Bill Text: IL HB3382 | 2017-2018 | 100th General Assembly | Introduced

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Bill Title: Amends the Medical Practice Act of 1987. Removes the requirement that physicians remain physically present during delivery of anesthesia administered by a certified registered nurse anesthetist. Amends the Ambulatory Surgical Treatment Center Act, the Hospital Licensing Act, and the Nurse Practice Act to make related changes. Effective immediately.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2019-01-08 - Session Sine Die [HB3382 Detail]

Download: Illinois-2017-HB3382-Introduced.html

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100TH GENERAL ASSEMBLY State of Illinois 2017 and 2018 HB3382 Introduced , by Rep. Sara Feigenholtz SYNOPSIS AS INTRODUCED:
210 ILCS 5/6.5
210 ILCS 85/10.7
225 ILCS 60/54.5
225 ILCS 65/65-35 was 225 ILCS 65/15-15
225 ILCS 65/65-45 was 225 ILCS 65/15-25
Amends the Medical Practice Act of 1987. Removes the requirement that physicians remain physically present during delivery of anesthesia administered by a certified registered nurse anesthetist. Amends the Ambulatory Surgical Treatment Center Act, the Hospital Licensing Act, and the Nurse Practice Act to make related changes. Effective immediately.
LRB100 10897 SMS 21132 b
A BILL FOR
HB3382 LRB100 10897 SMS 21132 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Ambulatory Surgical Treatment Center Act is
amended by changing Section 6.5 as follows:
(210 ILCS 5/6.5)
Sec. 6.5. Clinical privileges; advanced practice nurses.
All ambulatory surgical treatment centers (ASTC) licensed
under this Act shall comply with the following requirements:
(1) No ASTC policy, rule, regulation, or practice shall
be inconsistent with the provision of adequate
collaboration and consultation in accordance with Section
54.5 of the Medical Practice Act of 1987.
(2) Operative surgical procedures shall be performed
only by a physician licensed to practice medicine in all
its branches under the Medical Practice Act of 1987, a
dentist licensed under the Illinois Dental Practice Act, or
a podiatric physician licensed under the Podiatric Medical
Practice Act of 1987, with medical staff membership and
surgical clinical privileges granted by the consulting
committee of the ASTC. A licensed physician, dentist, or
podiatric physician may be assisted by a physician licensed
to practice medicine in all its branches, dentist, dental

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assistant, podiatric physician, licensed advanced practice
nurse, licensed physician assistant, licensed registered
nurse, licensed practical nurse, surgical assistant,
surgical technician, or other individuals granted clinical
privileges to assist in surgery by the consulting committee
of the ASTC. Payment for services rendered by an assistant
in surgery who is not an ambulatory surgical treatment
center employee shall be paid at the appropriate
non-physician modifier rate if the payor would have made
payment had the same services been provided by a physician.
(2.5) A registered nurse licensed under the Nurse
Practice Act and qualified by training and experience in
operating room nursing shall be present in the operating
room and function as the circulating nurse during all
invasive or operative procedures. For purposes of this
paragraph (2.5), "circulating nurse" means a registered
nurse who is responsible for coordinating all nursing care,
patient safety needs, and the needs of the surgical team in
the operating room during an invasive or operative
procedure.
(3) An advanced practice nurse is not required to
possess prescriptive authority or a written collaborative
agreement meeting the requirements of the Nurse Practice
Act to provide advanced practice nursing services in an
ambulatory surgical treatment center. An advanced practice
nurse must possess clinical privileges granted by the

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consulting medical staff committee and ambulatory surgical
treatment center in order to provide services. Individual
advanced practice nurses may also be granted clinical
privileges to order, select, and administer medications,
including controlled substances, to provide delineated
care. The attending physician must determine the advanced
practice nurse's role in providing care for his or her
patients, except as otherwise provided in the consulting
staff policies. The consulting medical staff committee
shall periodically review the services of advanced
practice nurses granted privileges.
(4) The anesthesia service shall be under the direction
of a physician licensed to practice medicine in all its
branches who has had specialized preparation or experience
in the area or who has completed a residency in
anesthesiology. An anesthesiologist, Board certified or
Board eligible, is recommended. Anesthesia services may
only be administered pursuant to the order of a physician
licensed to practice medicine in all its branches, licensed
dentist, or licensed podiatric physician.
(A) The individuals who, with clinical privileges
granted by the medical staff and ASTC, may administer
anesthesia services are limited to the following:
(i) an anesthesiologist; or
(ii) a physician licensed to practice medicine
in all its branches; or

HB3382 - 4 - LRB100 10897 SMS 21132 b
(iii) a dentist with authority to administer
anesthesia under Section 8.1 of the Illinois
Dental Practice Act; or
(iv) a licensed certified registered nurse
anesthetist; or
(v) a podiatric physician licensed under the
Podiatric Medical Practice Act of 1987.
(B) For anesthesia services, an anesthesiologist
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. In the absence of 24-hour availability of
anesthesiologists with clinical privileges, an
alternate policy (requiring participation, presence,
and availability of a physician licensed to practice
medicine in all its branches) shall be developed by the
medical staff consulting committee in consultation
with the anesthesia service and included in the medical
staff consulting committee policies.
(C) A certified registered nurse anesthetist is
not required to possess prescriptive authority or a
written collaborative agreement meeting the
requirements of Section 65-35 of the Nurse Practice Act
to provide anesthesia services ordered by a licensed

HB3382 - 5 - LRB100 10897 SMS 21132 b
physician, dentist, or podiatric physician. Licensed
certified registered nurse anesthetists are authorized
to select, order, and administer drugs and apply the
appropriate medical devices in the provision of
anesthesia services under the anesthesia plan agreed
with by the anesthesiologist or, in the absence of an
available anesthesiologist with clinical privileges,
agreed with by the operating physician, operating
dentist, or operating podiatric physician in
accordance with the medical staff consulting committee
policies of a licensed ambulatory surgical treatment
center.
(Source: P.A. 98-214, eff. 8-9-13; 99-642, eff. 7-28-16.)
Section 10. The Hospital Licensing Act is amended by
changing Section 10.7 as follows:
(210 ILCS 85/10.7)
Sec. 10.7. Clinical privileges; advanced practice nurses.
All hospitals licensed under this Act shall comply with the
following requirements:
(1) No hospital policy, rule, regulation, or practice
shall be inconsistent with the provision of adequate
collaboration and consultation in accordance with Section
54.5 of the Medical Practice Act of 1987.
(2) Operative surgical procedures shall be performed

HB3382 - 6 - LRB100 10897 SMS 21132 b
only by a physician licensed to practice medicine in all
its branches under the Medical Practice Act of 1987, a
dentist licensed under the Illinois Dental Practice Act, or
a podiatric physician licensed under the Podiatric Medical
Practice Act of 1987, with medical staff membership and
surgical clinical privileges granted at the hospital. A
licensed physician, dentist, or podiatric physician may be
assisted by a physician licensed to practice medicine in
all its branches, dentist, dental assistant, podiatric
physician, licensed advanced practice nurse, licensed
physician assistant, licensed registered nurse, licensed
practical nurse, surgical assistant, surgical technician,
or other individuals granted clinical privileges to assist
in surgery at the hospital. Payment for services rendered
by an assistant in surgery who is not a hospital employee
shall be paid at the appropriate non-physician modifier
rate if the payor would have made payment had the same
services been provided by a physician.
(2.5) A registered nurse licensed under the Nurse
Practice Act and qualified by training and experience in
operating room nursing shall be present in the operating
room and function as the circulating nurse during all
invasive or operative procedures. For purposes of this
paragraph (2.5), "circulating nurse" means a registered
nurse who is responsible for coordinating all nursing care,
patient safety needs, and the needs of the surgical team in

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the operating room during an invasive or operative
procedure.
(3) An advanced practice nurse is not required to
possess prescriptive authority or a written collaborative
agreement meeting the requirements of the Nurse Practice
Act to provide advanced practice nursing services in a
hospital. An advanced practice nurse must possess clinical
privileges recommended by the medical staff and granted by
the hospital in order to provide services. Individual
advanced practice nurses may also be granted clinical
privileges to order, select, and administer medications,
including controlled substances, to provide delineated
care. The attending physician must determine the advanced
practice nurse's role in providing care for his or her
patients, except as otherwise provided in medical staff
bylaws. The medical staff shall periodically review the
services of advanced practice nurses granted privileges.
This review shall be conducted in accordance with item (2)
of subsection (a) of Section 10.8 of this Act for advanced
practice nurses employed by the hospital.
(4) The anesthesia service shall be under the direction
of a physician licensed to practice medicine in all its
branches who has had specialized preparation or experience
in the area or who has completed a residency in
anesthesiology. An anesthesiologist, Board certified or
Board eligible, is recommended. Anesthesia services may

HB3382 - 8 - LRB100 10897 SMS 21132 b
only be administered pursuant to the order of a physician
licensed to practice medicine in all its branches, licensed
dentist, or licensed podiatric physician.
(A) The individuals who, with clinical privileges
granted at the hospital, may administer anesthesia
services are limited to the following:
(i) an anesthesiologist; or
(ii) a physician licensed to practice medicine
in all its branches; or
(iii) a dentist with authority to administer
anesthesia under Section 8.1 of the Illinois
Dental Practice Act; or
(iv) a licensed certified registered nurse
anesthetist; or
(v) a podiatric physician licensed under the
Podiatric Medical Practice Act of 1987.
(B) For anesthesia services, an anesthesiologist
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. In the absence of 24-hour availability of
anesthesiologists with medical staff privileges, an
alternate policy (requiring participation, presence,
and availability of a physician licensed to practice

HB3382 - 9 - LRB100 10897 SMS 21132 b
medicine in all its branches) shall be developed by the
medical staff and licensed hospital in consultation
with the anesthesia service.
(C) A certified registered nurse anesthetist is
not required to possess prescriptive authority or a
written collaborative agreement meeting the
requirements of Section 65-35 of the Nurse Practice Act
to provide anesthesia services ordered by a licensed
physician, dentist, or podiatric physician. Licensed
certified registered nurse anesthetists are authorized
to select, order, and administer drugs and apply the
appropriate medical devices in the provision of
anesthesia services under the anesthesia plan agreed
with by the anesthesiologist or, in the absence of an
available anesthesiologist with clinical privileges,
agreed with by the operating physician, operating
dentist, or operating podiatric physician in
accordance with the hospital's alternative policy.
(Source: P.A. 98-214, eff. 8-9-13; 99-642, eff. 7-28-16.)
Section 15. The Medical Practice Act of 1987 is amended by
changing Section 54.5 as follows:
(225 ILCS 60/54.5)
(Section scheduled to be repealed on December 31, 2017)
Sec. 54.5. Physician delegation of authority to physician

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assistants, advanced practice nurses, and prescribing
psychologists.
(a) Physicians licensed to practice medicine in all its
branches may delegate care and treatment responsibilities to a
physician assistant under guidelines in accordance with the
requirements of the Physician Assistant Practice Act of 1987. A
physician licensed to practice medicine in all its branches may
enter into supervising physician agreements with no more than 5
physician assistants as set forth in subsection (a) of Section
7 of the Physician Assistant Practice Act of 1987.
(b) A physician licensed to practice medicine in all its
branches in active clinical practice may collaborate with an
advanced practice nurse in accordance with the requirements of
the Nurse Practice Act. Collaboration is for the purpose of
providing medical consultation, and no employment relationship
is required. A written collaborative agreement shall conform to
the requirements of Section 65-35 of the Nurse Practice Act.
The written collaborative agreement shall be for services in
the same area of practice or specialty as the collaborating
physician in his or her clinical medical practice. A written
collaborative agreement shall be adequate with respect to
collaboration with advanced practice nurses if all of the
following apply:
(1) The agreement is written to promote the exercise of
professional judgment by the advanced practice nurse
commensurate with his or her education and experience.

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(2) The advance practice nurse provides services based
upon a written collaborative agreement with the
collaborating physician, except as set forth in subsection
(b-5) of this Section. With respect to labor and delivery,
the collaborating physician must provide delivery services
in order to participate with a certified nurse midwife.
(3) Methods of communication are available with the
collaborating physician in person or through
telecommunications for consultation, collaboration, and
referral as needed to address patient care needs.
(b-5) An anesthesiologist or physician licensed to
practice medicine in all its branches may collaborate with a
certified registered nurse anesthetist in accordance with
Section 65-35 of the Nurse Practice Act for the provision of
anesthesia services. With respect to the provision of
anesthesia services, the collaborating anesthesiologist or
physician shall have training and experience in the delivery of
anesthesia services consistent with Department rules.
Collaboration shall be adequate if:
(1) an anesthesiologist or a physician participates in
the joint formulation and joint approval of orders or
guidelines and periodically reviews such orders and the
services provided patients under such orders; and
(2) for anesthesia services, the anesthesiologist or
physician participates through discussion of and agreement
with the anesthesia plan and is physically present and

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available on the premises during the delivery of anesthesia
services for diagnosis, consultation, and treatment of
emergency medical conditions. Anesthesia services in a
hospital shall be conducted in accordance with Section 10.7
of the Hospital Licensing Act and in an ambulatory surgical
treatment center in accordance with Section 6.5 of the
Ambulatory Surgical Treatment Center Act.
(b-10) The anesthesiologist or operating physician must
agree with the anesthesia plan prior to the delivery of
services.
(c) The supervising physician shall have access to the
medical records of all patients attended by a physician
assistant. The collaborating physician shall have access to the
medical records of all patients attended to by an advanced
practice nurse.
(d) (Blank).
(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
to believe the prescribing psychologist, physician assistant,
or advanced practice nurse lacked the competency to perform the

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act or acts or commits willful and wanton misconduct.
(f) A collaborating physician may, but is not required to,
delegate prescriptive authority to an advanced practice nurse
as part of a written collaborative agreement, and the
delegation of prescriptive authority shall conform to the
requirements of Section 65-40 of the Nurse Practice Act.
(g) A supervising physician may, but is not required to,
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.
(h) (Blank).
(i) A collaborating physician shall delegate prescriptive
authority to a prescribing psychologist as part of a written
collaborative agreement, and the delegation of prescriptive
authority shall conform to the requirements of Section 4.3 of
the Clinical Psychologist Licensing Act.
(Source: P.A. 98-192, eff. 1-1-14; 98-668, eff. 6-25-14;
99-173, eff. 7-29-15.)
Section 20. The Nurse Practice Act is amended by changing
Sections 65-35 and 65-45 as follows:
(225 ILCS 65/65-35) (was 225 ILCS 65/15-15)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-35. Written collaborative agreements.

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(a) A written collaborative agreement is required for all
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-5) If an advanced practice nurse engages in clinical
practice outside of a hospital, hospital affiliate, or
ambulatory surgical treatment center in which he or she is
authorized to practice, the advanced practice nurse must have a
written collaborative agreement.
(b) A written collaborative agreement shall describe the
relationship of the advanced practice nurse with the
collaborating physician or podiatric physician and shall
describe the categories of care, treatment, or procedures to be
provided by the advanced practice nurse. A collaborative
agreement with a dentist must be in accordance with subsection
(c-10) of this Section. Collaboration does not require an
employment relationship between the collaborating physician or
podiatric physician and advanced practice nurse.
The collaborative relationship under an agreement shall
not be construed to require the personal presence of a
physician or podiatric physician at the place where services
are rendered. Methods of communication shall be available for
consultation with the collaborating physician or podiatric
physician in person or by telecommunications or electronic
communications as set forth in the written agreement.

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(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
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.
(c) In the case of anesthesia services provided by a
certified registered nurse 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.
(c-5) A certified registered nurse anesthetist, who
provides anesthesia services outside of a hospital or
ambulatory surgical treatment center shall enter into a written
collaborative agreement with an anesthesiologist or the
physician licensed to practice medicine in all its branches or
the podiatric physician performing the procedure. Outside of a
hospital or ambulatory surgical treatment center, the
certified registered nurse anesthetist may provide only those
services that the collaborating podiatric physician is
authorized to provide pursuant to the Podiatric Medical
Practice Act of 1987 and rules adopted thereunder. A certified

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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
anesthesiologist or the operating physician or operating
podiatric physician.
(c-10) A certified registered nurse anesthetist who
provides anesthesia services in a dental office shall enter
into a written collaborative agreement with an
anesthesiologist or the physician licensed to practice
medicine in all its branches or the operating dentist
performing the procedure. The agreement shall describe the
working relationship of the certified registered nurse
anesthetist and dentist and shall authorize the categories of
care, treatment, or procedures to be performed by the certified
registered nurse anesthetist. In a collaborating dentist's
office, the certified registered nurse anesthetist may only
provide those services that the operating dentist with the
appropriate permit is authorized to provide pursuant to the
Illinois Dental Practice Act and rules adopted thereunder. For
anesthesia services, an anesthesiologist, physician, or
operating dentist 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. A certified registered nurse

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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 operating dentist.
(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.
(e) Nothing in this Act shall be construed to limit the
delegation of tasks or duties by a physician to a licensed
practical nurse, a registered professional nurse, or other
persons in accordance with Section 54.2 of the Medical Practice
Act of 1987. Nothing in this Act shall be construed to limit
the method of delegation that may be authorized by any means,
including, but not limited to, oral, written, electronic,
standing orders, protocols, guidelines, or verbal orders.
Nothing in this Act shall be construed to authorize an advanced
practice nurse to provide health care services required by law
or rule to be performed by a physician.
(f) An advanced practice nurse shall inform each
collaborating physician, dentist, or podiatric physician of
all collaborative agreements he or she has signed and provide a
copy of these to any collaborating physician, dentist, or
podiatric physician upon request.
(g) (Blank).
(Source: P.A. 98-192, eff. 1-1-14; 98-214, eff. 8-9-13; 98-756,

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eff. 7-16-14; 99-173, eff. 7-29-15.)
(225 ILCS 65/65-45) (was 225 ILCS 65/15-25)
(Section scheduled to be repealed on January 1, 2018)
Sec. 65-45. Advanced practice nursing in hospitals,
hospital affiliates, or ambulatory surgical treatment centers.
(a) An advanced practice nurse may provide services in a
hospital or a hospital affiliate as those terms are defined in
the Hospital Licensing Act or the University of Illinois
Hospital Act or a licensed ambulatory surgical treatment center
without a written collaborative agreement pursuant to Section
65-35 of this Act. An advanced practice nurse must possess
clinical privileges recommended by the hospital medical staff
and granted by the hospital or the consulting medical staff
committee and ambulatory surgical treatment center in order to
provide services. The medical staff or consulting medical staff
committee shall periodically review the services of advanced
practice nurses granted clinical privileges, including any
care provided in a hospital affiliate. 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,
to provide delineated care. In a hospital, hospital affiliate,
or ambulatory surgical treatment center, the attending

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physician shall determine an advanced practice nurse's role in
providing care for his or her patients, except as otherwise
provided in the medical staff bylaws or consulting committee
policies.
(a-2) An advanced practice nurse granted authority to order
medications including controlled substances may complete
discharge prescriptions provided the prescription is in the
name of the advanced practice nurse and the attending or
discharging physician.
(a-3) Advanced practice nurses practicing in a hospital or
an ambulatory surgical treatment center are not required to
obtain a mid-level controlled substance license to order
controlled substances under Section 303.05 of the Illinois
Controlled Substances Act.
(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
pursuant to clause (B) of subdivision (3) of Section 6.5 of the
Ambulatory Surgical Treatment Center Act provides otherwise. A

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certified registered nurse anesthetist may select, order, and
administer medication for anesthesia services under the
anesthesia plan agreed to by the anesthesiologist or the
physician, in accordance with hospital alternative policy or
the medical staff consulting committee policies of a licensed
ambulatory surgical treatment center.
(b) An advanced practice nurse who provides services in a
hospital shall do so in accordance with Section 10.7 of the
Hospital Licensing Act and, in an ambulatory surgical treatment
center, in accordance with Section 6.5 of the Ambulatory
Surgical Treatment Center Act.
(c) Advanced practice nurses certified as nurse
practitioners, nurse midwives, or clinical nurse specialists
practicing in a hospital affiliate 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. 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
preparations, including, but not limited to, botanical and
herbal remedies.

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To prescribe controlled substances under this subsection
(c), an advanced practice nurse certified as a nurse
practitioner, nurse midwife, or clinical nurse specialist must
obtain a mid-level practitioner controlled substance license.
Medication orders shall be reviewed periodically by the
appropriate hospital affiliate physicians committee or its
physician designee.
The hospital affiliate shall file with the Department
notice of a grant of prescriptive authority consistent with
this subsection (c) and termination of such a grant of
authority, in accordance with rules of the Department. Upon
receipt of this notice of grant of authority to prescribe any
Schedule II through V controlled substances, the licensed
advanced practice nurse certified as a nurse practitioner,
nurse midwife, or clinical nurse specialist may register for a
mid-level practitioner controlled substance license under
Section 303.05 of the Illinois Controlled Substances Act.
In addition, a hospital affiliate may, but is not required
to, grant authority to an advanced practice nurse certified as
a nurse practitioner, nurse midwife, or clinical nurse
specialist to prescribe any Schedule II controlled substances,
if all of the following conditions apply:
(1) 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

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practice nurses in their area of certification; this grant
of authority must identify the specific Schedule II
controlled substances by either brand name or generic name;
authority to prescribe or dispense Schedule II controlled
substances to be delivered by injection or other route of
administration may not be granted;
(2) any grant of authority must be controlled
substances limited to the practice of the advanced practice
nurse;
(3) any prescription must be limited to no more than a
30-day supply;
(4) the advanced practice nurse must discuss the
condition of any patients for whom a controlled substance
is prescribed monthly with the appropriate physician
committee of the hospital affiliate or its physician
designee; and
(5) the advanced practice nurse must meet the education
requirements of Section 303.05 of the Illinois Controlled
Substances Act.
(Source: P.A. 98-214, eff. 8-9-13; 99-173, eff. 7-29-15.)