|
| Public Act 101-0084
|
| SB1135 Enrolled | LRB101 00178 KTG 49641 b |
|
|
AN ACT concerning regulation.
|
Be it enacted by the People of the State of Illinois,
|
represented in the General Assembly:
|
Section 5. The Clinical Psychologist Licensing Act is |
amended by changing Sections 4.2 and 4.3 as follows:
|
(225 ILCS 15/4.2) |
(Section scheduled to be repealed on January 1, 2027) |
Sec. 4.2. Prescribing psychologist license. |
(a) A psychologist may apply to the Department for a |
prescribing psychologist license. The application shall be |
made on a form approved by the Department, include the payment |
of any required fees, and be accompanied by evidence |
satisfactory to the Department that the applicant: |
(1) holds a current license to practice clinical |
psychology in Illinois; |
(2) has successfully completed the following minimum |
educational and training requirements either during the |
doctoral program required for licensure under this Section |
or in an accredited undergraduate or master level program |
prior to or subsequent to the doctoral program required |
under this Section: |
(A) specific minimum undergraduate biomedical |
prerequisite coursework, including, but not limited |
|
to: Medical Terminology (class or proficiency); |
Chemistry or Biochemistry with lab (2 semesters); |
Human Physiology (one semester); Human Anatomy (one |
semester); Anatomy and Physiology; Microbiology with |
lab (one semester); and General Biology for science |
majors or Cell and Molecular Biology (one semester); |
(B) a minimum of 60 credit hours of didactic |
coursework, including, but not limited to: |
Pharmacology; Clinical Psychopharmacology; Clinical |
Anatomy and Integrated Science; Patient Evaluation; |
Advanced Physical Assessment; Research Methods; |
Advanced Pathophysiology; Diagnostic Methods; Problem |
Based Learning; and Clinical and Procedural Skills; |
and |
(C) a full-time practicum of 14 months' months |
supervised clinical training of at least 36 credit |
hours, including a research project; during the |
clinical rotation phase, students complete rotations |
in Emergency Medicine, Family Medicine, Geriatrics, |
Internal Medicine, Obstetrics and Gynecology, |
Pediatrics, Psychiatrics, Surgery, and one elective of |
the students' choice; program approval standards |
addressing faculty qualifications, regular competency |
evaluation and length of clinical rotations, and |
instructional settings, including, but not limited to, |
hospitals, medical centers, health care facilities |
|
located at federal and State prisons, hospital |
outpatient clinics, community mental health clinics, |
patient-centered medical homes or family-centered |
medical homes, women's medical health centers, and |
Federally Qualified Health Centers; the clinical |
training must meet the standards for: and correctional |
facilities, in accordance with those of the |
Accreditation Review Commission on Education for the |
Physician Assistant shall be set by Department by rule; |
(i) physician assistant education as defined |
by the Accreditation Review Commission on |
Education for the Physician Assistant; |
(ii) advanced practice nurse education as |
defined by the Commission on Collegiate Nursing |
Education for the Advanced Nurse Practitioner or |
the Accreditation Commission for Education in |
Nursing for the Advanced Nurse Practitioner; or |
(iii) medical education as defined by the |
Accreditation Council for Graduate Medical |
Education and shall be set by the Department by |
rule; |
(3) has completed a National Certifying Exam, as |
determined by rule; and |
(4) meets all other requirements for obtaining a |
prescribing psychologist license, as determined by rule. |
(b) The Department may issue a prescribing psychologist |
|
license if it finds that the applicant has met the requirements |
of subsection (a) of this Section. |
(c) A prescribing psychologist may only prescribe |
medication pursuant to the provisions of this Act if the |
prescribing psychologist: |
(1) continues to hold a current license to practice |
psychology in Illinois; |
(2) satisfies the continuing education requirements |
for prescribing psychologists, including 10 hours of |
continuing education annually in pharmacology from |
accredited providers; and |
(3) maintains a written collaborative agreement with a |
collaborating physician pursuant to Section 4.3 of this |
Act.
|
(Source: P.A. 98-668, eff. 6-25-14.)
|
(225 ILCS 15/4.3) |
(Section scheduled to be repealed on January 1, 2027) |
Sec. 4.3. Written collaborative agreements. |
(a) A written collaborative agreement is required for all |
prescribing psychologists practicing under a prescribing |
psychologist license issued pursuant to Section 4.2 of this |
Act. |
(b) A written delegation of prescriptive authority by a |
collaborating physician may only include medications for the |
treatment of mental health disease or illness the collaborating |
|
physician generally provides to his or her patients in the |
normal course of his or her clinical practice with the |
exception of the following: |
(1) patients who are less than 17 years of age or over |
65 years of age; |
(2) patients during pregnancy; |
(3) patients with serious medical conditions, such as |
heart disease, cancer, stroke, or seizures, and with |
developmental disabilities and intellectual disabilities; |
and |
(4) prescriptive authority for benzodiazepine Schedule |
III controlled substances. |
(c) The collaborating physician shall file with the |
Department notice of delegation of prescriptive authority and |
termination of the delegation, in accordance with rules of the |
Department. Upon receipt of this notice delegating authority to |
prescribe any nonnarcotic Schedule III through V controlled |
substances, the licensed clinical psychologist shall be |
eligible to register for a mid-level practitioner controlled |
substance license under Section 303.05 of the Illinois |
Controlled Substances Act. |
(d) All of the following shall apply to delegation of |
prescriptive authority: |
(1) Any delegation of Schedule III through V controlled |
substances shall identify the specific controlled |
substance by brand name or generic name. No controlled |
|
substance to be delivered by injection may be delegated. No |
Schedule II controlled substance shall be delegated. |
(2) A prescribing psychologist shall not prescribe |
narcotic drugs, as defined in Section 102 of the Illinois |
Controlled Substances Act. |
Any prescribing psychologist who writes a prescription for |
a controlled substance without having valid and appropriate |
authority may be fined by the Department not more than $50 per |
prescription and the Department may take any other disciplinary |
action provided for in this Act. |
All prescriptions written by a prescribing psychologist |
must contain the name of the prescribing psychologist and his |
or her signature. The prescribing psychologist shall sign his |
or her own name. |
(e) The written collaborative agreement shall describe the |
working relationship of the prescribing psychologist with the |
collaborating physician and shall delegate prescriptive |
authority as provided in this Act. Collaboration does not |
require an employment relationship between the collaborating |
physician and prescribing psychologist. Absent an employment |
relationship, an agreement may not restrict third-party |
payment sources accepted by the prescribing psychologist. For |
the purposes of this Section, "collaboration" means the |
relationship between a prescribing psychologist and a |
collaborating physician with respect to the delivery of |
prescribing services in accordance with (1) the prescribing |
|
psychologist's training, education, and experience and (2) |
collaboration and consultation as documented in a jointly |
developed written collaborative agreement. |
(f) The agreement shall promote the exercise of |
professional judgment by the prescribing psychologist |
corresponding to his or her education and experience. |
(g) The collaborative agreement shall not be construed to |
require the personal presence of a physician at the place where |
services are rendered. Methods of communication shall be |
available for consultation with the collaborating physician in |
person or by telecommunications in accordance with established |
written guidelines as set forth in the written agreement. |
(h) Collaboration and consultation pursuant to all |
collaboration agreements shall be adequate if a collaborating |
physician does each of the following: |
(1) participates in the joint formulation and joint |
approval of orders or guidelines with the prescribing |
psychologist and he or she periodically reviews the |
prescribing psychologist's orders and the services |
provided patients under the orders in accordance with |
accepted standards of medical practice and prescribing |
psychologist practice; |
(2) provides collaboration and consultation with the |
prescribing psychologist in person at least once a month |
for review of safety and quality clinical care or |
treatment; |
|
(3) is available through telecommunications for |
consultation on medical problems, complications, |
emergencies, or patient referral; and |
(4) reviews medication orders of the prescribing |
psychologist no less than monthly, including review of |
laboratory tests and other tests as available. |
(i) The written collaborative agreement shall contain |
provisions detailing notice for termination or change of status |
involving a written collaborative agreement, except when the |
notice is given for just cause. |
(j) A copy of the signed written collaborative agreement |
shall be available to the Department upon request to either the |
prescribing psychologist or the collaborating physician. |
(k) Nothing in this Section shall be construed to limit the |
authority of a prescribing psychologist to perform all duties |
authorized under this Act. |
(l) A prescribing psychologist shall inform each |
collaborating physician of all collaborative agreements he or |
she has signed and provide a copy of these to any collaborating |
physician. |
(m) No collaborating physician shall enter into more than 3 |
collaborative agreements with prescribing psychologists.
|
(Source: P.A. 98-668, eff. 6-25-14.)
|
Section 10. The Telehealth Act is amended by changing |
Section 5 as follows:
|
|
(225 ILCS 150/5)
|
Sec. 5. Definitions. As used in this Act: |
"Health care professional" includes physicians, physician |
assistants, dentists, optometrists, advanced practice |
registered nurses, clinical psychologists licensed in |
Illinois, prescribing psychologists licensed in Illinois, |
dentists, occupational therapists, pharmacists, physical |
therapists, clinical social workers, speech-language |
pathologists, audiologists, hearing instrument dispensers, and |
mental health professionals and clinicians authorized by |
Illinois law to provide mental health services.
|
"Telehealth" means the evaluation, diagnosis, or |
interpretation of electronically transmitted patient-specific |
data between a remote location and a licensed health care |
professional that generates interaction or treatment |
recommendations. "Telehealth" includes telemedicine and the |
delivery of health care services provided by way of an |
interactive telecommunications system, as defined in |
subsection (a) of Section 356z.22 of the Illinois Insurance |
Code.
|
(Source: P.A. 100-317, eff. 1-1-18; 100-644, eff. 1-1-19; |
100-930, eff. 1-1-19; revised 10-22-18.)
|
Section 99. Effective date. This Act takes effect upon |
becoming law.
|
