Bill Text: IL SB2450 | 2025-2026 | 104th General Assembly | Introduced


Bill Title: Amends the Behavior Analyst Licensing Act, the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, the Marriage and Family Therapy Licensing Act, the Medical Practice Act of 1987, the Licensed Certified Professional Midwife Practice Act, the Nurse Practice Act, the Pharmacy Practice Act, the Physician Assistant Practice Act of 1987, the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act, the Wholesale Drug Distribution Licensing Act, the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act, and the Genetic Counselor Licensing Act. Provides that the Department of Professional and Financial Regulation shall not take any disciplinary or non-disciplinary action against a person's authorization to practice (rather than against the license or permit issued) under each of the amended Acts based solely upon the person's involvement in any health care service, so long as the care was not unlawful under the laws of the State. Prohibits the Department from taking any disciplinary or non-disciplinary action against a person's authorization to practice (rather than against the license or permit issued) under each of the amended Acts based upon the person's license, registration, or permit (rather than only license) being revoked or suspended, or the person being otherwise disciplined by any other state, if that form of discipline was based solely on the person violating another state's laws prohibiting involvement in any health care service if that health care service would not have been unlawful under the laws of the State and is consistent with the applicable standard of conduct for a person practicing in Illinois under those Acts. Changes certain references to official occupation titles in the amended Acts to "person". Amends the Illinois Food, Drug and Cosmetic Act. Provides that a drug's status as not approved by the U.S. Food and Drug Administration shall not cause it to be deemed an adulterated drug if its safety and efficacy have been established by peer-reviewed research or if it is recommended for use by the World Health Organization, even if the drug's labelling reflects prior approval that is no longer in effect, so long as such labelling was true and accurate at the time of manufacture.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2025-02-07 - Referred to Assignments [SB2450 Detail]

Download: Illinois-2025-SB2450-Introduced.html

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB2450

Introduced 2/7/2025, by Sen. Karina Villa

SYNOPSIS AS INTRODUCED:
See Index

    Amends the Behavior Analyst Licensing Act, the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, the Marriage and Family Therapy Licensing Act, the Medical Practice Act of 1987, the Licensed Certified Professional Midwife Practice Act, the Nurse Practice Act, the Pharmacy Practice Act, the Physician Assistant Practice Act of 1987, the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act, the Wholesale Drug Distribution Licensing Act, the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act, and the Genetic Counselor Licensing Act. Provides that the Department of Professional and Financial Regulation shall not take any disciplinary or non-disciplinary action against a person's authorization to practice (rather than against the license or permit issued) under each of the amended Acts based solely upon the person's involvement in any health care service, so long as the care was not unlawful under the laws of the State. Prohibits the Department from taking any disciplinary or non-disciplinary action against a person's authorization to practice (rather than against the license or permit issued) under each of the amended Acts based upon the person's license, registration, or permit (rather than only license) being revoked or suspended, or the person being otherwise disciplined by any other state, if that form of discipline was based solely on the person violating another state's laws prohibiting involvement in any health care service if that health care service would not have been unlawful under the laws of the State and is consistent with the applicable standard of conduct for a person practicing in Illinois under those Acts. Changes certain references to official occupation titles in the amended Acts to "person". Amends the Illinois Food, Drug and Cosmetic Act. Provides that a drug's status as not approved by the U.S. Food and Drug Administration shall not cause it to be deemed an adulterated drug if its safety and efficacy have been established by peer-reviewed research or if it is recommended for use by the World Health Organization, even if the drug's labelling reflects prior approval that is no longer in effect, so long as such labelling was true and accurate at the time of manufacture.
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A BILL FOR

SB2450LRB104 12244 BDA 22351 b
1    AN ACT concerning regulation.
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4    Section 5. The Behavior Analyst Licensing Act is amended
5by changing Section 60 as follows:
6    (225 ILCS 6/60)
7    (Section scheduled to be repealed on January 1, 2028)
8    Sec. 60. Grounds for disciplinary action.     
9    (a) The Department may refuse to issue or renew a license,
10or may suspend, revoke, place on probation, reprimand, or take
11any other disciplinary or nondisciplinary action deemed
12appropriate by the Department, including the imposition of
13fines not to exceed $10,000 for each violation, with regard to
14any license issued under the provisions of this Act for any one
15or a combination of the following grounds:
16        (1) material misstatements in furnishing information
17 to the Department or to any other State agency or in
18 furnishing information to any insurance company with
19 respect to a claim on behalf of a licensee or a client    
20 patient;
21        (2) violations or negligent or intentional disregard
22 of this Act or its rules;
23        (3) conviction of or entry of a plea of guilty or nolo

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1 contendere, finding of guilt, jury verdict, or entry of
2 judgment or sentencing, including, but not limited to,
3 convictions, preceding sentences of supervision,
4 conditional discharge, or first offender probation, under
5 the laws of any jurisdiction of the United States that is
6 (i) a felony or (ii) a misdemeanor, an essential element
7 of which is dishonesty, or that is directly related to the
8 practice of behavior analysis;
9        (4) fraud or misrepresentation in applying for or
10 procuring a license under this Act or in connection with
11 applying for renewal or restoration of a license under
12 this Act;
13        (5) professional incompetence;
14        (6) gross negligence in practice under this Act;
15        (7) aiding or assisting another person in violating
16 any provision of this Act or its rules;
17        (8) failing to provide information within 60 days in
18 response to a written request made by the Department;
19        (9) engaging in dishonorable, unethical, or
20 unprofessional conduct of a character likely to deceive,
21 defraud, or harm the public as defined by the rules of the
22 Department or violating the rules of professional conduct
23 adopted by the Department;
24        (10) habitual or excessive use or abuse of drugs
25 defined in law as controlled substances, of alcohol, or of
26 any other substances that results in the inability to

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1 practice with reasonable judgment, skill, or safety;
2        (11) adverse action taken by another state or
3 jurisdiction if at least one of the grounds for the
4 discipline is the same or substantially equivalent to
5 those set forth in this Section;
6        (12) directly or indirectly giving to or receiving
7 from any person, firm, corporation, partnership, or
8 association any fee, commission, rebate, or other form of
9 compensation for any professional service not actually
10 rendered; nothing in this paragraph affects any bona fide
11 independent contractor or employment arrangements among
12 health care professionals, health facilities, health care
13 providers, or other entities, except as otherwise
14 prohibited by law; any employment arrangements may include
15 provisions for compensation, health insurance, pension, or
16 other employment benefits for the provision of services
17 within the scope of the licensee's practice under this
18 Act; nothing in this paragraph shall be construed to
19 require an employment arrangement to receive professional
20 fees for services rendered;
21        (13) a finding by the Department that the licensee,
22 after having the license placed on probationary status,
23 has violated the terms of probation or failed to comply
24 with those terms;
25        (14) abandonment, without cause, of a client;
26        (15) willfully making or filing false records or

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1 reports relating to a licensee's practice, including, but
2 not limited to, false records filed with federal or State
3 agencies or departments;
4        (16) willfully failing to report an instance of
5 suspected child abuse or neglect as required by the Abused
6 and Neglected Child Reporting Act;
7        (17) being named as a perpetrator in an indicated
8 report by the Department of Children and Family Services
9 under the Abused and Neglected Child Reporting Act, and
10 upon proof by clear and convincing evidence that the
11 licensee has caused a child to be an abused child or
12 neglected child as defined in the Abused and Neglected
13 Child Reporting Act;
14        (18) physical illness, mental illness, or any other
15 impairment or disability, including, but not limited to,
16 deterioration through the aging process, or loss of motor
17 skills that results in the inability to practice the
18 profession with reasonable judgment, skill, or safety;
19        (19) solicitation of professional services by using
20 false or misleading advertising;
21        (20) violation of the Health Care Worker Self-Referral
22 Act;
23        (21) willfully failing to report an instance of
24 suspected abuse, neglect, financial exploitation, or
25 self-neglect of an eligible adult as defined in and
26 required by the Adult Protective Services Act; or

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1        (22) being named as an abuser in a verified report by
2 the Department on Aging under the Adult Protective
3 Services Act, and upon proof by clear and convincing
4 evidence that the licensee abused, neglected, or
5 financially exploited an eligible adult as defined in the
6 Adult Protective Services Act.
7    (b) The determination by a court that a licensee is
8subject to involuntary admission or judicial admission as
9provided in the Mental Health and Developmental Disabilities
10Code shall result in an automatic suspension of the licensee's
11license. The suspension shall end upon a finding by a court
12that the licensee is no longer subject to involuntary
13admission or judicial admission and issues an order so finding
14and discharging the patient, and upon the recommendation of
15the Board to the Secretary that the licensee be allowed to
16resume professional practice.
17    (c) The Department shall refuse to issue or renew or may
18suspend the license of a person who (i) fails to file a tax
19return, pay the tax, penalty, or interest shown in a filed tax
20return, or pay any final assessment of tax, penalty, or
21interest, as required by any tax Act administered by the
22Department of Revenue, until the requirements of the tax Act
23are satisfied or (ii) has failed to pay any court-ordered
24child support as determined by a court order or by referral
25from the Department of Healthcare and Family Services.
26    (c-1) The Department shall not revoke, suspend, place on

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1probation, reprimand, refuse to issue or renew, or take any
2other disciplinary or non-disciplinary action against a
3person's authorization to practice the license or permit
4issued under this Act based solely upon the person licensed
5behavior analyst recommending, aiding, assisting, referring
6for, or participating in any health care service, so long as
7the care was not unlawful under the laws of this State,
8regardless of whether the client patient was a resident of
9this State or another state.
10    (c-2) The Department shall not revoke, suspend, place on
11prohibition, reprimand, refuse to issue or renew, or take any
12other disciplinary or non-disciplinary action against a
13person's authorization to practice the license or permit
14issued under this Act to practice as a licensed behavior
15analyst based upon the person's licensed behavior analyst's    
16license, registration, or permit being revoked or suspended,
17or the person licensed behavior analyst being otherwise
18disciplined, by any other state, if that revocation,
19suspension, or other form of discipline was based solely on
20the person licensed behavior analyst violating another state's
21laws prohibiting the provision of, authorization of,
22recommendation of, aiding or assisting in, referring for, or
23participation in any health care service if that health care
24service as provided would not have been unlawful under the
25laws of this State and is consistent with the applicable
26standard standards of conduct for a person licensed behavior

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1analyst practicing in Illinois under this Act.
2    (c-3) The conduct specified in subsections (c-1) and (c-2)
3shall not constitute grounds for suspension under Section 125.
4    (c-4) The Department shall not revoke, suspend, summarily
5suspend, place on prohibition, reprimand, refuse to issue or
6renew, or take any other disciplinary or non-disciplinary
7action against a person's authorization to practice the
8license or permit issued under this Act to practice as a
9licensed behavior analyst based solely upon the person's    
10license, registration, or permit of a licensed behavior
11analyst being revoked or suspended, or the person the licensed
12behavior analyst being otherwise disciplined, by any other
13state or territory other than Illinois for the referral for or
14having otherwise participated in any health care service, if
15the revocation, suspension, or disciplinary action was based
16solely on a violation of the other state's law prohibiting
17such health care services in the state, for a resident of the
18state, or in any other state.
19    (d) In enforcing this Section, the Department, upon a
20showing of a possible violation, may compel a person licensed
21to practice under this Act, or who has applied for licensure
22under this Act, to submit to a mental or physical examination,
23or both, which may include a substance abuse or sexual
24offender evaluation, as required by and at the expense of the
25Department.
26        (1) The Department shall specifically designate the

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1 examining physician licensed to practice medicine in all
2 of its branches or, if applicable, the multidisciplinary
3 team involved in providing the mental or physical
4 examination or both. The multidisciplinary team shall be
5 led by a physician licensed to practice medicine in all of
6 its branches and may consist of one or more or a
7 combination of physicians licensed to practice medicine in
8 all of its branches, licensed clinical psychologists,
9 licensed clinical professional counselors, and other
10 professional and administrative staff. Any examining
11 physician or member of the multidisciplinary team may
12 require any person ordered to submit to an examination
13 pursuant to this Section to submit to any additional
14 supplemental testing deemed necessary to complete any
15 examination or evaluation process, including, but not
16 limited to, blood testing, urinalysis, psychological
17 testing, or neuropsychological testing.
18        (2) The Department may order the examining physician
19 or any member of the multidisciplinary team to present
20 testimony concerning this mental or physical examination
21 of the licensee or applicant. No information, report,
22 record, or other documents in any way related to the
23 examination shall be excluded by reason of any common law
24 or statutory privilege relating to communications between
25 the licensee or applicant and the examining physician or
26 any member of the multidisciplinary team. No authorization

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1 is necessary from the licensee or applicant ordered to
2 undergo an examination for the examining physician or any
3 member of the multidisciplinary team to provide
4 information, reports, records, or other documents or to
5 provide any testimony regarding the examination and
6 evaluation.
7        (3) The person to be examined may have, at the
8 person's own expense, another physician of the person's
9 choice present during all aspects of the examination.
10 However, that physician shall be present only to observe
11 and may not interfere in any way with the examination.
12        (4) The failure of any person to submit to a mental or
13 physical examination without reasonable cause, when
14 ordered, shall result in an automatic suspension of the
15 person's license until the person submits to the
16 examination.
17    (e) If the Department finds a person unable to practice
18because of the reasons set forth in this Section, the
19Department or Board may require that person to submit to care,
20counseling, or treatment by physicians approved or designated
21by the Department or Board, as a condition, term, or
22restriction for continued, reinstated, or renewed licensure to
23practice; or, in lieu of care, counseling, or treatment, the
24Department may file, or the Board may recommend to the
25Department to file, a complaint to immediately suspend,
26revoke, or otherwise discipline the license of the person. Any

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1person whose license was granted, continued, reinstated,
2renewed, disciplined, or supervised subject to the terms,
3conditions, or restrictions, and who fails to comply with the
4terms, conditions, or restrictions, shall be referred to the
5Secretary for a determination as to whether the person shall
6have the person's license suspended immediately, pending a
7hearing by the Department.
8    (f) All fines imposed shall be paid within 60 days after
9the effective date of the order imposing the fine or in
10accordance with the terms set forth in the order imposing the
11fine.
12    If the Secretary immediately suspends a person's license
13under this subsection, a hearing on that person's license must
14be convened by the Department within 30 days after the
15suspension and completed without appreciable delay. The
16Department and Board shall have the authority to review the
17subject person's record of treatment and counseling regarding
18the impairment, to the extent permitted by applicable federal
19statutes and regulations safeguarding the confidentiality of
20medical records.
21    A person licensed under this Act and affected under this
22Section shall be afforded an opportunity to demonstrate to the
23Department or Board that the person can resume practice in
24compliance with acceptable and prevailing standards under the
25provisions of the person's license.
26    (g) The Department may adopt rules to implement,

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1administer, and enforce this Section the changes made by this
2amendatory Act of the 102nd General Assembly.
3(Source: P.A. 102-953, eff. 5-27-22; 102-1117, eff. 1-13-23.)
4    Section 10. The Clinical Psychologist Licensing Act is
5amended by changing Section 15 as follows:
6    (225 ILCS 15/15)    (from Ch. 111, par. 5365)
7    (Section scheduled to be repealed on January 1, 2027)
8    Sec. 15. Disciplinary action; grounds.
9    (a) The Department may refuse to issue, refuse to renew,
10suspend, or revoke any license, or may place on probation,
11reprimand, or take other disciplinary or non-disciplinary
12action deemed appropriate by the Department, including the
13imposition of fines not to exceed $10,000 for each violation,
14with regard to any license issued under the provisions of this
15Act for any one or a combination of the following reasons:
16        (1) Conviction of, or entry of a plea of guilty or nolo
17 contendere to, any crime that is a felony under the laws of
18 the United States or any state or territory thereof or
19 that is a misdemeanor of which an essential element is
20 dishonesty, or any crime that is directly related to the
21 practice of the profession.
22        (2) Gross negligence in the rendering of clinical
23 psychological services.
24        (3) Using fraud or making any misrepresentation in

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1 applying for a license or in passing the examination
2 provided for in this Act.
3        (4) Aiding or abetting or conspiring to aid or abet a
4 person, not a clinical psychologist licensed under this
5 Act, in representing himself or herself as so licensed or
6 in applying for a license under this Act.
7        (5) Violation of any provision of this Act or the
8 rules promulgated thereunder.
9        (6) Professional connection or association with any
10 person, firm, association, partnership or corporation
11 holding himself, herself, themselves, or itself out in any
12 manner contrary to this Act.
13        (7) Unethical, unauthorized, or unprofessional conduct
14 as defined by rule. In establishing those rules, the
15 Department shall consider, though is not bound by, the
16 ethical standards for psychologists promulgated by
17 recognized national psychology associations.
18        (8) Aiding or assisting another person in violating
19 any provisions of this Act or the rules promulgated
20 thereunder.
21        (9) Failing to provide, within 60 days, information in
22 response to a written request made by the Department.
23        (10) Habitual or excessive use or addiction to
24 alcohol, narcotics, stimulants, or any other chemical
25 agent or drug that results in a clinical psychologist's
26 inability to practice with reasonable judgment, skill, or

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1 safety.
2        (11) Discipline by another state, territory, the
3 District of Columbia, or foreign country, if at least one
4 of the grounds for the discipline is the same or
5 substantially equivalent to those set forth herein.
6        (12) Directly or indirectly giving or receiving from
7 any person, firm, corporation, association, or partnership
8 any fee, commission, rebate, or other form of compensation
9 for any professional service not actually or personally
10 rendered. Nothing in this paragraph (12) affects any bona
11 fide independent contractor or employment arrangements
12 among health care professionals, health facilities, health
13 care providers, or other entities, except as otherwise
14 prohibited by law. Any employment arrangements may include
15 provisions for compensation, health insurance, pension, or
16 other employment benefits for the provision of services
17 within the scope of the licensee's practice under this
18 Act. Nothing in this paragraph (12) shall be construed to
19 require an employment arrangement to receive professional
20 fees for services rendered.
21        (13) A finding that the licensee, after having his or
22 her license placed on probationary status, has violated
23 the terms of probation.
24        (14) Willfully making or filing false records or
25 reports, including, but not limited to, false records or
26 reports filed with State agencies or departments.

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1        (15) Physical illness, including, but not limited to,
2 deterioration through the aging process, mental illness,    
3 or disability that results in the inability to practice
4 the profession with reasonable judgment, skill, and
5 safety.
6        (16) Willfully failing to report an instance of
7 suspected child abuse or neglect as required by the Abused
8 and Neglected Child Reporting Act.
9        (17) Being named as a perpetrator in an indicated
10 report by the Department of Children and Family Services
11 pursuant to the Abused and Neglected Child Reporting Act,
12 and upon proof by clear and convincing evidence that the
13 licensee has caused a child to be an abused child or
14 neglected child as defined in the Abused and Neglected
15 Child Reporting Act.
16        (18) Violation of the Health Care Worker Self-Referral
17 Act.
18        (19) Making a material misstatement in furnishing
19 information to the Department, any other State or federal
20 agency, or any other entity.
21        (20) Failing to report to the Department any adverse
22 judgment, settlement, or award arising from a liability
23 claim related to an act or conduct similar to an act or
24 conduct that would constitute grounds for action as set
25 forth in this Section.
26        (21) Failing to report to the Department any adverse

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1 final action taken against a licensee or applicant by
2 another licensing jurisdiction, including any other state
3 or territory of the United States or any foreign state or
4 country, or any peer review body, health care institution,
5 professional society or association related to the
6 profession, governmental agency, law enforcement agency,
7 or court for an act or conduct similar to an act or conduct
8 that would constitute grounds for disciplinary action as
9 set forth in this Section.
10        (22) Prescribing, selling, administering,
11 distributing, giving, or self-administering (A) any drug
12 classified as a controlled substance (designated product)
13 for other than medically accepted therapeutic purposes or
14 (B) any narcotic drug.
15        (23) Violating State state or federal laws or
16 regulations relating to controlled substances, legend
17 drugs, or ephedra as defined in the Ephedra Prohibition
18 Act.
19        (24) Exceeding the terms of a collaborative agreement
20 or the prescriptive authority delegated to a licensee by
21 his or her collaborating physician or established under a
22 written collaborative agreement.
23    The entry of an order by any circuit court establishing
24that any person holding a license under this Act is subject to
25involuntary admission or judicial admission as provided for in
26the Mental Health and Developmental Disabilities Code,

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1operates as an automatic suspension of that license. That
2person may have his or her license restored only upon the
3determination by a circuit court that the patient is no longer
4subject to involuntary admission or judicial admission and the
5issuance of an order so finding and discharging the patient
6and upon the Board's recommendation to the Department that the
7license be restored. Where the circumstances so indicate, the
8Board may recommend to the Department that it require an
9examination prior to restoring any license so automatically
10suspended.
11    The Department shall refuse to issue or suspend the
12license of any person who fails to file a return, or to pay the
13tax, penalty, or interest shown in a filed return, or to pay
14any final assessment of the tax, penalty, or interest, as
15required by any tax Act administered by the Illinois
16Department of Revenue, until such time as the requirements of
17any such tax Act are satisfied.
18    In enforcing this Section, the Department or Board upon a
19showing of a possible violation may compel any person licensed
20to practice under this Act, or who has applied for licensure or
21certification pursuant to this Act, to submit to a mental or
22physical examination, or both, as required by and at the
23expense of the Department. The examining physicians or
24clinical psychologists shall be those specifically designated
25by the Department. The Board or the Department may order the
26examining physician or clinical psychologist to present

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1testimony concerning this mental or physical examination of
2the licensee or applicant. No information shall be excluded by
3reason of any common law or statutory privilege relating to
4communications between the licensee or applicant and the
5examining physician or clinical psychologist. The person to be
6examined may have, at his or her own expense, another
7physician or clinical psychologist of his or her choice
8present during all aspects of the examination. Failure of any
9person to submit to a mental or physical examination, when
10directed, shall be grounds for suspension of a license until
11the person submits to the examination if the Department or
12Board finds, after notice and hearing, that the refusal to
13submit to the examination was without reasonable cause.
14    If the Department or Board finds a person unable to
15practice because of the reasons set forth in this Section, the
16Department or Board may require that person to submit to care,
17counseling, or treatment by physicians or clinical
18psychologists approved or designated by the Department, as a
19condition, term, or restriction for continued, reinstated, or
20renewed licensure to practice; or, in lieu of care,
21counseling, or treatment, the Board may recommend to the
22Department to file or the Department may file a complaint to
23immediately suspend, revoke, or otherwise discipline the
24license of the person. Any person whose license was granted,
25continued, reinstated, renewed, disciplined, or supervised
26subject to such terms, conditions, or restrictions, and who

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1fails to comply with such terms, conditions, or restrictions,
2shall be referred to the Secretary for a determination as to
3whether the person shall have his or her license suspended
4immediately, pending a hearing by the Board.
5    In instances in which the Secretary immediately suspends a
6person's license under this Section, a hearing on that
7person's license must be convened by the Board within 15 days
8after the suspension and completed without appreciable delay.
9The Board shall have the authority to review the subject
10person's record of treatment and counseling regarding the
11impairment, to the extent permitted by applicable federal
12statutes and regulations safeguarding the confidentiality of
13medical records.
14    A person licensed under this Act and affected under this
15Section shall be afforded an opportunity to demonstrate to the
16Board that he or she can resume practice in compliance with
17acceptable and prevailing standards under the provisions of
18his or her license.
19    (b) The Department shall not revoke, suspend, place on
20probation, reprimand, refuse to issue or renew, or take any
21other disciplinary or non-disciplinary action against a
22person's authorization to practice the license or permit
23issued under this Act based solely upon the person licensed
24clinical psychologist recommending, aiding, assisting,
25referring for, or participating in any health care service, so
26long as the care was not unlawful under the laws of this State,

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1regardless of whether the patient was a resident of this State
2or another state.
3    (c) The Department shall not revoke, suspend, place on
4prohibition, reprimand, refuse to issue or renew, or take any
5other disciplinary or non-disciplinary action against a
6person's authorization to practice the license or permit
7issued under this Act to practice as a licensed clinical
8psychologist based upon the person's licensed clinical
9psychologist's license, registration, or permit being revoked
10or suspended, or the person licensed clinical psychologist    
11being otherwise disciplined, by any other state, if that
12revocation, suspension, or other form of discipline was based
13solely on the person licensed clinical psychologist violating
14another state's laws prohibiting the provision of,
15authorization of, recommendation of, aiding or assisting in,
16referring for, or participation in any health care service if
17that health care service as provided would not have been
18unlawful under the laws of this State and is consistent with
19the applicable standard standards of conduct for a person    
20licensed clinical psychologist practicing in Illinois under
21this Act.
22    (d) The conduct specified in subsections (b) and (c) shall
23not constitute grounds for suspension under Section 21.6.
24    (e) The Department shall not revoke, suspend, summarily
25suspend, place on prohibition, reprimand, refuse to issue or
26renew, or take any other disciplinary or non-disciplinary

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1action against a person's authorization to practice the
2license or permit issued under this Act to practice as a
3licensed clinical psychologist based solely upon the license,
4registration, or permit of the a    person licensed clinical
5psychologist being suspended or revoked, or the person    
6licensed clinical psychologist being otherwise disciplined, by
7any other state or territory other than Illinois for the
8referral for or having otherwise participated in any health
9care service, if the revocation, suspension, or other    
10disciplinary action was based solely on a violation of the
11other state's law prohibiting such health care services in the
12state, for a resident of the state, or in any other state.
13    (f) The Department may adopt rules to implement,
14administer, and enforce this Section the changes made by this
15amendatory Act of the 102nd General Assembly.
16(Source: P.A. 102-1117, eff. 1-13-23.)
17    Section 15. The Clinical Social Work and Social Work
18Practice Act is amended by changing Section 19 as follows:
19    (225 ILCS 20/19)
20    (Section scheduled to be repealed on January 1, 2028)
21    Sec. 19. Grounds for disciplinary action.
22    (1) The Department may refuse to issue or renew a license,
23or may suspend, revoke, place on probation, reprimand, or take
24any other disciplinary or non-disciplinary action deemed

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1appropriate by the Department, including the imposition of
2fines not to exceed $10,000 for each violation, with regard to
3any license issued under the provisions of this Act for any one
4or a combination of the following grounds:
5        (a) material misstatements in furnishing information
6 to the Department or to any other State agency or in
7 furnishing information to any insurance company with
8 respect to a claim on behalf of a licensee or a patient;
9        (b) violations or negligent or intentional disregard
10 of this Act, or any of the rules promulgated hereunder;
11        (c) conviction of or entry of a plea of guilty or nolo
12 contendere, finding of guilt, jury verdict, or entry of
13 judgment or sentencing, including, but not limited to,
14 convictions, preceding sentences of supervision,
15 conditional discharge, or first offender probation, under
16 the laws of any jurisdiction of the United States that is
17 (i) a felony or (ii) a misdemeanor, an essential element
18 of which is dishonesty, or that is directly related to the
19 practice of the clinical social work or social work
20 professions;
21        (d) fraud or misrepresentation in applying for or
22 procuring a license under this Act or in connection with
23 applying for renewal or restoration of a license under
24 this Act;
25        (e) professional incompetence;
26        (f) gross negligence in practice under this Act;

SB2450- 22 -LRB104 12244 BDA 22351 b
1        (g) aiding or assisting another person in violating
2 any provision of this Act or its rules;
3        (h) failing to provide information within 60 days in
4 response to a written request made by the Department;
5        (i) engaging in dishonorable, unethical, or
6 unprofessional conduct of a character likely to deceive,
7 defraud, or harm the public as defined by the rules of the
8 Department, or violating the rules of professional conduct
9 adopted by the Department;
10        (j) habitual or excessive use or abuse of drugs
11 defined in law as controlled substances, of alcohol, or of
12 any other substances that results in the inability to
13 practice with reasonable judgment, skill, or safety;
14        (k) adverse action taken by another state or
15 jurisdiction, if at least one of the grounds for the
16 discipline is the same or substantially equivalent to
17 those set forth in this Section;
18        (l) directly or indirectly giving to or receiving from
19 any person, firm, corporation, partnership, or association
20 any fee, commission, rebate, or other form of compensation
21 for any professional service not actually rendered.
22 Nothing in this paragraph (l) affects any bona fide
23 independent contractor or employment arrangements among
24 health care professionals, health facilities, health care
25 providers, or other entities, except as otherwise
26 prohibited by law. Any employment arrangements may include

SB2450- 23 -LRB104 12244 BDA 22351 b
1 provisions for compensation, health insurance, pension, or
2 other employment benefits for the provision of services
3 within the scope of the licensee's practice under this
4 Act. Nothing in this paragraph (l) shall be construed to
5 require an employment arrangement to receive professional
6 fees for services rendered;
7        (m) a finding by the Department that the licensee,
8 after having the license placed on probationary status,
9 has violated the terms of probation or failed to comply
10 with such terms;
11        (n) abandonment, without cause, of a client;
12        (o) willfully making or filing false records or
13 reports relating to a licensee's practice, including, but
14 not limited to, false records filed with federal Federal    
15 or State agencies or departments;
16        (p) willfully failing to report an instance of
17 suspected child abuse or neglect as required by the Abused
18 and Neglected Child Reporting Act;
19        (q) being named as a perpetrator in an indicated
20 report by the Department of Children and Family Services
21 under the Abused and Neglected Child Reporting Act, and
22 upon proof by clear and convincing evidence that the
23 licensee has caused a child to be an abused child or
24 neglected child as defined in the Abused and Neglected
25 Child Reporting Act;
26        (r) physical illness, mental illness, or any other

SB2450- 24 -LRB104 12244 BDA 22351 b
1 impairment or disability, including, but not limited to,
2 deterioration through the aging process, or loss of motor
3 skills that results in the inability to practice the
4 profession with reasonable judgment, skill, or safety;
5        (s) solicitation of professional services by using
6 false or misleading advertising;
7        (t) violation of the Health Care Worker Self-Referral
8 Act;
9        (u) willfully failing to report an instance of
10 suspected abuse, neglect, financial exploitation, or
11 self-neglect of an eligible adult as defined in and
12 required by the Adult Protective Services Act; or
13        (v) being named as an abuser in a verified report by
14 the Department on Aging under the Adult Protective
15 Services Act, and upon proof by clear and convincing
16 evidence that the licensee abused, neglected, or
17 financially exploited an eligible adult as defined in the
18 Adult Protective Services Act.
19    (2) (Blank).
20    (3) The determination by a court that a licensee is
21subject to involuntary admission or judicial admission as
22provided in the Mental Health and Developmental Disabilities
23Code, will result in an automatic suspension of the licensee's
24license. Such suspension will end upon a finding by a court
25that the licensee is no longer subject to involuntary
26admission or judicial admission and issues an order so finding

SB2450- 25 -LRB104 12244 BDA 22351 b
1and discharging the patient, and upon the recommendation of
2the Board to the Secretary that the licensee be allowed to
3resume professional practice.
4    (4) The Department shall refuse to issue or renew or may
5suspend the license of a person who (i) fails to file a return,
6pay the tax, penalty, or interest shown in a filed return, or
7pay any final assessment of tax, penalty, or interest, as
8required by any tax Act administered by the Department of
9Revenue, until the requirements of the tax Act are satisfied
10or (ii) has failed to pay any court-ordered child support as
11determined by a court order or by referral from the Department
12of Healthcare and Family Services.
13    (4.5) The Department shall not revoke, suspend, summarily
14suspend, place on prohibition, reprimand, refuse to issue or
15renew, or take any other disciplinary or non-disciplinary
16action against a person's authorization to practice license or
17permit issued under this Act based solely upon the person    
18licensed clinical social worker authorizing, recommending,
19aiding, assisting, referring for, or otherwise participating
20in any health care service, so long as the care was not
21unlawful under the laws of this State, regardless of whether
22the patient was a resident of this State or another state.
23    (4.10) The Department shall not revoke, suspend, summarily
24suspend, place on prohibition, reprimand, refuse to issue or
25renew, or take any other disciplinary or non-disciplinary
26action against a person's authorization to practice the

SB2450- 26 -LRB104 12244 BDA 22351 b
1license or permit issued under this Act to practice as a
2licensed clinical social worker based upon the person's    
3licensed clinical social worker's license, registration, or
4permit being revoked or suspended, or the person licensed
5clinical social worker being otherwise disciplined, by any
6other state, if that revocation, suspension, or other form of
7discipline was based solely on the person licensed clinical
8social worker violating another state's laws prohibiting the
9provision of, authorization of, recommendation of, aiding or
10assisting in, referring for, or participation in any health
11care service if that health care service as provided would not
12have been unlawful under the laws of this State and is
13consistent with the applicable standard standards of conduct
14for a person licensed clinical social worker practicing in
15Illinois under this Act.
16    (4.15) The conduct specified in subsection (4.5), (4.10),
17(4.25), or (4.30) shall not constitute grounds for suspension
18under Section 32.
19    (4.20) An applicant seeking licensure, certification, or
20authorization pursuant to this Act who has been subject to
21disciplinary action by a duly authorized professional
22disciplinary agency of another jurisdiction solely on the
23basis of having authorized, recommended, aided, assisted,
24referred for, or otherwise participated in health care shall
25not be denied such licensure, certification, or authorization,
26unless the Department determines that such action would have

SB2450- 27 -LRB104 12244 BDA 22351 b
1constituted professional misconduct in this State; however,
2nothing in this Section shall be construed as prohibiting the
3Department from evaluating the conduct of such applicant and
4making a determination regarding the licensure, certification,
5or authorization to practice a profession under this Act.
6    (4.25) The Department may not revoke, suspend, summarily
7suspend, place on prohibition, reprimand, refuse to issue or
8renew, or take any other disciplinary or non-disciplinary
9action against a person's authorization to practice license or
10permit issued under this Act based solely upon an immigration
11violation by the person licensed clinical social worker.
12    (4.30) The Department may not revoke, suspend, summarily
13suspend, place on prohibition, reprimand, refuse to issue or
14renew, or take any other disciplinary or non-disciplinary
15action against a person's authorization to practice the
16license or permit issued under this Act to practice as a
17licensed clinical social worker based upon the person's    
18licensed clinical social worker's license, registration, or
19permit being revoked or suspended, or the person licensed
20clinical social worker being otherwise disciplined, by any
21other state, if that revocation, suspension, or other form of
22discipline was based solely upon an immigration violation by
23the person licensed clinical social worker.
24    (5)(a) In enforcing this Section, the Department or Board,
25upon a showing of a possible violation, may compel a person
26licensed to practice under this Act, or who has applied for

SB2450- 28 -LRB104 12244 BDA 22351 b
1licensure under this Act, to submit to a mental or physical
2examination, or both, which may include a substance abuse or
3sexual offender evaluation, as required by and at the expense
4of the Department.
5    (b) The Department shall specifically designate the
6examining physician licensed to practice medicine in all of
7its branches or, if applicable, the multidisciplinary team
8involved in providing the mental or physical examination or
9both. The multidisciplinary team shall be led by a physician
10licensed to practice medicine in all of its branches and may
11consist of one or more or a combination of physicians licensed
12to practice medicine in all of its branches, licensed clinical
13psychologists, licensed clinical social workers, licensed
14clinical professional counselors, and other professional and
15administrative staff. Any examining physician or member of the
16multidisciplinary team may require any person ordered to
17submit to an examination pursuant to this Section to submit to
18any additional supplemental testing deemed necessary to
19complete any examination or evaluation process, including, but
20not limited to, blood testing, urinalysis, psychological
21testing, or neuropsychological testing.
22    (c) The Board or the Department may order the examining
23physician or any member of the multidisciplinary team to
24present testimony concerning this mental or physical
25examination of the licensee or applicant. No information,
26report, record, or other documents in any way related to the

SB2450- 29 -LRB104 12244 BDA 22351 b
1examination shall be excluded by reason of any common law or
2statutory privilege relating to communications between the
3licensee or applicant and the examining physician or any
4member of the multidisciplinary team. No authorization is
5necessary from the licensee or applicant ordered to undergo an
6examination for the examining physician or any member of the
7multidisciplinary team to provide information, reports,
8records, or other documents or to provide any testimony
9regarding the examination and evaluation.
10    (d) The person to be examined may have, at the person's own
11expense, another physician of the person's choice present
12during all aspects of the examination. However, that physician
13shall be present only to observe and may not interfere in any
14way with the examination.
15    (e) Failure of any person to submit to a mental or physical
16examination without reasonable cause, when ordered, shall
17result in an automatic suspension of the person's license
18until the person submits to the examination.
19    (f) If the Department or Board finds a person unable to
20practice because of the reasons set forth in this Section, the
21Department or Board may require that person to submit to care,
22counseling, or treatment by physicians approved or designated
23by the Department or Board, as a condition, term, or
24restriction for continued, reinstated, or renewed licensure to
25practice; or, in lieu of care, counseling or treatment, the
26Department may file, or the Board may recommend to the

SB2450- 30 -LRB104 12244 BDA 22351 b
1Department to file, a complaint to immediately suspend,
2revoke, or otherwise discipline the license of the person. Any
3person whose license was granted, continued, reinstated,
4renewed, disciplined, or supervised subject to such terms,
5conditions, or restrictions, and who fails to comply with such
6terms, conditions, or restrictions, shall be referred to the
7Secretary for a determination as to whether the person's
8license shall be suspended immediately, pending a hearing by
9the Department.
10    (g) All fines imposed shall be paid within 60 days after
11the effective date of the order imposing the fine or in
12accordance with the terms set forth in the order imposing the
13fine.
14    In instances in which the Secretary immediately suspends a
15person's license under this Section, a hearing on that
16person's license must be convened by the Department within 30
17days after the suspension and completed without appreciable
18delay. The Department and Board shall have the authority to
19review the subject person's record of treatment and counseling
20regarding the impairment, to the extent permitted by
21applicable federal statutes and regulations safeguarding the
22confidentiality of medical records.
23    A person licensed under this Act and affected under this
24Section shall be afforded an opportunity to demonstrate to the
25Department or Board that the person can resume practice in
26compliance with acceptable and prevailing standards under the

SB2450- 31 -LRB104 12244 BDA 22351 b
1provisions of the person's license.
2    (h) The Department may adopt rules to implement,
3administer, and enforce this Section the changes made by this
4amendatory Act of the 102nd General Assembly.
5(Source: P.A. 102-1117, eff. 1-13-23; 103-715, eff. 1-1-25;
6103-1048, eff. 1-1-25; revised 11-26-24.)
7    Section 20. The Marriage and Family Therapy Licensing Act
8is amended by changing Section 85 as follows:
9    (225 ILCS 55/85)    (from Ch. 111, par. 8351-85)
10    (Section scheduled to be repealed on January 1, 2027)
11    Sec. 85. Refusal, revocation, or suspension.
12    (a) The Department may refuse to issue or renew a license,
13or may revoke, suspend, reprimand, place on probation, or take
14any other disciplinary or non-disciplinary action as the
15Department may deem proper, including the imposition of fines
16not to exceed $10,000 for each violation, with regard to any
17license issued under the provisions of this Act for any one or
18combination of the following grounds:
19        (1) Material misstatement in furnishing information to
20 the Department.
21        (2) Violation of any provision of this Act or its
22 rules.
23        (3) Conviction of or entry of a plea of guilty or nolo
24 contendere, finding of guilt, jury verdict, or entry of

SB2450- 32 -LRB104 12244 BDA 22351 b
1 judgment or sentencing, including, but not limited to,
2 convictions, preceding sentences of supervision,
3 conditional discharge, or first offender probation, under
4 the laws of any jurisdiction of the United States that is
5 (i) a felony or (ii) a misdemeanor, an essential element
6 of which is dishonesty or that is directly related to the
7 practice of the profession.
8        (4) Fraud or misrepresentation in applying for or
9 procuring a license under this Act or in connection with
10 applying for renewal or restoration of a license under
11 this Act or its rules.
12        (5) Professional incompetence.
13        (6) Gross negligence in practice under this Act.
14        (7) Aiding or assisting another person in violating
15 any provision of this Act or its rules.
16        (8) Failing, within 60 days, to provide information in
17 response to a written request made by the Department.
18        (9) Engaging in dishonorable, unethical, or
19 unprofessional conduct of a character likely to deceive,
20 defraud or harm the public as defined by the rules of the
21 Department, or violating the rules of professional conduct
22 adopted by the Department.
23        (10) Habitual or excessive use or abuse of drugs
24 defined in law as controlled substances, of alcohol, or
25 any other substance that results in the inability to
26 practice with reasonable judgment, skill, or safety.

SB2450- 33 -LRB104 12244 BDA 22351 b
1        (11) Discipline by another jurisdiction if at least
2 one of the grounds for the discipline is the same or
3 substantially equivalent to those set forth in this Act.
4        (12) Directly or indirectly giving to or receiving
5 from any person, firm, corporation, partnership, or
6 association any fee, commission, rebate, or other form of
7 compensation for any professional services not actually or
8 personally rendered. Nothing in this paragraph (12)
9 affects any bona fide independent contractor or employment
10 arrangements among health care professionals, health
11 facilities, health care providers, or other entities,
12 except as otherwise prohibited by law. Any employment
13 arrangements may include provisions for compensation,
14 health insurance, pension, or other employment benefits
15 for the provision of services within the scope of the
16 licensee's practice under this Act. Nothing in this
17 paragraph (12) shall be construed to require an employment
18 arrangement to receive professional fees for services
19 rendered.
20        (13) A finding by the Department that the licensee,
21 after having his or her license placed on probationary
22 status, has violated the terms of probation or failed to
23 comply with the terms.
24        (14) Abandonment of a patient without cause.
25        (15) Willfully making or filing false records or
26 reports relating to a licensee's practice, including, but

SB2450- 34 -LRB104 12244 BDA 22351 b
1 not limited to, false records filed with State agencies or
2 departments.
3        (16) Willfully failing to report an instance of
4 suspected child abuse or neglect as required by the Abused
5 and Neglected Child Reporting Act.
6        (17) Being named as a perpetrator in an indicated
7 report by the Department of Children and Family Services
8 under the Abused and Neglected Child Reporting Act and
9 upon proof by clear and convincing evidence that the
10 licensee has caused a child to be an abused child or
11 neglected child as defined in the Abused and Neglected
12 Child Reporting Act.
13        (18) Physical illness or mental illness or impairment,
14 including, but not limited to, deterioration through the
15 aging process or loss of motor skill that results in the
16 inability to practice the profession with reasonable
17 judgment, skill, or safety.
18        (19) Solicitation of professional services by using
19 false or misleading advertising.
20        (20) A pattern of practice or other behavior that
21 demonstrates incapacity or incompetence to practice under
22 this Act.
23        (21) Practicing under a false or assumed name, except
24 as provided by law.
25        (22) Gross, willful, and continued overcharging for
26 professional services, including filing false statements

SB2450- 35 -LRB104 12244 BDA 22351 b
1 for collection of fees or moneys for which services are
2 not rendered.
3        (23) Failure to establish and maintain records of
4 patient care and treatment as required by law.
5        (24) Cheating on or attempting to subvert the
6 licensing examinations administered under this Act.
7        (25) Willfully failing to report an instance of
8 suspected abuse, neglect, financial exploitation, or
9 self-neglect of an eligible adult as defined in and
10 required by the Adult Protective Services Act.
11        (26) Being named as an abuser in a verified report by
12 the Department on Aging and under the Adult Protective
13 Services Act and upon proof by clear and convincing
14 evidence that the licensee abused, neglected, or
15 financially exploited an eligible adult as defined in the
16 Adult Protective Services Act.
17    (b) (Blank).
18    (c) The determination by a circuit court that a licensee
19is subject to involuntary admission or judicial admission, as
20provided in the Mental Health and Developmental Disabilities
21Code, operates as an automatic suspension. The suspension will
22terminate only upon a finding by a court that the patient is no
23longer subject to involuntary admission or judicial admission
24and the issuance of an order so finding and discharging the
25patient, and upon the recommendation of the Board to the
26Secretary that the licensee be allowed to resume his or her

SB2450- 36 -LRB104 12244 BDA 22351 b
1practice as a licensed marriage and family therapist or an
2associate licensed marriage and family therapist.
3    (d) The Department shall refuse to issue or may suspend
4the license of any person who fails to file a return, pay the
5tax, penalty, or interest shown in a filed return or pay any
6final assessment of tax, penalty, or interest, as required by
7any tax Act administered by the Illinois Department of
8Revenue, until the time the requirements of the tax Act are
9satisfied.
10    (d-5) The Department shall not revoke, suspend, summarily
11suspend, place on prohibition, reprimand, refuse to issue or
12renew, or take any other disciplinary or non-disciplinary
13action against a person's authorization to practice the
14license or permit issued under this Act to practice as a
15marriage and family therapist or associate licensed marriage
16and family therapist based solely upon the person marriage and
17family therapist or associate licensed marriage and family
18therapist authorizing, recommending, aiding, assisting,
19referring for, or otherwise participating in any health care
20service, so long as the care was not unlawful Unlawful under
21the laws of this State, regardless of whether the patient was a
22resident of this State or another state.
23    (d-10) The Department shall not revoke, suspend, summarily
24suspend, place on prohibition, reprimand, refuse to issue or
25renew, or take any other disciplinary or non-disciplinary
26action against a person's authorization to practice the

SB2450- 37 -LRB104 12244 BDA 22351 b
1license or permit issued under this Act to practice as a
2marriage and family therapist or associate licensed marriage
3and family therapist based upon the person's marriage and
4family therapist's or associate licensed marriage and family
5therapist's license, registration, or permit being revoked or
6suspended, or the person marriage and family therapist or
7associate licensed marriage and family therapist being
8otherwise disciplined, by any other state, if that revocation,
9suspension, or other form of discipline was based solely on
10the person marriage and family therapist or associate licensed
11marriage and family therapist violating another state's laws
12prohibiting the provision of, authorization of, recommendation
13of, aiding or assisting in, referring for, or participation in
14any health care service if that health care service as
15provided would not have been unlawful under the laws of this
16State and is consistent with the applicable standard standards    
17of conduct for a person marriage and family therapist or an
18associate licensed marriage and family therapist practicing in
19Illinois under this Act.
20    (d-15) The conduct specified in subsection (d-5), (d-10),
21(d-25), or (d-30) shall not constitute grounds for suspension
22under Section 145.
23    (d-20) An applicant seeking licensure, certification, or
24authorization pursuant to this Act who has been subject to
25disciplinary action by a duly authorized professional
26disciplinary agency of another jurisdiction solely on the

SB2450- 38 -LRB104 12244 BDA 22351 b
1basis of having authorized, recommended, aided, assisted,
2referred for, or otherwise participated in health care shall
3not be denied such licensure, certification, or authorization,
4unless the Department determines that such action would have
5constituted professional misconduct in this State; however,
6nothing in this Section shall be construed as prohibiting the
7Department from evaluating the conduct of such applicant and
8making a determination regarding the licensure, certification,
9or authorization to practice a profession under this Act.
10    (d-25) The Department may not revoke, suspend, summarily
11suspend, place on prohibition, reprimand, refuse to issue or
12renew, or take any other disciplinary or non-disciplinary
13action against a person's authorization to practice the
14license or permit issued under this Act to practice as a
15marriage and family therapist or associate licensed marriage
16and family therapist based solely upon an immigration
17violation by the person marriage and family therapist or
18associate licensed marriage and family therapist.
19    (d-30) The Department may not revoke, suspend, summarily
20suspend, place on prohibition, reprimand, refuse to issue or
21renew, or take any other disciplinary or non-disciplinary
22action against a person's authorization to practice the
23license or permit issued under this Act to practice as a
24marriage and family therapist or associate licensed marriage
25and family therapist based upon the person's marriage and
26family therapist's or associate licensed marriage and family

SB2450- 39 -LRB104 12244 BDA 22351 b
1therapist's license, registration, or permit being revoked or
2suspended, or the person marriage and family therapist or
3associate licensed marriage and family therapist being
4otherwise disciplined, by any other state, if that revocation,
5suspension, or other form of discipline was based solely upon
6an immigration violation by the person marriage and family
7therapist or associate licensed marriage and family therapist.
8    (e) In enforcing this Section, the Department or Board
9upon a showing of a possible violation may compel an
10individual licensed to practice under this Act, or who has
11applied for licensure under this Act, to submit to a mental or
12physical examination, or both, which may include a substance
13abuse or sexual offender evaluation, as required by and at the
14expense of the Department.
15    The Department shall specifically designate the examining
16physician licensed to practice medicine in all of its branches
17or, if applicable, the multidisciplinary team involved in
18providing the mental or physical examination or both. The
19multidisciplinary team shall be led by a physician licensed to
20practice medicine in all of its branches and may consist of one
21or more or a combination of physicians licensed to practice
22medicine in all of its branches, licensed clinical
23psychologists, licensed clinical social workers, licensed
24clinical professional counselors, licensed marriage and family
25therapists, and other professional and administrative staff.
26Any examining physician or member of the multidisciplinary

SB2450- 40 -LRB104 12244 BDA 22351 b
1team may require any person ordered to submit to an
2examination and evaluation pursuant to this Section to submit
3to any additional supplemental testing deemed necessary to
4complete any examination or evaluation process, including, but
5not limited to, blood testing, urinalysis, psychological
6testing, or neuropsychological testing.
7    The Department may order the examining physician or any
8member of the multidisciplinary team to provide to the
9Department any and all records, including business records,
10that relate to the examination and evaluation, including any
11supplemental testing performed.
12    The Department or Board may order the examining physician
13or any member of the multidisciplinary team to present
14testimony concerning the mental or physical examination of the
15licensee or applicant. No information, report, record, or
16other documents in any way related to the examination shall be
17excluded by reason of any common law or statutory privilege
18relating to communications between the licensee or applicant
19and the examining physician or any member of the
20multidisciplinary team. No authorization is necessary from the
21licensee or applicant ordered to undergo an examination for
22the examining physician or any member of the multidisciplinary
23team to provide information, reports, records, or other
24documents or to provide any testimony regarding the
25examination and evaluation.
26    The individual to be examined may have, at his or her own

SB2450- 41 -LRB104 12244 BDA 22351 b
1expense, another physician of his or her choice present during
2all aspects of this examination. However, that physician shall
3be present only to observe and may not interfere in any way
4with the examination.
5     Failure of an individual to submit to a mental or physical
6examination, when ordered, shall result in an automatic
7suspension of his or her license until the individual submits
8to the examination.
9    If the Department or Board finds an individual unable to
10practice because of the reasons set forth in this Section, the
11Department or Board may require that individual to submit to
12care, counseling, or treatment by physicians approved or
13designated by the Department or Board, as a condition, term,
14or restriction for continued, reinstated, or renewed licensure
15to practice; or, in lieu of care, counseling, or treatment,
16the Department may file, or the Board may recommend to the
17Department to file, a complaint to immediately suspend,
18revoke, or otherwise discipline the license of the individual.
19An individual whose license was granted, continued,
20reinstated, renewed, disciplined, or supervised subject to
21such terms, conditions, or restrictions, and who fails to
22comply with such terms, conditions, or restrictions, shall be
23referred to the Secretary for a determination as to whether
24the individual shall have his or her license suspended
25immediately, pending a hearing by the Department.
26    In instances in which the Secretary immediately suspends a

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1person's license under this Section, a hearing on that
2person's license must be convened by the Department within 30
3days after the suspension and completed without appreciable
4delay. The Department and Board shall have the authority to
5review the subject individual's record of treatment and
6counseling regarding the impairment to the extent permitted by
7applicable federal statutes and regulations safeguarding the
8confidentiality of medical records.
9    An individual licensed under this Act and affected under
10this Section shall be afforded an opportunity to demonstrate
11to the Department or Board that he or she can resume practice
12in compliance with acceptable and prevailing standards under
13the provisions of his or her license.
14    (f) A fine shall be paid within 60 days after the effective
15date of the order imposing the fine or in accordance with the
16terms set forth in the order imposing the fine.
17    (g) The Department may adopt rules to implement,
18administer, and enforce this Section the changes made by this
19amendatory Act of the 102nd General Assembly.
20(Source: P.A. 102-1117, eff. 1-13-23; 103-715, eff. 1-1-25.)
21    Section 25. The Medical Practice Act of 1987 is amended by
22changing Sections 22 and 23 as follows:
23    (225 ILCS 60/22)    (from Ch. 111, par. 4400-22)
24    (Section scheduled to be repealed on January 1, 2027)

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1    Sec. 22. Disciplinary action.
2    (A) The Department may revoke, suspend, place on
3probation, reprimand, refuse to issue or renew, or take any
4other disciplinary or non-disciplinary action as the
5Department may deem proper with regard to the license or
6permit of any person issued under this Act, including imposing
7fines not to exceed $10,000 for each violation, upon any of the
8following grounds:
9        (1) (Blank).
10        (2) (Blank).
11        (3) A plea of guilty or nolo contendere, finding of
12 guilt, jury verdict, or entry of judgment or sentencing,
13 including, but not limited to, convictions, preceding
14 sentences of supervision, conditional discharge, or first
15 offender probation, under the laws of any jurisdiction of
16 the United States of any crime that is a felony.
17        (4) Gross negligence in practice under this Act.
18        (5) Engaging in dishonorable, unethical, or
19 unprofessional conduct of a character likely to deceive,
20 defraud, or harm the public.
21        (6) Obtaining any fee by fraud, deceit, or
22 misrepresentation.
23        (7) Habitual or excessive use or abuse of drugs
24 defined in law as controlled substances, of alcohol, or of
25 any other substances which results in the inability to
26 practice with reasonable judgment, skill, or safety.

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1        (8) Practicing under a false or, except as provided by
2 law, an assumed name.
3        (9) Fraud or misrepresentation in applying for, or
4 procuring, a license under this Act or in connection with
5 applying for renewal of a license under this Act.
6        (10) Making a false or misleading statement regarding
7 their skill or the efficacy or value of the medicine,
8 treatment, or remedy prescribed by them at their direction
9 in the treatment of any disease or other condition of the
10 body or mind.
11        (11) Allowing another person or organization to use
12 their license, procured under this Act, to practice.
13        (12) Adverse action taken by another state or
14 jurisdiction against a license or other authorization to
15 practice as a medical doctor, doctor of osteopathy, doctor
16 of osteopathic medicine, or doctor of chiropractic, a
17 certified copy of the record of the action taken by the
18 other state or jurisdiction being prima facie evidence
19 thereof. This includes any adverse action taken by a State
20 or federal agency that prohibits a medical doctor, doctor
21 of osteopathy, doctor of osteopathic medicine, or doctor
22 of chiropractic from providing services to the agency's
23 participants.
24        (13) Violation of any provision of this Act or of the
25 Medical Practice Act prior to the repeal of that Act, or
26 violation of the rules, or a final administrative action

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1 of the Secretary, after consideration of the
2 recommendation of the Medical Board.
3        (14) Violation of the prohibition against fee
4 splitting in Section 22.2 of this Act.
5        (15) A finding by the Medical Board that the
6 registrant after having his or her license placed on
7 probationary status or subjected to conditions or
8 restrictions violated the terms of the probation or failed
9 to comply with such terms or conditions.
10        (16) Abandonment of a patient.
11        (17) Prescribing, selling, administering,
12 distributing, giving, or self-administering any drug
13 classified as a controlled substance (designated product)
14 or narcotic for other than medically accepted therapeutic
15 purposes.
16        (18) Promotion of the sale of drugs, devices,
17 appliances, or goods provided for a patient in such manner
18 as to exploit the patient for financial gain of the
19 physician.
20        (19) Offering, undertaking, or agreeing to cure or
21 treat disease by a secret method, procedure, treatment, or
22 medicine, or the treating, operating, or prescribing for
23 any human condition by a method, means, or procedure which
24 the licensee refuses to divulge upon demand of the
25 Department.
26        (20) Immoral conduct in the commission of any act,    

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1 including, but not limited to, commission of an act of
2 sexual misconduct related to the licensee's practice.
3        (21) Willfully making or filing false records or
4 reports in his or her practice as a physician, including,
5 but not limited to, false records to support claims
6 against the medical assistance program of the Department
7 of Healthcare and Family Services (formerly Department of
8 Public Aid) under the Illinois Public Aid Code.
9        (22) Willful omission to file or record, or willfully
10 impeding the filing or recording, or inducing another
11 person to omit to file or record, medical reports as
12 required by law, or willfully failing to report an
13 instance of suspected abuse or neglect as required by law.
14        (23) Being named as a perpetrator in an indicated
15 report by the Department of Children and Family Services
16 under the Abused and Neglected Child Reporting Act, and
17 upon proof by clear and convincing evidence that the
18 licensee has caused a child to be an abused child or
19 neglected child as defined in the Abused and Neglected
20 Child Reporting Act.
21        (24) Solicitation of professional patronage by any
22 corporation, agents, or persons, or profiting from those
23 representing themselves to be agents of the licensee.
24        (25) Gross and willful and continued overcharging for
25 professional services, including filing false statements
26 for collection of fees for which services are not

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1 rendered, including, but not limited to, filing such false
2 statements for collection of monies for services not
3 rendered from the medical assistance program of the
4 Department of Healthcare and Family Services (formerly
5 Department of Public Aid) under the Illinois Public Aid
6 Code.
7        (26) A pattern of practice or other behavior which
8 demonstrates incapacity or incompetence to practice under
9 this Act.
10        (27) Mental illness or disability which results in the
11 inability to practice under this Act with reasonable
12 judgment, skill, or safety.
13        (28) Physical illness, including, but not limited to,
14 deterioration through the aging process, or loss of motor
15 skill which results in a physician's inability to practice
16 under this Act with reasonable judgment, skill, or safety.
17        (29) Cheating on or attempting to subvert the
18 licensing examinations administered under this Act.
19        (30) Willfully or negligently violating the
20 confidentiality between physician and patient except as
21 required by law.
22        (31) The use of any false, fraudulent, or deceptive
23 statement in any document connected with practice under
24 this Act.
25        (32) Aiding and abetting an individual not licensed
26 under this Act in the practice of a profession licensed

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1 under this Act.
2        (33) Violating State or federal laws or regulations
3 relating to controlled substances, legend drugs, or
4 ephedra as defined in the Ephedra Prohibition Act.
5        (34) Failure to report to the Department any adverse
6 final action taken against them by another licensing
7 jurisdiction (any other state or any territory of the
8 United States or any foreign state or country), by any
9 peer review body, by any health care institution, by any
10 professional society or association related to practice
11 under this Act, by any governmental agency, by any law
12 enforcement agency, or by any court for acts or conduct
13 similar to acts or conduct which would constitute grounds
14 for action as defined in this Section.
15        (35) Failure to report to the Department surrender of
16 a license or authorization to practice as a medical
17 doctor, a doctor of osteopathy, a doctor of osteopathic
18 medicine, or doctor of chiropractic in another state or
19 jurisdiction, or surrender of membership on any medical
20 staff or in any medical or professional association or
21 society, while under disciplinary investigation by any of
22 those authorities or bodies, for acts or conduct similar
23 to acts or conduct which would constitute grounds for
24 action as defined in this Section.
25        (36) Failure to report to the Department any adverse
26 judgment, settlement, or award arising from a liability

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1 claim related to acts or conduct similar to acts or
2 conduct which would constitute grounds for action as
3 defined in this Section.
4        (37) Failure to provide copies of medical records as
5 required by law.
6        (38) Failure to furnish the Department, its
7 investigators or representatives, relevant information,
8 legally requested by the Department after consultation
9 with the Chief Medical Coordinator or the Deputy Medical
10 Coordinator.
11        (39) Violating the Health Care Worker Self-Referral
12 Act.
13        (40) (Blank).
14        (41) Failure to establish and maintain records of
15 patient care and treatment as required by this law.
16        (42) Entering into an excessive number of written
17 collaborative agreements with licensed advanced practice
18 registered nurses resulting in an inability to adequately
19 collaborate.
20        (43) Repeated failure to adequately collaborate with a
21 licensed advanced practice registered nurse.
22        (44) Violating the Compassionate Use of Medical
23 Cannabis Program Act.
24        (45) Entering into an excessive number of written
25 collaborative agreements with licensed prescribing
26 psychologists resulting in an inability to adequately

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1 collaborate.
2        (46) Repeated failure to adequately collaborate with a
3 licensed prescribing psychologist.
4        (47) Willfully failing to report an instance of
5 suspected abuse, neglect, financial exploitation, or
6 self-neglect of an eligible adult as defined in and
7 required by the Adult Protective Services Act.
8        (48) Being named as an abuser in a verified report by
9 the Department on Aging under the Adult Protective
10 Services Act, and upon proof by clear and convincing
11 evidence that the licensee abused, neglected, or
12 financially exploited an eligible adult as defined in the
13 Adult Protective Services Act.
14        (49) Entering into an excessive number of written
15 collaborative agreements with licensed physician
16 assistants resulting in an inability to adequately
17 collaborate.
18        (50) Repeated failure to adequately collaborate with a
19 physician assistant.
20    Except for actions involving the ground numbered (26), all
21proceedings to suspend, revoke, place on probationary status,
22or take any other disciplinary action as the Department may
23deem proper, with regard to a license on any of the foregoing
24grounds, must be commenced within 5 years next after receipt
25by the Department of a complaint alleging the commission of or
26notice of the conviction order for any of the acts described

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1herein. Except for the grounds numbered (8), (9), (26), and
2(29), no action shall be commenced more than 10 years after the
3date of the incident or act alleged to have violated this
4Section. For actions involving the ground numbered (26), a
5pattern of practice or other behavior includes all incidents
6alleged to be part of the pattern of practice or other behavior
7that occurred, or a report pursuant to Section 23 of this Act
8received, within the 10-year period preceding the filing of
9the complaint. In the event of the settlement of any claim or
10cause of action in favor of the claimant or the reduction to
11final judgment of any civil action in favor of the plaintiff,
12such claim, cause of action, or civil action being grounded on
13the allegation that a person licensed under this Act was
14negligent in providing care, the Department shall have an
15additional period of 2 years from the date of notification to
16the Department under Section 23 of this Act of such settlement
17or final judgment in which to investigate and commence formal
18disciplinary proceedings under Section 36 of this Act, except
19as otherwise provided by law. The time during which the holder
20of the license was outside the State of Illinois shall not be
21included within any period of time limiting the commencement
22of disciplinary action by the Department.
23    The entry of an order or judgment by any circuit court
24establishing that any person holding a license under this Act
25is a person in need of mental treatment operates as a
26suspension of that license. That person may resume his or her

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1practice only upon the entry of a Departmental order based
2upon a finding by the Medical Board that the person has been
3determined to be recovered from mental illness by the court
4and upon the Medical Board's recommendation that the person be
5permitted to resume his or her practice.
6    The Department may refuse to issue or take disciplinary
7action concerning the license of any person who fails to file a
8return, or to pay the tax, penalty, or interest shown in a
9filed return, or to pay any final assessment of tax, penalty,
10or interest, as required by any tax Act administered by the
11Illinois Department of Revenue, until such time as the
12requirements of any such tax Act are satisfied as determined
13by the Illinois Department of Revenue.
14    The Department, upon the recommendation of the Medical
15Board, shall adopt rules which set forth standards to be used
16in determining:
17        (a) when a person will be deemed sufficiently
18 rehabilitated to warrant the public trust;
19        (b) what constitutes dishonorable, unethical, or
20 unprofessional conduct of a character likely to deceive,
21 defraud, or harm the public;
22        (c) what constitutes immoral conduct in the commission
23 of any act, including, but not limited to, commission of
24 an act of sexual misconduct related to the licensee's
25 practice; and
26        (d) what constitutes gross negligence in the practice

SB2450- 53 -LRB104 12244 BDA 22351 b
1 of medicine.
2    However, no such rule shall be admissible into evidence in
3any civil action except for review of a licensing or other
4disciplinary action under this Act.
5    In enforcing this Section, the Medical Board, upon a
6showing of a possible violation, may compel any individual who
7is licensed to practice under this Act or holds a permit to
8practice under this Act, or any individual who has applied for
9licensure or a permit pursuant to this Act, to submit to a
10mental or physical examination and evaluation, or both, which
11may include a substance abuse or sexual offender evaluation,
12as required by the Medical Board and at the expense of the
13Department. The Medical Board shall specifically designate the
14examining physician licensed to practice medicine in all of
15its branches or, if applicable, the multidisciplinary team
16involved in providing the mental or physical examination and
17evaluation, or both. The multidisciplinary team shall be led
18by a physician licensed to practice medicine in all of its
19branches and may consist of one or more or a combination of
20physicians licensed to practice medicine in all of its
21branches, licensed chiropractic physicians, licensed clinical
22psychologists, licensed clinical social workers, licensed
23clinical professional counselors, and other professional and
24administrative staff. Any examining physician or member of the
25multidisciplinary team may require any person ordered to
26submit to an examination and evaluation pursuant to this

SB2450- 54 -LRB104 12244 BDA 22351 b
1Section to submit to any additional supplemental testing
2deemed necessary to complete any examination or evaluation
3process, including, but not limited to, blood testing,
4urinalysis, psychological testing, or neuropsychological
5testing. The Medical Board or the Department may order the
6examining physician or any member of the multidisciplinary
7team to provide to the Department or the Medical Board any and
8all records, including business records, that relate to the
9examination and evaluation, including any supplemental testing
10performed. The Medical Board or the Department may order the
11examining physician or any member of the multidisciplinary
12team to present testimony concerning this examination and
13evaluation of the licensee, permit holder, or applicant,
14including testimony concerning any supplemental testing or
15documents relating to the examination and evaluation. No
16information, report, record, or other documents in any way
17related to the examination and evaluation shall be excluded by
18reason of any common law or statutory privilege relating to
19communication between the licensee, permit holder, or
20applicant and the examining physician or any member of the
21multidisciplinary team. No authorization is necessary from the
22licensee, permit holder, or applicant ordered to undergo an
23evaluation and examination for the examining physician or any
24member of the multidisciplinary team to provide information,
25reports, records, or other documents or to provide any
26testimony regarding the examination and evaluation. The

SB2450- 55 -LRB104 12244 BDA 22351 b
1individual to be examined may have, at his or her own expense,
2another physician of his or her choice present during all
3aspects of the examination. Failure of any individual to
4submit to mental or physical examination and evaluation, or
5both, when directed, shall result in an automatic suspension,
6without hearing, until such time as the individual submits to
7the examination. If the Medical Board finds a physician unable
8to practice following an examination and evaluation because of
9the reasons set forth in this Section, the Medical Board shall
10require such physician to submit to care, counseling, or
11treatment by physicians, or other health care professionals,
12approved or designated by the Medical Board, as a condition
13for issued, continued, reinstated, or renewed licensure to
14practice. Any physician, whose license was granted pursuant to
15Section 9, 17, or 19 of this Act, or, continued, reinstated,
16renewed, disciplined, or supervised, subject to such terms,
17conditions, or restrictions who shall fail to comply with such
18terms, conditions, or restrictions, or to complete a required
19program of care, counseling, or treatment, as determined by
20the Chief Medical Coordinator or Deputy Medical Coordinators,
21shall be referred to the Secretary for a determination as to
22whether the licensee shall have his or her license suspended
23immediately, pending a hearing by the Medical Board. In
24instances in which the Secretary immediately suspends a
25license under this Section, a hearing upon such person's
26license must be convened by the Medical Board within 15 days

SB2450- 56 -LRB104 12244 BDA 22351 b
1after such suspension and completed without appreciable delay.
2The Medical Board shall have the authority to review the
3subject physician's record of treatment and counseling
4regarding the impairment, to the extent permitted by
5applicable federal statutes and regulations safeguarding the
6confidentiality of medical records.
7    An individual licensed under this Act, affected under this
8Section, shall be afforded an opportunity to demonstrate to
9the Medical Board that he or she can resume practice in
10compliance with acceptable and prevailing standards under the
11provisions of his or her license.
12    The Medical Board, in determining mental capacity of an
13individual licensed under this Act, shall consider the latest
14recommendations of the Federation of State Medical Boards.
15    The Department may promulgate rules for the imposition of
16fines in disciplinary cases, not to exceed $10,000 for each
17violation of this Act. Fines may be imposed in conjunction
18with other forms of disciplinary action, but shall not be the
19exclusive disposition of any disciplinary action arising out
20of conduct resulting in death or injury to a patient. Any funds
21collected from such fines shall be deposited in the Illinois
22State Medical Disciplinary Fund.
23    All fines imposed under this Section shall be paid within
2460 days after the effective date of the order imposing the fine
25or in accordance with the terms set forth in the order imposing
26the fine.

SB2450- 57 -LRB104 12244 BDA 22351 b
1    (B) The Department shall revoke the license or permit
2issued under this Act to practice medicine of or a
3chiropractic physician who has been convicted a second time of
4committing any felony under the Illinois Controlled Substances
5Act or the Methamphetamine Control and Community Protection
6Act, or who has been convicted a second time of committing a
7Class 1 felony under Sections 8A-3 and 8A-6 of the Illinois
8Public Aid Code. A person whose license or permit is revoked
9under this subsection (B) B shall be prohibited from
10practicing medicine or treating human ailments without the use
11of drugs and without operative surgery.
12    (C) The Department shall not revoke, suspend, place on
13probation, reprimand, refuse to issue or renew, or take any
14other disciplinary or non-disciplinary action against a
15person's authorization to practice the license or permit
16issued under this Act to practice medicine to a physician:
17        (1) based solely upon the recommendation of the person    
18 physician to an eligible patient regarding, or
19 prescription for, or treatment with, an investigational
20 drug, biological product, or device;
21        (2) for experimental treatment for Lyme disease or
22 other tick-borne diseases, including, but not limited to,
23 the prescription of or treatment with long-term
24 antibiotics;
25        (3) based solely upon the person physician providing,
26 authorizing, recommending, aiding, assisting, referring

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1 for, or otherwise participating in any health care
2 service, so long as the care was not unlawful under the
3 laws of this State, regardless of whether the patient was
4 a resident of this State or another state; or
5        (4) based upon the person's physician's license,
6 registration, or permit being revoked or suspended, or the
7 person physician being otherwise disciplined, by any other
8 state, if that revocation, suspension, or other form of
9 discipline was based solely on the person physician    
10 violating another state's laws prohibiting the provision
11 of, authorization of, recommendation of, aiding or
12 assisting in, referring for, or participation in any
13 health care service if that health care service as
14 provided would not have been unlawful under the laws of
15 this State and is consistent with the applicable standard    
16 standards of conduct for the person practicing in Illinois
17 under this Act physician if it occurred in Illinois.
18    (D) (Blank).
19    (E) The conduct specified in subsection (C) shall not
20trigger reporting requirements under Section 23, constitute
21grounds for suspension under Section 25, or be included on the
22physician's profile required under Section 10 of the Patients'
23Right to Know Act.
24    (F) An applicant seeking licensure, certification, or
25authorization pursuant to this Act and who has been subject to
26disciplinary action by a duly authorized professional

SB2450- 59 -LRB104 12244 BDA 22351 b
1disciplinary agency of another jurisdiction solely on the
2basis of having provided, authorized, recommended, aided,
3assisted, referred for, or otherwise participated in health
4care shall not be denied such licensure, certification, or
5authorization, unless the Department determines that the
6action would have constituted professional misconduct in this
7State; however, nothing in this Section shall be construed as
8prohibiting the Department from evaluating the conduct of the
9applicant and making a determination regarding the licensure,
10certification, or authorization to practice a profession under
11this Act.
12    (G) The Department may adopt rules to implement,
13administer, and enforce this Section the changes made by this
14amendatory Act of the 102nd General Assembly.
15(Source: P.A. 102-20, eff. 1-1-22; 102-558, eff. 8-20-21;
16102-813, eff. 5-13-22; 102-1117, eff. 1-13-23; 103-442, eff.
171-1-24; revised 10-22-24.)
18    (225 ILCS 60/23)    (from Ch. 111, par. 4400-23)
19    (Section scheduled to be repealed on January 1, 2027)
20    Sec. 23. Reports relating to professional conduct and
21capacity.
22    (A) Entities required to report.
23        (1) Health care institutions. The chief administrator
24 or executive officer of any health care institution
25 licensed by the Illinois Department of Public Health shall

SB2450- 60 -LRB104 12244 BDA 22351 b
1 report to the Medical Board when any person's clinical
2 privileges are terminated or are restricted based on a
3 final determination made in accordance with that
4 institution's by-laws or rules and regulations that a
5 person has either committed an act or acts which may
6 directly threaten patient care or that a person may have a
7 mental or physical disability that may endanger patients
8 under that person's care. Such officer also shall report
9 if a person accepts voluntary termination or restriction
10 of clinical privileges in lieu of formal action based upon
11 conduct related directly to patient care or in lieu of
12 formal action seeking to determine whether a person may
13 have a mental or physical disability that may endanger
14 patients under that person's care. The Medical Board
15 shall, by rule, provide for the reporting to it by health
16 care institutions of all instances in which a person,
17 licensed under this Act, who is impaired by reason of age,
18 drug or alcohol abuse, or physical or mental impairment,
19 is under supervision and, where appropriate, is in a
20 program of rehabilitation. Such reports shall be strictly
21 confidential and may be reviewed and considered only by
22 the members of the Medical Board, or by authorized staff
23 as provided by rules of the Medical Board. Provisions
24 shall be made for the periodic report of the status of any
25 such person not less than twice annually in order that the
26 Medical Board shall have current information upon which to

SB2450- 61 -LRB104 12244 BDA 22351 b
1 determine the status of any such person. Such initial and
2 periodic reports of impaired physicians shall not be
3 considered records within the meaning of the State Records
4 Act and shall be disposed of, following a determination by
5 the Medical Board that such reports are no longer
6 required, in a manner and at such time as the Medical Board
7 shall determine by rule. The filing of such reports shall
8 be construed as the filing of a report for purposes of
9 subsection (C) of this Section. Such health care
10 institution shall not take any adverse action, including,
11 but not limited to, restricting or terminating any
12 person's clinical privileges, as a result of an adverse
13 action against a person's license, registration, permit,    
14 or clinical privileges or other disciplinary action by
15 another state or health care institution that resulted
16 from the person's provision of, authorization of,
17 recommendation of, aiding or assistance with, referral
18 for, or participation in any health care service if the
19 adverse action was based solely on a violation of the
20 other state's law prohibiting the provision of such health
21 care and related services in the state or for a resident of
22 the state if that health care service would not have been
23 unlawful under the laws of this State and is consistent
24 with the applicable standard standards of conduct for a
25 person practicing in Illinois under this Act physicians
26 practicing in Illinois.

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1        (1.5) Clinical training programs. The program director
2 of any post-graduate clinical training program shall
3 report to the Medical Board if a person engaged in a
4 post-graduate clinical training program at the
5 institution, including, but not limited to, a residency or
6 fellowship, separates from the program for any reason
7 prior to its conclusion. The program director shall
8 provide all documentation relating to the separation if,
9 after review of the report, the Medical Board determines
10 that a review of those documents is necessary to determine
11 whether a violation of this Act occurred.
12        (2) Professional associations. The President or chief
13 executive officer of any association or society, of
14 persons licensed under this Act, operating within this
15 State shall report to the Medical Board when the
16 association or society renders a final determination that
17 a person has committed unprofessional conduct related
18 directly to patient care or that a person may have a mental
19 or physical disability that may endanger patients under
20 that person's care.
21        (3) Professional liability insurers. Every insurance
22 company which offers policies of professional liability
23 insurance to persons licensed under this Act, or any other
24 entity which seeks to indemnify the professional liability
25 of a person licensed under this Act, shall report to the
26 Medical Board the settlement of any claim or cause of

SB2450- 63 -LRB104 12244 BDA 22351 b
1 action, or final judgment rendered in any cause of action,
2 which alleged negligence in the furnishing of medical care
3 by such licensed person when such settlement or final
4 judgment is in favor of the plaintiff. Such insurance
5 company shall not take any adverse action, including, but
6 not limited to, denial or revocation of coverage, or rate
7 increases, against a person authorized to practice    
8 licensed under this Act with respect to coverage for
9 services provided in the State if based solely on the
10 person providing, authorizing, recommending, aiding,
11 assisting, referring for, or otherwise participating in
12 health care services in this State in violation of another
13 state's law, or a revocation or other adverse action
14 against the person's license, registration, or permit in
15 another state for violation of such law if that health
16 care service as provided would have been lawful and
17 consistent with the applicable standard standards of
18 conduct for a person practicing in Illinois under this Act    
19 physicians if it occurred in the State. Notwithstanding
20 this provision, it is against public policy to require
21 coverage for an illegal action.
22        (4) State's Attorneys. The State's Attorney of each
23 county shall report to the Medical Board, within 5 days,
24 any instances in which a person licensed under this Act is
25 convicted of any felony or Class A misdemeanor.
26        (5) State agencies. All agencies, boards, commissions,

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1 departments, or other instrumentalities of the government
2 of the State of Illinois shall report to the Medical Board
3 any instance arising in connection with the operations of
4 such agency, including the administration of any law by
5 such agency, in which a person licensed under this Act has
6 either committed an act or acts which may be a violation of
7 this Act or which may constitute unprofessional conduct
8 related directly to patient care or which indicates that a
9 person licensed under this Act may have a mental or
10 physical disability that may endanger patients under that
11 person's care.
12    (B) Mandatory reporting. All reports required by items
13(34), (35), and (36) of subsection (A) of Section 22 and by
14this Section 23 shall be submitted to the Medical Board in a
15timely fashion. Unless otherwise provided in this Section, the
16reports shall be filed in writing within 60 days after a
17determination that a report is required under this Act. All
18reports shall contain the following information:
19        (1) The name, address, and telephone number of the
20 person making the report.
21        (2) The name, address, and telephone number of the
22 person who is the subject of the report.
23        (3) The name and date of birth of any patient or
24 patients whose treatment is a subject of the report, if
25 available, or other means of identification if such
26 information is not available, identification of the

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1 hospital or other health care healthcare facility where
2 the care at issue in the report was rendered, provided,
3 however, no medical records may be revealed.
4        (4) A brief description of the facts which gave rise
5 to the issuance of the report, including the dates of any
6 occurrences deemed to necessitate the filing of the
7 report.
8        (5) If court action is involved, the identity of the
9 court in which the action is filed, along with the docket
10 number and date of filing of the action.
11        (6) Any further pertinent information which the
12 reporting party deems to be an aid in the evaluation of the
13 report.
14    The Medical Board or Department may also exercise the
15power under Section 38 of this Act to subpoena copies of
16hospital or medical records in mandatory report cases alleging
17death or permanent bodily injury. Appropriate rules shall be
18adopted by the Department with the approval of the Medical
19Board.
20    When the Department has received written reports
21concerning incidents required to be reported in items (34),
22(35), and (36) of subsection (A) of Section 22, the licensee's
23failure to report the incident to the Department under those
24items shall not be the sole grounds for disciplinary action.
25    Nothing contained in this Section shall act to, in any
26way, waive or modify the confidentiality of medical reports

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1and committee reports to the extent provided by law. Any
2information reported or disclosed shall be kept for the
3confidential use of the Medical Board, the Medical
4Coordinators, the Medical Board's attorneys, the medical
5investigative staff, and authorized clerical staff, as
6provided in this Act, and shall be afforded the same status as
7is provided information concerning medical studies in Part 21
8of Article VIII of the Code of Civil Procedure, except that the
9Department may disclose information and documents to a
10federal, State, or local law enforcement agency pursuant to a
11subpoena in an ongoing criminal investigation or to a health
12care licensing body or medical licensing authority of this
13State or another state or jurisdiction pursuant to an official
14request made by that licensing body or medical licensing
15authority. Furthermore, information and documents disclosed to
16a federal, State, or local law enforcement agency may be used
17by that agency only for the investigation and prosecution of a
18criminal offense, or, in the case of disclosure to a health
19care licensing body or medical licensing authority, only for
20investigations and disciplinary action proceedings with regard
21to a license. Information and documents disclosed to the
22Department of Public Health may be used by that Department
23only for investigation and disciplinary action regarding the
24license of a health care institution licensed by the
25Department of Public Health.
26    (C) Immunity from prosecution. Any individual or

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1organization acting in good faith, and not in a wilful and
2wanton manner, in complying with this Act by providing any
3report or other information to the Medical Board or a peer
4review committee, or assisting in the investigation or
5preparation of such information, or by voluntarily reporting
6to the Medical Board or a peer review committee information
7regarding alleged errors or negligence by a person licensed
8under this Act, or by participating in proceedings of the
9Medical Board or a peer review committee, or by serving as a
10member of the Medical Board or a peer review committee, shall
11not, as a result of such actions, be subject to criminal
12prosecution or civil damages.
13    (D) Indemnification. Members of the Medical Board, the
14Medical Coordinators, the Medical Board's attorneys, the
15medical investigative staff, physicians retained under
16contract to assist and advise the medical coordinators in the
17investigation, and authorized clerical staff shall be
18indemnified by the State for any actions occurring within the
19scope of services on the Medical Board, done in good faith and
20not wilful and wanton in nature. The Attorney General shall
21defend all such actions unless he or she determines either
22that there would be a conflict of interest in such
23representation or that the actions complained of were not in
24good faith or were wilful and wanton.
25    Should the Attorney General decline representation, the
26member shall have the right to employ counsel of his or her

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1choice, whose fees shall be provided by the State, after
2approval by the Attorney General, unless there is a
3determination by a court that the member's actions were not in
4good faith or were wilful and wanton.
5    The member must notify the Attorney General within 7 days
6of receipt of notice of the initiation of any action involving
7services of the Medical Board. Failure to so notify the
8Attorney General shall constitute an absolute waiver of the
9right to a defense and indemnification.
10    The Attorney General shall determine within 7 days after
11receiving such notice, whether he or she will undertake to
12represent the member.
13    (E) Deliberations of Medical Board. Upon the receipt of
14any report called for by this Act, other than those reports of
15impaired persons licensed under this Act required pursuant to
16the rules of the Medical Board, the Medical Board shall notify
17in writing, by mail or email, the person who is the subject of
18the report. Such notification shall be made within 30 days of
19receipt by the Medical Board of the report.
20    The notification shall include a written notice setting
21forth the person's right to examine the report. Included in
22such notification shall be the address at which the file is
23maintained, the name of the custodian of the reports, and the
24telephone number at which the custodian may be reached. The
25person who is the subject of the report shall submit a written
26statement responding, clarifying, adding to, or proposing the

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1amending of the report previously filed. The person who is the
2subject of the report shall also submit with the written
3statement any medical records related to the report. The
4statement and accompanying medical records shall become a
5permanent part of the file and must be received by the Medical
6Board no more than 30 days after the date on which the person
7was notified by the Medical Board of the existence of the
8original report.
9    The Medical Board shall review all reports received by it,
10together with any supporting information and responding
11statements submitted by persons who are the subject of
12reports. The review by the Medical Board shall be in a timely
13manner but in no event, shall the Medical Board's initial
14review of the material contained in each disciplinary file be
15less than 61 days nor more than 180 days after the receipt of
16the initial report by the Medical Board.
17    When the Medical Board makes its initial review of the
18materials contained within its disciplinary files, the Medical
19Board shall, in writing, make a determination as to whether
20there are sufficient facts to warrant further investigation or
21action. Failure to make such determination within the time
22provided shall be deemed to be a determination that there are
23not sufficient facts to warrant further investigation or
24action.
25    Should the Medical Board find that there are not
26sufficient facts to warrant further investigation, or action,

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1the report shall be accepted for filing and the matter shall be
2deemed closed and so reported to the Secretary. The Secretary
3shall then have 30 days to accept the Medical Board's decision
4or request further investigation. The Secretary shall inform
5the Medical Board of the decision to request further
6investigation, including the specific reasons for the
7decision. The individual or entity filing the original report
8or complaint and the person who is the subject of the report or
9complaint shall be notified in writing by the Secretary of any
10final action on their report or complaint. The Department
11shall disclose to the individual or entity who filed the
12original report or complaint, on request, the status of the
13Medical Board's review of a specific report or complaint. Such
14request may be made at any time, including prior to the Medical
15Board's determination as to whether there are sufficient facts
16to warrant further investigation or action.
17    (F) Summary reports. The Medical Board shall prepare, on a
18timely basis, but in no event less than once every other month,
19a summary report of final disciplinary actions taken upon
20disciplinary files maintained by the Medical Board. The
21summary reports shall be made available to the public upon
22request and payment of the fees set by the Department. This
23publication may be made available to the public on the
24Department's website. Information or documentation relating to
25any disciplinary file that is closed without disciplinary
26action taken shall not be disclosed and shall be afforded the

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1same status as is provided by Part 21 of Article VIII of the
2Code of Civil Procedure.
3    (G) Any violation of this Section shall be a Class A
4misdemeanor.
5    (H) If any such person violates the provisions of this
6Section an action may be brought in the name of the People of
7the State of Illinois, through the Attorney General of the
8State of Illinois, for an order enjoining such violation or
9for an order enforcing compliance with this Section. Upon
10filing of a verified petition in such court, the court may
11issue a temporary restraining order without notice or bond and
12may preliminarily or permanently enjoin such violation, and if
13it is established that such person has violated or is
14violating the injunction, the court may punish the offender
15for contempt of court. Proceedings under this paragraph shall
16be in addition to, and not in lieu of, all other remedies and
17penalties provided for by this Section.
18    (I) The Department may adopt rules to implement,
19administer, and enforce this Section the changes made by this
20amendatory Act of the 102nd General Assembly.
21(Source: P.A. 102-20, eff. 1-1-22; 102-687, eff. 12-17-21;
22102-1117, eff. 1-13-23.)
23    Section 30. The Licensed Certified Professional Midwife
24Practice Act is amended by changing Section 100 as follows:

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1    (225 ILCS 64/100)
2    (Section scheduled to be repealed on January 1, 2027)
3    Sec. 100. Grounds for disciplinary action.
4    (a) The Department may refuse to issue or to renew, or may
5revoke, suspend, place on probation, reprimand, or take other
6disciplinary or non-disciplinary action with regard to any
7license issued under this Act as the Department may deem
8proper, including the issuance of fines not to exceed $10,000
9for each violation, for any one or combination of the
10following causes:
11        (1) Material misstatement in furnishing information to
12 the Department.
13        (2) Violations of this Act, or the rules adopted under
14 this Act.
15        (3) Conviction by plea of guilty or nolo contendere,
16 finding of guilt, jury verdict, or entry of judgment or
17 sentencing, including, but not limited to, convictions,
18 preceding sentences of supervision, conditional discharge,
19 or first offender probation, under the laws of any
20 jurisdiction of the United States that is: (i) a felony;
21 or (ii) a misdemeanor, an essential element of which is
22 dishonesty, or that is directly related to the practice of
23 the profession.
24        (4) Making any misrepresentation for the purpose of
25 obtaining licenses.
26        (5) Professional incompetence.

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1        (6) Aiding or assisting another person in violating
2 any provision of this Act or its rules.
3        (7) Failing, within 60 days, to provide information in
4 response to a written request made by the Department.
5        (8) Engaging in dishonorable, unethical, or
6 unprofessional conduct, as defined by rule, of a character
7 likely to deceive, defraud, or harm the public.
8        (9) Habitual or excessive use or addiction to alcohol,
9 narcotics, stimulants, or any other chemical agent or drug
10 that results in a midwife's inability to practice with
11 reasonable judgment, skill, or safety.
12        (10) Discipline by another U.S. jurisdiction or
13 foreign nation, if at least one of the grounds for
14 discipline is the same or substantially equivalent to
15 those set forth in this Section.
16        (11) Directly or indirectly giving to or receiving
17 from any person, firm, corporation, partnership, or
18 association any fee, commission, rebate, or other form of
19 compensation for any professional services not actually or
20 personally rendered. Nothing in this paragraph affects any
21 bona fide independent contractor or employment
22 arrangements, including provisions for compensation,
23 health insurance, pension, or other employment benefits,
24 with persons or entities authorized under this Act for the
25 provision of services within the scope of the licensee's
26 practice under this Act.

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1        (12) A finding by the Department that the licensee,
2 after having his or her license placed on probationary
3 status, has violated the terms of probation.
4        (13) Abandonment of a patient.
5        (14) Willfully making or filing false records or
6 reports in his or her practice, including, but not limited
7 to, false records filed with State state agencies or
8 departments.
9        (15) Willfully failing to report an instance of
10 suspected child abuse or neglect as required by the Abused
11 and Neglected Child Reporting Act.
12        (16) Physical illness, or mental illness or impairment
13 that results in the inability to practice the profession
14 with reasonable judgment, skill, or safety, including, but
15 not limited to, deterioration through the aging process or
16 loss of motor skill.
17        (17) Being named as a perpetrator in an indicated
18 report by the Department of Children and Family Services
19 under the Abused and Neglected Child Reporting Act, and
20 upon proof by clear and convincing evidence that the
21 licensee has caused a child to be an abused child or
22 neglected child as defined in the Abused and Neglected
23 Child Reporting Act.
24        (18) Gross negligence resulting in permanent injury or
25 death of a patient.
26        (19) Employment of fraud, deception, or any unlawful

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1 means in applying for or securing a license as a licensed
2 certified professional midwife.
3        (21) Immoral conduct in the commission of any act,
4 including sexual abuse, sexual misconduct, or sexual
5 exploitation related to the licensee's practice.
6        (22) Violation of the Health Care Worker Self-Referral
7 Act.
8        (23) Practicing under a false or assumed name, except
9 as provided by law.
10        (24) Making a false or misleading statement regarding
11 his or her skill or the efficacy or value of the medicine,
12 treatment, or remedy prescribed by him or her in the
13 course of treatment.
14        (25) Allowing another person to use his or her license
15 to practice.
16        (26) Prescribing, selling, administering,
17 distributing, giving, or self-administering a drug
18 classified as a controlled substance for purposes other
19 than medically accepted therapeutic purposes.
20        (27) Promotion of the sale of drugs, devices,
21 appliances, or goods provided for a patient in a manner to
22 exploit the patient for financial gain.
23        (28) A pattern of practice or other behavior that
24 demonstrates incapacity or incompetence to practice under
25 this Act.
26        (29) Violating State or federal laws, rules, or

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1 regulations relating to controlled substances or other
2 legend drugs or ephedra as defined in the Ephedra
3 Prohibition Act.
4        (30) Failure to establish and maintain records of
5 patient care and treatment as required by law.
6        (31) Attempting to subvert or cheat on the examination
7 of the North American Registry of Midwives or its
8 successor agency.
9        (32) Willfully or negligently violating the
10 confidentiality between licensed certified professional
11 midwives and patient, except as required by law.
12        (33) Willfully failing to report an instance of
13 suspected abuse, neglect, financial exploitation, or
14 self-neglect of an eligible adult as defined in and
15 required by the Adult Protective Services Act.
16        (34) Being named as an abuser in a verified report by
17 the Department on Aging under the Adult Protective
18 Services Act and upon proof by clear and convincing
19 evidence that the licensee abused, neglected, or
20 financially exploited an eligible adult as defined in the
21 Adult Protective Services Act.
22        (35) Failure to report to the Department an adverse
23 final action taken against him or her by another licensing
24 jurisdiction of the United States or a foreign state or
25 country, a peer review body, a health care institution, a
26 professional society or association, a governmental

SB2450- 77 -LRB104 12244 BDA 22351 b
1 agency, a law enforcement agency, or a court.
2        (36) Failure to provide copies of records of patient
3 care or treatment, except as required by law.
4        (37) Failure of a licensee to report to the Department
5 surrender by the licensee of a license or authorization to
6 practice in another state or jurisdiction or current
7 surrender by the licensee of membership professional
8 association or society while under disciplinary
9 investigation by any of those authorities or bodies for
10 acts or conduct similar to acts or conduct that would
11 constitute grounds for action under this Section.
12        (38) Failing, within 90 days, to provide a response to
13 a request for information in response to a written request
14 made by the Department by certified or registered mail or
15 by email to the email address of record.
16        (39) Failure to supervise a midwife assistant or
17 student midwife, including, but not limited to, allowing a
18 midwife assistant or student midwife to exceed their
19 scope.
20        (40) Failure to adequately inform a patient about
21 their malpractice liability insurance coverage and the
22 policy limits of the coverage.
23        (41) Failure to submit an annual report to the
24 Department of Public Health.
25        (42) Failure to disclose active cardiopulmonary
26 resuscitation certification or neonatal resuscitation

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1 provider status to clients.
2        (43) Engaging in one of the prohibited practices
3 provided for in Section 85 of this Act.
4    (b) The Department may, without a hearing, refuse to issue
5or renew or may suspend the license of any person who fails to
6file a return, or to pay the tax, penalty, or interest shown in
7a filed return, or to pay any final assessment of the tax,
8penalty, or interest as required by any tax Act administered
9by the Department of Revenue, until the requirements of any
10such tax Act are satisfied.
11    (c) The determination by a circuit court that a licensee
12is subject to involuntary admission or judicial admission as
13provided in the Mental Health and Developmental Disabilities
14Code operates as an automatic suspension. The suspension will
15end only upon a finding by a court that the patient is no
16longer subject to involuntary admission or judicial admission
17and issues an order so finding and discharging the patient,
18and upon the recommendation of the Board to the Secretary that
19the licensee be allowed to resume his or her practice.
20    (d) In enforcing this Section, the Department, upon a
21showing of a possible violation, may compel an individual
22licensed to practice under this Act, or who has applied for
23licensure under this Act, to submit to a mental or physical
24examination, or both, including a substance abuse or sexual
25offender evaluation, as required by and at the expense of the
26Department.

SB2450- 79 -LRB104 12244 BDA 22351 b
1    The Department shall specifically designate the examining
2physician licensed to practice medicine in all of its branches
3or, if applicable, the multidisciplinary team involved in
4providing the mental or physical examination or both. The
5multidisciplinary team shall be led by a physician licensed to
6practice medicine in all of its branches and may consist of one
7or more or a combination of physicians licensed to practice
8medicine in all of its branches, licensed clinical
9psychologists, licensed clinical social workers, licensed
10clinical professional counselors, and other professional and
11administrative staff. Any examining physician or member of the
12multidisciplinary team may require any person ordered to
13submit to an examination pursuant to this Section to submit to
14any additional supplemental testing deemed necessary to
15complete any examination or evaluation process, including, but
16not limited to, blood testing, urinalysis, psychological
17testing, or neuropsychological testing.
18    The Department may order the examining physician or any
19member of the multidisciplinary team to provide to the
20Department any and all records, including business records,
21that relate to the examination and evaluation, including any
22supplemental testing performed.
23    The Department may order the examining physician or any
24member of the multidisciplinary team to present testimony
25concerning the mental or physical examination of the licensee
26or applicant. No information, report, record, or other

SB2450- 80 -LRB104 12244 BDA 22351 b
1documents in any way related to the examination shall be
2excluded by reason of any common law or statutory privilege
3relating to communications between the licensee or applicant
4and the examining physician or any member of the
5multidisciplinary team. No authorization is necessary from the
6licensee or applicant ordered to undergo an examination for
7the examining physician or any member of the multidisciplinary
8team to provide information, reports, records, or other
9documents or to provide any testimony regarding the
10examination and evaluation.
11    The individual to be examined may have, at his or her own
12expense, another physician of his or her choice present during
13all aspects of this examination. However, that physician shall
14be present only to observe and may not interfere in any way
15with the examination.
16    Failure of an individual to submit to a mental or physical
17examination, when ordered, shall result in an automatic
18suspension of his or her license until the individual submits
19to the examination.
20    If the Department finds an individual unable to practice
21because of the reasons set forth in this Section, the
22Department may require that individual to submit to care,
23counseling, or treatment by physicians approved or designated
24by the Department, as a condition, term, or restriction for
25continued, reinstated, or renewed licensure to practice; or,
26in lieu of care, counseling, or treatment, the Department may

SB2450- 81 -LRB104 12244 BDA 22351 b
1file a complaint to immediately suspend, revoke, or otherwise
2discipline the license of the individual. An individual whose
3license was granted, continued, reinstated, renewed,
4disciplined, or supervised subject to such terms, conditions,
5or restrictions, and who fails to comply with such terms,
6conditions, or restrictions, shall be referred to the
7Secretary for a determination as to whether the individual
8shall have his or her license suspended immediately, pending a
9hearing by the Department.
10    In instances in which the Secretary immediately suspends a
11person's license under this Section, a hearing on that
12person's license must be convened by the Department within 30
13days after the suspension and completed without appreciable
14delay. The Department shall have the authority to review the
15subject individual's record of treatment and counseling
16regarding the impairment to the extent permitted by applicable
17federal statutes and regulations safeguarding the
18confidentiality of medical records.
19    An individual licensed under this Act and affected under
20this Section shall be afforded an opportunity to demonstrate
21to the Department that he or she can resume practice in
22compliance with acceptable and prevailing standards under the
23provisions of his or her license.
24    (e) The Department shall not revoke, suspend, summarily
25suspend, place on prohibition, reprimand, refuse to issue or
26renew, or take any other disciplinary or non-disciplinary

SB2450- 82 -LRB104 12244 BDA 22351 b
1action against a person's authorization to practice under this
2Act based solely upon the person authorizing, recommending,
3aiding, assisting, referring for, or otherwise participating
4in any health care service, so long as the care was not
5unlawful under the laws of this State, regardless of whether
6the patient was a resident of this State or another state.    
7    (f) The Department shall not revoke, suspend, summarily
8suspend, place on prohibition, reprimand, refuse to issue or
9renew, or take any other disciplinary or non-disciplinary
10action against a person's authorization to practice under this
11Act based upon the person's license, registration, or permit
12being revoked or suspended, or the person being otherwise
13disciplined, by any other state if that revocation,
14suspension, or other form of discipline was based solely on
15the person violating another state's laws prohibiting the
16provision of, authorization of, recommendation of, aiding or
17assisting in, referring for, or participation in any health
18care service if that health care service as provided would not
19have been unlawful under the laws of this State and is
20consistent with the applicable standard of conduct for the
21person practicing in Illinois under this Act.    
22(Source: P.A. 102-683, eff. 10-1-22; 103-605, eff. 7-1-24.)
23    Section 35. The Nurse Practice Act is amended by changing
24Sections 65-65 and 70-5 as follows:

SB2450- 83 -LRB104 12244 BDA 22351 b
1    (225 ILCS 65/65-65)    (was 225 ILCS 65/15-55)
2    (Section scheduled to be repealed on January 1, 2028)
3    Sec. 65-65. Reports relating to APRN professional conduct
4and capacity.
5    (a) Entities Required to Report.
6        (1) Health Care Institutions. The chief administrator
7 or executive officer of a health care institution licensed
8 by the Department of Public Health, which provides the
9 minimum due process set forth in Section 10.4 of the
10 Hospital Licensing Act, shall report to the Board when an
11 advanced practice registered nurse's organized
12 professional staff clinical privileges are terminated or
13 are restricted based on a final determination, in
14 accordance with that institution's bylaws or rules and
15 regulations, that (i) a person has either committed an act
16 or acts that may directly threaten patient care and that
17 are not of an administrative nature or (ii) that a person
18 may have a mental or physical disability that may endanger
19 patients under that person's care. The chief administrator
20 or officer shall also report if an advanced practice
21 registered nurse accepts voluntary termination or
22 restriction of clinical privileges in lieu of formal
23 action based upon conduct related directly to patient care
24 and not of an administrative nature, or in lieu of formal
25 action seeking to determine whether a person may have a
26 mental or physical disability that may endanger patients

SB2450- 84 -LRB104 12244 BDA 22351 b
1 under that person's care. The Department shall provide by
2 rule for the reporting to it of all instances in which a
3 person licensed under this Article, who is impaired by
4 reason of age, drug, or alcohol abuse, or physical or
5 mental impairment, is under supervision and, where
6 appropriate, is in a program of rehabilitation. Reports
7 submitted under this subsection shall be strictly
8 confidential and may be reviewed and considered only by
9 the members of the Board or authorized staff as provided
10 by rule of the Department. Provisions shall be made for
11 the periodic report of the status of any such reported
12 person not less than twice annually in order that the
13 Board shall have current information upon which to
14 determine the status of that person. Initial and periodic
15 reports of impaired advanced practice registered nurses
16 shall not be considered records within the meaning of the
17 State Records Act and shall be disposed of, following a
18 determination by the Board that such reports are no longer
19 required, in a manner and at an appropriate time as the
20 Board shall determine by rule. The filing of reports
21 submitted under this subsection shall be construed as the
22 filing of a report for purposes of subsection (c) of this
23 Section. Such health care institution shall not take any
24 adverse action, including, but not limited to, restricting
25 or terminating any person's clinical privileges, as a
26 result of an adverse action against a person's license,

SB2450- 85 -LRB104 12244 BDA 22351 b
1 registration, permit, or clinical privileges or other
2 disciplinary action by another state or health care
3 institution that resulted from the person's provision of,
4 authorization of, recommendation of, aiding or assistance
5 with, referral for, or participation in any health care
6 service if the adverse action was based solely on a
7 violation of the other state's law prohibiting the
8 provision of such health care and related services in the
9 state or for a resident of the state if that health care
10 service would not have been unlawful under the laws of
11 this State and is consistent with the applicable standard    
12 standards of conduct for a person advanced practice
13 registered nurses practicing in Illinois under this Act.
14        (2) Professional Associations. The President or chief
15 executive officer of an association or society of persons
16 licensed under this Article, operating within this State,
17 shall report to the Board when the association or society
18 renders a final determination that a person licensed under
19 this Article has committed unprofessional conduct related
20 directly to patient care or that a person may have a mental
21 or physical disability that may endanger patients under
22 the person's care.
23        (3) Professional Liability Insurers. Every insurance
24 company that offers policies of professional liability
25 insurance to persons licensed under this Article, or any
26 other entity that seeks to indemnify the professional

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1 liability of a person licensed under this Article, shall
2 report to the Board the settlement of any claim or cause of
3 action, or final judgment rendered in any cause of action,
4 that alleged negligence in the furnishing of patient care
5 by the licensee when the settlement or final judgment is
6 in favor of the plaintiff. Such insurance company shall
7 not take any adverse action, including, but not limited
8 to, denial or revocation of coverage, or rate increases,
9 against a person licensed under this Act with respect to
10 coverage for services provided in Illinois if based solely
11 on the person providing, authorizing, recommending,
12 aiding, assisting, referring for, or otherwise
13 participating in health care services this State in
14 violation of another state's law, or a revocation or other
15 adverse action against the person's license in another
16 state for violation of such law if that health care
17 service as provided would have been lawful and consistent
18 with the standards of conduct for registered nurses and
19 advanced practice registered nurses if it occurred in
20 Illinois. Notwithstanding this provision, it is against
21 public policy to require coverage for an illegal action.
22        (4) State's Attorneys. The State's Attorney of each
23 county shall report to the Board all instances in which a
24 person licensed under this Article is convicted or
25 otherwise found guilty of the commission of a felony.
26        (5) State Agencies. All agencies, boards, commissions,

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1 departments, or other instrumentalities of the government
2 of this State shall report to the Board any instance
3 arising in connection with the operations of the agency,
4 including the administration of any law by the agency, in
5 which a person licensed under this Article has either
6 committed an act or acts that may constitute a violation
7 of this Article, that may constitute unprofessional
8 conduct related directly to patient care, or that
9 indicates that a person licensed under this Article may
10 have a mental or physical disability that may endanger
11 patients under that person's care.
12    (b) Mandatory Reporting. All reports required under items
13(16) and (17) of subsection (a) of Section 70-5 shall be
14submitted to the Board in a timely fashion. The reports shall
15be filed in writing within 60 days after a determination that a
16report is required under this Article. All reports shall
17contain the following information:
18        (1) The name, address, and telephone number of the
19 person making the report.
20        (2) The name, address, and telephone number of the
21 person who is the subject of the report.
22        (3) The name or other means of identification of any
23 patient or patients whose treatment is a subject of the
24 report, except that no medical records may be revealed
25 without the written consent of the patient or patients.
26        (4) A brief description of the facts that gave rise to

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1 the issuance of the report, including, but not limited to,
2 the dates of any occurrences deemed to necessitate the
3 filing of the report.
4        (5) If court action is involved, the identity of the
5 court in which the action is filed, the docket number, and
6 date of filing of the action.
7        (6) Any further pertinent information that the
8 reporting party deems to be an aid in the evaluation of the
9 report.
10    Nothing contained in this Section shall be construed to in
11any way waive or modify the confidentiality of medical reports
12and committee reports to the extent provided by law. Any
13information reported or disclosed shall be kept for the
14confidential use of the Board, the Board's attorneys, the
15investigative staff, and authorized clerical staff and shall
16be afforded the same status as is provided information
17concerning medical studies in Part 21 of Article VIII of the
18Code of Civil Procedure.
19    (c) Immunity from Prosecution. An individual or
20organization acting in good faith, and not in a willful and
21wanton manner, in complying with this Section by providing a
22report or other information to the Board, by assisting in the
23investigation or preparation of a report or information, by
24participating in proceedings of the Board, or by serving as a
25member of the Board shall not, as a result of such actions, be
26subject to criminal prosecution or civil damages.

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1    (d) Indemnification. Members of the Board, the Board's
2attorneys, the investigative staff, advanced practice
3registered nurses or physicians retained under contract to
4assist and advise in the investigation, and authorized
5clerical staff shall be indemnified by the State for any
6actions (i) occurring within the scope of services on the
7Board, (ii) performed in good faith, and (iii) not willful and
8wanton in nature. The Attorney General shall defend all
9actions taken against those persons unless he or she
10determines either that there would be a conflict of interest
11in the representation or that the actions complained of were
12not performed in good faith or were willful and wanton in
13nature. If the Attorney General declines representation, the
14member shall have the right to employ counsel of his or her
15choice, whose fees shall be provided by the State, after
16approval by the Attorney General, unless there is a
17determination by a court that the member's actions were not
18performed in good faith or were willful and wanton in nature.
19The member shall notify the Attorney General within 7 days of
20receipt of notice of the initiation of an action involving
21services of the Board. Failure to so notify the Attorney
22General shall constitute an absolute waiver of the right to a
23defense and indemnification. The Attorney General shall
24determine within 7 days after receiving the notice whether he
25or she will undertake to represent the member.
26    (e) Deliberations of Board. Upon the receipt of a report

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1called for by this Section, other than those reports of
2impaired persons licensed under this Article required pursuant
3to the rules of the Board, the Board shall notify in writing by
4certified or registered mail or by email to the email address
5of record the person who is the subject of the report. The
6notification shall be made within 30 days of receipt by the
7Board of the report. The notification shall include a written
8notice setting forth the person's right to examine the report.
9Included in the notification shall be the address at which the
10file is maintained, the name of the custodian of the reports,
11and the telephone number at which the custodian may be
12reached. The person who is the subject of the report shall
13submit a written statement responding to, clarifying, adding
14to, or proposing to amend the report previously filed. The
15statement shall become a permanent part of the file and shall
16be received by the Board no more than 30 days after the date on
17which the person was notified of the existence of the original
18report. The Board shall review all reports received by it and
19any supporting information and responding statements submitted
20by persons who are the subject of reports. The review by the
21Board shall be in a timely manner but in no event shall the
22Board's initial review of the material contained in each
23disciplinary file be less than 61 days nor more than 180 days
24after the receipt of the initial report by the Board. When the
25Board makes its initial review of the materials contained
26within its disciplinary files, the Board shall, in writing,

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1make a determination as to whether there are sufficient facts
2to warrant further investigation or action. Failure to make
3that determination within the time provided shall be deemed to
4be a determination that there are not sufficient facts to
5warrant further investigation or action. Should the Board find
6that there are not sufficient facts to warrant further
7investigation or action, the report shall be accepted for
8filing and the matter shall be deemed closed and so reported.
9The individual or entity filing the original report or
10complaint and the person who is the subject of the report or
11complaint shall be notified in writing by the Board of any
12final action on their report or complaint.
13    (f) (Blank).
14    (g) Any violation of this Section shall constitute a Class
15A misdemeanor.
16    (h) If a person violates the provisions of this Section,
17an action may be brought in the name of the People of the State
18of Illinois, through the Attorney General of the State of
19Illinois, for an order enjoining the violation or for an order
20enforcing compliance with this Section. Upon filing of a
21petition in court, the court may issue a temporary restraining
22order without notice or bond and may preliminarily or
23permanently enjoin the violation, and if it is established
24that the person has violated or is violating the injunction,
25the court may punish the offender for contempt of court.
26Proceedings under this subsection shall be in addition to, and

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1not in lieu of, all other remedies and penalties provided for
2by this Section.
3    (i) The Department may adopt rules to implement,
4administer, and enforce this Section the changes made by this
5amendatory Act of the 102nd General Assembly.
6(Source: P.A. 102-1117, eff. 1-13-23.)
7    (225 ILCS 65/70-5)    (was 225 ILCS 65/10-45)
8    (Section scheduled to be repealed on January 1, 2028)
9    Sec. 70-5. Grounds for disciplinary action.
10    (a) The Department may refuse to issue or to renew, or may
11revoke, suspend, place on probation, reprimand, or take other
12disciplinary or non-disciplinary action as the Department may
13deem appropriate, including fines not to exceed $10,000 per
14violation, with regard to a license for any one or combination
15of the causes set forth in subsection (b) below. All fines
16collected under this Section shall be deposited in the Nursing
17Dedicated and Professional Fund.
18    (b) Grounds for disciplinary action include the following:
19        (1) Material deception in furnishing information to
20 the Department.
21        (2) Material violations of any provision of this Act
22 or violation of the rules of or final administrative
23 action of the Secretary, after consideration of the
24 recommendation of the Board.
25        (3) Conviction by plea of guilty or nolo contendere,

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1 finding of guilt, jury verdict, or entry of judgment or by
2 sentencing of any crime, including, but not limited to,
3 convictions, preceding sentences of supervision,
4 conditional discharge, or first offender probation, under
5 the laws of any jurisdiction of the United States: (i)
6 that is a felony; or (ii) that is a misdemeanor, an
7 essential element of which is dishonesty, or that is
8 directly related to the practice of the profession.
9        (4) A pattern of practice or other behavior which
10 demonstrates incapacity or incompetency to practice under
11 this Act.
12        (5) Knowingly aiding or assisting another person in
13 violating any provision of this Act or rules.
14        (6) Failing, within 90 days, to provide a response to
15 a request for information in response to a written request
16 made by the Department by certified or registered mail or
17 by email to the email address of record.
18        (7) Engaging in dishonorable, unethical, or
19 unprofessional conduct of a character likely to deceive,
20 defraud, or harm the public, as defined by rule.
21        (8) Unlawful taking, theft, selling, distributing, or
22 manufacturing of any drug, narcotic, or prescription
23 device.
24        (9) Habitual or excessive use or addiction to alcohol,
25 narcotics, stimulants, or any other chemical agent or drug
26 that could result in a licensee's inability to practice

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1 with reasonable judgment, skill, or safety.
2        (10) Discipline by another U.S. jurisdiction or
3 foreign nation, if at least one of the grounds for the
4 discipline is the same or substantially equivalent to
5 those set forth in this Section.
6        (11) A finding that the licensee, after having her or
7 his license placed on probationary status or subject to
8 conditions or restrictions, has violated the terms of
9 probation or failed to comply with such terms or
10 conditions.
11        (12) Being named as a perpetrator in an indicated
12 report by the Department of Children and Family Services
13 and under the Abused and Neglected Child Reporting Act,
14 and upon proof by clear and convincing evidence that the
15 licensee has caused a child to be an abused child or
16 neglected child as defined in the Abused and Neglected
17 Child Reporting Act.
18        (13) Willful omission to file or record, or willfully
19 impeding the filing or recording or inducing another
20 person to omit to file or record medical reports as
21 required by law.
22        (13.5) Willfully failing to report an instance of
23 suspected child abuse or neglect as required by the Abused
24 and Neglected Child Reporting Act.
25        (14) Gross negligence in the practice of practical,
26 professional, or advanced practice registered nursing.

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1        (15) Holding oneself out to be practicing nursing
2 under any name other than one's own.
3        (16) Failure of a licensee to report to the Department
4 any adverse final action taken against him or her by
5 another licensing jurisdiction of the United States or any
6 foreign state or country, any peer review body, any health
7 care institution, any professional or nursing society or
8 association, any governmental agency, any law enforcement
9 agency, or any court or a nursing liability claim related
10 to acts or conduct similar to acts or conduct that would
11 constitute grounds for action as defined in this Section.
12        (17) Failure of a licensee to report to the Department
13 surrender by the licensee of a license or authorization to
14 practice nursing or advanced practice registered nursing
15 in another state or jurisdiction or current surrender by
16 the licensee of membership on any nursing staff or in any
17 nursing or advanced practice registered nursing or
18 professional association or society while under
19 disciplinary investigation by any of those authorities or
20 bodies for acts or conduct similar to acts or conduct that
21 would constitute grounds for action as defined by this
22 Section.
23        (18) Failing, within 60 days, to provide information
24 in response to a written request made by the Department.
25        (19) Failure to establish and maintain records of
26 patient care and treatment as required by law.

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1        (20) Fraud, deceit, or misrepresentation in applying
2 for or procuring a license under this Act or in connection
3 with applying for renewal of a license under this Act.
4        (21) Allowing another person or organization to use
5 the licensee's license to deceive the public.
6        (22) Willfully making or filing false records or
7 reports in the licensee's practice, including, but not
8 limited to, false records to support claims against the
9 medical assistance program of the Department of Healthcare
10 and Family Services (formerly Department of Public Aid)
11 under the Illinois Public Aid Code.
12        (23) Attempting to subvert or cheat on a licensing
13 examination administered under this Act.
14        (24) Immoral conduct in the commission of an act,
15 including, but not limited to, sexual abuse, sexual
16 misconduct, or sexual exploitation, related to the
17 licensee's practice.
18        (25) Willfully or negligently violating the
19 confidentiality between nurse and patient except as
20 required by law.
21        (26) Practicing under a false or assumed name, except
22 as provided by law.
23        (27) The use of any false, fraudulent, or deceptive
24 statement in any document connected with the licensee's
25 practice.
26        (28) Directly or indirectly giving to or receiving

SB2450- 97 -LRB104 12244 BDA 22351 b
1 from a person, firm, corporation, partnership, or
2 association a fee, commission, rebate, or other form of
3 compensation for professional services not actually or
4 personally rendered. Nothing in this paragraph (28)
5 affects any bona fide independent contractor or employment
6 arrangements among health care professionals, health
7 facilities, health care providers, or other entities,
8 except as otherwise prohibited by law. Any employment
9 arrangements may include provisions for compensation,
10 health insurance, pension, or other employment benefits
11 for the provision of services within the scope of the
12 licensee's practice under this Act. Nothing in this
13 paragraph (28) shall be construed to require an employment
14 arrangement to receive professional fees for services
15 rendered.
16        (29) A violation of the Health Care Worker
17 Self-Referral Act.
18        (30) Physical illness, mental illness, or disability
19 that results in the inability to practice the profession
20 with reasonable judgment, skill, or safety.
21        (31) Exceeding the terms of a collaborative agreement
22 or the prescriptive authority delegated to a licensee by
23 his or her collaborating physician or podiatric physician
24 in guidelines established under a written collaborative
25 agreement.
26        (32) Making a false or misleading statement regarding

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1 a licensee's skill or the efficacy or value of the
2 medicine, treatment, or remedy prescribed by him or her in
3 the course of treatment.
4        (33) Prescribing, selling, administering,
5 distributing, giving, or self-administering a drug
6 classified as a controlled substance (designated product)
7 or narcotic for other than medically accepted therapeutic
8 purposes.
9        (34) Promotion of the sale of drugs, devices,
10 appliances, or goods provided for a patient in a manner to
11 exploit the patient for financial gain.
12        (35) Violating State or federal laws, rules, or
13 regulations relating to controlled substances.
14        (36) Willfully or negligently violating the
15 confidentiality between an advanced practice registered
16 nurse, collaborating physician, dentist, or podiatric
17 physician and a patient, except as required by law.
18        (37) Willfully failing to report an instance of
19 suspected abuse, neglect, financial exploitation, or
20 self-neglect of an eligible adult as defined in and
21 required by the Adult Protective Services Act.
22        (38) Being named as an abuser in a verified report by
23 the Department on Aging and under the Adult Protective
24 Services Act, and upon proof by clear and convincing
25 evidence that the licensee abused, neglected, or
26 financially exploited an eligible adult as defined in the

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1 Adult Protective Services Act.
2        (39) A violation of any provision of this Act or any
3 rules adopted under this Act.
4        (40) Violating the Compassionate Use of Medical
5 Cannabis Program Act.
6    (b-5) The Department shall not revoke, suspend, summarily
7suspend, place on probation, reprimand, refuse to issue or
8renew, or take any other disciplinary or non-disciplinary
9action against a person's authorization to practice the
10license or permit issued under this Act to practice as a
11registered nurse or an advanced practice registered nurse    
12based solely upon the person registered nurse or advanced
13practice registered nurse providing, authorizing,
14recommending, aiding, assisting, referring for, or otherwise
15participating in any health care service, so long as the care
16was not unlawful under the laws of this State, regardless of
17whether the patient was a resident of this State or another
18state.
19    (b-10) The Department shall not revoke, suspend, summarily
20suspend, place on prohibition, reprimand, refuse to issue or
21renew, or take any other disciplinary or non-disciplinary
22action against a person's authorization to practice the
23license or permit issued under this Act to practice as a
24registered nurse or an advanced practice registered nurse    
25based upon the person's registered nurse's or advanced
26practice registered nurse's license, registration, or permit    

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1being revoked or suspended, or the person registered nurse or
2advanced practice registered nurse being otherwise
3disciplined, by any other state, if that revocation,
4suspension, or other form of discipline was based solely on
5the person registered nurse or advanced practice registered
6nurse violating another state's laws prohibiting the provision
7of, authorization of, recommendation of, aiding or assisting
8in, referring for, or participation in any health care service
9if that health care service as provided would not have been
10unlawful under the laws of this State and is consistent with
11the applicable standard standards of conduct for the person    
12registered nurse or advanced practice registered nurse    
13practicing in Illinois under this Act.
14    (b-15) The conduct specified in subsections (b-5) and
15(b-10) shall not trigger reporting requirements under Section
1665-65 or constitute grounds for suspension under Section
1770-60.
18    (b-20) An applicant seeking licensure, certification, or
19authorization under this Act who has been subject to
20disciplinary action by a duly authorized professional
21disciplinary agency of another jurisdiction solely on the
22basis of having provided, authorized, recommended, aided,
23assisted, referred for, or otherwise participated in health
24care shall not be denied such licensure, certification, or
25authorization, unless the Department determines that such
26action would have constituted professional misconduct in this

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1State; however, nothing in this Section shall be construed as
2prohibiting the Department from evaluating the conduct of such
3applicant and making a determination regarding the licensure,
4certification, or authorization to practice a profession under
5this Act.
6    (c) The determination by a circuit court that a licensee
7is subject to involuntary admission or judicial admission as
8provided in the Mental Health and Developmental Disabilities
9Code, as amended, operates as an automatic suspension. The
10suspension will end only upon a finding by a court that the
11patient is no longer subject to involuntary admission or
12judicial admission and issues an order so finding and
13discharging the patient; and upon the recommendation of the
14Board to the Secretary that the licensee be allowed to resume
15his or her practice.
16    (d) The Department may refuse to issue or may suspend or
17otherwise discipline the license of any person who fails to
18file a return, or to pay the tax, penalty, or interest shown in
19a filed return, or to pay any final assessment of the tax,
20penalty, or interest as required by any tax Act administered
21by the Department of Revenue, until such time as the
22requirements of any such tax Act are satisfied.
23    (e) In enforcing this Act, the Department, upon a showing
24of a possible violation, may compel an individual licensed to
25practice under this Act or who has applied for licensure under
26this Act, to submit to a mental or physical examination, or

SB2450- 102 -LRB104 12244 BDA 22351 b
1both, as required by and at the expense of the Department. The
2Department may order the examining physician to present
3testimony concerning the mental or physical examination of the
4licensee or applicant. No information shall be excluded by
5reason of any common law or statutory privilege relating to
6communications between the licensee or applicant and the
7examining physician. The examining physicians shall be
8specifically designated by the Department. The individual to
9be examined may have, at his or her own expense, another
10physician of his or her choice present during all aspects of
11this examination. Failure of an individual to submit to a
12mental or physical examination, when directed, shall result in
13an automatic suspension without hearing.    
14    All substance-related violations shall mandate an
15automatic substance abuse assessment. Failure to submit to an
16assessment by a licensed physician who is certified as an
17addictionist or an advanced practice registered nurse with
18specialty certification in addictions may be grounds for an
19automatic suspension, as defined by rule.
20    If the Department finds an individual unable to practice
21or unfit for duty because of the reasons set forth in this
22subsection (e), the Department may require that individual to
23submit to a substance abuse evaluation or treatment by
24individuals or programs approved or designated by the
25Department, as a condition, term, or restriction for
26continued, restored, or renewed licensure to practice; or, in

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1lieu of evaluation or treatment, the Department may file, or
2the Board may recommend to the Department to file, a complaint
3to immediately suspend, revoke, or otherwise discipline the
4license of the individual. An individual whose license was
5granted, continued, restored, renewed, disciplined, or
6supervised subject to such terms, conditions, or restrictions,
7and who fails to comply with such terms, conditions, or
8restrictions, shall be referred to the Secretary for a
9determination as to whether the individual shall have his or
10her license suspended immediately, pending a hearing by the
11Department.
12    In instances in which the Secretary immediately suspends a
13person's license under this subsection (e), a hearing on that
14person's license must be convened by the Department within 15
15days after the suspension and completed without appreciable
16delay. The Department and Board shall have the authority to
17review the subject individual's record of treatment and
18counseling regarding the impairment to the extent permitted by
19applicable federal statutes and regulations safeguarding the
20confidentiality of medical records.
21    An individual licensed under this Act and affected under
22this subsection (e) shall be afforded an opportunity to
23demonstrate to the Department that he or she can resume
24practice in compliance with nursing standards under the
25provisions of his or her license.
26    (f) The Department may adopt rules to implement,

SB2450- 104 -LRB104 12244 BDA 22351 b
1administer, and enforce this Section the changes made by this
2amendatory Act of the 102nd General Assembly.
3(Source: P.A. 101-363, eff. 8-9-19; 102-558, eff. 8-20-21;
4102-1117, eff. 1-13-23.)
5    Section 40. The Pharmacy Practice Act is amended by
6changing Sections 30 and 30.1 as follows:
7    (225 ILCS 85/30)    (from Ch. 111, par. 4150)
8    (Section scheduled to be repealed on January 1, 2028)
9    Sec. 30. Refusal, revocation, suspension, or other
10discipline.     
11    (a) The Department may refuse to issue or renew, or may
12revoke a license, or may suspend, place on probation, fine, or
13take any disciplinary or non-disciplinary action as the
14Department may deem proper, including fines not to exceed
15$10,000 for each violation, with regard to any licensee for
16any one or combination of the following causes:
17        1. Material misstatement in furnishing information to
18 the Department.
19        2. Violations of this Act, or the rules promulgated
20 hereunder.
21        3. Making any misrepresentation for the purpose of
22 obtaining licenses.
23        4. A pattern of conduct which demonstrates
24 incompetence or unfitness to practice.

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1        5. Aiding or assisting another person in violating any
2 provision of this Act or rules.
3        6. Failing, within 60 days, to respond to a written
4 request made by the Department for information.
5        7. Engaging in unprofessional, dishonorable, or
6 unethical conduct of a character likely to deceive,
7 defraud, or harm the public as defined by rule.
8        8. Adverse action taken by another state or
9 jurisdiction against a license or other authorization to
10 practice as a pharmacy, pharmacist, registered certified
11 pharmacy technician, or registered pharmacy technician
12 that is the same or substantially equivalent to those set
13 forth in this Section, a certified copy of the record of
14 the action taken by the other state or jurisdiction being
15 prima facie evidence thereof.
16        9. Directly or indirectly giving to or receiving from
17 any person, firm, corporation, partnership, or association
18 any fee, commission, rebate, or other form of compensation
19 for any professional services not actually or personally
20 rendered. Nothing in this item 9 affects any bona fide
21 independent contractor or employment arrangements among
22 health care professionals, health facilities, health care
23 providers, or other entities, except as otherwise
24 prohibited by law. Any employment arrangements may include
25 provisions for compensation, health insurance, pension, or
26 other employment benefits for the provision of services

SB2450- 106 -LRB104 12244 BDA 22351 b
1 within the scope of the licensee's practice under this
2 Act. Nothing in this item 9 shall be construed to require
3 an employment arrangement to receive professional fees for
4 services rendered.
5        10. A finding by the Department that the licensee,
6 after having his license placed on probationary status,
7 has violated the terms of probation.
8        11. Selling or engaging in the sale of drug samples
9 provided at no cost by drug manufacturers.
10        12. Physical illness, including, but not limited to,
11 deterioration through the aging process, or loss of motor
12 skill which results in the inability to practice the
13 profession with reasonable judgment, skill or safety.
14        13. A finding that licensure or registration has been
15 applied for or obtained by fraudulent means.
16        14. Conviction by plea of guilty or nolo contendere,
17 finding of guilt, jury verdict, or entry of judgment or
18 sentencing, including, but not limited to, convictions,
19 preceding sentences of supervision, conditional discharge,
20 or first offender probation, under the laws of any
21 jurisdiction of the United States that is (i) a felony or
22 (ii) a misdemeanor, an essential element of which is
23 dishonesty, or that is directly related to the practice of
24 pharmacy or involves controlled substances.
25        15. Habitual or excessive use or addiction to alcohol,
26 narcotics, stimulants, or any other chemical agent or drug

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1 which results in the inability to practice with reasonable
2 judgment, skill, or safety.
3        16. Willfully making or filing false records or
4 reports in the practice of pharmacy, including, but not
5 limited to, false records to support claims against the
6 medical assistance program of the Department of Healthcare
7 and Family Services (formerly Department of Public Aid)
8 under the Public Aid Code.
9        17. Gross and willful overcharging for professional
10 services including filing false statements for collection
11 of fees for which services are not rendered, including,
12 but not limited to, filing false statements for collection
13 of monies for services not rendered from the medical
14 assistance program of the Department of Healthcare and
15 Family Services (formerly Department of Public Aid) under
16 the Public Aid Code.
17        18. Dispensing prescription drugs without receiving a
18 written or oral prescription in violation of law.
19        19. Upon a finding of a substantial discrepancy in a
20 Department audit of a prescription drug, including
21 controlled substances, as that term is defined in this Act
22 or in the Illinois Controlled Substances Act.
23        20. Physical or mental illness or any other impairment
24 or disability, including, without limitation: (A)
25 deterioration through the aging process or loss of motor
26 skills that results in the inability to practice with

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1 reasonable judgment, skill, or safety; or (B) mental
2 incompetence, as declared by a court of competent
3 jurisdiction.
4        21. Violation of the Health Care Worker Self-Referral
5 Act.
6        22. Failing to sell or dispense any drug, medicine, or
7 poison in good faith. "Good faith", for the purposes of
8 this Section, has the meaning ascribed to it in subsection
9 (u) of Section 102 of the Illinois Controlled Substances
10 Act. "Good faith", as used in this item (22), shall not be
11 limited to the sale or dispensing of controlled
12 substances, but shall apply to all prescription drugs.
13        23. Interfering with the professional judgment of a
14 pharmacist by any licensee under this Act, or the
15 licensee's agents or employees.
16        24. Failing to report within 60 days to the Department
17 any adverse final action taken against a pharmacy,
18 pharmacist, registered pharmacy technician, or registered
19 certified pharmacy technician by another licensing
20 jurisdiction in any other state or any territory of the
21 United States or any foreign jurisdiction, any
22 governmental agency, any law enforcement agency, or any
23 court for acts or conduct similar to acts or conduct that
24 would constitute grounds for discipline as defined in this
25 Section.
26        25. Failing to comply with a subpoena issued in

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1 accordance with Section 35.5 of this Act.
2        26. Disclosing protected health information in
3 violation of any State or federal law.
4        27. Willfully failing to report an instance of
5 suspected abuse, neglect, financial exploitation, or
6 self-neglect of an eligible adult as defined in and
7 required by the Adult Protective Services Act.
8        28. Being named as an abuser in a verified report by
9 the Department on Aging under the Adult Protective
10 Services Act, and upon proof by clear and convincing
11 evidence that the licensee abused, neglected, or
12 financially exploited an eligible adult as defined in the
13 Adult Protective Services Act.
14        29. Using advertisements or making solicitations that
15 may jeopardize the health, safety, or welfare of patients,
16 including, but not limited to, the use of advertisements
17 or solicitations that:
18            (A) are false, fraudulent, deceptive, or
19 misleading; or
20            (B) include any claim regarding a professional
21 service or product or the cost or price thereof that
22 cannot be substantiated by the licensee.
23        30. Requiring a pharmacist to participate in the use
24 or distribution of advertisements or in making
25 solicitations that may jeopardize the health, safety, or
26 welfare of patients.

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1        31. Failing to provide a working environment for all
2 pharmacy personnel that protects the health, safety, and
3 welfare of a patient, which includes, but is not limited
4 to, failing to:
5            (A) employ sufficient personnel to prevent
6 fatigue, distraction, or other conditions that
7 interfere with a pharmacist's ability to practice with
8 competency and safety or creates an environment that
9 jeopardizes patient care;
10            (B) provide appropriate opportunities for
11 uninterrupted rest periods and meal breaks;
12            (C) provide adequate time for a pharmacist to
13 complete professional duties and responsibilities,
14 including, but not limited to:
15                (i) drug utilization review;
16                (ii) immunization;
17                (iii) counseling;
18                (iv) verification of the accuracy of a
19 prescription; and
20                (v) all other duties and responsibilities of a
21 pharmacist as listed in the rules of the
22 Department.
23        32. Introducing or enforcing external factors, such as
24 productivity or production quotas or other programs
25 against pharmacists, student pharmacists or pharmacy
26 technicians, to the extent that they interfere with the

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1 ability of those individuals to provide appropriate
2 professional services to the public.
3        33. Providing an incentive for or inducing the
4 transfer of a prescription for a patient absent a
5 professional rationale.
6    (b) The Department may refuse to issue or may suspend the
7license of any person who fails to file a return, or to pay the
8tax, penalty, or interest shown in a filed return, or to pay
9any final assessment of tax, penalty, or interest, as required
10by any tax Act administered by the Illinois Department of
11Revenue, until such time as the requirements of any such tax
12Act are satisfied.
13    (c) The Department shall revoke any license issued under
14the provisions of this Act or any prior Act of this State of
15any person who has been convicted a second time of committing
16any felony under the Illinois Controlled Substances Act, or
17who has been convicted a second time of committing a Class 1
18felony under Sections 8A-3 and 8A-6 of the Illinois Public Aid
19Code. A person whose license issued under the provisions of
20this Act or any prior Act of this State is revoked under this
21subsection (c) shall be prohibited from engaging in the
22practice of pharmacy in this State.
23    (c-5) The Department shall not revoke, suspend, summarily
24suspend, place on prohibition, reprimand, refuse to issue or
25renew, or take any other disciplinary or non-disciplinary
26action against a person's authorization to practice the

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1license or permit issued under this Act to practice as a
2pharmacist, registered pharmacy technician, or registered
3certified pharmacy technician based solely upon the person    
4pharmacist, registered pharmacy technician, or registered
5certified pharmacy technician providing, authorizing,
6recommending, aiding, assisting, referring for, or otherwise
7participating in any health care service, so long as the care
8was not unlawful under the laws of this State, regardless of
9whether the patient was a resident of this State or another
10state.
11    (c-10) The Department shall not revoke, suspend, summarily
12suspend, place on prohibition, reprimand, refuse to issue or
13renew, or take any other disciplinary or non-disciplinary
14action against a person's authorization to practice the
15license or permit issued under this Act to practice as a
16pharmacist, registered pharmacy technician, or registered
17certified pharmacy technician based upon the person's    
18pharmacist's, registered pharmacy technician's, or registered
19certified pharmacy technician's license, registration, or
20permit being revoked or suspended, or the person pharmacist    
21being otherwise disciplined, by any other state, if that
22revocation, suspension, or other form of discipline was based
23solely on the person pharmacist, registered pharmacy
24technician, or registered certified pharmacy technician    
25violating another state's laws prohibiting the provision of,
26authorization of, recommendation of, aiding or assisting in,

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1referring for, or participation in any health care service if
2that health care service as provided would not have been
3unlawful under the laws of this State and is consistent with
4the applicable standard standards of conduct for a person    
5pharmacist, registered pharmacy technician, or registered
6certified pharmacy technician practicing in Illinois under
7this Act.
8    (c-15) The conduct specified in subsections (c-5) and
9(c-10) shall not constitute grounds for suspension under
10Section 35.16.
11    (c-20) An applicant seeking licensure, certification, or
12authorization pursuant to this Act who has been subject to
13disciplinary action by a duly authorized professional
14disciplinary agency of another jurisdiction solely on the
15basis of having provided, authorized, recommended, aided,
16assisted, referred for, or otherwise participated in health
17care shall not be denied such licensure, certification, or
18authorization, unless the Department determines that such
19action would have constituted professional misconduct in this
20State; however, nothing in this Section shall be construed as
21prohibiting the Department from evaluating the conduct of such
22applicant and making a determination regarding the licensure,
23certification, or authorization to practice a profession under
24this Act.
25    (d) Fines may be imposed in conjunction with other forms
26of disciplinary action, but shall not be the exclusive

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1disposition of any disciplinary action arising out of conduct
2resulting in death or injury to a patient. Fines shall be paid
3within 60 days or as otherwise agreed to by the Department. Any
4funds collected from such fines shall be deposited in the
5Illinois State Pharmacy Disciplinary Fund.
6    (e) The entry of an order or judgment by any circuit court
7establishing that any person holding a license or certificate
8under this Act is a person in need of mental treatment operates
9as a suspension of that license. A licensee may resume his or
10her practice only upon the entry of an order of the Department
11based upon a finding by the Board that he or she has been
12determined to be recovered from mental illness by the court
13and upon the Board's recommendation that the licensee be
14permitted to resume his or her practice.
15    (f) The Department shall issue quarterly to the Board a
16status of all complaints related to the profession received by
17the Department.
18    (g) In enforcing this Section, the Board or the
19Department, upon a showing of a possible violation, may compel
20any licensee or applicant for licensure under this Act to
21submit to a mental or physical examination or both, as
22required by and at the expense of the Department. The
23examining physician, or multidisciplinary team involved in
24providing physical and mental examinations led by a physician
25consisting of one or a combination of licensed physicians,
26licensed clinical psychologists, licensed clinical social

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1workers, licensed clinical professional counselors, and other
2professional and administrative staff, shall be those
3specifically designated by the Department. The Board or the
4Department may order the examining physician or any member of
5the multidisciplinary team to present testimony concerning
6this mental or physical examination of the licensee or
7applicant. No information, report, or other documents in any
8way related to the examination shall be excluded by reason of
9any common law or statutory privilege relating to
10communication between the licensee or applicant and the
11examining physician or any member of the multidisciplinary
12team. The individual to be examined may have, at his or her own
13expense, another physician of his or her choice present during
14all aspects of the examination. Failure of any individual to
15submit to a mental or physical examination when directed shall
16result in the automatic suspension of his or her license until
17such time as the individual submits to the examination. If the
18Board or Department finds a pharmacist, registered certified
19pharmacy technician, or registered pharmacy technician unable
20to practice because of the reasons set forth in this Section,
21the Board or Department shall require such pharmacist,
22registered certified pharmacy technician, or registered
23pharmacy technician to submit to care, counseling, or
24treatment by physicians or other appropriate health care
25providers approved or designated by the Department as a
26condition for continued, restored, or renewed licensure to

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1practice. Any pharmacist, registered certified pharmacy
2technician, or registered pharmacy technician whose license
3was granted, continued, restored, renewed, disciplined, or
4supervised, subject to such terms, conditions, or
5restrictions, and who fails to comply with such terms,
6conditions, or restrictions or to complete a required program
7of care, counseling, or treatment, as determined by the chief
8pharmacy coordinator, shall be referred to the Secretary for a
9determination as to whether the licensee shall have his or her
10license suspended immediately, pending a hearing by the Board.
11In instances in which the Secretary immediately suspends a
12license under this subsection (g), a hearing upon such
13person's license must be convened by the Board within 15 days
14after such suspension and completed without appreciable delay.
15The Department and Board shall have the authority to review
16the subject pharmacist's, registered certified pharmacy
17technician's, or registered pharmacy technician's record of
18treatment and counseling regarding the impairment.
19    (h) An individual or organization acting in good faith,
20and not in a willful and wanton manner, in complying with this
21Section by providing a report or other information to the
22Board, by assisting in the investigation or preparation of a
23report or information, by participating in proceedings of the
24Board, or by serving as a member of the Board shall not, as a
25result of such actions, be subject to criminal prosecution or
26civil damages. Any person who reports a violation of this

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1Section to the Department is protected under subsection (b) of
2Section 15 of the Whistleblower Act.
3    (i) Members of the Board shall have no liability in any
4action based upon any disciplinary proceedings or other
5activity performed in good faith as a member of the Board. The
6Attorney General shall defend all such actions unless he or
7she determines either that there would be a conflict of
8interest in such representation or that the actions complained
9of were not in good faith or were willful and wanton.
10    If the Attorney General declines representation, the
11member shall have the right to employ counsel of his or her
12choice, whose fees shall be provided by the State, after
13approval by the Attorney General, unless there is a
14determination by a court that the member's actions were not in
15good faith or were willful and wanton.
16    The member must notify the Attorney General within 7 days
17of receipt of notice of the initiation of any action involving
18services of the Board. Failure to so notify the Attorney
19General shall constitute an absolute waiver of the right to a
20defense and indemnification.
21    The Attorney General shall determine, within 7 days after
22receiving such notice, whether he or she will undertake to
23represent the member.
24    (j) The Department may adopt rules to implement,
25administer, and enforce this Section the changes made by this
26amendatory Act of the 102nd General Assembly.

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1(Source: P.A. 101-621, eff. 1-1-20; 102-882, eff. 1-1-23;
2102-1117, eff. 1-13-23.)
3    (225 ILCS 85/30.1)
4    (Section scheduled to be repealed on January 1, 2028)
5    Sec. 30.1. Reporting.
6    (a) When a pharmacist, registered certified pharmacy
7technician, or a registered pharmacy technician licensed by
8the Department is terminated for actions which may have
9threatened patient safety, the pharmacy or
10pharmacist-in-charge, pursuant to the policies and procedures
11of the pharmacy at which he or she is employed, shall report
12the termination to the chief pharmacy coordinator. Such
13reports shall be strictly confidential and may be reviewed and
14considered only by the members of the Board or by authorized
15Department staff. Such reports, and any records associated
16with such reports, are exempt from public disclosure and the
17Freedom of Information Act. Although the reports are exempt
18from disclosure, any formal complaint filed against a licensee
19or registrant by the Department or any order issued by the
20Department against a licensee, registrant, or applicant shall
21be a public record, except as otherwise prohibited by law. A
22pharmacy shall not take any adverse action, including, but not
23limited to, disciplining or terminating a person authorized to
24practice under this Act pharmacist, registered certified
25pharmacy technician, or registered pharmacy technician, as a

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1result of an adverse action against the person's license,
2registration, permit, or clinical privileges or other
3disciplinary action by another state or health care
4institution that resulted from the person's pharmacist's,
5registered certified pharmacy technician's, or registered
6pharmacy technician's provision of, authorization of,
7recommendation of, aiding or assistance with, referral for, or
8participation in any health care service, if the adverse
9action was based solely on a violation of the other state's law
10prohibiting the provision such health care and related
11services in the state or for a resident of the state if that
12health care service would not have been unlawful under the
13laws of this State and is consistent with the applicable
14standard of conduct for the person practicing in Illinois
15under this Act.
16    (b) The report shall be submitted to the chief pharmacy
17coordinator in a timely fashion. Unless otherwise provided in
18this Section, the reports shall be filed in writing, on forms
19provided by the Department, within 60 days after a pharmacy's
20determination that a report is required under this Act. All
21reports shall contain only the following information:
22        (1) The name, address, and telephone number of the
23 person making the report.
24        (2) The name, license number, and last known address
25 and telephone number of the person who is the subject of
26 the report.

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1        (3) A brief description of the facts which gave rise
2 to the issuance of the report, including dates of
3 occurrence.
4    (c) The contents of any report and any records associated
5with such report shall be strictly confidential and may only
6be reviewed by:
7        (1) members of the Board of Pharmacy;
8        (2) the Board of Pharmacy's designated attorney;
9        (3) administrative personnel assigned to open mail
10 containing reports, to process and distribute reports to
11 authorized persons, and to communicate with senders of
12 reports;
13        (4) Department investigators and Department
14 prosecutors; or
15        (5) attorneys from the Office of the Illinois Attorney
16 General representing the Department in litigation in
17 response to specific disciplinary action the Department
18 has taken or initiated against a specific individual
19 pursuant to this Section.
20    (d) Whenever a pharmacy or pharmacist-in-charge makes a
21report and provides any records associated with that report to
22the Department, acts in good faith, and not in a willful and
23wanton manner, the person or entity making the report and the
24pharmacy or health care institution employing him or her shall
25not, as a result of such actions, be subject to criminal
26prosecution or civil damages.

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1    (e) The Department may adopt rules to implement,
2administer, and enforce this Section the changes made by this
3amendatory Act of the 102nd General Assembly.
4(Source: P.A. 102-1117, eff. 1-13-23.)
5    Section 45. The Physician Assistant Practice Act of 1987
6is amended by changing Section 21 as follows:
7    (225 ILCS 95/21)    (from Ch. 111, par. 4621)
8    (Section scheduled to be repealed on January 1, 2028)
9    Sec. 21. Grounds for disciplinary action.
10    (a) The Department may refuse to issue or to renew, or may
11revoke, suspend, place on probation, reprimand, or take other
12disciplinary or non-disciplinary action with regard to any
13license issued under this Act as the Department may deem
14proper, including the issuance of fines not to exceed $10,000
15for each violation, for any one or combination of the
16following causes:
17        (1) Material misstatement in furnishing information to
18 the Department.
19        (2) Violations of this Act, or the rules adopted under
20 this Act.
21        (3) Conviction by plea of guilty or nolo contendere,
22 finding of guilt, jury verdict, or entry of judgment or
23 sentencing, including, but not limited to, convictions,
24 preceding sentences of supervision, conditional discharge,

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1 or first offender probation, under the laws of any
2 jurisdiction of the United States that is: (i) a felony;
3 or (ii) a misdemeanor, an essential element of which is
4 dishonesty, or that is directly related to the practice of
5 the profession.
6        (4) Making any misrepresentation for the purpose of
7 obtaining licenses.
8        (5) Professional incompetence.
9        (6) Aiding or assisting another person in violating
10 any provision of this Act or its rules.
11        (7) Failing, within 60 days, to provide information in
12 response to a written request made by the Department.
13        (8) Engaging in dishonorable, unethical, or
14 unprofessional conduct, as defined by rule, of a character
15 likely to deceive, defraud, or harm the public.
16        (9) Habitual or excessive use or addiction to alcohol,
17 narcotics, stimulants, or any other chemical agent or drug
18 that results in a physician assistant's inability to
19 practice with reasonable judgment, skill, or safety.
20        (10) Discipline by another U.S. jurisdiction or
21 foreign nation, if at least one of the grounds for
22 discipline is the same or substantially equivalent to
23 those set forth in this Section.
24        (11) Directly or indirectly giving to or receiving
25 from any person, firm, corporation, partnership, or
26 association any fee, commission, rebate, or other form of

SB2450- 123 -LRB104 12244 BDA 22351 b
1 compensation for any professional services not actually or
2 personally rendered. Nothing in this paragraph (11)
3 affects any bona fide independent contractor or employment
4 arrangements, which may include provisions for
5 compensation, health insurance, pension, or other
6 employment benefits, with persons or entities authorized
7 under this Act for the provision of services within the
8 scope of the licensee's practice under this Act.
9        (12) A finding by the Board that the licensee, after
10 having his or her license placed on probationary status,
11 has violated the terms of probation.
12        (13) Abandonment of a patient.
13        (14) Willfully making or filing false records or
14 reports in his or her practice, including, but not limited
15 to, false records filed with State agencies or
16 departments.
17        (15) Willfully failing to report an instance of
18 suspected child abuse or neglect as required by the Abused
19 and Neglected Child Reporting Act.
20        (16) Physical illness, or mental illness or impairment
21 that results in the inability to practice the profession
22 with reasonable judgment, skill, or safety, including, but
23 not limited to, deterioration through the aging process or
24 loss of motor skill.
25        (17) Being named as a perpetrator in an indicated
26 report by the Department of Children and Family Services

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1 under the Abused and Neglected Child Reporting Act, and
2 upon proof by clear and convincing evidence that the
3 licensee has caused a child to be an abused child or
4 neglected child as defined in the Abused and Neglected
5 Child Reporting Act.
6        (18) (Blank).
7        (19) Gross negligence resulting in permanent injury or
8 death of a patient.
9        (20) Employment of fraud, deception or any unlawful
10 means in applying for or securing a license as a physician
11 assistant.
12        (21) Exceeding the authority delegated to him or her
13 by his or her collaborating physician in a written
14 collaborative agreement.
15        (22) Immoral conduct in the commission of any act,
16 such as sexual abuse, sexual misconduct, or sexual
17 exploitation related to the licensee's practice.
18        (23) Violation of the Health Care Worker Self-Referral
19 Act.
20        (24) Practicing under a false or assumed name, except
21 as provided by law.
22        (25) Making a false or misleading statement regarding
23 his or her skill or the efficacy or value of the medicine,
24 treatment, or remedy prescribed by him or her in the
25 course of treatment.
26        (26) Allowing another person to use his or her license

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1 to practice.
2        (27) Prescribing, selling, administering,
3 distributing, giving, or self-administering a drug
4 classified as a controlled substance for other than
5 medically accepted therapeutic purposes.
6        (28) Promotion of the sale of drugs, devices,
7 appliances, or goods provided for a patient in a manner to
8 exploit the patient for financial gain.
9        (29) A pattern of practice or other behavior that
10 demonstrates incapacity or incompetence to practice under
11 this Act.
12        (30) Violating State or federal laws or regulations
13 relating to controlled substances or other legend drugs or
14 ephedra as defined in the Ephedra Prohibition Act.
15        (31) Exceeding the prescriptive authority delegated by
16 the collaborating physician or violating the written
17 collaborative agreement delegating that authority.
18        (32) Practicing without providing to the Department a
19 notice of collaboration or delegation of prescriptive
20 authority.
21        (33) Failure to establish and maintain records of
22 patient care and treatment as required by law.
23        (34) Attempting to subvert or cheat on the examination
24 of the National Commission on Certification of Physician
25 Assistants or its successor agency.
26        (35) Willfully or negligently violating the

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1 confidentiality between physician assistant and patient,
2 except as required by law.
3        (36) Willfully failing to report an instance of
4 suspected abuse, neglect, financial exploitation, or
5 self-neglect of an eligible adult as defined in and
6 required by the Adult Protective Services Act.
7        (37) Being named as an abuser in a verified report by
8 the Department on Aging under the Adult Protective
9 Services Act and upon proof by clear and convincing
10 evidence that the licensee abused, neglected, or
11 financially exploited an eligible adult as defined in the
12 Adult Protective Services Act.
13        (38) Failure to report to the Department an adverse
14 final action taken against him or her by another licensing
15 jurisdiction of the United States or a foreign state or
16 country, a peer review body, a health care institution, a
17 professional society or association, a governmental
18 agency, a law enforcement agency, or a court acts or
19 conduct similar to acts or conduct that would constitute
20 grounds for action under this Section.
21        (39) Failure to provide copies of records of patient
22 care or treatment, except as required by law.
23        (40) Entering into an excessive number of written
24 collaborative agreements with licensed physicians
25 resulting in an inability to adequately collaborate.
26        (41) Repeated failure to adequately collaborate with a

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1 collaborating physician.
2        (42) Violating the Compassionate Use of Medical
3 Cannabis Program Act.
4    (b) The Department may, without a hearing, refuse to issue
5or renew or may suspend the license of any person who fails to
6file a return, or to pay the tax, penalty, or interest shown in
7a filed return, or to pay any final assessment of the tax,
8penalty, or interest as required by any tax Act administered
9by the Illinois Department of Revenue, until such time as the
10requirements of any such tax Act are satisfied.
11    (b-5) The Department shall not revoke, suspend, summarily
12suspend, place on prohibition, reprimand, refuse to issue or
13renew, or take any other disciplinary or non-disciplinary
14action against a person's authorization to practice the
15license or permit issued under this Act to practice as a
16physician assistant based solely upon the person physician
17assistant providing, authorizing, recommending, aiding,
18assisting, referring for, or otherwise participating in any
19health care service, so long as the care was not unlawful under
20the laws of this State, regardless of whether the patient was a
21resident of this State or another state.
22    (b-10) The Department shall not revoke, suspend, summarily
23suspend, place on prohibition, reprimand, refuse to issue or
24renew, or take any other disciplinary or non-disciplinary
25action against a person's authorization to practice the
26license or permit issued under this Act to practice as a

SB2450- 128 -LRB104 12244 BDA 22351 b
1physician assistant based upon the person's physician
2assistant's license, registration, or permit being revoked or
3suspended, or the person physician assistant being otherwise
4disciplined, by any other state, if that revocation,
5suspension, or other form of discipline was based solely on
6the person physician assistant violating another state's laws
7prohibiting the provision of, authorization of, recommendation
8of, aiding or assisting in, referring for, or participation in
9any health care service if that health care service as
10provided would not have been unlawful under the laws of this
11State and is consistent with the applicable standard standards    
12of conduct for a person physician assistant practicing in
13Illinois under this Act.
14    (b-15) The conduct specified in subsections (b-5) and
15(b-10) shall not constitute grounds for suspension under
16Section 22.13.
17    (b-20) An applicant seeking licensure, certification, or
18authorization pursuant to this Act who has been subject to
19disciplinary action by a duly authorized professional
20disciplinary agency of another jurisdiction solely on the
21basis of having provided, authorized, recommended, aided,
22assisted, referred for, or otherwise participated in health
23care shall not be denied such licensure, certification, or
24authorization, unless the Department determines that such
25action would have constituted professional misconduct in this
26State; however, nothing in this Section shall be construed as

SB2450- 129 -LRB104 12244 BDA 22351 b
1prohibiting the Department from evaluating the conduct of such
2applicant and making a determination regarding the licensure,
3certification, or authorization to practice a profession under
4this Act.
5    (c) The determination by a circuit court that a licensee
6is subject to involuntary admission or judicial admission as
7provided in the Mental Health and Developmental Disabilities
8Code operates as an automatic suspension. The suspension will
9end only upon a finding by a court that the patient is no
10longer subject to involuntary admission or judicial admission
11and issues an order so finding and discharging the patient,
12and upon the recommendation of the Board to the Secretary that
13the licensee be allowed to resume his or her practice.
14    (d) In enforcing this Section, the Department upon a
15showing of a possible violation may compel an individual
16licensed to practice under this Act, or who has applied for
17licensure under this Act, to submit to a mental or physical
18examination, or both, which may include a substance abuse or
19sexual offender evaluation, as required by and at the expense
20of the Department.
21    The Department shall specifically designate the examining
22physician licensed to practice medicine in all of its branches
23or, if applicable, the multidisciplinary team involved in
24providing the mental or physical examination or both. The
25multidisciplinary team shall be led by a physician licensed to
26practice medicine in all of its branches and may consist of one

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1or more or a combination of physicians licensed to practice
2medicine in all of its branches, licensed clinical
3psychologists, licensed clinical social workers, licensed
4clinical professional counselors, and other professional and
5administrative staff. Any examining physician or member of the
6multidisciplinary team may require any person ordered to
7submit to an examination pursuant to this Section to submit to
8any additional supplemental testing deemed necessary to
9complete any examination or evaluation process, including, but
10not limited to, blood testing, urinalysis, psychological
11testing, or neuropsychological testing.
12    The Department may order the examining physician or any
13member of the multidisciplinary team to provide to the
14Department any and all records, including business records,
15that relate to the examination and evaluation, including any
16supplemental testing performed.
17    The Department may order the examining physician or any
18member of the multidisciplinary team to present testimony
19concerning the mental or physical examination of the licensee
20or applicant. No information, report, record, or other
21documents in any way related to the examination shall be
22excluded by reason of any common law or statutory privilege
23relating to communications between the licensee or applicant
24and the examining physician or any member of the
25multidisciplinary team. No authorization is necessary from the
26licensee or applicant ordered to undergo an examination for

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1the examining physician or any member of the multidisciplinary
2team to provide information, reports, records, or other
3documents or to provide any testimony regarding the
4examination and evaluation.
5    The individual to be examined may have, at his or her own
6expense, another physician of his or her choice present during
7all aspects of this examination. However, that physician shall
8be present only to observe and may not interfere in any way
9with the examination.
10     Failure of an individual to submit to a mental or physical
11examination, when ordered, shall result in an automatic
12suspension of his or her license until the individual submits
13to the examination.
14    If the Department finds an individual unable to practice
15because of the reasons set forth in this Section, the
16Department may require that individual to submit to care,
17counseling, or treatment by physicians approved or designated
18by the Department, as a condition, term, or restriction for
19continued, reinstated, or renewed licensure to practice; or,
20in lieu of care, counseling, or treatment, the Department may
21file a complaint to immediately suspend, revoke, or otherwise
22discipline the license of the individual. An individual whose
23license was granted, continued, reinstated, renewed,
24disciplined, or supervised subject to such terms, conditions,
25or restrictions, and who fails to comply with such terms,
26conditions, or restrictions, shall be referred to the

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1Secretary for a determination as to whether the individual
2shall have his or her license suspended immediately, pending a
3hearing by the Department.
4    In instances in which the Secretary immediately suspends a
5person's license under this Section, a hearing on that
6person's license must be convened by the Department within 30
7days after the suspension and completed without appreciable
8delay. The Department shall have the authority to review the
9subject individual's record of treatment and counseling
10regarding the impairment to the extent permitted by applicable
11federal statutes and regulations safeguarding the
12confidentiality of medical records.
13    An individual licensed under this Act and affected under
14this Section shall be afforded an opportunity to demonstrate
15to the Department that he or she can resume practice in
16compliance with acceptable and prevailing standards under the
17provisions of his or her license.
18    (e) An individual or organization acting in good faith,
19and not in a willful and wanton manner, in complying with this
20Section by providing a report or other information to the
21Board, by assisting in the investigation or preparation of a
22report or information, by participating in proceedings of the
23Board, or by serving as a member of the Board, shall not be
24subject to criminal prosecution or civil damages as a result
25of such actions.
26    (f) Members of the Board shall be indemnified by the State

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1for any actions occurring within the scope of services on the
2Board, done in good faith and not willful and wanton in nature.
3The Attorney General shall defend all such actions unless he
4or she determines either that there would be a conflict of
5interest in such representation or that the actions complained
6of were not in good faith or were willful and wanton.
7    If the Attorney General declines representation, the
8member has the right to employ counsel of his or her choice,
9whose fees shall be provided by the State, after approval by
10the Attorney General, unless there is a determination by a
11court that the member's actions were not in good faith or were
12willful and wanton.
13    The member must notify the Attorney General within 7 days
14after receipt of notice of the initiation of any action
15involving services of the Board. Failure to so notify the
16Attorney General constitutes an absolute waiver of the right
17to a defense and indemnification.
18    The Attorney General shall determine, within 7 days after
19receiving such notice, whether he or she will undertake to
20represent the member.
21    (g) The Department may adopt rules to implement,
22administer, and enforce this Section the changes made by this
23amendatory Act of the 102nd General Assembly.
24(Source: P.A. 101-363, eff. 8-9-19; 102-558, eff. 8-20-21;
25102-1117, eff. 1-13-23.)

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1    Section 50. The Professional Counselor and Clinical
2Professional Counselor Licensing and Practice Act is amended
3by changing Section 80 as follows:
4    (225 ILCS 107/80)
5    (Section scheduled to be repealed on January 1, 2028)
6    Sec. 80. Grounds for discipline.
7    (a) The Department may refuse to issue, renew, or may
8revoke, suspend, place on probation, reprimand, or take other
9disciplinary or non-disciplinary action as the Department
10deems appropriate, including the issuance of fines not to
11exceed $10,000 for each violation, with regard to any license
12for any one or more of the following:
13        (1) Material misstatement in furnishing information to
14 the Department or to any other State agency.
15        (2) Violations or negligent or intentional disregard
16 of this Act or rules adopted under this Act.
17        (3) Conviction by plea of guilty or nolo contendere,
18 finding of guilt, jury verdict, or entry of judgment or by
19 sentencing of any crime, including, but not limited to,
20 convictions, preceding sentences of supervision,
21 conditional discharge, or first offender probation, under
22 the laws of any jurisdiction of the United States: (i)
23 that is a felony or (ii) that is a misdemeanor, an
24 essential element of which is dishonesty, or that is
25 directly related to the practice of the profession.

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1        (4) Fraud or any misrepresentation in applying for or
2 procuring a license under this Act or in connection with
3 applying for renewal of a license under this Act.
4        (5) Professional incompetence or gross negligence in
5 the rendering of professional counseling or clinical
6 professional counseling services.
7        (6) Malpractice.
8        (7) Aiding or assisting another person in violating
9 any provision of this Act or any rules.
10        (8) Failing to provide information within 60 days in
11 response to a written request made by the Department.
12        (9) Engaging in dishonorable, unethical, or
13 unprofessional conduct of a character likely to deceive,
14 defraud, or harm the public and violating the rules of
15 professional conduct adopted by the Department.
16        (10) Habitual or excessive use or abuse of drugs as
17 defined in law as controlled substances, alcohol, or any
18 other substance which results in inability to practice
19 with reasonable skill, judgment, or safety.
20        (11) Discipline by another jurisdiction, the District
21 of Columbia, territory, county, or governmental agency, if
22 at least one of the grounds for the discipline is the same
23 or substantially equivalent to those set forth in this
24 Section.
25        (12) Directly or indirectly giving to or receiving
26 from any person, firm, corporation, partnership, or

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1 association any fee, commission, rebate, or other form of
2 compensation for any professional service not actually
3 rendered. Nothing in this paragraph (12) affects any bona
4 fide independent contractor or employment arrangements
5 among health care professionals, health facilities, health
6 care providers, or other entities, except as otherwise
7 prohibited by law. Any employment arrangements may include
8 provisions for compensation, health insurance, pension, or
9 other employment benefits for the provision of services
10 within the scope of the licensee's practice under this
11 Act. Nothing in this paragraph (12) shall be construed to
12 require an employment arrangement to receive professional
13 fees for services rendered.
14        (13) A finding by the Board that the licensee, after
15 having the license placed on probationary status, has
16 violated the terms of probation.
17        (14) Abandonment of a client.
18        (15) Willfully filing false reports relating to a
19 licensee's practice, including, but not limited to, false
20 records filed with federal or State agencies or
21 departments.
22        (16) Willfully failing to report an instance of
23 suspected child abuse or neglect as required by the Abused
24 and Neglected Child Reporting Act and in matters
25 pertaining to suspected abuse, neglect, financial
26 exploitation, or self-neglect of adults with disabilities

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1 and older adults as set forth in the Adult Protective
2 Services Act.
3        (17) Being named as a perpetrator in an indicated
4 report by the Department of Children and Family Services
5 pursuant to the Abused and Neglected Child Reporting Act,
6 and upon proof by clear and convincing evidence that the
7 licensee has caused a child to be an abused child or
8 neglected child as defined in the Abused and Neglected
9 Child Reporting Act.
10        (18) Physical or mental illness or disability,
11 including, but not limited to, deterioration through the
12 aging process or loss of abilities and skills which
13 results in the inability to practice the profession with
14 reasonable judgment, skill, or safety.
15        (19) Solicitation of professional services by using
16 false or misleading advertising.
17        (20) Allowing one's license under this Act to be used
18 by an unlicensed person in violation of this Act.
19        (21) A finding that licensure has been applied for or
20 obtained by fraudulent means.
21        (22) Practicing under a false or, except as provided
22 by law, an assumed name.
23        (23) Gross and willful overcharging for professional
24 services including filing statements for collection of
25 fees or moneys for which services are not rendered.
26        (24) Rendering professional counseling or clinical

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1 professional counseling services without a license or
2 practicing outside the scope of a license.
3        (25) Clinical supervisors failing to adequately and
4 responsibly monitor supervisees.
5    All fines imposed under this Section shall be paid within
660 days after the effective date of the order imposing the
7fine.
8    (b) (Blank).
9    (b-5) The Department may refuse to issue or may suspend
10without hearing, as provided for in the Code of Civil
11Procedure, the license of any person who fails to file a
12return, pay the tax, penalty, or interest shown in a filed
13return, or pay any final assessment of the tax, penalty, or
14interest as required by any tax Act administered by the
15Illinois Department of Revenue, until such time as the
16requirements of any such tax Act are satisfied in accordance
17with subsection (g) of Section 2105-15 of the Department of
18Professional Regulation Law of the Civil Administrative Code
19of Illinois.
20    (b-10) In cases where the Department of Healthcare and
21Family Services has previously determined a licensee or a
22potential licensee is more than 30 days delinquent in the
23payment of child support and has subsequently certified the
24delinquency to the Department, the Department may refuse to
25issue or renew or may revoke or suspend that person's license
26or may take other disciplinary action against that person

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1based solely upon the certification of delinquency made by the
2Department of Healthcare and Family Services in accordance
3with item (5) of subsection (a) of Section 2105-15 of the
4Department of Professional Regulation Law of the Civil
5Administrative Code of Illinois.
6    (c) The determination by a court that a licensee is
7subject to involuntary admission or judicial admission as
8provided in the Mental Health and Developmental Disabilities
9Code will result in an automatic suspension of his or her
10license. The suspension will end upon a finding by a court that
11the licensee is no longer subject to involuntary admission or
12judicial admission, the issuance of an order so finding and
13discharging the patient, and the recommendation of the Board
14to the Secretary that the licensee be allowed to resume
15professional practice.
16    (c-1) The Department shall not revoke, suspend, summarily
17suspend, place on prohibition, reprimand, refuse to issue or
18renew, or take any other disciplinary or non-disciplinary
19action against a person's authorization to practice the
20license or permit issued under this Act to practice as a
21professional counselor or clinical professional counselor    
22based solely upon the person professional counselor or
23clinical professional counselor authorizing, recommending,
24aiding, assisting, referring for, or otherwise participating
25in any health care service, so long as the care was not
26unlawful under the laws of this State, regardless of whether

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1the patient was a resident of this State or another state.
2    (c-2) The Department shall not revoke, suspend, summarily
3suspend, place on prohibition, reprimand, refuse to issue or
4renew, or take any other disciplinary or non-disciplinary
5action against a person's authorization to practice the
6license or permit issued under this Act to practice as a
7professional counselor or clinical professional counselor    
8based upon the person's professional counselor's or clinical
9professional counselor's license, registration, or permit    
10being revoked or suspended, or the person professional
11counselor or clinical professional counselor being otherwise
12disciplined, by any other state, if that revocation,
13suspension, or other form of discipline was based solely on
14the person professional counselor or clinical professional
15counselor violating another state's laws prohibiting the
16provision of, authorization of, recommendation of, aiding or
17assisting in, referring for, or participation in any health
18care service if that health care service as provided would not
19have been unlawful under the laws of this State and is
20consistent with the applicable standard standards of conduct
21for a person professional counselor or clinical professional
22counselor practicing in Illinois under this Act.
23    (c-3) The conduct specified in subsection (c-1), (c-2),
24(c-6), or (c-7) shall not constitute grounds for suspension
25under Section 145.
26    (c-4) An applicant seeking licensure, certification, or

SB2450- 141 -LRB104 12244 BDA 22351 b
1authorization pursuant to this Act who has been subject to
2disciplinary action by a duly authorized professional
3disciplinary agency of another jurisdiction solely on the
4basis of having authorized, recommended, aided, assisted,
5referred for, or otherwise participated in health care shall
6not be denied such licensure, certification, or authorization,
7unless the Department determines that such action would have
8constituted professional misconduct in this State; however,
9nothing in this Section shall be construed as prohibiting the
10Department from evaluating the conduct of such applicant and
11making a determination regarding the licensure, certification,
12or authorization to practice a profession under this Act.
13    (c-5) In enforcing this Act, the Department, upon a
14showing of a possible violation, may compel an individual
15licensed to practice under this Act, or who has applied for
16licensure under this Act, to submit to a mental or physical
17examination, or both, as required by and at the expense of the
18Department. The Department may order the examining physician
19to present testimony concerning the mental or physical
20examination of the licensee or applicant. No information shall
21be excluded by reason of any common law or statutory privilege
22relating to communications between the licensee or applicant
23and the examining physician. The examining physicians shall be
24specifically designated by the Department. The individual to
25be examined may have, at his or her own expense, another
26physician of his or her choice present during all aspects of

SB2450- 142 -LRB104 12244 BDA 22351 b
1this examination. The examination shall be performed by a
2physician licensed to practice medicine in all its branches.
3Failure of an individual to submit to a mental or physical
4examination, when directed, shall result in an automatic
5suspension without hearing.
6    All substance-related violations shall mandate an
7automatic substance abuse assessment. Failure to submit to an
8assessment by a licensed physician who is certified as an
9addictionist or an advanced practice registered nurse with
10specialty certification in addictions may be grounds for an
11automatic suspension.
12    If the Department finds an individual unable to practice
13or unfit for duty because of the reasons set forth in this
14subsection (c-5), the Department may require that individual
15to submit to a substance abuse evaluation or treatment by
16individuals or programs approved or designated by the
17Department, as a condition, term, or restriction for
18continued, restored, or renewed licensure to practice; or, in
19lieu of evaluation or treatment, the Department may file, or
20the Board may recommend to the Department to file, a complaint
21to immediately suspend, revoke, or otherwise discipline the
22license of the individual. An individual whose license was
23granted, continued, restored, renewed, disciplined, or
24supervised subject to such terms, conditions, or restrictions,
25and who fails to comply with such terms, conditions, or
26restrictions, shall be referred to the Secretary for a

SB2450- 143 -LRB104 12244 BDA 22351 b
1determination as to whether the individual shall have his or
2her license suspended immediately, pending a hearing by the
3Department.
4    A person holding a license under this Act or who has
5applied for a license under this Act who, because of a physical
6or mental illness or disability, including, but not limited
7to, deterioration through the aging process or loss of motor
8skill, is unable to practice the profession with reasonable
9judgment, skill, or safety, may be required by the Department
10to submit to care, counseling, or treatment by physicians
11approved or designated by the Department as a condition, term,
12or restriction for continued, reinstated, or renewed licensure
13to practice. Submission to care, counseling, or treatment as
14required by the Department shall not be considered discipline
15of a license. If the licensee refuses to enter into a care,
16counseling, or treatment agreement or fails to abide by the
17terms of the agreement, the Department may file a complaint to
18revoke, suspend, or otherwise discipline the license of the
19individual. The Secretary may order the license suspended
20immediately, pending a hearing by the Department. Fines shall
21not be assessed in disciplinary actions involving physical or
22mental illness or impairment.
23    In instances in which the Secretary immediately suspends a
24person's license under this Section, a hearing on that
25person's license must be convened by the Department within 15
26days after the suspension and completed without appreciable

SB2450- 144 -LRB104 12244 BDA 22351 b
1delay. The Department shall have the authority to review the
2subject individual's record of treatment and counseling
3regarding the impairment to the extent permitted by applicable
4federal statutes and regulations safeguarding the
5confidentiality of medical records.
6    An individual licensed under this Act and affected under
7this Section shall be afforded an opportunity to demonstrate
8to the Department that he or she can resume practice in
9compliance with acceptable and prevailing standards under the
10provisions of his or her license.
11    (c-6) The Department may not revoke, suspend, summarily
12suspend, place on prohibition, reprimand, refuse to issue or
13renew, or take any other disciplinary or non-disciplinary
14action against a person's authorization to practice the
15license or permit issued under this Act to practice as a
16professional counselor or clinical professional counselor    
17based solely upon an immigration violation by the person    
18counselor.
19    (c-7) The Department may not revoke, suspend, summarily
20suspend, place on prohibition, reprimand, refuse to issue or
21renew, or take any other disciplinary or non-disciplinary
22action against a person's authorization to practice the
23license or permit issued under this Act to practice as a
24professional counselor or clinical professional counselor    
25based upon the person's professional counselor's or clinical
26professional counselor's license, registration, or permit    

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1being revoked or suspended, or the person professional
2counselor or clinical professional counselor being otherwise
3disciplined, by any other state, if that revocation,
4suspension, or other form of discipline was based solely upon
5an immigration violation by the person counselor.
6    (d) (Blank).
7    (e) The Department may adopt rules to implement,
8administer, and enforce this Section the changes made by this
9amendatory Act of the 102nd General Assembly.
10(Source: P.A. 102-878, eff. 1-1-23; 102-1117, eff. 1-13-23;
11103-715, eff. 1-1-25.)
12    Section 55. The Wholesale Drug Distribution Licensing Act
13is amended by changing Section 55 as follows:
14    (225 ILCS 120/55)    (from Ch. 111, par. 8301-55)
15    (Section scheduled to be repealed on January 1, 2028)
16    Sec. 55. Discipline; grounds.
17    (a) The Department may refuse to issue, restore, or renew,
18or may revoke, suspend, place on probation, reprimand or take
19other disciplinary or non-disciplinary action as the
20Department may deem appropriate, including imposing fines not
21to exceed $10,000 for each violation, with regard to any
22applicant or licensee or any officer, director, manager, or
23shareholder who owns 5% or more interest in the business that
24holds the license for any one or a combination of the following

SB2450- 146 -LRB104 12244 BDA 22351 b
1reasons:    
2        (1) Violation of this Act or of the rules adopted
3 under this Act.    
4        (2) Aiding or assisting another person in violating
5 any provision of this Act or the rules adopted under this
6 Act.    
7        (3) Failing, within 60 days, to provide information in
8 response to a written requirement made by the Department.    
9        (4) Engaging in dishonorable, unethical, or
10 unprofessional conduct of a character likely to deceive,
11 defraud, or harm the public. This includes violations of
12 "good faith" as defined by the Illinois Controlled
13 Substances Act and applies to all prescription drugs.    
14        (5) Discipline by another U.S. jurisdiction or foreign
15 nation, if at least one of the grounds for the discipline
16 is the same or substantially equivalent to those set forth
17 in this Act.    
18        (6) Selling or engaging in the sale of drug samples
19 provided at no cost by drug manufacturers.    
20        (7) Conviction by plea of guilty or nolo contendere,
21 finding of guilt, jury verdict, or entry of judgment or by
22 sentencing of any crime, including, but not limited to,
23 convictions, preceding sentences of supervision,
24 conditional discharge, or first offender probation, under
25 the laws of any jurisdiction of the United States that is
26 (i) a felony or (ii) a misdemeanor, an essential element

SB2450- 147 -LRB104 12244 BDA 22351 b
1 of which is dishonesty or that is directly related to the
2 practice of this profession.    
3        (8) Habitual or excessive use or addiction to alcohol,
4 narcotics, stimulants, or any other chemical agent or drug
5 by the designated representative, as provided for in item
6 (7) of subsection (b) of Section 25 of this Act, any
7 officer, or director that results in the inability to
8 function with reasonable judgment, skill, or safety.    
9        (9) Material misstatement in furnishing information to
10 the Department.    
11        (10) A finding by the Department that the licensee,
12 after having his or her license placed on probationary
13 status, has violated the terms of probation.    
14        (11) Fraud or misrepresentation in applying for, or
15 procuring, a license under this Act or in connection with
16 applying for renewal of a license under this Act.    
17        (12) Willfully making or filing false records or
18 reports.    
19        (13) A finding of a substantial discrepancy in a
20 Department audit of a prescription drug, including a
21 controlled substance as that term is defined in this Act
22 or in the Illinois Controlled Substances Act.
23        (14) Falsifying a pedigree or selling, distributing,
24 transferring, manufacturing, repackaging, handling, or
25 holding a counterfeit prescription drug intended for human
26 use.

SB2450- 148 -LRB104 12244 BDA 22351 b
1        (15) Interfering with a Department investigation.
2        (16) Failing to adequately secure controlled
3 substances or other prescription drugs from diversion.
4        (17) Acquiring or distributing prescription drugs not
5 obtained from a source licensed by the Department.
6        (18) Failing to properly store drugs.
7        (19) Failing to maintain the licensed premises with
8 proper storage and security controls.
9    (b) The Department may refuse to issue or may suspend the
10license or registration of any person who fails to file a
11return, or to pay the tax, penalty, or interest shown in a
12filed return, or to pay any final assessment of tax, penalty,    
13or interest, as required by any tax Act administered by the
14Illinois Department of Revenue, until the time the
15requirements of the tax Act are satisfied.
16    (c) The Department shall revoke the license or certificate
17of registration issued under this Act or any prior Act of this
18State of any person who has been convicted a second time of
19committing any felony under the Illinois Controlled Substances
20Act or the Methamphetamine Control and Community Protection
21Act or who has been convicted a second time of committing a
22Class 1 felony under Sections 8A-3 and 8A-6 of the Illinois
23Public Aid Code. A person whose license or certificate of
24registration issued under this Act or any prior Act of this
25State is revoked under this subsection (c) shall be prohibited
26from engaging in the practice of pharmacy in this State.

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1    (d) The Department shall not revoke, suspend, summarily
2suspend, place on prohibition, reprimand, refuse to issue or
3renew, or take any other disciplinary or non-disciplinary
4action against a person's authorization to practice under this
5Act based solely upon the person authorizing, recommending,
6aiding, assisting, referring for, or otherwise participating
7in any health care service, so long as the care was not
8unlawful under the laws of this State, regardless of whether
9the patient was a resident of this State or another state.    
10    (e) The Department shall not revoke, suspend, summarily
11suspend, place on prohibition, reprimand, refuse to issue or
12renew, or take any other disciplinary or non-disciplinary
13action against a person's authorization to practice under this
14Act based upon the person's license, registration, or permit
15being revoked or suspended, or the person being otherwise
16disciplined, by any other state if that revocation,
17suspension, or other form of discipline was based solely on
18the person violating another state's laws prohibiting the
19provision of, authorization of, recommendation of, aiding or
20assisting in, referring for, or participation in any health
21care service if that health care service as provided would not
22have been unlawful under the laws of this State and is
23consistent with any applicable standard of conduct for the
24person practicing in Illinois under this Act.    
25(Source: P.A. 97-804, eff. 1-1-13; 97-813, eff. 7-13-12;
2698-463, eff. 8-16-13.)

SB2450- 150 -LRB104 12244 BDA 22351 b
1    Section 60. The Registered Surgical Assistant and
2Registered Surgical Technologist Title Protection Act is
3amended by changing Section 75 as follows:
4    (225 ILCS 130/75)
5    (Section scheduled to be repealed on January 1, 2029)
6    Sec. 75. Grounds for disciplinary action.
7    (a) The Department may refuse to issue, renew, or restore
8a registration, may revoke or suspend a registration, or may
9place on probation, reprimand, or take other disciplinary or
10non-disciplinary action with regard to a person registered
11under this Act, including, but not limited to, the imposition
12of fines not to exceed $10,000 for each violation and the
13assessment of costs as provided for in Section 90, for any one
14or combination of the following causes:
15        (1) Making a material misstatement in furnishing
16 information to the Department.
17        (2) Violating a provision of this Act or rules adopted
18 under this Act.
19        (3) Conviction by plea of guilty or nolo contendere,
20 finding of guilt, jury verdict, or entry of judgment or by
21 sentencing of any crime, including, but not limited to,
22 convictions, preceding sentences of supervision,
23 conditional discharge, or first offender probation, under
24 the laws of any jurisdiction of the United States that is

SB2450- 151 -LRB104 12244 BDA 22351 b
1 (i) a felony or (ii) a misdemeanor, an essential element
2 of which is dishonesty, or that is directly related to the
3 practice of the profession.
4        (4) Fraud or misrepresentation in applying for,
5 renewing, restoring, reinstating, or procuring a
6 registration under this Act.
7        (5) Aiding or assisting another person in violating a
8 provision of this Act or its rules.
9        (6) Failing to provide information within 60 days in
10 response to a written request made by the Department.
11        (7) Engaging in dishonorable, unethical, or
12 unprofessional conduct of a character likely to deceive,
13 defraud, or harm the public, as defined by rule of the
14 Department.
15        (8) Discipline by another United States jurisdiction,
16 governmental agency, unit of government, or foreign
17 nation, if at least one of the grounds for discipline is
18 the same or substantially equivalent to those set forth in
19 this Section.
20        (9) Directly or indirectly giving to or receiving from
21 a person, firm, corporation, partnership, or association a
22 fee, commission, rebate, or other form of compensation for
23 professional services not actually or personally rendered.
24 Nothing in this paragraph (9) affects any bona fide
25 independent contractor or employment arrangements among
26 health care professionals, health facilities, health care

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1 providers, or other entities, except as otherwise
2 prohibited by law. Any employment arrangements may include
3 provisions for compensation, health insurance, pension, or
4 other employment benefits for the provision of services
5 within the scope of the registrant's practice under this
6 Act. Nothing in this paragraph (9) shall be construed to
7 require an employment arrangement to receive professional
8 fees for services rendered.
9        (10) A finding by the Department that the registrant,
10 after having the registration placed on probationary
11 status, has violated the terms of probation.
12        (11) Willfully making or filing false records or
13 reports in the practice, including, but not limited to,
14 false records or reports filed with State agencies.
15        (12) Willfully making or signing a false statement,
16 certificate, or affidavit to induce payment.
17        (13) Willfully failing to report an instance of
18 suspected child abuse or neglect as required under the
19 Abused and Neglected Child Reporting Act.
20        (14) Being named as a perpetrator in an indicated
21 report by the Department of Children and Family Services
22 under the Abused and Neglected Child Reporting Act and
23 upon proof by clear and convincing evidence that the
24 registrant has caused a child to be an abused child or
25 neglected child as defined in the Abused and Neglected
26 Child Reporting Act.

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1        (15) (Blank).
2        (16) Failure to report to the Department (A) any
3 adverse final action taken against the registrant by
4 another registering or licensing jurisdiction, government
5 agency, law enforcement agency, or any court or (B)
6 liability for conduct that would constitute grounds for
7 action as set forth in this Section.
8        (17) Habitual or excessive use or abuse of drugs
9 defined in law as controlled substances, alcohol, or any
10 other substance that results in the inability to practice
11 with reasonable judgment, skill, or safety.
12        (18) Physical or mental illness, including, but not
13 limited to, deterioration through the aging process or
14 loss of motor skills, which results in the inability to
15 practice the profession for which the person is registered
16 with reasonable judgment, skill, or safety.
17        (19) Gross malpractice.
18        (20) Immoral conduct in the commission of an act
19 related to the registrant's practice, including, but not
20 limited to, sexual abuse, sexual misconduct, or sexual
21 exploitation.
22        (21) Violation of the Health Care Worker Self-Referral
23 Act.
24    (b) The Department may refuse to issue or may suspend
25without hearing the registration of a person who fails to file
26a return, to pay the tax, penalty, or interest shown in a filed

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1return, or to pay a final assessment of the tax, penalty, or
2interest as required by a tax Act administered by the
3Department of Revenue, until the requirements of the tax Act
4are satisfied in accordance with subsection (g) of Section
52105-15 of the Department of Professional Regulation Law of
6the Civil Administrative Code of Illinois.
7    (b-1) The Department shall not revoke, suspend, summarily
8suspend, place on probation, reprimand, refuse to issue or
9renew, or take any other disciplinary or non-disciplinary
10action against a person's authorization to practice the
11license issued under this Act to practice as a registered
12surgical assistant or registered surgical technologist based
13solely upon the person registered surgical assistant or
14registered surgical technologist providing, authorizing,
15recommending, aiding, assisting, referring for, or otherwise
16participating in any health care service, so long as the care
17was not unlawful under the laws of this State, regardless of
18whether the patient was a resident of this State or another
19state.
20    (b-2) The Department shall not revoke, suspend, summarily
21suspend, place on prohibition, reprimand, refuse to issue or
22renew, or take any other disciplinary or non-disciplinary
23action against a person's authorization to practice the
24license issued under this Act to practice as a registered
25surgical assistant or registered surgical technologist based
26upon the person's registered surgical assistant's or

SB2450- 155 -LRB104 12244 BDA 22351 b
1registered surgical technologist's license, registration, or
2permit being revoked or suspended, or the person registered
3surgical assistant's or registered surgical technologist's    
4being otherwise disciplined, by any other state, if that
5revocation, suspension, or other form of discipline was based
6solely on the person registered surgical assistant or
7registered surgical technologist violating another state's
8laws prohibiting the provision of, authorization of,
9recommendation of, aiding or assisting in, referring for, or
10participation in any health care service if that health care
11service as provided would not have been unlawful under the
12laws of this State and is consistent with the applicable
13standard standards of conduct for the person registered
14surgical assistant or registered surgical technologist    
15practicing in this State under this Act.
16    (b-3) The conduct specified in subsection (b-1) or (b-2)
17shall not constitute grounds for suspension under Section 145.
18    (b-4) An applicant seeking licensure, certification, or
19authorization pursuant to this Act who has been subject to
20disciplinary action by a duly authorized professional
21disciplinary agency of another jurisdiction solely on the
22basis of having provided, authorized, recommended, aided,
23assisted, referred for, or otherwise participated in health
24care shall not be denied such licensure, certification, or
25authorization, unless the Department determines that such
26action would have constituted professional misconduct in this

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1State. Nothing in this Section shall be construed as
2prohibiting the Department from evaluating the conduct of such
3applicant and making a determination regarding the licensure,
4certification, or authorization to practice a profession under
5this Act.
6    (c) The determination by a circuit court that a registrant
7is subject to involuntary admission or judicial admission as
8provided in the Mental Health and Developmental Disabilities
9Code operates as an automatic suspension. The suspension will
10end only upon (1) a finding by a court that the patient is no
11longer subject to involuntary admission or judicial admission,
12(2) issuance of an order so finding and discharging the
13patient, and (3) filing of a petition for restoration
14demonstrating fitness to practice.
15    (d) (Blank).
16    (e) In cases where the Department of Healthcare and Family
17Services has previously determined a registrant or a potential
18registrant is more than 30 days delinquent in the payment of
19child support and has subsequently certified the delinquency
20to the Department, the Department may refuse to issue or renew
21or may revoke or suspend that person's registration or may
22take other disciplinary action against that person based
23solely upon the certification of delinquency made by the
24Department of Healthcare and Family Services in accordance
25with paragraph (5) of subsection (a) of Section 2105-15 of the
26Department of Professional Regulation Law of the Civil

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1Administrative Code of Illinois.
2    (f) In enforcing this Section, the Department, upon a
3showing of a possible violation, may compel any individual
4registered under this Act or any individual who has applied
5for registration to submit to a mental or physical examination
6and evaluation, or both, that may include a substance abuse or
7sexual offender evaluation, at the expense of the Department.
8The Department shall specifically designate the examining
9physician licensed to practice medicine in all of its branches
10or, if applicable, the multidisciplinary team involved in
11providing the mental or physical examination and evaluation,
12or both. The multidisciplinary team shall be led by a
13physician licensed to practice medicine in all of its branches
14and may consist of one or more or a combination of physicians
15licensed to practice medicine in all of its branches, licensed
16chiropractic physicians, licensed clinical psychologists,
17licensed clinical social workers, licensed clinical
18professional counselors, and other professional and
19administrative staff. Any examining physician or member of the
20multidisciplinary team may require any person ordered to
21submit to an examination and evaluation pursuant to this
22Section to submit to any additional supplemental testing
23deemed necessary to complete any examination or evaluation
24process, including, but not limited to, blood testing,
25urinalysis, psychological testing, or neuropsychological
26testing.

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1    The Department may order the examining physician or any
2member of the multidisciplinary team to provide to the
3Department any and all records, including business records,
4that relate to the examination and evaluation, including any
5supplemental testing performed. The Department may order the
6examining physician or any member of the multidisciplinary
7team to present testimony concerning this examination and
8evaluation of the registrant or applicant, including testimony
9concerning any supplemental testing or documents relating to
10the examination and evaluation. No information, report,
11record, or other documents in any way related to the
12examination and evaluation shall be excluded by reason of any
13common law or statutory privilege relating to communication
14between the registrant or applicant and the examining
15physician or any member of the multidisciplinary team. No
16authorization is necessary from the registrant or applicant
17ordered to undergo an evaluation and examination for the
18examining physician or any member of the multidisciplinary
19team to provide information, reports, records, or other
20documents or to provide any testimony regarding the
21examination and evaluation. The individual to be examined may
22have, at the individual's own expense, another physician of
23the individual's choice present during all aspects of the
24examination.
25    Failure of any individual to submit to mental or physical
26examination and evaluation, or both, when directed, shall

SB2450- 159 -LRB104 12244 BDA 22351 b
1result in an automatic suspension without a hearing until such
2time as the individual submits to the examination. If the
3Department finds a registrant unable to practice because of
4the reasons set forth in this Section, the Department shall
5require such registrant to submit to care, counseling, or
6treatment by physicians approved or designated by the
7Department as a condition for continued, reinstated, or
8renewed registration.
9    When the Secretary immediately suspends a registration
10under this Section, a hearing upon such person's registration
11must be convened by the Department within 15 days after such
12suspension and completed without appreciable delay. The
13Department shall have the authority to review the registrant's
14record of treatment and counseling regarding the impairment to
15the extent permitted by applicable federal statutes and
16regulations safeguarding the confidentiality of medical
17records.
18    Individuals registered under this Act and affected under
19this Section shall be afforded an opportunity to demonstrate
20to the Department that they can resume practice in compliance
21with acceptable and prevailing standards under the provisions
22of their registration.
23    (g) All fines imposed under this Section shall be paid
24within 60 days after the effective date of the order imposing
25the fine or in accordance with the terms set forth in the order
26imposing the fine.

SB2450- 160 -LRB104 12244 BDA 22351 b
1    (h) (f) The Department may adopt rules to implement,
2administer, and enforce this Section the changes made by
3Public Act 102-1117.
4(Source: P.A. 102-1117, eff. 1-13-23; 103-387, eff. 1-1-24;
5103-605, eff. 7-1-24; revised 10-16-24.)
6    Section 65. The Genetic Counselor Licensing Act is amended
7by changing Section 95 as follows:
8    (225 ILCS 135/95)
9    (Section scheduled to be repealed on January 1, 2030)
10    Sec. 95. Grounds for discipline.
11    (a) The Department may refuse to issue, renew, or may
12revoke, suspend, place on probation, reprimand, or take other
13disciplinary or non-disciplinary action as the Department
14deems appropriate, including the issuance of fines not to
15exceed $10,000 for each violation, with regard to any license
16for any one or more of the following:
17        (1) Material misstatement in furnishing information to
18 the Department or to any other State agency.
19        (2) Violations or negligent or intentional disregard
20 of this Act, or any of its rules.
21        (3) Conviction by plea of guilty or nolo contendere,
22 finding of guilt, jury verdict, or entry of judgment or
23 sentencing, including, but not limited to, convictions,
24 preceding sentences of supervision, conditional discharge,

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1 or first offender probation, under the laws of any
2 jurisdiction of the United States: (i) that is a felony or
3 (ii) that is a misdemeanor, an essential element of which
4 is dishonesty, or that is directly related to the practice
5 of genetic counseling.
6        (4) Making any misrepresentation for the purpose of
7 obtaining a license, or violating any provision of this
8 Act or its rules.
9        (5) Negligence in the rendering of genetic counseling
10 services.
11        (6) Failure to provide genetic testing results and any
12 requested information to a referring physician licensed to
13 practice medicine in all its branches, advanced practice
14 registered nurse, or physician assistant.
15        (7) Aiding or assisting another person in violating
16 any provision of this Act or any rules.
17        (8) Failing to provide information within 60 days in
18 response to a written request made by the Department.
19        (9) Engaging in dishonorable, unethical, or
20 unprofessional conduct of a character likely to deceive,
21 defraud, or harm the public and violating the rules of
22 professional conduct adopted by the Department.
23        (10) Failing to maintain the confidentiality of any
24 information received from a client, unless otherwise
25 authorized or required by law.
26        (10.5) Failure to maintain client records of services

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1 provided and provide copies to clients upon request.
2        (11) Exploiting a client for personal advantage,
3 profit, or interest.
4        (12) Habitual or excessive use or addiction to
5 alcohol, narcotics, stimulants, or any other chemical
6 agent or drug which results in inability to practice with
7 reasonable skill, judgment, or safety.
8        (13) Discipline by another governmental agency or unit
9 of government, by any jurisdiction of the United States,
10 or by a foreign nation, if at least one of the grounds for
11 the discipline is the same or substantially equivalent to
12 those set forth in this Section.
13        (14) Directly or indirectly giving to or receiving
14 from any person, firm, corporation, partnership, or
15 association any fee, commission, rebate, or other form of
16 compensation for any professional service not actually
17 rendered. Nothing in this paragraph (14) affects any bona
18 fide independent contractor or employment arrangements
19 among health care professionals, health facilities, health
20 care providers, or other entities, except as otherwise
21 prohibited by law. Any employment arrangements may include
22 provisions for compensation, health insurance, pension, or
23 other employment benefits for the provision of services
24 within the scope of the licensee's practice under this
25 Act. Nothing in this paragraph (14) shall be construed to
26 require an employment arrangement to receive professional

SB2450- 163 -LRB104 12244 BDA 22351 b
1 fees for services rendered.
2        (15) A finding by the Department that the licensee,
3 after having the license placed on probationary status,
4 has violated the terms of probation.
5        (16) Failing to refer a client to other health care
6 professionals when the licensee is unable or unwilling to
7 adequately support or serve the client.
8        (17) Willfully filing false reports relating to a
9 licensee's practice, including, but not limited to, false
10 records filed with federal or State agencies or
11 departments.
12        (18) Willfully failing to report an instance of
13 suspected child abuse or neglect as required by the Abused
14 and Neglected Child Reporting Act.
15        (19) Being named as a perpetrator in an indicated
16 report by the Department of Children and Family Services
17 pursuant to the Abused and Neglected Child Reporting Act,
18 and upon proof by clear and convincing evidence that the
19 licensee has caused a child to be an abused child or
20 neglected child as defined in the Abused and Neglected
21 Child Reporting Act.
22        (20) Physical or mental disability, including
23 deterioration through the aging process or loss of
24 abilities and skills which results in the inability to
25 practice the profession with reasonable judgment, skill,
26 or safety.

SB2450- 164 -LRB104 12244 BDA 22351 b
1        (21) Solicitation of professional services by using
2 false or misleading advertising.
3        (22) Failure to file a return, or to pay the tax,
4 penalty, or of interest shown in a filed return, or to pay
5 any final assessment of tax, penalty, or interest, as
6 required by any tax Act administered by the Illinois
7 Department of Revenue or any successor agency or the
8 Internal Revenue Service or any successor agency.
9        (23) Fraud or making any misrepresentation in applying
10 for or procuring a license under this Act or in connection
11 with applying for renewal of a license under this Act.
12        (24) Practicing or attempting to practice under a name
13 other than the full name as shown on the license or any
14 other legally authorized name.
15        (25) Gross overcharging for professional services,
16 including filing statements for collection of fees or
17 moneys for which services are not rendered.
18        (26) (Blank).
19        (27) Charging for professional services not rendered,
20 including filing false statements for the collection of
21 fees for which services are not rendered.
22        (28) Allowing one's license under this Act to be used
23 by an unlicensed person in violation of this Act.
24    (b) (Blank).
25    (b-5) The Department shall not revoke, suspend, summarily
26suspend, place on prohibition, reprimand, refuse to issue or

SB2450- 165 -LRB104 12244 BDA 22351 b
1renew, or take any other disciplinary or non-disciplinary
2action against a person's authorization to practice the
3license or permit issued under this Act to practice as a
4genetic counselor based solely upon the person genetic
5counselor authorizing, recommending, aiding, assisting,
6referring for, or otherwise participating in any health care
7service, so long as the care was not unlawful under the laws of
8this State, regardless of whether the patient was a resident
9of this State or another state.
10    (b-10) The Department shall not revoke, suspend, summarily
11suspend, place on prohibition, reprimand, refuse to issue or
12renew, or take any other disciplinary or non-disciplinary
13action against a person's authorization to practice the
14license or permit issued under this Act to practice as a
15genetic counselor based upon the person's genetic counselor's    
16license, registration, or permit being revoked or suspended,
17or the person genetic counselor being otherwise disciplined,    
18by any other state, if that revocation, suspension, or other
19form of discipline was based solely on the person genetic
20counselor violating another state's laws prohibiting the
21provision of, authorization of, recommendation of, aiding or
22assisting in, referring for, or participation in any health
23care service if that health care service as provided would not
24have been unlawful under the laws of this State and is
25consistent with the applicable standard standards of conduct
26for the person practicing genetic counselor if it occurred in

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1Illinois under this Act.
2    (b-15) The conduct specified in subsections (b-5) and
3(b-10) shall not constitute grounds for suspension under
4Section 160.
5    (b-20) An applicant seeking licensure, certification, or
6authorization pursuant to this Act who has been subject to
7disciplinary action by a duly authorized professional
8disciplinary agency of another jurisdiction solely on the
9basis of having authorized, recommended, aided, assisted,
10referred for, or otherwise participated in health care shall
11not be denied such licensure, certification, or authorization,
12unless the Department determines that such action would have
13constituted professional misconduct in this State; however,
14nothing in this Section shall be construed as prohibiting the
15Department from evaluating the conduct of such applicant and
16making a determination regarding the licensure, certification,
17or authorization to practice a profession under this Act.
18    (c) The determination by a court that a licensee is
19subject to involuntary admission or judicial admission as
20provided in the Mental Health and Developmental Disabilities
21Code will result in an automatic suspension of the license.
22The suspension will end upon a finding by a court that the
23licensee is no longer subject to involuntary admission or
24judicial admission, the issuance of an order so finding and
25discharging the patient, and the determination of the
26Secretary that the licensee be allowed to resume professional

SB2450- 167 -LRB104 12244 BDA 22351 b
1practice.
2    (d) The Department may refuse to issue or renew or may
3suspend without hearing the license of any person who fails to
4file a return, to pay the tax penalty or interest shown in a
5filed return, or to pay any final assessment of the tax,
6penalty, or interest as required by any Act regarding the
7payment of taxes administered by the Illinois Department of
8Revenue until the requirements of the Act are satisfied in
9accordance with subsection (g) of Section 2105-15 of the Civil
10Administrative Code of Illinois.
11    (e) In cases where the Department of Healthcare and Family
12Services has previously determined that a licensee or a
13potential licensee is more than 30 days delinquent in the
14payment of child support and has subsequently certified the
15delinquency to the Department, the Department may refuse to
16issue or renew or may revoke or suspend that person's license
17or may take other disciplinary action against that person
18based solely upon the certification of delinquency made by the
19Department of Healthcare and Family Services in accordance
20with item (5) of subsection (a) of Section 2105-15 of the
21Department of Professional Regulation Law of the Civil
22Administrative Code of Illinois.
23    (f) All fines or costs imposed under this Section shall be
24paid within 60 days after the effective date of the order
25imposing the fine or costs or in accordance with the terms set
26forth in the order imposing the fine.

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1    (g) The Department may adopt rules to implement,
2administer, and enforce this Section the changes made by this
3amendatory Act of the 102nd General Assembly.
4(Source: P.A. 102-1117, eff. 1-13-23; 103-763, eff. 1-1-25.)
5    Section 70. The Illinois Food, Drug and Cosmetic Act is
6amended by changing Sections 7, 14, and 15 as follows:
7    (410 ILCS 620/7)    (from Ch. 56 1/2, par. 507)
8    Sec. 7. Only upon a report of a violation of this Act from
9the It shall be the duty of each state's attorney to whom the    
10Director, a State's Attorney shall reports any violation of
11this Act, to cause appropriate proceedings to be instituted in
12the proper courts without delay and to be prosecuted in the
13manner required by law. Before the Director reports any
14violation of this Act is reported to any such state's attorney
15for the institution of a criminal proceeding, the person
16against whom such proceeding is contemplated shall be given
17appropriate notice and an opportunity to present his views
18before the Director or his designated agent, either orally or
19in writing, in person or by attorney, with regard to such
20contemplated proceeding.
21(Source: Laws 1967, p. 959.)
22    (410 ILCS 620/14)    (from Ch. 56 1/2, par. 514)
23    Sec. 14. A drug or device is adulterated: (a) (1) If it

SB2450- 169 -LRB104 12244 BDA 22351 b
1consists in whole or in part of any filthy, putrid or
2decomposed substance; or (2) (A) if it has been produced,
3prepared, packed or held under unsanitary conditions whereby
4it may have been contaminated with filth or whereby it may have
5been rendered injurious to health; or (B) if it is a drug and
6the methods used in, or the facilities or controls used for,
7its manufacture, processing, packing or holding do not conform
8to or are not operated or administered in conformity with
9current good manufacturing practice to assure that such drug
10meets the requirements of the Act as to safety and has the
11identity and strength and meets the quality and purity
12characteristics which it purports or is represented to
13possess; or (3) if it is a drug and its container is composed,
14in whole or in part, of any poisonous or deleterious substance
15which may render the contents injurious to health; or (4) if
16(A) it is a drug and it bears or contains, for purposes of
17coloring only, a color additive which is unsafe within the
18meaning of Section 706 of the Federal Act or (B) it is a color
19additive, the intended use of which in or on drugs or devices
20is for purposes of coloring only and is unsafe within the
21meaning of Section 706 of the Federal Act; or (5) if it is a
22new animal drug which is unsafe within the meaning of Section
23512 of the Federal Act; or (6) if it is an animal feed bearing
24or containing a new animal drug, and such animal feed is unsafe
25within the meaning of Section 512 of the Federal Act.
26    (b) If it purports to be or is represented as a drug the

SB2450- 170 -LRB104 12244 BDA 22351 b
1name of which is recognized in an official compendium, and its
2strength differs from or its quality or purity falls below the
3standard set forth in such compendium. Such determination as
4to strength, quality or purity shall be made in accordance
5with the tests or methods of assay set forth in such compendium
6or in the absence of or inadequacy of such tests or methods of
7assay, those prescribed under authority of the Federal Act. No
8drug defined in an official compendium is adulterated under
9this subsection because it differs from the standard of
10strength, quality or purity therefor set forth in such
11compendium, if its difference in strength, quality or purity
12from such standard is plainly stated on its label. When a drug
13is recognized in both the United States Pharmacopoeia -
14National Formulary and the Homeopathic Pharmacopoeia of the
15United States it shall be subject to the requirements of the
16United States Pharmacopoeia - National Formulary unless it is
17labeled and offered for sale as a homeopathic drug, in which
18case it shall be subject to the provisions of the Homeopathic
19Pharmacopoeia of the United States and not to those of the
20United States Pharmacopoeia - National Formulary.
21    (c) If it is not subject to the provisions of subsection
22(b) of this Section and its strength differs from or its purity
23or quality falls below that which it purports or is
24represented to possess.
25    (d) If it is a drug and any substance has been (1) mixed or
26packed therewith so as to reduce its quality or strength; or

SB2450- 171 -LRB104 12244 BDA 22351 b
1(2) substituted wholly or in part therefor.
2    (e) If it is, or purports to be or is represented as, a
3device which is subject to a performance standard established
4under Section 514 of the Federal Act, unless such device is in
5all respects in conformity with such standard.
6    (f) If it is a device and the methods used in, or the
7facilities or controls used for, its manufacture, packing,
8storage, or installations are not in conformity with
9applicable requirements under Section 520(b)(1) of the Federal
10Act or an applicable condition as prescribed by an order under
11Section 520(b)(2) of the Federal Act.
12    (g) If it is a device for which an exemption has been
13granted under Section 520(g) of the Federal Act for
14investigational use and the person who was granted such
15exemption fails to comply with a requirement prescribed by or
16under such Section.
17     (h) A drug's status as not approved by the U.S. Food and
18Drug Administration shall not cause it to be deemed an
19adulterated drug in violation of this Act if its safety and
20efficacy have been established by peer-reviewed research or if
21it is recommended for use by the World Health Organization,
22even if the drug's labelling reflects prior approval that is
23no longer in effect, so long as such labelling was true and
24accurate at the time of manufacture.    
25(Source: P.A. 84-891.)

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1    (410 ILCS 620/15)    (from Ch. 56 1/2, par. 515)
2    Sec. 15. A drug or device is misbranded - (a) If its
3labeling is false or misleading in any particular.
4    (b) If in package form unless it bears a label containing
5(1) the name and place of business of the manufacturer, packer
6or distributor; and (2) an accurate statement of the quantity
7of the contents in terms of weight, measure or numerical
8count. However, under paragraph (2) of this subsection
9reasonable variations shall be permitted and exemptions as to
10small packages shall be allowed, in accordance with
11regulations prescribed by the Director or issued under the
12Federal Act.
13    (c) If any word, statement or other information required
14by or under authority of this Act to appear on the label or
15labeling is not prominently placed thereon with such
16conspicuousness (as compared with other words, statements,
17designs or devices, in the labeling) and in such terms as to
18render it likely to be read and understood by the ordinary
19person under customary conditions of purchase and use.
20    (d) If it is for use by man and contains any quantity of
21the narcotic or hypnotic substance alpha-eucaine, barbituric
22acid, beta-eucaine, bromal, cannabis, carbromal, chloral,
23coca, cocaine, codeine, heroin, marihuana, morphine, opium,
24paraldehyde, peyote or sulphonmethane, (or any chemical
25derivative of such substance, which derivative, after
26investigation, has been found to be and is designated as habit

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1forming, by regulations issued by the Director under this Act,
2or by regulations issued pursuant to Section 502(d) of the
3Federal Act) unless its label bears the name and quantity or
4proportion of such substance or derivative and in
5juxtaposition therewith the statement "Warning--May be habit
6forming".
7    (e) (1) If it is a drug, unless (A) its label bears to the
8exclusion of any other nonproprietary name (except the
9applicable systematic chemical name or the chemical formula),
10(i) the established name (as defined in paragraph (2) of this
11subsection) of the drug, if such there be; and (ii), in case it
12is fabricated from 2 or more ingredients, the established name
13and quantity of each active ingredient, including the kind and
14quantity or proportion of any alcohol, and also including
15whether active or not, the established name and quantity or
16proportion of any bromides, ether, chloroform, acetanilid,
17acetphenetidin, amidopyrine, antipyrine, atropine, hyoscine,
18hyoscyamine, arsenic, digitalis, digitalis glucosides,
19mercury, ouabain, strophanthin, strychnine, thyroid or any
20derivative or preparation of any such substances contained
21therein, except the requirement for stating the quantity of
22the active ingredients, other than the quantity of those
23specifically named in this paragraph, shall apply only to
24prescription drugs; and, (B) for any prescription drug the
25established name of such drug or ingredient, as the case may
26be, on such label (and on any labeling on which a name for such

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1drug or ingredient is used) is printed prominently and in type
2at least half as large as that used thereon for any proprietary
3name or designation for such drug or ingredient to the extent
4that compliance with the requirements of subclause (ii) of
5clause (A) or clause (B) of this paragraph is impracticable,
6exemptions may be allowed under regulations promulgated by the
7Director or under the Federal Act.
8    (2) As used in paragraph (1) of this subsection (e),
9"established name", with respect to a drug or ingredient
10thereof, means (A) the applicable official name designated
11pursuant to Section 508 of the Federal Act, or (B) if there is
12no such name and such drug or such ingredient is an article
13recognized in an official compendium, then the official title
14thereof in such compendium or (C) if neither clause (A) nor
15clause (B) of this paragraph applies, then the common or usual
16name, if any, of such drug or of such ingredient. However,
17where clause (B) of this paragraph applies to an article
18recognized in the United States Pharmacopoeia - National
19Formulary and in the Homeopathic Pharmacopoeia under different
20official titles, the official title used in the United States
21Pharmacopoeia - National Formulary shall apply unless it is
22labeled and offered for sale as a homeopathic drug, in which
23case the official title used in the Homeopathic Pharmacopoeia
24shall apply.
25    (3) If it is a device and it has an established name,
26unless its label bears, to the exclusion of any other

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1nonproprietary name, its established name (as defined in
2paragraph (4) of this subsection (e)) prominently printed in
3type at least half as large as that used thereon for any
4proprietary name or designation for such device, except that
5to the extent compliance with this paragraph (3) is
6impracticable, exemptions shall be allowed under regulations
7promulgated under the Federal Act.
8    (4) As used in paragraph (3), "established name", with
9respect to a device, means (A) the applicable official name of
10the device designated pursuant to Section 508 of the Federal
11Act, (B) if there is no such name and such device is an article
12recognized in an official compendium, then the official title
13thereof in such compendium, or (C) if neither clause (A) nor
14clause (B) of this paragraph applies, then any common or usual
15name.
16    (f) Unless its labeling bears (1) adequate directions for
17use; and (2) such adequate warnings against use in those
18pathological conditions or by children where its use may be
19dangerous to health or against unsafe dosage or methods or
20duration of administration or application in such manner and
21form as are necessary for the protection of users. However,
22where any requirement of clause (1) of this subsection (f) as
23applied to any drug or device, is not necessary for the
24protection of the public health, the Director shall promulgate
25regulations exempting such drug or device from such
26requirements; and the articles exempted under regulations

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1issued under Section 502(f) of the Federal Act may also be
2exempt.
3    (g) If it purports to be a drug the name of which is
4recognized in an official compendium, unless it is packaged
5and labeled as prescribed therein. However, the method of
6packing may be modified with the consent of the Director, or if
7consent is obtained under the Federal Act. When a drug is
8recognized in both the United States Pharmacopoeia - National
9Formulary and the Homeopathic Pharmacopoeia of the United
10States, it shall be subject to the requirements of the United
11States Pharmacopoeia - National Formulary with respect to
12packaging and labeling unless it is labeled and offered for
13sale as a homeopathic drug, in which case it shall be subject
14to the provisions of the Homeopathic Pharmacopoeia of the
15United States and not to those of the United States
16Pharmacopoeia - National Formulary; and, in the event of
17inconsistency between the requirements of this subsection and
18those of subsection (e) as to the name by which the drug or its
19ingredients shall be designated, the requirements of
20subsection (e) shall prevail.
21    (h) If it has been found by the Director or under the
22Federal Act to be a drug liable to deterioration, unless it is
23packaged in such form and manner, and its label bears a
24statement of such precautions, as the regulations issued by
25the Director or under the Federal Act require as necessary for
26the protection of public health. No such regulation shall be

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1established for any drug recognized in an official compendium
2until the Director shall have informed the appropriate body
3charged with the revision of such compendium of the need for
4such packaging or labeling requirements and such body shall
5have failed within a reasonable time to prescribe such
6requirements.
7    (i) (1) If it is a drug and its container is so made,
8formed or filled as to be misleading; or (2) if it is an
9imitation of another drug; or (3) if it is offered for sale
10under the name of another drug.
11    (j) If it is dangerous to health when used in the dosage
12(or manner) or with the frequency or duration prescribed,
13recommended or suggested in the labeling thereof.
14    (k) If it is or purports to be or is represented as a drug
15composed wholly or partly of insulin, unless (1) it is a batch
16with respect to which a certificate or release has been issued
17pursuant to Section 506 of the Federal Act and (2) such
18certificate or release is in effect with respect to such drug.
19    (l) If it is or purports to be or is represented as a drug
20(except a drug for use in animals other than man) composed
21wholly or partly of any kind of penicillin, streptomycin,
22chlortetracycline, chloramphenicol or bacitracin or any other
23antibiotic drug or any derivative thereof unless (1) it is
24from a batch with respect to which a certificate or release has
25been issued pursuant to Section 507 of the Federal Act and (2)
26such certificate or release is in effect with respect to such

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1drug. However, this subsection (l) shall not apply to any drug
2or class of drugs exempted by regulations promulgated under
3Section 507(c) or (d) of the Federal Act. For the purpose of
4this subsection, "antibiotic drug" means any drug intended for
5use by man containing any quantity of any chemical substance
6which is produced by a microorganism and which has the
7capacity to inhibit or destroy microorganisms in dilute
8solution (including the chemically synthesized equivalent of
9any such substance).
10    (m) If it is a color additive, the intended use of which in
11or on drugs is for the purpose of coloring only, unless its
12packaging and labeling are in conformity with such packaging
13and labeling requirements applicable to such color additive
14prescribed under the provision of Section 13(b) or of the
15Federal Act.
16    (n) In the case of any prescription drug distributed or
17offered for sale in this State, unless the manufacturer,
18packer or distributor thereof includes in all advertisements
19and other descriptive printed matter issued or caused to be
20issued by the manufacturer, packer or distributor with respect
21to that drug a true statement of (1) the established name as
22defined in paragraph (2) of subsection (e) of Section 15 of
23this Act, (2) the formula showing quantitatively each
24ingredient of such drug to the extent required for labels
25under Section 502(e) of the Federal Act, and (3) such other
26information in brief summary relating to side effects,

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1contraindications, and effectiveness as shall be required in
2regulations issued under the Federal Act.
3    (o) If it was manufactured, prepared, propagated,
4compounded or processed in an establishment in this State not
5duly registered under Section 510 of the Federal Act, if it was
6not included in a list required by Section 510(j) of the
7Federal Act, if a notice or other information respecting it
8was not provided as required by such Section or Section 510(k)
9of the Federal Act, or if it does not bear such symbols from
10the uniform system for identification of devices prescribed
11under Section 510(e) of the Federal Act as required by
12regulation.
13    (p) If a trademark, trade name or other identifying mark,
14imprint or device of another or any likeness of the foregoing
15has been placed thereon or upon its container with intent to
16defraud.
17    (q) If it is a drug and its packaging or labeling is in
18violation of an applicable regulation issued pursuant to
19Section 3, 4 or 5 of the Illinois Poison Prevention Packaging
20Act.
21    (r) In the case of any restricted device distributed or
22offered for sale in this State, if (1) its advertising is false
23or misleading in any particular, or (2) it is sold,
24distributed or used in violation or regulations prescribed
25under Section 520(e) of the Federal Act.
26    (s) In the case of any restricted device distributed or

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1offered for sale in this State, unless the manufacturer,
2packer or distributor thereof includes in all advertisements
3and other descriptive printed matter issued by the
4manufacturer, packer or distributor with respect to that
5device (1) a true statement of the device's established name
6as defined in Section 502(e) of the Federal Act or subsection
7(e) of Section 15 of this Act, printed prominently and in type
8at least half as large as that used for any trade or brand name
9thereof, and (2) a brief statement of the intended uses of the
10device and relevant warnings, precautions, side effects and
11contraindications and in the case of specific devices made
12subject to regulations issued under the Federal Act, a full
13description of the components of such device or the formula
14showing quantitatively each ingredient of such device to the
15extent required in regulations under the Federal Act.
16    (t) If it is a device subject to a performance standard
17established under Section 514 of the Federal Act, unless it
18bears such labeling as may be prescribed in such performance
19standard.
20    (u) If it is a device and there was a failure or refusal
21(1) to comply with any requirement prescribed under Section
22518 of the Federal Act respecting the device, or (2) to furnish
23material required by or under Section 519 of the Federal Act
24respecting the device.
25    (v) A drug's status as not approved by the U.S. Food and
26Drug Administration shall not cause it to be deemed a

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1misbranded drug in violation of this Act if its safety and
2efficacy have been established by peer-reviewed research or if
3it is recommended for use by the World Health Organization,
4even if the drug's labelling reflects prior approval that is
5no longer in effect, so long as such labelling was true and
6accurate at the time of manufacture.    
7(Source: P.A. 84-891.)

SB2450- 182 -LRB104 12244 BDA 22351 b
1 INDEX
2 Statutes amended in order of appearance
3    225 ILCS 6/60
4    225 ILCS 15/15from Ch. 111, par. 5365
5    225 ILCS 20/19
6    225 ILCS 55/85from Ch. 111, par. 8351-85
7    225 ILCS 60/22from Ch. 111, par. 4400-22
8    225 ILCS 60/23from Ch. 111, par. 4400-23
9    225 ILCS 64/100
10    225 ILCS 65/65-65was 225 ILCS 65/15-55
11    225 ILCS 65/70-5was 225 ILCS 65/10-45
12    225 ILCS 85/30from Ch. 111, par. 4150
13    225 ILCS 85/30.1
14    225 ILCS 95/21from Ch. 111, par. 4621
15    225 ILCS 107/80
16    225 ILCS 120/55from Ch. 111, par. 8301-55
17    225 ILCS 130/75
18    225 ILCS 135/95
19    410 ILCS 620/7from Ch. 56 1/2, par. 507
20    410 ILCS 620/14from Ch. 56 1/2, par. 514
21    410 ILCS 620/15from Ch. 56 1/2, par. 515
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