Public Act 103-0060

SB0199 Enrolled 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(Section scheduled to be repealed on January 1, 2028)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

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

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

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.)