Illinois 2023-2024 Regular Session

Illinois House Bill HB5155 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5155 Introduced , by Rep. Terra Costa Howard SYNOPSIS AS INTRODUCED: 225 ILCS 65/60-5225 ILCS 65/60-7 new225 ILCS 65/60-10 Amends the Nurse Practice Act. Removes a measurement of program effectiveness based on a passage rate of all graduates over the 3 most recent calendar years without reference to first-time test takers. Sets forth provisions concerning how to measure a registered professional nurse education program's effectiveness based on the pass rates on a State-approved licensure examination. Provides that outliers may be removed when calculating State-approved licensure examination pass rates. Provides that a registered professional nurse education program is responsible for tracking outliers. Defines "outlier". Provides that a registered professional nurse education program is responsible for calculating the passage rate of the program's graduates. Provides that the registered professional nurse education program must submit a calculation of the passage rate of the program's graduates and supporting documentation to the Board of Nursing in an annual report due October 30 of every year. Provides that a registered professional nurse education program meeting one of the measurements of program effectiveness shall be deemed to be in good standing. Makes conforming changes. LRB103 37838 RTM 67968 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5155 Introduced , by Rep. Terra Costa Howard SYNOPSIS AS INTRODUCED: 225 ILCS 65/60-5225 ILCS 65/60-7 new225 ILCS 65/60-10 225 ILCS 65/60-5 225 ILCS 65/60-7 new 225 ILCS 65/60-10 Amends the Nurse Practice Act. Removes a measurement of program effectiveness based on a passage rate of all graduates over the 3 most recent calendar years without reference to first-time test takers. Sets forth provisions concerning how to measure a registered professional nurse education program's effectiveness based on the pass rates on a State-approved licensure examination. Provides that outliers may be removed when calculating State-approved licensure examination pass rates. Provides that a registered professional nurse education program is responsible for tracking outliers. Defines "outlier". Provides that a registered professional nurse education program is responsible for calculating the passage rate of the program's graduates. Provides that the registered professional nurse education program must submit a calculation of the passage rate of the program's graduates and supporting documentation to the Board of Nursing in an annual report due October 30 of every year. Provides that a registered professional nurse education program meeting one of the measurements of program effectiveness shall be deemed to be in good standing. Makes conforming changes. LRB103 37838 RTM 67968 b LRB103 37838 RTM 67968 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5155 Introduced , by Rep. Terra Costa Howard SYNOPSIS AS INTRODUCED:
3	3	225 ILCS 65/60-5225 ILCS 65/60-7 new225 ILCS 65/60-10 225 ILCS 65/60-5 225 ILCS 65/60-7 new 225 ILCS 65/60-10
4	4	225 ILCS 65/60-5
5	5	225 ILCS 65/60-7 new
6	6	225 ILCS 65/60-10
7	7	Amends the Nurse Practice Act. Removes a measurement of program effectiveness based on a passage rate of all graduates over the 3 most recent calendar years without reference to first-time test takers. Sets forth provisions concerning how to measure a registered professional nurse education program's effectiveness based on the pass rates on a State-approved licensure examination. Provides that outliers may be removed when calculating State-approved licensure examination pass rates. Provides that a registered professional nurse education program is responsible for tracking outliers. Defines "outlier". Provides that a registered professional nurse education program is responsible for calculating the passage rate of the program's graduates. Provides that the registered professional nurse education program must submit a calculation of the passage rate of the program's graduates and supporting documentation to the Board of Nursing in an annual report due October 30 of every year. Provides that a registered professional nurse education program meeting one of the measurements of program effectiveness shall be deemed to be in good standing. Makes conforming changes.
8	8	LRB103 37838 RTM 67968 b LRB103 37838 RTM 67968 b
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13	13	1 AN ACT concerning regulation.
14	14	2 Be it enacted by the People of the State of Illinois,
15	15	3 represented in the General Assembly:
16	16	4 Section 5. The Nurse Practice Act is amended by changing
17	17	5 Sections 60-5 and 60-10 and by adding Section 60-7 as follows:
18	18	6 (225 ILCS 65/60-5)
19	19	7 (Section scheduled to be repealed on January 1, 2028)
20	20	8 Sec. 60-5. RN education program requirements; out-of-State
21	21	9 programs.
22	22	10 (a) All registered professional nurse education programs
23	23	11 must be reviewed by the Board and approved by the Department
24	24	12 before the successful completion of such a program may be
25	25	13 applied toward meeting the requirements for registered
26	26	14 professional nurse licensure under this Act. Any program
27	27	15 changing the level of educational preparation or the
28	28	16 relationship with or to the parent institution or establishing
29	29	17 an extension of an existing program must request a review by
30	30	18 the Board and approval by the Department. The Board shall
31	31	19 review and make a recommendation for the approval or
32	32	20 disapproval of a program by the Department based on the
33	33	21 following criteria:
34	34	22 (1) a feasibility study that describes the need for
35	35	23 the program and the facilities used, the potential of the
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39	39	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5155 Introduced , by Rep. Terra Costa Howard SYNOPSIS AS INTRODUCED:
40	40	225 ILCS 65/60-5225 ILCS 65/60-7 new225 ILCS 65/60-10 225 ILCS 65/60-5 225 ILCS 65/60-7 new 225 ILCS 65/60-10
41	41	225 ILCS 65/60-5
42	42	225 ILCS 65/60-7 new
43	43	225 ILCS 65/60-10
44	44	Amends the Nurse Practice Act. Removes a measurement of program effectiveness based on a passage rate of all graduates over the 3 most recent calendar years without reference to first-time test takers. Sets forth provisions concerning how to measure a registered professional nurse education program's effectiveness based on the pass rates on a State-approved licensure examination. Provides that outliers may be removed when calculating State-approved licensure examination pass rates. Provides that a registered professional nurse education program is responsible for tracking outliers. Defines "outlier". Provides that a registered professional nurse education program is responsible for calculating the passage rate of the program's graduates. Provides that the registered professional nurse education program must submit a calculation of the passage rate of the program's graduates and supporting documentation to the Board of Nursing in an annual report due October 30 of every year. Provides that a registered professional nurse education program meeting one of the measurements of program effectiveness shall be deemed to be in good standing. Makes conforming changes.
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47	47	A BILL FOR
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54	54	225 ILCS 65/60-7 new
55	55	225 ILCS 65/60-10
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74	74	1 program to recruit faculty and students, financial support
75	75	2 for the program, and other criteria, as established by
76	76	3 rule;
77	77	4 (2) program curriculum that meets all State
78	78	5 requirements;
79	79	6 (2.5) whether the program satisfies one of the
80	80	7 criteria for program effectiveness set forth in subsection
81	81	8 (a) of Section 60-7 measurement of program effectiveness
82	82	9 based on a passage rate of all graduates over the 3 most
83	83	10 recent calendar years without reference to first-time test
84	84	11 takers;
85	85	12 (3) the administration of the program by a Nurse
86	86	13 Administrator and the involvement of a Nurse Administrator
87	87	14 in the development of the program;
88	88	15 (4) the occurrence of a site visit prior to approval;
89	89	16 and
90	90	17 (5) beginning December 31, 2022, obtaining and
91	91	18 maintaining programmatic accreditation by a national
92	92	19 accrediting body for nursing education recognized by the
93	93	20 United States Department of Education and approved by the
94	94	21 Department.
95	95	22 The Department and Board of Nursing shall be notified
96	96	23 within 30 days if the program loses its accreditation. The
97	97	24 Department may adopt rules regarding a warning process and
98	98	25 reaccreditation.
99	99	26 (b) In order to obtain initial Department approval and to
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110	110	1 maintain Department approval, a registered professional
111	111	2 nursing program must meet all of the following requirements:
112	112	3 (1) The institution responsible for conducting the
113	113	4 program and the Nurse Administrator must ensure that
114	114	5 individual faculty members are academically and
115	115	6 professionally competent.
116	116	7 (2) The program curriculum must contain all applicable
117	117	8 requirements established by rule, including both theory
118	118	9 and clinical components.
119	119	10 (3) The passage rates of the program's graduating
120	120	11 classes on the State-approved licensure exam must meet one
121	121	12 of the measurements of program effectiveness set forth in
122	122	13 subsection (a) of Section 60-7 be deemed satisfactory by
123	123	14 the Department.
124	124	15 (c) Program site visits to an institution conducting or
125	125	16 hosting a professional nursing program may be made at the
126	126	17 discretion of the Nursing Coordinator or upon recommendation
127	127	18 of the Board. Full routine site visits may be conducted by the
128	128	19 Department for periodic evaluation. Such visits shall be used
129	129	20 to determine compliance with this Act. Full routine site
130	130	21 visits must be announced and may be waived at the discretion of
131	131	22 the Department if the program maintains accreditation with an
132	132	23 accrediting body recognized by the United States Department of
133	133	24 Education and approved by the Department.
134	134	25 (d) Any institution conducting a registered professional
135	135	26 nursing program that wishes to discontinue the program must do
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146	146	1 each of the following:
147	147	2 (1) Notify the Department, in writing, of its intent
148	148	3 to discontinue the program.
149	149	4 (2) Continue to meet the requirements of this Act and
150	150	5 the rules adopted thereunder until the official date of
151	151	6 termination of the program.
152	152	7 (3) Notify the Department of the date on which the
153	153	8 last student shall graduate from the program and the
154	154	9 program shall terminate.
155	155	10 (4) Assist remaining students in the continuation of
156	156	11 their education in the event of program termination prior
157	157	12 to the graduation of the program's final student.
158	158	13 (5) Upon the closure of the program, notify the
159	159	14 Department, in writing, of the location of student and
160	160	15 graduate records' storage.
161	161	16 (e) Out-of-State registered professional nursing education
162	162	17 programs planning to offer clinical practice experiences in
163	163	18 this State must meet the requirements set forth in this
164	164	19 Section and must meet the clinical and faculty requirements
165	165	20 for institutions outside of this State, as established by
166	166	21 rule. The institution responsible for conducting an
167	167	22 out-of-State registered professional nursing education program
168	168	23 and the administrator of the program shall be responsible for
169	169	24 ensuring that the individual faculty and preceptors overseeing
170	170	25 the clinical experience are academically and professionally
171	171	26 competent.
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182	182	1 (Source: P.A. 103-533, eff. 1-1-24.)
183	183	2 (225 ILCS 65/60-7 new)
184	184	3 Sec. 60-7. Registered professional nurse education program
185	185	4 effectiveness.
186	186	5 (a) The measurement of a registered professional nurse
187	187	6 education program's effectiveness is determined by whether the
188	188	7 program's:
189	189	8 (1) most recent annual pass rate on a State-approved
190	190	9 licensure examination is 75% or greater for all first-time
191	191	10 test-takers;
192	192	11 (2) average pass rate on a State-approved licensure
193	193	12 examination for the 3 most recent years is 75% or greater
194	194	13 for all first-time test-takers;
195	195	14 (3) most recent annual pass rate on a State-approved
196	196	15 licensure examination is 75% or greater for all
197	197	16 test-takers; or
198	198	17 (4) average pass rate on a State-approved licensure
199	199	18 examination for the 3 most recent years is 75% or greater
200	200	19 for all test-takers.
201	201	20 (b) Outliers may be removed when calculating
202	202	21 State-approved licensure examination pass rates. A registered
203	203	22 professional nurse education program is responsible for
204	204	23 tracking outliers.
205	205	24 In this subsection, "outlier" means a graduate of a
206	206	25 professional nurse education program who:
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217	217	1 (1) does not take a State-approved licensure
218	218	2 examination within 180 days of graduating a professional
219	219	3 nurse education program; or
220	220	4 (2) fails the State-approved licensure examination a
221	221	5 second or subsequent time.
222	222	6 (c) A registered professional nurse education program is
223	223	7 responsible for calculating the passage rate of the program's
224	224	8 graduates. The registered professional nurse education program
225	225	9 must submit a calculation of the passage rate of the program's
226	226	10 graduates and supporting documentation to the Board in an
227	227	11 annual report due October 30 of every year.
228	228	12 (225 ILCS 65/60-10)
229	229	13 (Section scheduled to be repealed on January 1, 2028)
230	230	14 Sec. 60-10. RN licensure by examination.
231	231	15 (a) Each applicant who successfully meets the requirements
232	232	16 of this Section is eligible for licensure as a registered
233	233	17 professional nurse.
234	234	18 (b) An applicant for licensure by examination to practice
235	235	19 as a registered professional nurse is eligible for licensure
236	236	20 when the following requirements are met:
237	237	21 (1) the applicant has submitted a completed written
238	238	22 application, on forms provided by the Department, and
239	239	23 fees, as established by the Department;
240	240	24 (2) the applicant has graduated from a professional
241	241	25 nursing education program approved by the Department or
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252	252	1 has been granted a certificate of completion of
253	253	2 pre-licensure requirements from another United States
254	254	3 jurisdiction;
255	255	4 (3) the applicant has successfully completed a
256	256	5 licensure examination approved by the Department;
257	257	6 (4) (blank);
258	258	7 (5) the applicant has submitted to the criminal
259	259	8 history records check required under Section 50-35 of this
260	260	9 Act;
261	261	10 (6) the applicant has submitted, either to the
262	262	11 Department or its designated testing service, a fee
263	263	12 covering the cost of providing the examination; failure to
264	264	13 appear for the examination on the scheduled date at the
265	265	14 time and place specified after the applicant's application
266	266	15 for examination has been received and acknowledged by the
267	267	16 Department or the designated testing service shall result
268	268	17 in the forfeiture of the examination fee; and
269	269	18 (7) the applicant has met all other requirements
270	270	19 established by the Department by rule.
271	271	20 An applicant for licensure by examination may take the
272	272	21 Department-approved examination in another jurisdiction.
273	273	22 (b-3) An applicant who graduates from a professional
274	274	23 nursing program in this State on or after January 1, 2024 (the
275	275	24 effective date of Public Act 103-533) this amendatory Act of
276	276	25 the 103rd General Assembly and does not take the licensure
277	277	26 examination within 180 days after his or her degree is
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288	288	1 conferred by the institution of higher education or fails the
289	289	2 licensure examination for a second time shall be required to
290	290	3 demonstrate proof of completion of a National Council
291	291	4 Licensure Examination preparatory class or a comparable test
292	292	5 preparatory program before taking a subsequent licensure
293	293	6 examination or the graduate may return to the institution of
294	294	7 higher education from which he or she graduated which shall
295	295	8 provide remedial educational resources to the graduate at no
296	296	9 cost to the graduate. Such an applicant must contact the
297	297	10 institution of higher education from which he or she graduated
298	298	11 prior to retesting.
299	299	12 (b-4) On and after the effective date of this amendatory
300	300	13 Act of the 103rd General Assembly, a registered professional
301	301	14 nurse education program meeting one of the measurements of
302	302	15 program effectiveness referenced in subsection (a) of Section
303	303	16 60-7 of this Act, as submitted to the Board in the program
304	304	17 annual report, shall be deemed to be in good standing. All
305	305	18 professional nursing programs in probationary status on the
306	306	19 effective date of this amendatory Act of the 103rd General
307	307	20 Assembly and subject to a program revision plan shall be
308	308	21 deemed in good standing for a period of 3 years beginning on
309	309	22 the effective date of this amendatory Act of the 103rd General
310	310	23 Assembly. Prior to September 1, 2026, no professional nursing
311	311	24 program shall be placed on probationary status for failing to
312	312	25 reach a passage rate of less than 75%.
313	313	26 (b-5) If an applicant for licensure by examination
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324	324	1 neglects, fails, or refuses to take an examination or fails to
325	325	2 pass an examination for a license within 3 years of the date of
326	326	3 initial application, the application shall be denied. When an
327	327	4 applicant's application is denied due to the failure to pass
328	328	5 the examination within the 3-year period, that applicant must
329	329	6 undertake an additional course of education as defined by rule
330	330	7 prior to submitting a new application for licensure. Any new
331	331	8 application must be accompanied by the required fee, evidence
332	332	9 of meeting the requirements in force at the time of the new
333	333	10 application, and evidence of completion of the additional
334	334	11 course of education prescribed by rule.
335	335	12 (c) An applicant for licensure by examination shall have
336	336	13 one year after the date of notification of the successful
337	337	14 completion of the examination to apply to the Department for a
338	338	15 license. If an applicant fails to apply within one year, the
339	339	16 applicant shall be required to retake and pass the examination
340	340	17 unless licensed in another jurisdiction of the United States.
341	341	18 (d) An applicant for licensure by examination who passes
342	342	19 the Department-approved licensure examination for professional
343	343	20 nursing may obtain employment as a license-pending registered
344	344	21 nurse and practice under the direction of a registered
345	345	22 professional nurse or an advanced practice registered nurse
346	346	23 until such time as he or she receives his or her license to
347	347	24 practice or until the license is denied. In no instance shall
348	348	25 any such applicant practice or be employed in any management
349	349	26 capacity. An individual may be employed as a license-pending
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360	360	1 registered nurse if all of the following criteria are met:
361	361	2 (1) He or she has completed and passed the
362	362	3 Department-approved licensure exam and presents to the
363	363	4 employer the official written notification indicating
364	364	5 successful passage of the licensure examination.
365	365	6 (2) He or she has completed and submitted to the
366	366	7 Department an application for licensure under this Section
367	367	8 as a registered professional nurse.
368	368	9 (3) He or she has submitted the required licensure
369	369	10 fee.
370	370	11 (4) He or she has met all other requirements
371	371	12 established by rule, including having submitted to a
372	372	13 criminal history records check.
373	373	14 (e) The privilege to practice as a license-pending
374	374	15 registered nurse shall terminate with the occurrence of any of
375	375	16 the following:
376	376	17 (1) Three months have passed since the official date
377	377	18 of passing the licensure exam as inscribed on the formal
378	378	19 written notification indicating passage of the exam. The
379	379	20 3-month license pending period may be extended if more
380	380	21 time is needed by the Department to process the licensure
381	381	22 application.
382	382	23 (2) Receipt of the registered professional nurse
383	383	24 license from the Department.
384	384	25 (3) Notification from the Department that the
385	385	26 application for licensure has been refused.
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396	396	1 (4) A request by the Department that the individual
397	397	2 terminate practicing as a license-pending registered nurse
398	398	3 until an official decision is made by the Department to
399	399	4 grant or deny a registered professional nurse license.
400	400	5 (f) (Blank).
401	401	6 (g) (Blank).
402	402	7 (h) (Blank).
403	403	8 (i) (Blank).
404	404	9 (j) (Blank).
405	405	10 (k) All applicants for registered professional nurse
406	406	11 licensure have 3 years after the date of application to
407	407	12 complete the application process. If the process has not been
408	408	13 completed within 3 years after the date of application, the
409	409	14 application shall be denied, the fee forfeited, and the
410	410	15 applicant must reapply and meet the requirements in effect at
411	411	16 the time of reapplication.
412	412	17 (l) All applicants for registered nurse licensure by
413	413	18 examination who are graduates of practical nursing educational
414	414	19 programs in a country other than the United States and its
415	415	20 territories shall have their nursing education credentials
416	416	21 evaluated by a Department-approved nursing credentialing
417	417	22 evaluation service. No such applicant may be issued a license
418	418	23 under this Act unless the applicant's program is deemed by the
419	419	24 nursing credentialing evaluation service to be equivalent to a
420	420	25 professional nursing education program approved by the
421	421	26 Department. An applicant who has graduated from a nursing
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