Illinois Compiled Statutes
225 ILCS 65/ - Nurse Practice Act.
Article 65 - Advanced Practice Registered Nurses

(225 ILCS 65/Art. 65 heading)

 
(225 ILCS 65/65-5)
(was 225 ILCS 65/15-10)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-5. Qualifications for APRN licensure.
(a) Each applicant who successfully meets the requirements of this Section is eligible for licensure as an advanced practice registered nurse.
(b) An applicant for licensure to practice as an advanced practice registered nurse is eligible for licensure when the following requirements are met:
(b-5) A registered professional nurse seeking licensure as an advanced practice registered nurse in the category of certified registered nurse anesthetist who does not have a graduate degree as described in subsection (b) of this Section shall be qualified for licensure if that person:
(b-10) The Department may issue a certified registered nurse anesthetist license to an APRN who (i) does not have a graduate degree, (ii) applies for licensure before July 1, 2028, and (iii) submits all of the following to the Department:
(c) Those applicants seeking licensure in more than one advanced practice registered nursing specialty need not possess multiple graduate degrees. Applicants may be eligible for licenses for multiple advanced practice registered nurse licensure specialties, provided that the applicant (i) has met the requirements for at least one advanced practice registered nursing specialty under paragraph (3) of subsection (b) of this Section, (ii) possesses an additional graduate education that results in a certificate for another clinical advanced practice registered nurse specialty and that meets the requirements for the national certification from the appropriate nursing specialty, and (iii) holds a current national certification from the appropriate national certifying body for that additional advanced practice registered nursing specialty.


(Source: P.A. 102-558, eff. 8-20-21; 102-786, eff. 1-1-23.)
 
(225 ILCS 65/65-10)
(was 225 ILCS 65/15-13)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-10. APRN license pending status.
(a) A graduate of an advanced practice registered nursing program may practice in the
State
of Illinois in the role of certified clinical nurse specialist, certified nurse
midwife,
certified nurse practitioner, or certified registered nurse anesthetist for not
longer than 6
months provided he or she submits all of the following:
(b) License pending status shall preclude delegation of prescriptive
authority.
(c) A graduate practicing in accordance with this Section must use the
title
"license pending certified clinical nurse specialist", "license pending
certified nurse
midwife", "license pending certified nurse practitioner", or "license pending
certified
registered nurse anesthetist", whichever is applicable.

(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-11)
Sec. 65-11. Temporary permit for advanced practice registered nurses for health care.
(a) The Department may issue a temporary permit to an applicant who is licensed to practice as an advanced practice registered nurse in another state. The temporary permit will authorize the practice of providing health care to patients in this State, with a collaborating physician in this State, if all of the following apply:
The sponsoring licensed hospital, medical office, clinic, or other medical facility engaged in the agreement with the applicant shall notify the Department should the applicant at any point leave or become separate from the sponsor.
The Department may adopt rules to carry out this Section.
(b) A temporary permit under this Section shall expire 2 years after the date of issuance. The temporary permit may be renewed for a $45 fee for an additional 2 years. A holder of a temporary permit may only renew one time.
(c) The temporary permit shall only permit the holder to practice as an advanced practice registered nurse with a collaborating physician who provides health care services at the location or locations specified on the permit or via telehealth.
(d) An application for the temporary permit shall be made to the Department, in writing, on forms prescribed by the Department, and shall be accompanied by a non-refundable fee of $75. The Department shall grant or deny an applicant a temporary permit within 60 days of receipt of a completed application. The Department shall notify the applicant of any deficiencies in the applicant's application materials requiring corrections in a timely manner.
(e) An applicant for temporary permit may be requested to appear before the Board to respond to questions concerning the applicant's qualifications to receive the permit. An applicant's refusal to appear before the Board of Nursing may be grounds for denial of the application by the Department.
(f) The Secretary may summarily cancel any temporary permit issued pursuant to this Section, without a hearing, if the Secretary finds that evidence in his or her possession indicates that a permit holder's continuation in practice would constitute an imminent danger to the public or violate any provision of this Act or its rules.
If the Secretary summarily cancels a temporary permit issued pursuant to this Section or Act, the permit holder may petition the Department for a hearing in accordance with the provisions of Section 70-125 to restore his or her permit, unless the permit holder has exceeded his or her renewal limit.
(g) In addition to terminating any temporary permit issued pursuant to this Section or Act, the Department may issue a monetary penalty not to exceed $10,000 upon the temporary permit holder and may notify any state in which the temporary permit holder has been issued a permit that his or her Illinois permit has been terminated and the reasons for the termination. The monetary penalty shall be paid within 60 days after the effective date of the order imposing the penalty. The order shall constitute a judgment and may be filed, and execution had thereon in the same manner as any judgment from any court of record. It is the intent of the General Assembly that a permit issued pursuant to this Section shall be considered a privilege and not a property right.
(h) While working in Illinois, all temporary permit holders are subject to all statutory and regulatory requirements of this Act in the same manner as a licensee. Failure to adhere to all statutory and regulatory requirements may result in revocation or other discipline of the temporary permit.
(i) If the Department becomes aware of a violation occurring at the licensed hospital, medical office, clinic, or other medical facility, or via telehealth service, the Department shall notify the Department of Public Health.
(j) The Department may adopt emergency rules pursuant to this Section. The General Assembly finds that the adoption of rules to implement a temporary permit for health care services is deemed an emergency and necessary for the public interest, safety, and welfare.

(Source: P.A. 102-1117, eff. 1-13-23.)
 
(225 ILCS 65/65-11.5)
Sec. 65-11.5. Temporary permit for full practice advanced practice registered nurses for health care.
(a) The Department may issue a full practice advanced practice registered nurse temporary permit to an applicant who is licensed to practice as an advanced practice registered nurse in another state. The temporary permit will authorize the practice of providing health care to patients in this State if all of the following apply:
The sponsoring licensed hospital, medical office, clinic, or other medical facility engaged in the agreement with the applicant shall notify the Department should the applicant at any point leave or become separate from the sponsor.
The Department may adopt rules to carry out this Section.
(b) A temporary permit under this Section shall expire 2 years after the date of issuance. The temporary permit may be renewed for a $45 fee for an additional 2 years. A holder of a temporary permit may only renew one time.
(c) The temporary permit shall only permit the holder to practice as a full practice advanced practice registered nurse within the scope of providing health care services at the location or locations specified on the permit or via telehealth service.
(d) An application for the temporary permit shall be made to the Department, in writing, on forms prescribed by the Department, and shall be accompanied by a non-refundable fee of $75.
(e) An applicant for temporary permit may be requested to appear before the Board to respond to questions concerning the applicant's qualifications to receive the permit. An applicant's refusal to appear before the Board of Nursing may be grounds for denial of the application by the Department.
(f) The Secretary may summarily cancel any temporary permit issued pursuant to this Section, without a hearing, if the Secretary finds that evidence in his or her possession indicates that a permit holder's continuation in practice would constitute an imminent danger to the public or violate any provision of this Act or its rules.
If the Secretary summarily cancels a temporary permit issued pursuant to this Section or Act, the permit holder may petition the Department for a hearing in accordance with the provisions of Section 70-125 of this Act to restore his or her permit, unless the permit holder has exceeded his or her renewal limit.
(g) In addition to terminating any temporary permit issued pursuant to this Section or Act, the Department may issue a monetary penalty not to exceed $10,000 upon the temporary permit holder and may notify any state in which the temporary permit holder has been issued a permit that his or her Illinois permit has been terminated and the reasons for the termination. The monetary penalty shall be paid within 60 days after the effective date of the order imposing the penalty. The order shall constitute a judgment and may be filed, and execution had thereon in the same manner as any judgment from any court of record. It is the intent of the General Assembly that a permit issued pursuant to this Section shall be considered a privilege and not a property right.
(h) While working in Illinois, all temporary permit holders are subject to all statutory and regulatory requirements of this Act in the same manner as a licensee. Failure to adhere to all statutory and regulatory requirements may result in revocation or other discipline of the temporary permit.
(i) If the Department becomes aware of a violation occurring at the licensed hospital, medical office, clinic, or other medical facility, or via telehealth service, the Department shall notify the Department of Public Health.
(j) The Department may adopt emergency rules pursuant to this Section. The General Assembly finds that the adoption of rules to implement a temporary permit for health care services is deemed an emergency and necessary for the public interest, safety, and welfare.

(Source: P.A. 102-1117, eff. 1-13-23.)
 
(225 ILCS 65/65-15)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-15. Expiration of APRN license; renewal.
(a) The expiration date and renewal period for each advanced practice registered nurse license issued under this Act shall be set by rule. The holder of a license may renew the license during the month preceding the expiration date of the license by paying the required fee. It is the responsibility of the licensee to notify the Department in writing of a change of address.
(b) On and after May 30, 2020, except as provided in subsections (c) and (d) of this Section, each advanced practice registered nurse is required to show proof of continued, current national certification in the specialty.
(c) An advanced practice registered nurse who does not meet the educational requirements necessary to obtain national certification but has continuously held an unencumbered license under this Act since 2001 shall not be required to show proof of national certification in the specialty to renew his or her advanced practice registered nurse license.
(d) The Department may renew the license of an advanced practice registered nurse who applies for renewal of his or her license on or before May 30, 2016 and is unable to provide proof of continued, current national certification in the specialty but complies with all other renewal requirements.
(e) Any advanced practice registered nurse license renewed on and after May 31, 2016 based on the changes made to this Section by this amendatory Act of the 99th General Assembly shall be retroactive to the expiration date.
(Source: P.A. 99-505, eff. 5-27-16; 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-20)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-20. Restoration of APRN license; temporary permit.
(a) Any license issued under this Act that has expired or that is on inactive status may be restored by making application to the Department and filing proof of fitness acceptable to the Department as specified by rule to have the license restored and by paying the required restoration fee. Such proof of fitness may include evidence certifying active lawful practice in another jurisdiction.
(b) A licensee seeking restoration of a license after it has expired or been placed on inactive status for more than 5 years shall file an application, on forms supplied by the Department, and submit the restoration or renewal fees set forth by the Department. The licensee shall also submit proof of fitness to practice as specified by rule.
(c) Any advanced practice registered nurse license issued under this Act that expired while the licensee was (1) in federal service on active duty with the Armed Forces of the United States or in the State Militia called into service or training or (2) in training or education under the supervision of the United States preliminary to induction into the military service may have the license restored without paying any lapsed renewal fees if, within 2 years after honorable termination of such service, training, or education, the applicant furnishes the Department with satisfactory evidence to the effect that the applicant has been so engaged and that the individual's service, training, or education has been so terminated.
(d) Any licensee who engages in the practice of advanced practice registered nursing with a lapsed license or while on inactive status shall be considered to be practicing without a license, which shall be grounds for discipline under Section 70-5 of this Act.
(e) Pending restoration of an advanced practice registered nurse license under this Section, the Department may grant an applicant a temporary permit to practice as an advanced practice registered nurse if the Department is satisfied that the applicant holds an active, unencumbered license in good standing in another jurisdiction. If the applicant holds more than one current, active license or one or more active temporary licenses from another jurisdiction, the Department shall not issue a temporary permit until it is satisfied that each current active license held by the applicant is unencumbered. The temporary permit, which shall be issued no later than 14 working days after receipt by the Department of an application for the permit, shall be granted upon the submission of all of the following to the Department:
(f) The Department may refuse to issue to an applicant a temporary permit authorized under this Section if, within 14 working days after its receipt of an application for a temporary permit, the Department determines that:
(g) The Department may revoke a temporary permit issued under this Section if:
(h) A temporary permit or renewed temporary permit shall expire (i) upon issuance of an Illinois license or (ii) upon notification that the Department intends to deny restoration of licensure. Except as otherwise provided in this Section, a temporary permit shall expire 6 months from the date of issuance. Further renewal may be granted by the Department in hardship cases that shall automatically expire upon issuance of the Illinois license or upon notification that the Department intends to deny licensure, whichever occurs first. No extensions shall be granted beyond the 6-month period unless approved by the Secretary. Notification by the Department under this Section must be by certified or registered mail to the address of record or by email to the email address of record.

(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-25)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-25. Inactive status of a APRN license. Any advanced practice registered nurse who notifies the Department in writing on forms prescribed by the Department may elect to place his or her license on inactive status and shall, subject to rules of the Department, be excused from payment of renewal fees until notice is given to the Department in writing of his or her intent to restore the license.
Any advanced practice registered nurse requesting restoration from inactive status shall be required to pay the current renewal fee and shall be required to restore his or her license, as provided by rule of the Department.
Any advanced practice registered nurse whose license is on inactive status shall not practice advanced practice registered nursing, as defined by this Act in the State of Illinois.

(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-30)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-30. APRN scope of practice.
(a) Advanced practice registered nursing by certified nurse practitioners, certified nurse anesthetists, certified nurse midwives, or clinical nurse specialists is based on knowledge and skills acquired throughout an advanced practice registered nurse's nursing education, training, and experience.
(b) Practice as an advanced practice registered nurse means a scope of nursing practice, with or without compensation, and includes the registered nurse scope of practice.
(c) The scope of practice of an advanced practice registered nurse includes, but is not limited to, each of the following:
(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-35)
(was 225 ILCS 65/15-15)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-35. Written collaborative
agreements.
(a) A written collaborative agreement is required for all advanced practice registered nurses engaged in clinical practice prior to meeting the requirements of Section 65-43, except for advanced practice registered nurses who are privileged to practice in a hospital, hospital affiliate, or ambulatory surgical treatment center.
(a-5) If an advanced practice registered nurse engages in clinical practice outside of a hospital, hospital affiliate, or ambulatory surgical treatment center in which he or she is privileged to practice, the advanced practice registered nurse must have a written collaborative agreement, except as set forth in Section 65-43.
(b) A written collaborative
agreement shall describe the relationship of the
advanced practice registered nurse with the collaborating
physician and shall describe the categories of
care, treatment, or procedures to be provided by the advanced
practice registered nurse. A collaborative agreement with a podiatric physician must be in accordance with subsection (c-5) or (c-15) of this Section. A collaborative agreement with a dentist must be in accordance with subsection (c-10) of this Section. A collaborative agreement with a podiatric physician must be in accordance with subsection (c-5) of this Section. Collaboration does not require an
employment relationship between the collaborating physician
and the advanced practice registered nurse.
The collaborative
relationship under an agreement shall not be
construed to require the personal presence of a collaborating physician at the place where services are rendered.
Methods of communication shall
be available for consultation with the collaborating
physician in person or by telecommunications or electronic communications as set forth in the written
agreement.
(b-5) Absent an employment relationship, a written collaborative agreement may not (1) restrict the categories of patients of an advanced practice registered nurse within the scope of the advanced practice registered nurses training and experience, (2) limit third party payors or government health programs, such as the medical assistance program or Medicare with which the advanced practice registered nurse contracts, or (3) limit the geographic area or practice location of the advanced practice registered nurse in this State.
(c)
In the case of anesthesia services provided by a certified registered nurse anesthetist, an anesthesiologist, a physician, a dentist, or a podiatric physician must participate through discussion of and agreement with the anesthesia plan and remain physically present and available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions.
(c-5) A certified registered nurse anesthetist, who provides anesthesia services outside of a hospital or ambulatory surgical treatment center shall enter into a written collaborative agreement with an anesthesiologist or the physician licensed to practice medicine in all its branches or the podiatric physician performing the procedure. Outside of a hospital or ambulatory surgical treatment center, the certified registered nurse anesthetist may provide only those services that the collaborating podiatric physician is authorized to provide pursuant to the Podiatric Medical Practice Act of 1987 and rules adopted thereunder. A certified registered nurse anesthetist may select, order, and administer medication, including controlled substances, and apply appropriate medical devices for delivery of anesthesia services under the anesthesia plan agreed with by the anesthesiologist or the operating physician or operating podiatric physician.
(c-10) A certified registered nurse anesthetist who provides anesthesia services in a dental office shall enter into a written collaborative agreement with an anesthesiologist or the physician licensed to practice medicine in all its branches or the operating dentist performing the procedure. The agreement shall describe the working relationship of the certified registered nurse anesthetist and dentist and shall authorize the categories of care, treatment, or procedures to be performed by the certified registered nurse anesthetist. In a collaborating dentist's office, the certified registered nurse anesthetist may only provide those services that the operating dentist with the appropriate permit is authorized to provide pursuant to the Illinois Dental Practice Act and rules adopted thereunder. For anesthesia services, an anesthesiologist, physician, or operating dentist shall participate through discussion of and agreement with the anesthesia plan and shall remain physically present and be available on the premises during the delivery of anesthesia services for diagnosis, consultation, and treatment of emergency medical conditions. A certified registered nurse anesthetist may select, order, and administer medication, including controlled substances, and apply appropriate medical devices for delivery of anesthesia services under the anesthesia plan agreed with by the operating dentist.
(c-15) An advanced practice registered nurse who had a written collaborative agreement with a podiatric physician immediately before the effective date of Public Act 100-513 may continue in that collaborative relationship or enter into a new written collaborative relationship with a podiatric physician under the requirements of this Section and Section 65-40, as those Sections existed immediately before the amendment of those Sections by Public Act 100-513 with regard to a written collaborative agreement between an advanced practice registered nurse and a podiatric physician.
(d) A copy of the signed, written collaborative agreement must be available
to the Department upon request from both the advanced practice registered nurse
and the collaborating physician, dentist, or podiatric physician.
(e) Nothing in this Act shall be construed to limit the delegation of tasks or duties by a physician to a licensed practical nurse, a registered professional nurse, or other persons in accordance with Section 54.2 of the Medical Practice Act of 1987. Nothing in this Act shall be construed to limit the method of delegation that may be authorized by any means, including, but not limited to, oral, written, electronic, standing orders, protocols, guidelines, or verbal orders.
(e-5) Nothing in this Act shall be construed to authorize an advanced practice registered nurse to provide health care services required by law or rule to be performed by a physician. The scope of practice of an advanced practice registered nurse does not include operative surgery. Nothing in this Section shall be construed to preclude an advanced practice registered nurse from assisting in surgery.
(f) An advanced
practice registered nurse shall inform each collaborating physician, dentist, or podiatric physician of all collaborative
agreements he or she
has signed and provide a copy of these to any collaborating physician, dentist, or podiatric physician upon
request.
(g) (Blank).
(Source: P.A. 100-513, eff. 1-1-18; 100-577, eff. 1-26-18; 100-1096, eff. 8-26-18; 101-13, eff. 6-12-19.)
 
(225 ILCS 65/65-35.1)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-35.1. Written collaborative agreement; temporary practice. Any advanced practice registered nurse required to enter into a written collaborative agreement with a collaborating physician is authorized to continue to practice for up to 90 days after the termination of a collaborative agreement provided the advanced practice registered nurse seeks any needed collaboration at a local hospital and refers patients who require services beyond the training and experience of the advanced practice registered nurse to a physician or other health care provider.

(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-40)
(was 225 ILCS 65/15-20)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-40. Written collaborative agreement; prescriptive authority.
(a) A collaborating
physician may, but is not required to, delegate
prescriptive authority to an advanced practice registered
nurse as part of a written collaborative agreement. This authority may, but is
not required to, include
prescription of, selection of, orders for, administration of, storage of, acceptance of samples of, and dispensing over the counter medications, legend drugs, medical gases, and controlled
substances categorized as
any Schedule III through V controlled substances, as defined in Article II of the
Illinois Controlled Substances Act, and other preparations, including, but not limited to, botanical and herbal remedies. The collaborating physician must have a valid current Illinois controlled substance license and federal registration to delegate authority to prescribe delegated controlled substances.
(b) To prescribe controlled
substances under this Section, an advanced practice registered
nurse must obtain a mid-level practitioner controlled substance license.
Medication orders shall be
reviewed
periodically by the collaborating physician.
(c) The collaborating physician shall file with the
Department and the Prescription Monitoring Program notice of delegation of prescriptive authority
and
termination of such delegation, in accordance with rules of the Department.
Upon receipt of this notice delegating authority to prescribe any Schedule III through V controlled substances, the licensed advanced practice registered nurse shall be
eligible to register for a mid-level practitioner controlled substance license
under Section 303.05 of the Illinois Controlled Substances Act.
(d) In addition to the requirements of subsections (a), (b), and (c) of this Section, a collaborating physician may, but is not required to, delegate authority to an advanced practice registered nurse to prescribe any Schedule II controlled substances, if all of the following conditions apply:
(e) Nothing in this Act shall be construed to limit the delegation of tasks
or duties by a physician to a licensed practical nurse, a registered
professional nurse, or other persons. Nothing in this Act shall be construed to limit the method of delegation that may be authorized by any means, including, but not limited to, oral, written, electronic, standing orders, protocols, guidelines, or verbal orders.
(f) Nothing in this Section shall be construed to apply to any medication authority including Schedule II controlled substances of an advanced practice registered nurse for care provided in a hospital, hospital affiliate, or ambulatory surgical treatment center pursuant to Section 65-45.
(g) (Blank).
(h) Nothing in this Section shall be construed to prohibit generic substitution.
(i) Nothing in this Section shall be construed to apply to an advanced practice registered nurse who meets the requirements of Section 65-43.
(Source: P.A. 100-513, eff. 1-1-18; 101-81, eff. 7-12-19.)
 
(225 ILCS 65/65-43)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-43. Full practice authority.
(a) An Illinois-licensed advanced practice registered nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist shall be deemed by law to possess the ability to practice without a written collaborative agreement as set forth in this Section.
(b) An advanced practice registered nurse certified as a nurse midwife, clinical nurse specialist, or nurse practitioner who files with the Department a notarized attestation of completion of at least 250 hours of continuing education or training and at least 4,000 hours of clinical experience after first attaining national certification shall not require a written collaborative agreement. Documentation of successful completion shall be provided to the Department upon request.
Continuing education or training hours required by subsection (b) shall be in the advanced practice registered nurse's area of certification as set forth by Department rule.
The clinical experience must be in the advanced practice registered nurse's area of certification. The clinical experience shall be in collaboration with a physician or physicians. Completion of the clinical experience must be attested to by the collaborating physician or physicians or employer and the advanced practice registered nurse. If the collaborating physician or physicians or employer is unable to attest to the completion of the clinical experience, the Department may accept other evidence of clinical experience as established by rule.
(c) The scope of practice of an advanced practice registered nurse with full practice authority includes:
The scope of practice of an advanced practice registered nurse does not include operative surgery. Nothing in this Section shall be construed to preclude an advanced practice registered nurse from assisting in surgery.
(d) The Department may adopt rules necessary to administer this Section, including, but not limited to, requiring the completion of forms and the payment of fees.
(e) Nothing in this Act shall be construed to authorize an advanced practice registered nurse with full practice authority to provide health care services required by law or rule to be performed by a physician.

(Source: P.A. 101-13, eff. 6-12-19; 102-75, eff. 1-1-22.)
 
(225 ILCS 65/65-45)
(was 225 ILCS 65/15-25)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-45. Advanced practice registered nursing in hospitals, hospital affiliates, or ambulatory surgical treatment centers.
(a) An advanced practice registered nurse may provide
services in a hospital or a hospital affiliate as those terms are defined in the Hospital Licensing Act or the University of Illinois Hospital Act or a licensed ambulatory surgical
treatment center without a written collaborative agreement pursuant to Section 65-35 of this Act. An advanced practice registered nurse must possess clinical privileges recommended by the hospital medical staff and granted by the hospital or the consulting medical staff committee and ambulatory surgical treatment center in order to provide services. The medical staff or consulting medical staff committee shall periodically review the services of all advanced practice registered nurses granted clinical privileges, including any care provided in a hospital affiliate. Authority may also be granted when recommended by the hospital medical staff and granted by the hospital or recommended by the consulting medical staff committee and ambulatory surgical treatment center to individual advanced practice registered nurses to select, order, and administer medications, including controlled substances, to provide delineated care. In a hospital, hospital affiliate, or ambulatory surgical treatment center, the attending physician shall determine an advanced practice registered nurse's role in providing care for his or her patients, except as otherwise provided in the medical staff bylaws or consulting committee policies.
(a-2) An advanced practice registered nurse privileged to order medications, including controlled substances, may complete discharge prescriptions provided the prescription is in the name of the advanced practice registered nurse and the attending or discharging physician.
(a-3) Advanced practice registered nurses practicing in a hospital or an ambulatory surgical treatment center are not required to obtain a mid-level controlled substance license to order controlled substances under Section 303.05 of the Illinois Controlled Substances Act.
(a-4) An advanced practice registered nurse meeting the requirements of Section 65-43 may be privileged to complete discharge orders and prescriptions under the advanced practice registered nurse's name.
(a-5) For
anesthesia services provided by a certified registered nurse anesthetist, an anesthesiologist,
physician, dentist,
or podiatric physician shall participate through discussion of and agreement with the
anesthesia plan and shall
remain
physically present
and be available on the premises during the delivery of anesthesia services for
diagnosis, consultation, and treatment of
emergency medical conditions, unless hospital policy adopted pursuant to
clause (B) of subdivision (3) of Section 10.7 of the Hospital Licensing Act
or ambulatory surgical treatment center policy adopted pursuant to
clause (B) of subdivision (3) of Section 6.5 of the Ambulatory Surgical
Treatment Center Act
provides otherwise. A certified registered nurse anesthetist may select, order, and administer medication for anesthesia services under the anesthesia plan agreed to by the anesthesiologist or the physician, in accordance with hospital alternative policy or the medical staff consulting committee policies of a licensed ambulatory surgical treatment center.
(b) An advanced practice registered nurse who provides
services in a hospital shall do so in accordance with Section 10.7 of the
Hospital
Licensing Act and, in an
ambulatory surgical treatment center, in accordance with Section 6.5 of the
Ambulatory
Surgical Treatment Center Act. Nothing in this Act shall be construed to require an advanced practice registered nurse to have a collaborative agreement to practice in a hospital, hospital affiliate, or ambulatory surgical treatment center.
(c) Advanced practice registered nurses certified as nurse practitioners, nurse midwives, or clinical nurse specialists practicing in a hospital affiliate may be, but are not required to be, privileged to prescribe Schedule II through V controlled substances when such authority is recommended by the appropriate physician committee of the hospital affiliate and granted by the hospital affiliate. This authority may, but is not required to, include prescription of, selection of, orders for, administration of, storage of, acceptance of samples of, and dispensing over-the-counter medications, legend drugs, medical gases, and controlled substances categorized as Schedule II through V controlled substances, as defined in Article II of the Illinois Controlled Substances Act, and other preparations, including, but not limited to, botanical and herbal remedies.
To prescribe controlled substances under this subsection (c), an advanced practice registered nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist must obtain a controlled substance license. Medication orders shall be reviewed periodically by the appropriate hospital affiliate physicians committee or its physician designee.
The hospital affiliate shall file with the Department notice of a grant of prescriptive authority consistent with this subsection (c) and termination of such a grant of authority, in accordance with rules of the Department. Upon receipt of this notice of grant of authority to prescribe any Schedule II through V controlled substances, the licensed advanced practice registered nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist may register for a mid-level practitioner controlled substance license under Section 303.05 of the Illinois Controlled Substances Act.
In addition, a hospital affiliate may, but is not required to, privilege an advanced practice registered nurse certified as a nurse practitioner, nurse midwife, or clinical nurse specialist to prescribe any Schedule II controlled substances, if all of the following conditions apply:
(d) An advanced practice registered nurse meeting the requirements of Section 65-43 may be privileged to prescribe controlled substances categorized as Schedule II through V in accordance with Section 65-43.
(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-50)
(was 225 ILCS 65/15-30)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-50. APRN title.
(a) No person shall use any words, abbreviations, figures,
letters, title, sign, card, or device tending to imply that
he or she is an advanced practice registered nurse, including,
but not limited to, using the titles or initials "Advanced Practice Registered Nurse", "Advanced
Practice Registered Nurse", "Certified Nurse Midwife", "Certified Nurse Practitioner",
"Certified Registered Nurse Anesthetist", "Clinical Nurse Specialist", "A.P.R.N.", "C.N.M.", "C.N.P.",
"C.R.N.A.", "C.N.S.", or similar titles or initials, with the
intention of indicating practice as an advanced practice registered
nurse without meeting the requirements of this
Act. For purposes of this provision, the terms "advanced practice nurse" and "A.P.N." are considered to be similar titles or initials protected by this subsection (a). No advanced practice registered nurse licensed under this Act may use the title "doctor" or "physician" in paid or approved advertising. Any advertising must contain the appropriate advanced practice registered nurse credentials.
(b) No advanced practice registered nurse shall indicate to other persons that he or she is qualified to engage in the practice of medicine.
(c) An advanced practice registered nurse shall verbally
identify himself or herself as an advanced practice registered
nurse, including specialty certification, to each
patient. If an advanced practice registered nurse has a doctorate degree, when identifying himself or herself as "doctor" in a clinical setting, the advanced practice registered nurse must clearly state that his or her educational preparation is not in medicine and that he or she is not a medical doctor or physician.
(d) Nothing in this Act shall be construed to relieve

an advanced practice registered nurse of the
professional or legal responsibility for the care and
treatment of persons attended by him or her.

(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-55)
(was 225 ILCS 65/15-40)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-55. Advertising as an APRN.
(a) A person licensed under this Act as an advanced practice registered nurse

may advertise the availability of professional services in
the public media or on the premises where the professional
services are rendered. The advertising shall be limited to
the following information:
(b) It is unlawful for a person licensed under this Act to use claims of superior quality of
care to entice the public. It shall be unlawful to advertise
fee comparisons of available services with those of other
licensed persons.
(c) This Article does not authorize the advertising of
professional services that the offeror of the services is
not licensed or authorized to render. Nor shall the
advertiser use statements that contain false, fraudulent,
deceptive, or misleading material or guarantees of success,
statements that play upon the vanity or fears of the public,
or statements that promote or produce unfair competition.
(d) It is unlawful and punishable under the penalty
provisions of this Act for a person licensed under this Article to
knowingly advertise that the licensee will accept as payment
for services rendered by assignment from any third party
payor the amount the third party payor covers as payment in
full, if the effect is to give the impression of eliminating
the need of payment by the patient of any required deductible
or copayment applicable in the patient's health benefit plan.
(e) A licensee shall include in every advertisement for services
regulated under this Act his or her title as it appears on the license or the
initials authorized under this Act.
(f) As used in this Section, "advertise" means
solicitation by the licensee or through another person or entity by means of
handbills, posters, circulars, motion pictures, radio,
newspapers, or television or any other manner.

(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-60)
(was 225 ILCS 65/15-45)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-60. Continuing education. The Department shall
adopt rules of continuing education for persons licensed
under this Article as advanced practice registered nurses that require 80 hours of
continuing education per 2-year license renewal cycle. Completion of the 80 hours of continuing education shall be deemed to satisfy the continuing education requirements for renewal of a registered professional nurse license as required by this Act.
The 80 hours of continuing education required under this Section shall be completed as follows:
The rules adopted regarding continuing education shall be consistent to the extent possible with requirements of relevant national certifying bodies or State or national professional associations.
The
rules shall not be inconsistent with requirements of relevant national
certifying bodies or
State or national professional associations.
The rules shall also address variances in part or in whole for good
cause, including but not limited to illness or
hardship.
The continuing education rules shall assure that licensees are given the
opportunity to participate in programs sponsored by or
through their State or national professional associations, hospitals,
or other providers of continuing education. Each licensee is
responsible
for maintaining records of completion of continuing education
and shall be prepared to produce the records when requested
by the Department.

(Source: P.A. 100-513, eff. 1-1-18.)
 
(225 ILCS 65/65-65)
(was 225 ILCS 65/15-55)
(Section scheduled to be repealed on January 1, 2028)
Sec. 65-65. Reports relating to APRN professional conduct and
capacity.
(a) Entities Required to Report.
(b) Mandatory Reporting. All reports required under items
(16) and (17) of subsection (a) of Section 70-5 shall
be submitted to
the
Board in a timely fashion. The reports shall be filed in writing
within
60 days after a determination that a report is required
under this Article. All reports shall contain the following
information:
Nothing contained in this Section shall be construed
to in any way waive or modify the confidentiality of
medical reports and committee reports to the extent
provided by law. Any information reported or disclosed
shall be kept for the confidential use of the Board,
the Board's attorneys, the investigative staff, and
authorized clerical staff and shall be afforded the
same status as is provided information concerning medical
studies in Part 21 of Article VIII of the Code of Civil
Procedure.
(c) Immunity from Prosecution. An individual or
organization acting in good faith, and not in a willful and
wanton manner, in complying with this Section by providing
a report or other information to the Board, by
assisting in the investigation or preparation of a report or
information, by participating in proceedings of the
Board, or by serving as a member of the Board shall not, as
a result of such actions, be subject to criminal prosecution
or civil damages.
(d) Indemnification. Members of the Board, the

Board's attorneys, the investigative staff, advanced
practice registered nurses or physicians retained under
contract to assist and advise in the investigation, and
authorized clerical staff shall be indemnified by the State
for any actions (i) occurring within the scope of services on the
Board, (ii) performed in good faith, and (iii) not willful and wanton in
nature. The Attorney General shall defend all actions taken against those
persons
unless he or she determines either that there would be a
conflict of interest in the representation or that the
actions complained of were not performed in good faith or were willful
and wanton in nature. If the Attorney General declines
representation, the member shall have the right to employ
counsel of his or her choice, whose fees shall be provided by
the State, after approval by the Attorney General, unless
there is a determination by a court that the member's actions
were not performed in good faith or were willful and wanton in nature. The
member
shall notify the Attorney General within 7 days of receipt of
notice of the initiation of an action involving services of
the Board. Failure to so notify the Attorney General
shall constitute an absolute waiver of the right to a defense
and indemnification. The Attorney General shall determine
within 7 days after receiving the notice whether he or she
will undertake to represent the member.
(e) Deliberations of Board. Upon the receipt of a
report called for by this Section, other than those reports
of impaired persons licensed under this Article

required
pursuant to the rules of the Board, the Board shall
notify in writing by certified or registered mail or by email to the email address of record the person who is the
subject of the report. The notification shall be made
within 30 days of receipt by the Board of the report.
The notification shall include a written notice setting forth
the person's right to examine the report. Included in the
notification shall be the address at which the file is
maintained, the name of the custodian of the reports, and the
telephone number at which the custodian may be reached. The
person who is the subject of the report shall submit a
written statement responding to, clarifying, adding to, or
proposing to amend the report previously filed. The
statement shall become a permanent part of the file and shall
be received by the Board no more than 30 days after the
date on which the person was notified of the existence of the
original report. The
Board shall review all reports
received by it and any supporting information and
responding statements submitted by persons who are the
subject of reports. The review by the
Board shall be in
a timely manner but in no event shall the
Board's
initial review of the material contained in each disciplinary
file be less than 61 days nor more than 180 days after the
receipt of the initial report by the Board. When the
Board makes its initial review of the materials
contained within its disciplinary files, the Board
shall, in writing, make a determination as to whether there
are sufficient facts to warrant further investigation or
action. Failure to make that determination within the time
provided shall be deemed to be a determination that there are
not sufficient facts to warrant further investigation or
action. Should the Board find that there are not
sufficient facts to warrant further investigation or action,
the report shall be accepted for filing and the matter shall
be deemed closed and so reported. The individual or entity
filing the original report or complaint and the person who is
the subject of the report or complaint shall be notified in
writing by the
Board of any final action on their report
or complaint.
(f) (Blank).
(g) Any violation of this Section shall constitute a Class A
misdemeanor.
(h) If a person violates the provisions of this
Section, an action may be brought in the name of the People of
the State of Illinois, through the Attorney General of the
State of Illinois, for an order enjoining the violation or
for an order enforcing compliance with this Section. Upon
filing of a petition in court, the court may
issue a temporary restraining order without notice or bond
and may preliminarily or permanently enjoin the violation,
and if it is established that the person has violated or is
violating the injunction, the court may punish the offender
for contempt of court. Proceedings under this subsection
shall be in addition to, and not in lieu of, all other
remedies and penalties provided for by this Section.
(i) The Department may adopt rules to implement the changes made by this amendatory Act of the 102nd General Assembly.
(Source: P.A. 102-1117, eff. 1-13-23.)

Structure Illinois Compiled Statutes