Bill Text: IL SB3109 | 2013-2014 | 98th General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Illinois Optometric Practice Act of 1987. Permits a licensed optometrist to prescribe Dihydrocodeinone (Hydrocodone) with one or more active, non-narcotic ingredients only in a quantity sufficient to provide treatment for up to 72 hours, and only if such formulations are reclassified as Schedule II by the U.S. Food and Drug Administration.

Spectrum: Slight Partisan Bill (Democrat 12-5)

Status: (Passed) 2014-08-26 - Public Act . . . . . . . . . 98-1111 [SB3109 Detail]

Download: Illinois-2013-SB3109-Amended.html

Sen. Pat McGuire

Filed: 4/2/2014

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1
AMENDMENT TO SENATE BILL 3109
2 AMENDMENT NO. ______. Amend Senate Bill 3109 by replacing
3everything after the enacting clause with the following:
4 "Section 5. The Illinois Optometric Practice Act of 1987 is
5amended by changing Section 15.1 as follows:
6 (225 ILCS 80/15.1)
7 (Section scheduled to be repealed on January 1, 2017)
8 Sec. 15.1. Diagnostic and therapeutic authority.
9 (a) For purposes of the Act, "ocular pharmaceutical agents"
10means topical anesthetics, topical mydriatics, topical
11cycloplegics, topical miotics and mydriatic reversing agents,
12anti-infective agents, anti-allergy agents, anti-glaucoma
13agents (except oral carbonic anhydrase inhibitors, which may be
14prescribed only in a quantity sufficient to provide treatment
15for up to 72 hours), anti-inflammatory agents (except oral
16steroids), over-the-counter agents, analgesic agents, anti-dry

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1eye agents, and agents for the treatment of hypotrichosis.
2 (a-3) In addition to ocular pharmaceutical agents that fall
3within the categories set forth in subsection (a) of this
4Section, the Board may add a pharmaceutical agent approved by
5the FDA or class of agents for the purpose of the diagnosis or
6treatment of conditions of the eye and adnexa after
7consideration of the agent's systemic effects, side effects,
8and the use of the agent within the practice of optometry. The
9Board shall consider requests for additional agents and make
10recommendations within 90 days after the receipt of the
11request.
12 Within 45 days after the Board's recommendation to the
13Department of a pharmaceutical agent or class of agents, the
14Department shall promulgate rules necessary to allow for the
15prescribing or administering of the pharmaceutical agent or
16class of agents under this Act.
17 (a-5) Ocular pharmaceutical agents administered by
18injection may be used only for the treatment of anaphylaxis.
19 (a-10) Oral pharmaceutical agents may be prescribed for a
20child under 5 years of age only in consultation with a
21physician licensed to practice medicine in all its branches.
22 (a-15) The authority to prescribe a Schedule III, IV, or V
23controlled substance shall include only analgesic agents only
24in a quantity sufficient to provide treatment for up to 72
25hours. The prescription of a Schedule II controlled substance
26is prohibited, except for Dihydrocodeinone (Hydrocodone) with

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1one or more active, non-narcotic ingredients only in a quantity
2sufficient to provide treatment for up to 72 hours, and only if
3such formulations of Dihydrocodeinone are reclassified as
4Schedule II by the U.S. Food and Drug Administration.
5 (b) A licensed optometrist may remove superficial foreign
6bodies from the human eye and adnexa and may give orders for
7patient care to a nurse licensed to practice under Illinois
8law.
9 (c) An optometrist's license shall be revoked or suspended
10by the Department upon recommendation of the Board based upon
11either of the following causes:
12 (1) grave or repeated misuse of any ocular
13 pharmaceutical agent; and
14 (2) the use of any agent or procedure in the course of
15 optometric practice by an optometrist not properly
16 authorized under this Act.
17 (d) The Secretary of Financial and Professional Regulation
18shall notify the Director of Public Health as to the categories
19of ocular pharmaceutical agents permitted for use by an
20optometrist. The Director of Public Health shall in turn notify
21every licensed pharmacist in the State of the categories of
22ocular pharmaceutical agents that can be utilized and
23prescribed by an optometrist.
24(Source: P.A. 97-170, eff. 7-22-11.)
25 Section 10. The Illinois Controlled Substances Act is

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1amended by changing Section 102 as follows:
2 (720 ILCS 570/102) (from Ch. 56 1/2, par. 1102)
3 Sec. 102. Definitions. As used in this Act, unless the
4context otherwise requires:
5 (a) "Addict" means any person who habitually uses any drug,
6chemical, substance or dangerous drug other than alcohol so as
7to endanger the public morals, health, safety or welfare or who
8is so far addicted to the use of a dangerous drug or controlled
9substance other than alcohol as to have lost the power of self
10control with reference to his or her addiction.
11 (b) "Administer" means the direct application of a
12controlled substance, whether by injection, inhalation,
13ingestion, or any other means, to the body of a patient,
14research subject, or animal (as defined by the Humane
15Euthanasia in Animal Shelters Act) by:
16 (1) a practitioner (or, in his or her presence, by his
17 or her authorized agent),
18 (2) the patient or research subject pursuant to an
19 order, or
20 (3) a euthanasia technician as defined by the Humane
21 Euthanasia in Animal Shelters Act.
22 (c) "Agent" means an authorized person who acts on behalf
23of or at the direction of a manufacturer, distributor,
24dispenser, prescriber, or practitioner. It does not include a
25common or contract carrier, public warehouseman or employee of

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1the carrier or warehouseman.
2 (c-1) "Anabolic Steroids" means any drug or hormonal
3substance, chemically and pharmacologically related to
4testosterone (other than estrogens, progestins,
5corticosteroids, and dehydroepiandrosterone), and includes:
6 (i) 3[beta],17-dihydroxy-5a-androstane,
7 (ii) 3[alpha],17[beta]-dihydroxy-5a-androstane,
8 (iii) 5[alpha]-androstan-3,17-dione,
9 (iv) 1-androstenediol (3[beta],
10 17[beta]-dihydroxy-5[alpha]-androst-1-ene),
11 (v) 1-androstenediol (3[alpha],
12 17[beta]-dihydroxy-5[alpha]-androst-1-ene),
13 (vi) 4-androstenediol
14 (3[beta],17[beta]-dihydroxy-androst-4-ene),
15 (vii) 5-androstenediol
16 (3[beta],17[beta]-dihydroxy-androst-5-ene),
17 (viii) 1-androstenedione
18 ([5alpha]-androst-1-en-3,17-dione),
19 (ix) 4-androstenedione
20 (androst-4-en-3,17-dione),
21 (x) 5-androstenedione
22 (androst-5-en-3,17-dione),
23 (xi) bolasterone (7[alpha],17a-dimethyl-17[beta]-
24 hydroxyandrost-4-en-3-one),
25 (xii) boldenone (17[beta]-hydroxyandrost-
26 1,4,-diene-3-one),

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1 (xiii) boldione (androsta-1,4-
2 diene-3,17-dione),
3 (xiv) calusterone (7[beta],17[alpha]-dimethyl-17
4 [beta]-hydroxyandrost-4-en-3-one),
5 (xv) clostebol (4-chloro-17[beta]-
6 hydroxyandrost-4-en-3-one),
7 (xvi) dehydrochloromethyltestosterone (4-chloro-
8 17[beta]-hydroxy-17[alpha]-methyl-
9 androst-1,4-dien-3-one),
10 (xvii) desoxymethyltestosterone
11 (17[alpha]-methyl-5[alpha]
12 -androst-2-en-17[beta]-ol)(a.k.a., madol),
13 (xviii) [delta]1-dihydrotestosterone (a.k.a.
14 '1-testosterone') (17[beta]-hydroxy-
15 5[alpha]-androst-1-en-3-one),
16 (xix) 4-dihydrotestosterone (17[beta]-hydroxy-
17 androstan-3-one),
18 (xx) drostanolone (17[beta]-hydroxy-2[alpha]-methyl-
19 5[alpha]-androstan-3-one),
20 (xxi) ethylestrenol (17[alpha]-ethyl-17[beta]-
21 hydroxyestr-4-ene),
22 (xxii) fluoxymesterone (9-fluoro-17[alpha]-methyl-
23 1[beta],17[beta]-dihydroxyandrost-4-en-3-one),
24 (xxiii) formebolone (2-formyl-17[alpha]-methyl-11[alpha],
25 17[beta]-dihydroxyandrost-1,4-dien-3-one),
26 (xxiv) furazabol (17[alpha]-methyl-17[beta]-

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1 hydroxyandrostano[2,3-c]-furazan),
2 (xxv) 13[beta]-ethyl-17[beta]-hydroxygon-4-en-3-one)
3 (xxvi) 4-hydroxytestosterone (4,17[beta]-dihydroxy-
4 androst-4-en-3-one),
5 (xxvii) 4-hydroxy-19-nortestosterone (4,17[beta]-
6 dihydroxy-estr-4-en-3-one),
7 (xxviii) mestanolone (17[alpha]-methyl-17[beta]-
8 hydroxy-5-androstan-3-one),
9 (xxix) mesterolone (1amethyl-17[beta]-hydroxy-
10 [5a]-androstan-3-one),
11 (xxx) methandienone (17[alpha]-methyl-17[beta]-
12 hydroxyandrost-1,4-dien-3-one),
13 (xxxi) methandriol (17[alpha]-methyl-3[beta],17[beta]-
14 dihydroxyandrost-5-ene),
15 (xxxii) methenolone (1-methyl-17[beta]-hydroxy-
16 5[alpha]-androst-1-en-3-one),
17 (xxxiii) 17[alpha]-methyl-3[beta], 17[beta]-
18 dihydroxy-5a-androstane),
19 (xxxiv) 17[alpha]-methyl-3[alpha],17[beta]-dihydroxy
20 -5a-androstane),
21 (xxxv) 17[alpha]-methyl-3[beta],17[beta]-
22 dihydroxyandrost-4-ene),
23 (xxxvi) 17[alpha]-methyl-4-hydroxynandrolone (17[alpha]-
24 methyl-4-hydroxy-17[beta]-hydroxyestr-4-en-3-one),
25 (xxxvii) methyldienolone (17[alpha]-methyl-17[beta]-
26 hydroxyestra-4,9(10)-dien-3-one),

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1 (xxxviii) methyltrienolone (17[alpha]-methyl-17[beta]-
2 hydroxyestra-4,9-11-trien-3-one),
3 (xxxix) methyltestosterone (17[alpha]-methyl-17[beta]-
4 hydroxyandrost-4-en-3-one),
5 (xl) mibolerone (7[alpha],17a-dimethyl-17[beta]-
6 hydroxyestr-4-en-3-one),
7 (xli) 17[alpha]-methyl-[delta]1-dihydrotestosterone
8 (17b[beta]-hydroxy-17[alpha]-methyl-5[alpha]-
9 androst-1-en-3-one)(a.k.a. '17-[alpha]-methyl-
10 1-testosterone'),
11 (xlii) nandrolone (17[beta]-hydroxyestr-4-en-3-one),
12 (xliii) 19-nor-4-androstenediol (3[beta], 17[beta]-
13 dihydroxyestr-4-ene),
14 (xliv) 19-nor-4-androstenediol (3[alpha], 17[beta]-
15 dihydroxyestr-4-ene),
16 (xlv) 19-nor-5-androstenediol (3[beta], 17[beta]-
17 dihydroxyestr-5-ene),
18 (xlvi) 19-nor-5-androstenediol (3[alpha], 17[beta]-
19 dihydroxyestr-5-ene),
20 (xlvii) 19-nor-4,9(10)-androstadienedione
21 (estra-4,9(10)-diene-3,17-dione),
22 (xlviii) 19-nor-4-androstenedione (estr-4-
23 en-3,17-dione),
24 (xlix) 19-nor-5-androstenedione (estr-5-
25 en-3,17-dione),
26 (l) norbolethone (13[beta], 17a-diethyl-17[beta]-

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1 hydroxygon-4-en-3-one),
2 (li) norclostebol (4-chloro-17[beta]-
3 hydroxyestr-4-en-3-one),
4 (lii) norethandrolone (17[alpha]-ethyl-17[beta]-
5 hydroxyestr-4-en-3-one),
6 (liii) normethandrolone (17[alpha]-methyl-17[beta]-
7 hydroxyestr-4-en-3-one),
8 (liv) oxandrolone (17[alpha]-methyl-17[beta]-hydroxy-
9 2-oxa-5[alpha]-androstan-3-one),
10 (lv) oxymesterone (17[alpha]-methyl-4,17[beta]-
11 dihydroxyandrost-4-en-3-one),
12 (lvi) oxymetholone (17[alpha]-methyl-2-hydroxymethylene-
13 17[beta]-hydroxy-(5[alpha]-androstan-3-one),
14 (lvii) stanozolol (17[alpha]-methyl-17[beta]-hydroxy-
15 (5[alpha]-androst-2-eno[3,2-c]-pyrazole),
16 (lviii) stenbolone (17[beta]-hydroxy-2-methyl-
17 (5[alpha]-androst-1-en-3-one),
18 (lix) testolactone (13-hydroxy-3-oxo-13,17-
19 secoandrosta-1,4-dien-17-oic
20 acid lactone),
21 (lx) testosterone (17[beta]-hydroxyandrost-
22 4-en-3-one),
23 (lxi) tetrahydrogestrinone (13[beta], 17[alpha]-
24 diethyl-17[beta]-hydroxygon-
25 4,9,11-trien-3-one),
26 (lxii) trenbolone (17[beta]-hydroxyestr-4,9,

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1 11-trien-3-one).
2 Any person who is otherwise lawfully in possession of an
3anabolic steroid, or who otherwise lawfully manufactures,
4distributes, dispenses, delivers, or possesses with intent to
5deliver an anabolic steroid, which anabolic steroid is
6expressly intended for and lawfully allowed to be administered
7through implants to livestock or other nonhuman species, and
8which is approved by the Secretary of Health and Human Services
9for such administration, and which the person intends to
10administer or have administered through such implants, shall
11not be considered to be in unauthorized possession or to
12unlawfully manufacture, distribute, dispense, deliver, or
13possess with intent to deliver such anabolic steroid for
14purposes of this Act.
15 (d) "Administration" means the Drug Enforcement
16Administration, United States Department of Justice, or its
17successor agency.
18 (d-5) "Clinical Director, Prescription Monitoring Program"
19means a Department of Human Services administrative employee
20licensed to either prescribe or dispense controlled substances
21who shall run the clinical aspects of the Department of Human
22Services Prescription Monitoring Program and its Prescription
23Information Library.
24 (d-10) "Compounding" means the preparation and mixing of
25components, excluding flavorings, (1) as the result of a
26prescriber's prescription drug order or initiative based on the

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1prescriber-patient-pharmacist relationship in the course of
2professional practice or (2) for the purpose of, or incident
3to, research, teaching, or chemical analysis and not for sale
4or dispensing. "Compounding" includes the preparation of drugs
5or devices in anticipation of receiving prescription drug
6orders based on routine, regularly observed dispensing
7patterns. Commercially available products may be compounded
8for dispensing to individual patients only if both of the
9following conditions are met: (i) the commercial product is not
10reasonably available from normal distribution channels in a
11timely manner to meet the patient's needs and (ii) the
12prescribing practitioner has requested that the drug be
13compounded.
14 (e) "Control" means to add a drug or other substance, or
15immediate precursor, to a Schedule whether by transfer from
16another Schedule or otherwise.
17 (f) "Controlled Substance" means (i) a drug, substance, or
18immediate precursor in the Schedules of Article II of this Act
19or (ii) a drug or other substance, or immediate precursor,
20designated as a controlled substance by the Department through
21administrative rule. The term does not include distilled
22spirits, wine, malt beverages, or tobacco, as those terms are
23defined or used in the Liquor Control Act of 1934 and the
24Tobacco Products Tax Act of 1995.
25 (f-5) "Controlled substance analog" means a substance:
26 (1) the chemical structure of which is substantially

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1 similar to the chemical structure of a controlled substance
2 in Schedule I or II;
3 (2) which has a stimulant, depressant, or
4 hallucinogenic effect on the central nervous system that is
5 substantially similar to or greater than the stimulant,
6 depressant, or hallucinogenic effect on the central
7 nervous system of a controlled substance in Schedule I or
8 II; or
9 (3) with respect to a particular person, which such
10 person represents or intends to have a stimulant,
11 depressant, or hallucinogenic effect on the central
12 nervous system that is substantially similar to or greater
13 than the stimulant, depressant, or hallucinogenic effect
14 on the central nervous system of a controlled substance in
15 Schedule I or II.
16 (g) "Counterfeit substance" means a controlled substance,
17which, or the container or labeling of which, without
18authorization bears the trademark, trade name, or other
19identifying mark, imprint, number or device, or any likeness
20thereof, of a manufacturer, distributor, or dispenser other
21than the person who in fact manufactured, distributed, or
22dispensed the substance.
23 (h) "Deliver" or "delivery" means the actual, constructive
24or attempted transfer of possession of a controlled substance,
25with or without consideration, whether or not there is an
26agency relationship.

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1 (i) "Department" means the Illinois Department of Human
2Services (as successor to the Department of Alcoholism and
3Substance Abuse) or its successor agency.
4 (j) (Blank).
5 (k) "Department of Corrections" means the Department of
6Corrections of the State of Illinois or its successor agency.
7 (l) "Department of Financial and Professional Regulation"
8means the Department of Financial and Professional Regulation
9of the State of Illinois or its successor agency.
10 (m) "Depressant" means any drug that (i) causes an overall
11depression of central nervous system functions, (ii) causes
12impaired consciousness and awareness, and (iii) can be
13habit-forming or lead to a substance abuse problem, including
14but not limited to alcohol, cannabis and its active principles
15and their analogs, benzodiazepines and their analogs,
16barbiturates and their analogs, opioids (natural and
17synthetic) and their analogs, and chloral hydrate and similar
18sedative hypnotics.
19 (n) (Blank).
20 (o) "Director" means the Director of the Illinois State
21Police or his or her designated agents.
22 (p) "Dispense" means to deliver a controlled substance to
23an ultimate user or research subject by or pursuant to the
24lawful order of a prescriber, including the prescribing,
25administering, packaging, labeling, or compounding necessary
26to prepare the substance for that delivery.

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1 (q) "Dispenser" means a practitioner who dispenses.
2 (r) "Distribute" means to deliver, other than by
3administering or dispensing, a controlled substance.
4 (s) "Distributor" means a person who distributes.
5 (t) "Drug" means (1) substances recognized as drugs in the
6official United States Pharmacopoeia, Official Homeopathic
7Pharmacopoeia of the United States, or official National
8Formulary, or any supplement to any of them; (2) substances
9intended for use in diagnosis, cure, mitigation, treatment, or
10prevention of disease in man or animals; (3) substances (other
11than food) intended to affect the structure of any function of
12the body of man or animals and (4) substances intended for use
13as a component of any article specified in clause (1), (2), or
14(3) of this subsection. It does not include devices or their
15components, parts, or accessories.
16 (t-5) "Euthanasia agency" means an entity certified by the
17Department of Financial and Professional Regulation for the
18purpose of animal euthanasia that holds an animal control
19facility license or animal shelter license under the Animal
20Welfare Act. A euthanasia agency is authorized to purchase,
21store, possess, and utilize Schedule II nonnarcotic and
22Schedule III nonnarcotic drugs for the sole purpose of animal
23euthanasia.
24 (t-10) "Euthanasia drugs" means Schedule II or Schedule III
25substances (nonnarcotic controlled substances) that are used
26by a euthanasia agency for the purpose of animal euthanasia.

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1 (u) "Good faith" means the prescribing or dispensing of a
2controlled substance by a practitioner in the regular course of
3professional treatment to or for any person who is under his or
4her treatment for a pathology or condition other than that
5individual's physical or psychological dependence upon or
6addiction to a controlled substance, except as provided herein:
7and application of the term to a pharmacist shall mean the
8dispensing of a controlled substance pursuant to the
9prescriber's order which in the professional judgment of the
10pharmacist is lawful. The pharmacist shall be guided by
11accepted professional standards including, but not limited to
12the following, in making the judgment:
13 (1) lack of consistency of prescriber-patient
14 relationship,
15 (2) frequency of prescriptions for same drug by one
16 prescriber for large numbers of patients,
17 (3) quantities beyond those normally prescribed,
18 (4) unusual dosages (recognizing that there may be
19 clinical circumstances where more or less than the usual
20 dose may be used legitimately),
21 (5) unusual geographic distances between patient,
22 pharmacist and prescriber,
23 (6) consistent prescribing of habit-forming drugs.
24 (u-0.5) "Hallucinogen" means a drug that causes markedly
25altered sensory perception leading to hallucinations of any
26type.

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1 (u-1) "Home infusion services" means services provided by a
2pharmacy in compounding solutions for direct administration to
3a patient in a private residence, long-term care facility, or
4hospice setting by means of parenteral, intravenous,
5intramuscular, subcutaneous, or intraspinal infusion.
6 (u-5) "Illinois State Police" means the State Police of the
7State of Illinois, or its successor agency.
8 (v) "Immediate precursor" means a substance:
9 (1) which the Department has found to be and by rule
10 designated as being a principal compound used, or produced
11 primarily for use, in the manufacture of a controlled
12 substance;
13 (2) which is an immediate chemical intermediary used or
14 likely to be used in the manufacture of such controlled
15 substance; and
16 (3) the control of which is necessary to prevent,
17 curtail or limit the manufacture of such controlled
18 substance.
19 (w) "Instructional activities" means the acts of teaching,
20educating or instructing by practitioners using controlled
21substances within educational facilities approved by the State
22Board of Education or its successor agency.
23 (x) "Local authorities" means a duly organized State,
24County or Municipal peace unit or police force.
25 (y) "Look-alike substance" means a substance, other than a
26controlled substance which (1) by overall dosage unit

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1appearance, including shape, color, size, markings or lack
2thereof, taste, consistency, or any other identifying physical
3characteristic of the substance, would lead a reasonable person
4to believe that the substance is a controlled substance, or (2)
5is expressly or impliedly represented to be a controlled
6substance or is distributed under circumstances which would
7lead a reasonable person to believe that the substance is a
8controlled substance. For the purpose of determining whether
9the representations made or the circumstances of the
10distribution would lead a reasonable person to believe the
11substance to be a controlled substance under this clause (2) of
12subsection (y), the court or other authority may consider the
13following factors in addition to any other factor that may be
14relevant:
15 (a) statements made by the owner or person in control
16 of the substance concerning its nature, use or effect;
17 (b) statements made to the buyer or recipient that the
18 substance may be resold for profit;
19 (c) whether the substance is packaged in a manner
20 normally used for the illegal distribution of controlled
21 substances;
22 (d) whether the distribution or attempted distribution
23 included an exchange of or demand for money or other
24 property as consideration, and whether the amount of the
25 consideration was substantially greater than the
26 reasonable retail market value of the substance.

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1 Clause (1) of this subsection (y) shall not apply to a
2noncontrolled substance in its finished dosage form that was
3initially introduced into commerce prior to the initial
4introduction into commerce of a controlled substance in its
5finished dosage form which it may substantially resemble.
6 Nothing in this subsection (y) prohibits the dispensing or
7distributing of noncontrolled substances by persons authorized
8to dispense and distribute controlled substances under this
9Act, provided that such action would be deemed to be carried
10out in good faith under subsection (u) if the substances
11involved were controlled substances.
12 Nothing in this subsection (y) or in this Act prohibits the
13manufacture, preparation, propagation, compounding,
14processing, packaging, advertising or distribution of a drug or
15drugs by any person registered pursuant to Section 510 of the
16Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360).
17 (y-1) "Mail-order pharmacy" means a pharmacy that is
18located in a state of the United States that delivers,
19dispenses or distributes, through the United States Postal
20Service or other common carrier, to Illinois residents, any
21substance which requires a prescription.
22 (z) "Manufacture" means the production, preparation,
23propagation, compounding, conversion or processing of a
24controlled substance other than methamphetamine, either
25directly or indirectly, by extraction from substances of
26natural origin, or independently by means of chemical

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1synthesis, or by a combination of extraction and chemical
2synthesis, and includes any packaging or repackaging of the
3substance or labeling of its container, except that this term
4does not include:
5 (1) by an ultimate user, the preparation or compounding
6 of a controlled substance for his or her own use; or
7 (2) by a practitioner, or his or her authorized agent
8 under his or her supervision, the preparation,
9 compounding, packaging, or labeling of a controlled
10 substance:
11 (a) as an incident to his or her administering or
12 dispensing of a controlled substance in the course of
13 his or her professional practice; or
14 (b) as an incident to lawful research, teaching or
15 chemical analysis and not for sale.
16 (z-1) (Blank).
17 (z-5) "Medication shopping" means the conduct prohibited
18under subsection (a) of Section 314.5 of this Act.
19 (z-10) "Mid-level practitioner" means (i) a physician
20assistant who has been delegated authority to prescribe through
21a written delegation of authority by a physician licensed to
22practice medicine in all of its branches, in accordance with
23Section 7.5 of the Physician Assistant Practice Act of 1987,
24(ii) an advanced practice nurse who has been delegated
25authority to prescribe through a written delegation of
26authority by a physician licensed to practice medicine in all

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1of its branches or by a podiatric physician, in accordance with
2Section 65-40 of the Nurse Practice Act, or (iii) an animal
3euthanasia agency.
4 (aa) "Narcotic drug" means any of the following, whether
5produced directly or indirectly by extraction from substances
6of vegetable origin, or independently by means of chemical
7synthesis, or by a combination of extraction and chemical
8synthesis:
9 (1) opium, opiates, derivatives of opium and opiates,
10 including their isomers, esters, ethers, salts, and salts
11 of isomers, esters, and ethers, whenever the existence of
12 such isomers, esters, ethers, and salts is possible within
13 the specific chemical designation; however the term
14 "narcotic drug" does not include the isoquinoline
15 alkaloids of opium;
16 (2) (blank);
17 (3) opium poppy and poppy straw;
18 (4) coca leaves, except coca leaves and extracts of
19 coca leaves from which substantially all of the cocaine and
20 ecgonine, and their isomers, derivatives and salts, have
21 been removed;
22 (5) cocaine, its salts, optical and geometric isomers,
23 and salts of isomers;
24 (6) ecgonine, its derivatives, their salts, isomers,
25 and salts of isomers;
26 (7) any compound, mixture, or preparation which

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1 contains any quantity of any of the substances referred to
2 in subparagraphs (1) through (6).
3 (bb) "Nurse" means a registered nurse licensed under the
4Nurse Practice Act.
5 (cc) (Blank).
6 (dd) "Opiate" means any substance having an addiction
7forming or addiction sustaining liability similar to morphine
8or being capable of conversion into a drug having addiction
9forming or addiction sustaining liability.
10 (ee) "Opium poppy" means the plant of the species Papaver
11somniferum L., except its seeds.
12 (ee-5) "Oral dosage" means a tablet, capsule, elixir, or
13solution or other liquid form of medication intended for
14administration by mouth, but the term does not include a form
15of medication intended for buccal, sublingual, or transmucosal
16administration.
17 (ff) "Parole and Pardon Board" means the Parole and Pardon
18Board of the State of Illinois or its successor agency.
19 (gg) "Person" means any individual, corporation,
20mail-order pharmacy, government or governmental subdivision or
21agency, business trust, estate, trust, partnership or
22association, or any other entity.
23 (hh) "Pharmacist" means any person who holds a license or
24certificate of registration as a registered pharmacist, a local
25registered pharmacist or a registered assistant pharmacist
26under the Pharmacy Practice Act.

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1 (ii) "Pharmacy" means any store, ship or other place in
2which pharmacy is authorized to be practiced under the Pharmacy
3Practice Act.
4 (ii-5) "Pharmacy shopping" means the conduct prohibited
5under subsection (b) of Section 314.5 of this Act.
6 (ii-10) "Physician" (except when the context otherwise
7requires) means a person licensed to practice medicine in all
8of its branches.
9 (jj) "Poppy straw" means all parts, except the seeds, of
10the opium poppy, after mowing.
11 (kk) "Practitioner" means a physician licensed to practice
12medicine in all its branches, dentist, optometrist, podiatric
13physician, veterinarian, scientific investigator, pharmacist,
14physician assistant, advanced practice nurse, licensed
15practical nurse, registered nurse, hospital, laboratory, or
16pharmacy, or other person licensed, registered, or otherwise
17lawfully permitted by the United States or this State to
18distribute, dispense, conduct research with respect to,
19administer or use in teaching or chemical analysis, a
20controlled substance in the course of professional practice or
21research.
22 (ll) "Pre-printed prescription" means a written
23prescription upon which the designated drug has been indicated
24prior to the time of issuance; the term does not mean a written
25prescription that is individually generated by machine or
26computer in the prescriber's office.

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1 (mm) "Prescriber" means a physician licensed to practice
2medicine in all its branches, dentist, optometrist, podiatric
3physician or veterinarian who issues a prescription, a
4physician assistant who issues a prescription for a controlled
5substance in accordance with Section 303.05, a written
6delegation, and a written supervision agreement required under
7Section 7.5 of the Physician Assistant Practice Act of 1987, or
8an advanced practice nurse with prescriptive authority
9delegated under Section 65-40 of the Nurse Practice Act and in
10accordance with Section 303.05, a written delegation, and a
11written collaborative agreement under Section 65-35 of the
12Nurse Practice Act.
13 (nn) "Prescription" means a written, facsimile, or oral
14order, or an electronic order that complies with applicable
15federal requirements, of a physician licensed to practice
16medicine in all its branches, dentist, podiatric physician or
17veterinarian for any controlled substance, of an optometrist
18for a Schedule II, III, IV, or V controlled substance in
19accordance with Section 15.1 of the Illinois Optometric
20Practice Act of 1987, of a physician assistant for a controlled
21substance in accordance with Section 303.05, a written
22delegation, and a written supervision agreement required under
23Section 7.5 of the Physician Assistant Practice Act of 1987, or
24of an advanced practice nurse with prescriptive authority
25delegated under Section 65-40 of the Nurse Practice Act who
26issues a prescription for a controlled substance in accordance

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1with Section 303.05, a written delegation, and a written
2collaborative agreement under Section 65-35 of the Nurse
3Practice Act when required by law.
4 (nn-5) "Prescription Information Library" (PIL) means an
5electronic library that contains reported controlled substance
6data.
7 (nn-10) "Prescription Monitoring Program" (PMP) means the
8entity that collects, tracks, and stores reported data on
9controlled substances and select drugs pursuant to Section 316.
10 (oo) "Production" or "produce" means manufacture,
11planting, cultivating, growing, or harvesting of a controlled
12substance other than methamphetamine.
13 (pp) "Registrant" means every person who is required to
14register under Section 302 of this Act.
15 (qq) "Registry number" means the number assigned to each
16person authorized to handle controlled substances under the
17laws of the United States and of this State.
18 (qq-5) "Secretary" means, as the context requires, either
19the Secretary of the Department or the Secretary of the
20Department of Financial and Professional Regulation, and the
21Secretary's designated agents.
22 (rr) "State" includes the State of Illinois and any state,
23district, commonwealth, territory, insular possession thereof,
24and any area subject to the legal authority of the United
25States of America.
26 (rr-5) "Stimulant" means any drug that (i) causes an

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1overall excitation of central nervous system functions, (ii)
2causes impaired consciousness and awareness, and (iii) can be
3habit-forming or lead to a substance abuse problem, including
4but not limited to amphetamines and their analogs,
5methylphenidate and its analogs, cocaine, and phencyclidine
6and its analogs.
7 (ss) "Ultimate user" means a person who lawfully possesses
8a controlled substance for his or her own use or for the use of
9a member of his or her household or for administering to an
10animal owned by him or her or by a member of his or her
11household.
12(Source: P.A. 97-334, eff. 1-1-12; 98-214, eff. 8-9-13; revised
1311-12-13.)
14 Section 99. Effective date. This Act takes effect upon
15becoming law.".
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