Bill Text: IL SB2272 | 2021-2022 | 102nd General Assembly | Introduced

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Bill Title: Amends the Clinical Psychologist Licensing Act. In provisions concerning clinical training requirements for a prescribing psychologist license, makes changes to facility requirements for that clinical training. In language providing that a written delegation of prescriptive authority by a collaborating physician may only include medications for the treatment of mental health disease or illness the collaborating physician generally provides to his or her patients in the normal course of his or her clinical practice, deletes an exception for patients who are less than 17 years of age or over 65 years of age. In a provision concerning the delegation of prescriptive authority, removes language providing that no Schedule II controlled substance shall be delegated. Effective immediately.

Spectrum: Slight Partisan Bill (Democrat 2-1)

Status: (Introduced - Dead) 2021-05-07 - Rule 3-9(a) / Re-referred to Assignments [SB2272 Detail]

Download: Illinois-2021-SB2272-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 SB2272 Introduced 2/26/2021, by Sen. Dave Syverson SYNOPSIS AS INTRODUCED:
225 ILCS 15/4.2
225 ILCS 15/4.3
Amends the Clinical Psychologist Licensing Act. In provisions concerning clinical training requirements for a prescribing psychologist license, makes changes to facility requirements for that clinical training. In language providing that a written delegation of prescriptive authority by a collaborating physician may only include medications for the treatment of mental health disease or illness the collaborating physician generally provides to his or her patients in the normal course of his or her clinical practice, deletes an exception for patients who are less than 17 years of age or over 65 years of age. In a provision concerning the delegation of prescriptive authority, removes language providing that no Schedule II controlled substance shall be delegated. Effective immediately.
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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 Clinical Psychologist Licensing Act is
amended by changing Sections 4.2 and 4.3 as follows:
(225 ILCS 15/4.2)
(Section scheduled to be repealed on January 1, 2027)
Sec. 4.2. Prescribing psychologist license.
(a) A psychologist may apply to the Department for a
prescribing psychologist license. The application shall be
made on a form approved by the Department, include the payment
of any required fees, and be accompanied by evidence
satisfactory to the Department that the applicant:
(1) holds a current license to practice clinical
psychology in Illinois;
(2) has successfully completed the following minimum
educational and training requirements either during the
doctoral program required for licensure under this Section
or in an accredited undergraduate or master level program
prior to or subsequent to the doctoral program required
under this Section:
(A) specific minimum undergraduate biomedical
prerequisite coursework, including, but not limited

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to: Medical Terminology (class or proficiency);
Chemistry or Biochemistry with lab (2 semesters);
Human Physiology (one semester); Human Anatomy (one
semester); Anatomy and Physiology; Microbiology with
lab (one semester); and General Biology for science
majors or Cell and Molecular Biology (one semester);
(B) a minimum of 60 credit hours of didactic
coursework, including, but not limited to:
Pharmacology; Clinical Psychopharmacology; Clinical
Anatomy and Integrated Science; Patient Evaluation;
Advanced Physical Assessment; Research Methods;
Advanced Pathophysiology; Diagnostic Methods; Problem
Based Learning; and Clinical and Procedural Skills;
and
(C) a full-time practicum of 14 months' supervised
clinical training, including a research project;
during the clinical rotation phase, students complete
rotations in Emergency Medicine, Family Medicine,
Geriatrics, Internal Medicine, Obstetrics and
Gynecology, Pediatrics, Psychiatrics, Surgery, and one
elective of the students' choice. The clinical
training must take place at a facility with ; program
approval standards addressing faculty qualifications,
regular competency evaluation and length of clinical
rotations, and instructional settings, including, but
not limited to, hospitals, medical centers, health

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care facilities located at federal and State prisons,
hospital outpatient clinics, community mental health
clinics, patient-centered medical homes or
family-centered medical homes, women's medical health
centers, and Federally Qualified Health Centers; the
clinical training must meet the standards for:
(i) accreditation from the Accreditation
Review Commission on Education for the Physician
Assistant, the Commission on Collegiate Nursing
Education for the Advanced Nurse Practitioner, the
Accreditation Commission for Education in Nursing
for the Advanced Nurse Practitioner, or the
Accreditation Council for Graduate Medical
Education physician assistant education as defined
by the Accreditation Review Commission on
Education for the Physician Assistant; or
(ii) an active Memorandum of Understanding
with a program accredited by the Accreditation
Review Commission on Education for the Physician
Assistant, the Commission on Collegiate Nursing
Education for the Advanced Nurse Practitioner, the
Accreditation Commission for Education in Nursing
for the Advanced Nurse Practitioner, or the
Accreditation Council for Graduate Medical
Education; advanced practice nurse education as
defined by the Commission on Collegiate Nursing

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Education for the Advanced Nurse Practitioner or
the Accreditation Commission for Education in
Nursing for the Advanced Nurse Practitioner; or
(iii) medical education as defined by the
Accreditation Council for Graduate Medical
Education and shall be set by the Department by
rule;
The training director at the qualified facility must
certify that the training meets either the criteria in (i)
or (ii);
(3) has completed a National Certifying Exam, as
determined by rule; and
(4) meets all other requirements for obtaining a
prescribing psychologist license, as determined by rule.
(b) The Department may issue a prescribing psychologist
license if it finds that the applicant has met the
requirements of subsection (a) of this Section.
(c) A prescribing psychologist may only prescribe
medication pursuant to the provisions of this Act if the
prescribing psychologist:
(1) continues to hold a current license to practice
psychology in Illinois;
(2) satisfies the continuing education requirements
for prescribing psychologists, including 10 hours of
continuing education annually in pharmacology from
accredited providers; and

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(3) maintains a written collaborative agreement with a
collaborating physician pursuant to Section 4.3 of this
Act.
(Source: P.A. 101-84, eff. 7-19-19.)
(225 ILCS 15/4.3)
(Section scheduled to be repealed on January 1, 2027)
Sec. 4.3. Written collaborative agreements.
(a) A written collaborative agreement is required for all
prescribing psychologists practicing under a prescribing
psychologist license issued pursuant to Section 4.2 of this
Act.
(b) A written delegation of prescriptive authority by a
collaborating physician may only include medications for the
treatment of mental health disease or illness the
collaborating physician generally provides to his or her
patients in the normal course of his or her clinical practice
with the exception of the following:
(1) (blank); patients who are less than 17 years of
age or over 65 years of age;
(2) patients during pregnancy;
(3) patients with serious medical conditions, such as
heart disease, cancer, stroke, or seizures, and with
developmental disabilities and intellectual disabilities;
and
(4) prescriptive authority for benzodiazepine Schedule

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III controlled substances.
(c) The collaborating physician shall file with the
Department notice of delegation of prescriptive authority and
termination of the delegation, in accordance with rules of the
Department. Upon receipt of this notice delegating authority
to prescribe any nonnarcotic Schedule III through V controlled
substances, the licensed clinical psychologist shall be
eligible to register for a mid-level practitioner controlled
substance license under Section 303.05 of the Illinois
Controlled Substances Act.
(d) All of the following shall apply to delegation of
prescriptive authority:
(1) Any delegation of Schedule III through V
controlled substances shall identify the specific
controlled substance by brand name or generic name. No
controlled substance to be delivered by injection may be
delegated. No Schedule II controlled substance shall be
delegated.
(2) A prescribing psychologist shall not prescribe
narcotic drugs, as defined in Section 102 of the Illinois
Controlled Substances Act.
Any prescribing psychologist who writes a prescription for
a controlled substance without having valid and appropriate
authority may be fined by the Department not more than $50 per
prescription and the Department may take any other
disciplinary action provided for in this Act.

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All prescriptions written by a prescribing psychologist
must contain the name of the prescribing psychologist and his
or her signature. The prescribing psychologist shall sign his
or her own name.
(e) The written collaborative agreement shall describe the
working relationship of the prescribing psychologist with the
collaborating physician and shall delegate prescriptive
authority as provided in this Act. Collaboration does not
require an employment relationship between the collaborating
physician and prescribing psychologist. Absent an employment
relationship, an agreement may not restrict third-party
payment sources accepted by the prescribing psychologist. For
the purposes of this Section, "collaboration" means the
relationship between a prescribing psychologist and a
collaborating physician with respect to the delivery of
prescribing services in accordance with (1) the prescribing
psychologist's training, education, and experience and (2)
collaboration and consultation as documented in a jointly
developed written collaborative agreement.
(f) The agreement shall promote the exercise of
professional judgment by the prescribing psychologist
corresponding to his or her education and experience.
(g) The collaborative agreement shall not be construed to
require the personal presence of a physician at the place
where services are rendered. Methods of communication shall be
available for consultation with the collaborating physician in

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person or by telecommunications in accordance with established
written guidelines as set forth in the written agreement.
(h) Collaboration and consultation pursuant to all
collaboration agreements shall be adequate if a collaborating
physician does each of the following:
(1) participates in the joint formulation and joint
approval of orders or guidelines with the prescribing
psychologist and he or she periodically reviews the
prescribing psychologist's orders and the services
provided patients under the orders in accordance with
accepted standards of medical practice and prescribing
psychologist practice;
(2) provides collaboration and consultation with the
prescribing psychologist in person at least once a month
for review of safety and quality clinical care or
treatment;
(3) is available through telecommunications for
consultation on medical problems, complications,
emergencies, or patient referral; and
(4) reviews medication orders of the prescribing
psychologist no less than monthly, including review of
laboratory tests and other tests as available.
(i) The written collaborative agreement shall contain
provisions detailing notice for termination or change of
status involving a written collaborative agreement, except
when the notice is given for just cause.

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(j) A copy of the signed written collaborative agreement
shall be available to the Department upon request to either
the prescribing psychologist or the collaborating physician.
(k) Nothing in this Section shall be construed to limit
the authority of a prescribing psychologist to perform all
duties authorized under this Act.
(l) A prescribing psychologist shall inform each
collaborating physician of all collaborative agreements he or
she has signed and provide a copy of these to any collaborating
physician.
(m) No collaborating physician shall enter into more than
3 collaborative agreements with prescribing psychologists.
(Source: P.A. 101-84, eff. 7-19-19.)
Section 99. Effective date. This Act takes effect upon
becoming law.