Illinois 103rd Regular Session Status: Enacted Bipartisan · 5 D · 2 R cosponsors

SB 218 — PHYSICIAN ASSISTANT-VARIOUS

Last action — Public Act . . . . . . . . . 103-0065

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 31, 2023. Enacted.

Signed by Governor JB Pritzker (Democratic) on June 09, 2023.

Prognosis

Likely to advance 98% · high confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 8 sponsors

    2 primary, 6 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 D · 2 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 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 Physician Assistant Practice Act of 1987. Changes the definition of "physician assistant", "physician assistant practice", "board", and "collaborating physician". Provides that a physician assistant shall be deemed by law to possess the ability to prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of such authority by a physician. Provides that such ability shall include the prescribing of Schedule II, III, IV, and V controlled substances. Provides that to prescribe Schedule II, III, IV, or V controlled substances under the Act, a physician assistant shall obtain a mid-level practitioner controlled substances license. Provides that when a written collaboration agreement is required under the Act, delegation of prescriptive authority by a physician is not required. Provides that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of continuing education or training and at least 2,000 hours of clinical experience after first attaining national certification shall not require a written collaborative agreement. Provides the specified scope of practice of a physician assistant with optimal practice authority. Provides that a physician assistant shall be able to hold more than one professional position. Makes changes in provisions concerning the physician assistant title, collaboration requirements, and the written collaborative agreement. Makes other changes and corresponding changes to the Act and to the Illinois Controlled Substances Act.

Bill Text

What changed in the latest version

17 added · 17 removed

Plain-language change summary

The latest version of SB 218 has replaced the term "Engrossed" with "Enrolled," which indicates it has moved forward in the legislative process. The primary changes appear to be administrative in nature rather than substantive, meaning the essential content of the bill remains the same. This update matters because it signifies that the bill is one step closer to becoming law, reflecting progress through the legislative stages.

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Latest
SB0218 Engrossed LRB103 25028 AMQ 51362 b AN ACT concerning regulation.
SB0218 Enrolled LRB103 25028 AMQ 51362 b AN ACT concerning regulation.
A physician assistant may perform such procedures within the specialty of the collaborating physician, except that such physician shall exercise such direction, collaboration, and control over such SB0218 Engrossed - 2 - LRB103 25028 AMQ 51362 b physician assistants as will assure that patients shall receive quality medical care.
A physician assistant may perform such procedures within the specialty of the collaborating physician, except that such physician shall exercise such direction, collaboration, and control over such SB0218 Enrolled - 2 - LRB103 25028 AMQ 51362 b physician assistants as will assure that patients shall receive quality medical care.
Any person who holds an active license or permit issued pursuant to the Medical Practice Act of 1987 shall have that SB0218 Engrossed - 3 - LRB103 25028 AMQ 51362 b license automatically placed into inactive status upon issuance of a physician assistant license.
Any person who holds an active license or permit issued pursuant to the Medical Practice Act of 1987 shall have that SB0218 Enrolled - 3 - LRB103 25028 AMQ 51362 b license automatically placed into inactive status upon issuance of a physician assistant license.
A physician assistant shall be permitted to transmit the collaborating physician's orders as determined by the institution's bylaws, policies, or procedures or the job description within which SB0218 Engrossed - 4 - LRB103 25028 AMQ 51362 b the physician/physician assistant team practices.
A physician assistant shall be permitted to transmit the collaborating physician's orders as determined by the institution's bylaws, policies, or procedures or the job description within which SB0218 Enrolled - 4 - LRB103 25028 AMQ 51362 b the physician/physician assistant team practices.
For SB0218 Engrossed - 5 - LRB103 25028 AMQ 51362 b the purposes of this definition, "control" means having at least an equal or a majority ownership or membership interest.
For SB0218 Enrolled - 5 - LRB103 25028 AMQ 51362 b the purposes of this definition, "control" means having at least an equal or a majority ownership or membership interest.
(a) A collaborating physician shall determine the number of physician assistants to collaborate with, provided the physician is able to provide adequate collaboration as outlined in the written collaborative agreement required under Section 7.5 of this Act and consideration is given to the nature of the physician's practice, complexity of the patient SB0218 Engrossed - 6 - LRB103 25028 AMQ 51362 b population, and the experience of each physician assistant.
(a) A collaborating physician shall determine the number of physician assistants to collaborate with, provided the physician is able to provide adequate collaboration as outlined in the written collaborative agreement required under Section 7.5 of this Act and consideration is given to the nature of the physician's practice, complexity of the patient SB0218 Enrolled - 6 - LRB103 25028 AMQ 51362 b population, and the experience of each physician assistant.
A physician assistant may be employed by a practice group SB0218 Engrossed - 7 - LRB103 25028 AMQ 51362 b or other entity employing multiple physicians at one or more locations.
A physician assistant may be employed by a practice group SB0218 Enrolled - 7 - LRB103 25028 AMQ 51362 b or other entity employing multiple physicians at one or more locations.
SB0218 Engrossed - 8 - LRB103 25028 AMQ 51362 b (a) A written collaborative agreement is required for all physician assistants to practice in the State, except as provided in Section 7.7 of this Act.
SB0218 Enrolled - 8 - LRB103 25028 AMQ 51362 b (a) A written collaborative agreement is required for all physician assistants to practice in the State, except as provided in Section 7.7 of this Act.
Methods of communication shall be available for consultation with the collaborating physician in person or by telecommunications or electronic SB0218 Engrossed - 9 - LRB103 25028 AMQ 51362 b communications as set forth in the written collaborative agreement.
Methods of communication shall be available for consultation with the collaborating physician in person or by telecommunications or electronic SB0218 Enrolled - 9 - LRB103 25028 AMQ 51362 b communications as set forth in the written collaborative agreement.
(b) A collaborating physician may, but is not required to, SB0218 Engrossed - 10 - LRB103 25028 AMQ 51362 b delegate prescriptive authority to a physician assistant as part of a written collaborative agreement.
(b) A collaborating physician may, but is not required to, SB0218 Enrolled - 10 - LRB103 25028 AMQ 51362 b delegate prescriptive authority to a physician assistant as part of a written collaborative agreement.
Upon receipt of this notice delegating authority to prescribe controlled substances, the physician assistant shall be SB0218 Engrossed - 11 - LRB103 25028 AMQ 51362 b eligible to register for a mid-level practitioner controlled substances license under Section 303.05 of the Illinois Controlled Substances Act.
Upon receipt of this notice delegating authority to prescribe controlled substances, the physician assistant shall be SB0218 Enrolled - 11 - LRB103 25028 AMQ 51362 b eligible to register for a mid-level practitioner controlled substances license under Section 303.05 of the Illinois Controlled Substances Act.
SB0218 Engrossed - 12 - LRB103 25028 AMQ 51362 b (D) The physician assistant must discuss the condition of any patients for whom a controlled substance is prescribed monthly with the collaborating physician.
SB0218 Enrolled - 12 - LRB103 25028 AMQ 51362 b (D) The physician assistant must discuss the condition of any patients for whom a controlled substance is prescribed monthly with the collaborating physician.
(c-5) Nothing in this Section shall be construed to apply to any medication authority, including Schedule II controlled substances of a licensed physician assistant for care provided in a hospital, hospital affiliate, federally qualified health center, or ambulatory surgical treatment center pursuant to SB0218 Engrossed - 13 - LRB103 25028 AMQ 51362 b Section 7.7 of this Act.
(c-5) Nothing in this Section shall be construed to apply to any medication authority, including Schedule II controlled substances of a licensed physician assistant for care provided in a hospital, hospital affiliate, federally qualified health center, or ambulatory surgical treatment center pursuant to SB0218 Enrolled - 13 - LRB103 25028 AMQ 51362 b Section 7.7 of this Act.
(a) A physician assistant may provide services in a hospital as defined in the Hospital Licensing Act, a hospital affiliate as defined in the University of Illinois Hospital Act, a federally qualified health center, or a licensed SB0218 Engrossed - 14 - LRB103 25028 AMQ 51362 b ambulatory surgical treatment center as defined in the Ambulatory Surgical Treatment Center Act without a written collaborative agreement pursuant to Section 7.5 of this Act only in accordance with this Section.
(a) A physician assistant may provide services in a hospital as defined in the Hospital Licensing Act, a hospital affiliate as defined in the University of Illinois Hospital Act, a federally qualified health center, or a licensed SB0218 Enrolled - 14 - LRB103 25028 AMQ 51362 b ambulatory surgical treatment center as defined in the Ambulatory Surgical Treatment Center Act without a written collaborative agreement pursuant to Section 7.5 of this Act only in accordance with this Section.
SB0218 Engrossed - 15 - LRB103 25028 AMQ 51362 b (a-5) Physician assistants practicing in a hospital affiliate or a federally qualified health center may be, but are not required to be, granted authority to prescribe Schedule II through V controlled substances when such authority is recommended by the appropriate physician committee of the hospital affiliate and granted by the hospital affiliate or recommended by the physician committee of the federally qualified health center and granted by the federally qualified health center.
SB0218 Enrolled - 15 - LRB103 25028 AMQ 51362 b (a-5) Physician assistants practicing in a hospital affiliate or a federally qualified health center may be, but are not required to be, granted authority to prescribe Schedule II through V controlled substances when such authority is recommended by the appropriate physician committee of the hospital affiliate and granted by the hospital affiliate or recommended by the physician committee of the federally qualified health center and granted by the federally qualified health center.
The hospital affiliate or federally qualified health center shall file with the Department notice of a grant of SB0218 Engrossed - 16 - LRB103 25028 AMQ 51362 b prescriptive authority consistent with this subsection (a-5) and termination of such a grant of authority in accordance with rules of the Department.
The hospital affiliate or federally qualified health center shall file with the Department notice of a grant of SB0218 Enrolled - 16 - LRB103 25028 AMQ 51362 b prescriptive authority consistent with this subsection (a-5) and termination of such a grant of authority in accordance with rules of the Department.
(3) any prescription must be limited to no more than a SB0218 Engrossed - 17 - LRB103 25028 AMQ 51362 b 30-day supply;
(3) any prescription must be limited to no more than a SB0218 Enrolled - 17 - LRB103 25028 AMQ 51362 b 30-day supply;
View plain text versions (3)

Amendments

2 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Public Act . . . . . . . . . 103-0065

  2. Effective Date January 1, 2024

  3. Governor Approved

  4. Sent to the Governor

  5. Passed Both Houses

  6. Added Alternate Co-Sponsor Rep. Dagmara Avelar

  7. Added Alternate Co-Sponsor Rep. Dave Severin

  8. Third Reading - Short Debate - Passed 103-000-000

  9. Placed on Calendar Order of 3rd Reading - Short Debate

  10. Second Reading - Short Debate

  11. Placed on Calendar 2nd Reading - Short Debate

  12. Do Pass / Short Debate Health Care Licenses Committee; 012-000-000

  13. Assigned to Health Care Licenses Committee

  14. Referred to Rules Committee

  15. First Reading

  16. Chief House Sponsor Rep. Lakesia Collins

  17. Arrived in House

  18. Added as Co-Sponsor Sen. Mattie Hunter

  19. Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)

  20. Third Reading - Passed; 052-000-000

  21. Placed on Calendar Order of 3rd Reading March 31, 2023

  22. Second Reading

  23. Placed on Calendar Order of 2nd Reading

  24. Do Pass as Amended Licensed Activities; 009-000-000

  25. Senate Committee Amendment No. 1 Postponed - Licensed Activities

  26. Senate Committee Amendment No. 2 Adopted; Licensed Activities

  27. Senate Committee Amendment No. 2 Assignments Refers to Licensed Activities

  28. Senate Committee Amendment No. 2 Referred to Assignments

  29. Senate Committee Amendment No. 2 Filed with Secretary by Sen. Ann Gillespie

  30. Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities

  31. Senate Committee Amendment No. 1 Referred to Assignments

  32. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Ann Gillespie

  33. Rule 2-10 Committee Deadline Established As March 31, 2023

  34. Postponed - Licensed Activities

  35. Rule 2-10 Committee Deadline Established As March 24, 2023

  36. Postponed - Licensed Activities

  37. Added as Co-Sponsor Sen. Terri Bryant

  38. Postponed - Licensed Activities

  39. Added as Co-Sponsor Sen. Javier L. Cervantes

  40. Assigned to Licensed Activities

  41. Added as Chief Co-Sponsor Sen. Laura M. Murphy

  42. Referred to Assignments

  43. First Reading

  44. Filed with Secretary by Sen. Ann Gillespie

Sponsors

Sponsorship breakdown

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2 sponsors · 6 co-sponsors · 175 not signed on

Sponsors (2)

Co-sponsors (6)

Not signed on (175)

175 members have not signed on to this bill.

Show all 175 →

"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

Passed 103 Yea · 0 Nay · 15 Other
Party YeaNayPresentNot Voting
Unaffiliated 15003
Democrat 56009
Republican 32003
Total 1030015
% of votes cast 87%0%0%13%
How each member voted (118)
Member Party Vote
Nichols — Yea
Ortiz — Yea
Ozinga — Yea
Carroll — Yea
Caulkins — Yea
Egofske — Yea
Marron — Yea
Frese — Yea
Yednock — Yea
Burke — Not Voting
Flowers — Not Voting
Robinson — Not Voting
Costa Howard — Yea
Faver Dias — Yea
Hernandez, Lisa — Yea
Ladisch Douglass — Yea
Williams, Jawaharial — Yea
Yang Rohr — Yea
Abdelnasser Rashid Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Not Voting
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Not Voting
Curtis J. Tarver, II Democrat Not Voting
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Emanuel "Chris" Welch Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Gregg Johnson Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Not Voting
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Not Voting
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
La Shawn K. Ford Democrat Yea
Lakesia Collins Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Not Voting
Lindsey LaPointe Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret Croke Democrat Yea
Mark L. Walker Democrat Yea
Martin J. Moylan Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael J. Kelly Democrat Yea
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Norma Hernandez Democrat Yea
Rita Mayfield Democrat Not Voting
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Thaddeus Jones Democrat Not Voting
Theresa Mah Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Not Voting
Adam M. Niemerg Republican Yea
Amy Elik Republican Not Voting
Amy L. Grant Republican Yea
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Not Voting
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Martin McLaughlin Republican Not Voting
Michael J. Coffey, Jr. Republican Yea
Norine K. Hammond Republican Yea
Patrick Windhorst Republican Yea
Paul Jacobs Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Yea
Wayne A. Rosenthal Republican Yea
William E Hauter Republican Yea

Official roll call →

Health Care Licenses

Passed 12 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 2000
Democrat 7000
Republican 3000
Total 12000
% of votes cast 100%0%0%0%
How each member voted (12)
Member Party Vote
Burke, Kelly M — Yea
Frese, Randy E — Yea
Anna Moeller Democrat Yea
Bob Morgan Democrat Yea
Dagmara Avelar Democrat Yea
Lakesia Collins Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Sharon Chung Democrat Yea
Theresa Mah Democrat Yea
Dennis Tipsword Republican Yea
Paul Jacobs Republican Yea
William E Hauter Republican Yea

Official roll call →

Third Reading

Passed 52 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 6003
Democrat 29004
Republican 17000
Total 52007
% of votes cast 88%0%0%12%
How each member voted (59)
Member Party Vote
Bennett — Yea
Stoller — Yea
Gillespie — Yea
Pacione-Zayas — Yea
Harris, N. — Not Voting
Simmons — Not Voting
Glowiak Hilton — Yea
Loughran Cappel — Yea
Van Pelt — Not Voting
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Don Harmon Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Emil Jones, III Democrat Not Voting
Gregg Johnson Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Not Voting
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Michael E. Hastings Democrat Not Voting
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Not Voting
Steve Stadelman Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Dan McConchie Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Subjects

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Frequently asked questions

What does SB 218 do?
Amends the Physician Assistant Practice Act of 1987. Changes the definition of "physician assistant", "physician assistant practice", "board", and "collaborating physician". Provides that a physician assistant shall be deemed by law to possess the ability to prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of such authority by a physician. Provides that such ability shall include the prescribing of Schedule II, III, IV, and V controlled substances. Provides that to prescribe Schedule II, III, IV, or V controlled substances under the Act, a physician assistant shall obtain a mid-level practitioner controlled substances license. Provides that when a written collaboration agreement is required under the Act, delegation of prescriptive authority by a physician is not required. Provides that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of continuing education or training and at least 2,000 hours of clinical experience after first attaining national certification shall not require a written collaborative agreement. Provides the specified scope of practice of a physician assistant with optimal practice authority. Provides that a physician assistant shall be able to hold more than one professional position. Makes changes in provisions concerning the physician assistant title, collaboration requirements, and the written collaborative agreement. Makes other changes and corresponding changes to the Act and to the Illinois Controlled Substances Act.
Who sponsors SB 218?
SB 218 is sponsored by Ann Gillespie, Laura M. Murphy (Democrat), Javier L. Cervantes (Democrat), Terri Bryant (Republican), Mattie Hunter (Democrat), Lakesia Collins (Democrat), Dave Severin (Republican), and Dagmara Avelar (Democrat).
What is the current status of SB 218?
This bill has been enacted into law. Introduced January 31, 2023. Enacted.
Where can I track SB 218?
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