Bill Text: IL SB0199 | 2023-2024 | 103rd General Assembly | Engrossed

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

---

Bill Title: Amends the Nurse Practice Act. Provides that the scope of practice of an advanced practice registered nurse with full practice authority includes prescribing up to a 120-day supply of benzodiazepines without a consultation relationship with a physician. Provides that thereafter, continued prescription of benzodiazepines shall require a consultation with a physician. Makes other changes.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Passed) 2023-06-09 - Public Act . . . . . . . . . 103-0060 [SB0199 Detail]

Download: Illinois-2023-SB0199-Engrossed.html

---

SB0199 Engrossed LRB103 25368 AMQ 51713 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Nurse Practice Act is amended by changing
Section 65-43 as follows:
(225 ILCS 65/65-43)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-43. Full practice authority.
(a) An Illinois-licensed advanced practice registered
nurse certified as a nurse practitioner, nurse midwife, or
clinical nurse specialist shall be deemed by law to possess
the ability to practice without a written collaborative
agreement as set forth in this Section.
(b) An advanced practice registered nurse certified as a
nurse midwife, clinical nurse specialist, or nurse
practitioner who files with the Department a notarized
attestation of completion of at least 250 hours of continuing
education or training and at least 4,000 hours of clinical
experience after first attaining national certification shall
not require a written collaborative agreement. Documentation
of successful completion shall be provided to the Department
upon request.
Continuing education or training hours required by

SB0199 Engrossed - 2 - LRB103 25368 AMQ 51713 b
subsection (b) shall be in the advanced practice registered
nurse's area of certification as set forth by Department rule.
The clinical experience must be in the advanced practice
registered nurse's area of certification. The clinical
experience shall be in collaboration with a physician or
physicians. Completion of the clinical experience must be
attested to by the collaborating physician or physicians or
employer and the advanced practice registered nurse. If the
collaborating physician or physicians or employer is unable to
attest to the completion of the clinical experience, the
Department may accept other evidence of clinical experience as
established by rule.
(c) The scope of practice of an advanced practice
registered nurse with full practice authority includes:
(1) all matters included in subsection (c) of Section
65-30 of this Act;
(2) practicing without a written collaborative
agreement in all practice settings consistent with
national certification;
(3) authority to prescribe both legend drugs and
Schedule II through V controlled substances; this
authority includes prescription of, selection of, orders
for, administration of, storage of, acceptance of samples
of, and dispensing over the counter medications, legend
drugs, and controlled substances categorized as any
Schedule II through V controlled substances, as defined in

SB0199 Engrossed - 3 - LRB103 25368 AMQ 51713 b
Article II of the Illinois Controlled Substances Act, and
other preparations, including, but not limited to,
botanical and herbal remedies;
(4) prescribing benzodiazepines or Schedule II
narcotic drugs, such as opioids, only in a consultation
relationship with a physician; this consultation
relationship shall be recorded in the Prescription
Monitoring Program website, pursuant to Section 316 of the
Illinois Controlled Substances Act, by the physician and
advanced practice registered nurse with full practice
authority and is not required to be filed with the
Department; the specific Schedule II narcotic drug must be
identified by either brand name or generic name; the
specific Schedule II narcotic drug, such as an opioid, may
be administered by oral dosage or topical or transdermal
application; delivery by injection or other route of
administration is not permitted; at least monthly, the
advanced practice registered nurse and the physician must
discuss the condition of any patients for whom an a
benzodiazepine or opioid is prescribed; nothing in this
subsection shall be construed to require a prescription by
an advanced practice registered nurse with full practice
authority to require a physician name;
(4.5) prescribing up to a 120-day supply of
benzodiazepines without a consultation relationship with a
physician; thereafter, continued prescription of

SB0199 Engrossed - 4 - LRB103 25368 AMQ 51713 b
benzodiazepines shall require a consultation with a
physician; nothing in this subsection shall be construed
to require a prescription by an advanced practice
registered nurse with full practice authority to require a
physician name;
(5) authority to obtain an Illinois controlled
substance license and a federal Drug Enforcement
Administration number; and
(6) use of only local anesthetic.
The scope of practice of an advanced practice registered
nurse does not include operative surgery. Nothing in this
Section shall be construed to preclude an advanced practice
registered nurse from assisting in surgery.
(d) The Department may adopt rules necessary to administer
this Section, including, but not limited to, requiring the
completion of forms and the payment of fees.
(e) Nothing in this Act shall be construed to authorize an
advanced practice registered nurse with full practice
authority to provide health care services required by law or
rule to be performed by a physician.
(Source: P.A. 101-13, eff. 6-12-19; 102-75, eff. 1-1-22.)