(225 ILCS 95/7.5)
(Section scheduled to be repealed on January 1, 2018)
Sec. 7.5.
Prescriptions; written supervision agreements; prescriptive authority.
(a) A written supervision agreement is required for all physician assistants to practice in the State.
(1) A written supervision agreement shall describe
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| the working relationship of the physician assistant with the supervising physician and shall authorize the categories of care, treatment, or procedures to be performed by the physician assistant. The written supervision agreement shall promote the exercise of professional judgment by the physician assistant commensurate with his or her education and experience. The services to be provided by the physician assistant shall be services that the supervising physician is authorized to and generally provides to his or her patients in the normal course of his or her clinical medical practice. The written supervision agreement need not describe the exact steps that a physician assistant must take with respect to each specific condition, disease, or symptom but must specify which authorized procedures require the presence of the supervising physician as the procedures are being performed. The supervision relationship under a written supervision agreement shall not be construed to require the personal presence of a physician at the place where services are rendered. Methods of communication shall be available for consultation with the supervising physician in person or by telecommunications in accordance with established written guidelines as set forth in the written supervision agreement. For the purposes of this Act, "generally provides to his or her patients in the normal course of his or her clinical medical practice" means services, not specific tasks or duties, the supervising physician routinely provides individually or through delegation to other persons so that the physician has the experience and ability to provide supervision and consultation. |
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(2) The written supervision agreement shall be |
| adequate if a physician does each of the following: |
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(A) Participates in the joint formulation and |
| joint approval of orders or guidelines with the physician assistant and he or she periodically reviews such orders and the services provided patients under such orders in accordance with accepted standards of medical practice and physician assistant practice. |
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(B) Provides supervision and consultation at |
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(3) A copy of the signed, written supervision |
| agreement must be available to the Department upon request from both the physician assistant and the supervising physician. |
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(4) A physician assistant shall inform each |
| supervising physician of all written supervision agreements he or she has signed and provide a copy of these to any supervising physician upon request. |
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(b) A supervising physician may, but is not required to, delegate prescriptive authority to a physician assistant as part of a written supervision 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 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 supervising physician must have a valid, current Illinois controlled substance license and federal registration with the Drug Enforcement Agency to delegate the authority to prescribe controlled substances.
(1) 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. |
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(2) 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 persons in accordance with Section 54.2 of the Medical Practice Act of 1987. |
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(3) In addition to the requirements of subsection |
| (b) of this Section, a supervising physician may, but is not required to, delegate authority to a physician assistant to prescribe Schedule II controlled substances, if all of the following conditions apply: |
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(A) Specific Schedule II controlled substances by |
| oral dosage or topical or transdermal application may be delegated, provided that the delegated Schedule II controlled substances are routinely prescribed by the supervising physician. This delegation must identify the specific Schedule II controlled substances by either brand name or generic name. Schedule II controlled substances to be delivered by injection or other route of administration may not be delegated. |
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(B) Any delegation must be controlled substances |
| that the supervising physician prescribes. |
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(C) Any prescription must be limited to no more |
| than a 30-day supply, with any continuation authorized only after prior approval of the supervising physician. |
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(D) The physician assistant must discuss the |
| condition of any patients for whom a controlled substance is prescribed monthly with the supervising physician. |
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(E) The physician assistant meets the education |
| requirements of Section 303.05 of the Illinois Controlled Substances Act. |
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(c) 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.
(d) Any physician assistant who writes a prescription for a controlled substance without having a valid appropriate authority may be fined by the Department not more than $50 per prescription, and the Department may take any other disciplinary action provided for in this Act.
(e) Nothing in this Section shall be construed to prohibit generic substitution.
(Source: P.A. 96-268, eff. 8-11-09; 96-618, eff. 1-1-10; 96-1000, eff. 7-2-10; 97-358, eff. 8-12-11.) |
(225 ILCS 95/21)
(from Ch. 111, par. 4621)
(Section scheduled to be repealed on January 1, 2018)
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 or non-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 $10,000 for each violation, for any one or combination of the following causes:
(1) Material misstatement in furnishing information
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(2) Violations of this Act, or the rules adopted |
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(3) Conviction of or entry of a plea of guilty or |
| nolo contendere to any crime that is a felony under the laws of the United States or any state or territory thereof or that is a misdemeanor of which an essential element is dishonesty or that is directly related to the practice of the profession. |
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(4) Making any misrepresentation for the purpose of |
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(5) Professional incompetence.
(6) Aiding or assisting another person in violating |
| any provision of this Act or its rules. |
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(7) Failing, within 60 days, to provide information |
| in response to a written request made by the Department. |
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(8) Engaging in dishonorable, unethical, or |
| unprofessional conduct, as defined by rule, of a character likely to deceive, defraud, or harm the public. |
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(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. |
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(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. |
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(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. Nothing in this paragraph (11) affects any bona fide independent contractor or employment arrangements, which may include provisions for compensation, health insurance, pension, or other employment benefits, with persons or entities authorized under this Act for the provision of services within the scope of the licensee's practice under this Act. |
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(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. |
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(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. |
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(15) Willfully failing to report an instance of |
| suspected child abuse or neglect as required by the Abused and Neglected Child Reporting Act. |
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(16) Physical illness, or mental illness or |
| impairment that results in the inability to practice the profession with reasonable judgment, skill, or safety, including, but not limited to, deterioration through the aging process or loss of motor skill. |
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(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. |
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(18) (Blank).
(19) Gross negligence resulting in permanent injury |
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(20) Employment of fraud, deception or any unlawful |
| means in applying for or securing a license as a physician assistant. |
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(21) Exceeding the authority delegated to him or her |
| by his or her supervising physician in a written supervision agreement. |
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(22) Immoral conduct in the commission of any act, |
| such as sexual abuse, sexual misconduct or sexual exploitation related to the licensee's practice. |
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(23) Violation of the Health Care Worker |
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(24) Practicing under a false or assumed name, except |
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(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. |
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(26) Allowing another person to use his or her |
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(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. |
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(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. |
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(29) A pattern of practice or other behavior that |
| demonstrates incapacity or incompetence to practice under this Act. |
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(30) Violating State or federal laws or regulations |
| relating to controlled substances or other legend drugs. |
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(31) Exceeding the prescriptive authority delegated |
| by the supervising physician or violating the written supervision agreement delegating that authority. |
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(32) Practicing without providing to the Department a |
| notice of supervision or delegation of prescriptive authority. |
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(b) The Department may, without a hearing, refuse to issue or renew 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 Secretary 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 Secretary 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 Secretary immediately suspends a person's license under this Section, a hearing on that person's license must be convened by the Department within 30 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. 95-703, eff. 12-31-07; 96-268, eff. 8-11-09; 96-1482, eff. 11-29-10.) |