summary
Introduced
02/07/2025
02/07/2025
In Committee
03/21/2025
03/21/2025
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 the 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 for 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 collaborative practice restrictions. The bill eliminates requirements that anesthesia services in ambulatory surgical treatment centers and hospitals must be under the direct supervision of a physician with specialized anesthesia training, and removes mandates that an anesthesiologist must be physically present and agree to the anesthesia plan. Instead, CRNAs will be allowed to seek consultation as appropriate to their expertise and patient needs. The legislation establishes a pathway for CRNAs to achieve full practice authority by meeting certain national certification and clinical experience requirements, which would allow them to practice without a written collaborative agreement and independently prescribe medications, including controlled substances. CRNAs who meet specific criteria, such as having a professional doctorate or completing 250 hours of continuing education and 4,000 hours of clinical experience, can obtain full practice authority. The bill maintains patient safety by requiring CRNAs to practice within their scope of expertise and prohibiting them from performing services legally required to be performed by physicians. This change aims to improve access to anesthesia services by reducing administrative barriers for certified registered nurse anesthetists.
Committee Categories
Health and Social Services
Sponsors (3)
Last Action
Added Co-Sponsor Rep. Barbara Hernandez (on 03/24/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=3728&GAID=18&DocTypeID=HB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/HB/10400HB3728.htm |
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