Bill Text: IL SB2474 | 2025-2026 | 104th General Assembly | Introduced

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Bill Title: Creates the Youth Health Protection Act. Provides that a medical doctor shall not prescribe, provide, administer, or deliver puberty-suppressing drugs or cross-sex hormones and shall not perform surgical orchiectomy or castration, urethroplasty, vaginoplasty, mastectomy, phalloplasty, or metoidioplasty on biologically healthy and anatomically normal persons under the age of 18 for the purpose of treating the subjective, internal psychological condition of gender dysphoria or gender discordance. Provides that any efforts to modify the anatomy, physiology, or biochemistry of a biologically healthy person under the age of 18 who experiences gender dysphoria or gender discordance shall be considered unprofessional conduct and shall be subject to discipline by the licensing entity or disciplinary review board. Provides that no medical doctor or mental health provider shall refer any person under the age of 18 to any medical doctor for chemical or surgical interventions to treat gender dysphoria or gender discordance. Contains definitions, a statement of purpose, and legislative findings. Amends the Medical Practice Act of 1987 to make related changes.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced) 2025-02-07 - Referred to Assignments [SB2474 Detail]

Download: Illinois-2025-SB2474-Introduced.html

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104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 SB2474 Introduced 2/7/2025, by Sen. Andrew S. Chesney SYNOPSIS AS INTRODUCED:
New Act
225 ILCS 60/22 from Ch. 111, par. 4400-22
Creates the Youth Health Protection Act. Provides that a medical doctor shall not prescribe, provide, administer, or deliver puberty-suppressing drugs or cross-sex hormones and shall not perform surgical orchiectomy or castration, urethroplasty, vaginoplasty, mastectomy, phalloplasty, or metoidioplasty on biologically healthy and anatomically normal persons under the age of 18 for the purpose of treating the subjective, internal psychological condition of gender dysphoria or gender discordance. Provides that any efforts to modify the anatomy, physiology, or biochemistry of a biologically healthy person under the age of 18 who experiences gender dysphoria or gender discordance shall be considered unprofessional conduct and shall be subject to discipline by the licensing entity or disciplinary review board. Provides that no medical doctor or mental health provider shall refer any person under the age of 18 to any medical doctor for chemical or surgical interventions to treat gender dysphoria or gender discordance. Contains definitions, a statement of purpose, and legislative findings. Amends the Medical Practice Act of 1987 to make related changes.
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A BILL FOR
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AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 1. Short title. This Act may be cited as the Youth
Health Protection Act.
Section 5. Legislative findings. The General Assembly
finds and declares the following:
(1) At birth, doctors identify the sex of babies. They do
not assign them a "gender."
(2) Being biologically male or biologically female is not
a disorder, illness, deficiency, shortcoming, or error.
Scientists and other medical professionals have recognized
that biological sex is a neutral, objective, and immutable
fact of human nature.
(3) Puberty is not a disease or a disorder.
(4) There is no conclusive, research-based evidence
proving that if there is incongruence between one's objective
and immutable biological sex (and its attendant healthy and
normally functioning anatomy and physiology) and one's
subjective, internal sense of being male or female that the
problem resides in the body rather than the mind.
(5) The May 19, 2014 issue of the highly respected Hayes
Directory reports that the practice of using hormones and

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surgery to treat gender dysphoria in adults is based on "very
low quality of evidence" and goes on to discuss the "serious
limitations to the evidence" in great detail. It reports
further that the use of hormones and surgery to treat gender
dysphoria in children and adolescents has no evidence base.
(6) Health risks and complications of puberty suppression:
The use of puberty-suppression medications for the treatment
of gender-dysphoric minors is "off-label." The health risks
include the arrest of bone growth, a decrease in bone
accretion, the prevention of sex-steroid-dependent
organization and maturation of the adolescent brain, and the
inhibition of fertility by preventing the development of
gonadal tissue and mature gametes for the duration of
treatment.
(7) Self-fulfilling nature of puberty suppression: "There
is an obvious self-fulfilling nature to encouraging a young
boy with [gender dysphoria] to socially impersonate a girl and
then institute pubertal suppression. Given the
well-established phenomenon of neuroplasticity, the repeated
behavior of impersonating a girl alters the structure and
function of the boy's brain in some way-potentially in a way
that will make identity alignment with his biologic sex less
likely. This, together with the suppression of puberty that
prevents further endogenous masculinization of his brain,
causes him to remain a gender non-conforming prepubertal boy
disguised as a prepubertal girl."

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(8) Cross-sex hormones risks and effects: The use of
cross-sex hormones for the treatment of gender dysphoria in
minors is "off-label," and long-term risks are unknown.
Sterility and voice changes are permanent for both men and
women.
An interagency statement published by the World Health
Organization states that "sterilization should only be
provided with the full, free and informed consent of the
individual" and that "sterilization refers not just to
interventions where the intention is to limit fertility ...
but also to situations where loss of fertility is a secondary
outcome. ... Sterilization without full, free and informed
consent has been variously described by international,
regional and national human rights bodies as an involuntary,
coercive and/or forced practice, and as a violation of
fundamental human rights, including the right to health, the
right to information, the right to privacy."
Since parents or guardians must provide consent for
hormonal interventions, and since parents and guardians are
not being made aware of the experimental nature of the
off-label use of hormones for the treatment of gender
dysphoria or of the fact that most children with gender
dysphoria outgrow it by late adolescence if otherwise
supported through natural puberty, parents and guardians are
unable to provide fully informed consent.
Breast tissue growth in men who take estrogen is

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permanent. "Male"-pattern baldness and body and facial hair
growth in women who take testosterone are permanent.
For biologically healthy men who take estrogen to treat
their subjective, internal feelings about their sex, there is
an "increased risk of liver disease, increased risk of blood
clots, (risk of death or permanent damage), increased risk of
diabetes and of headaches/migraines heart disease, increased
risk of gallstones, may be increased risk of noncancerous
[tumor] of pituitary gland."
For biologically healthy women who take testosterone to
treat their subjective, internal feelings about their sex,
there is an increased risk of heart disease, stroke, diabetes,
breast cancer, ovarian cancer, and uterine cancer. Taking
testosterone can have a "destabilizing effect" on "bipolar
disorder, schizoaffective disorder, and schizophrenia."
(9) The Christian Medical and Dental Associations
"[believe] that prescribing hormonal treatments to children or
adolescents to disrupt normal sexual development for the
purpose of gender reassignment is ethically impermissible,
whether requested by the child or the parent."
(10) The Catholic Medical Association "urges health care
professionals to adhere to genetic science and sexual
complementarity over ideology in the treatment of gender
dysphoria (GD) in children. This includes especially avoiding
puberty suppression and the use of cross-sex hormones in
children with GD. One's sex is not a social construct, but an

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unchangeable biological reality."
(11) Surgery (e.g., mastectomy and orchiectomy) is
irreversible.
(12) Teen brain: Neuroscientist, Professor of Neurology at
the University of Pennsylvania, and author of The Teenage
Brain, Dr. Frances Jensen, explains that:
Teenagers do have frontal lobes, which are the seat of our
executive, adult-like functioning like impulse control,
judgment and empathy. But the frontal lobes haven't been
connected with fast-acting connections yet. ...
But there is another part of the brain that is fully active
in adolescents, and that's the limbic system. And that is the
seat of risk, reward, impulsivity, sexual behavior and
emotion.
So they are built to be novelty-seeking at this point in
their lives.
(13) Suicide rate: The oft-cited suicide rate of 41% for
those who identify as "trans" is based on an erroneous
understanding of a study by the Williams Institute, an
understanding that ignores the acknowledged and serious
limitations of the study.
(14) There is no evidence that surgery or chemical
disruption of normal, natural, and healthy development or
processes reduces the incidence of suicide.
(15) Dr. J. Michael Bailey, Professor of Psychology at
Northwestern University, and Dr. Raymond Blanchard, former

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psychologist in the Adult Gender Identity Clinic of Toronto's
Centre for Addiction and Mental Health (CAMH) from 1980-1995
and the Head of CAMH's Clinical Sexology Services from
1995-2010, have written the following:
(a) Children (most commonly, adolescents) who threaten
to commit suicide rarely do so, although they are more
likely to kill themselves than children who do not
threaten suicide.
(b) Mental health problems, including suicide, are
associated with some forms of gender dysphoria. But
suicide is rare even among gender dysphoric persons.
(c) There is no persuasive evidence that gender
transition reduces gender dysphoric children's likelihood
of suicide.
(d) The idea that mental health problems, including
suicidality, are caused by gender dysphoria rather than
the other way around (i.e., mental health and personality
issues cause a vulnerability to experience gender
dysphoria) is currently popular and politically correct.
It is, however, unproven and as likely to be false as true.
(16) There is no phenomenon of women trapped in men's
bodies or vice versa, or of men having women's brains or vice
versa: Science has not proven that the brains of transgender
individuals are "wired differently" than others with the same
biological sex. In other words, there is no conclusive
evidence of a "female brain" being contained in a male body or

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vice versa. In fact, it is impossible for an opposite sexed
brain to be "trapped" in the wrong body. Every brain cell of a
male fetus has a Y chromosome; female fetal brains do not. This
makes their brains forever intrinsically different.
Additionally, at 8 weeks gestation, male fetuses have every
cell of their body, including every brain cell, bathed by a
testosterone surge secreted by their testes. Female fetuses
lack testes; none of their cells, including their brain cells,
experience this endogenous testosterone surge. [Reyes FI,
Winter JS, Faiman C. "Studies on human sexual development
Fetal gonadal and adrenal sex steroids"; J Clin Endocrinol
Metab. 1973 Jul; 37(1):74-8; Lombardo, M. "Fetal Testosterone
Influences Sexually Dimorphic Gray Matter in the Human Brain";
The Journal of Neuroscience, 11 January 2012, 32(2); Campano,
A. [ed]. Geneva Foundation for Medical Education and Research:
human sexual differentiation (2016).]
(17) Brain-sex theories: "[C]urrent studies on
associations between brain structure and transgender identity
are small, methodologically limited, inconclusive, and
sometimes contradictory. Even if they were more
methodologically reliable, they would be insufficient to
demonstrate that brain structure is a cause, rather than an
effect, of the gender-identity behavior. They would likewise
lack predictive power, the real challenge for any theory in
science."
(18) Desistance: The best research to date suggests that

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without social or medical "transition" most (60-90%)
gender-dysphoric children will come to accept their biological
sex after passing naturally through puberty. While "12-27% of
'gender variant' children persist in gender dysphoria; that
percentage rises to 40% amongst those who visit gender
clinics." Research shows that desistance rates rise
significantly among those who are given puberty-blockers and
"gender-affirmative psychotherapy," thus suggesting that such
interventions lead minors "to commit more strongly to sex
reassignment than they might have if they had received a
different diagnosis or a different course of treatment."
(19) The American College of Pediatricians confirms what
"detransitioners" assert: There are many possible post-natal,
environmental causes for gender dysphoria:
Family and peer relationships, one's school and
neighborhood, the experience of any form of abuse, media
exposure, chronic illness, war, and natural disasters are all
examples of environmental factors that impact an individual's
emotional, social, and psychological development.
(20) Autism: "Mounting evidence over the last decade
points to increased rates of autism spectrum disorders (ASD)
and autism traits among children and adults with gender
dysphoria, or incongruence between a person's experienced or
expressed gender and the gender assigned to them at birth. ...
It is possible that some of the psychological characteristics
common in children with ASD-including cognitive deficits,

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tendencies toward obsessive preoccupations, or difficulties
learning from other people-complicate the formation of gender
identity."
(21) A study published in May 2018 "further confirmed a
possible association between ASD and the wish to be of the
opposite gender by establishing increased endorsement of this
wish in adolescents and adults with ASD compared to the
general population controls."
(22) "Rapid-onset gender dysphoria" (ROGD): Dr. J. Michael
Bailey, Professor of Psychology at Northwestern University,
and Dr. Raymond Blanchard, former psychologist in the Adult
Gender Identity Clinic of Toronto's Centre for Addiction and
Mental Health (CAMH) from 1980-1995 and the Head of CAMH's
Clinical Sexology Services from 1995-2010, explain the
phenomenon of ROGD:
The typical case of ROGD involves an adolescent or young
adult female whose social world outside the family glorifies
transgender phenomena and exaggerates their prevalence.
Furthermore, it likely includes a heavy dose of internet
involvement. The adolescent female acquires the conviction
that she is transgender. (Not uncommonly, others in her peer
group acquire the same conviction.) These peer groups
encouraged each other to believe that all unhappiness,
anxiety, and life problems are likely due to their being
transgender, and that gender transition is the only solution.
Subsequently, there may be a rush towards gender transition.

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... We believe that ROGD is a socially contagious phenomenon
in which a young person-typically a natal female-comes to
believe that she has a condition that she does not have. ROGD
is not about discovering gender dysphoria that was there all
along; rather, it is about falsely coming to believe that
one's problems have been due to gender dysphoria previously
hidden (from the self and others). Let us be clear: People with
ROGD do have a kind of gender dysphoria, but it is gender
dysphoria due to persuasion of those especially vulnerable to
a false idea.
(23) Brown University Researcher, Dr. Lisa Littman,
conducted a survey of parents whose children developed Rapid
Onset Gender Dysphoria. Littman wrote that the "worsening of
mental well-being and parent-child relationships and behaviors
that isolate [adolescents and young adults] from their
parents, families, non-transgender friends and mainstream
sources of information are particularly concerning. More
research is needed to better understand this phenomenon, its
implications and scope."
(24) The number of children "being referred for
transitioning treatment" in England has increased 4,400% for
girls and 1,250% for boys, which has resulted in calls from
members of Parliament for an investigation.
(25) Body Integrity Identity Disorder (BIID) shares in
common several features with gender dysphoria. BIID is a
condition in which "[s]ufferers from BIID experience a

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mismatch between their physically healthy body and the body
with which they identify. They identify as disabled. They
often desire a specific amputation to achieve the disabled
body they want." As with some cases of gender dysphoria,
scientists say there is evidence for neurological involvement
as a cause of the experience of BIID, and yet physicians
largely oppose elective amputations of healthy anatomical
parts:
According to the principle of nonmaleficence physicians
must not perform amputations without a medical indication
because amputations bear great risks and often have severe
consequences besides the disability ... for example,
infections [or] thromboses. Even though some physicians
perform harmful surgeries as breast enlargement surgeries,
this cannot justify surgeries that are even more harmful. Even
if amputations would be a possible therapy for BIID, they
would be risky experimental therapies that could be justified
only if they promised lifesaving or the cure of severe
diseases and if an alternative therapy would not be available.
At least the first condition is not fulfilled in the case of
BIID, and probably the second is not fulfilled either. Above
all, an amputation causes an irreversible damage that could
not be healed, even if the patient's body image would be
restored spontaneously or through a new therapy. ... But since
all psychiatrists who have investigated BIID patients found
that the amputation desire is either obsessive or based on a

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monothematic delusion, and since neurological studies support
the hypothesis of a brain disorder (which is also supported by
the most influential advocates of elective amputations),
elective amputations have to be regarded as severe bodily
injuries of patients.
(26) The American College of Pediatricians (ACPeds), "a
national medical association of licensed physicians and
healthcare professionals who specialize in the care of
infants, children, and adolescents" that split from the
American Academy of Pediatrics because of its politicization
of the practice of medicine, describes puberty-suppression,
cross-sex hormone, and surgeries variously referred to as
sex-change, sex reassignment, gender reassignment and gender
confirmation surgeries as child abuse."
(27) Dr. Lisa Simons, pediatrician at Robert H. Lurie
Children's Hospital of Chicago, stated in a PBS Frontline
documentary that "'The bottom line is we don't really know how
sex hormones impact any adolescent's brain development.' ...
What's lacking, she said, are specific studies that look at
the neurocognitive effects of puberty blockers."
(28) Dr. Kenneth Zucker, one of the world's leading
authorities on gender dysphoria, states that:
"Identity is a process. It is complicated. It takes a long
period of time ... to know who a child really is. ... There are
different pathways that can lead to gender dysphoria. ... It's
an intellectual and clinical mistake to think that there's one

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single cause that explains all gender dysphoria. ... Just
because little kids say something doesn't necessarily mean
that you accept it, or that it's true, or that it's in the best
interest of the child. ... Little kids can present with
extreme gender dysphoria, but that doesn't mean they're all
going to grow up to continue to have gender dysphoria.
(29) Dr. Eric Vilain, a geneticist at UCLA who specializes
in sexual development and sex differences in the brain, says
the studies on twins are mixed and that, on the whole, "there
is no evidence of a biological influence on transsexualism
yet."
(30) Sheila Jeffreys, lesbian feminist scholar, warns
against the "transgendering" of children: "Those who do not
conform to correct gender stereotypes are being sterilized and
they're being sterilized as children."
(31) Heather Brunskell-Evans Heather, social theorist,
philosopher, and Senior Research Fellow at King's College,
London, UK, and Michele Moore, Professor of Inclusive
Education and Editor-in-Chief of the world-leading journal
Disability & Society, critique the "transgender" ideology:
[O]ur central contention is that transgender children
don't exist. Although we argue that 'the transgender child' is
a fabrication, we do not disavow that some children and
adolescents experience gender dysphoria and that concerned and
loving parents will do anything to alleviate their children's
distress. It is because of children's bodily discomfort that

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we argue it is important families and support services are
informed by appropriate models for understanding gender. Our
analysis of transgenderism demonstrates it is a new
phenomenon, since dissatisfaction with assigned gender takes
different forms in different historical contexts. The
'transgender child' is a relatively new historical figure,
brought into being by a coalition of pressure groups,
political activists and knowledge makers. ... Bizarrely, in
transgender theory, biology is said to be a social construct
but gender is regarded as an inherent property located
'somewhere' in the brain or soul or other undefined area of the
body. We reverse these propositions with the concept that it
is gender, not biology, which is a social construct. From our
theoretical perspective, the sexed body is material and
biological, and gender is the externally imposed set of norms
that prescribe and proscribe desirable [behaviors] for
children. Our objection to transgenderism is that it confines
children to traditional views about gender.
(32) Stephanie Davies-Arias, writer, communication skills
expert, and pediatric transition critic, writes that "changing
your sex to match your 'gender identity' reinforces the very
stereotypes which [transgender organizations] claim to be
challenging ... as, in increasing numbers, boys who love
princess culture become 'girls' and short-haired
football-loving girls become 'boys'. Promoted as a
'progressive' social justice movement based on 'accepting

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difference', transgender ideology in fact takes that
difference and stamps it out. It says that the sexist
stereotypes of 'gender' are the true distinction between boys
and girls and biological sex is an illusion."
(33) Sex-change regret/De-transitioning: Increasing
numbers of young men and women experience "sex-change regret"
and are "detransitioning." Unfortunately, some effects of
"medical transitions" are irreversible. A BBC documentary
titled "Luke" includes a young biological woman who regrets
taking cross-sex hormones and having a double mastectomy at
age 20 and shares her experience.
Section 10. Purpose. The purpose of this Act is to protect
gender-dysphoric, gender-discordant, and
gender-non-conforming minors or minors who experience rapid
onset gender dysphoria from medical procedures or the
off-label use of chemicals that have not been studied for
these purposes and that permanently alter anatomy,
biochemistry, or physiology.
The State has a moral duty and legal right to step in and
regulate medical practices that are found in violation of the
principles that inhere in the Nuremberg Code, including the
principle that experiments should be based on previous
knowledge (e.g., an expectation derived from animal
experiments) that justifies the experiment.

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Section 15. Definitions. As used in this Act:
"Biological sex" means a person's objective, immutable
biological sex, which may be understood according to the
following: In biology, an organism is male or female if it is
structured to perform one of the respective roles in
reproduction. This definition does not require any arbitrary
measurable or quantifiable physical characteristics or
behaviors; it requires understanding the reproductive system
and the reproduction process. Different animals have different
reproductive systems, but sexual reproduction occurs when the
sex cells from the male and female of the species come together
to form newly fertilized embryos. It is these reproductive
roles that provide the conceptual basis for the
differentiation of animals into the biological categories of
male and female. There is no other widely accepted biological
classification for the sexes.
"Desistance" means the tendency for gender dysphoria to
resolve itself as a child gets older and older.
"Detransition" means the process by which someone who has
been identifying as the opposite sex, presenting himself or
herself as the opposite sex, taking cross-sex hormones, and
may or may not have had surgery rejects his or her "trans"
identity and accepts his or her objective, immutable
biological sex.
"Gender" means the psychological, behavioral, social, and
cultural aspects of being male or female.

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"Gender dysphoria" means one's persistent discomfort with
his or her sex or sense of inappropriateness in the gender role
of that sex.
"Gender identity" means one's sense of oneself as male,
female, or transgender. "Gender identity" also means one's
innermost concept of self as male, female, a blend of both male
and female, or neither male nor female.
Section 20. Prohibition on treatment of persons under the
age of 18 for gender dysphoria or gender discordance.
(a) A medical doctor shall not prescribe, provide,
administer, or deliver puberty-suppressing drugs or cross-sex
hormones and shall not perform surgical orchiectomy or
castration, urethroplasty, vaginoplasty, mastectomy,
phalloplasty, or metoidioplasty on biologically healthy and
anatomically normal persons under the age of 18 for the
purpose of treating the subjective, internal psychological
condition of gender dysphoria or gender discordance.
(b) Any efforts to modify the anatomy, physiology, or
biochemistry of a biologically healthy person under the age of
18 who experiences gender dysphoria or gender discordance
shall be considered unprofessional conduct and shall be
subject to discipline by the licensing entity or disciplinary
review board with competent jurisdiction.
(c) No medical doctor or mental health provider shall
refer any person under the age of 18 to any medical doctor for

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chemical or surgical interventions to treat gender dysphoria
or gender discordance.
Section 90. The Medical Practice Act of 1987 is amended by
changing Section 22 as follows:
(225 ILCS 60/22) (from Ch. 111, par. 4400-22)
(Section scheduled to be repealed on January 1, 2027)
Sec. 22. Disciplinary action.
(A) The Department may revoke, suspend, place on
probation, reprimand, refuse to issue or renew, or take any
other disciplinary or non-disciplinary action as the
Department may deem proper with regard to the license or
permit of any person issued under this Act, including imposing
fines not to exceed $10,000 for each violation, upon any of the
following grounds:
(1) (Blank).
(2) (Blank).
(3) A plea of guilty or nolo contendere, finding of
guilt, jury verdict, or entry of judgment or sentencing,
including, but not limited to, convictions, preceding
sentences of supervision, conditional discharge, or first
offender probation, under the laws of any jurisdiction of
the United States of any crime that is a felony.
(4) Gross negligence in practice under this Act.
(5) Engaging in dishonorable, unethical, or

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unprofessional conduct of a character likely to deceive,
defraud, or harm the public.
(6) Obtaining any fee by fraud, deceit, or
misrepresentation.
(7) Habitual or excessive use or abuse of drugs
defined in law as controlled substances, of alcohol, or of
any other substances which results in the inability to
practice with reasonable judgment, skill, or safety.
(8) Practicing under a false or, except as provided by
law, an assumed name.
(9) Fraud or misrepresentation in applying for, or
procuring, a license under this Act or in connection with
applying for renewal of a license under this Act.
(10) Making a false or misleading statement regarding
their skill or the efficacy or value of the medicine,
treatment, or remedy prescribed by them at their direction
in the treatment of any disease or other condition of the
body or mind.
(11) Allowing another person or organization to use
their license, procured under this Act, to practice.
(12) Adverse action taken by another state or
jurisdiction against a license or other authorization to
practice as a medical doctor, doctor of osteopathy, doctor
of osteopathic medicine, or doctor of chiropractic, a
certified copy of the record of the action taken by the
other state or jurisdiction being prima facie evidence

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thereof. This includes any adverse action taken by a State
or federal agency that prohibits a medical doctor, doctor
of osteopathy, doctor of osteopathic medicine, or doctor
of chiropractic from providing services to the agency's
participants.
(13) Violation of any provision of this Act or of the
Medical Practice Act prior to the repeal of that Act, or
violation of the rules, or a final administrative action
of the Secretary, after consideration of the
recommendation of the Medical Board.
(14) Violation of the prohibition against fee
splitting in Section 22.2 of this Act.
(15) A finding by the Medical Board that the
registrant after having his or her license placed on
probationary status or subjected to conditions or
restrictions violated the terms of the probation or failed
to comply with such terms or conditions.
(16) Abandonment of a patient.
(17) Prescribing, selling, administering,
distributing, giving, or self-administering any drug
classified as a controlled substance (designated product)
or narcotic for other than medically accepted therapeutic
purposes.
(18) Promotion of the sale of drugs, devices,
appliances, or goods provided for a patient in such manner
as to exploit the patient for financial gain of the

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physician.
(19) Offering, undertaking, or agreeing to cure or
treat disease by a secret method, procedure, treatment, or
medicine, or the treating, operating, or prescribing for
any human condition by a method, means, or procedure which
the licensee refuses to divulge upon demand of the
Department.
(20) Immoral conduct in the commission of any act,
including, but not limited to, commission of an act of
sexual misconduct related to the licensee's practice.
(21) Willfully making or filing false records or
reports in his or her practice as a physician, including,
but not limited to, false records to support claims
against the medical assistance program of the Department
of Healthcare and Family Services (formerly Department of
Public Aid) under the Illinois Public Aid Code.
(22) Willful omission to file or record, or willfully
impeding the filing or recording, or inducing another
person to omit to file or record, medical reports as
required by law, or willfully failing to report an
instance of suspected abuse or neglect as required by law.
(23) Being named as a perpetrator in an indicated
report by the Department of Children and Family Services
under the Abused and Neglected Child Reporting Act, and
upon proof by clear and convincing evidence that the
licensee has caused a child to be an abused child or

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neglected child as defined in the Abused and Neglected
Child Reporting Act.
(24) Solicitation of professional patronage by any
corporation, agents, or persons, or profiting from those
representing themselves to be agents of the licensee.
(25) Gross and willful and continued overcharging for
professional services, including filing false statements
for collection of fees for which services are not
rendered, including, but not limited to, filing such false
statements for collection of monies for services not
rendered from the medical assistance program of the
Department of Healthcare and Family Services (formerly
Department of Public Aid) under the Illinois Public Aid
Code.
(26) A pattern of practice or other behavior which
demonstrates incapacity or incompetence to practice under
this Act.
(27) Mental illness or disability which results in the
inability to practice under this Act with reasonable
judgment, skill, or safety.
(28) Physical illness, including, but not limited to,
deterioration through the aging process, or loss of motor
skill which results in a physician's inability to practice
under this Act with reasonable judgment, skill, or safety.
(29) Cheating on or attempting to subvert the
licensing examinations administered under this Act.

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(30) Willfully or negligently violating the
confidentiality between physician and patient except as
required by law.
(31) The use of any false, fraudulent, or deceptive
statement in any document connected with practice under
this Act.
(32) Aiding and abetting an individual not licensed
under this Act in the practice of a profession licensed
under this Act.
(33) Violating State or federal laws or regulations
relating to controlled substances, legend drugs, or
ephedra as defined in the Ephedra Prohibition Act.
(34) Failure to report to the Department any adverse
final action taken against them by another licensing
jurisdiction (any other state or any territory of the
United States or any foreign state or country), by any
peer review body, by any health care institution, by any
professional society or association related to practice
under this Act, by any governmental agency, by any law
enforcement agency, or by any court for acts or conduct
similar to acts or conduct which would constitute grounds
for action as defined in this Section.
(35) Failure to report to the Department surrender of
a license or authorization to practice as a medical
doctor, a doctor of osteopathy, a doctor of osteopathic
medicine, or doctor of chiropractic in another state or

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jurisdiction, or surrender of membership on any medical
staff or in any medical or professional association or
society, while under disciplinary investigation by any of
those authorities or bodies, for acts or conduct similar
to acts or conduct which would constitute grounds for
action as defined in this Section.
(36) Failure to report to the Department any adverse
judgment, settlement, or award arising from a liability
claim related to acts or conduct similar to acts or
conduct which would constitute grounds for action as
defined in this Section.
(37) Failure to provide copies of medical records as
required by law.
(38) Failure to furnish the Department, its
investigators or representatives, relevant information,
legally requested by the Department after consultation
with the Chief Medical Coordinator or the Deputy Medical
Coordinator.
(39) Violating the Health Care Worker Self-Referral
Act.
(40) (Blank).
(41) Failure to establish and maintain records of
patient care and treatment as required by this law.
(42) Entering into an excessive number of written
collaborative agreements with licensed advanced practice
registered nurses resulting in an inability to adequately

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collaborate.
(43) Repeated failure to adequately collaborate with a
licensed advanced practice registered nurse.
(44) Violating the Compassionate Use of Medical
Cannabis Program Act.
(45) Entering into an excessive number of written
collaborative agreements with licensed prescribing
psychologists resulting in an inability to adequately
collaborate.
(46) Repeated failure to adequately collaborate with a
licensed prescribing psychologist.
(47) Willfully failing to report an instance of
suspected abuse, neglect, financial exploitation, or
self-neglect of an eligible adult as defined in and
required by the Adult Protective Services Act.
(48) Being named as an abuser in a verified report by
the Department on Aging under the Adult Protective
Services Act, and upon proof by clear and convincing
evidence that the licensee abused, neglected, or
financially exploited an eligible adult as defined in the
Adult Protective Services Act.
(49) Entering into an excessive number of written
collaborative agreements with licensed physician
assistants resulting in an inability to adequately
collaborate.
(50) Repeated failure to adequately collaborate with a

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physician assistant.
(51) Violating the Youth Health Protection Act.
Except for actions involving the ground numbered (26), all
proceedings to suspend, revoke, place on probationary status,
or take any other disciplinary action as the Department may
deem proper, with regard to a license on any of the foregoing
grounds, must be commenced within 5 years next after receipt
by the Department of a complaint alleging the commission of or
notice of the conviction order for any of the acts described
herein. Except for the grounds numbered (8), (9), (26), and
(29), no action shall be commenced more than 10 years after the
date of the incident or act alleged to have violated this
Section. For actions involving the ground numbered (26), a
pattern of practice or other behavior includes all incidents
alleged to be part of the pattern of practice or other behavior
that occurred, or a report pursuant to Section 23 of this Act
received, within the 10-year period preceding the filing of
the complaint. In the event of the settlement of any claim or
cause of action in favor of the claimant or the reduction to
final judgment of any civil action in favor of the plaintiff,
such claim, cause of action, or civil action being grounded on
the allegation that a person licensed under this Act was
negligent in providing care, the Department shall have an
additional period of 2 years from the date of notification to
the Department under Section 23 of this Act of such settlement
or final judgment in which to investigate and commence formal

SB2474 - 27 - LRB104 12050 BDA 22145 b
disciplinary proceedings under Section 36 of this Act, except
as otherwise provided by law. The time during which the holder
of the license was outside the State of Illinois shall not be
included within any period of time limiting the commencement
of disciplinary action by the Department.
The entry of an order or judgment by any circuit court
establishing that any person holding a license under this Act
is a person in need of mental treatment operates as a
suspension of that license. That person may resume his or her
practice only upon the entry of a Departmental order based
upon a finding by the Medical Board that the person has been
determined to be recovered from mental illness by the court
and upon the Medical Board's recommendation that the person be
permitted to resume his or her practice.
The Department may refuse to issue or take disciplinary
action concerning the license of any person who fails to file a
return, or to pay the tax, penalty, or interest shown in a
filed return, or to pay any final assessment of tax, penalty,
or interest, as required by any tax Act administered by the
Illinois Department of Revenue, until such time as the
requirements of any such tax Act are satisfied as determined
by the Illinois Department of Revenue.
The Department, upon the recommendation of the Medical
Board, shall adopt rules which set forth standards to be used
in determining:
(a) when a person will be deemed sufficiently

SB2474 - 28 - LRB104 12050 BDA 22145 b
rehabilitated to warrant the public trust;
(b) what constitutes dishonorable, unethical, or
unprofessional conduct of a character likely to deceive,
defraud, or harm the public;
(c) what constitutes immoral conduct in the commission
of any act, including, but not limited to, commission of
an act of sexual misconduct related to the licensee's
practice; and
(d) what constitutes gross negligence in the practice
of medicine.
However, no such rule shall be admissible into evidence in
any civil action except for review of a licensing or other
disciplinary action under this Act.
In enforcing this Section, the Medical Board, upon a
showing of a possible violation, may compel any individual who
is licensed to practice under this Act or holds a permit to
practice under this Act, or any individual who has applied for
licensure or a permit pursuant to this Act, to submit to a
mental or physical examination and evaluation, or both, which
may include a substance abuse or sexual offender evaluation,
as required by the Medical Board and at the expense of the
Department. The Medical Board shall specifically designate the
examining physician licensed to practice medicine in all of
its branches or, if applicable, the multidisciplinary team
involved in providing the mental or physical examination and
evaluation, or both. The multidisciplinary team shall be led

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by a physician licensed to practice medicine in all of its
branches and may consist of one or more or a combination of
physicians licensed to practice medicine in all of its
branches, licensed chiropractic physicians, licensed clinical
psychologists, licensed clinical social workers, licensed
clinical professional counselors, and other professional and
administrative staff. Any examining physician or member of the
multidisciplinary team may require any person ordered to
submit to an examination and evaluation pursuant to this
Section to submit to any additional supplemental testing
deemed necessary to complete any examination or evaluation
process, including, but not limited to, blood testing,
urinalysis, psychological testing, or neuropsychological
testing. The Medical Board or the Department may order the
examining physician or any member of the multidisciplinary
team to provide to the Department or the Medical Board any and
all records, including business records, that relate to the
examination and evaluation, including any supplemental testing
performed. The Medical Board or the Department may order the
examining physician or any member of the multidisciplinary
team to present testimony concerning this examination and
evaluation of the licensee, permit holder, or applicant,
including testimony concerning any supplemental testing or
documents relating to the examination and evaluation. No
information, report, record, or other documents in any way
related to the examination and evaluation shall be excluded by

SB2474 - 30 - LRB104 12050 BDA 22145 b
reason of any common law or statutory privilege relating to
communication between the licensee, permit holder, or
applicant and the examining physician or any member of the
multidisciplinary team. No authorization is necessary from the
licensee, permit holder, or applicant ordered to undergo an
evaluation and examination for the examining physician or any
member of the multidisciplinary team to provide information,
reports, records, or other documents or to provide any
testimony regarding the examination and evaluation. The
individual to be examined may have, at his or her own expense,
another physician of his or her choice present during all
aspects of the examination. Failure of any individual to
submit to mental or physical examination and evaluation, or
both, when directed, shall result in an automatic suspension,
without hearing, until such time as the individual submits to
the examination. If the Medical Board finds a physician unable
to practice following an examination and evaluation because of
the reasons set forth in this Section, the Medical Board shall
require such physician to submit to care, counseling, or
treatment by physicians, or other health care professionals,
approved or designated by the Medical Board, as a condition
for issued, continued, reinstated, or renewed licensure to
practice. Any physician, whose license was granted pursuant to
Section 9, 17, or 19 of this Act, or, continued, reinstated,
renewed, disciplined, or supervised, subject to such terms,
conditions, or restrictions who shall fail to comply with such

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terms, conditions, or restrictions, or to complete a required
program of care, counseling, or treatment, as determined by
the Chief Medical Coordinator or Deputy Medical Coordinators,
shall be referred to the Secretary for a determination as to
whether the licensee shall have his or her license suspended
immediately, pending a hearing by the Medical Board. In
instances in which the Secretary immediately suspends a
license under this Section, a hearing upon such person's
license must be convened by the Medical Board within 15 days
after such suspension and completed without appreciable delay.
The Medical Board shall have the authority to review the
subject physician's record of treatment and counseling
regarding the impairment, to the extent permitted by
applicable federal statutes and regulations safeguarding the
confidentiality of medical records.
An individual licensed under this Act, affected under this
Section, shall be afforded an opportunity to demonstrate to
the Medical Board that he or she can resume practice in
compliance with acceptable and prevailing standards under the
provisions of his or her license.
The Medical Board, in determining mental capacity of an
individual licensed under this Act, shall consider the latest
recommendations of the Federation of State Medical Boards.
The Department may promulgate rules for the imposition of
fines in disciplinary cases, not to exceed $10,000 for each
violation of this Act. Fines may be imposed in conjunction

SB2474 - 32 - LRB104 12050 BDA 22145 b
with other forms of disciplinary action, but shall not be the
exclusive disposition of any disciplinary action arising out
of conduct resulting in death or injury to a patient. Any funds
collected from such fines shall be deposited in the Illinois
State Medical Disciplinary Fund.
All fines imposed under this Section shall be paid within
60 days after the effective date of the order imposing the fine
or in accordance with the terms set forth in the order imposing
the fine.
(B) The Department shall revoke the license or permit
issued under this Act to practice medicine of or a
chiropractic physician who has been convicted a second time of
committing any felony under the Illinois Controlled Substances
Act or the Methamphetamine Control and Community Protection
Act, or who has been convicted a second time of committing a
Class 1 felony under Sections 8A-3 and 8A-6 of the Illinois
Public Aid Code. A person whose license or permit is revoked
under this subsection (B) B shall be prohibited from
practicing medicine or treating human ailments without the use
of drugs and without operative surgery.
(C) The Department shall not revoke, suspend, place on
probation, reprimand, refuse to issue or renew, or take any
other disciplinary or non-disciplinary action against the
license or permit issued under this Act to practice medicine
to a physician:
(1) based solely upon the recommendation of the

SB2474 - 33 - LRB104 12050 BDA 22145 b
physician to an eligible patient regarding, or
prescription for, or treatment with, an investigational
drug, biological product, or device;
(2) for experimental treatment for Lyme disease or
other tick-borne diseases, including, but not limited to,
the prescription of or treatment with long-term
antibiotics;
(3) based solely upon the physician providing,
authorizing, recommending, aiding, assisting, referring
for, or otherwise participating in any health care
service, so long as the care was not unlawful under the
laws of this State, regardless of whether the patient was
a resident of this State or another state; or
(4) based upon the physician's license being revoked
or suspended, or the physician being otherwise disciplined
by any other state, if that revocation, suspension, or
other form of discipline was based solely on the physician
violating another state's laws prohibiting the provision
of, authorization of, recommendation of, aiding or
assisting in, referring for, or participation in any
health care service if that health care service as
provided would not have been unlawful under the laws of
this State and is consistent with the standards of conduct
for the physician if it occurred in Illinois.
(D) (Blank).
(E) The conduct specified in subsection (C) shall not

SB2474 - 34 - LRB104 12050 BDA 22145 b
trigger reporting requirements under Section 23, constitute
grounds for suspension under Section 25, or be included on the
physician's profile required under Section 10 of the Patients'
Right to Know Act.
(F) An applicant seeking licensure, certification, or
authorization pursuant to this Act and who has been subject to
disciplinary action by a duly authorized professional
disciplinary agency of another jurisdiction solely on the
basis of having provided, authorized, recommended, aided,
assisted, referred for, or otherwise participated in health
care shall not be denied such licensure, certification, or
authorization, unless the Department determines that the
action would have constituted professional misconduct in this
State; however, nothing in this Section shall be construed as
prohibiting the Department from evaluating the conduct of the
applicant and making a determination regarding the licensure,
certification, or authorization to practice a profession under
this Act.
(G) The Department may adopt rules to implement the
changes made by Public Act 102-1117 this amendatory Act of the
102nd General Assembly.
(Source: P.A. 102-20, eff. 1-1-22; 102-558, eff. 8-20-21;
102-813, eff. 5-13-22; 102-1117, eff. 1-13-23; 103-442, eff.
1-1-24; revised 10-22-24.)