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Bill > SB0239


IL SB0239

IL SB0239
ASTC-ANESTHESIA SERVICES


summary

Introduced
01/22/2025
In Committee
01/22/2025
Crossed Over
Passed
Dead

Introduced Session

104th 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 expands the practice authority for certified registered nurse anesthetists (CRNAs) in Illinois by removing several existing physician supervision requirements. The bill amends multiple acts, including the Ambulatory Surgical Treatment Center Act, Hospital Licensing Act, Medical Practice Act, Nurse Practice Act, Illinois Dental Practice Act, and Podiatric Medical Practice Act. Specifically, it eliminates the previous requirement that anesthesia services must be under the direct supervision of a physician with specialized anesthesiology training. Instead, CRNAs will be allowed to seek consultation as appropriate to their expertise and patient needs, without mandatory physician presence or agreement on anesthesia plans. The bill creates a new pathway for CRNAs to achieve full practice authority by allowing those who have completed national certification, a professional practice doctorate, or who have completed 250 hours of continuing education and 4,000 hours of clinical experience to practice without a written collaborative agreement. Under these new provisions, CRNAs will have expanded prescribing rights, including the ability to prescribe controlled substances, and will be able to practice in various settings without direct physician oversight. The legislation aims to increase healthcare access and provider autonomy by reducing bureaucratic barriers for advanced practice nurses specializing in anesthesia.

Sponsors (6)

Last Action

Added as Co-Sponsor Sen. David Koehler (on 03/21/2025)

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