104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB2048 Introduced 2/6/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: 225 ILCS 65/50-10 was 225 ILCS 65/5-10225 ILCS 65/50-75225 ILCS 65/60-35 Amends the Nurse Practice Act. Provides that registered professional nursing practice is a scientific process founded on a professional body of knowledge. It is a learned profession based on the understanding of the human condition across the life span and environment, includes all nursing specialties, and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program. Provides that registered professional nurses may delegate nursing interventions and tasks (rather than nursing interventions) to other registered professional nurses and licensed practical nurses based on a comprehensive nursing assessment. Provides that registered professional nurses may delegate tasks to unlicensed personnel based on a comprehensive nursing assessment. Provides that a registered professional nurse is prohibited from delegating work requiring nursing knowledge, assessment, judgment, inference, decision making (including medication administration), the development of a plan of care, and the evaluation of a plan of care to unlicensed non-nurse personnel. Removes provisions concerning delegation of nursing interventions and administration of medications in community-based or in-home care settings. Makes other changes. Effective August 1, 2025. LRB104 10051 AAS 20122 b A BILL FOR 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB2048 Introduced 2/6/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED: 225 ILCS 65/50-10 was 225 ILCS 65/5-10225 ILCS 65/50-75225 ILCS 65/60-35 225 ILCS 65/50-10 was 225 ILCS 65/5-10 225 ILCS 65/50-75 225 ILCS 65/60-35 Amends the Nurse Practice Act. Provides that registered professional nursing practice is a scientific process founded on a professional body of knowledge. It is a learned profession based on the understanding of the human condition across the life span and environment, includes all nursing specialties, and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program. Provides that registered professional nurses may delegate nursing interventions and tasks (rather than nursing interventions) to other registered professional nurses and licensed practical nurses based on a comprehensive nursing assessment. Provides that registered professional nurses may delegate tasks to unlicensed personnel based on a comprehensive nursing assessment. Provides that a registered professional nurse is prohibited from delegating work requiring nursing knowledge, assessment, judgment, inference, decision making (including medication administration), the development of a plan of care, and the evaluation of a plan of care to unlicensed non-nurse personnel. Removes provisions concerning delegation of nursing interventions and administration of medications in community-based or in-home care settings. Makes other changes. Effective August 1, 2025. LRB104 10051 AAS 20122 b LRB104 10051 AAS 20122 b A BILL FOR
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB2048 Introduced 2/6/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED:
225 ILCS 65/50-10 was 225 ILCS 65/5-10225 ILCS 65/50-75225 ILCS 65/60-35 225 ILCS 65/50-10 was 225 ILCS 65/5-10 225 ILCS 65/50-75 225 ILCS 65/60-35
225 ILCS 65/50-10 was 225 ILCS 65/5-10
225 ILCS 65/50-75
225 ILCS 65/60-35
Amends the Nurse Practice Act. Provides that registered professional nursing practice is a scientific process founded on a professional body of knowledge. It is a learned profession based on the understanding of the human condition across the life span and environment, includes all nursing specialties, and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program. Provides that registered professional nurses may delegate nursing interventions and tasks (rather than nursing interventions) to other registered professional nurses and licensed practical nurses based on a comprehensive nursing assessment. Provides that registered professional nurses may delegate tasks to unlicensed personnel based on a comprehensive nursing assessment. Provides that a registered professional nurse is prohibited from delegating work requiring nursing knowledge, assessment, judgment, inference, decision making (including medication administration), the development of a plan of care, and the evaluation of a plan of care to unlicensed non-nurse personnel. Removes provisions concerning delegation of nursing interventions and administration of medications in community-based or in-home care settings. Makes other changes. Effective August 1, 2025.
LRB104 10051 AAS 20122 b LRB104 10051 AAS 20122 b
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A BILL FOR
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SB2048 LRB104 10051 AAS 20122 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 Nurse Practice Act is amended by changing
5 Sections 50-10, 50-75, and 60-35 as follows:
6 (225 ILCS 65/50-10) (was 225 ILCS 65/5-10)
7 (Section scheduled to be repealed on January 1, 2028)
8 Sec. 50-10. Definitions. Each of the following terms, when
9 used in this Act, shall have the meaning ascribed to it in this
10 Section, except where the context clearly indicates otherwise:
11 "Academic year" means the customary annual schedule of
12 courses at a college, university, or approved school,
13 customarily regarded as the school year as distinguished from
14 the calendar year.
15 "Address of record" means the designated address recorded
16 by the Department in the applicant's or licensee's application
17 file or license file as maintained by the Department's
18 licensure maintenance unit.
19 "Advanced practice registered nurse" or "APRN" means a
20 person who has met the qualifications for a (i) certified
21 nurse midwife (CNM); (ii) certified nurse practitioner (CNP);
22 (iii) certified registered nurse anesthetist (CRNA); or (iv)
23 clinical nurse specialist (CNS) and has been licensed by the
104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 SB2048 Introduced 2/6/2025, by Sen. Lakesia Collins SYNOPSIS AS INTRODUCED:
225 ILCS 65/50-10 was 225 ILCS 65/5-10225 ILCS 65/50-75225 ILCS 65/60-35 225 ILCS 65/50-10 was 225 ILCS 65/5-10 225 ILCS 65/50-75 225 ILCS 65/60-35
225 ILCS 65/50-10 was 225 ILCS 65/5-10
225 ILCS 65/50-75
225 ILCS 65/60-35
Amends the Nurse Practice Act. Provides that registered professional nursing practice is a scientific process founded on a professional body of knowledge. It is a learned profession based on the understanding of the human condition across the life span and environment, includes all nursing specialties, and means the performance of any nursing act based upon professional knowledge, judgment, and skills acquired by means of completion of an approved professional nursing education program. Provides that registered professional nurses may delegate nursing interventions and tasks (rather than nursing interventions) to other registered professional nurses and licensed practical nurses based on a comprehensive nursing assessment. Provides that registered professional nurses may delegate tasks to unlicensed personnel based on a comprehensive nursing assessment. Provides that a registered professional nurse is prohibited from delegating work requiring nursing knowledge, assessment, judgment, inference, decision making (including medication administration), the development of a plan of care, and the evaluation of a plan of care to unlicensed non-nurse personnel. Removes provisions concerning delegation of nursing interventions and administration of medications in community-based or in-home care settings. Makes other changes. Effective August 1, 2025.
LRB104 10051 AAS 20122 b LRB104 10051 AAS 20122 b
LRB104 10051 AAS 20122 b
A BILL FOR
225 ILCS 65/50-10 was 225 ILCS 65/5-10
225 ILCS 65/50-75
225 ILCS 65/60-35
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1 Department. All advanced practice registered nurses licensed
2 and practicing in the State of Illinois shall use the title
3 APRN and may use specialty credentials CNM, CNP, CRNA, or CNS
4 after their name. All advanced practice registered nurses may
5 only practice in accordance with national certification and
6 this Act.
7 "Advisory Board" means the Illinois Nursing Workforce
8 Center Advisory Board.
9 "Approved program of professional nursing education" and
10 "approved program of practical nursing education" are programs
11 of professional or practical nursing, respectively, approved
12 by the Department under the provisions of this Act.
13 "Board" means the Board of Nursing appointed by the
14 Secretary.
15 "Center" means the Illinois Nursing Workforce Center.
16 "Collaboration" means a process involving 2 or more health
17 care professionals working together, each contributing one's
18 respective area of expertise to provide more comprehensive
19 patient care.
20 "Competence" means an expected and measurable level of
21 performance that integrates knowledge, skills, abilities, and
22 judgment based on established scientific knowledge and
23 expectations for nursing practice.
24 "Comprehensive nursing assessment" means the gathering of
25 information about the patient's physiological, psychological,
26 sociological, and spiritual status on an ongoing basis by a
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1 registered professional nurse and is the first step in
2 implementing and guiding the nursing plan of care.
3 "Consultation" means the process whereby an advanced
4 practice registered nurse seeks the advice or opinion of
5 another health care professional.
6 "Credentialed" means the process of assessing and
7 validating the qualifications of a health care professional.
8 "Dentist" means a person licensed to practice dentistry
9 under the Illinois Dental Practice Act.
10 "Department" means the Department of Financial and
11 Professional Regulation.
12 "Email address of record" means the designated email
13 address recorded by the Department in the applicant's
14 application file or the licensee's license file, as maintained
15 by the Department's licensure maintenance unit.
16 "Focused nursing assessment" means an appraisal of an
17 individual's status and current situation, contributing to the
18 comprehensive nursing assessment performed by the registered
19 professional nurse or advanced practice registered nurse or
20 the assessment by the physician assistant, physician, dentist,
21 podiatric physician, or other licensed health care
22 professional, as determined by the Department, supporting
23 ongoing data collection, and deciding who needs to be informed
24 of the information and when to inform.
25 "Full practice authority" means the authority of an
26 advanced practice registered nurse licensed in Illinois and
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1 certified as a nurse practitioner, clinical nurse specialist,
2 or nurse midwife to practice without a written collaborative
3 agreement and:
4 (1) to be fully accountable to patients for the
5 quality of advanced nursing care rendered;
6 (2) to be fully accountable for recognizing limits of
7 knowledge and experience and for planning for the
8 management of situations beyond the advanced practice
9 registered nurse's expertise; the full practice authority
10 for advanced practice registered nurses includes accepting
11 referrals from, consulting with, collaborating with, or
12 referring to other health care professionals as warranted
13 by the needs of the patient; and
14 (3) to possess the authority to prescribe medications,
15 including Schedule II through V controlled substances, as
16 provided in Section 65-43.
17 "Full practice authority-pending advanced practice
18 registered nurse" means an advanced practice registered nurse
19 licensed in Illinois and certified as a nurse practitioner,
20 clinical nurse specialist, or nurse midwife who has provided a
21 notarized attestation of completion of at least 250 hours of
22 continuing education or training in the advanced practice
23 registered nurse's area of certification and at least 4,000
24 hours of clinical experience after first attaining national
25 certification and who has submitted an application to the
26 Department to be granted full practice authority.
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1 "Hospital affiliate" means a corporation, partnership,
2 joint venture, limited liability company, or similar
3 organization, other than a hospital, that is devoted primarily
4 to the provision, management, or support of health care
5 services and that directly or indirectly controls, is
6 controlled by, or is under common control of the hospital. For
7 the purposes of this definition, "control" means having at
8 least an equal or a majority ownership or membership interest.
9 A hospital affiliate shall be 100% owned or controlled by any
10 combination of hospitals, their parent corporations, or
11 physicians licensed to practice medicine in all its branches
12 in Illinois. "Hospital affiliate" does not include a health
13 maintenance organization regulated under the Health
14 Maintenance Organization Act.
15 "Impaired nurse" means a nurse licensed under this Act who
16 is unable to practice with reasonable skill and safety because
17 of a physical or mental disability as evidenced by a written
18 determination or written consent based on clinical evidence,
19 including loss of motor skills, abuse of drugs or alcohol, or a
20 psychiatric disorder, of sufficient degree to diminish his or
21 her ability to deliver competent patient care.
22 "License-pending advanced practice registered nurse" means
23 a registered professional nurse who has completed all
24 requirements for licensure as an advanced practice registered
25 nurse except the certification examination and has applied to
26 take the next available certification exam and received a
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1 temporary permit from the Department.
2 "License-pending registered nurse" means a person who has
3 passed the Department-approved registered nurse licensure exam
4 and has applied for a license from the Department. A
5 license-pending registered nurse shall use the title "RN lic
6 pend" on all documentation related to nursing practice.
7 "Nursing intervention" means any treatment based on
8 clinical nursing judgment or knowledge that a nurse performs.
9 An individual or entity shall not mandate that a registered
10 professional nurse delegate nursing interventions if the
11 registered professional nurse determines it is inappropriate
12 to do so. A nurse shall not be subject to disciplinary or any
13 other adverse action for refusing to delegate a nursing
14 intervention based on patient safety.
15 "Physician" means a person licensed to practice medicine
16 in all its branches under the Medical Practice Act of 1987.
17 "Podiatric physician" means a person licensed to practice
18 podiatry under the Podiatric Medical Practice Act of 1987.
19 "Practical nurse" or "licensed practical nurse" means a
20 person who is licensed as a practical nurse under this Act and
21 practices practical nursing as defined in this Act. Only a
22 practical nurse licensed under this Act is entitled to use the
23 title "licensed practical nurse" and the abbreviation
24 "L.P.N.".
25 "Practical nursing" means the performance of nursing
26 interventions requiring the nursing knowledge, judgment, and
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1 skill acquired by means of completion of an approved practical
2 nursing education program. Practical nursing includes
3 assisting in the nursing process under the guidance of a
4 registered professional nurse or an advanced practice
5 registered nurse. The practical nurse may work under the
6 direction of a licensed physician, dentist, podiatric
7 physician, or other health care professional determined by the
8 Department.
9 "Privileged" means the authorization granted by the
10 governing body of a healthcare facility, agency, or
11 organization to provide specific patient care services within
12 well-defined limits, based on qualifications reviewed in the
13 credentialing process.
14 "Registered Nurse" or "Registered Professional Nurse"
15 means a person who is licensed as a professional nurse under
16 this Act and practices nursing as defined in this Act. Only a
17 registered nurse licensed under this Act is entitled to use
18 the titles "registered nurse" and "registered professional
19 nurse" and the abbreviation, "R.N.".
20 "Registered professional nursing practice" means a
21 scientific process founded on a professional body of knowledge
22 that includes, but is not limited to, the protection,
23 promotion, and optimization of health and abilities,
24 prevention of illness and injury, development and
25 implementation of the nursing plan of care, facilitation of
26 nursing interventions to alleviate suffering, care
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1 coordination, and advocacy in the care of individuals,
2 families, groups, communities, and populations. "Registered
3 professional nursing practice" does not include the act of
4 medical diagnosis or prescription of medical therapeutic or
5 corrective measures. Registered professional nursing practice
6 is a scientific process founded on a professional body of
7 knowledge. It is a learned profession based on the
8 understanding of the human condition across the life span and
9 environment, includes all nursing specialties, and means the
10 performance of any nursing act based upon professional
11 knowledge, judgment, and skills acquired by means of
12 completion of an approved professional nursing education
13 program. A registered professional nurse provides holistic
14 nursing care through the nursing process to individuals,
15 groups, families, or communities, that includes, but is not
16 limited to: (i) the assessment of healthcare needs, nursing
17 diagnosis, planning, implementation, and nursing evaluation;
18 (ii) the promotion, maintenance, and restoration of health;
19 (iii) counseling, patient education, health education, and
20 patient advocacy; (iv) the administration of medications and
21 treatments as prescribed by a physician licensed to practice
22 medicine in all of its branches, a licensed dentist, a
23 licensed podiatric physician, or a licensed optometrist or as
24 prescribed by a physician assistant or by an advanced practice
25 nurse; (v) the coordination and management of the nursing plan
26 of care; (vi) the delegation to and supervision of individuals
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1 who assist the registered professional nurse implementing the
2 plan of care; and (vii) teaching nursing students.
3 "Professional assistance program for nurses" means a
4 professional assistance program that meets criteria
5 established by the Board of Nursing and approved by the
6 Secretary, which provides a non-disciplinary treatment
7 approach for nurses licensed under this Act whose ability to
8 practice is compromised by alcohol or chemical substance
9 addiction.
10 "Secretary" means the Secretary of Financial and
11 Professional Regulation.
12 "Unencumbered license" means a license issued in good
13 standing.
14 "Written collaborative agreement" means a written
15 agreement between an advanced practice registered nurse and a
16 collaborating physician, dentist, or podiatric physician
17 pursuant to Section 65-35.
18 (Source: P.A. 103-154, eff. 6-30-23; 103-686, eff. 1-1-25.)
19 (225 ILCS 65/50-75)
20 (Section scheduled to be repealed on January 1, 2028)
21 Sec. 50-75. Nursing delegation by a registered
22 professional nurse.
23 (a) For the purposes of this Section:
24 "Delegation" means transferring to a specific individual
25 the authority to perform a specific nursing intervention or
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1 task in a specific situation.
2 "Predictability of outcomes" means that a registered
3 professional nurse or advanced practice registered nurse has
4 determined that the patient's or individual's clinical status
5 is stable and expected to improve or the patient's or
6 individual's deteriorating condition is expected to follow a
7 known or expected course.
8 "Stability" means a registered professional nurse or
9 advanced practice registered nurse has determined that the
10 individual's clinical status and nursing care needs are
11 consistent.
12 "Task" means work not requiring nursing knowledge,
13 judgment, or decision making, as defined by the Department by
14 rule.
15 (b) This Section authorizes a registered professional
16 nurse to:
17 (1) delegate nursing interventions and tasks to other
18 registered professional nurses and , licensed practical
19 nurses based on the comprehensive nursing assessment that
20 includes, but is not limited to:
21 (A) the stability and condition of the patient;
22 (B) the potential for harm;
23 (C) the complexity of the nursing intervention or
24 task to be delegated;
25 (D) the predictability of outcomes; and
26 (E) the competency of the individual to whom the
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1 nursing intervention or task is delegated;
2 (2) delegate tasks to , and other unlicensed personnel
3 based on the comprehensive nursing assessment that
4 includes, but is not limited to:
5 (A) the stability and condition of the patient;
6 (B) the potential for harm;
7 (C) the complexity of the task nursing
8 intervention to be delegated;
9 (D) the predictability of outcomes; and
10 (E) competency of the individual to whom the task
11 nursing intervention is delegated;
12 (3) (2) delegate medication administration to other
13 licensed nurses; or
14 (3) in community-based or in-home care settings,
15 delegate the administration of medication (limited to oral
16 or subcutaneous dosage and topical or transdermal
17 application) to unlicensed personnel, if all the
18 conditions for delegation set forth in this Section are
19 met;
20 (4) refuse to delegate, stop, or rescind a previously
21 authorized delegation. ; or
22 (5) in community-based or in-home care settings,
23 delegate, guide, and evaluate the implementation of
24 nursing interventions as a component of patient care
25 coordination after completion of the comprehensive patient
26 assessment based on analysis of the comprehensive nursing
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1 assessment data; care coordination in in-home care and
2 school settings may occur in person, by telecommunication,
3 or by electronic communication.
4 (c) This Section prohibits the following:
5 (1) An individual or entity from mandating that a
6 registered professional nurse delegate nursing
7 interventions if the registered professional nurse
8 determines it is inappropriate to do so. Nurses shall not
9 be subject to disciplinary or any other adverse action for
10 refusing to delegate a nursing intervention based on
11 patient safety.
12 (2) The delegation of medication administration to
13 unlicensed personnel in any institutional or long-term
14 facility, including, but not limited to, those facilities
15 licensed by the Hospital Licensing Act, the University of
16 Illinois Hospital Act, State-operated mental health
17 hospitals, or State-operated developmental centers, except
18 as authorized under Article 80 of this Act or otherwise
19 specifically authorized by law.
20 (2.5) A registered professional nurse from delegating
21 work requiring nursing knowledge, assessment, judgment,
22 inference, decision making (including medication
23 administration), the development of a plan of care, and
24 evaluation of a plan of care to unlicensed non-nurse
25 personnel.
26 (3) A registered professional nurse from delegating
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1 nursing judgment, the comprehensive patient assessment,
2 the development of a plan of care, and the evaluation of
3 care to licensed or unlicensed personnel.
4 (4) A licensed practical nurse or unlicensed personnel
5 who has been delegated a nursing intervention or task from
6 re-delegating a nursing intervention or task.
7 (5) Unlicensed personnel who have been delegated tasks
8 from redelegating the tasks
9 (d) A registered professional nurse may delegate tasks to
10 other licensed and unlicensed persons.
11 (Source: P.A. 100-513, eff. 1-1-18; 100-1160, eff. 6-1-19.)
12 (225 ILCS 65/60-35)
13 (Section scheduled to be repealed on January 1, 2028)
14 Sec. 60-35. RN scope of practice. The RN scope of nursing
15 practice is the protection, promotion, and optimization of
16 health and abilities, the prevention of illness and injury,
17 the development and implementation of the nursing plan of
18 care, the facilitation of nursing interventions to alleviate
19 suffering, care coordination, and advocacy in the care of
20 individuals, families, groups, communities, and populations.
21 Practice as a registered professional nurse means this full
22 scope of nursing, with or without compensation, that
23 incorporates caring for all patients in all settings, through
24 nursing standards of practice and professional performance for
25 coordination of care, and may include, but is not limited to,
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1 all of the following:
2 (1) Collecting pertinent data and information relative
3 to the patient's health or the situation on an ongoing
4 basis through the comprehensive nursing assessment.
5 (2) Analyzing comprehensive nursing assessment data to
6 determine actual or potential diagnoses, problems, and
7 issues.
8 (3) Identifying expected outcomes for a plan
9 individualized to the patient or the situation that
10 prescribes strategies to attain expected, measurable
11 outcomes.
12 (4) Implementing the identified plan, coordinating
13 care delivery, employing strategies to promote healthy and
14 safe environments, and administering or delegating
15 medication administration according to Section 50-75 of
16 this Act.
17 (5) Evaluating patient progress toward attainment of
18 goals and outcomes.
19 (6) Delegating nursing interventions and tasks to
20 licensed nurses to implement the plan of care.
21 (6.5) Delegating tasks to unlicensed personnel to
22 implement the plan of care.
23 (7) Providing health education and counseling.
24 (7.5) Advocating for the patient.
25 (8) Practicing ethically according to the American
26 Nurses Association Code of Ethics.
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1 (9) Practicing in a manner that recognizes cultural
2 diversity.
3 (10) Communicating effectively in all areas of
4 practice.
5 (11) Collaborating with patients and other key
6 stakeholders in the conduct of nursing practice.
7 (12) Participating in continuous professional
8 development.
9 (13) Teaching the theory and practice of nursing to
10 student nurses.
11 (14) Leading within the professional practice setting
12 and the profession.
13 (15) Contributing to quality nursing practice.
14 (16) Integrating evidence and research findings into
15 practice.
16 (17) Utilizing appropriate resources to plan, provide,
17 and sustain evidence-based nursing services that are safe
18 and effective.
19 (Source: P.A. 100-513, eff. 1-1-18.)
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