103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5649 Introduced 2/9/2024, by Rep. Abdelnasser Rashid SYNOPSIS AS INTRODUCED: 225 ILCS 20/19 from Ch. 111, par. 6369225 ILCS 20/36.5 new225 ILCS 60/60.5 new225 ILCS 65/70-5 was 225 ILCS 65/10-45225 ILCS 65/70-175 new225 ILCS 75/19 from Ch. 111, par. 3719225 ILCS 75/20.5 new225 ILCS 107/80225 ILCS 107/175 new815 ILCS 505/2EEEE new Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice within the meaning of the Act for a licensed mental health professional to provide mental health services to a patient through the use of artificial intelligence without first obtaining informed consent from the patient for the use of artificial intelligence tools and disclosing the use of artificial intelligence tools to the patient before providing services through the use of artificial intelligence. Amends the Clinical Social Work and Social Work Practice Act, the Medical Practice Act of 1987, the Nurse Practice Act, the Illinois Occupational Therapy Practice Act, and the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. Makes corresponding changes in grounds for discipline. Provides that the Department of Financial and Professional Regulation may adopt rules to regulate the use of artificial intelligence tools to provide mental health services. LRB103 39383 RTM 69556 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5649 Introduced 2/9/2024, by Rep. Abdelnasser Rashid SYNOPSIS AS INTRODUCED: 225 ILCS 20/19 from Ch. 111, par. 6369225 ILCS 20/36.5 new225 ILCS 60/60.5 new225 ILCS 65/70-5 was 225 ILCS 65/10-45225 ILCS 65/70-175 new225 ILCS 75/19 from Ch. 111, par. 3719225 ILCS 75/20.5 new225 ILCS 107/80225 ILCS 107/175 new815 ILCS 505/2EEEE new 225 ILCS 20/19 from Ch. 111, par. 6369 225 ILCS 20/36.5 new 225 ILCS 60/60.5 new 225 ILCS 65/70-5 was 225 ILCS 65/10-45 225 ILCS 65/70-175 new 225 ILCS 75/19 from Ch. 111, par. 3719 225 ILCS 75/20.5 new 225 ILCS 107/80 225 ILCS 107/175 new 815 ILCS 505/2EEEE new Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice within the meaning of the Act for a licensed mental health professional to provide mental health services to a patient through the use of artificial intelligence without first obtaining informed consent from the patient for the use of artificial intelligence tools and disclosing the use of artificial intelligence tools to the patient before providing services through the use of artificial intelligence. Amends the Clinical Social Work and Social Work Practice Act, the Medical Practice Act of 1987, the Nurse Practice Act, the Illinois Occupational Therapy Practice Act, and the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. Makes corresponding changes in grounds for discipline. Provides that the Department of Financial and Professional Regulation may adopt rules to regulate the use of artificial intelligence tools to provide mental health services. LRB103 39383 RTM 69556 b LRB103 39383 RTM 69556 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5649 Introduced 2/9/2024, by Rep. Abdelnasser Rashid SYNOPSIS AS INTRODUCED: 225 ILCS 20/19 from Ch. 111, par. 6369225 ILCS 20/36.5 new225 ILCS 60/60.5 new225 ILCS 65/70-5 was 225 ILCS 65/10-45225 ILCS 65/70-175 new225 ILCS 75/19 from Ch. 111, par. 3719225 ILCS 75/20.5 new225 ILCS 107/80225 ILCS 107/175 new815 ILCS 505/2EEEE new 225 ILCS 20/19 from Ch. 111, par. 6369 225 ILCS 20/36.5 new 225 ILCS 60/60.5 new 225 ILCS 65/70-5 was 225 ILCS 65/10-45 225 ILCS 65/70-175 new 225 ILCS 75/19 from Ch. 111, par. 3719 225 ILCS 75/20.5 new 225 ILCS 107/80 225 ILCS 107/175 new 815 ILCS 505/2EEEE new 225 ILCS 20/19 from Ch. 111, par. 6369 225 ILCS 20/36.5 new 225 ILCS 60/60.5 new 225 ILCS 65/70-5 was 225 ILCS 65/10-45 225 ILCS 65/70-175 new 225 ILCS 75/19 from Ch. 111, par. 3719 225 ILCS 75/20.5 new 225 ILCS 107/80 225 ILCS 107/175 new 815 ILCS 505/2EEEE new Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice within the meaning of the Act for a licensed mental health professional to provide mental health services to a patient through the use of artificial intelligence without first obtaining informed consent from the patient for the use of artificial intelligence tools and disclosing the use of artificial intelligence tools to the patient before providing services through the use of artificial intelligence. Amends the Clinical Social Work and Social Work Practice Act, the Medical Practice Act of 1987, the Nurse Practice Act, the Illinois Occupational Therapy Practice Act, and the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. Makes corresponding changes in grounds for discipline. Provides that the Department of Financial and Professional Regulation may adopt rules to regulate the use of artificial intelligence tools to provide mental health services. LRB103 39383 RTM 69556 b LRB103 39383 RTM 69556 b LRB103 39383 RTM 69556 b A BILL FOR HB5649LRB103 39383 RTM 69556 b HB5649 LRB103 39383 RTM 69556 b HB5649 LRB103 39383 RTM 69556 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Clinical Social Work and Social Work 5 Practice Act is amended by changing Section 19 and by adding 6 Section 36.5 as follows: 7 (225 ILCS 20/19) (from Ch. 111, par. 6369) 8 (Section scheduled to be repealed on January 1, 2028) 9 Sec. 19. Grounds for disciplinary action. 10 (1) The Department may refuse to issue or renew a license, 11 or may suspend, revoke, place on probation, reprimand, or take 12 any other disciplinary or non-disciplinary action deemed 13 appropriate by the Department, including the imposition of 14 fines not to exceed $10,000 for each violation, with regard to 15 any license issued under the provisions of this Act for any one 16 or a combination of the following grounds: 17 (a) material misstatements in furnishing information 18 to the Department or to any other State agency or in 19 furnishing information to any insurance company with 20 respect to a claim on behalf of a licensee or a patient; 21 (b) violations or negligent or intentional disregard 22 of this Act, or any of the rules promulgated hereunder; 23 (c) conviction of or entry of a plea of guilty or nolo 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5649 Introduced 2/9/2024, by Rep. Abdelnasser Rashid SYNOPSIS AS INTRODUCED: 225 ILCS 20/19 from Ch. 111, par. 6369225 ILCS 20/36.5 new225 ILCS 60/60.5 new225 ILCS 65/70-5 was 225 ILCS 65/10-45225 ILCS 65/70-175 new225 ILCS 75/19 from Ch. 111, par. 3719225 ILCS 75/20.5 new225 ILCS 107/80225 ILCS 107/175 new815 ILCS 505/2EEEE new 225 ILCS 20/19 from Ch. 111, par. 6369 225 ILCS 20/36.5 new 225 ILCS 60/60.5 new 225 ILCS 65/70-5 was 225 ILCS 65/10-45 225 ILCS 65/70-175 new 225 ILCS 75/19 from Ch. 111, par. 3719 225 ILCS 75/20.5 new 225 ILCS 107/80 225 ILCS 107/175 new 815 ILCS 505/2EEEE new 225 ILCS 20/19 from Ch. 111, par. 6369 225 ILCS 20/36.5 new 225 ILCS 60/60.5 new 225 ILCS 65/70-5 was 225 ILCS 65/10-45 225 ILCS 65/70-175 new 225 ILCS 75/19 from Ch. 111, par. 3719 225 ILCS 75/20.5 new 225 ILCS 107/80 225 ILCS 107/175 new 815 ILCS 505/2EEEE new Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice within the meaning of the Act for a licensed mental health professional to provide mental health services to a patient through the use of artificial intelligence without first obtaining informed consent from the patient for the use of artificial intelligence tools and disclosing the use of artificial intelligence tools to the patient before providing services through the use of artificial intelligence. Amends the Clinical Social Work and Social Work Practice Act, the Medical Practice Act of 1987, the Nurse Practice Act, the Illinois Occupational Therapy Practice Act, and the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act. Makes corresponding changes in grounds for discipline. Provides that the Department of Financial and Professional Regulation may adopt rules to regulate the use of artificial intelligence tools to provide mental health services. LRB103 39383 RTM 69556 b LRB103 39383 RTM 69556 b LRB103 39383 RTM 69556 b A BILL FOR 225 ILCS 20/19 from Ch. 111, par. 6369 225 ILCS 20/36.5 new 225 ILCS 60/60.5 new 225 ILCS 65/70-5 was 225 ILCS 65/10-45 225 ILCS 65/70-175 new 225 ILCS 75/19 from Ch. 111, par. 3719 225 ILCS 75/20.5 new 225 ILCS 107/80 225 ILCS 107/175 new 815 ILCS 505/2EEEE new LRB103 39383 RTM 69556 b HB5649 LRB103 39383 RTM 69556 b HB5649- 2 -LRB103 39383 RTM 69556 b HB5649 - 2 - LRB103 39383 RTM 69556 b HB5649 - 2 - LRB103 39383 RTM 69556 b 1 contendere, finding of guilt, jury verdict, or entry of 2 judgment or sentencing, including, but not limited to, 3 convictions, preceding sentences of supervision, 4 conditional discharge, or first offender probation, under 5 the laws of any jurisdiction of the United States that is 6 (i) a felony or (ii) a misdemeanor, an essential element 7 of which is dishonesty, or that is directly related to the 8 practice of the clinical social work or social work 9 professions; 10 (d) fraud or misrepresentation in applying for or 11 procuring a license under this Act or in connection with 12 applying for renewal or restoration of a license under 13 this Act; 14 (e) professional incompetence; 15 (f) gross negligence in practice under this Act; 16 (g) aiding or assisting another person in violating 17 any provision of this Act or its rules; 18 (h) failing to provide information within 60 days in 19 response to a written request made by the Department; 20 (i) engaging in dishonorable, unethical or 21 unprofessional conduct of a character likely to deceive, 22 defraud or harm the public as defined by the rules of the 23 Department, or violating the rules of professional conduct 24 adopted by the Department; 25 (j) habitual or excessive use or abuse of drugs 26 defined in law as controlled substances, of alcohol, or of HB5649 - 2 - LRB103 39383 RTM 69556 b HB5649- 3 -LRB103 39383 RTM 69556 b HB5649 - 3 - LRB103 39383 RTM 69556 b HB5649 - 3 - LRB103 39383 RTM 69556 b 1 any other substances that results in the inability to 2 practice with reasonable judgment, skill, or safety; 3 (k) adverse action taken by another state or 4 jurisdiction, if at least one of the grounds for the 5 discipline is the same or substantially equivalent to 6 those set forth in this Section; 7 (l) directly or indirectly giving to or receiving from 8 any person, firm, corporation, partnership, or association 9 any fee, commission, rebate or other form of compensation 10 for any professional service not actually rendered. 11 Nothing in this paragraph (l) affects any bona fide 12 independent contractor or employment arrangements among 13 health care professionals, health facilities, health care 14 providers, or other entities, except as otherwise 15 prohibited by law. Any employment arrangements may include 16 provisions for compensation, health insurance, pension, or 17 other employment benefits for the provision of services 18 within the scope of the licensee's practice under this 19 Act. Nothing in this paragraph (l) shall be construed to 20 require an employment arrangement to receive professional 21 fees for services rendered; 22 (m) a finding by the Department that the licensee, 23 after having the license placed on probationary status, 24 has violated the terms of probation or failed to comply 25 with such terms; 26 (n) abandonment, without cause, of a client; HB5649 - 3 - LRB103 39383 RTM 69556 b HB5649- 4 -LRB103 39383 RTM 69556 b HB5649 - 4 - LRB103 39383 RTM 69556 b HB5649 - 4 - LRB103 39383 RTM 69556 b 1 (o) willfully making or filing false records or 2 reports relating to a licensee's practice, including, but 3 not limited to, false records filed with Federal or State 4 agencies or departments; 5 (p) willfully failing to report an instance of 6 suspected child abuse or neglect as required by the Abused 7 and Neglected Child Reporting Act; 8 (q) being named as a perpetrator in an indicated 9 report by the Department of Children and Family Services 10 under the Abused and Neglected Child Reporting Act, and 11 upon proof by clear and convincing evidence that the 12 licensee has caused a child to be an abused child or 13 neglected child as defined in the Abused and Neglected 14 Child Reporting Act; 15 (r) physical illness, mental illness, or any other 16 impairment or disability, including, but not limited to, 17 deterioration through the aging process, or loss of motor 18 skills that results in the inability to practice the 19 profession with reasonable judgment, skill or safety; 20 (s) solicitation of professional services by using 21 false or misleading advertising; 22 (t) violation of the Health Care Worker Self-Referral 23 Act; 24 (u) willfully failing to report an instance of 25 suspected abuse, neglect, financial exploitation, or 26 self-neglect of an eligible adult as defined in and HB5649 - 4 - LRB103 39383 RTM 69556 b HB5649- 5 -LRB103 39383 RTM 69556 b HB5649 - 5 - LRB103 39383 RTM 69556 b HB5649 - 5 - LRB103 39383 RTM 69556 b 1 required by the Adult Protective Services Act; or 2 (v) being named as an abuser in a verified report by 3 the Department on Aging under the Adult Protective 4 Services Act, and upon proof by clear and convincing 5 evidence that the licensee abused, neglected, or 6 financially exploited an eligible adult as defined in the 7 Adult Protective Services Act. 8 (w) Violating Section 2EEEE of the Consumer Fraud and 9 Deceptive Business Practices Act. 10 (2) (Blank). 11 (3) The determination by a court that a licensee is 12 subject to involuntary admission or judicial admission as 13 provided in the Mental Health and Developmental Disabilities 14 Code, will result in an automatic suspension of his license. 15 Such suspension will end upon a finding by a court that the 16 licensee is no longer subject to involuntary admission or 17 judicial admission and issues an order so finding and 18 discharging the patient, and upon the recommendation of the 19 Board to the Secretary that the licensee be allowed to resume 20 professional practice. 21 (4) The Department shall refuse to issue or renew or may 22 suspend the license of a person who (i) fails to file a return, 23 pay the tax, penalty, or interest shown in a filed return, or 24 pay any final assessment of tax, penalty, or interest, as 25 required by any tax Act administered by the Department of 26 Revenue, until the requirements of the tax Act are satisfied HB5649 - 5 - LRB103 39383 RTM 69556 b HB5649- 6 -LRB103 39383 RTM 69556 b HB5649 - 6 - LRB103 39383 RTM 69556 b HB5649 - 6 - LRB103 39383 RTM 69556 b 1 or (ii) has failed to pay any court-ordered child support as 2 determined by a court order or by referral from the Department 3 of Healthcare and Family Services. 4 (4.5) The Department shall not revoke, suspend, summarily 5 suspend, place on prohibition, reprimand, refuse to issue or 6 renew, or take any other disciplinary or non-disciplinary 7 action against a license or permit issued under this Act based 8 solely upon the licensed clinical social worker authorizing, 9 recommending, aiding, assisting, referring for, or otherwise 10 participating in any health care service, so long as the care 11 was not unlawful under the laws of this State, regardless of 12 whether the patient was a resident of this State or another 13 state. 14 (4.10) The Department shall not revoke, suspend, summarily 15 suspend, place on prohibition, reprimand, refuse to issue or 16 renew, or take any other disciplinary or non-disciplinary 17 action against the license or permit issued under this Act to 18 practice as a licensed clinical social worker based upon the 19 licensed clinical social worker's license being revoked or 20 suspended, or the licensed clinical social worker being 21 otherwise disciplined by any other state, if that revocation, 22 suspension, or other form of discipline was based solely on 23 the licensed clinical social worker violating another state's 24 laws prohibiting the provision of, authorization of, 25 recommendation of, aiding or assisting in, referring for, or 26 participation in any health care service if that health care HB5649 - 6 - LRB103 39383 RTM 69556 b HB5649- 7 -LRB103 39383 RTM 69556 b HB5649 - 7 - LRB103 39383 RTM 69556 b HB5649 - 7 - LRB103 39383 RTM 69556 b 1 service as provided would not have been unlawful under the 2 laws of this State and is consistent with the standards of 3 conduct for a licensed clinical social worker practicing in 4 Illinois. 5 (4.15) The conduct specified in subsections (4.5) and 6 (4.10) shall not constitute grounds for suspension under 7 Section 32. 8 (4.20) An applicant seeking licensure, certification, or 9 authorization pursuant to this Act who has been subject to 10 disciplinary action by a duly authorized professional 11 disciplinary agency of another jurisdiction solely on the 12 basis of having authorized, recommended, aided, assisted, 13 referred for, or otherwise participated in health care shall 14 not be denied such licensure, certification, or authorization, 15 unless the Department determines that such action would have 16 constituted professional misconduct in this State; however, 17 nothing in this Section shall be construed as prohibiting the 18 Department from evaluating the conduct of such applicant and 19 making a determination regarding the licensure, certification, 20 or authorization to practice a profession under this Act. 21 (5)(a) In enforcing this Section, the Department or Board, 22 upon a showing of a possible violation, may compel a person 23 licensed to practice under this Act, or who has applied for 24 licensure under this Act, to submit to a mental or physical 25 examination, or both, which may include a substance abuse or 26 sexual offender evaluation, as required by and at the expense HB5649 - 7 - LRB103 39383 RTM 69556 b HB5649- 8 -LRB103 39383 RTM 69556 b HB5649 - 8 - LRB103 39383 RTM 69556 b HB5649 - 8 - LRB103 39383 RTM 69556 b 1 of the Department. 2 (b) The Department shall specifically designate the 3 examining physician licensed to practice medicine in all of 4 its branches or, if applicable, the multidisciplinary team 5 involved in providing the mental or physical examination or 6 both. The multidisciplinary team shall be led by a physician 7 licensed to practice medicine in all of its branches and may 8 consist of one or more or a combination of physicians licensed 9 to practice medicine in all of its branches, licensed clinical 10 psychologists, licensed clinical social workers, licensed 11 clinical professional counselors, and other professional and 12 administrative staff. Any examining physician or member of the 13 multidisciplinary team may require any person ordered to 14 submit to an examination pursuant to this Section to submit to 15 any additional supplemental testing deemed necessary to 16 complete any examination or evaluation process, including, but 17 not limited to, blood testing, urinalysis, psychological 18 testing, or neuropsychological testing. 19 (c) The Board or the Department may order the examining 20 physician or any member of the multidisciplinary team to 21 present testimony concerning this mental or physical 22 examination of the licensee or applicant. No information, 23 report, record, or other documents in any way related to the 24 examination shall be excluded by reason of any common law or 25 statutory privilege relating to communications between the 26 licensee or applicant and the examining physician or any HB5649 - 8 - LRB103 39383 RTM 69556 b HB5649- 9 -LRB103 39383 RTM 69556 b HB5649 - 9 - LRB103 39383 RTM 69556 b HB5649 - 9 - LRB103 39383 RTM 69556 b 1 member of the multidisciplinary team. No authorization is 2 necessary from the licensee or applicant ordered to undergo an 3 examination for the examining physician or any member of the 4 multidisciplinary team to provide information, reports, 5 records, or other documents or to provide any testimony 6 regarding the examination and evaluation. 7 (d) The person to be examined may have, at his or her own 8 expense, another physician of his or her choice present during 9 all aspects of the examination. However, that physician shall 10 be present only to observe and may not interfere in any way 11 with the examination. 12 (e) Failure of any person to submit to a mental or physical 13 examination without reasonable cause, when ordered, shall 14 result in an automatic suspension of his or her license until 15 the person submits to the examination. 16 (f) If the Department or Board finds a person unable to 17 practice because of the reasons set forth in this Section, the 18 Department or Board may require that person to submit to care, 19 counseling, or treatment by physicians approved or designated 20 by the Department or Board, as a condition, term, or 21 restriction for continued, reinstated, or renewed licensure to 22 practice; or, in lieu of care, counseling or treatment, the 23 Department may file, or the Board may recommend to the 24 Department to file, a complaint to immediately suspend, 25 revoke, or otherwise discipline the license of the person. Any 26 person whose license was granted, continued, reinstated, HB5649 - 9 - LRB103 39383 RTM 69556 b HB5649- 10 -LRB103 39383 RTM 69556 b HB5649 - 10 - LRB103 39383 RTM 69556 b HB5649 - 10 - LRB103 39383 RTM 69556 b 1 renewed, disciplined or supervised subject to such terms, 2 conditions or restrictions, and who fails to comply with such 3 terms, conditions, or restrictions, shall be referred to the 4 Secretary for a determination as to whether the person shall 5 have his or her license suspended immediately, pending a 6 hearing by the Department. 7 (g) All fines imposed shall be paid within 60 days after 8 the effective date of the order imposing the fine or in 9 accordance with the terms set forth in the order imposing the 10 fine. 11 In instances in which the Secretary immediately suspends a 12 person's license under this Section, a hearing on that 13 person's license must be convened by the Department within 30 14 days after the suspension and completed without appreciable 15 delay. The Department and Board shall have the authority to 16 review the subject person's record of treatment and counseling 17 regarding the impairment, to the extent permitted by 18 applicable federal statutes and regulations safeguarding the 19 confidentiality of medical records. 20 A person licensed under this Act and affected under this 21 Section shall be afforded an opportunity to demonstrate to the 22 Department or Board that he or she can resume practice in 23 compliance with acceptable and prevailing standards under the 24 provisions of his or her license. 25 (h) The Department may adopt rules to implement the 26 changes made by this amendatory Act of the 102nd General HB5649 - 10 - LRB103 39383 RTM 69556 b HB5649- 11 -LRB103 39383 RTM 69556 b HB5649 - 11 - LRB103 39383 RTM 69556 b HB5649 - 11 - LRB103 39383 RTM 69556 b 1 Assembly. 2 (Source: P.A. 102-1117, eff. 1-13-23.) 3 (225 ILCS 20/36.5 new) 4 Sec. 36.5. Use of artificial intelligence. The Department 5 may adopt rules to regulate the use of artificial intelligence 6 tools to provide mental health services by persons licensed 7 under this Act. 8 Section 10. The Medical Practice Act of 1987 is amended by 9 adding Section 60.5 as follows: 10 (225 ILCS 60/60.5 new) 11 Sec. 60.5. Use of artificial intelligence. 12 (a) A violation of Section 2EEEE of the Consumer Fraud and 13 Deceptive Business Practices Act shall be grounds for 14 discipline under this Act. 15 (b) The Department may adopt rules to regulate the use of 16 artificial intelligence tools to provide mental health 17 services by persons licensed under this Act. 18 Section 15. The Nurse Practice Act is amended by changing 19 Section 70-5 and by adding Section 70-175 as follows: 20 (225 ILCS 65/70-5) (was 225 ILCS 65/10-45) 21 (Section scheduled to be repealed on January 1, 2028) HB5649 - 11 - LRB103 39383 RTM 69556 b HB5649- 12 -LRB103 39383 RTM 69556 b HB5649 - 12 - LRB103 39383 RTM 69556 b HB5649 - 12 - LRB103 39383 RTM 69556 b 1 Sec. 70-5. Grounds for disciplinary action. 2 (a) The Department may refuse to issue or to renew, or may 3 revoke, suspend, place on probation, reprimand, or take other 4 disciplinary or non-disciplinary action as the Department may 5 deem appropriate, including fines not to exceed $10,000 per 6 violation, with regard to a license for any one or combination 7 of the causes set forth in subsection (b) below. All fines 8 collected under this Section shall be deposited in the Nursing 9 Dedicated and Professional Fund. 10 (b) Grounds for disciplinary action include the following: 11 (1) Material deception in furnishing information to 12 the Department. 13 (2) Material violations of any provision of this Act 14 or violation of the rules of or final administrative 15 action of the Secretary, after consideration of the 16 recommendation of the Board. 17 (3) Conviction by plea of guilty or nolo contendere, 18 finding of guilt, jury verdict, or entry of judgment or by 19 sentencing of any crime, including, but not limited to, 20 convictions, preceding sentences of supervision, 21 conditional discharge, or first offender probation, under 22 the laws of any jurisdiction of the United States: (i) 23 that is a felony; or (ii) that is a misdemeanor, an 24 essential element of which is dishonesty, or that is 25 directly related to the practice of the profession. 26 (4) A pattern of practice or other behavior which HB5649 - 12 - LRB103 39383 RTM 69556 b HB5649- 13 -LRB103 39383 RTM 69556 b HB5649 - 13 - LRB103 39383 RTM 69556 b HB5649 - 13 - LRB103 39383 RTM 69556 b 1 demonstrates incapacity or incompetency to practice under 2 this Act. 3 (5) Knowingly aiding or assisting another person in 4 violating any provision of this Act or rules. 5 (6) Failing, within 90 days, to provide a response to 6 a request for information in response to a written request 7 made by the Department by certified or registered mail or 8 by email to the email address of record. 9 (7) Engaging in dishonorable, unethical, or 10 unprofessional conduct of a character likely to deceive, 11 defraud, or harm the public, as defined by rule. 12 (8) Unlawful taking, theft, selling, distributing, or 13 manufacturing of any drug, narcotic, or prescription 14 device. 15 (9) Habitual or excessive use or addiction to alcohol, 16 narcotics, stimulants, or any other chemical agent or drug 17 that could result in a licensee's inability to practice 18 with reasonable judgment, skill, or safety. 19 (10) Discipline by another U.S. jurisdiction or 20 foreign nation, if at least one of the grounds for the 21 discipline is the same or substantially equivalent to 22 those set forth in this Section. 23 (11) A finding that the licensee, after having her or 24 his license placed on probationary status or subject to 25 conditions or restrictions, has violated the terms of 26 probation or failed to comply with such terms or HB5649 - 13 - LRB103 39383 RTM 69556 b HB5649- 14 -LRB103 39383 RTM 69556 b HB5649 - 14 - LRB103 39383 RTM 69556 b HB5649 - 14 - LRB103 39383 RTM 69556 b 1 conditions. 2 (12) Being named as a perpetrator in an indicated 3 report by the Department of Children and Family Services 4 and under the Abused and Neglected Child Reporting Act, 5 and upon proof by clear and convincing evidence that the 6 licensee has caused a child to be an abused child or 7 neglected child as defined in the Abused and Neglected 8 Child Reporting Act. 9 (13) Willful omission to file or record, or willfully 10 impeding the filing or recording or inducing another 11 person to omit to file or record medical reports as 12 required by law. 13 (13.5) Willfully failing to report an instance of 14 suspected child abuse or neglect as required by the Abused 15 and Neglected Child Reporting Act. 16 (14) Gross negligence in the practice of practical, 17 professional, or advanced practice registered nursing. 18 (15) Holding oneself out to be practicing nursing 19 under any name other than one's own. 20 (16) Failure of a licensee to report to the Department 21 any adverse final action taken against him or her by 22 another licensing jurisdiction of the United States or any 23 foreign state or country, any peer review body, any health 24 care institution, any professional or nursing society or 25 association, any governmental agency, any law enforcement 26 agency, or any court or a nursing liability claim related HB5649 - 14 - LRB103 39383 RTM 69556 b HB5649- 15 -LRB103 39383 RTM 69556 b HB5649 - 15 - LRB103 39383 RTM 69556 b HB5649 - 15 - LRB103 39383 RTM 69556 b 1 to acts or conduct similar to acts or conduct that would 2 constitute grounds for action as defined in this Section. 3 (17) Failure of a licensee to report to the Department 4 surrender by the licensee of a license or authorization to 5 practice nursing or advanced practice registered nursing 6 in another state or jurisdiction or current surrender by 7 the licensee of membership on any nursing staff or in any 8 nursing or advanced practice registered nursing or 9 professional association or society while under 10 disciplinary investigation by any of those authorities or 11 bodies for acts or conduct similar to acts or conduct that 12 would constitute grounds for action as defined by this 13 Section. 14 (18) Failing, within 60 days, to provide information 15 in response to a written request made by the Department. 16 (19) Failure to establish and maintain records of 17 patient care and treatment as required by law. 18 (20) Fraud, deceit, or misrepresentation in applying 19 for or procuring a license under this Act or in connection 20 with applying for renewal of a license under this Act. 21 (21) Allowing another person or organization to use 22 the licensee's license to deceive the public. 23 (22) Willfully making or filing false records or 24 reports in the licensee's practice, including, but not 25 limited to, false records to support claims against the 26 medical assistance program of the Department of Healthcare HB5649 - 15 - LRB103 39383 RTM 69556 b HB5649- 16 -LRB103 39383 RTM 69556 b HB5649 - 16 - LRB103 39383 RTM 69556 b HB5649 - 16 - LRB103 39383 RTM 69556 b 1 and Family Services (formerly Department of Public Aid) 2 under the Illinois Public Aid Code. 3 (23) Attempting to subvert or cheat on a licensing 4 examination administered under this Act. 5 (24) Immoral conduct in the commission of an act, 6 including, but not limited to, sexual abuse, sexual 7 misconduct, or sexual exploitation, related to the 8 licensee's practice. 9 (25) Willfully or negligently violating the 10 confidentiality between nurse and patient except as 11 required by law. 12 (26) Practicing under a false or assumed name, except 13 as provided by law. 14 (27) The use of any false, fraudulent, or deceptive 15 statement in any document connected with the licensee's 16 practice. 17 (28) Directly or indirectly giving to or receiving 18 from a person, firm, corporation, partnership, or 19 association a fee, commission, rebate, or other form of 20 compensation for professional services not actually or 21 personally rendered. Nothing in this paragraph (28) 22 affects any bona fide independent contractor or employment 23 arrangements among health care professionals, health 24 facilities, health care providers, or other entities, 25 except as otherwise prohibited by law. Any employment 26 arrangements may include provisions for compensation, HB5649 - 16 - LRB103 39383 RTM 69556 b HB5649- 17 -LRB103 39383 RTM 69556 b HB5649 - 17 - LRB103 39383 RTM 69556 b HB5649 - 17 - LRB103 39383 RTM 69556 b 1 health insurance, pension, or other employment benefits 2 for the provision of services within the scope of the 3 licensee's practice under this Act. Nothing in this 4 paragraph (28) shall be construed to require an employment 5 arrangement to receive professional fees for services 6 rendered. 7 (29) A violation of the Health Care Worker 8 Self-Referral Act. 9 (30) Physical illness, mental illness, or disability 10 that results in the inability to practice the profession 11 with reasonable judgment, skill, or safety. 12 (31) Exceeding the terms of a collaborative agreement 13 or the prescriptive authority delegated to a licensee by 14 his or her collaborating physician or podiatric physician 15 in guidelines established under a written collaborative 16 agreement. 17 (32) Making a false or misleading statement regarding 18 a licensee's skill or the efficacy or value of the 19 medicine, treatment, or remedy prescribed by him or her in 20 the course of treatment. 21 (33) Prescribing, selling, administering, 22 distributing, giving, or self-administering a drug 23 classified as a controlled substance (designated product) 24 or narcotic for other than medically accepted therapeutic 25 purposes. 26 (34) Promotion of the sale of drugs, devices, HB5649 - 17 - LRB103 39383 RTM 69556 b HB5649- 18 -LRB103 39383 RTM 69556 b HB5649 - 18 - LRB103 39383 RTM 69556 b HB5649 - 18 - LRB103 39383 RTM 69556 b 1 appliances, or goods provided for a patient in a manner to 2 exploit the patient for financial gain. 3 (35) Violating State or federal laws, rules, or 4 regulations relating to controlled substances. 5 (36) Willfully or negligently violating the 6 confidentiality between an advanced practice registered 7 nurse, collaborating physician, dentist, or podiatric 8 physician and a patient, except as required by law. 9 (37) Willfully failing to report an instance of 10 suspected abuse, neglect, financial exploitation, or 11 self-neglect of an eligible adult as defined in and 12 required by the Adult Protective Services Act. 13 (38) Being named as an abuser in a verified report by 14 the Department on Aging and under the Adult Protective 15 Services Act, and upon proof by clear and convincing 16 evidence that the licensee abused, neglected, or 17 financially exploited an eligible adult as defined in the 18 Adult Protective Services Act. 19 (39) A violation of any provision of this Act or any 20 rules adopted under this Act. 21 (40) Violating the Compassionate Use of Medical 22 Cannabis Program Act. 23 (41) Violating Section 2EEEE of the Consumer Fraud and 24 Deceptive Business Practices Act. 25 (b-5) The Department shall not revoke, suspend, summarily 26 suspend, place on probation, reprimand, refuse to issue or HB5649 - 18 - LRB103 39383 RTM 69556 b HB5649- 19 -LRB103 39383 RTM 69556 b HB5649 - 19 - LRB103 39383 RTM 69556 b HB5649 - 19 - LRB103 39383 RTM 69556 b 1 renew, or take any other disciplinary or non-disciplinary 2 action against the license or permit issued under this Act to 3 practice as a registered nurse or an advanced practice 4 registered nurse based solely upon the registered nurse or 5 advanced practice registered nurse providing, authorizing, 6 recommending, aiding, assisting, referring for, or otherwise 7 participating in any health care service, so long as the care 8 was not unlawful under the laws of this State, regardless of 9 whether the patient was a resident of this State or another 10 state. 11 (b-10) The Department shall not revoke, suspend, summarily 12 suspend, place on prohibition, reprimand, refuse to issue or 13 renew, or take any other disciplinary or non-disciplinary 14 action against the license or permit issued under this Act to 15 practice as a registered nurse or an advanced practice 16 registered nurse based upon the registered nurse's or advanced 17 practice registered nurse's license being revoked or 18 suspended, or the registered nurse or advanced practice 19 registered nurse being otherwise disciplined by any other 20 state, if that revocation, suspension, or other form of 21 discipline was based solely on the registered nurse or 22 advanced practice registered nurse violating another state's 23 laws prohibiting the provision of, authorization of, 24 recommendation of, aiding or assisting in, referring for, or 25 participation in any health care service if that health care 26 service as provided would not have been unlawful under the HB5649 - 19 - LRB103 39383 RTM 69556 b HB5649- 20 -LRB103 39383 RTM 69556 b HB5649 - 20 - LRB103 39383 RTM 69556 b HB5649 - 20 - LRB103 39383 RTM 69556 b 1 laws of this State and is consistent with the standards of 2 conduct for the registered nurse or advanced practice 3 registered nurse practicing in Illinois. 4 (b-15) The conduct specified in subsections (b-5) and 5 (b-10) shall not trigger reporting requirements under Section 6 65-65 or constitute grounds for suspension under Section 7 70-60. 8 (b-20) An applicant seeking licensure, certification, or 9 authorization under this Act who has been subject to 10 disciplinary action by a duly authorized professional 11 disciplinary agency of another jurisdiction solely on the 12 basis of having provided, authorized, recommended, aided, 13 assisted, referred for, or otherwise participated in health 14 care shall not be denied such licensure, certification, or 15 authorization, unless the Department determines that such 16 action would have constituted professional misconduct in this 17 State; however, nothing in this Section shall be construed as 18 prohibiting the Department from evaluating the conduct of such 19 applicant and making a determination regarding the licensure, 20 certification, or authorization to practice a profession under 21 this Act. 22 (c) The determination by a circuit court that a licensee 23 is subject to involuntary admission or judicial admission as 24 provided in the Mental Health and Developmental Disabilities 25 Code, as amended, operates as an automatic suspension. The 26 suspension will end only upon a finding by a court that the HB5649 - 20 - LRB103 39383 RTM 69556 b HB5649- 21 -LRB103 39383 RTM 69556 b HB5649 - 21 - LRB103 39383 RTM 69556 b HB5649 - 21 - LRB103 39383 RTM 69556 b 1 patient is no longer subject to involuntary admission or 2 judicial admission and issues an order so finding and 3 discharging the patient; and upon the recommendation of the 4 Board to the Secretary that the licensee be allowed to resume 5 his or her practice. 6 (d) The Department may refuse to issue or may suspend or 7 otherwise discipline the license of any person who fails to 8 file a return, or to pay the tax, penalty or interest shown in 9 a filed return, or to pay any final assessment of the tax, 10 penalty, or interest as required by any tax Act administered 11 by the Department of Revenue, until such time as the 12 requirements of any such tax Act are satisfied. 13 (e) In enforcing this Act, the Department, upon a showing 14 of a possible violation, may compel an individual licensed to 15 practice under this Act or who has applied for licensure under 16 this Act, to submit to a mental or physical examination, or 17 both, as required by and at the expense of the Department. The 18 Department may order the examining physician to present 19 testimony concerning the mental or physical examination of the 20 licensee or applicant. No information shall be excluded by 21 reason of any common law or statutory privilege relating to 22 communications between the licensee or applicant and the 23 examining physician. The examining physicians shall be 24 specifically designated by the Department. The individual to 25 be examined may have, at his or her own expense, another 26 physician of his or her choice present during all aspects of HB5649 - 21 - LRB103 39383 RTM 69556 b HB5649- 22 -LRB103 39383 RTM 69556 b HB5649 - 22 - LRB103 39383 RTM 69556 b HB5649 - 22 - LRB103 39383 RTM 69556 b 1 this examination. Failure of an individual to submit to a 2 mental or physical examination, when directed, shall result in 3 an automatic suspension without hearing. 4 All substance-related violations shall mandate an 5 automatic substance abuse assessment. Failure to submit to an 6 assessment by a licensed physician who is certified as an 7 addictionist or an advanced practice registered nurse with 8 specialty certification in addictions may be grounds for an 9 automatic suspension, as defined by rule. 10 If the Department finds an individual unable to practice 11 or unfit for duty because of the reasons set forth in this 12 subsection (e), the Department may require that individual to 13 submit to a substance abuse evaluation or treatment by 14 individuals or programs approved or designated by the 15 Department, as a condition, term, or restriction for 16 continued, restored, or renewed licensure to practice; or, in 17 lieu of evaluation or treatment, the Department may file, or 18 the Board may recommend to the Department to file, a complaint 19 to immediately suspend, revoke, or otherwise discipline the 20 license of the individual. An individual whose license was 21 granted, continued, restored, renewed, disciplined, or 22 supervised subject to such terms, conditions, or restrictions, 23 and who fails to comply with such terms, conditions, or 24 restrictions, shall be referred to the Secretary for a 25 determination as to whether the individual shall have his or 26 her license suspended immediately, pending a hearing by the HB5649 - 22 - LRB103 39383 RTM 69556 b HB5649- 23 -LRB103 39383 RTM 69556 b HB5649 - 23 - LRB103 39383 RTM 69556 b HB5649 - 23 - LRB103 39383 RTM 69556 b 1 Department. 2 In instances in which the Secretary immediately suspends a 3 person's license under this subsection (e), a hearing on that 4 person's license must be convened by the Department within 15 5 days after the suspension and completed without appreciable 6 delay. The Department and Board shall have the authority to 7 review the subject individual's record of treatment and 8 counseling regarding the impairment to the extent permitted by 9 applicable federal statutes and regulations safeguarding the 10 confidentiality of medical records. 11 An individual licensed under this Act and affected under 12 this subsection (e) shall be afforded an opportunity to 13 demonstrate to the Department that he or she can resume 14 practice in compliance with nursing standards under the 15 provisions of his or her license. 16 (f) The Department may adopt rules to implement the 17 changes made by this amendatory Act of the 102nd General 18 Assembly. 19 (Source: P.A. 101-363, eff. 8-9-19; 102-558, eff. 8-20-21; 20 102-1117, eff. 1-13-23.) 21 (225 ILCS 65/70-175 new) 22 Sec. 70-175. Use of artificial intelligence.The Department 23 may adopt rules to regulate the use of artificial intelligence 24 tools to provide mental health services by persons licensed 25 under this Act. HB5649 - 23 - LRB103 39383 RTM 69556 b HB5649- 24 -LRB103 39383 RTM 69556 b HB5649 - 24 - LRB103 39383 RTM 69556 b HB5649 - 24 - LRB103 39383 RTM 69556 b 1 Section 20. The Illinois Occupational Therapy Practice Act 2 is amended by changing Section 19 and by adding Section 20.5 as 3 follows: 4 (225 ILCS 75/19) (from Ch. 111, par. 3719) 5 (Section scheduled to be repealed on January 1, 2029) 6 Sec. 19. Grounds for discipline. 7 (a) The Department may refuse to issue or renew, or may 8 revoke, suspend, place on probation, reprimand, or take other 9 disciplinary or non-disciplinary action as the Department may 10 deem proper, including imposing fines not to exceed $10,000 11 for each violation and the assessment of costs as provided 12 under Section 19.3 of this Act, with regard to any license for 13 any one or combination of the following: 14 (1) Material misstatement in furnishing information to 15 the Department; 16 (2) Violations of this Act, or of the rules 17 promulgated thereunder; 18 (3) Conviction by plea of guilty or nolo contendere, 19 finding of guilt, jury verdict, or entry of judgment or 20 sentencing of any crime, including, but not limited to, 21 convictions, preceding sentences of supervision, 22 conditional discharge, or first offender probation, under 23 the laws of any jurisdiction of the United States that is 24 (i) a felony or (ii) a misdemeanor, an essential element HB5649 - 24 - LRB103 39383 RTM 69556 b HB5649- 25 -LRB103 39383 RTM 69556 b HB5649 - 25 - LRB103 39383 RTM 69556 b HB5649 - 25 - LRB103 39383 RTM 69556 b 1 of which is dishonesty, or that is directly related to the 2 practice of the profession; 3 (4) Fraud, misrepresentation, or concealment in 4 applying for or procuring a license under this Act, or in 5 connection with applying for renewal of a license under 6 this Act; 7 (5) Professional incompetence; 8 (6) Aiding or assisting another person, firm, 9 partnership or corporation in violating any provision of 10 this Act or rules; 11 (7) Failing, within 60 days, to provide information in 12 response to a written request made by the Department; 13 (8) Engaging in dishonorable, unethical or 14 unprofessional conduct of a character likely to deceive, 15 defraud or harm the public; 16 (9) Habitual or excessive use or abuse of drugs 17 defined in law as controlled substances, alcohol, or any 18 other substance that results in the inability to practice 19 with reasonable judgment, skill, or safety; 20 (10) Discipline by another state, unit of government, 21 government agency, the District of Columbia, a territory, 22 or foreign nation, if at least one of the grounds for the 23 discipline is the same or substantially equivalent to 24 those set forth herein; 25 (11) Directly or indirectly giving to or receiving 26 from any person, firm, corporation, partnership, or HB5649 - 25 - LRB103 39383 RTM 69556 b HB5649- 26 -LRB103 39383 RTM 69556 b HB5649 - 26 - LRB103 39383 RTM 69556 b HB5649 - 26 - LRB103 39383 RTM 69556 b 1 association any fee, commission, rebate, or other form of 2 compensation for professional services not actually or 3 personally rendered. Nothing in this paragraph (11) 4 affects any bona fide independent contractor or employment 5 arrangements among health care professionals, health 6 facilities, health care providers, or other entities, 7 except as otherwise prohibited by law. Any employment 8 arrangements may include provisions for compensation, 9 health insurance, pension, or other employment benefits 10 for the provision of services within the scope of the 11 licensee's practice under this Act. Nothing in this 12 paragraph (11) shall be construed to require an employment 13 arrangement to receive professional fees for services 14 rendered; 15 (12) A finding by the Department that the license 16 holder, after having the license disciplined, has violated 17 the terms of the discipline; 18 (13) Willfully making or filing false records or 19 reports in the practice of occupational therapy, 20 including, but not limited to, false records filed with 21 the State agencies or departments; 22 (14) Physical illness, including, but not limited to, 23 deterioration through the aging process or loss of motor 24 skill which results in the inability to practice under 25 this Act with reasonable judgment, skill, or safety; 26 (15) Solicitation of professional services other than HB5649 - 26 - LRB103 39383 RTM 69556 b HB5649- 27 -LRB103 39383 RTM 69556 b HB5649 - 27 - LRB103 39383 RTM 69556 b HB5649 - 27 - LRB103 39383 RTM 69556 b 1 by permitted advertising; 2 (16) Allowing one's license under this Act to be used 3 by an unlicensed person in violation of this Act; 4 (17) Practicing under a false or, except as provided 5 by law, assumed name; 6 (18) Professional incompetence or gross negligence; 7 (19) Malpractice; 8 (20) Promotion of the sale of drugs, devices, 9 appliances, or goods provided for a patient in any manner 10 to exploit the client for financial gain of the licensee; 11 (21) Gross, willful, or continued overcharging for 12 professional services; 13 (22) Mental illness or disability that results in the 14 inability to practice under this Act with reasonable 15 judgment, skill, or safety; 16 (23) Violating the Health Care Worker Self-Referral 17 Act; 18 (24) Failing to refer a patient or individual whose 19 medical condition should, at the time of evaluation or 20 treatment, be determined to be beyond the scope of 21 practice of the occupational therapist to an appropriate 22 health care professional; 23 (25) Cheating on or attempting to subvert the 24 licensing examination administered under this Act; 25 (26) Charging for professional services not rendered, 26 including filing false statements for the collection of HB5649 - 27 - LRB103 39383 RTM 69556 b HB5649- 28 -LRB103 39383 RTM 69556 b HB5649 - 28 - LRB103 39383 RTM 69556 b HB5649 - 28 - LRB103 39383 RTM 69556 b 1 fees for which services are not rendered; 2 (27) Practicing beyond the scope of the practice of 3 occupational therapy; 4 (28) Providing substandard care as an occupational 5 therapist due to a deliberate or negligent act, negligent 6 supervision of an occupational therapy assistant, or 7 failure to act regardless of whether actual injury to the 8 recipient is established; 9 (29) Providing substandard care as an occupational 10 therapy assistant, including exceeding the authority to 11 perform components of intervention selected and delegated 12 by the supervising occupational therapist regardless of 13 whether actual injury to the recipient is established; 14 (30) Knowingly delegating responsibilities to an 15 individual who does not have the knowledge, skills, or 16 abilities to perform those responsibilities; and 17 (31) Engaging in sexual misconduct. For the purposes 18 of this paragraph, sexual misconduct includes: 19 (A) engaging in or soliciting a sexual 20 relationship, whether consensual or non-consensual, 21 while an occupational therapist or occupational 22 therapy assistant with the recipient of occupational 23 therapy services; and 24 (B) making sexual advances, requesting sexual 25 favors, or engaging in physical contact of a sexual 26 nature with the recipient of occupational therapy HB5649 - 28 - LRB103 39383 RTM 69556 b HB5649- 29 -LRB103 39383 RTM 69556 b HB5649 - 29 - LRB103 39383 RTM 69556 b HB5649 - 29 - LRB103 39383 RTM 69556 b 1 services. 2 (32) Violating Section 2EEEE of the Consumer Fraud and 3 Deceptive Business Practices Act. 4 All fines imposed under this Section shall be paid within 5 60 days after the effective date of the order imposing the fine 6 or in accordance with the terms set forth in the order imposing 7 the fine. 8 (b) The determination by a circuit court that a license 9 holder is subject to involuntary admission or judicial 10 admission as provided in the Mental Health and Developmental 11 Disabilities Code, as now or hereafter amended, operates as an 12 automatic suspension. Such suspension will end only upon a 13 finding by a court that the patient is no longer subject to 14 involuntary admission or judicial admission and an order by 15 the court so finding and discharging the patient. In any case 16 where a license is suspended under this provision, the 17 licensee shall file a petition for restoration and shall 18 include evidence acceptable to the Department that the 19 licensee can resume practice in compliance with acceptable and 20 prevailing standards of their profession. 21 (c) The Department may refuse to issue or may suspend 22 without hearing, as provided for in the Code of Civil 23 Procedure, the license of any person who fails to file a 24 return, to pay the tax, penalty, or interest shown in a filed 25 return, or to pay any final assessment of tax, penalty, or 26 interest as required by any tax Act administered by the HB5649 - 29 - LRB103 39383 RTM 69556 b HB5649- 30 -LRB103 39383 RTM 69556 b HB5649 - 30 - LRB103 39383 RTM 69556 b HB5649 - 30 - LRB103 39383 RTM 69556 b 1 Illinois Department of Revenue, until such time as the 2 requirements of any such tax Act are satisfied in accordance 3 with subsection (a) of Section 2105-15 of the Department of 4 Professional Regulation Law of the Civil Administrative Code 5 of Illinois. 6 (d) In enforcing this Section, the Department, upon a 7 showing of a possible violation, may compel any individual who 8 is licensed under this Act or any individual who has applied 9 for licensure to submit to a mental or physical examination or 10 evaluation, or both, which may include a substance abuse or 11 sexual offender evaluation, at the expense of the Department. 12 The Department shall specifically designate the examining 13 physician licensed to practice medicine in all of its branches 14 or, if applicable, the multidisciplinary team involved in 15 providing the mental or physical examination and evaluation. 16 The multidisciplinary team shall be led by a physician 17 licensed to practice medicine in all of its branches and may 18 consist of one or more or a combination of physicians licensed 19 to practice medicine in all of its branches, licensed 20 chiropractic physicians, licensed clinical psychologists, 21 licensed clinical social workers, licensed clinical 22 professional counselors, and other professional and 23 administrative staff. Any examining physician or member of the 24 multidisciplinary team may require any person ordered to 25 submit to an examination and evaluation pursuant to this 26 Section to submit to any additional supplemental testing HB5649 - 30 - LRB103 39383 RTM 69556 b HB5649- 31 -LRB103 39383 RTM 69556 b HB5649 - 31 - LRB103 39383 RTM 69556 b HB5649 - 31 - LRB103 39383 RTM 69556 b 1 deemed necessary to complete any examination or evaluation 2 process, including, but not limited to, blood testing, 3 urinalysis, psychological testing, or neuropsychological 4 testing. 5 The Department may order the examining physician or any 6 member of the multidisciplinary team to provide to the 7 Department any and all records, including business records, 8 that relate to the examination and evaluation, including any 9 supplemental testing performed. The Department may order the 10 examining physician or any member of the multidisciplinary 11 team to present testimony concerning this examination and 12 evaluation of the licensee or applicant, including testimony 13 concerning any supplemental testing or documents relating to 14 the examination and evaluation. No information, report, 15 record, or other documents in any way related to the 16 examination and evaluation shall be excluded by reason of any 17 common law or statutory privilege relating to communication 18 between the licensee or applicant and the examining physician 19 or any member of the multidisciplinary team. No authorization 20 is necessary from the licensee or applicant ordered to undergo 21 an evaluation and examination for the examining physician or 22 any member of the multidisciplinary team to provide 23 information, reports, records, or other documents or to 24 provide any testimony regarding the examination and 25 evaluation. The individual to be examined may have, at his or 26 her own expense, another physician of his or her choice HB5649 - 31 - LRB103 39383 RTM 69556 b HB5649- 32 -LRB103 39383 RTM 69556 b HB5649 - 32 - LRB103 39383 RTM 69556 b HB5649 - 32 - LRB103 39383 RTM 69556 b 1 present during all aspects of the examination. 2 Failure of any individual to submit to mental or physical 3 examination or evaluation, or both, when directed, shall 4 result in an automatic suspension without hearing, until such 5 time as the individual submits to the examination. If the 6 Department finds a licensee unable to practice because of the 7 reasons set forth in this Section, the Department shall 8 require the licensee to submit to care, counseling, or 9 treatment by physicians approved or designated by the 10 Department as a condition for continued, reinstated, or 11 renewed licensure. 12 When the Secretary immediately suspends a license under 13 this Section, a hearing upon such person's license must be 14 convened by the Department within 15 days after the suspension 15 and completed without appreciable delay. The Department shall 16 have the authority to review the licensee's record of 17 treatment and counseling regarding the impairment to the 18 extent permitted by applicable federal statutes and 19 regulations safeguarding the confidentiality of medical 20 records. 21 Individuals licensed under this Act that are affected 22 under this Section, shall be afforded an opportunity to 23 demonstrate to the Department that they can resume practice in 24 compliance with acceptable and prevailing standards under the 25 provisions of their license. 26 (e) (Blank). HB5649 - 32 - LRB103 39383 RTM 69556 b HB5649- 33 -LRB103 39383 RTM 69556 b HB5649 - 33 - LRB103 39383 RTM 69556 b HB5649 - 33 - LRB103 39383 RTM 69556 b 1 (f) In cases where the Department of Healthcare and Family 2 Services has previously determined a licensee or a potential 3 licensee is more than 30 days delinquent in the payment of 4 child support and has subsequently certified the delinquency 5 to the Department, the Department may refuse to issue or renew 6 or may revoke or suspend that person's license or may take 7 other disciplinary action against that person based solely 8 upon the certification of delinquency made by the Department 9 of Healthcare and Family Services in accordance with paragraph 10 (5) of subsection (a) of Section 2105-15 of the Department of 11 Professional Regulation Law of the Civil Administrative Code 12 of Illinois. 13 (Source: P.A. 103-251, eff. 1-1-24.) 14 (225 ILCS 75/20.5 new) 15 Sec. 20.5. Use of artificial intelligence. The Department 16 may adopt rules to regulate the use of artificial intelligence 17 tools to provide mental health services by persons licensed 18 under this Act. 19 Section 25. The Professional Counselor and Clinical 20 Professional Counselor Licensing and Practice Act is amended 21 by changing Section 80 and by adding Section 175 as follows: 22 (225 ILCS 107/80) 23 (Section scheduled to be repealed on January 1, 2028) HB5649 - 33 - LRB103 39383 RTM 69556 b HB5649- 34 -LRB103 39383 RTM 69556 b HB5649 - 34 - LRB103 39383 RTM 69556 b HB5649 - 34 - LRB103 39383 RTM 69556 b 1 Sec. 80. Grounds for discipline. 2 (a) The Department may refuse to issue, renew, or may 3 revoke, suspend, place on probation, reprimand, or take other 4 disciplinary or non-disciplinary action as the Department 5 deems appropriate, including the issuance of fines not to 6 exceed $10,000 for each violation, with regard to any license 7 for any one or more of the following: 8 (1) Material misstatement in furnishing information to 9 the Department or to any other State agency. 10 (2) Violations or negligent or intentional disregard 11 of this Act or rules adopted under this Act. 12 (3) Conviction by plea of guilty or nolo contendere, 13 finding of guilt, jury verdict, or entry of judgment or by 14 sentencing of any crime, including, but not limited to, 15 convictions, preceding sentences of supervision, 16 conditional discharge, or first offender probation, under 17 the laws of any jurisdiction of the United States: (i) 18 that is a felony or (ii) that is a misdemeanor, an 19 essential element of which is dishonesty, or that is 20 directly related to the practice of the profession. 21 (4) Fraud or any misrepresentation in applying for or 22 procuring a license under this Act or in connection with 23 applying for renewal of a license under this Act. 24 (5) Professional incompetence or gross negligence in 25 the rendering of professional counseling or clinical 26 professional counseling services. HB5649 - 34 - LRB103 39383 RTM 69556 b HB5649- 35 -LRB103 39383 RTM 69556 b HB5649 - 35 - LRB103 39383 RTM 69556 b HB5649 - 35 - LRB103 39383 RTM 69556 b 1 (6) Malpractice. 2 (7) Aiding or assisting another person in violating 3 any provision of this Act or any rules. 4 (8) Failing to provide information within 60 days in 5 response to a written request made by the Department. 6 (9) Engaging in dishonorable, unethical, or 7 unprofessional conduct of a character likely to deceive, 8 defraud, or harm the public and violating the rules of 9 professional conduct adopted by the Department. 10 (10) Habitual or excessive use or abuse of drugs as 11 defined in law as controlled substances, alcohol, or any 12 other substance which results in inability to practice 13 with reasonable skill, judgment, or safety. 14 (11) Discipline by another jurisdiction, the District 15 of Columbia, territory, county, or governmental agency, if 16 at least one of the grounds for the discipline is the same 17 or substantially equivalent to those set forth in this 18 Section. 19 (12) Directly or indirectly giving to or receiving 20 from any person, firm, corporation, partnership, or 21 association any fee, commission, rebate or other form of 22 compensation for any professional service not actually 23 rendered. Nothing in this paragraph (12) affects any bona 24 fide independent contractor or employment arrangements 25 among health care professionals, health facilities, health 26 care providers, or other entities, except as otherwise HB5649 - 35 - LRB103 39383 RTM 69556 b HB5649- 36 -LRB103 39383 RTM 69556 b HB5649 - 36 - LRB103 39383 RTM 69556 b HB5649 - 36 - LRB103 39383 RTM 69556 b 1 prohibited by law. Any employment arrangements may include 2 provisions for compensation, health insurance, pension, or 3 other employment benefits for the provision of services 4 within the scope of the licensee's practice under this 5 Act. Nothing in this paragraph (12) shall be construed to 6 require an employment arrangement to receive professional 7 fees for services rendered. 8 (13) A finding by the Board that the licensee, after 9 having the license placed on probationary status, has 10 violated the terms of probation. 11 (14) Abandonment of a client. 12 (15) Willfully filing false reports relating to a 13 licensee's practice, including but not limited to false 14 records filed with federal or State agencies or 15 departments. 16 (16) Willfully failing to report an instance of 17 suspected child abuse or neglect as required by the Abused 18 and Neglected Child Reporting Act and in matters 19 pertaining to suspected abuse, neglect, financial 20 exploitation, or self-neglect of adults with disabilities 21 and older adults as set forth in the Adult Protective 22 Services Act. 23 (17) Being named as a perpetrator in an indicated 24 report by the Department of Children and Family Services 25 pursuant to the Abused and Neglected Child Reporting Act, 26 and upon proof by clear and convincing evidence that the HB5649 - 36 - LRB103 39383 RTM 69556 b HB5649- 37 -LRB103 39383 RTM 69556 b HB5649 - 37 - LRB103 39383 RTM 69556 b HB5649 - 37 - LRB103 39383 RTM 69556 b 1 licensee has caused a child to be an abused child or 2 neglected child as defined in the Abused and Neglected 3 Child Reporting Act. 4 (18) Physical or mental illness or disability, 5 including, but not limited to, deterioration through the 6 aging process or loss of abilities and skills which 7 results in the inability to practice the profession with 8 reasonable judgment, skill, or safety. 9 (19) Solicitation of professional services by using 10 false or misleading advertising. 11 (20) Allowing one's license under this Act to be used 12 by an unlicensed person in violation of this Act. 13 (21) A finding that licensure has been applied for or 14 obtained by fraudulent means. 15 (22) Practicing under a false or, except as provided 16 by law, an assumed name. 17 (23) Gross and willful overcharging for professional 18 services including filing statements for collection of 19 fees or monies for which services are not rendered. 20 (24) Rendering professional counseling or clinical 21 professional counseling services without a license or 22 practicing outside the scope of a license. 23 (25) Clinical supervisors failing to adequately and 24 responsibly monitor supervisees. 25 (26) Violating Section 2EEEE of the Consumer Fraud and 26 Deceptive Business Practices Act. HB5649 - 37 - LRB103 39383 RTM 69556 b HB5649- 38 -LRB103 39383 RTM 69556 b HB5649 - 38 - LRB103 39383 RTM 69556 b HB5649 - 38 - LRB103 39383 RTM 69556 b 1 All fines imposed under this Section shall be paid within 2 60 days after the effective date of the order imposing the 3 fine. 4 (b) (Blank). 5 (b-5) The Department may refuse to issue or may suspend 6 without hearing, as provided for in the Code of Civil 7 Procedure, the license of any person who fails to file a 8 return, pay the tax, penalty, or interest shown in a filed 9 return, or pay any final assessment of the tax, penalty, or 10 interest as required by any tax Act administered by the 11 Illinois Department of Revenue, until such time as the 12 requirements of any such tax Act are satisfied in accordance 13 with subsection (g) of Section 2105-15 of the Department of 14 Professional Regulation Law of the Civil Administrative Code 15 of Illinois. 16 (b-10) In cases where the Department of Healthcare and 17 Family Services has previously determined a licensee or a 18 potential licensee is more than 30 days delinquent in the 19 payment of child support and has subsequently certified the 20 delinquency to the Department, the Department may refuse to 21 issue or renew or may revoke or suspend that person's license 22 or may take other disciplinary action against that person 23 based solely upon the certification of delinquency made by the 24 Department of Healthcare and Family Services in accordance 25 with item (5) of subsection (a) of Section 2105-15 of the 26 Department of Professional Regulation Law of the Civil HB5649 - 38 - LRB103 39383 RTM 69556 b HB5649- 39 -LRB103 39383 RTM 69556 b HB5649 - 39 - LRB103 39383 RTM 69556 b HB5649 - 39 - LRB103 39383 RTM 69556 b 1 Administrative Code of Illinois. 2 (c) The determination by a court that a licensee is 3 subject to involuntary admission or judicial admission as 4 provided in the Mental Health and Developmental Disabilities 5 Code will result in an automatic suspension of his or her 6 license. The suspension will end upon a finding by a court that 7 the licensee is no longer subject to involuntary admission or 8 judicial admission, the issuance of an order so finding and 9 discharging the patient, and the recommendation of the Board 10 to the Secretary that the licensee be allowed to resume 11 professional practice. 12 (c-1) The Department shall not revoke, suspend, summarily 13 suspend, place on prohibition, reprimand, refuse to issue or 14 renew, or take any other disciplinary or non-disciplinary 15 action against the license or permit issued under this Act to 16 practice as a professional counselor or clinical professional 17 counselor based solely upon the professional counselor or 18 clinical professional counselor authorizing, recommending, 19 aiding, assisting, referring for, or otherwise participating 20 in any health care service, so long as the care was not 21 unlawful under the laws of this State, regardless of whether 22 the patient was a resident of this State or another state. 23 (c-2) The Department shall not revoke, suspend, summarily 24 suspend, place on prohibition, reprimand, refuse to issue or 25 renew, or take any other disciplinary or non-disciplinary 26 action against the license or permit issued under this Act to HB5649 - 39 - LRB103 39383 RTM 69556 b HB5649- 40 -LRB103 39383 RTM 69556 b HB5649 - 40 - LRB103 39383 RTM 69556 b HB5649 - 40 - LRB103 39383 RTM 69556 b 1 practice as a professional counselor or clinical professional 2 counselor based upon the professional counselor's or clinical 3 professional counselor's license being revoked or suspended, 4 or the professional counselor or clinical professional 5 counselor being otherwise disciplined by any other state, if 6 that revocation, suspension, or other form of discipline was 7 based solely on the professional counselor or clinical 8 professional counselor violating another state's laws 9 prohibiting the provision of, authorization of, recommendation 10 of, aiding or assisting in, referring for, or participation in 11 any health care service if that health care service as 12 provided would not have been unlawful under the laws of this 13 State and is consistent with the standards of conduct for a 14 professional counselor or clinical professional counselor 15 practicing in Illinois. 16 (c-3) The conduct specified in subsections (c-1) and (c-2) 17 shall not constitute grounds for suspension under Section 145. 18 (c-4) An applicant seeking licensure, certification, or 19 authorization pursuant to this Act who has been subject to 20 disciplinary action by a duly authorized professional 21 disciplinary agency of another jurisdiction solely on the 22 basis of having authorized, recommended, aided, assisted, 23 referred for, or otherwise participated in health care shall 24 not be denied such licensure, certification, or authorization, 25 unless the Department determines that such action would have 26 constituted professional misconduct in this State; however, HB5649 - 40 - LRB103 39383 RTM 69556 b HB5649- 41 -LRB103 39383 RTM 69556 b HB5649 - 41 - LRB103 39383 RTM 69556 b HB5649 - 41 - LRB103 39383 RTM 69556 b 1 nothing in this Section shall be construed as prohibiting the 2 Department from evaluating the conduct of such applicant and 3 making a determination regarding the licensure, certification, 4 or authorization to practice a profession under this Act. 5 (c-5) In enforcing this Act, the Department, upon a 6 showing of a possible violation, may compel an individual 7 licensed to practice under this Act, or who has applied for 8 licensure under this Act, to submit to a mental or physical 9 examination, or both, as required by and at the expense of the 10 Department. The Department may order the examining physician 11 to present testimony concerning the mental or physical 12 examination of the licensee or applicant. No information shall 13 be excluded by reason of any common law or statutory privilege 14 relating to communications between the licensee or applicant 15 and the examining physician. The examining physicians shall be 16 specifically designated by the Department. The individual to 17 be examined may have, at his or her own expense, another 18 physician of his or her choice present during all aspects of 19 this examination. The examination shall be performed by a 20 physician licensed to practice medicine in all its branches. 21 Failure of an individual to submit to a mental or physical 22 examination, when directed, shall result in an automatic 23 suspension without hearing. 24 All substance-related violations shall mandate an 25 automatic substance abuse assessment. Failure to submit to an 26 assessment by a licensed physician who is certified as an HB5649 - 41 - LRB103 39383 RTM 69556 b HB5649- 42 -LRB103 39383 RTM 69556 b HB5649 - 42 - LRB103 39383 RTM 69556 b HB5649 - 42 - LRB103 39383 RTM 69556 b 1 addictionist or an advanced practice registered nurse with 2 specialty certification in addictions may be grounds for an 3 automatic suspension. 4 If the Department finds an individual unable to practice 5 or unfit for duty because of the reasons set forth in this 6 subsection (c-5), the Department may require that individual 7 to submit to a substance abuse evaluation or treatment by 8 individuals or programs approved or designated by the 9 Department, as a condition, term, or restriction for 10 continued, restored, or renewed licensure to practice; or, in 11 lieu of evaluation or treatment, the Department may file, or 12 the Board may recommend to the Department to file, a complaint 13 to immediately suspend, revoke, or otherwise discipline the 14 license of the individual. An individual whose license was 15 granted, continued, restored, renewed, disciplined, or 16 supervised subject to such terms, conditions, or restrictions, 17 and who fails to comply with such terms, conditions, or 18 restrictions, shall be referred to the Secretary for a 19 determination as to whether the individual shall have his or 20 her license suspended immediately, pending a hearing by the 21 Department. 22 A person holding a license under this Act or who has 23 applied for a license under this Act who, because of a physical 24 or mental illness or disability, including, but not limited 25 to, deterioration through the aging process or loss of motor 26 skill, is unable to practice the profession with reasonable HB5649 - 42 - LRB103 39383 RTM 69556 b HB5649- 43 -LRB103 39383 RTM 69556 b HB5649 - 43 - LRB103 39383 RTM 69556 b HB5649 - 43 - LRB103 39383 RTM 69556 b 1 judgment, skill, or safety, may be required by the Department 2 to submit to care, counseling, or treatment by physicians 3 approved or designated by the Department as a condition, term, 4 or restriction for continued, reinstated, or renewed licensure 5 to practice. Submission to care, counseling, or treatment as 6 required by the Department shall not be considered discipline 7 of a license. If the licensee refuses to enter into a care, 8 counseling, or treatment agreement or fails to abide by the 9 terms of the agreement, the Department may file a complaint to 10 revoke, suspend, or otherwise discipline the license of the 11 individual. The Secretary may order the license suspended 12 immediately, pending a hearing by the Department. Fines shall 13 not be assessed in disciplinary actions involving physical or 14 mental illness or impairment. 15 In instances in which the Secretary immediately suspends a 16 person's license under this Section, a hearing on that 17 person's license must be convened by the Department within 15 18 days after the suspension and completed without appreciable 19 delay. The Department shall have the authority to review the 20 subject individual's record of treatment and counseling 21 regarding the impairment to the extent permitted by applicable 22 federal statutes and regulations safeguarding the 23 confidentiality of medical records. 24 An individual licensed under this Act and affected under 25 this Section shall be afforded an opportunity to demonstrate 26 to the Department that he or she can resume practice in HB5649 - 43 - LRB103 39383 RTM 69556 b HB5649- 44 -LRB103 39383 RTM 69556 b HB5649 - 44 - LRB103 39383 RTM 69556 b HB5649 - 44 - LRB103 39383 RTM 69556 b 1 compliance with acceptable and prevailing standards under the 2 provisions of his or her license. 3 (d) (Blank). 4 (e) The Department may adopt rules to implement the 5 changes made by this amendatory Act of the 102nd General 6 Assembly. 7 (Source: P.A. 102-878, eff. 1-1-23; 102-1117, eff. 1-13-23.) 8 (225 ILCS 107/175 new) 9 Sec. 175. Use of artificial intelligence. The Department 10 may adopt rules to regulate the use of artificial intelligence 11 tools to provide mental health services by persons licensed 12 under this Act. 13 Section 30. The Consumer Fraud and Deceptive Business 14 Practices Act is amended by adding Section 2EEEE as follows: 15 (815 ILCS 505/2EEEE new) 16 Sec. 2EEEE. Use of artificial intelligence in mental 17 health services. 18 (a) As used in this Section: 19 "Artificial intelligence" means any technology that can 20 simulate human intelligence, including, but not limited to, 21 natural language processing, training language models, and 22 reinforcement learning from human feedback and machine 23 learning systems. HB5649 - 44 - LRB103 39383 RTM 69556 b HB5649- 45 -LRB103 39383 RTM 69556 b HB5649 - 45 - LRB103 39383 RTM 69556 b HB5649 - 45 - LRB103 39383 RTM 69556 b HB5649 - 45 - LRB103 39383 RTM 69556 b