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SB 218 — PHYSICIAN ASSISTANT-VARIOUS
Last action — Public Act . . . . . . . . . 103-0065
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 31, 2023. Enacted.
Signed by Governor JB Pritzker (Democratic) on June 09, 2023.
Prognosis
Where this bill stands today.
Odds of enactment
HighHow often bills like it became law.
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Enacted
Current position in the legislative process.
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8 sponsors
2 primary, 6 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (5 D · 2 R) — cross-party backing.
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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 removedPlain-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.
SB0218 EngrossedEnrolled 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 4 - LRB103 25028 AMQ 51362 b the physician/physician assistant team practices.
For SB0218 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 7 - LRB103 25028 AMQ 51362 b or other entity employing multiple physicians at one or more locations.
SB0218 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 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 EngrossedEnrolled - 17 - LRB103 25028 AMQ 51362 b 30-day supply;
Amendments
2 amendmentsClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Public Act . . . . . . . . . 103-0065
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Effective Date January 1, 2024
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Governor Approved
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Sent to the Governor
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Passed Both Houses
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Added Alternate Co-Sponsor Rep. Dagmara Avelar
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Added Alternate Co-Sponsor Rep. Dave Severin
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Third Reading - Short Debate - Passed 103-000-000
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Placed on Calendar Order of 3rd Reading - Short Debate
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Second Reading - Short Debate
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Placed on Calendar 2nd Reading - Short Debate
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Do Pass / Short Debate Health Care Licenses Committee; 012-000-000
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Assigned to Health Care Licenses Committee
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Referred to Rules Committee
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First Reading
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Chief House Sponsor Rep. Lakesia Collins
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Arrived in House
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Added as Co-Sponsor Sen. Mattie Hunter
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Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
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Third Reading - Passed; 052-000-000
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Placed on Calendar Order of 3rd Reading March 31, 2023
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Second Reading
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Placed on Calendar Order of 2nd Reading
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Do Pass as Amended Licensed Activities; 009-000-000
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Senate Committee Amendment No. 1 Postponed - Licensed Activities
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Senate Committee Amendment No. 2 Adopted; Licensed Activities
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Senate Committee Amendment No. 2 Assignments Refers to Licensed Activities
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Senate Committee Amendment No. 2 Referred to Assignments
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Senate Committee Amendment No. 2 Filed with Secretary by Sen. Ann Gillespie
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Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
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Senate Committee Amendment No. 1 Referred to Assignments
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Senate Committee Amendment No. 1 Filed with Secretary by Sen. Ann Gillespie
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Rule 2-10 Committee Deadline Established As March 31, 2023
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Postponed - Licensed Activities
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Rule 2-10 Committee Deadline Established As March 24, 2023
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Postponed - Licensed Activities
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Added as Co-Sponsor Sen. Terri Bryant
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Postponed - Licensed Activities
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Added as Co-Sponsor Sen. Javier L. Cervantes
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Assigned to Licensed Activities
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Added as Chief Co-Sponsor Sen. Laura M. Murphy
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Referred to Assignments
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First Reading
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Filed with Secretary by Sen. Ann Gillespie
Sponsors
- Ann Gillespie · Primary
- Laura M. Murphy · Cosponsor
- Javier L. Cervantes · Cosponsor
- Terri Bryant · Cosponsor
- Mattie Hunter · Cosponsor
- Lakesia Collins · Primary
- Dave Severin · Cosponsor
- Dagmara Avelar · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →2 sponsors · 6 co-sponsors · 175 not signed on
Sponsors (2)
- Ann Gillespie
- Lakesia Collins Democrat
Co-sponsors (6)
- Laura M. Murphy Democrat
- Javier L. Cervantes Democrat
- Terri Bryant Republican
- Mattie Hunter Democrat
- Dave Severin Republican
- Dagmara Avelar Democrat
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 15 | 0 | 0 | 3 |
| Democrat | 56 | 0 | 0 | 9 |
| Republican | 32 | 0 | 0 | 3 |
| Total | 103 | 0 | 0 | 15 |
| % 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 2 | 0 | 0 | 0 |
| Democrat | 7 | 0 | 0 | 0 |
| Republican | 3 | 0 | 0 | 0 |
| Total | 12 | 0 | 0 | 0 |
| % 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 6 | 0 | 0 | 3 |
| Democrat | 29 | 0 | 0 | 4 |
| Republican | 17 | 0 | 0 | 0 |
| Total | 52 | 0 | 0 | 7 |
| % 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 6 | 0 | 0 | 0 |
| Republican | 3 | 0 | 0 | 0 |
| Total | 9 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Christopher Belt | Democrat | Yea |
| Javier L. Cervantes | Democrat | Yea |
| Michael E. Hastings | Democrat | Yea |
| Ram Villivalam | Democrat | Yea |
| Sara Feigenholtz | Democrat | Yea |
| Suzy Glowiak Hilton | Democrat | Yea |
| Dale Fowler | Republican | Yea |
| Dave Syverson | Republican | Yea |
| Steve McClure | Republican | Yea |
Subjects
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?
- Track SB 218 free on One Click Politics — get push/email alerts when it moves.
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