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IL SB3653

IL SB3653
ASTC-ANESTHESIA SERVICES


summary

Introduced
02/09/2024
In Committee
03/15/2024
Crossed Over
Passed
Dead
01/08/2025

Introduced Session

103rd General Assembly

Bill Summary

Amends the Ambulatory Surgical Treatment Center Act. Removes a provision which provides that, in ambulatory surgical treatment centers, anesthesia service shall be under the direction of a physician who has had specialized preparation or experience in the area or who has completed a residency in anesthesiology. Specifies that with respect to anesthesia service in an ambulatory surgical treatment center, a certified registered nurse anesthetist shall seek consultation regarding development of an anesthesia plan and treatment of patients as is appropriate to the certified registered nurse anesthetist's level of expertise and scope of practice and as is warranted by the needs of the patient. Removes a requirement that an anesthesiologist participate through discussion of and agreement with the anesthesia plan and remain physically present and be available on the premises. Provides that a certified registered nurse anesthetist with clinical privileges may perform acts of advanced assessment and diagnosis and may provide such functions for which the certified registered nurse anesthetist is educationally and experientially prepared. Makes conforming changes to the Hospital Licensing Act. Amends the Medical Practice Act of 1987. Provides that a written collaborative agreement shall be adequate with respect to collaboration with certified registered nurse anesthetists if all of the following apply: (1) the agreement is written to promote exercise of professional judgment by the certified registered nurse anesthetist commensurate with his or her education and experience; (2) the certified registered nurse anesthetist provides service based on a written collaborative agreement with the collaborating physician; and (3) methods of communication are available with the collaborating physician in person or through telecommunications for consultation, collaboration, and referral as needed to address patient care needs. Amends the Nurse Practice Act. Provides that an Illinois-licensed advanced practice registered nurse certified as a certified registered nurse anesthetist shall be deemed by law to possess the ability to practice without a written collaborative agreement. Sets forth requirements of a certified registered nurse anesthetist. Makes conforming changes in the Illinois Dental Practice Act. Effective immediately.

AI Summary

This bill amends several Illinois laws to expand the scope of practice for certified registered nurse anesthetists (CRNAs). The key provisions are: - It removes the requirement that anesthesia services in ambulatory surgical treatment centers (ASTCs) and hospitals be under the direction of a physician who has specialized preparation or experience in anesthesiology. Instead, it allows CRNAs to provide anesthesia and related services in ASTCs and hospitals without the physical presence or direct supervision of an anesthesiologist, as long as the CRNA consults with the collaborating physician as appropriate to their expertise and the patient's needs. - It allows CRNAs with certain additional education and experience to practice without a written collaborative agreement, providing them with "full practice authority." These CRNAs can prescribe both legend drugs and controlled substances, including benzodiazepines and opioids, without a collaborative agreement. - It makes conforming changes to the Medical Practice Act, Nurse Practice Act, Dental Practice Act, and Podiatric Medical Practice Act to align with the expanded scope of practice for CRNAs. The overall effect of the bill is to significantly increase the autonomy and clinical privileges of CRNAs in Illinois, reducing the level of physician supervision and collaboration required.

Committee Categories

Labor and Employment

Sponsors (2)

Last Action

Session Sine Die (on 01/07/2025)

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