2005 Illinois Code - Chapter 225 Professions And Occupations 225 ILCS 95/      Physician Assistant Practice Act of 1987.

    (225 ILCS 95/1) (from Ch. 111, par. 4601)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 1. The practice as a physician assistant in the State of Illinois is hereby declared to affect the public health, safety and welfare and to be subject to regulation and control in the public interest. The purpose and legislative intent of this Act is to encourage and promote the more effective utilization of the skills of physicians by enabling them to delegate certain health tasks to physician assistants where such delegation is consistent with the health and welfare of the patient and is conducted at the direction of and under the responsible supervision of the physician.
    It is further declared to be a matter of public health and concern that the practice as a physician assistant, as defined in this Act, merit and receive the confidence of the public, that only qualified persons be authorized to practice as a physician assistant in the State of Illinois. This Act shall be liberally construed to best carry out these subjects and purposes.
(Source: P.A. 85‑981.)

    (225 ILCS 95/2) (from Ch. 111, par. 4602)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 2. This Article shall be known and may be cited as the "Physician Assistant Practice Act of 1987".
(Source: P.A. 85‑981.)

    (225 ILCS 95/3) (from Ch. 111, par. 4603)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 3. Administrative Procedure Act. The Illinois Administrative Procedure Act is hereby expressly adopted and incorporated herein as if all of the provisions of that Act were included in this Act, except that the provision of subsection (d) of Section 10‑65 of the Illinois Administrative Procedure Act that provides that at hearings the licensee has the right to show compliance with all lawful requirements for retention, continuation or renewal of the license is specifically excluded. For the purposes of this Act the notice required under Section 10‑25 of the Administrative Procedure Act is deemed sufficient when mailed to the last known address of a party. The Director may promulgate rules for the administration and enforcement of this Act and may prescribe forms to be issued in connection with this Act.
(Source: P.A. 88‑45.)

    (225 ILCS 95/4) (from Ch. 111, par. 4604)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 4. In this Act:
    1. "Department" means the Department of Professional Regulation.
    2. "Director" means the Director of Professional Regulation.
    3. "Physician assistant" means any person not a physician who has been certified as a physician assistant by the National Commission on the Certification of Physician Assistants or equivalent successor agency and performs procedures under the supervision of a physician as defined in this Act. A physician assistant may perform such procedures within the specialty of the supervising physician, except that such physician shall exercise such direction, supervision and control over such physician assistants as will assure that patients shall receive quality medical care. Physician assistants shall be capable of performing a variety of tasks within the specialty of medical care under the supervision of a physician. Supervision of the physician assistant shall not be construed to necessarily require the personal presence of the supervising physician at all times at the place where services are rendered, as long as there is communication available for consultation by radio, telephone or telecommunications within established guidelines as determined by the physician/physician assistant team. The supervising physician may delegate tasks and duties to the physician assistant. Delegated tasks or duties shall be consistent with physician assistant education, training, and experience. The delegated tasks or duties shall be specific to the practice setting and shall be implemented and reviewed under guidelines established by the physician or physician/physician assistant team. A physician assistant, acting as an agent of the physician, shall be permitted to transmit the supervising physician's orders as determined by the institution's by‑laws, policies, procedures, or job description within which the physician/physician assistant team practices. Physician assistants shall practice only within the established guidelines.
    4. "Board" means the Medical Licensing Board constituted under the Medical Practice Act of 1987.
    5. "Disciplinary Board" means the Medical Disciplinary Board constituted under the Medical Practice Act of 1987.
    6. "Physician" means, for purposes of this Act, a person licensed to practice medicine in all its branches under the Medical Practice Act of 1987.
    7. "Supervising Physician" means, for the purposes of this Act, the primary supervising physician of a physician assistant, who, within his specialty and expertise may delegate a variety of tasks and procedures to the physician assistant. Such tasks and procedures shall be delegated within established guidelines. The supervising physician maintains the final responsibility for the care of the patient and the performance of the physician assistant.
    8. "Alternate supervising physician" means, for the purpose of this Act any physician designated by the supervising physician to provide supervision in the event that he is unable to provide that supervision for a period not to exceed 30 days unless the Department is notified in writing. The alternate supervising physicians shall maintain all the same responsibilities as the supervising physician. Nothing in this Act shall be construed as relieving any physician of the professional or legal responsibility for the care and treatment of persons attended by him or by physician assistants under his supervision. Nothing in this Act shall be construed as to limit the reasonable number of alternate supervising physicians, provided they are designated by the supervising physician.
(Source: P.A. 89‑361, eff. 8‑17‑95.)

    (225 ILCS 95/5) (from Ch. 111, par. 4605)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 5. This Act does not prohibit:
    1. Any person licensed in this State under any other Act from engaging in the practice for which he is licensed;
    2. The practice as a physician assistant by a person who is employed by the United States government or any bureau, division or agency thereof while in the discharge of the employee's official duties;
    3. The practice as a physician assistant which is included in their program of study by students enrolled in schools or in refresher courses approved by the Department.
(Source: P.A. 85‑1209.)

    (225 ILCS 95/6) (from Ch. 111, par. 4606)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 6. Title; advertising billing.
    (a) No physician assistant shall use the title of doctor or associate with his or her name or any other term that would indicate to other persons that he or she is qualified to engage in the general practice of medicine.
    (b) 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.
    (c) A physician assistant shall not be allowed to bill patients or in any way to charge for services. Nothing in this Act, however, shall be so construed as to prevent the employer of a physician assistant from charging for services rendered by the physician assistant. Payment for services rendered by a physician assistant shall be made to his or her employer if the payor would have made payment had the services been provided by a physician licensed to practice medicine in all its branches.
    (d) The supervising physician shall file with the Department notice of employment, discharge, or supervisory control of a physician assistant at the time of employment, discharge, or assumption of supervisory control of a physician assistant.
(Source: P.A. 90‑61, eff. 12‑30‑97; 90‑116, eff. 7‑14‑97; 90‑655, eff. 7‑30‑98; 91‑310, eff. 1‑1‑00.)

    (225 ILCS 95/7) (from Ch. 111, par. 4607)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 7. Supervision requirements. No more than 2 physician assistants shall be supervised by the supervising physician, although a physician assistant shall be able to hold more than one professional position. Each supervising physician shall file a notice of supervision of such physician assistant according to the rules of the Department. However, the alternate supervising physician may supervise more than 2 physician assistants when the supervising physician is unable to provide such supervision consistent with the definition of alternate physician in Section 4.
    Physician assistants shall be supervised only by physicians as defined in this Act who are engaged in clinical practice, or in clinical practice in public health or other community health facilities.
    Nothing in this Act shall be construed to limit the delegation of tasks or duties by a physician to a nurse or other appropriately trained personnel.
    Nothing in this Act shall be construed to prohibit the employment of physician assistants by a hospital, nursing home or other health care facility where such physician assistants function under the supervision of a supervising physician.
    Physician assistants may be employed by the Department of Corrections or the Department of Human Services (as successor to the Department of Mental Health and Developmental Disabilities) for service in facilities maintained by such Departments and affiliated training facilities in programs conducted under the authority of the Director of Corrections or the Secretary of Human Services. Each physician assistant employed by the Department of Corrections or the Department of Human Services (as successor to the Department of Mental Health and Developmental Disabilities) shall be under the supervision of a physician engaged in clinical practice and direct patient care. Duties of each physician assistant employed by such Departments are limited to those within the scope of practice of the supervising physician who is fully responsible for all physician assistant activities.
    A physician assistant may be employed by a practice group or other entity employing multiple physicians at one or more locations. In that case, one of the physicians practicing at a location shall be designated the supervising physician. The other physicians with that practice group or other entity who practice in the same general type of practice or specialty as the supervising physician may supervise the physician assistant with respect to their patients without being deemed alternate supervising physicians for the purpose of this Act.
(Source: P.A. 93‑149, eff. 7‑10‑03.)

    (225 ILCS 95/7.5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 7.5. Prescriptions. A supervising physician may delegate limited prescriptive authority to a physician assistant. This authority may, but is not required to, include prescription and dispensing of legend drugs and legend controlled substances categorized as Schedule III, IV, or V controlled substances, as defined in Article II of the Illinois Controlled Substances Act, as delegated in the written guidelines required by this Act. To prescribe Schedule III, IV, or V controlled substances under this Section, a physician assistant must obtain a mid‑level practitioner controlled substances license. Medication orders issued by a physician assistant shall be reviewed periodically by the supervising physician. The supervising physician shall file with the Department notice of delegation of prescriptive authority to a physician assistant and termination of delegation, specifying the authority delegated or terminated. Upon receipt of this notice delegating authority to prescribe Schedule III, IV, or V controlled substances, the physician assistant shall be eligible to register for a mid‑level practitioner controlled substances license under Section 303.05 of the Illinois Controlled Substances Act. Nothing in this Act shall be construed to limit the delegation of tasks or duties by the supervising physician to a nurse or other appropriately trained personnel.
    The Department shall establish by rule the minimum requirements for written guidelines to be followed under this Section.
(Source: P.A. 90‑116, eff. 7‑14‑97; 90‑818, eff. 3‑23‑99.)

    (225 ILCS 95/8) (from Ch. 111, par. 4608)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 8. Notwithstanding any other provision of this Act, physician assistants may be employed by jail or prison health facilities under the jurisdiction of the "County Hospitals Governing Commission Act", approved April 25, 1969, as amended. The employing jail or prison health facility shall prepare written guidelines and procedures approved by the governing body provided that such guidelines and procedures are not in conflict with the rules of the Department adopted pursuant to the Physician Assistants Practice Act. Each physician assistant employed by a jail or prison health facility shall be under the supervision of a physician engaged in clinical practice and direct patient care. The duties of each physician assistant so employed are limited to those within the scope of practice of the supervising physician who is fully responsible for all physician assistant activities.
(Source: P.A. 85‑981.)

    (225 ILCS 95/9) (from Ch. 111, par. 4609)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 9. Application for licensure. Applications for original licenses shall be made to the Department in writing on forms prescribed by the Department and shall be accompanied by the required fee, which shall not be refundable. An application shall require information that in the judgment of the Department will enable the Department to pass on the qualifications of the applicant for a license. An application shall include evidence of passage of the examination of the National Commission on the Certification of Physician Assistants, or its successor agency, and proof that the applicant holds a valid certificate issued by that Commission.
    Applicants have 3 years from the date of application to complete the application process. If the process has not been completed in 3 years, the application shall be denied, the fee shall be forfeited, and the applicant must reapply and meet the requirements in effect at the time of reapplication.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/9.5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 9.5. Social Security Number on license application. In addition to any other information required to be contained in the application, every application for an original, renewal, or restored license under this Act shall include the applicant's Social Security Number.
(Source: P.A. 90‑144, eff. 7‑23‑97.)

    (225 ILCS 95/10) (from Ch. 111, par. 4610)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 10. Identification. No person shall use the title or perform the duties of "Physician assistant" unless he or she is a qualified holder of a license issued by the Department as provided in this Act. A physician assistant shall wear on his or her person a visible identification indicating that he or she is certified as a physician assistant while acting in the course of his or her duties.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/10.5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 10.5. Unlicensed practice; violation; civil penalty.
    (a) Any person who practices, offers to practice, attempts to practice, or holds oneself out to practice as a physician's assistant without being licensed under this Act shall, in addition to any other penalty provided by law, pay a civil penalty to the Department in an amount not to exceed $5,000 for each offense as determined by the Department. The civil penalty shall be assessed by the Department after a hearing is held in accordance with the provisions set forth in this Act regarding the provision of a hearing for the discipline of a licensee.
    (b) The Department has the authority and power to investigate any and all unlicensed activity.
    (c) The civil penalty shall be paid within 60 days after the effective date of the order imposing the civil 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.
(Source: P.A. 89‑474, eff. 6‑18‑96.)

    (225 ILCS 95/11) (from Ch. 111, par. 4611)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 11. Committee. There is established a physician assistant advisory committee to the Medical Licensing Board. The physician assistant advisory committee shall review and make recommendations to the Board regarding all matters relating to physician assistants. The physician assistant advisory committee shall be composed of 7 members. Three of the 7 members shall be physicians, 2 of whom shall be members of the Board and appointed to the advisory committee by the chairman. One physician, not a member of the Board, shall be a supervisor of a certified physician assistant and shall be approved by the Governor from a list of Illinois physicians supervising certified physician assistants. Three members shall be physician assistants, certified under the law and appointed by the Governor from a list of 10 names recommended by the Board of Directors of the Illinois Academy of Physician Assistants. One member, not employed or having any material interest in any health care field, shall be appointed by the Governor and represent the public. The chairman of the physician assistant advisory committee shall be a member elected by a majority vote of the physician assistant advisory committee unless already a member of the Board. The physician assistant advisory committee is required to meet and report to the Board as physician assistant issues arise. The terms of office of each of the original 7 members shall be at staggered intervals. One physician and one physician assistant shall serve for a 2 year term. One physician and one physician assistant shall serve a 3 year term. One physician, one physician assistant and the public member shall serve a 4 year term. Upon the expiration of the term of any member, his successor shall be appointed for a term of 4 years in the same manner as the initial appointment. No member shall serve more than 2 consecutive terms.
    The members of the physician assistant advisory committee shall be reimbursed for all authorized legitimate and necessary expenses incurred in attending the meetings of the committee.
    A majority of the physician assistant advisory committee members currently appointed shall constitute a quorum. A vacancy in the membership of the committee shall not impair the right of a quorum to perform all of the duties of the committee.
    Members of the physician assistant advisory committee shall have no liability for any action based upon a disciplinary proceeding or other activity performed in good faith as a member of the committee.
(Source: P.A. 90‑61, eff. 12‑30‑97; 91‑827, eff. 6‑13‑00.)

    (225 ILCS 95/12) (from Ch. 111, par. 4612)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 12. A person shall be qualified for licensure as a physician assistant if that person:
    1. Has applied in writing in form and substance satisfactory to the Department and has not violated any of the provisions of Section 21 of this Act or the rules promulgated hereunder. The Department may take into consideration any felony conviction of the applicant but such conviction shall not operate as an absolute bar to licensure; and
    2. Has successfully completed the examination provided by the National Commission on the Certification of Physician's Assistant or its successor agency.
(Source: P.A. 85‑981.)

    (225 ILCS 95/13) (from Ch. 111, par. 4613)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 13. Subject to the provisions of this Act, the Department shall:
    1. Promulgate rules approved by the Board setting forth standards to be met by a school or institution offering a course of training for physician assistants prior to approval of such school or institution.
    2. Promulgate rules approved by the Board setting forth uniform and reasonable standards of instruction to be met prior to approval of such course of institution for physician assistants.
    3. Determine the reputability and good standing of such schools or institutions and their course of instruction for physician assistants by reference to compliance with such rules, provided that no school of physician assistants that refuses admittance to applicants solely on account of race, color, sex, or creed shall be considered reputable and in good standing.
    No rule shall be adopted under this Act which allows a physician assistant to perform any act, task or function primarily performed in the lawful practice of optometry under the Illinois Optometric Practice Act of 1987.
(Source: P.A. 85‑1440.)

    (225 ILCS 95/14) (from Ch. 111, par. 4614)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 14. Issuance of license.
    (a) Upon the satisfactory completion of application and examination procedures and compliance with the applicable rules of the Department, the Department shall issue a physician assistant license to the qualifying applicant who holds a certificate issued by the National Commission on the Certification of Physician Assistants or equivalent successor agency.
    (b) Individuals who have successfully completed an approved physician assistant program as determined by rules of the Department, and who have made application to the Department and submitted evidence to the Department of admission to the certifying examination administered by the National Commission on the Certification of Physician Assistants, or its successor agency, shall be issued a temporary license that shall allow the applicant to practice until:
        (1) he or she receives certification from the
    
National Commission on the Certification of Physician Assistants or its successor agency; or
        (2) fifteen months have elapsed, whichever comes
    
first.
    Under no circumstances shall such applicant continue to practice on the temporary license after notification that he or she has failed the examination. Such authorization shall not be renewable.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/14.1)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 14.1. Fees.
    (a) The Department shall provide by rule for a schedule of fees to be paid for licenses by all applicants. All fees are not refundable.
    (b) Except as provided in subsection (c) below, the fees for the administration and enforcement of this Act, including but not limited to original licensure, renewal, and restoration, shall be set by rule.
    (c) All moneys collected under this Act by the Department shall be deposited in the Illinois State Medical Disciplinary Fund in the State Treasury and used (1) in the exercise of its powers and performance of its duties under this Act, as such use is made by the Department; (2) for costs directly related to license renewal of persons licensed under this Act; (3) for the costs incurred by the physician assistant advisory committee in the exercise of its powers and performance of its duties under this Act, as such use is made by the Department; and (4) for direct and allocable indirect costs related to the public purposes of the Department of Professional Regulation.
    All earnings received from investment of moneys in the Illinois State Medical Disciplinary Fund shall be deposited into the Illinois State Medical Disciplinary Fund and shall be used for the same purposes as fees deposited in the Fund.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/15) (from Ch. 111, par. 4615)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 15. An applicant may be approved as a physician assistant who has been licensed or approved in another state which has substantially the same requirements, and to whom the applicant applies and pays a fee determined by the Department.
(Source: P.A. 85‑981.)

    (225 ILCS 95/16) (from Ch. 111, par. 4616)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 16. Expiration; renewal. The expiration date and renewal period for each license issued under this Act shall be set by rule. Renewal shall be conditioned on paying the required fee and by meeting such other requirements as may be established by rule.
    Any physician assistant who has permitted his or her license to expire or who has had his or her license on inactive status may have the license restored by making application to the Department and filing proof acceptable to the Department of his or her fitness to have the license restored, and by paying the required fees. Proof of fitness may include sworn evidence certifying to active lawful practice in another jurisdiction.
    If the physician assistant has not maintained an active practice in another jurisdiction satisfactory to the Department, the Department shall determine, by an evaluation program established by rule, his or her fitness for restoration of the license and shall establish procedures and requirements for such restoration.
    However, any physician assistant whose license expired while he or she was (1) in federal service on active duty with the Armed Forces of the United States, or 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 he or she furnishes the Department with satisfactory evidence to the effect that he or she has been so engaged and that his or her service, training, or education has been so terminated.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/17) (from Ch. 111, par. 4617)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 17. Inactive status. Any physician assistant who notified the Department in writing on forms prescribed by the Department, may elect to place his or her license on an inactive status and shall, subject to rules of the Department, be excused from payment of renewal fees until he or she notifies the Department in writing of his or her intention to restore the license.
    Any physician assistant 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 in Section 16 of this Act.
    Any physician assistant whose license is in an inactive status shall not practice in the State of Illinois.
    Any licensee who shall engage in practice while his or her license is lapsed or on inactive status shall be considered to be practicing without a license, which shall be grounds for discipline under Section 21 of this Act.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/18) (from Ch. 111, par. 4618)
    Sec. 18. (Repealed).
(Source: P.A. 89‑204, eff. 1‑1‑96. Repealed by P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/19) (from Ch. 111, par. 4619)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 19. The Department shall maintain a roster of the names and addresses of all licensees and of all persons whose licenses have been suspended or revoked. This roster shall be available upon written request and payment of the required fee.
(Source: P.A. 85‑981.)

    (225 ILCS 95/20) (from Ch. 111, par. 4620)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 20. No corporation, which stated purpose includes, or which practices, or which holds itself out as available to practice as a physician assistant or to practice any of the functions described in Section 4 of this Act, shall be issued a license by the Department, nor shall the Secretary of State approve or accept articles of incorporation for such a corporation.
(Source: P.A. 85‑981.)

    (225 ILCS 95/21) (from Ch. 111, par. 4621)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 21. Grounds for disciplinary action.
    (a) The Department may refuse to issue or to renew, or may revoke, suspend, place on probation, censure or reprimand, or take other disciplinary action with regard to any license issued under this Act as the Department may deem proper, including the issuance of fines not to exceed $5000 for each violation, for any one or combination of the following causes:
        (1) Material misstatement in furnishing information
    
to the Department.
        (2) Violations of this Act, or the rules adopted
    
under this Act.
        (3) Conviction of any crime under the laws of any
    
U.S. jurisdiction that is a felony or that is a misdemeanor, an essential element of which is dishonesty, or of any crime which is directly related to the practice of the profession.
        (4) Making any misrepresentation for the purpose of
    
obtaining licenses.
        (5) Professional incompetence.
        (6) Aiding or assisting another person in violating
    
any provision of this Act or its rules.
        (7) Failing, within 60 days, to provide information
    
in response to a written request made by the Department.
        (8) Engaging in dishonorable, unethical, or
    
unprofessional conduct, as defined by rule, of a character likely to deceive, defraud, or harm the public.
        (9) Habitual or excessive use or addiction to
    
alcohol, narcotics, stimulants, or any other chemical agent or drug that results in a physician assistant's inability to practice with reasonable judgment, skill, or safety.
        (10) Discipline by another U.S. jurisdiction or
    
foreign nation, if at least one of the grounds for discipline is the same or substantially equivalent to those set forth in this Section.
        (11) Directly or indirectly giving to or receiving
    
from any person, firm, corporation, partnership, or association any fee, commission, rebate or other form of compensation for any professional services not actually or personally rendered.
        (12) A finding by the Disciplinary Board that the
    
licensee, after having his or her license placed on probationary status has violated the terms of probation.
        (13) Abandonment of a patient.
        (14) Willfully making or filing false records or
    
reports in his or her practice, including but not limited to false records filed with state agencies or departments.
        (15) Willfully failing to report an instance of
    
suspected child abuse or neglect as required by the Abused and Neglected Child Reporting Act.
        (16) Physical illness, including but not limited to
    
deterioration through the aging process, or loss of motor skill, mental illness, or disability that results in the inability to practice the profession with reasonable judgment, skill or safety.
        (17) 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 neglected child as defined in the Abused and Neglected Child Reporting Act.
        (18) Conviction in this State or another state of
    
any crime that is a felony under the laws of this State, or conviction of a felony in a federal court.
        (19) Gross malpractice resulting in permanent injury
    
or death of a patient.
        (20) Employment of fraud, deception or any unlawful
    
means in applying for or securing a license as a physician assistant.
        (21) Exceeding the authority delegated to him or her
    
by his or her supervising physician in guidelines established by the physician/physician assistant team.
        (22) Immoral conduct in the commission of any act,
    
such as sexual abuse, sexual misconduct or sexual exploitation related to the licensee's practice.
        (23) Violation of the Health Care Worker
    
Self‑Referral Act.
        (24) Practicing under a false or assumed name,
    
except as provided by law.
        (25) Making a false or misleading statement
    
regarding his or her skill or the efficacy or value of the medicine, treatment, or remedy prescribed by him or her in the course of treatment.
        (26) Allowing another person to use his or her
    
license to practice.
        (27) Prescribing, selling, administering,
    
distributing, giving, or self‑administering a drug classified as a controlled substance (designated product) or narcotic for other than medically‑accepted therapeutic purposes.
        (28) Promotion of the sale of drugs, devices,
    
appliances, or goods provided for a patient in a manner to exploit the patient for financial gain.
        (29) A pattern of practice or other behavior that
    
demonstrates incapacity or incompetence to practice under this Act.
        (30) Violating State or federal laws or regulations
    
relating to controlled substances.
        (31) Exceeding the limited prescriptive authority
    
delegated by the supervising physician or violating the written guidelines delegating that authority.
        (32) Practicing without providing to the Department
    
a notice of supervision or delegation of prescriptive authority.
    (b) The Department may refuse to issue or may suspend 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 the 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.
    (c) The determination by a circuit court that a licensee is subject to involuntary admission or judicial admission as provided in the Mental Health and Developmental Disabilities Code operates as an automatic suspension. The suspension will end only upon a finding by a court that the patient is no longer subject to involuntary admission or judicial admission and issues an order so finding and discharging the patient, and upon the recommendation of the Disciplinary Board to the Director that the licensee be allowed to resume his or her practice.
    (d) In enforcing this Section, the Department upon a showing of a possible violation may compel an individual licensed to practice under this Act, or who has applied for licensure under this Act, to submit to a mental or physical examination, or both, as required by and at the expense of the Department. The Department may order the examining physician to present testimony concerning the mental or physical examination of the licensee or applicant. No information shall be excluded by reason of any common law or statutory privilege relating to communications between the licensee or applicant and the examining physician. The examining physicians shall be specifically designated by the Department. 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 this examination. Failure of an individual to submit to a mental or physical examination, when directed, shall be grounds for suspension of his or her license until the individual submits to the examination if the Department finds, after notice and hearing, that the refusal to submit to the examination was without reasonable cause.
    If the Department finds an individual unable to practice because of the reasons set forth in this Section, the Department may require that individual to submit to care, counseling, or treatment by physicians approved or designated by the Department, as a condition, term, or restriction for continued, reinstated, or renewed licensure to practice; or, in lieu of care, counseling, or treatment, the Department may file a complaint to immediately suspend, revoke, or otherwise discipline the license of the individual. An individual whose license was granted, continued, reinstated, renewed, disciplined, or supervised subject to such terms, conditions, or restrictions, and who fails to comply with such terms, conditions, or restrictions, shall be referred to the Director for a determination as to whether the individual shall have his or her license suspended immediately, pending a hearing by the Department.
    In instances in which the Director immediately suspends a person's license under this Section, a hearing on that person's license must be convened by the Department within 15 days after the suspension and completed without appreciable delay. The Department shall have the authority to review the subject individual'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 and affected under this Section shall be afforded an opportunity to demonstrate to the Department that he or she can resume practice in compliance with acceptable and prevailing standards under the provisions of his or her license.
(Source: P.A. 90‑61, eff. 12‑30‑97; 90‑116, eff. 7‑14‑97; 90‑655, eff. 7‑30‑98.)

    (225 ILCS 95/21.5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 21.5. Suspension of license for failure to pay restitution. The Department, without further process or hearing, shall suspend the license or other authorization to practice of any person issued under this Act who has been certified by court order as not having paid restitution to a person under Section 8A‑3.5 of the Illinois Public Aid Code or under Section 46‑1 of the Criminal Code of 1961. A person whose license or other authorization to practice is suspended under this Section is prohibited from practicing until the restitution is made in full.
(Source: P.A. 94‑577, eff. 1‑1‑06.)

    (225 ILCS 95/22) (from Ch. 111, par. 4622)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22. Returned checks; fines. Any person who delivers a check or other payment to the Department that is returned to the Department unpaid by the financial institution upon which it is drawn shall pay to the Department, in addition to the amount already owed to the Department, a fine of $50. The fines imposed by this Section are in addition to any other discipline provided under this Act for unlicensed practice or practice on a nonrenewed license. The Department shall notify the person that payment of fees and fines shall be paid to the Department by certified check or money order within 30 calendar days of the notification. If, after the expiration of 30 days from the date of the notification, the person has failed to submit the necessary remittance, the Department shall automatically terminate the license or certificate or deny the application, without hearing. If, after termination or denial, the person seeks a license or certificate, he or she shall apply to the Department for restoration or issuance of the license or certificate and pay all fees and fines due to the Department. The Department may establish a fee for the processing of an application for restoration of a license or certificate to pay all expenses of processing this application. The Director may waive the fines due under this Section in individual cases where the Director finds that the fines would be unreasonable or unnecessarily burdensome.
(Source: P.A. 92‑146, eff. 1‑1‑02.)

    (225 ILCS 95/22.1) (from Ch. 111, par. 4622.1)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.1. Injunction.
    (a) If any person violates the provision of this Act, the Director may, in the name of the People of the State of Illinois, through the Attorney General of the State of Illinois, or the State's Attorney of any county in which the action is brought, petition for an order enjoining the violation or for an order enforcing compliance with this Act. Upon the filing of a verified petition in court, the court may issue a temporary restraining order, without notice or bond, and may preliminarily and permanently enjoin such violation, and if it is established that such person has violated or is violating the injunction, the Court may punish the offender for contempt of court. Proceedings under this Section shall be in addition to, and not in lieu of, all other remedies and penalties provided by this Act.
    (b) If any person shall practice as a physician assistant or hold himself or herself out as a physician assistant without being licensed under the provisions of this Act, then any licensed physician assistant, any interested party or any person injured thereby may, in addition to the Director, petition for relief as provided in subsection (a) of this Section.
    (c) Whenever in the opinion of the Department any person violates any provision of this Act, the Department may issue a rule to show cause why an order to cease and desist should not be entered against him. The rule shall clearly set forth the grounds relied upon by the Department and shall provide a period of 7 days from the date of the rule to file an answer to the satisfaction of the Department. Failure to answer to the satisfaction of the Department shall cause an order to cease and desist to be issued forthwith.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/22.2) (from Ch. 111, par. 4622.2)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.2. Investigation; notice; hearing. The Department may investigate the actions of any applicant or of any person or persons holding or claiming to hold a license. The Department shall, before suspending, revoking, placing on probationary status, or taking any other disciplinary action as the Department may deem proper with regard to any license, at least 30 days prior to the date set for the hearing, notify the applicant or licensee in writing of any charges made and the time and place for a hearing of the charges before the Disciplinary Board, direct him or her to file his or her written answer thereto to the Disciplinary Board under oath within 20 days after the service on him or her of such notice and inform him or her that if he or she fails to file such answer default will be taken against him or her and his or her license may be suspended, revoked, placed on probationary status, or have other disciplinary action, including limiting the scope, nature or extent of his or her practice, as the Department may deem proper taken with regard thereto. Such written notice may be served by personal delivery or certified or registered mail at the last address of his or her last notification to the Department. At the time and place fixed in the notice, the Department shall proceed to hear the charges and the parties or their counsel shall be accorded ample opportunity to present such statements, testimony, evidence, and argument as may be pertinent to the charges or to the defense thereto. The Department may continue such hearing from time to time. In case the applicant or licensee, after receiving notice, fails to file an answer, his or her license may in the discretion of the Director, having received first the recommendation of the Disciplinary Board, be suspended, revoked, placed on probationary status, or the Director may take whatever disciplinary action as he or she may deem proper, including limiting the scope, nature, or extent of such person's practice, without a hearing, if the act or acts charged constitute sufficient grounds for such action under this Act.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/22.3) (from Ch. 111, par. 4622.3)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.3. The Department, at its expense, shall preserve a record of all proceedings at the formal hearing of any case involving the refusal to issue, renew or discipline of a license. The notice of hearing, complaint and all other documents in the nature of pleadings and written motions filed in the proceedings, the transcript of testimony, the report of the Disciplinary Board or hearing officer and orders of the Department shall be the record of such proceeding.
(Source: P.A. 85‑981.)

    (225 ILCS 95/22.4) (from Ch. 111, par. 4622.4)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.4. Any circuit court may, upon application of the Department or its designee or of the applicant or licensee against whom proceedings pursuant to Section 22.2 of this Act are pending, enter an order requiring the attendance of witnesses and their testimony, and the production of documents, papers, files, books and records in connection with any hearing or investigation. The court may compel obedience to its order by proceedings for contempt.
(Source: P.A. 85‑981.)

    (225 ILCS 95/22.5) (from Ch. 111, par. 4622.5)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.5. Subpoena power; oaths. The Department shall have power to subpoena and bring before it any person and to take testimony either orally or by deposition or both, with the same fees and mileage and in the same manner as prescribed by law in judicial proceedings in civil cases in circuit courts of this State.
    The Director, the designated hearing officer, and any member of the Disciplinary Board designated by the Director shall each have power to administer oaths to witnesses at any hearing which the Department is authorized to conduct under this Act and any other oaths required or authorized to be administered by the Department under this Act.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/22.6) (from Ch. 111, par. 4622.6)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.6. At the conclusion of the hearing the Disciplinary Board shall present to the Director a written report of its findings of fact, conclusions of law and recommendations. The report shall contain a finding whether or not the accused person violated this Act or failed to comply with the conditions required in this Act. The Disciplinary Board shall specify the nature of the violation or failure to comply, and shall make its recommendations to the Director.
    The report of findings of fact, conclusions of law and recommendation of the Disciplinary Board shall be the basis for the Department's order or refusal or for the granting of a license or permit. If the Director disagrees in any regard with the report of the Disciplinary Board, the Director may issue an order in contravention thereof. The Director shall provide a written report to the Disciplinary Board on any deviation, and shall specify with particularity the reasons for such action in the final order. The finding is not admissible in evidence against the person in a criminal prosecution brought for the violation of this Act, but the hearing and finding are not a bar to a criminal prosecution brought for the violation of this Act.
(Source: P.A. 85‑981.)

    (225 ILCS 95/22.7) (from Ch. 111, par. 4622.7)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.7. Hearing officer. Notwithstanding the provisions of Section 22.2 of this Act, the Director shall have the authority to appoint any attorney duly licensed to practice law in the State of Illinois to serve as the hearing officer in any action for refusal to issue or renew, or for discipline of, a license. The Director shall notify the Disciplinary Board of any such appointment. The hearing officer shall have full authority to conduct the hearing. The hearing officer shall report his or her findings of fact, conclusions of law, and recommendations to the Disciplinary Board and the Director. The Disciplinary Board shall have 60 days from receipt of the report to review the report of the hearing officer and present their findings of fact, conclusions of law, and recommendations to the Director. If the Disciplinary Board fails to present its report within the 60 day period, the Director shall issue an order based on the report of the hearing officer. If the Director disagrees in any regard with the report of the Disciplinary Board or hearing officer, he or she may issue an order in contravention thereof. The Director shall provide a written explanation to the Disciplinary Board on any such deviation, and shall specify with particularity the reasons for such action in the final order.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/22.8) (from Ch. 111, par. 4622.8)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.8. In any case involving the refusal to issue, renew or discipline of a license, a copy of the Disciplinary Board's report shall be served upon the respondent by the Department, either personally or as provided in this Act for the service of the notice of hearing. Within 20 days after such service, the respondent may present to the Department a motion in writing for a rehearing, which motion shall specify the particular grounds therefor. If no motion for rehearing is filed, then upon the expiration of the time specified for filing such a motion, or if a motion for rehearing is denied, then upon such denial the Director may enter an order in accordance with recommendations of the Disciplinary Board except as provided in Section 22.6 or 22.7 of this Act. If the respondent shall order from the reporting service, and pay for a transcript of the record within the time for filing a motion for rehearing, the 20 day period within which such a motion may be filed shall commence upon the delivery of the transcript to the respondent.
(Source: P.A. 85‑981.)

    (225 ILCS 95/22.9) (from Ch. 111, par. 4622.9)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.9. Whenever the Director is satisfied that substantial justice has not been done in the revocation, suspension or refusal to issue or renew a license, the Director may order a rehearing by the same or another hearing officer or Disciplinary Board.
(Source: P.A. 85‑981.)

    (225 ILCS 95/22.10) (from Ch. 111, par. 4622.10)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.10. Order or certified copy; prima facie proof. An order or a certified copy thereof, over the seal of the Department and purporting to be signed by the Director, shall be prima facie proof that:
        (a) the signature is the genuine signature of the
    
Director;
        (b) the Director is duly appointed and qualified; and
        (c) the Disciplinary Board and the members thereof
    
are qualified to act.
(Source: P.A. 91‑357, eff. 7‑29‑99.)

    (225 ILCS 95/22.11) (from Ch. 111, par. 4622.11)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.11. Restoration of license. At any time after the suspension or revocation of any license the Department may restore it to the licensee, unless after an investigation and a hearing, the Department determines that restoration is not in the public interest. Where circumstances of suspension or revocation so indicate, the Department may require an examination of the licensee prior to restoring his or her license.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/22.12) (from Ch. 111, par. 4622.12)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.12. Surrender of license. Upon the revocation or suspension of any license, the licensee shall immediately surrender the license to the Department. If the licensee fails to do so, the Department shall have the right to seize the license.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

    (225 ILCS 95/22.13) (from Ch. 111, par. 4622.13)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.13. The Director may temporarily suspend the license of a physician assistant without a hearing, simultaneously with the institution of proceedings for a hearing provided for in Section 22.2 of this Act, if the Director finds that evidence in his possession indicates that continuation in practice would constitute an imminent danger to the public. In the event that the Director suspends, temporarily, this license without a hearing, a hearing by the Department must be held within 30 days after such suspension has occurred, and concluded without appreciable delay.
(Source: P.A. 85‑981.)

    (225 ILCS 95/22.14) (from Ch. 111, par. 4622.14)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.14. All final administrative decisions of the Department are subject to judicial review pursuant to the provisions of the "Administrative Review Law", and all rules adopted pursuant thereto. The term "administrative decision" is defined as in Section 3‑101 of the "Code of Civil Procedure".
    Proceedings for judicial review shall be commenced in the circuit court of the county in which the party applying for review resides; but if the party is not a resident of this State, venue shall be in Sangamon County.
(Source: P.A. 86‑596.)

    (225 ILCS 95/22.15) (from Ch. 111, par. 4622.15)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.15. Certificate of record. The Department shall not be required to certify any record to the Court or file any answer in court or otherwise appear in any court in a judicial review proceeding, unless there is filed in the court, with the complaint, a receipt from the Department acknowledging payment of the costs of furnishing and certifying the record. Failure on the part of the plaintiff to file a receipt in court shall be grounds for dismissal of the action.
(Source: P.A. 87‑1031.)

    (225 ILCS 95/22.16) (from Ch. 111, par. 4622.16)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 22.16. Any person who is found to have knowingly violated any provision of this Act is guilty of a Class A misdemeanor. On conviction of a second or subsequent offense the violator shall be guilty of a Class 4 felony.
(Source: P.A. 85‑981.)

    (225 ILCS 95/23) (from Ch. 111, par. 4623)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 23. It is declared to be the public policy of this State, pursuant to paragraphs (h) and (i) of Section 6 of Article VII of the Illinois Constitution of 1970, that any power or function set forth in this Act to be exercised by the State is an exclusive State power or function. Such power or function shall not be exercised concurrently, either directly or indirectly, by any unit of local government, including home rule units, except as otherwise provided in this Act.
(Source: P.A. 85‑981.)

    (225 ILCS 95/24) (from Ch. 111, par. 4624)
    (Section scheduled to be repealed on January 1, 2008)
    Sec. 24. Pending actions. All disciplinary actions taken or pending pursuant to the Physician's Assistants Practice Act, approved September 11, 1975, as amended, shall, for the actions taken, remain in effect, and for the actions pending, shall be continued, on the effective date of this Act without having separate actions.
(Source: P.A. 90‑61, eff. 12‑30‑97.)

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