practice nurse providing standing protocol or prescription for school epinephrine auto-injectors, are to incur no liability or professional discipline, except for willful and wanton conduct, as a result of any injury arising from the administration of asthma medication or of an epinephrine auto-injector regardless of whether authorization was given by the pupil's parents or guardians or by the pupil's physician, physician assistant, or HB0421 Enrolled - 20 - LRB099 05828 HAF 25872 b advanced practice nurse.

(c-5) Upon the effective date of this amendatory Act of the 98th General Assembly, when a school nurse or trained personnel administers an undesignated epinephrine auto-injector to a person whom the school nurse or trained personnel in good faith believes is having an anaphylactic reaction, notwithstanding the lack of notice to the parents or guardians of the pupil or the absence of the parents or guardians signed statement acknowledging no liability, except for willful and wanton conduct, the school district, public school, or nonpublic HB0421 ~~Engrossed~~ - 21 - LRB099 05828 HAF 25872 b school and its employees and agents, and a physician, a physician assistant, or an advanced practice nurse providing standing protocol or prescription for undesignated epinephrine auto-injectors, are to incur no liability or professional discipline, except for willful and wanton conduct, as a result of any injury arising from the use of an undesignated epinephrine auto-injector regardless of whether authorization was given by the pupil's parents or guardians or by the pupil's physician, physician assistant, or advanced practice nurse.

(c-5) Upon the effective date of this amendatory Act of the 98th General Assembly, when a school nurse or trained personnel administers an undesignated epinephrine auto-injector to a person whom the school nurse or trained personnel in good faith believes is having an anaphylactic reaction, notwithstanding the lack of notice to the parents or guardians of the pupil or the absence of the parents or guardians signed statement acknowledging no liability, except for willful and wanton conduct, the school district, public school, or nonpublic HB0421 Enrolled - 21 - LRB099 05828 HAF 25872 b school and its employees and agents, and a physician, a physician assistant, or an advanced practice nurse providing standing protocol or prescription for undesignated epinephrine auto-injectors, are to incur no liability or professional discipline, except for willful and wanton conduct, as a result of any injury arising from the use of an undesignated epinephrine auto-injector regardless of whether authorization was given by the pupil's parents or guardians or by the pupil's physician, physician assistant, or advanced practice nurse.

(e-5) Provided that the requirements of this Section are fulfilled, a school nurse or trained personnel may administer HB0421 ~~Engrossed~~ - 22 - LRB099 05828 HAF 25872 b an undesignated epinephrine auto-injector to any person whom the school nurse or trained personnel in good faith believes to be having an anaphylactic reaction (i) while in school, (ii) while at a school-sponsored activity, (iii) while under the supervision of school personnel, or (iv) before or after normal school activities, such as while in before-school or after-school care on school-operated property.

(e-5) Provided that the requirements of this Section are fulfilled, a school nurse or trained personnel may administer HB0421 Enrolled - 22 - LRB099 05828 HAF 25872 b an undesignated epinephrine auto-injector to any person whom the school nurse or trained personnel in good faith believes to be having an anaphylactic reaction (i) while in school, (ii) while at a school-sponsored activity, (iii) while under the supervision of school personnel, or (iv) before or after normal school activities, such as while in before-school or after-school care on school-operated property.

HB0421 ~~Engrossed~~ - 23 - LRB099 05828 HAF 25872 b (f-5) Upon any administration of an epinephrine auto-injector, a school district, public school, or nonpublic school must immediately activate the EMS system and notify the student's parent, guardian, or emergency contact, if known.

HB0421 Enrolled - 23 - LRB099 05828 HAF 25872 b (f-5) Upon any administration of an epinephrine auto-injector, a school district, public school, or nonpublic school must immediately activate the EMS system and notify the student's parent, guardian, or emergency contact, if known.

HB0421 ~~Engrossed~~ - 24 - LRB099 05828 HAF 25872 b (2) a review of high-risk areas within the school and its related facilities;

HB0421 Enrolled - 24 - LRB099 05828 HAF 25872 b (2) a review of high-risk areas within the school and its related facilities;

(i) Within 3 days after the administration of an HB0421 ~~Engrossed~~ - 25 - LRB099 05828 HAF 25872 b undesignated epinephrine auto-injector by a school nurse, trained personnel, or a student at a school or school-sponsored activity, the school must report to the Board in a form and manner prescribed by the Board the following information:

(i) Within 3 days after the administration of an HB0421 Enrolled - 25 - LRB099 05828 HAF 25872 b undesignated epinephrine auto-injector by a school nurse, trained personnel, or a student at a school or school-sponsored activity, the school must report to the Board in a form and manner prescribed by the Board the following information:

(a) In this Section, "employee" means any employee of a HB0421 ~~Engrossed~~ - 26 - LRB099 05828 HAF 25872 b school district, a student teacher, an employee of a contractor that provides services to students or in schools, or any other individual subject to the requirements of Section 10-21.9 or 34-18.5 of this Code.

(a) In this Section, "employee" means any employee of a HB0421 Enrolled - 26 - LRB099 05828 HAF 25872 b school district, a student teacher, an employee of a contractor that provides services to students or in schools, or any other individual subject to the requirements of Section 10-21.9 or 34-18.5 of this Code.

The board may from time to time require an examination of any employee by a physician licensed in Illinois to practice medicine and surgery in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to perform health HB0421 ~~Engrossed~~ - 27 - LRB099 05828 HAF 25872 b examinations, or a licensed physician assistant who has been delegated the authority to perform health examinations by his or her supervising physician and shall pay the expenses thereof from school funds.

The board may from time to time require an examination of any employee by a physician licensed in Illinois to practice medicine and surgery in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to perform health HB0421 Enrolled - 27 - LRB099 05828 HAF 25872 b examinations, or a licensed physician assistant who has been delegated the authority to perform health examinations by his or her supervising physician and shall pay the expenses thereof from school funds.

HB0421 ~~Engrossed~~ - 28 - LRB099 05828 HAF 25872 b Sick leave shall be interpreted to mean personal illness, quarantine at home, serious illness or death in the immediate family or household, or birth, adoption, or placement for adoption.

HB0421 Enrolled - 28 - LRB099 05828 HAF 25872 b Sick leave shall be interpreted to mean personal illness, quarantine at home, serious illness or death in the immediate family or household, or birth, adoption, or placement for adoption.

HB0421 ~~Engrossed~~ - 29 - LRB099 05828 HAF 25872 b If, by reason of any change in the boundaries of school districts, or by reason of the creation of a new school district, the employment of a teacher is transferred to a new or different board, the accumulated sick leave of such teacher is not thereby lost, but is transferred to such new or different district.

HB0421 Enrolled - 29 - LRB099 05828 HAF 25872 b If, by reason of any change in the boundaries of school districts, or by reason of the creation of a new school district, the employment of a teacher is transferred to a new or different board, the accumulated sick leave of such teacher is not thereby lost, but is transferred to such new or different district.

provided, that the following children shall not be HB0421 ~~Engrossed~~ - 30 - LRB099 05828 HAF 25872 b required to attend the public schools:

provided, that the following children shall not be HB0421 Enrolled - 30 - LRB099 05828 HAF 25872 b required to attend the public schools:

the exemptions in this paragraph (2) do not apply to any female who is pregnant or the mother of one or more children, except where a female is unable to attend school due to a complication arising from her pregnancy and the existence of such complication is certified to the county HB0421 ~~Engrossed~~ - 31 - LRB099 05828 HAF 25872 b or district truant officer by a competent physician;

the exemptions in this paragraph (2) do not apply to any female who is pregnant or the mother of one or more children, except where a female is unable to attend school due to a complication arising from her pregnancy and the existence of such complication is certified to the county HB0421 Enrolled - 31 - LRB099 05828 HAF 25872 b or district truant officer by a competent physician;

but nothing in this paragraph 5 shall be construed to limit the right of any school board, at its discretion, to excuse an absence on HB0421 ~~Engrossed~~ - 32 - LRB099 05828 HAF 25872 b any other day by reason of the observance of a religious holiday.

but nothing in this paragraph 5 shall be construed to limit the right of any school board, at its discretion, to excuse an absence on HB0421 Enrolled - 32 - LRB099 05828 HAF 25872 b any other day by reason of the observance of a religious holiday.

upon entering the HB0421 ~~Engrossed~~ - 33 - LRB099 05828 HAF 25872 b sixth and ninth grades of any public, private, or parochial school;

upon entering the HB0421 Enrolled - 33 - LRB099 05828 HAF 25872 b sixth and ninth grades of any public, private, or parochial school;

(1.5) In compliance with rules adopted by the Department of Public Health and except as otherwise provided in this Section, all children in kindergarten and the second and sixth grades of HB0421 ~~Engrossed~~ - 34 - LRB099 05828 HAF 25872 b any public, private, or parochial school shall have a dental examination.

(1.5) In compliance with rules adopted by the Department of Public Health and except as otherwise provided in this Section, all children in kindergarten and the second and sixth grades of HB0421 Enrolled - 34 - LRB099 05828 HAF 25872 b any public, private, or parochial school shall have a dental examination.

Each of these children shall present proof of having been examined by a physician licensed to practice medicine in all of its branches or a licensed optometrist within the previous year, in accordance with this Section and rules adopted under this HB0421 ~~Engrossed~~ - 35 - LRB099 05828 HAF 25872 b Section, before October 15th of the school year.

Each of these children shall present proof of having been examined by a physician licensed to practice medicine in all of its branches or a licensed optometrist within the previous year, in accordance with this Section and rules adopted under this HB0421 Enrolled - 35 - LRB099 05828 HAF 25872 b Section, before October 15th of the school year.

The rules and regulations of the Department of Public Health shall specify that a tuberculosis skin test screening shall be HB0421 ~~Engrossed~~ - 36 - LRB099 05828 HAF 25872 b included as a required part of each health examination included under this Section if the child resides in an area designated by the Department of Public Health as having a high incidence of tuberculosis.

The rules and regulations of the Department of Public Health shall specify that a tuberculosis skin test screening shall be HB0421 Enrolled - 36 - LRB099 05828 HAF 25872 b included as a required part of each health examination included under this Section if the child resides in an area designated by the Department of Public Health as having a high incidence of tuberculosis.

Physicians licensed to practice medicine in all HB0421 ~~Engrossed~~ - 37 - LRB099 05828 HAF 25872 b its branches or licensed optometrists shall perform all eye examinations required by this Section and shall sign all report forms required by subsection (4) of this Section that pertain to the eye examination.

Physicians licensed to practice medicine in all HB0421 Enrolled - 37 - LRB099 05828 HAF 25872 b its branches or licensed optometrists shall perform all eye examinations required by this Section and shall sign all report forms required by subsection (4) of this Section that pertain to the eye examination.

Your child is not required to undergo this vision screening if an optometrist or ophthalmologist has completed and signed a report form indicating that an examination has been administered within the previous 12 months." (3) Every child shall, at or about the same time as he or she receives a health examination required by subsection (1) of this Section, present to the local school proof of having HB0421 ~~Engrossed~~ - 38 - LRB099 05828 HAF 25872 b received such immunizations against preventable communicable diseases as the Department of Public Health shall require by rules and regulations promulgated pursuant to this Section and the Communicable Disease Prevention Act.

Your child is not required to undergo this vision screening if an optometrist or ophthalmologist has completed and signed a report form indicating that an examination has been administered within the previous 12 months." (3) Every child shall, at or about the same time as he or she receives a health examination required by subsection (1) of this Section, present to the local school proof of having HB0421 Enrolled - 38 - LRB099 05828 HAF 25872 b received such immunizations against preventable communicable diseases as the Department of Public Health shall require by rules and regulations promulgated pursuant to this Section and the Communicable Disease Prevention Act.

To establish a date before October 15 of the current school year for the health examination or immunization as required, a school district must HB0421 ~~Engrossed~~ - 39 - LRB099 05828 HAF 25872 b give notice of the requirements of this Section 60 days prior to the earlier established date.

To establish a date before October 15 of the current school year for the health examination or immunization as required, a school district must HB0421 Enrolled - 39 - LRB099 05828 HAF 25872 b give notice of the requirements of this Section 60 days prior to the earlier established date.

If the student is an out-of-state transfer student and does not have the proof required under this subsection (5) before October 15 of the HB0421 ~~Engrossed~~ - 40 - LRB099 05828 HAF 25872 b current year or whatever date is set by the school district, then he or she may only attend classes (i) if he or she has proof that an appointment for the required vaccinations has been scheduled with a party authorized to submit proof of the required vaccinations.

If the student is an out-of-state transfer student and does not have the proof required under this subsection (5) before October 15 of the HB0421 Enrolled - 40 - LRB099 05828 HAF 25872 b current year or whatever date is set by the school district, then he or she may only attend classes (i) if he or she has proof that an appointment for the required vaccinations has been scheduled with a party authorized to submit proof of the required vaccinations.

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The immunization data made HB0421 ~~Engrossed~~ - 41 - LRB099 05828 HAF 25872 b publicly available must be identical to the data the school district or school has reported to the State Board of Education.

The immunization data made HB0421 Enrolled - 41 - LRB099 05828 HAF 25872 b publicly available must be identical to the data the school district or school has reported to the State Board of Education.

(7) Upon determining that the number of pupils who are HB0421 ~~Engrossed~~ - 42 - LRB099 05828 HAF 25872 b required to be in compliance with subsection (5) of this Section is below 90% of the number of pupils enrolled in the school district, 10% of each State aid payment made pursuant to Section 18-8.05 to the school district for such year may be withheld by the State Board of Education until the number of students in compliance with subsection (5) is the applicable specified percentage or higher.

(7) Upon determining that the number of pupils who are HB0421 Enrolled - 42 - LRB099 05828 HAF 25872 b required to be in compliance with subsection (5) of this Section is below 90% of the number of pupils enrolled in the school district, 10% of each State aid payment made pursuant to Section 18-8.05 to the school district for such year may be withheld by the State Board of Education until the number of students in compliance with subsection (5) is the applicable specified percentage or higher.

(9) For the purposes of this Section, "nursery schools" means those nursery schools operated by elementary school systems or secondary level school units or institutions of HB0421 Enrolled - 43 - LRB099 05828 HAF 25872 b higher learning.

A clinical laboratory shall examine specimens only at the request of (i) a licensed physician, (ii) a licensed dentist, (iii) a licensed podiatric physician, (iv) a licensed optometrist, (v) a licensed physician assistant in accordance with the written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987 or when authorized under Section 7.7 of the Physician Assistant Practice Act of 1987, (v-A) a licensed an advanced practice nurse in accordance with the written collaborative agreement required under Section 65-35 of the Nurse Practice Act or when authorized under Section 65-45 of the Nurse Practice Act, (vi) an authorized law enforcement agency or, in the case of blood alcohol, at the request of the individual for whom the test is to be performed in compliance with Sections 11-501 and 11-501.1 of the Illinois Vehicle Code, or (vii) a genetic counselor with the specific authority from a referral to order a test or tests pursuant to subsection (b) of Section 20 of the Genetic HB0421 ~~Engrossed~~ - 44 - LRB099 05828 HAF 25872 b Counselor Licensing Act.

A clinical laboratory shall examine specimens only at the request of (i) a licensed physician, (ii) a licensed dentist, (iii) a licensed podiatric physician, (iv) a licensed optometrist, (v) a licensed physician assistant in accordance with the written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987 or when authorized under Section 7.7 of the Physician Assistant Practice Act of 1987, (v-A) a licensed an advanced practice nurse in accordance with the written collaborative agreement required under Section 65-35 of the Nurse Practice Act or when authorized under Section 65-45 of the Nurse Practice Act, (vi) an authorized law enforcement agency or, in the case of blood alcohol, at the request of the individual for whom the test is to be performed in compliance with Sections 11-501 and 11-501.1 of the Illinois Vehicle Code, or (vii) a genetic counselor with the specific authority from a referral to order a test or tests pursuant to subsection (b) of Section 20 of the Genetic HB0421 Enrolled - 44 - LRB099 05828 HAF 25872 b Counselor Licensing Act.

Such services include part time and intermittent nursing services HB0421 ~~Engrossed~~ - 45 - LRB099 05828 HAF 25872 b and other therapeutic services such as physical therapy, occupational therapy, speech therapy, medical social services, or services provided by a home health aide.

Such services include part time and intermittent nursing services HB0421 Enrolled - 45 - LRB099 05828 HAF 25872 b and other therapeutic services such as physical therapy, occupational therapy, speech therapy, medical social services, or services provided by a home health aide.

(b) Every insurer shall provide, in each group or individual policy, contract, or certificate of accident or health insurance issued or renewed for persons who are residents of Illinois, coverage for complete and thorough clinical breast examinations as indicated by guidelines of practice, performed by a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a collaborative agreement with a collaborating physician that authorizes breast examinations, or a licensed physician assistant who has been delegated authority to provide HB0421 ~~Engrossed~~ - 46 - LRB099 05828 HAF 25872 b breast examinations, to check for lumps and other changes for the purpose of early detection and prevention of breast cancer as follows:

(b) Every insurer shall provide, in each group or individual policy, contract, or certificate of accident or health insurance issued or renewed for persons who are residents of Illinois, coverage for complete and thorough clinical breast examinations as indicated by guidelines of practice, performed by a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a collaborative agreement with a collaborating physician that authorizes breast examinations, or a licensed physician assistant who has been delegated authority to provide HB0421 Enrolled - 46 - LRB099 05828 HAF 25872 b breast examinations, to check for lumps and other changes for the purpose of early detection and prevention of breast cancer as follows:

HB0421 ~~Engrossed~~ - 47 - LRB099 05828 HAF 25872 b (Source:

HB0421 Enrolled - 47 - LRB099 05828 HAF 25872 b (Source:

The written collaborative agreement shall be for services in HB0421 ~~Engrossed~~ - 48 - LRB099 05828 HAF 25872 b the same area of practice or specialty as the collaborating physician generally provides or may provide in his or her clinical medical practice.

The written collaborative agreement shall be for services in HB0421 Enrolled - 48 - LRB099 05828 HAF 25872 b the same area of practice or specialty as the collaborating physician generally provides or may provide in his or her clinical medical practice.

With respect to labor and delivery, the collaborating physician must provide delivery services in order to participate with a HB0421 ~~Engrossed~~ - 49 - LRB099 05828 HAF 25872 b certified nurse midwife.

With respect to labor and delivery, the collaborating physician must provide delivery services in order to participate with a HB0421 Enrolled - 49 - LRB099 05828 HAF 25872 b certified nurse midwife.

and (2) for anesthesia services, the anesthesiologist or HB0421 ~~Engrossed~~ - 50 - LRB099 05828 HAF 25872 b physician participates through discussion of and agreement with the anesthesia plan and is physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.

and (2) for anesthesia services, the anesthesiologist or HB0421 Enrolled - 50 - LRB099 05828 HAF 25872 b physician participates through discussion of and agreement with the anesthesia plan and is physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.

(e) A physician shall not be liable for the acts or omissions of a prescribing psychologist, physician assistant, or advanced practice nurse solely on the basis of having signed a supervision agreement or guidelines or a collaborative agreement, an order, a standing medical order, a standing delegation order, or other order or guideline authorizing a prescribing psychologist, physician assistant, or advanced practice nurse to perform acts, unless the physician has reason HB0421 ~~Engrossed~~ - 51 - LRB099 05828 HAF 25872 b to believe the prescribing psychologist, physician assistant, or advanced practice nurse lacked the competency to perform the act or acts or commits willful and wanton misconduct.

(e) A physician shall not be liable for the acts or omissions of a prescribing psychologist, physician assistant, or advanced practice nurse solely on the basis of having signed a supervision agreement or guidelines or a collaborative agreement, an order, a standing medical order, a standing delegation order, or other order or guideline authorizing a prescribing psychologist, physician assistant, or advanced practice nurse to perform acts, unless the physician has reason HB0421 Enrolled - 51 - LRB099 05828 HAF 25872 b to believe the prescribing psychologist, physician assistant, or advanced practice nurse lacked the competency to perform the act or acts or commits willful and wanton misconduct.

This definition shall not be construed to prohibit an advanced practice nurse from providing primary health treatment or care within the scope of his or her training and experience, including, but not limited to, health screenings, patient histories, physical examinations, women's health examinations, or school physicals that may be provided as part of the routine practice of an advanced practice nurse HB0421 ~~Engrossed~~ - 52 - LRB099 05828 HAF 25872 b or on a volunteer basis.

This definition shall not be construed to prohibit an advanced practice nurse from providing primary health treatment or care within the scope of his or her training and experience, including, but not limited to, health screenings, patient histories, physical examinations, women's health examinations, or school physicals that may be provided as part of the routine practice of an advanced practice nurse HB0421 Enrolled - 52 - LRB099 05828 HAF 25872 b or on a volunteer basis.

or (iv) clinical nurse HB0421 ~~Engrossed~~ - 53 - LRB099 05828 HAF 25872 b specialist (CNS) and has been licensed by the Department.

or (iv) clinical nurse HB0421 Enrolled - 53 - LRB099 05828 HAF 25872 b specialist (CNS) and has been licensed by the Department.

"Current nursing practice update course" means a planned nursing education curriculum approved by the Department consisting of activities that have educational objectives, instructional methods, content or subject matter, clinical practice, and evaluation methods, related to basic review and HB0421 ~~Engrossed~~ - 54 - LRB099 05828 HAF 25872 b updating content and specifically planned for those nurses previously licensed in the United States or its territories and preparing for reentry into nursing practice.

"Current nursing practice update course" means a planned nursing education curriculum approved by the Department consisting of activities that have educational objectives, instructional methods, content or subject matter, clinical practice, and evaluation methods, related to basic review and HB0421 Enrolled - 54 - LRB099 05828 HAF 25872 b updating content and specifically planned for those nurses previously licensed in the United States or its territories and preparing for reentry into nursing practice.

"Physician" means a person licensed to practice medicine in HB0421 ~~Engrossed~~ - 55 - LRB099 05828 HAF 25872 b all its branches under the Medical Practice Act of 1987.

"Physician" means a person licensed to practice medicine in HB0421 Enrolled - 55 - LRB099 05828 HAF 25872 b all its branches under the Medical Practice Act of 1987.

Only a HB0421 ~~Engrossed~~ - 56 - LRB099 05828 HAF 25872 b registered nurse licensed under this Act is entitled to use the titles "registered nurse" and "registered professional nurse" and the abbreviation, "R.N.".

Only a HB0421 Enrolled - 56 - LRB099 05828 HAF 25872 b registered nurse licensed under this Act is entitled to use the titles "registered nurse" and "registered professional nurse" and the abbreviation, "R.N.".

(6) the delegation to and supervision of HB0421 ~~Engrossed~~ - 57 - LRB099 05828 HAF 25872 b individuals who assist the registered professional nurse implementing the plan of care;

(6) the delegation to and supervision of HB0421 Enrolled - 57 - LRB099 05828 HAF 25872 b individuals who assist the registered professional nurse implementing the plan of care;

(a) A written collaborative agreement is required for all HB0421 ~~Engrossed~~ - 58 - LRB099 05828 HAF 25872 b advanced practice nurses engaged in clinical practice, except for advanced practice nurses who are authorized to practice in a hospital, hospital affiliate, or ambulatory surgical treatment center.

(a) A written collaborative agreement is required for all HB0421 Enrolled - 58 - LRB099 05828 HAF 25872 b advanced practice nurses engaged in clinical practice, except for advanced practice nurses who are authorized to practice in a hospital, hospital affiliate, or ambulatory surgical treatment center.

HB0421 ~~Engrossed~~ - 59 - LRB099 05828 HAF 25872 b The agreement shall promote the exercise of professional judgment by the advanced practice nurse commensurate with his or her education and experience.

HB0421 Enrolled - 59 - LRB099 05828 HAF 25872 b The agreement shall promote the exercise of professional judgment by the advanced practice nurse commensurate with his or her education and experience.

(b-5) Absent an employment relationship, a written collaborative agreement may not (1) restrict the categories of patients of an advanced practice nurse within the scope of the advanced practice nurses training and experience, (2) limit third party payors or government health programs, such as the HB0421 ~~Engrossed~~ - 60 - LRB099 05828 HAF 25872 b medical assistance program or Medicare with which the advanced practice nurse contracts, or (3) limit the geographic area or practice location of the advanced practice nurse in this State.

(b-5) Absent an employment relationship, a written collaborative agreement may not (1) restrict the categories of patients of an advanced practice nurse within the scope of the advanced practice nurses training and experience, (2) limit third party payors or government health programs, such as the HB0421 Enrolled - 60 - LRB099 05828 HAF 25872 b medical assistance program or Medicare with which the advanced practice nurse contracts, or (3) limit the geographic area or practice location of the advanced practice nurse in this State.

In the case of anesthesia services provided by a certified registered nurse HB0421 ~~Engrossed~~ - 61 - LRB099 05828 HAF 25872 b anesthetist, an anesthesiologist, a physician, a dentist, or a podiatric physician must participate through discussion of and agreement with the anesthesia plan and remain physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.

In the case of anesthesia services provided by a certified registered nurse HB0421 Enrolled - 61 - LRB099 05828 HAF 25872 b anesthetist, an anesthesiologist, a physician, a dentist, or a podiatric physician must participate through discussion of and agreement with the anesthesia plan and remain physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.

A certified registered nurse anesthetist may select, order, and administer medication, including controlled substances, and apply appropriate medical devices for delivery of anesthesia services under the anesthesia plan agreed with by the HB0421 ~~Engrossed~~ - 62 - LRB099 05828 HAF 25872 b anesthesiologist or the operating physician or operating podiatric physician.

A certified registered nurse anesthetist may select, order, and administer medication, including controlled substances, and apply appropriate medical devices for delivery of anesthesia services under the anesthesia plan agreed with by the HB0421 Enrolled - 62 - LRB099 05828 HAF 25872 b anesthesiologist or the operating physician or operating podiatric physician.

HB0421 ~~Engrossed~~ - 63 - LRB099 05828 HAF 25872 b (d) A copy of the signed, written collaborative agreement must be available to the Department upon request from both the advanced practice nurse and the collaborating physician, dentist, or podiatric physician.

HB0421 Enrolled - 63 - LRB099 05828 HAF 25872 b (d) A copy of the signed, written collaborative agreement must be available to the Department upon request from both the advanced practice nurse and the collaborating physician, dentist, or podiatric physician.

For the purposes of this Act, "generally provides or may provide in his or her clinical medical practice" means categories of care or treatment, not specific tasks or duties, the physician provides individually or through delegation to other persons so that the physician has the experience and ability to provide collaboration and HB0421 Enrolled - 64 - LRB099 05828 HAF 25872 b consultation.

Any advanced practice nurse required to enter into a written collaborative agreement with a collaborating physician or collaborating podiatrist is authorized to continue to practice for up to 90 days after the termination of a collaborative agreement provided the advanced practice nurse seeks any needed collaboration at a local hospital and refers HB0421 ~~Engrossed~~ - 65 - LRB099 05828 HAF 25872 b patients who require services beyond the training and experience of the advanced practice nurse to a physician or other health care provider.

Any advanced practice nurse required to enter into a written collaborative agreement with a collaborating physician or collaborating podiatrist is authorized to continue to practice for up to 90 days after the termination of a collaborative agreement provided the advanced practice nurse seeks any needed collaboration at a local hospital and refers HB0421 Enrolled - 65 - LRB099 05828 HAF 25872 b patients who require services beyond the training and experience of the advanced practice nurse to a physician or other health care provider.

Authority may also be granted when recommended by the hospital medical staff and granted by the hospital or recommended by the consulting medical staff committee and ambulatory surgical treatment center to individual advanced practice nurses to select, order, and administer medications, including controlled substances, HB0421 ~~Engrossed~~ - 66 - LRB099 05828 HAF 25872 b to provide delineated care.

Authority may also be granted when recommended by the hospital medical staff and granted by the hospital or recommended by the consulting medical staff committee and ambulatory surgical treatment center to individual advanced practice nurses to select, order, and administer medications, including controlled substances, HB0421 Enrolled - 66 - LRB099 05828 HAF 25872 b to provide delineated care.

(a-5) For anesthesia services provided by a certified registered nurse anesthetist, an anesthesiologist, physician, dentist, or podiatric physician shall participate through discussion of and agreement with the anesthesia plan and shall remain physically present and be available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions, unless hospital policy adopted pursuant to clause (B) of subdivision (3) of Section 10.7 of the Hospital Licensing Act or ambulatory surgical treatment center policy adopted HB0421 ~~Engrossed~~ - 67 - LRB099 05828 HAF 25872 b pursuant to clause (B) of subdivision (3) of Section 6.5 of the Ambulatory Surgical Treatment Center Act provides otherwise.

(a-5) For anesthesia services provided by a certified registered nurse anesthetist, an anesthesiologist, physician, dentist, or podiatric physician shall participate through discussion of and agreement with the anesthesia plan and shall remain physically present and be available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions, unless hospital policy adopted pursuant to clause (B) of subdivision (3) of Section 10.7 of the Hospital Licensing Act or ambulatory surgical treatment center policy adopted HB0421 Enrolled - 67 - LRB099 05828 HAF 25872 b pursuant to clause (B) of subdivision (3) of Section 6.5 of the Ambulatory Surgical Treatment Center Act provides otherwise.

This authority may, but is not required to, include prescription of, selection of, orders for, administration of, storage of, acceptance of samples of, and dispensing over-the-counter medications, legend drugs, medical gases, and controlled substances categorized as Schedule II through V controlled substances, as defined in Article II of the Illinois Controlled Substances Act, and other HB0421 ~~Engrossed~~ - 68 - LRB099 05828 HAF 25872 b preparations, including, but not limited to, botanical and herbal remedies.

This authority may, but is not required to, include prescription of, selection of, orders for, administration of, storage of, acceptance of samples of, and dispensing over-the-counter medications, legend drugs, medical gases, and controlled substances categorized as Schedule II through V controlled substances, as defined in Article II of the Illinois Controlled Substances Act, and other HB0421 Enrolled - 68 - LRB099 05828 HAF 25872 b preparations, including, but not limited to, botanical and herbal remedies.

(1) specific Schedule II controlled substances by oral dosage or topical or transdermal application may be HB0421 ~~Engrossed~~ - 69 - LRB099 05828 HAF 25872 b designated, provided that the designated Schedule II controlled substances are routinely prescribed by advanced practice nurses in their area of certification;

(1) specific Schedule II controlled substances by oral dosage or topical or transdermal application may be HB0421 Enrolled - 69 - LRB099 05828 HAF 25872 b designated, provided that the designated Schedule II controlled substances are routinely prescribed by advanced practice nurses in their area of certification;

HB0421 ~~Engrossed~~ - 70 - LRB099 05828 HAF 25872 b (225 ILCS 75/3.1) (Section scheduled to be repealed on January 1, 2024) Sec.

HB0421 Enrolled - 70 - LRB099 05828 HAF 25872 b (225 ILCS 75/3.1) (Section scheduled to be repealed on January 1, 2024) Sec.

HB0421 ~~Engrossed~~ - 71 - LRB099 05828 HAF 25872 b (d) An occupational therapist shall refer to a licensed physician, dentist, optometrist, advanced practice nurse, physician assistant, or podiatric physician any patient whose medical condition should, at the time of evaluation or treatment, be determined to be beyond the scope of practice of the occupational therapist.

HB0421 Enrolled - 71 - LRB099 05828 HAF 25872 b (d) An occupational therapist shall refer to a licensed physician, dentist, optometrist, advanced practice nurse, physician assistant, or podiatric physician any patient whose medical condition should, at the time of evaluation or treatment, be determined to be beyond the scope of practice of the occupational therapist.

A licensed orthotist, prosthetist, or pedorthist may provide care or services only if the care or services are provided pursuant to an order from (i) a licensed physician, (ii) a licensed podiatric physician, (iii) a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician or podiatric physician that specifically authorizes ordering the services of an orthotist, prosthetist or pedorthist, or (iv) an advanced practice nurse who practices in a hospital or ambulatory surgical treatment center and possesses clinical privileges to order services of an orthotist, prosthetist, or pedorthist, or (v) a licensed HB0421 ~~Engrossed~~ - 72 - LRB099 05828 HAF 25872 b physician assistant who has been delegated the authority to order the services of an orthotist, prosthetist, or pedorthist by his or her supervising physician.

A licensed orthotist, prosthetist, or pedorthist may provide care or services only if the care or services are provided pursuant to an order from (i) a licensed physician, (ii) a licensed podiatric physician, (iii) a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician or podiatric physician that specifically authorizes ordering the services of an orthotist, prosthetist or pedorthist, or (iv) an advanced practice nurse who practices in a hospital or ambulatory surgical treatment center and possesses clinical privileges to order services of an orthotist, prosthetist, or pedorthist, or (v) a licensed HB0421 Enrolled - 72 - LRB099 05828 HAF 25872 b physician assistant who has been delegated the authority to order the services of an orthotist, prosthetist, or pedorthist by his or her supervising physician.

(B) Alleviating impairments, functional limitations, or disabilities by designing, implementing, and modifying therapeutic interventions that may include, but are not limited to, the evaluation or treatment of a person through HB0421 ~~Engrossed~~ - 73 - LRB099 05828 HAF 25872 b the use of the effective properties of physical measures and heat, cold, light, water, radiant energy, electricity, sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental impairment, functional limitation, or disability.

(B) Alleviating impairments, functional limitations, or disabilities by designing, implementing, and modifying therapeutic interventions that may include, but are not limited to, the evaluation or treatment of a person through HB0421 Enrolled - 73 - LRB099 05828 HAF 25872 b the use of the effective properties of physical measures and heat, cold, light, water, radiant energy, electricity, sound, and air and use of therapeutic massage, therapeutic exercise, mobilization, and rehabilitative procedures, with or without assistive devices, for the purposes of preventing, correcting, or alleviating a physical or mental impairment, functional limitation, or disability.

(a) performance of specialized tests and measurements, (b) administration of specialized treatment procedures, (c) interpretation of referrals from physicians, dentists, advanced practice nurses, physician assistants, and podiatric physicians, (d) establishment, and modification of physical therapy treatment programs, (e) administration of topical medication used in generally accepted physical therapy procedures when such medication is prescribed by the patient's physician, licensed to practice medicine in all its branches, the patient's physician licensed to practice podiatric medicine, the patient's advanced practice nurse, the patient's physician assistant, or the patient's dentist, and (f) HB0421 ~~Engrossed~~ - 74 - LRB099 05828 HAF 25872 b supervision or teaching of physical therapy.

(a) performance of specialized tests and measurements, (b) administration of specialized treatment procedures, (c) interpretation of referrals from physicians, dentists, advanced practice nurses, physician assistants, and podiatric physicians, (d) establishment, and modification of physical therapy treatment programs, (e) administration of topical medication used in generally accepted physical therapy procedures when such medication is prescribed by the patient's physician, licensed to practice medicine in all its branches, the patient's physician licensed to practice podiatric medicine, the patient's advanced practice nurse, the patient's physician assistant, or the patient's dentist, and (f) HB0421 Enrolled - 74 - LRB099 05828 HAF 25872 b supervision or teaching of physical therapy.

(6) "Referral" means a written or oral authorization for physical therapy services for a patient by a physician, dentist, advanced practice nurse, physician assistant, or HB0421 ~~Engrossed~~ - 75 - LRB099 05828 HAF 25872 b podiatric physician who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by a physical therapist.

(6) "Referral" means a written or oral authorization for physical therapy services for a patient by a physician, dentist, advanced practice nurse, physician assistant, or HB0421 Enrolled - 75 - LRB099 05828 HAF 25872 b podiatric physician who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by a physical therapist.

HB0421 ~~Engrossed~~ - 76 - LRB099 05828 HAF 25872 b (10) "Physical therapy aide" means a person who has received on the job training, specific to the facility in which he is employed, but who has not completed an approved physical therapist assistant program.

HB0421 Enrolled - 76 - LRB099 05828 HAF 25872 b (10) "Physical therapy aide" means a person who has received on the job training, specific to the facility in which he is employed, but who has not completed an approved physical therapist assistant program.

A written collaborative agreement shall conform to the requirements of HB0421 ~~Engrossed~~ - 77 - LRB099 05828 HAF 25872 b Section 65-35 of the Nurse Practice Act.

A written collaborative agreement shall conform to the requirements of HB0421 Enrolled - 77 - LRB099 05828 HAF 25872 b Section 65-35 of the Nurse Practice Act.

(1) (3) The advance practice nurse provides services that the collaborating podiatric physician generally provides to his or her patients in the normal course of HB0421 ~~Engrossed~~ - 78 - LRB099 05828 HAF 25872 b clinical practice.

(1) (3) The advance practice nurse provides services that the collaborating podiatric physician generally provides to his or her patients in the normal course of HB0421 Enrolled - 78 - LRB099 05828 HAF 25872 b clinical practice.

(7) The agreement contains provisions detailing notice for termination or change of status involving a written collaborative agreement, except when such notice is given HB0421 Enrolled - 79 - LRB099 05828 HAF 25872 b for just cause.

The Respiratory Care Practice Act is amended by HB0421 ~~Engrossed~~ - 80 - LRB099 05828 HAF 25872 b changing Section 10 as follows:

The Respiratory Care Practice Act is amended by HB0421 Enrolled - 80 - LRB099 05828 HAF 25872 b changing Section 10 as follows:

Collecting and reviewing patient data includes the performance of pulse oximetry and non-invasive monitoring procedures in order to obtain vital signs and notification to licensed health care professionals and other authorized licensed personnel HB0421 ~~Engrossed~~ - 81 - LRB099 05828 HAF 25872 b in a timely manner.

Collecting and reviewing patient data includes the performance of pulse oximetry and non-invasive monitoring procedures in order to obtain vital signs and notification to licensed health care professionals and other authorized licensed personnel HB0421 Enrolled - 81 - LRB099 05828 HAF 25872 b in a timely manner.

HB0421 ~~Engrossed~~ - 82 - LRB099 05828 HAF 25872 b (4) The administration of aerosol medication or oxygen.

HB0421 Enrolled - 82 - LRB099 05828 HAF 25872 b (4) The administration of aerosol medication or oxygen.

"Order" means a written, oral, or telecommunicated authorization for respiratory care services for a patient by (i) a licensed health care professional who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by HB0421 ~~Engrossed~~ - 83 - LRB099 05828 HAF 25872 b a respiratory care practitioner or (ii) a certified registered nurse anesthetist in a licensed hospital or ambulatory surgical treatment center.

"Order" means a written, oral, or telecommunicated authorization for respiratory care services for a patient by (i) a licensed health care professional who maintains medical supervision of the patient and makes a diagnosis or verifies that the patient's condition is such that it may be treated by HB0421 Enrolled - 83 - LRB099 05828 HAF 25872 b a respiratory care practitioner or (ii) a certified registered nurse anesthetist in a licensed hospital or ambulatory surgical treatment center.

the administration of pharmacological and therapeutic agents related to respiratory HB0421 ~~Engrossed~~ - 84 - LRB099 05828 HAF 25872 b care services;

the administration of pharmacological and therapeutic agents related to respiratory HB0421 Enrolled - 84 - LRB099 05828 HAF 25872 b care services;

(1) The person is engaged in the practice of HB0421 ~~Engrossed~~ - 85 - LRB099 05828 HAF 25872 b cardiorespiratory care and has the knowledge and skill necessary to administer respiratory care.

(1) The person is engaged in the practice of HB0421 Enrolled - 85 - LRB099 05828 HAF 25872 b cardiorespiratory care and has the knowledge and skill necessary to administer respiratory care.

"Address of record" means the designated address recorded by the Department in the applicant's or licensee's application file or license file as maintained by the Department's HB0421 ~~Engrossed~~ - 86 - LRB099 05828 HAF 25872 b licensure maintenance unit.

"Address of record" means the designated address recorded by the Department in the applicant's or licensee's application file or license file as maintained by the Department's HB0421 Enrolled - 86 - LRB099 05828 HAF 25872 b licensure maintenance unit.

This HB0421 ~~Engrossed~~ - 87 - LRB099 05828 HAF 25872 b assessment may involve:

This HB0421 Enrolled - 87 - LRB099 05828 HAF 25872 b assessment may involve:

HB0421 ~~Engrossed~~ - 88 - LRB099 05828 HAF 25872 b "Genetic testing" and "genetic test" mean a test or analysis of human genes, gene products, DNA, RNA, chromosomes, proteins, or metabolites that detects genotypes, mutations, chromosomal changes, abnormalities, or deficiencies, including carrier status, that (i) are linked to physical or mental disorders or impairments, (ii) indicate a susceptibility to illness, disease, impairment, or other disorders, whether physical or mental, or (iii) demonstrate genetic or chromosomal damage due to environmental factors.

HB0421 Enrolled - 88 - LRB099 05828 HAF 25872 b "Genetic testing" and "genetic test" mean a test or analysis of human genes, gene products, DNA, RNA, chromosomes, proteins, or metabolites that detects genotypes, mutations, chromosomal changes, abnormalities, or deficiencies, including carrier status, that (i) are linked to physical or mental disorders or impairments, (ii) indicate a susceptibility to illness, disease, impairment, or other disorders, whether physical or mental, or (iii) demonstrate genetic or chromosomal damage due to environmental factors.

A qualified supervisor may be provided at the applicant's place of work, or HB0421 ~~Engrossed~~ - 89 - LRB099 05828 HAF 25872 b may be contracted by the applicant to provide supervision.

A qualified supervisor may be provided at the applicant's place of work, or HB0421 Enrolled - 89 - LRB099 05828 HAF 25872 b may be contracted by the applicant to provide supervision.

(a) Except as provided in Section 15, no person shall, without a valid license as a genetic counselor issued by the Department (i) in any manner hold himself or herself out to the HB0421 ~~Engrossed~~ - 90 - LRB099 05828 HAF 25872 b public as a genetic counselor under this Act;

(a) Except as provided in Section 15, no person shall, without a valid license as a genetic counselor issued by the Department (i) in any manner hold himself or herself out to the HB0421 Enrolled - 90 - LRB099 05828 HAF 25872 b public as a genetic counselor under this Act;

Genetic testing shall be ordered by a physician licensed to practice medicine HB0421 ~~Engrossed~~ - 91 - LRB099 05828 HAF 25872 b in all its branches or a genetic counselor pursuant to a referral that gives the specific authority to order genetic tests.

Genetic testing shall be ordered by a physician licensed to practice medicine HB0421 Enrolled - 91 - LRB099 05828 HAF 25872 b in all its branches or a genetic counselor pursuant to a referral that gives the specific authority to order genetic tests.

HB0421 ~~Engrossed~~ - 92 - LRB099 05828 HAF 25872 b (d) Nothing in this Act shall be construed as permitting persons licensed as genetic counselors to engage in any manner in the practice of medicine in all its branches as defined by law in this State.

HB0421 Enrolled - 92 - LRB099 05828 HAF 25872 b (d) Nothing in this Act shall be construed as permitting persons licensed as genetic counselors to engage in any manner in the practice of medicine in all its branches as defined by law in this State.

HB0421 ~~Engrossed~~ - 93 - LRB099 05828 HAF 25872 b (1) Material misstatement in furnishing information to the Department or to any other State agency.

HB0421 Enrolled - 93 - LRB099 05828 HAF 25872 b (1) Material misstatement in furnishing information to the Department or to any other State agency.

HB0421 ~~Engrossed~~ - 94 - LRB099 05828 HAF 25872 b (9) Engaging in dishonorable, unethical, or unprofessional conduct of a character likely to deceive, defraud, or harm the public and violating the rules of professional conduct adopted by the Department.

HB0421 Enrolled - 94 - LRB099 05828 HAF 25872 b (9) Engaging in dishonorable, unethical, or unprofessional conduct of a character likely to deceive, defraud, or harm the public and violating the rules of professional conduct adopted by the Department.

Nothing in this paragraph (14) affects any bona fide independent contractor or employment arrangements among HB0421 ~~Engrossed~~ - 95 - LRB099 05828 HAF 25872 b health care professionals, health facilities, health care providers, or other entities, except as otherwise prohibited by law.

Nothing in this paragraph (14) affects any bona fide independent contractor or employment arrangements among HB0421 Enrolled - 95 - LRB099 05828 HAF 25872 b health care professionals, health facilities, health care providers, or other entities, except as otherwise prohibited by law.

(19) Being named as a perpetrator in an indicated report by the Department of Children and Family Services pursuant to the Abused and Neglected Child Reporting Act, and upon proof by clear and convincing evidence that the HB0421 ~~Engrossed~~ - 96 - LRB099 05828 HAF 25872 b licensee has caused a child to be an abused child or neglected child as defined in the Abused and Neglected Child Reporting Act.

(19) Being named as a perpetrator in an indicated report by the Department of Children and Family Services pursuant to the Abused and Neglected Child Reporting Act, and upon proof by clear and convincing evidence that the HB0421 Enrolled - 96 - LRB099 05828 HAF 25872 b licensee has caused a child to be an abused child or neglected child as defined in the Abused and Neglected Child Reporting Act.

(26) Providing genetic counseling services to HB0421 ~~Engrossed~~ - 97 - LRB099 05828 HAF 25872 b individuals, couples, groups, or families without a referral from either a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to make referrals to a genetic counselor, or a licensed physician assistant who has been delegated authority to make referrals to genetic counselors.

(26) Providing genetic counseling services to HB0421 Enrolled - 97 - LRB099 05828 HAF 25872 b individuals, couples, groups, or families without a referral from either a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to make referrals to a genetic counselor, or a licensed physician assistant who has been delegated authority to make referrals to genetic counselors.

The suspension will end upon a finding by a court that the licensee is no longer subject to involuntary admission or judicial HB0421 ~~Engrossed~~ - 98 - LRB099 05828 HAF 25872 b admission, the issuance of an order so finding and discharging the patient, and the determination of the Secretary that the licensee be allowed to resume professional practice.

The suspension will end upon a finding by a court that the licensee is no longer subject to involuntary admission or judicial HB0421 Enrolled - 98 - LRB099 05828 HAF 25872 b admission, the issuance of an order so finding and discharging the patient, and the determination of the Secretary that the licensee be allowed to resume professional practice.

(f) All fines or costs imposed under this Section shall be paid within 60 days after the effective date of the order HB0421 ~~Engrossed~~ - 99 - LRB099 05828 HAF 25872 b imposing the fine or costs or in accordance with the terms set forth in the order imposing the fine.

(f) All fines or costs imposed under this Section shall be paid within 60 days after the effective date of the order HB0421 Enrolled - 99 - LRB099 05828 HAF 25872 b imposing the fine or costs or in accordance with the terms set forth in the order imposing the fine.

The utilization of the services of persons engaged in the treatment or care of the HB0421 ~~Engrossed~~ - 100 - LRB099 05828 HAF 25872 b sick, which persons are not required to be licensed or registered under the laws of this State, is not prohibited by this Section.

The utilization of the services of persons engaged in the treatment or care of the HB0421 Enrolled - 100 - LRB099 05828 HAF 25872 b sick, which persons are not required to be licensed or registered under the laws of this State, is not prohibited by this Section.

"Questionnaire" means an assessment tool administered by a HB0421 ~~Engrossed~~ - 101 - LRB099 05828 HAF 25872 b licensed health care professional to detect perinatal mental health disorders, such as the Edinburgh Postnatal Depression Scale, the Postpartum Depression Screening Scale, the Beck Depression Inventory, the Patient Health Questionnaire, or other validated assessment methods.

"Questionnaire" means an assessment tool administered by a HB0421 Enrolled - 101 - LRB099 05828 HAF 25872 b licensed health care professional to detect perinatal mental health disorders, such as the Edinburgh Postnatal Depression Scale, the Postpartum Depression Screening Scale, the Beck Depression Inventory, the Patient Health Questionnaire, or other validated assessment methods.

(b) Each licensed, registered, or approved health care facility serving children 6 years of age or younger, including, but not limited to, health departments, hospitals, clinics, and health maintenance organizations approved, registered, or licensed by the Department, shall take the appropriate steps to HB0421 ~~Engrossed~~ - 102 - LRB099 05828 HAF 25872 b ensure that children 6 years of age or younger be evaluated for risk or tested for lead poisoning or both.

(b) Each licensed, registered, or approved health care facility serving children 6 years of age or younger, including, but not limited to, health departments, hospitals, clinics, and health maintenance organizations approved, registered, or licensed by the Department, shall take the appropriate steps to HB0421 Enrolled - 102 - LRB099 05828 HAF 25872 b ensure that children 6 years of age or younger be evaluated for risk or tested for lead poisoning or both.

(1) Crimes of sexual assault and sexual abuse cause significant physical, emotional, and psychological trauma HB0421 ~~Engrossed~~ - 103 - LRB099 05828 HAF 25872 b to the victims.

(1) Crimes of sexual assault and sexual abuse cause significant physical, emotional, and psychological trauma HB0421 Enrolled - 103 - LRB099 05828 HAF 25872 b to the victims.

and a description of how and when victims may be provided emergency contraception upon the written order of a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating HB0421 ~~Engrossed~~ - 104 - LRB099 05828 HAF 25872 b physician that authorizes prescription of emergency contraception, or a licensed physician assistant who has been delegated authority to prescribe emergency contraception.

and a description of how and when victims may be provided emergency contraception upon the written order of a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating HB0421 Enrolled - 104 - LRB099 05828 HAF 25872 b physician that authorizes prescription of emergency contraception, or a licensed physician assistant who has been delegated authority to prescribe emergency contraception.

(a) Every hospital providing hospital emergency services and forensic services to sexual assault survivors under this Act shall, as minimum requirements for such services, provide, with the consent of the sexual assault survivor, and as ordered by the attending physician, an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of emergency services, or a HB0421 ~~Engrossed~~ - 105 - LRB099 05828 HAF 25872 b physician assistant who has been delegated authority to provide hospital emergency services and forensic services, the following:

(a) Every hospital providing hospital emergency services and forensic services to sexual assault survivors under this Act shall, as minimum requirements for such services, provide, with the consent of the sexual assault survivor, and as ordered by the attending physician, an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of emergency services, or a HB0421 Enrolled - 105 - LRB099 05828 HAF 25872 b physician assistant who has been delegated authority to provide hospital emergency services and forensic services, the following:

(5) an evaluation of the sexual assault survivor's risk HB0421 ~~Engrossed~~ - 106 - LRB099 05828 HAF 25872 b of contracting human immunodeficiency virus (HIV) from the sexual assault;

(5) an evaluation of the sexual assault survivor's risk HB0421 Enrolled - 106 - LRB099 05828 HAF 25872 b of contracting human immunodeficiency virus (HIV) from the sexual assault;

(a) Every hospital, health care professional, laboratory, HB0421 ~~Engrossed~~ - 107 - LRB099 05828 HAF 25872 b or pharmacy that provides follow-up healthcare to a sexual assault survivor, with the consent of the sexual assault survivor and as ordered by the attending physician, an advanced practice nurse who has a written collaborative agreement with a collaborating physician, or physician assistant who has been delegated authority by a supervising physician shall be reimbursed for the follow-up healthcare services provided.

(a) Every hospital, health care professional, laboratory, HB0421 Enrolled - 107 - LRB099 05828 HAF 25872 b or pharmacy that provides follow-up healthcare to a sexual assault survivor, with the consent of the sexual assault survivor and as ordered by the attending physician, an advanced practice nurse who has a written collaborative agreement with a collaborating physician, or physician assistant who has been delegated authority by a supervising physician shall be reimbursed for the follow-up healthcare services provided.

HB0421 ~~Engrossed~~ - 108 - LRB099 05828 HAF 25872 b (410 ILCS 210/1) (from Ch.

HB0421 Enrolled - 108 - LRB099 05828 HAF 25872 b (410 ILCS 210/1) (from Ch.

(a) The consent to the performance of primary care services by a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of services for minors, or a licensed HB0421 ~~Engrossed~~ - 109 - LRB099 05828 HAF 25872 b physician assistant who has been delegated authority to provide services for minors executed by a minor seeking care is not voidable because of such minority, and for such purpose, a minor seeking care is deemed to have the same legal capacity to act and has the same powers and obligations as has a person of legal age under the following circumstances:

(a) The consent to the performance of primary care services by a physician licensed to practice medicine in all its branches, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of services for minors, or a licensed HB0421 Enrolled - 109 - LRB099 05828 HAF 25872 b physician assistant who has been delegated authority to provide services for minors executed by a minor seeking care is not voidable because of such minority, and for such purpose, a minor seeking care is deemed to have the same legal capacity to act and has the same powers and obligations as has a person of legal age under the following circumstances:

(b) A health care professional rendering primary care services under this Section shall not incur civil or criminal liability for failure to obtain valid consent or professional HB0421 ~~Engrossed~~ - 110 - LRB099 05828 HAF 25872 b discipline for failure to obtain valid consent if he or she relied in good faith on the representations made by the minor or the information provided under paragraph (2) of subsection (a) of this Section.

(b) A health care professional rendering primary care services under this Section shall not incur civil or criminal liability for failure to obtain valid consent or professional HB0421 Enrolled - 110 - LRB099 05828 HAF 25872 b discipline for failure to obtain valid consent if he or she relied in good faith on the representations made by the minor or the information provided under paragraph (2) of subsection (a) of this Section.

HB0421 ~~Engrossed~~ - 111 - LRB099 05828 HAF 25872 b "Minor seeking care" means a person at least 14 years of age but less than 18 years of age who is living separate and apart from his or her parents or legal guardian, whether with or without the consent of a parent or legal guardian who is unable or unwilling to return to the residence of a parent, and managing his or her own personal affairs.

HB0421 Enrolled - 111 - LRB099 05828 HAF 25872 b "Minor seeking care" means a person at least 14 years of age but less than 18 years of age who is living separate and apart from his or her parents or legal guardian, whether with or without the consent of a parent or legal guardian who is unable or unwilling to return to the residence of a parent, and managing his or her own personal affairs.

Any parent, including a parent who is a minor, may consent to the performance upon his or her child of a medical or surgical procedure by a physician licensed to practice medicine and surgery, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of services for minors, or HB0421 ~~Engrossed~~ - 112 - LRB099 05828 HAF 25872 b a licensed physician assistant who has been delegated authority to provide services for minors or a dental procedure by a licensed dentist.

Any parent, including a parent who is a minor, may consent to the performance upon his or her child of a medical or surgical procedure by a physician licensed to practice medicine and surgery, a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes provision of services for minors, or HB0421 Enrolled - 112 - LRB099 05828 HAF 25872 b a licensed physician assistant who has been delegated authority to provide services for minors or a dental procedure by a licensed dentist.

(b) Where a minor is the victim of a predatory criminal sexual assault of a child, aggravated criminal sexual assault, criminal sexual assault, aggravated criminal sexual abuse or HB0421 ~~Engrossed~~ - 113 - LRB099 05828 HAF 25872 b criminal sexual abuse, as provided in Sections 11-1.20 through 11-1.60 of the Criminal Code of 2012, the consent of the minor's parent or legal guardian need not be obtained to authorize a hospital, physician, advanced practice nurse, physician assistant, or other medical personnel to furnish medical care or counseling related to the diagnosis or treatment of any disease or injury arising from such offense.

(b) Where a minor is the victim of a predatory criminal sexual assault of a child, aggravated criminal sexual assault, criminal sexual assault, aggravated criminal sexual abuse or HB0421 Enrolled - 113 - LRB099 05828 HAF 25872 b criminal sexual abuse, as provided in Sections 11-1.20 through 11-1.60 of the Criminal Code of 2012, the consent of the minor's parent or legal guardian need not be obtained to authorize a hospital, physician, advanced practice nurse, physician assistant, or other medical personnel to furnish medical care or counseling related to the diagnosis or treatment of any disease or injury arising from such offense.

"Early and Periodic Screening, Diagnosis and Treatment HB0421 ~~Engrossed~~ - 114 - LRB099 05828 HAF 25872 b (EPSDT)" means the provision of preventative health care under 42 C.F.R.

"Early and Periodic Screening, Diagnosis and Treatment HB0421 Enrolled - 114 - LRB099 05828 HAF 25872 b (EPSDT)" means the provision of preventative health care under 42 C.F.R.

HB0421 ~~Engrossed~~ - 115 - LRB099 05828 HAF 25872 b (410 ILCS 305/3) (from Ch.

HB0421 Enrolled - 115 - LRB099 05828 HAF 25872 b (410 ILCS 305/3) (from Ch.

(i) "Health care professional" means (i) a licensed physician, (ii) a licensed physician assistant to whom the physician assistant's supervising physician has delegated the provision of AIDS and HIV-related health services, (iii) a licensed an advanced practice registered nurse who has a written collaborative agreement with a collaborating physician HB0421 ~~Engrossed~~ - 116 - LRB099 05828 HAF 25872 b which authorizes the provision of AIDS and HIV-related health services, (iv) a licensed dentist, (v) a licensed podiatric physician, or (vi) an individual certified to provide HIV testing and counseling by a state or local public health department.

(i) "Health care professional" means (i) a licensed physician, (ii) a licensed physician assistant to whom the physician assistant's supervising physician has delegated the provision of AIDS and HIV-related health services, (iii) a licensed an advanced practice registered nurse who has a written collaborative agreement with a collaborating physician HB0421 Enrolled - 116 - LRB099 05828 HAF 25872 b which authorizes the provision of AIDS and HIV-related health services, (iv) a licensed dentist, (v) a licensed podiatric physician, or (vi) an individual certified to provide HIV testing and counseling by a state or local public health department.

In certain circumstances, in accordance with HIPAA, an HIE will be a HB0421 ~~Engrossed~~ - 117 - LRB099 05828 HAF 25872 b business associate.

In certain circumstances, in accordance with HIPAA, an HIE will be a HB0421 Enrolled - 117 - LRB099 05828 HAF 25872 b business associate.

(2) a fair explanation of the procedures to be HB0421 ~~Engrossed~~ - 118 - LRB099 05828 HAF 25872 b followed, including the voluntary nature of the test, the right to withdraw consent to the testing process at any time, the right to anonymity to the extent provided by law with respect to participation in the test and disclosure of test results, and the right to confidential treatment of information identifying the subject of the test and the results of the test, to the extent provided by law;

(2) a fair explanation of the procedures to be HB0421 Enrolled - 118 - LRB099 05828 HAF 25872 b followed, including the voluntary nature of the test, the right to withdraw consent to the testing process at any time, the right to anonymity to the extent provided by law with respect to participation in the test and disclosure of test results, and the right to confidential treatment of information identifying the subject of the test and the results of the test, to the extent provided by law;

HB0421 ~~Engrossed~~ - 119 - LRB099 05828 HAF 25872 b (s) "Minimum necessary" means the HIPAA standard for using, disclosing, and requesting protected health information found in 45 CFR 164.502(b) and 164.514(d).

HB0421 Enrolled - 119 - LRB099 05828 HAF 25872 b (s) "Minimum necessary" means the HIPAA standard for using, disclosing, and requesting protected health information found in 45 CFR 164.502(b) and 164.514(d).

HB0421 ~~Engrossed~~ - 120 - LRB099 05828 HAF 25872 b (cc) "Use" has the meaning ascribed to it under HIPAA, as specified in 45 CFR 160.103, where context dictates.

HB0421 Enrolled - 120 - LRB099 05828 HAF 25872 b (cc) "Use" has the meaning ascribed to it under HIPAA, as specified in 45 CFR 160.103, where context dictates.

In considering which diseases are to be designated sexually transmissible diseases, the Department shall consider such diseases as chancroid, gonorrhea, granuloma inguinale, lymphogranuloma venereum, genital herpes simplex, chlamydia, nongonococcal urethritis (NGU), pelvic inflammatory disease (PID)/Acute Salpingitis, syphilis, Acquired Immunodeficiency Syndrome (AIDS), and Human HB0421 ~~Engrossed~~ - 121 - LRB099 05828 HAF 25872 b Immunodeficiency Virus (HIV) for designation, and shall consider the recommendations and classifications of the Centers for Disease Control and other nationally recognized medical authorities.

In considering which diseases are to be designated sexually transmissible diseases, the Department shall consider such diseases as chancroid, gonorrhea, granuloma inguinale, lymphogranuloma venereum, genital herpes simplex, chlamydia, nongonococcal urethritis (NGU), pelvic inflammatory disease (PID)/Acute Salpingitis, syphilis, Acquired Immunodeficiency Syndrome (AIDS), and Human HB0421 Enrolled - 121 - LRB099 05828 HAF 25872 b Immunodeficiency Virus (HIV) for designation, and shall consider the recommendations and classifications of the Centers for Disease Control and other nationally recognized medical authorities.

7404) HB0421 ~~Engrossed~~ - 122 - LRB099 05828 HAF 25872 b Sec.

7404) HB0421 Enrolled - 122 - LRB099 05828 HAF 25872 b Sec.

(c) Any person who knowingly or maliciously disseminates any false information or report concerning the existence of any HB0421 ~~Engrossed~~ - 123 - LRB099 05828 HAF 25872 b sexually transmissible disease under this Section is guilty of a Class A misdemeanor.

(c) Any person who knowingly or maliciously disseminates any false information or report concerning the existence of any HB0421 Enrolled - 123 - LRB099 05828 HAF 25872 b sexually transmissible disease under this Section is guilty of a Class A misdemeanor.

HB0421 ~~Engrossed~~ - 124 - LRB099 05828 HAF 25872 b "Health care services" means any prenatal medical care or labor or delivery services to a pregnant woman and her newborn infant, including hospitalization.

HB0421 Enrolled - 124 - LRB099 05828 HAF 25872 b "Health care services" means any prenatal medical care or labor or delivery services to a pregnant woman and her newborn infant, including hospitalization.

"Employer" means the State of Illinois, any unit of local government, and any board, commission, department, institution, or school district, any party to a public contract, any joint apprenticeship or training committee HB0421 ~~Engrossed~~ - 125 - LRB099 05828 HAF 25872 b within the State, and every other person employing employees within the State.

"Employer" means the State of Illinois, any unit of local government, and any board, commission, department, institution, or school district, any party to a public contract, any joint apprenticeship or training committee HB0421 Enrolled - 125 - LRB099 05828 HAF 25872 b within the State, and every other person employing employees within the State.

HB0421 ~~Engrossed~~ - 126 - LRB099 05828 HAF 25872 b "Genetic services" has the meaning ascribed to it under HIPAA, as specified in 45 CFR 160.103.

HB0421 Enrolled - 126 - LRB099 05828 HAF 25872 b "Genetic services" has the meaning ascribed to it under HIPAA, as specified in 45 CFR 160.103.

"Health information exchange" or "HIE" means a health information exchange or health information organization that HB0421 ~~Engrossed~~ - 127 - LRB099 05828 HAF 25872 b exchanges health information electronically that (i) is established pursuant to the Illinois Health Information Exchange and Technology Act, or any subsequent amendments thereto, and any administrative rules promulgated thereunder;

"Health information exchange" or "HIE" means a health information exchange or health information organization that HB0421 Enrolled - 127 - LRB099 05828 HAF 25872 b exchanges health information electronically that (i) is established pursuant to the Illinois Health Information Exchange and Technology Act, or any subsequent amendments thereto, and any administrative rules promulgated thereunder;

"Labor organization" includes any organization, labor union, craft union, or any voluntary unincorporated association designed to further the cause of the rights of HB0421 ~~Engrossed~~ - 128 - LRB099 05828 HAF 25872 b union labor that is constituted for the purpose, in whole or in part, of collective bargaining or of dealing with employers concerning grievances, terms or conditions of employment, or apprenticeships or applications for apprenticeships, or of other mutual aid or protection in connection with employment, including apprenticeships or applications for apprenticeships.

"Labor organization" includes any organization, labor union, craft union, or any voluntary unincorporated association designed to further the cause of the rights of HB0421 Enrolled - 128 - LRB099 05828 HAF 25872 b union labor that is constituted for the purpose, in whole or in part, of collective bargaining or of dealing with employers concerning grievances, terms or conditions of employment, or apprenticeships or applications for apprenticeships, or of other mutual aid or protection in connection with employment, including apprenticeships or applications for apprenticeships.

A managed care plan may be established or operated by any HB0421 ~~Engrossed~~ - 129 - LRB099 05828 HAF 25872 b entity including a licensed insurance company, hospital or medical service plan, health maintenance organization, limited health service organization, preferred provider organization, third party administrator, or an employer or employee organization.

A managed care plan may be established or operated by any HB0421 Enrolled - 129 - LRB099 05828 HAF 25872 b entity including a licensed insurance company, hospital or medical service plan, health maintenance organization, limited health service organization, preferred provider organization, third party administrator, or an employer or employee organization.

"State agency" means an instrumentality of the State of Illinois and any instrumentality of another state which HB0421 ~~Engrossed~~ - 130 - LRB099 05828 HAF 25872 b pursuant to applicable law or a written undertaking with an instrumentality of the State of Illinois is bound to protect the privacy of genetic information of Illinois persons.

"State agency" means an instrumentality of the State of Illinois and any instrumentality of another state which HB0421 Enrolled - 130 - LRB099 05828 HAF 25872 b pursuant to applicable law or a written undertaking with an instrumentality of the State of Illinois is bound to protect the privacy of genetic information of Illinois persons.

HB0421 ~~Engrossed~~ - 131 - LRB099 05828 HAF 25872 b "Home health agency" has the meaning ascribed to it in Section 2.04 of the Home Health, Home Services, and Home Nursing Agency Licensing Act.

HB0421 Enrolled - 131 - LRB099 05828 HAF 25872 b "Home health agency" has the meaning ascribed to it in Section 2.04 of the Home Health, Home Services, and Home Nursing Agency Licensing Act.

(2) is restricted by lung disease to such an extent that his or her HB0421 ~~Engrossed~~ - 132 - LRB099 05828 HAF 25872 b forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter, or the arterial oxygen tension is less than 60 mm/hg on room air at rest;

(2) is restricted by lung disease to such an extent that his or her HB0421 Enrolled - 132 - LRB099 05828 HAF 25872 b forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter, or the arterial oxygen tension is less than 60 mm/hg on room air at rest;

(a) Upon receiving an application for a certificate of registration for a motor vehicle of the first division or for a motor vehicle of the second division weighing no more than 8,000 pounds, accompanied with payment of the registration fees required under this Code from a person with disabilities or a person who is deaf or hard of hearing, the Secretary of State, if so requested, shall issue to such person registration plates as provided for in Section 3-611, provided that the person with disabilities or person who is deaf or hard of hearing must not be disqualified from obtaining a driver's license under HB0421 ~~Engrossed~~ - 133 - LRB099 05828 HAF 25872 b subsection 8 of Section 6-103 of this Code, and further provided that any person making such a request must submit a statement, certified by a licensed physician, by a licensed physician assistant who has been delegated the authority to make this certification by his or her supervising physician, or by a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to make this certification, to the effect that such person is a person with disabilities as defined by Section 1-159.1 of this Code, or alternatively provide adequate documentation that such person has a Class 1A, Class 2A or Type Four disability under the provisions of Section 4A of the Illinois Identification Card Act.

(a) Upon receiving an application for a certificate of registration for a motor vehicle of the first division or for a motor vehicle of the second division weighing no more than 8,000 pounds, accompanied with payment of the registration fees required under this Code from a person with disabilities or a person who is deaf or hard of hearing, the Secretary of State, if so requested, shall issue to such person registration plates as provided for in Section 3-611, provided that the person with disabilities or person who is deaf or hard of hearing must not be disqualified from obtaining a driver's license under HB0421 Enrolled - 133 - LRB099 05828 HAF 25872 b subsection 8 of Section 6-103 of this Code, and further provided that any person making such a request must submit a statement, certified by a licensed physician, by a licensed physician assistant who has been delegated the authority to make this certification by his or her supervising physician, or by a licensed an advanced practice nurse who has a written collaborative agreement with a collaborating physician that authorizes the advanced practice nurse to make this certification, to the effect that such person is a person with disabilities as defined by Section 1-159.1 of this Code, or alternatively provide adequate documentation that such person has a Class 1A, Class 2A or Type Four disability under the provisions of Section 4A of the Illinois Identification Card Act.

(b) The Secretary shall issue plates under this Section to a parent or legal guardian of a person with disabilities if the person with disabilities has a Class 1A or Class 2A disability as defined in Section 4A of the Illinois Identification Card Act or is a person with disabilities as defined by Section 1-159.1 of this Code, and does not possess a vehicle registered in his or her name, provided that the person with disabilities relies frequently on the parent or legal guardian for HB0421 Enrolled - 134 - LRB099 05828 HAF 25872 b transportation.

An optometrist may certify a Class 2A Visual Disability as defined in Section HB0421 ~~Engrossed~~ - 135 - LRB099 05828 HAF 25872 b 4A of the Illinois Identification Card Act for the purpose of qualifying a person with disabilities for a parking decal or device under this subsection.

An optometrist may certify a Class 2A Visual Disability as defined in Section HB0421 Enrolled - 135 - LRB099 05828 HAF 25872 b 4A of the Illinois Identification Card Act for the purpose of qualifying a person with disabilities for a parking decal or device under this subsection.

(f) The Secretary of State, upon application, shall issue disability registration plates or a parking decal to corporations, school districts, State or municipal agencies, limited liability companies, nursing homes, convalescent HB0421 ~~Engrossed~~ - 136 - LRB099 05828 HAF 25872 b homes, or special education cooperatives which will transport persons with disabilities.

(f) The Secretary of State, upon application, shall issue disability registration plates or a parking decal to corporations, school districts, State or municipal agencies, limited liability companies, nursing homes, convalescent HB0421 Enrolled - 136 - LRB099 05828 HAF 25872 b homes, or special education cooperatives which will transport persons with disabilities.

What persons shall not be licensed as drivers HB0421 ~~Engrossed~~ - 137 - LRB099 05828 HAF 25872 b or granted permits.

What persons shall not be licensed as drivers HB0421 Enrolled - 137 - LRB099 05828 HAF 25872 b or granted permits.

To any person who is under the age of 18 as an operator of a motorcycle other than a motor driven cycle HB0421 ~~Engrossed~~ - 138 - LRB099 05828 HAF 25872 b unless the person has, in addition to meeting the provisions of Section 6-107 of this Code, successfully completed a motorcycle training course approved by the Illinois Department of Transportation and successfully completes the required Secretary of State's motorcycle driver's examination;

To any person who is under the age of 18 as an operator of a motorcycle other than a motor driven cycle HB0421 Enrolled - 138 - LRB099 05828 HAF 25872 b unless the person has, in addition to meeting the provisions of Section 6-107 of this Code, successfully completed a motorcycle training course approved by the Illinois Department of Transportation and successfully completes the required Secretary of State's motorcycle driver's examination;

To any person who is required under the provisions of the laws of this State to deposit security or proof of HB0421 ~~Engrossed~~ - 139 - LRB099 05828 HAF 25872 b financial responsibility and who has not deposited the security or proof;

To any person who is required under the provisions of the laws of this State to deposit security or proof of HB0421 Enrolled - 139 - LRB099 05828 HAF 25872 b financial responsibility and who has not deposited the security or proof;

To any person who is under the age of 21 years with a classification prohibited in paragraph (b) of Section HB0421 ~~Engrossed~~ - 140 - LRB099 05828 HAF 25872 b 6-104 and to any person who is under the age of 18 years with a classification prohibited in paragraph (c) of Section 6-104;

To any person who is under the age of 21 years with a classification prohibited in paragraph (b) of Section HB0421 Enrolled - 140 - LRB099 05828 HAF 25872 b 6-104 and to any person who is under the age of 18 years with a classification prohibited in paragraph (c) of Section 6-104;

To any person who is 90 days or more delinquent in HB0421 ~~Engrossed~~ - 141 - LRB099 05828 HAF 25872 b court ordered child support payments or has been adjudicated in arrears in an amount equal to 90 days' obligation or more and who has been found in contempt of court for failure to pay the support, subject to the requirements and procedures of Article VII of Chapter 7 of the Illinois Vehicle Code;

To any person who is 90 days or more delinquent in HB0421 Enrolled - 141 - LRB099 05828 HAF 25872 b court ordered child support payments or has been adjudicated in arrears in an amount equal to 90 days' obligation or more and who has been found in contempt of court for failure to pay the support, subject to the requirements and procedures of Article VII of Chapter 7 of the Illinois Vehicle Code;

To any person who, with intent to influence any act related to the issuance of any driver's license or permit, HB0421 ~~Engrossed~~ - 142 - LRB099 05828 HAF 25872 b by an employee of the Secretary of State's Office, or the owner or employee of any commercial driver training school licensed by the Secretary of State, or any other individual authorized by the laws of this State to give driving instructions or administer all or part of a driver's license examination, promises or tenders to that person any property or personal advantage which that person is not authorized by law to accept.

To any person who, with intent to influence any act related to the issuance of any driver's license or permit, HB0421 Enrolled - 142 - LRB099 05828 HAF 25872 b by an employee of the Secretary of State's Office, or the owner or employee of any commercial driver training school licensed by the Secretary of State, or any other individual authorized by the laws of this State to give driving instructions or administer all or part of a driver's license examination, promises or tenders to that person any property or personal advantage which that person is not authorized by law to accept.

The person shall be denied HB0421 ~~Engrossed~~ - 143 - LRB099 05828 HAF 25872 b a license or permit for the period determined by the court.

The person shall be denied HB0421 Enrolled - 143 - LRB099 05828 HAF 25872 b a license or permit for the period determined by the court.

Applicants who have completed the fingerprinting requirements shall not be subjected to the fingerprinting process when applying for subsequent permits or submitting proof of successful completion of the annual HB0421 ~~Engrossed~~ - 144 - LRB099 05828 HAF 25872 b refresher course.

Applicants who have completed the fingerprinting requirements shall not be subjected to the fingerprinting process when applying for subsequent permits or submitting proof of successful completion of the annual HB0421 Enrolled - 144 - LRB099 05828 HAF 25872 b refresher course.

possess a valid driver's license, which has not been revoked, suspended, or canceled for 3 years immediately prior to the date of application, or have not had his or her commercial motor vehicle driving privileges disqualified within the 3 years immediately prior to the HB0421 ~~Engrossed~~ - 145 - LRB099 05828 HAF 25872 b date of application;

possess a valid driver's license, which has not been revoked, suspended, or canceled for 3 years immediately prior to the date of application, or have not had his or her commercial motor vehicle driving privileges disqualified within the 3 years immediately prior to the HB0421 Enrolled - 145 - LRB099 05828 HAF 25872 b date of application;

have completed an initial classroom course, HB0421 ~~Engrossed~~ - 146 - LRB099 05828 HAF 25872 b including first aid procedures, in school bus driver safety as promulgated by the Secretary of State;

have completed an initial classroom course, HB0421 Enrolled - 146 - LRB099 05828 HAF 25872 b including first aid procedures, in school bus driver safety as promulgated by the Secretary of State;

(i) those offenses defined in Sections 8-1.2, 9-1, 9-1.2, 9-2, 9-2.1, 9-3, 9-3.2, 9-3.3, 10-1, 10-2, 10-3.1, 10-4, 10-5, 10-5.1, 10-6, 10-7, 10-9, 11-1.20, 11-1.30, 11-1.40, HB0421 ~~Engrossed~~ - 147 - LRB099 05828 HAF 25872 b 11-1.50, 11-1.60, 11-6, 11-6.5, 11-6.6, 11-9, 11-9.1, 11-9.3, 11-9.4, 11-14, 11-14.1, 11-14.3, 11-14.4, 11-15, 11-15.1, 11-16, 11-17, 11-17.1, 11-18, 11-18.1, 11-19, 11-19.1, 11-19.2, 11-20, 11-20.1, 11-20.1B, 11-20.3, 11-21, 11-22, 11-23, 11-24, 11-25, 11-26, 11-30, 12-2.6, 12-3.1, 12-4, 12-4.1, 12-4.2, 12-4.2-5, 12-4.3, 12-4.4, 12-4.5, 12-4.6, 12-4.7, 12-4.9, 12-5.01, 12-6, 12-6.2, 12-7.1, 12-7.3, 12-7.4, 12-7.5, 12-11, 12-13, 12-14, 12-14.1, 12-15, 12-16, 12-16.2, 12-21.5, 12-21.6, 12-33, 12C-5, 12C-10, 12C-20, 12C-30, 12C-45, 16-16, 16-16.1, 18-1, 18-2, 18-3, 18-4, 18-5, 19-6, 20-1, 20-1.1, 20-1.2, 20-1.3, 20-2, 24-1, 24-1.1, 24-1.2, 24-1.2-5, 24-1.6, 24-1.7, 24-2.1, 24-3.3, 24-3.5, 24-3.8, 24-3.9, 31A-1, 31A-1.1, 33A-2, and 33D-1, and in subsection (b) of Section 8-1, and in subdivisions (a)(1), (a)(2), (b)(1), (e)(1), (e)(2), (e)(3), (e)(4), and (f)(1) of Section 12-3.05, and in subsection (a) and subsection (b), clause (1), of Section 12-4, and in subsection (A), clauses (a) and (b), of Section 24-3, and those offenses contained in Article 29D of the Criminal Code of 1961 or the Criminal Code of 2012;

(i) those offenses defined in Sections 8-1.2, 9-1, 9-1.2, 9-2, 9-2.1, 9-3, 9-3.2, 9-3.3, 10-1, 10-2, 10-3.1, 10-4, 10-5, 10-5.1, 10-6, 10-7, 10-9, 11-1.20, 11-1.30, 11-1.40, HB0421 Enrolled - 147 - LRB099 05828 HAF 25872 b 11-1.50, 11-1.60, 11-6, 11-6.5, 11-6.6, 11-9, 11-9.1, 11-9.3, 11-9.4, 11-14, 11-14.1, 11-14.3, 11-14.4, 11-15, 11-15.1, 11-16, 11-17, 11-17.1, 11-18, 11-18.1, 11-19, 11-19.1, 11-19.2, 11-20, 11-20.1, 11-20.1B, 11-20.3, 11-21, 11-22, 11-23, 11-24, 11-25, 11-26, 11-30, 12-2.6, 12-3.1, 12-4, 12-4.1, 12-4.2, 12-4.2-5, 12-4.3, 12-4.4, 12-4.5, 12-4.6, 12-4.7, 12-4.9, 12-5.01, 12-6, 12-6.2, 12-7.1, 12-7.3, 12-7.4, 12-7.5, 12-11, 12-13, 12-14, 12-14.1, 12-15, 12-16, 12-16.2, 12-21.5, 12-21.6, 12-33, 12C-5, 12C-10, 12C-20, 12C-30, 12C-45, 16-16, 16-16.1, 18-1, 18-2, 18-3, 18-4, 18-5, 19-6, 20-1, 20-1.1, 20-1.2, 20-1.3, 20-2, 24-1, 24-1.1, 24-1.2, 24-1.2-5, 24-1.6, 24-1.7, 24-2.1, 24-3.3, 24-3.5, 24-3.8, 24-3.9, 31A-1, 31A-1.1, 33A-2, and 33D-1, and in subsection (b) of Section 8-1, and in subdivisions (a)(1), (a)(2), (b)(1), (e)(1), (e)(2), (e)(3), (e)(4), and (f)(1) of Section 12-3.05, and in subsection (a) and subsection (b), clause (1), of Section 12-4, and in subsection (A), clauses (a) and (b), of Section 24-3, and those offenses contained in Article 29D of the Criminal Code of 1961 or the Criminal Code of 2012;

(iv) those offenses defined in the Methamphetamine Control and Community HB0421 ~~Engrossed~~ - 148 - LRB099 05828 HAF 25872 b Protection Act;

(iv) those offenses defined in the Methamphetamine Control and Community HB0421 Enrolled - 148 - LRB099 05828 HAF 25872 b Protection Act;

consent, in writing, to the release of results of reasonable suspicion drug and alcohol testing under HB0421 ~~Engrossed~~ - 149 - LRB099 05828 HAF 25872 b Section 6-106.1c of this Code by the employer of the applicant to the Secretary of State.

consent, in writing, to the release of results of reasonable suspicion drug and alcohol testing under HB0421 Enrolled - 149 - LRB099 05828 HAF 25872 b Section 6-106.1c of this Code by the employer of the applicant to the Secretary of State.

The applicant shall present the certification to the Secretary of State at the time of HB0421 ~~Engrossed~~ - 150 - LRB099 05828 HAF 25872 b submitting the school bus driver permit application.

The applicant shall present the certification to the Secretary of State at the time of HB0421 Enrolled - 150 - LRB099 05828 HAF 25872 b submitting the school bus driver permit application.

Failure of the permit holder to provide the notification is punishable as a petty offense for a first violation and a Class B misdemeanor for a second or HB0421 ~~Engrossed~~ - 151 - LRB099 05828 HAF 25872 b subsequent violation.

Failure of the permit holder to provide the notification is punishable as a petty offense for a first violation and a Class B misdemeanor for a second or HB0421 Enrolled - 151 - LRB099 05828 HAF 25872 b subsequent violation.

(6) The Secretary of State shall suspend a school bus HB0421 ~~Engrossed~~ - 152 - LRB099 05828 HAF 25872 b driver permit for a period of 3 years upon receiving notice from the employer that the holder failed to perform the inspection procedure set forth in subsection (a) or (b) of Section 12-816 of this Code.

(6) The Secretary of State shall suspend a school bus HB0421 Enrolled - 152 - LRB099 05828 HAF 25872 b driver permit for a period of 3 years upon receiving notice from the employer that the holder failed to perform the inspection procedure set forth in subsection (a) or (b) of Section 12-816 of this Code.

The HB0421 ~~Engrossed~~ - 153 - LRB099 05828 HAF 25872 b permit holder's employer shall notify in writing to the Secretary of State that the employer has certified the removal of the offending school bus driver from service prior to the start of that school bus driver's next workshift.

The HB0421 Enrolled - 153 - LRB099 05828 HAF 25872 b permit holder's employer shall notify in writing to the Secretary of State that the employer has certified the removal of the offending school bus driver from service prior to the start of that school bus driver's next workshift.

(i) A school bus driver permit holder who is a service member returning from active duty must, within 90 days, renew a permit characterized as inactive pursuant to subsection (h) of HB0421 ~~Engrossed~~ - 154 - LRB099 05828 HAF 25872 b this Section by complying with the renewal requirements of subsection (b) of this Section.

(i) A school bus driver permit holder who is a service member returning from active duty must, within 90 days, renew a permit characterized as inactive pursuant to subsection (h) of HB0421 Enrolled - 154 - LRB099 05828 HAF 25872 b this Section by complying with the renewal requirements of subsection (b) of this Section.

(ii) a licensed physician assistant who has been delegated the performance of medical examinations by his or HB0421 ~~Engrossed~~ - 155 - LRB099 05828 HAF 25872 b her supervising physician;

(ii) a licensed physician assistant who has been delegated the performance of medical examinations by his or HB0421 Enrolled - 155 - LRB099 05828 HAF 25872 b her supervising physician;

(1) a practitioner (or, in his or her presence, by his or her authorized agent), HB0421 ~~Engrossed~~ - 156 - LRB099 05828 HAF 25872 b (2) the patient or research subject pursuant to an order, or (3) a euthanasia technician as defined by the Humane Euthanasia in Animal Shelters Act.

(1) a practitioner (or, in his or her presence, by his or her authorized agent), HB0421 Enrolled - 156 - LRB099 05828 HAF 25872 b (2) the patient or research subject pursuant to an order, or (3) a euthanasia technician as defined by the Humane Euthanasia in Animal Shelters Act.

(i) 3[beta],17-dihydroxy-5a-androstane, (ii) 3[alpha],17[beta]-dihydroxy-5a-androstane, (iii) 5[alpha]-androstan-3,17-dione, (iv) 1-androstenediol (3[beta], 17[beta]-dihydroxy-5[alpha]-androst-1-ene), (v) 1-androstenediol (3[alpha], 17[beta]-dihydroxy-5[alpha]-androst-1-ene), (vi) 4-androstenediol (3[beta],17[beta]-dihydroxy-androst-4-ene), (vii) 5-androstenediol (3[beta],17[beta]-dihydroxy-androst-5-ene), (viii) 1-androstenedione ([5alpha]-androst-1-en-3,17-dione), HB0421 ~~Engrossed~~ - 157 - LRB099 05828 HAF 25872 b (ix) 4-androstenedione (androst-4-en-3,17-dione), (x) 5-androstenedione (androst-5-en-3,17-dione), (xi) bolasterone (7[alpha],17a-dimethyl-17[beta]- hydroxyandrost-4-en-3-one), (xii) boldenone (17[beta]-hydroxyandrost- 1,4,-diene-3-one), (xiii) boldione (androsta-1,4- diene-3,17-dione), (xiv) calusterone (7[beta],17[alpha]-dimethyl-17 [beta]-hydroxyandrost-4-en-3-one), (xv) clostebol (4-chloro-17[beta]- hydroxyandrost-4-en-3-one), (xvi) dehydrochloromethyltestosterone (4-chloro- 17[beta]-hydroxy-17[alpha]-methyl- androst-1,4-dien-3-one), (xvii) desoxymethyltestosterone (17[alpha]-methyl-5[alpha] -androst-2-en-17[beta]-ol)(a.k.a., madol), (xviii) [delta]1-dihydrotestosterone (a.k.a.

(i) 3[beta],17-dihydroxy-5a-androstane, (ii) 3[alpha],17[beta]-dihydroxy-5a-androstane, (iii) 5[alpha]-androstan-3,17-dione, (iv) 1-androstenediol (3[beta], 17[beta]-dihydroxy-5[alpha]-androst-1-ene), (v) 1-androstenediol (3[alpha], 17[beta]-dihydroxy-5[alpha]-androst-1-ene), (vi) 4-androstenediol (3[beta],17[beta]-dihydroxy-androst-4-ene), (vii) 5-androstenediol (3[beta],17[beta]-dihydroxy-androst-5-ene), (viii) 1-androstenedione ([5alpha]-androst-1-en-3,17-dione), HB0421 Enrolled - 157 - LRB099 05828 HAF 25872 b (ix) 4-androstenedione (androst-4-en-3,17-dione), (x) 5-androstenedione (androst-5-en-3,17-dione), (xi) bolasterone (7[alpha],17a-dimethyl-17[beta]- hydroxyandrost-4-en-3-one), (xii) boldenone (17[beta]-hydroxyandrost- 1,4,-diene-3-one), (xiii) boldione (androsta-1,4- diene-3,17-dione), (xiv) calusterone (7[beta],17[alpha]-dimethyl-17 [beta]-hydroxyandrost-4-en-3-one), (xv) clostebol (4-chloro-17[beta]- hydroxyandrost-4-en-3-one), (xvi) dehydrochloromethyltestosterone (4-chloro- 17[beta]-hydroxy-17[alpha]-methyl- androst-1,4-dien-3-one), (xvii) desoxymethyltestosterone (17[alpha]-methyl-5[alpha] -androst-2-en-17[beta]-ol)(a.k.a., madol), (xviii) [delta]1-dihydrotestosterone (a.k.a.

'1-testosterone') (17[beta]-hydroxy- 5[alpha]-androst-1-en-3-one), (xix) 4-dihydrotestosterone (17[beta]-hydroxy- androstan-3-one), (xx) drostanolone (17[beta]-hydroxy-2[alpha]-methyl- HB0421 ~~Engrossed~~ - 158 - LRB099 05828 HAF 25872 b 5[alpha]-androstan-3-one), (xxi) ethylestrenol (17[alpha]-ethyl-17[beta]- hydroxyestr-4-ene), (xxii) fluoxymesterone (9-fluoro-17[alpha]-methyl- 1[beta],17[beta]-dihydroxyandrost-4-en-3-one), (xxiii) formebolone (2-formyl-17[alpha]-methyl-11[alpha], 17[beta]-dihydroxyandrost-1,4-dien-3-one), (xxiv) furazabol (17[alpha]-methyl-17[beta]- hydroxyandrostano[2,3-c]-furazan), (xxv) 13[beta]-ethyl-17[beta]-hydroxygon-4-en-3-one) (xxvi) 4-hydroxytestosterone (4,17[beta]-dihydroxy- androst-4-en-3-one), (xxvii) 4-hydroxy-19-nortestosterone (4,17[beta]- dihydroxy-estr-4-en-3-one), (xxviii) mestanolone (17[alpha]-methyl-17[beta]- hydroxy-5-androstan-3-one), (xxix) mesterolone (1amethyl-17[beta]-hydroxy- [5a]-androstan-3-one), (xxx) methandienone (17[alpha]-methyl-17[beta]- hydroxyandrost-1,4-dien-3-one), (xxxi) methandriol (17[alpha]-methyl-3[beta],17[beta]- dihydroxyandrost-5-ene), (xxxii) methenolone (1-methyl-17[beta]-hydroxy- 5[alpha]-androst-1-en-3-one), (xxxiii) 17[alpha]-methyl-3[beta], 17[beta]- dihydroxy-5a-androstane), HB0421 ~~Engrossed~~ - 159 - LRB099 05828 HAF 25872 b (xxxiv) 17[alpha]-methyl-3[alpha],17[beta]-dihydroxy -5a-androstane), (xxxv) 17[alpha]-methyl-3[beta],17[beta]- dihydroxyandrost-4-ene), (xxxvi) 17[alpha]-methyl-4-hydroxynandrolone (17[alpha]- methyl-4-hydroxy-17[beta]-hydroxyestr-4-en-3-one), (xxxvii) methyldienolone (17[alpha]-methyl-17[beta]- hydroxyestra-4,9(10)-dien-3-one), (xxxviii) methyltrienolone (17[alpha]-methyl-17[beta]- hydroxyestra-4,9-11-trien-3-one), (xxxix) methyltestosterone (17[alpha]-methyl-17[beta]- hydroxyandrost-4-en-3-one), (xl) mibolerone (7[alpha],17a-dimethyl-17[beta]- hydroxyestr-4-en-3-one), (xli) 17[alpha]-methyl-[delta]1-dihydrotestosterone (17b[beta]-hydroxy-17[alpha]-methyl-5[alpha]- androst-1-en-3-one)(a.k.a.

'1-testosterone') (17[beta]-hydroxy- 5[alpha]-androst-1-en-3-one), (xix) 4-dihydrotestosterone (17[beta]-hydroxy- androstan-3-one), (xx) drostanolone (17[beta]-hydroxy-2[alpha]-methyl- HB0421 Enrolled - 158 - LRB099 05828 HAF 25872 b 5[alpha]-androstan-3-one), (xxi) ethylestrenol (17[alpha]-ethyl-17[beta]- hydroxyestr-4-ene), (xxii) fluoxymesterone (9-fluoro-17[alpha]-methyl- 1[beta],17[beta]-dihydroxyandrost-4-en-3-one), (xxiii) formebolone (2-formyl-17[alpha]-methyl-11[alpha], 17[beta]-dihydroxyandrost-1,4-dien-3-one), (xxiv) furazabol (17[alpha]-methyl-17[beta]- hydroxyandrostano[2,3-c]-furazan), (xxv) 13[beta]-ethyl-17[beta]-hydroxygon-4-en-3-one) (xxvi) 4-hydroxytestosterone (4,17[beta]-dihydroxy- androst-4-en-3-one), (xxvii) 4-hydroxy-19-nortestosterone (4,17[beta]- dihydroxy-estr-4-en-3-one), (xxviii) mestanolone (17[alpha]-methyl-17[beta]- hydroxy-5-androstan-3-one), (xxix) mesterolone (1amethyl-17[beta]-hydroxy- [5a]-androstan-3-one), (xxx) methandienone (17[alpha]-methyl-17[beta]- hydroxyandrost-1,4-dien-3-one), (xxxi) methandriol (17[alpha]-methyl-3[beta],17[beta]- dihydroxyandrost-5-ene), (xxxii) methenolone (1-methyl-17[beta]-hydroxy- 5[alpha]-androst-1-en-3-one), (xxxiii) 17[alpha]-methyl-3[beta], 17[beta]- dihydroxy-5a-androstane), HB0421 Enrolled - 159 - LRB099 05828 HAF 25872 b (xxxiv) 17[alpha]-methyl-3[alpha],17[beta]-dihydroxy -5a-androstane), (xxxv) 17[alpha]-methyl-3[beta],17[beta]- dihydroxyandrost-4-ene), (xxxvi) 17[alpha]-methyl-4-hydroxynandrolone (17[alpha]- methyl-4-hydroxy-17[beta]-hydroxyestr-4-en-3-one), (xxxvii) methyldienolone (17[alpha]-methyl-17[beta]- hydroxyestra-4,9(10)-dien-3-one), (xxxviii) methyltrienolone (17[alpha]-methyl-17[beta]- hydroxyestra-4,9-11-trien-3-one), (xxxix) methyltestosterone (17[alpha]-methyl-17[beta]- hydroxyandrost-4-en-3-one), (xl) mibolerone (7[alpha],17a-dimethyl-17[beta]- hydroxyestr-4-en-3-one), (xli) 17[alpha]-methyl-[delta]1-dihydrotestosterone (17b[beta]-hydroxy-17[alpha]-methyl-5[alpha]- androst-1-en-3-one)(a.k.a.

'17-[alpha]-methyl- 1-testosterone'), (xlii) nandrolone (17[beta]-hydroxyestr-4-en-3-one), (xliii) 19-nor-4-androstenediol (3[beta], 17[beta]- dihydroxyestr-4-ene), (xliv) 19-nor-4-androstenediol (3[alpha], 17[beta]- dihydroxyestr-4-ene), (xlv) 19-nor-5-androstenediol (3[beta], 17[beta]- dihydroxyestr-5-ene), (xlvi) 19-nor-5-androstenediol (3[alpha], 17[beta]- HB0421 ~~Engrossed~~ - 160 - LRB099 05828 HAF 25872 b dihydroxyestr-5-ene), (xlvii) 19-nor-4,9(10)-androstadienedione (estra-4,9(10)-diene-3,17-dione), (xlviii) 19-nor-4-androstenedione (estr-4- en-3,17-dione), (xlix) 19-nor-5-androstenedione (estr-5- en-3,17-dione), (l) norbolethone (13[beta], 17a-diethyl-17[beta]- hydroxygon-4-en-3-one), (li) norclostebol (4-chloro-17[beta]- hydroxyestr-4-en-3-one), (lii) norethandrolone (17[alpha]-ethyl-17[beta]- hydroxyestr-4-en-3-one), (liii) normethandrolone (17[alpha]-methyl-17[beta]- hydroxyestr-4-en-3-one), (liv) oxandrolone (17[alpha]-methyl-17[beta]-hydroxy- 2-oxa-5[alpha]-androstan-3-one), (lv) oxymesterone (17[alpha]-methyl-4,17[beta]- dihydroxyandrost-4-en-3-one), (lvi) oxymetholone (17[alpha]-methyl-2-hydroxymethylene- 17[beta]-hydroxy-(5[alpha]-androstan-3-one), (lvii) stanozolol (17[alpha]-methyl-17[beta]-hydroxy- (5[alpha]-androst-2-eno[3,2-c]-pyrazole), (lviii) stenbolone (17[beta]-hydroxy-2-methyl- (5[alpha]-androst-1-en-3-one), (lix) testolactone (13-hydroxy-3-oxo-13,17- HB0421 ~~Engrossed~~ - 161 - LRB099 05828 HAF 25872 b secoandrosta-1,4-dien-17-oic acid lactone), (lx) testosterone (17[beta]-hydroxyandrost- 4-en-3-one), (lxi) tetrahydrogestrinone (13[beta], 17[alpha]- diethyl-17[beta]-hydroxygon- 4,9,11-trien-3-one), (lxii) trenbolone (17[beta]-hydroxyestr-4,9, 11-trien-3-one).

'17-[alpha]-methyl- 1-testosterone'), (xlii) nandrolone (17[beta]-hydroxyestr-4-en-3-one), (xliii) 19-nor-4-androstenediol (3[beta], 17[beta]- dihydroxyestr-4-ene), (xliv) 19-nor-4-androstenediol (3[alpha], 17[beta]- dihydroxyestr-4-ene), (xlv) 19-nor-5-androstenediol (3[beta], 17[beta]- dihydroxyestr-5-ene), (xlvi) 19-nor-5-androstenediol (3[alpha], 17[beta]- HB0421 Enrolled - 160 - LRB099 05828 HAF 25872 b dihydroxyestr-5-ene), (xlvii) 19-nor-4,9(10)-androstadienedione (estra-4,9(10)-diene-3,17-dione), (xlviii) 19-nor-4-androstenedione (estr-4- en-3,17-dione), (xlix) 19-nor-5-androstenedione (estr-5- en-3,17-dione), (l) norbolethone (13[beta], 17a-diethyl-17[beta]- hydroxygon-4-en-3-one), (li) norclostebol (4-chloro-17[beta]- hydroxyestr-4-en-3-one), (lii) norethandrolone (17[alpha]-ethyl-17[beta]- hydroxyestr-4-en-3-one), (liii) normethandrolone (17[alpha]-methyl-17[beta]- hydroxyestr-4-en-3-one), (liv) oxandrolone (17[alpha]-methyl-17[beta]-hydroxy- 2-oxa-5[alpha]-androstan-3-one), (lv) oxymesterone (17[alpha]-methyl-4,17[beta]- dihydroxyandrost-4-en-3-one), (lvi) oxymetholone (17[alpha]-methyl-2-hydroxymethylene- 17[beta]-hydroxy-(5[alpha]-androstan-3-one), (lvii) stanozolol (17[alpha]-methyl-17[beta]-hydroxy- (5[alpha]-androst-2-eno[3,2-c]-pyrazole), (lviii) stenbolone (17[beta]-hydroxy-2-methyl- (5[alpha]-androst-1-en-3-one), (lix) testolactone (13-hydroxy-3-oxo-13,17- HB0421 Enrolled - 161 - LRB099 05828 HAF 25872 b secoandrosta-1,4-dien-17-oic acid lactone), (lx) testosterone (17[beta]-hydroxyandrost- 4-en-3-one), (lxi) tetrahydrogestrinone (13[beta], 17[alpha]- diethyl-17[beta]-hydroxygon- 4,9,11-trien-3-one), (lxii) trenbolone (17[beta]-hydroxyestr-4,9, 11-trien-3-one).

(d-5) "Clinical Director, Prescription Monitoring Program" HB0421 ~~Engrossed~~ - 162 - LRB099 05828 HAF 25872 b means a Department of Human Services administrative employee licensed to either prescribe or dispense controlled substances who shall run the clinical aspects of the Department of Human Services Prescription Monitoring Program and its Prescription Information Library.

(d-5) "Clinical Director, Prescription Monitoring Program" HB0421 Enrolled - 162 - LRB099 05828 HAF 25872 b means a Department of Human Services administrative employee licensed to either prescribe or dispense controlled substances who shall run the clinical aspects of the Department of Human Services Prescription Monitoring Program and its Prescription Information Library.

(f) "Controlled Substance" means (i) a drug, substance, or immediate precursor in the Schedules of Article II of this Act HB0421 ~~Engrossed~~ - 163 - LRB099 05828 HAF 25872 b or (ii) a drug or other substance, or immediate precursor, designated as a controlled substance by the Department through administrative rule.

(f) "Controlled Substance" means (i) a drug, substance, or immediate precursor in the Schedules of Article II of this Act HB0421 Enrolled - 163 - LRB099 05828 HAF 25872 b or (ii) a drug or other substance, or immediate precursor, designated as a controlled substance by the Department through administrative rule.

(g) "Counterfeit substance" means a controlled substance, which, or the container or labeling of which, without authorization bears the trademark, trade name, or other HB0421 ~~Engrossed~~ - 164 - LRB099 05828 HAF 25872 b identifying mark, imprint, number or device, or any likeness thereof, of a manufacturer, distributor, or dispenser other than the person who in fact manufactured, distributed, or dispensed the substance.

(g) "Counterfeit substance" means a controlled substance, which, or the container or labeling of which, without authorization bears the trademark, trade name, or other HB0421 Enrolled - 164 - LRB099 05828 HAF 25872 b identifying mark, imprint, number or device, or any likeness thereof, of a manufacturer, distributor, or dispenser other than the person who in fact manufactured, distributed, or dispensed the substance.

HB0421 ~~Engrossed~~ - 165 - LRB099 05828 HAF 25872 b (n) (Blank).

HB0421 Enrolled - 165 - LRB099 05828 HAF 25872 b (n) (Blank).

(t-5) "Euthanasia agency" means an entity certified by the Department of Financial and Professional Regulation for the purpose of animal euthanasia that holds an animal control HB0421 ~~Engrossed~~ - 166 - LRB099 05828 HAF 25872 b facility license or animal shelter license under the Animal Welfare Act.

(t-5) "Euthanasia agency" means an entity certified by the Department of Financial and Professional Regulation for the purpose of animal euthanasia that holds an animal control HB0421 Enrolled - 166 - LRB099 05828 HAF 25872 b facility license or animal shelter license under the Animal Welfare Act.

(1) lack of consistency of prescriber-patient relationship, (2) frequency of prescriptions for same drug by one prescriber for large numbers of patients, (3) quantities beyond those normally prescribed, (4) unusual dosages (recognizing that there may be HB0421 ~~Engrossed~~ - 167 - LRB099 05828 HAF 25872 b clinical circumstances where more or less than the usual dose may be used legitimately), (5) unusual geographic distances between patient, pharmacist and prescriber, (6) consistent prescribing of habit-forming drugs.

(1) lack of consistency of prescriber-patient relationship, (2) frequency of prescriptions for same drug by one prescriber for large numbers of patients, (3) quantities beyond those normally prescribed, (4) unusual dosages (recognizing that there may be HB0421 Enrolled - 167 - LRB099 05828 HAF 25872 b clinical circumstances where more or less than the usual dose may be used legitimately), (5) unusual geographic distances between patient, pharmacist and prescriber, (6) consistent prescribing of habit-forming drugs.

HB0421 ~~Engrossed~~ - 168 - LRB099 05828 HAF 25872 b (w) "Instructional activities" means the acts of teaching, educating or instructing by practitioners using controlled substances within educational facilities approved by the State Board of Education or its successor agency.

HB0421 Enrolled - 168 - LRB099 05828 HAF 25872 b (w) "Instructional activities" means the acts of teaching, educating or instructing by practitioners using controlled substances within educational facilities approved by the State Board of Education or its successor agency.

HB0421 ~~Engrossed~~ - 169 - LRB099 05828 HAF 25872 b (c) whether the substance is packaged in a manner normally used for the illegal distribution of controlled substances;

HB0421 Enrolled - 169 - LRB099 05828 HAF 25872 b (c) whether the substance is packaged in a manner normally used for the illegal distribution of controlled substances;

(y-1) "Mail-order pharmacy" means a pharmacy that is located in a state of the United States that delivers, HB0421 ~~Engrossed~~ - 170 - LRB099 05828 HAF 25872 b dispenses or distributes, through the United States Postal Service or other common carrier, to Illinois residents, any substance which requires a prescription.

(y-1) "Mail-order pharmacy" means a pharmacy that is located in a state of the United States that delivers, HB0421 Enrolled - 170 - LRB099 05828 HAF 25872 b dispenses or distributes, through the United States Postal Service or other common carrier, to Illinois residents, any substance which requires a prescription.

HB0421 ~~Engrossed~~ - 171 - LRB099 05828 HAF 25872 b (z-10) "Mid-level practitioner" means (i) a physician assistant who has been delegated authority to prescribe through a written delegation of authority by a physician licensed to practice medicine in all of its branches, in accordance with Section 7.5 of the Physician Assistant Practice Act of 1987, (ii) an advanced practice nurse who has been delegated authority to prescribe through a written delegation of authority by a physician licensed to practice medicine in all of its branches or by a podiatric physician, in accordance with Section 65-40 of the Nurse Practice Act, (iii) an advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act, (iv) an animal euthanasia agency, or (v) (iv) a prescribing psychologist.

HB0421 Enrolled - 171 - LRB099 05828 HAF 25872 b (z-10) "Mid-level practitioner" means (i) a physician assistant who has been delegated authority to prescribe through a written delegation of authority by a physician licensed to practice medicine in all of its branches, in accordance with Section 7.5 of the Physician Assistant Practice Act of 1987, (ii) an advanced practice nurse who has been delegated authority to prescribe through a written delegation of authority by a physician licensed to practice medicine in all of its branches or by a podiatric physician, in accordance with Section 65-40 of the Nurse Practice Act, (iii) an advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act, (iv) an animal euthanasia agency, or (v) (iv) a prescribing psychologist.

however the term "narcotic drug" does not include the isoquinoline HB0421 ~~Engrossed~~ - 172 - LRB099 05828 HAF 25872 b alkaloids of opium;

however the term "narcotic drug" does not include the isoquinoline HB0421 Enrolled - 172 - LRB099 05828 HAF 25872 b alkaloids of opium;

(ee-5) "Oral dosage" means a tablet, capsule, elixir, or solution or other liquid form of medication intended for administration by mouth, but the term does not include a form HB0421 ~~Engrossed~~ - 173 - LRB099 05828 HAF 25872 b of medication intended for buccal, sublingual, or transmucosal administration.

(ee-5) "Oral dosage" means a tablet, capsule, elixir, or solution or other liquid form of medication intended for administration by mouth, but the term does not include a form HB0421 Enrolled - 173 - LRB099 05828 HAF 25872 b of medication intended for buccal, sublingual, or transmucosal administration.

(kk) "Practitioner" means a physician licensed to practice medicine in all its branches, dentist, optometrist, podiatric physician, veterinarian, scientific investigator, pharmacist, physician assistant, advanced practice nurse, licensed HB0421 ~~Engrossed~~ - 174 - LRB099 05828 HAF 25872 b practical nurse, registered nurse, hospital, laboratory, or pharmacy, or other person licensed, registered, or otherwise lawfully permitted by the United States or this State to distribute, dispense, conduct research with respect to, administer or use in teaching or chemical analysis, a controlled substance in the course of professional practice or research.

(kk) "Practitioner" means a physician licensed to practice medicine in all its branches, dentist, optometrist, podiatric physician, veterinarian, scientific investigator, pharmacist, physician assistant, advanced practice nurse, licensed HB0421 Enrolled - 174 - LRB099 05828 HAF 25872 b practical nurse, registered nurse, hospital, laboratory, or pharmacy, or other person licensed, registered, or otherwise lawfully permitted by the United States or this State to distribute, dispense, conduct research with respect to, administer or use in teaching or chemical analysis, a controlled substance in the course of professional practice or research.

(mm) "Prescriber" means a physician licensed to practice medicine in all its branches, dentist, optometrist, prescribing psychologist licensed under Section 4.2 of the Clinical Psychologist Licensing Act with prescriptive authority delegated under Section 4.3 of the Clinical Psychologist Licensing Act, podiatric physician, or veterinarian who issues a prescription, a physician assistant who issues a prescription for a controlled substance in accordance with Section 303.05, a written delegation, and a written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987, or an advanced practice nurse with prescriptive authority delegated under Section 65-40 of the Nurse Practice Act and in accordance with Section 303.05, a written delegation, and a written HB0421 ~~Engrossed~~ - 175 - LRB099 05828 HAF 25872 b collaborative agreement under Section 65-35 of the Nurse Practice Act, or an advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act and in accordance with Section 303.05.

(mm) "Prescriber" means a physician licensed to practice medicine in all its branches, dentist, optometrist, prescribing psychologist licensed under Section 4.2 of the Clinical Psychologist Licensing Act with prescriptive authority delegated under Section 4.3 of the Clinical Psychologist Licensing Act, podiatric physician, or veterinarian who issues a prescription, a physician assistant who issues a prescription for a controlled substance in accordance with Section 303.05, a written delegation, and a written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987, or an advanced practice nurse with prescriptive authority delegated under Section 65-40 of the Nurse Practice Act and in accordance with Section 303.05, a written delegation, and a written HB0421 Enrolled - 175 - LRB099 05828 HAF 25872 b collaborative agreement under Section 65-35 of the Nurse Practice Act, or an advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act and in accordance with Section 303.05.

(nn) "Prescription" means a written, facsimile, or oral order, or an electronic order that complies with applicable federal requirements, of a physician licensed to practice medicine in all its branches, dentist, podiatric physician or veterinarian for any controlled substance, of an optometrist for a Schedule II, III, IV, or V controlled substance in accordance with Section 15.1 of the Illinois Optometric Practice Act of 1987, of a prescribing psychologist licensed under Section 4.2 of the Clinical Psychologist Licensing Act with prescriptive authority delegated under Section 4.3 of the Clinical Psychologist Licensing Act, of a physician assistant for a controlled substance in accordance with Section 303.05, a written delegation, and a written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987, or of an advanced practice nurse with prescriptive authority delegated under Section 65-40 of the Nurse Practice Act who issues a prescription for a controlled substance in accordance with Section 303.05, a written delegation, and a written collaborative agreement under Section 65-35 of the Nurse Practice Act, or of an advanced practice nurse certified HB0421 ~~Engrossed~~ - 176 - LRB099 05828 HAF 25872 b as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act and in accordance with Section 303.05 when required by law.

(nn) "Prescription" means a written, facsimile, or oral order, or an electronic order that complies with applicable federal requirements, of a physician licensed to practice medicine in all its branches, dentist, podiatric physician or veterinarian for any controlled substance, of an optometrist for a Schedule II, III, IV, or V controlled substance in accordance with Section 15.1 of the Illinois Optometric Practice Act of 1987, of a prescribing psychologist licensed under Section 4.2 of the Clinical Psychologist Licensing Act with prescriptive authority delegated under Section 4.3 of the Clinical Psychologist Licensing Act, of a physician assistant for a controlled substance in accordance with Section 303.05, a written delegation, and a written supervision agreement required under Section 7.5 of the Physician Assistant Practice Act of 1987, or of an advanced practice nurse with prescriptive authority delegated under Section 65-40 of the Nurse Practice Act who issues a prescription for a controlled substance in accordance with Section 303.05, a written delegation, and a written collaborative agreement under Section 65-35 of the Nurse Practice Act, or of an advanced practice nurse certified HB0421 Enrolled - 176 - LRB099 05828 HAF 25872 b as a nurse practitioner, nurse midwife, or clinical nurse specialist who has been granted authority to prescribe by a hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act and in accordance with Section 303.05 when required by law.

(rr) "State" includes the State of Illinois and any state, district, commonwealth, territory, insular possession thereof, and any area subject to the legal authority of the United HB0421 ~~Engrossed~~ - 177 - LRB099 05828 HAF 25872 b States of America.

(rr) "State" includes the State of Illinois and any state, district, commonwealth, territory, insular possession thereof, and any area subject to the legal authority of the United HB0421 Enrolled - 177 - LRB099 05828 HAF 25872 b States of America.

(a) The Department of Financial and Professional Regulation shall register licensed physician assistants, licensed advanced practice nurses, and prescribing psychologists licensed under Section 4.2 of the Clinical Psychologist Licensing Act to prescribe and dispense controlled substances under Section 303 and euthanasia agencies to purchase, store, or administer animal euthanasia HB0421 ~~Engrossed~~ - 178 - LRB099 05828 HAF 25872 b drugs under the following circumstances:

(a) The Department of Financial and Professional Regulation shall register licensed physician assistants, licensed advanced practice nurses, and prescribing psychologists licensed under Section 4.2 of the Clinical Psychologist Licensing Act to prescribe and dispense controlled substances under Section 303 and euthanasia agencies to purchase, store, or administer animal euthanasia HB0421 Enrolled - 178 - LRB099 05828 HAF 25872 b drugs under the following circumstances:

HB0421 ~~Engrossed~~ - 179 - LRB099 05828 HAF 25872 b (ii) any delegation must be of controlled substances prescribed by the supervising physician;

HB0421 Enrolled - 179 - LRB099 05828 HAF 25872 b (ii) any delegation must be of controlled substances prescribed by the supervising physician;

HB0421 ~~Engrossed~~ - 180 - LRB099 05828 HAF 25872 b (2) with respect to advanced practice nurses, (A) the advanced practice nurse has been delegated authority to prescribe any Schedule III through V controlled substances by a collaborating physician licensed to practice medicine in all its branches or a collaborating podiatric physician in accordance with Section 65-40 of the Nurse Practice Act.

HB0421 Enrolled - 180 - LRB099 05828 HAF 25872 b (2) with respect to advanced practice nurses, (A) the advanced practice nurse has been delegated authority to prescribe any Schedule III through V controlled substances by a collaborating physician licensed to practice medicine in all its branches or a collaborating podiatric physician in accordance with Section 65-40 of the Nurse Practice Act.

Schedule II controlled substances to be delivered by injection or other route of administration may HB0421 ~~Engrossed~~ - 181 - LRB099 05828 HAF 25872 b not be delegated;

Schedule II controlled substances to be delivered by injection or other route of administration may HB0421 Enrolled - 181 - LRB099 05828 HAF 25872 b not be delegated;

HB0421 ~~Engrossed~~ - 182 - LRB099 05828 HAF 25872 b (2.5) with respect to advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate, (A) the advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist has been granted authority to prescribe any Schedule II through V controlled substances by the hospital affiliate upon the recommendation of the appropriate physician committee of the hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act, has completed the appropriate application forms, and has paid the required fees as set by rule;

HB0421 Enrolled - 182 - LRB099 05828 HAF 25872 b (2.5) with respect to advanced practice nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate, (A) the advanced practice nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist has been granted authority to prescribe any Schedule II through V controlled substances by the hospital affiliate upon the recommendation of the appropriate physician committee of the hospital affiliate in accordance with Section 65-45 of the Nurse Practice Act, has completed the appropriate application forms, and has paid the required fees as set by rule;

(i) specific Schedule II controlled substances by oral dosage or topical or transdermal application may be designated, provided that the designated Schedule II controlled substances are routinely prescribed by advanced practice nurses HB0421 ~~Engrossed~~ - 183 - LRB099 05828 HAF 25872 b in their area of certification;

(i) specific Schedule II controlled substances by oral dosage or topical or transdermal application may be designated, provided that the designated Schedule II controlled substances are routinely prescribed by advanced practice nurses HB0421 Enrolled - 183 - LRB099 05828 HAF 25872 b in their area of certification;

or (4) with respect to prescribing psychologists, the prescribing psychologist has been delegated authority to prescribe any nonnarcotic Schedule III through V HB0421 ~~Engrossed~~ - 184 - LRB099 05828 HAF 25872 b controlled substances by a collaborating physician licensed to practice medicine in all its branches in accordance with Section 4.3 of the Clinical Psychologist Licensing Act, and the prescribing psychologist has completed the appropriate application forms and has paid the required fees as set by rule.

or (4) with respect to prescribing psychologists, the prescribing psychologist has been delegated authority to prescribe any nonnarcotic Schedule III through V HB0421 Enrolled - 184 - LRB099 05828 HAF 25872 b controlled substances by a collaborating physician licensed to practice medicine in all its branches in accordance with Section 4.3 of the Clinical Psychologist Licensing Act, and the prescribing psychologist has completed the appropriate application forms and has paid the required fees as set by rule.

(e) A supervising physician may, but is not required to, HB0421 ~~Engrossed~~ - 185 - LRB099 05828 HAF 25872 b delegate prescriptive authority to a physician assistant as part of a written supervision agreement, and the delegation of prescriptive authority shall conform to the requirements of Section 7.5 of the Physician Assistant Practice Act of 1987.

(e) A supervising physician may, but is not required to, HB0421 Enrolled - 185 - LRB099 05828 HAF 25872 b delegate prescriptive authority to a physician assistant as part of a written supervision agreement, and the delegation of prescriptive authority shall conform to the requirements of Section 7.5 of the Physician Assistant Practice Act of 1987.

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Action History

July 29, 2015
Public Act . . . . . . . . . 99-0173
July 29, 2015
Effective Date July 29, 2015
July 29, 2015
Governor Approved
June 19, 2015
Sent to the Governor
May 21, 2015
Passed Both Houses
May 21, 2015
Third Reading - Passed; 058-000-000
May 19, 2015
Placed on Calendar Order of 3rd Reading May 20, 2015
May 19, 2015
Second Reading
May 13, 2015
Added as Alternate Co-Sponsor Sen. Julie A. Morrison
May 13, 2015
Added as Alternate Co-Sponsor Sen. Jason A. Barickman
May 12, 2015
Added as Alternate Co-Sponsor Sen. Kyle McCarter
May 07, 2015
Placed on Calendar Order of 2nd Reading May 12, 2015
May 07, 2015
Do Pass Licensed Activities and Pensions; 007-000-000
May 05, 2015
Added as Alternate Co-Sponsor Sen. Emil Jones, III
May 05, 2015
Added as Alternate Co-Sponsor Sen. William R. Haine
May 05, 2015
Added as Alternate Chief Co-Sponsor Sen. Iris Y. Martinez
May 05, 2015
Added as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
May 04, 2015
Sponsor Removed Sen. William Delgado
April 29, 2015
Assigned to Licensed Activities and Pensions
April 28, 2015
Added as Alternate Co-Sponsor Sen. William Delgado
April 28, 2015
Added as Alternate Co-Sponsor Sen. Melinda Bush
April 28, 2015
Referred to Assignments
April 28, 2015
First Reading
April 23, 2015
Added as Alternate Chief Co-Sponsor Sen. Terry Link
April 23, 2015
Added as Alternate Chief Co-Sponsor Sen. Dan Kotowski
April 23, 2015
Chief Senate Sponsor Sen. Heather A. Steans
April 23, 2015
Placed on Calendar Order of First Reading
April 23, 2015
Arrive in Senate
April 23, 2015
Added Co-Sponsor Rep. Linda Chapa LaVia
April 23, 2015
Added Co-Sponsor Rep. Carol Sente
April 23, 2015
Added Co-Sponsor Rep. Carol Ammons
April 23, 2015
Added Co-Sponsor Rep. Jack D. Franks
April 23, 2015
Third Reading - Short Debate - Passed 114-000-002
April 22, 2015
Placed on Calendar Order of 3rd Reading - Short Debate
April 22, 2015
House Floor Amendment No. 2 Adopted
April 22, 2015
Second Reading - Short Debate
April 21, 2015
House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 011-000-000
April 21, 2015
House Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee
April 20, 2015
House Floor Amendment No. 2 Referred to Rules Committee
April 20, 2015
House Floor Amendment No. 2 Filed with Clerk by Rep. Sara Feigenholtz
April 16, 2015
Added Co-Sponsor Rep. Robyn Gabel
March 25, 2015
Placed on Calendar 2nd Reading - Short Debate
March 25, 2015
Do Pass as Amended / Short Debate Health Care Licenses Committee; 011-000-000
March 25, 2015
House Committee Amendment No. 1 Adopted in Health Care Licenses Committee; by Voice Vote
March 23, 2015
House Committee Amendment No. 1 Rules Refers to Health Care Licenses Committee
March 19, 2015
House Committee Amendment No. 1 Referred to Rules Committee
March 19, 2015
House Committee Amendment No. 1 Filed with Clerk by Rep. Sara Feigenholtz
February 19, 2015
Added Co-Sponsor Rep. Mary E. Flowers
February 19, 2015
Added Co-Sponsor Rep. John Bradley
February 13, 2015
Assigned to Health Care Licenses Committee
February 04, 2015
Added Co-Sponsor Rep. Kelly M. Cassidy
January 30, 2015
Referred to Rules Committee
January 30, 2015
First Reading
January 28, 2015
Filed with the Clerk by Rep. Sara Feigenholtz

Sponsorship breakdown

Export CSV (upgrade) →

0 sponsors · 7 co-sponsors · 176 not signed on

Sponsors (0)

None.

Co-sponsors (7)

Sara Feigenholtz Democrat
Melinda Bush
William R. Haine
Emil Jones, III Democrat
Kyle McCarter
Jason A. Barickman
Julie A. Morrison Democrat

Not signed on (176)

176 members have not signed on to this bill.

Show all 176 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

May 21, 2015

Passed 58 Yea · 0 Nay · 1 Other

Party	Yea	Nay	Present	Not Voting
Unaffiliated	41	0	0	1
Republican	4	0	0	0
Democrat	13	0	0	0
Total	58	0	0	1
% of votes cast	98%	0%	0%	2%

How each member voted (59)

Member	Party	Vote
Sandoval	—	Not Voting
LaHood	—	Yea
Landek	—	Yea
Kotowski	—	Yea
Althoff	—	Yea
Barickman	—	Yea
Bertino-Tarrant	—	Yea
Biss	—	Yea
Bivins	—	Yea
Bush	—	Yea
McCarter	—	Yea
Link	—	Yea
Luechtefeld	—	Yea
Manar	—	Yea
Cullerton, T.	—	Yea
Cullerton	—	Yea
Nybo	—	Yea
Oberweis	—	Yea
Connelly	—	Yea
Martinez	—	Yea
McCann	—	Yea
McConnaughay	—	Yea
Mulroe	—	Yea
Muñoz	—	Yea
Bennett	—	Yea
Harris	—	Yea
Silverstein	—	Yea
McGuire	—	Yea
Steans	—	Yea
Brady	—	Yea
Sullivan	—	Yea
Trotter	—	Yea
Clayborne	—	Yea
Duffy	—	Yea
Forby	—	Yea
Haine	—	Yea
Hutchinson	—	Yea
Noland	—	Yea
Radogno	—	Yea
Raoul	—	Yea
Righter	—	Yea
Van Pelt	—	Yea
Bill Cunningham	Democrat	Yea
David Koehler	Democrat	Yea
Don Harmon	Democrat	Yea
Emil Jones, III	Democrat	Yea
Eva-Dina Delgado	Democrat	Yea
Julie A. Morrison	Democrat	Yea
Kimberly A. Lightford	Democrat	Yea
Lakesia Collins	Democrat	Yea
Laura M. Murphy	Democrat	Yea
Linda Holmes	Democrat	Yea
Mattie Hunter	Democrat	Yea
Michael E. Hastings	Democrat	Yea
Steve Stadelman	Democrat	Yea
Chapin Rose	Republican	Yea
Dave Syverson	Republican	Yea
Neil Anderson	Republican	Yea
Sue Rezin	Republican	Yea

Official roll call →

Third Reading

April 23, 2015

Passed 114 Yea · 0 Nay · 4 Other

Party	Yea	Nay	Present	Not Voting
Unaffiliated	80	0	0	4
Democrat	28	0	0	0
Republican	6	0	0	0
Total	114	0	0	4
% of votes cast	97%	0%	0%	3%

How each member voted (118)

Member	Party	Vote
Sandack	—	Yea
Sommer	—	Yea
Tabares	—	Yea
Unes	—	Not Voting
Winger	—	Yea
Lang	—	Yea
Acevedo	—	Yea
Andersson	—	Yea
Anthony	—	Yea
Arroyo	—	Yea
Batinick	—	Yea
Beiser	—	Yea
Bellock	—	Yea
Mautino	—	Yea
Bourne	—	Yea
Breen	—	Yea
Brown	—	Not Voting
Butler	—	Yea
Costello	—	Yea
Durkin	—	Yea
Nekritz	—	Yea
Phelps	—	Yea
Phillips	—	Yea
Sente	—	Yea
Smiddy	—	Yea
Soto	—	Yea
Bennett	—	Yea
Harris, David	—	Yea
Harris, Greg	—	Yea
Bradley	—	Yea
Brady	—	Yea
Hernandez	—	Yea
Burke, Daniel	—	Yea
Burke, Kelly	—	Yea
Flowers	—	Yea
Fortner	—	Yea
Franks	—	Yea
Frese	—	Yea
Golar	—	Yea
Hays	—	Yea
Hurley	—	Yea
Ives	—	Yea
Jackson	—	Yea
Jesiel	—	Yea
Jones	—	Yea
Leitch	—	Yea
Madigan	—	Yea
McAsey	—	Yea
McAuliffe	—	Yea
McDermed	—	Yea
McSweeney	—	Yea
Moffitt	—	Yea
Davis, Monique	—	Yea
Wheeler, Barbara	—	Yea
Wheeler, Keith	—	Yea
Williams	—	Yea
Mitchell, Bill	—	Yea
Mitchell, Christian	—	Yea
Stewart	—	Yea
Thapedi	—	Yea
Tryon	—	Yea
Turner	—	Yea
Sullivan	—	Not Voting
Verschoore	—	Yea
Wallace	—	Yea
Wehrli	—	Yea
Willis	—	Yea
Yingling	—	Yea
Zalewski	—	Yea
Cavaletto	—	Yea
Cloonen	—	Yea
Conroy	—	Yea
Currie	—	Yea
D'Amico	—	Yea
Demmer	—	Yea
Drury	—	Not Voting
Dunkin	—	Yea
Kay	—	Yea
Poe	—	Yea
Pritchard	—	Yea
Reaves-Harris	—	Yea
Reis	—	Yea
Riley	—	Yea
Chapa LaVia	—	Yea
Anna Moeller	Democrat	Yea
Anthony DeLuca	Democrat	Yea
Camille Y. Lilly	Democrat	Yea
Carol Ammons	Democrat	Yea
Elgie R. Sims, Jr.	Democrat	Yea
Emanuel "Chris" Welch	Democrat	Yea
Fred Crespo	Democrat	Yea
Jaime M. Andrade, Jr.	Democrat	Yea
Jay Hoffman	Democrat	Yea
Jehan Gordon-Booth	Democrat	Yea
Julie A. Morrison	Democrat	Yea
Kelly M. Cassidy	Democrat	Yea
La Shawn K. Ford	Democrat	Yea
Laura Fine	Democrat	Yea
Lawrence "Larry" Walsh, Jr.	Democrat	Yea
Marcus C. Evans, Jr.	Democrat	Yea
Martin J. Moylan	Democrat	Yea
Michelle Mussman	Democrat	Yea
Natalie A. Manley	Democrat	Yea
Rita Mayfield	Democrat	Yea
Robert "Bob" Rita	Democrat	Yea
Robert F. Martwick	Democrat	Yea
Robyn Gabel	Democrat	Yea
Sara Feigenholtz	Democrat	Yea
Stephanie A. Kifowit	Democrat	Yea
Sue Scherer	Democrat	Yea
Will Guzzardi	Democrat	Yea
William "Will" Davis	Democrat	Yea
Charles Meier	Republican	Yea
Christopher "C.D." Davidsmeyer	Republican	Yea
Joe C. Sosnowski	Republican	Yea
John M. Cabello	Republican	Yea
Norine K. Hammond	Republican	Yea
Terri Bryant	Republican	Yea

Official roll call →

Subjects

healthcare labor

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Frequently asked questions

What does HB 421 do?: 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.
Who sponsors HB 421?: HB 421 is sponsored by Sara Feigenholtz (Democrat), Melinda Bush, William R. Haine, Emil Jones, III (Democrat), Kyle McCarter, Jason A. Barickman, and Julie A. Morrison (Democrat).
What is the current status of HB 421?: This bill has been enacted into law. Introduced January 28, 2015. Enacted.
Where can I track HB 421?: Track HB 421 free on One Click Politics — get push/email alerts when it moves.

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At a glance

Identifier: HB 421
Jurisdiction: Illinois
Session: 99th Regular Session
Type: Bill
Introduced: January 28, 2015
Status: Enacted
Prime sponsor: Sara Feigenholtz

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NURSE-COLLABORATION-PRESCRIBE

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HB 421 — NURSE-COLLABORATION-PRESCRIBE

Prognosis

Odds of enactment

Summary

Bill Text

What changed in the latest version

Action History

Sponsors

Sponsorship breakdown

Sponsors (0)

Co-sponsors (7)

Not signed on (176)

Votes

Third Reading

Third Reading

Subjects

Frequently asked questions

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