Bill Text: IL HB4357 | 2023-2024 | 103rd General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Amends the Medical Practice Act of 1987. Provides that an on-site physician examination prior to the performance of a non-ablative laser procedure shall not be required when: (1) the laser hair removal facility follows a physician delegation protocol, which shall be made available to the Department of Financial and Professional Regulation upon request; (2) the examination is performed by an advanced practice registered nurse; (3) the procedure is delegated by a physician and performed by a registered nurse or licensed practical nurse who has received appropriate, documented training and education in the safe and effective use of each system; and (4) a physician is available by telephone or other electronic means to respond promptly to any questions or complications that may occur. Provides that nothing in the provisions shall be construed to limit a licensed advanced practice registered nurse with full practice authority from practicing according to the Nurse Practice Act.

Spectrum: Partisan Bill (Democrat 6-0)

Status: (Passed) 2024-08-09 - Public Act . . . . . . . . . 103-0814 [HB4357 Detail]

Download: Illinois-2023-HB4357-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4357 Introduced , by Rep. Margaret Croke SYNOPSIS AS INTRODUCED:
225 ILCS 60/54.2
Amends the Medical Practice Act of 1987. Provides that rules adopted by the Department of Financial and Professional Regulation concerning light emitting devices for patient care or treatment shall not require a delegating physician to be present in person to supervise a laser hair removal consultation, examination, or procedure if the laser hair removal consultation, examination, or procedure is performed in an office or practice setting by a physician assistant, advanced practice registered nurse, registered nurse, or licensed practical nurse and the delegating physician is available by two-way, real-time interactive communication.
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A BILL FOR
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AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Medical Practice Act of 1987 is amended by
changing Section 54.2 as follows:
(225 ILCS 60/54.2)
(Section scheduled to be repealed on January 1, 2027)
Sec. 54.2. Physician delegation of authority.
(a) Nothing in this Act shall be construed to limit the
delegation of patient care tasks or duties by a physician, to a
licensed practical nurse, a registered professional nurse, or
other licensed person practicing within the scope of his or
her individual licensing Act. Delegation by a physician
licensed to practice medicine in all its branches to physician
assistants or advanced practice registered nurses is also
addressed in Section 54.5 of this Act. No physician may
delegate any patient care task or duty that is statutorily or
by rule mandated to be performed by a physician.
(b) In an office or practice setting and within a
physician-patient relationship, a physician may delegate
patient care tasks or duties to an unlicensed person who
possesses appropriate training and experience provided a
health care professional, who is practicing within the scope

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of such licensed professional's individual licensing Act, is
on site to provide assistance.
(c) Any such patient care task or duty delegated to a
licensed or unlicensed person must be within the scope of
practice, education, training, or experience of the delegating
physician and within the context of a physician-patient
relationship.
(d) Nothing in this Section shall be construed to affect
referrals for professional services required by law.
(e) The Department shall have the authority to promulgate
rules concerning a physician's delegation, including but not
limited to, the use of light emitting devices for patient care
or treatment; however a delegating physician shall not be
required to be present in person to supervise a laser hair
removal consultation, examination, or procedure if the laser
hair removal consultation, examination, or procedure is
performed in an office or practice setting by a physician
assistant, advanced practice registered nurse, registered
nurse, or licensed practical nurse and the delegating
physician is available by two-way, real-time interactive
communication.
(f) 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.
(g) A physician licensed to practice medicine in all of

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