Scope of Practice
Every year the Illinois State Medical Society (ISMS) fights to block legislation that would inappropriately expand the scope of practice for allied health professionals. ISMS believes our patients deserve care delivered by a team approach. While non-physician health professionals are essential members of patient care delivery, physicians surpass non-physicians in years of education and clinical training that are required to make comprehensive medical decisions regarding patient care. ISMS will continue to protect patient care from those who seek to obtain through legislation what they have not earned through education and training.
ISMS continually pushes back on the legislative initiatives to break up the patient centered team approach introduced by advanced practice registered nurses, physician assistants, certified registered nurse anesthetists, psychologists, optometrists, naturopaths, podiatric physicians, any many more.
For more detail, please check our end of session legislative reports.
Currently Tracked Bills
ISMS is supportive of the following bills related to scope of practice, including but not limited to:
Medical Practice Act Extension HB 806 (Sponsors: Rep. Theresa Mah/Sen. Emil Jones, III ) – This bill would provide a five-year extension to the sunset of the Medical Practice Act, changing it from January 1, 2022 to January 1, 2027. ISMS supported this bill, which passed both chambers and will be sent to the Governor for further action.
ISMS is tracking the following bills related to the scope of practice expansion for non-physician health professionals, including but not limited to:
Independent Practice for Certified Registered Nurse Anesthetists (CRNA) SB 2566 (Sponsor: Sen. Melinda Bush) – This bills would remove the requirement for a CRNA to engage in a discussion of an anesthesia plan with a physician, or have that physician remain on premises during the delivery of anesthesia in an office setting. In a hospital setting, CRNA’s would no longer required to participate in a discussion of and agreement with anesthesia plan, nor would an anesthesiologist or physician be required to remain physically present and be available on premises during the delivery of anesthesia, essentially granting CRNA’s more independent practice. This bill did not advance.
Independent Practice for Physician Assistants: SB 145 (Sponsor: Sen. Laura M. Murphy) HB 1826 (Rep. Kathy Willis) would provide physician assistants with a broad scope of practice that mirrors the responsibilities of physicians while allowing them to treat patients independently of physicians. These bills did not advance.
Advanced Practice Registered Nurses: SB 105 (Sponsor: Sen. Sara Feigenholtz) - Removes language requiring that a collaborating physician attest to the completion of the clinical experience required for an advanced practice registered nurse to practice without a written collaborative agreement. Also removes a provision that includes prescribing benzodiazepines or Schedule II narcotic drugs only in a consultation relationship with a physician within the scope of practice of an advanced practice registered nurse with full practice authority. The bill was later amended to remove the changes opposed by ISMS, and instead enabled the APRN’s employer, in addition to retaining the physician to attest to the APRNs additional education and training. This legislation passed both chambers and will be sent to the Governor for further action.
Prescribing Psychologists: SB 2272 (Sponsor: Sen. Dave Syverson) - The bill amends the Clinical Psychologist Licensing Act and in provisions concerning clinical training requirements for a prescribing psychologist license and makes changes to facility requirements for that clinical training. The bill would delete language prohibiting prescribing psychologists to prescribe to children and seniors. In addition, the bill would remove the prohibition on prescription of Schedule II controlled substances. These bills did not advance.
Podiatric Physicians Providing Vaccinations: HB 3080 (Sponsors: Rep. Mary Flowers / Sen. Laura Fine) would allow podiatric physicians to administer the COVID vaccine, the flu vaccine, and tetanus. This bill did not advance out of the Senate.