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Illinois General Assembly - Full Text of HB1807

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HB1807 Enrolled
LRB104 06840 AAS 16876 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 60-5 and 60-10 as follows:

6

(225 ILCS 65/60-5)
7

(Section scheduled to be repealed on January 1, 2028)
8

Sec. 60-5.
Registered professional nursing education
9
programs.

RN education program requirements; out-of-State
10
programs.
11

(a) The purpose of nursing education rules and regulations
12
is to ensure that graduates of nursing education programs are
13
prepared for safe and effective nursing practice. Early
14
intervention when standards are not met assists programs in
15
making improvements before warning signs are evident and
16
before sanctions are necessary. The purpose of Board and
17
Department approval of a registered professional nursing
18
education program is to do the following:
19

(1) promote the safe practice of nursing by
20

implementing standards for individuals seeking licensure
21

as registered nurses;
22

(2) grant regulatory recognition to nursing education
23

programs that the Board and the Department determine have

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

met established standards;
2

(3) ensure graduates meet the educational and legal
3

requirements for the level of licensure that the graduates
4

are seeking;
5

(4) facilitate graduates' endorsement to other states,
6

territories, and countries as appropriate; and
7

(5) provide the public and prospective students with a
8

published list of approved nursing programs that meet the
9

standards established by law and the Board's rules.

10

(b) To establish a new registered professional nursing
11
education program, the proposed program's administrator must
12
notify the Department of the intention to establish a new
13
program. The Department may approve the proposed program after
14
a recommendation from the Board, upon the successful
15
completion of the following process and a site visit:
16

(1) The proposed program must provide a feasibility
17

study that includes the following information to the
18

Board:
19

(A) governing institution approval and ongoing
20

support;
21

(B) evidence of adequate institutional financial
22

support that can be provided to the program on an
23

ongoing basis;
24

(C) availability of educational resources, such as
25

human resources, physical resources (including access
26

to a library), clinical resources, and technical

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

learning resources;
2

(D) evidence of the institution meeting the Board
3

of Higher Education's requirements and the
4

accreditation requirements by a national accrediting
5

body recognized by the United States Department of
6

Education;
7

(E) evidence of the nursing program actively
8

seeking pre-accreditation or candidate accreditation
9

from a national accrediting body for nursing education
10

recognized by the United States Department of
11

Education;
12

(F) evidence of adequate numbers of clinical
13

partnerships;
14

(G) availability of qualified faculty members and
15

employment of a program director whose qualifications
16

must meet the requirements set forth by the
17

Department; and
18

(H) a proposed timeline for initiating the
19

program.
20

(2) After the feasibility study has been submitted to
21

the Department, the proposed program must complete the
22

following program components and processes and submit
23

verification of completion to the Department:
24

(A) development of a comprehensive program
25

curriculum;
26

(B) submission of the program's ongoing systematic

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

evaluation plan;
2

(C) establishment of policies for student
3

admission, progression, retention, and graduation; and
4

(D) establishment of policies and strategies to
5

address students' needs, including those with
6

documented disabilities.
7

(c) Nursing education rules must be based on
8
evidence-based criteria and used to monitor the quality of a
9
registered professional nursing education program. All
10
registered professional nursing education programs must meet
11
the following requirements:
12

(1) The program must have written and published
13

criteria for student admission, progression, and
14

performance.
15

(2) The written policies and procedures of the program
16

must be reviewed and approved by the program's identified
17

governing body and be readily accessible according to
18

accreditation standards.
19

(3) The program must have policies in place that hold
20

students responsible for professional behavior, including
21

honesty and integrity, as outlined in the program's
22

policies or student handbook. Such handbook or policies
23

should be made available to the Department upon request.

24

(4) The administrator of the program must (i) hold a
25

graduate degree in nursing, (ii) have a minimum of 2 years
26

of clinical nursing and nursing education experience,

HB1807 Enrolled
- 5 -
LRB104 06840 AAS 16876 b
1

(iii) hold a current, active, and unencumbered license as
2

a registered nurse in this State, (iv) have institutional
3

authority and administrative responsibility over the
4

program, and (v) be responsible for submitting the
5

Department's annual report, consisting of aggregate
6

program data as determined by the Board, by the provided
7

deadline.
8

(d) Faculty members of a registered professional nursing
9
education program must meet the following criteria:
10

(1) possess the requisite academic and experiential
11

qualifications; and
12

(2) hold either:
13

(A) a graduate degree in nursing with at least 2
14

years of practical experience, if the faculty member
15

teaches didactic nursing courses; or
16

(B) a current, active, and unencumbered license as
17

a registered nurse in this State and a graduate degree
18

in nursing, if the faculty member teaches clinical,
19

lab, or simulation experience courses.
20

A faculty member who does not hold a graduate degree in
21
nursing, but who holds a bachelor's degree in nursing, may
22
teach didactic nursing, clinical, lab, or simulation
23
experience courses if the faculty member obtains a waiver from
24
the Division of Professional Regulation. A faculty member who
25
does not meet the requirements of paragraph (2) of this
26
subsection but who obtains a waiver to teach shall be

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
supervised by a faculty member with a graduate degree in
2
nursing. No more than 20% of a program's faculty may have a
3
waiver at one time.

4

(e) A registered professional nursing program must meet
5
the following training and development requirements:
6

(1) Faculty members must be oriented in accordance
7

with institutional policies and procedures. Orientation
8

may include basic instruction in teaching, adult learning
9

principles, learning assessment, curriculum development,
10

and other subjects included as appropriate to meet the
11

diverse needs of students and promote student learning and
12

success.
13

(2) Newly hired faculty members must be mentored by
14

experientially prepared colleagues.
15

(3) Faculty members must participate in ongoing
16

professional development.
17

(4) The program must provide access to faculty
18

development activities.
19

(f) To maintain enrollment in a registered professional
20
nursing program, students must meet health standards, criminal
21
background requirements, and other compliance standards as
22
required by the program's clinical affiliation agreements.
23

(g) The curriculum of a registered professional nursing
24
program must meet the following requirements:
25

(1) be built on a foundation of biological, physical,
26

social, and behavioral sciences;

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

(2) have a written systematic evaluation plan in
2

place;
3

(3) have didactic and clinical content that prepares
4

graduates to practice safely, utilize the nursing process
5

in a variety of clinical settings, and meet the holistic
6

needs of diverse individuals, families, communities, and
7

populations across the life span;
8

(4) combined with clinical experiences, prepare the
9

graduate to take the NCLEX-RN exam for licensure;
10

(5) have strategies that are in place to remediate
11

errors and near-misses in the clinical setting;
12

(6) meet the standards of the program's accrediting
13

body;
14

(7) have clinical affiliation agreements in place for
15

clinical experiences;
16

(8) have distance education methods that are
17

consistent with the accreditation and regulatory
18

standards; and
19

(9) provide direct care clinical experiences with
20

patients, as defined by accrediting and regulatory bodies.
21

(h) A professional nursing education program shall not use
22
simulation as a substitute for traditional clinical
23
experiences for more than 25% of a course's total clinical
24
hours. Programs may seek an exception to this subsection from
25
the Board and must follow the requirements set forth in the
26
"Guidelines for the Use of Simulation by Prelicensure Nursing

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
Programs" as published on the Department's website.
2

(h-5) The program must develop criteria to evaluate the
3
simulation activities and allow students to evaluate the
4
simulation experience on an ongoing basis.
5

(i) The program's resources must be sufficient to support
6
the program's needs to meet its mission, goals, and outcomes.
7
The program must provide accessibility resources to all
8
students, including those enrolled in distance education, and
9
institutional resources that assist students with academic and
10
financial challenges.
11

(j) A registered professional nursing program must be
12
accredited by a national accrediting body recognized by the
13
United States Department of Education. If the program has its
14
accreditation revoked, the program must submit a copy of the
15
notice of revocation from the accrediting body to the Board
16
within 30 days after receipt.
17

(k) If the Department obtains evidence at any time that a
18
registered professional nursing program does not comply with
19
this Act, the Department may perform an unannounced site
20
visit. The Department shall have the discretion to determine
21
if a complaint is unwarranted and not have to conduct a site
22
visit. Such evidence may include, but is not limited to, the
23
following:
24

(1) complaints from students, faculty, or clinical
25

agencies;

26

(2) program administrator turnover of more than 3

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

administrators in 5 years, excluding interim appointments;
2

(3) unexplained nursing faculty turnover or cuts in
3

the number of nursing faculty;
4

(4) a pattern of NCLEX pass rates less than 75%, as
5

defined by rule; and
6

(5) loss of national programmatic accreditation.
7

The Department has the discretion to determine if a
8
complaint is unwarranted and if a site visit must be
9
conducted.
10

(l) No program shall be placed on probation until calendar
11
year 2026 NCLEX results can be measured. Any program with
12
NCLEX pass rates for calendar year 2026 less than 75% shall
13
receive a written warning of noncompliance from the Division
14
of Professional Regulation of the Department of Financial and
15
Professional Regulation pursuant to Title 68, Part 1300,
16
Section 340 of the Illinois Administrative Code, except the
17
Division may defer the written warning for an additional year
18
if the program is within a public university and 55% or more of
19
the university's total student population received Pell
20
Grants.

21

(a) All registered professional nurse education programs
22
must be reviewed by the Board and approved by the Department
23
before the successful completion of such a program may be
24
applied toward meeting the requirements for registered
25
professional nurse licensure under this Act. Any program
26
changing the level of educational preparation or the

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
relationship with or to the parent institution or establishing
2
an extension of an existing program must request a review by
3
the Board and approval by the Department. The Board shall
4
review and make a recommendation for the approval or
5
disapproval of a program by the Department based on the
6
following criteria:
7

(1) a feasibility study that describes the need for
8

the program and the facilities used, the potential of the
9

program to recruit faculty and students, financial support
10

for the program, and other criteria, as established by
11

rule;
12

(2) program curriculum that meets all State
13

requirements;
14

(2.5) measurement of program effectiveness based on a
15

passage rate of all graduates over the 3 most recent
16

calendar years without reference to first-time test
17

takers;
18

(3) the administration of the program by a Nurse
19

Administrator and the involvement of a Nurse Administrator
20

in the development of the program;
21

(4) the occurrence of a site visit prior to approval;
22

and
23

(5) beginning December 31, 2022, obtaining and
24

maintaining programmatic accreditation by a national
25

accrediting body for nursing education recognized by the
26

United States Department of Education and approved by the

HB1807 Enrolled
- 11 -
LRB104 06840 AAS 16876 b
1

Department.
2

The Department and Board of Nursing shall be notified
3
within 30 days if the program loses its accreditation. The
4
Department may adopt rules regarding a warning process and
5
reaccreditation.

6

(b) In order to obtain initial Department approval and to
7
maintain Department approval, a registered professional
8
nursing program must meet all of the following requirements:
9

(1) The institution responsible for conducting the
10

program and the Nurse Administrator must ensure that
11

individual faculty members are academically and
12

professionally competent.
13

(2) The program curriculum must contain all applicable
14

requirements established by rule, including both theory
15

and clinical components.
16

(3) The passage rates of the program's graduating
17

classes on the State-approved licensure exam must be
18

deemed satisfactory by the Department.
19

(c) Program site visits to an institution conducting or
20
hosting a professional nursing program may be made at the
21
discretion of the Nursing Coordinator or upon recommendation
22
of the Board. Full routine site visits may be conducted by the
23
Department for periodic evaluation. Such visits shall be used
24
to determine compliance with this Act. Full routine site
25
visits must be announced and may be waived at the discretion of
26
the Department if the program maintains accreditation with an

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
accrediting body recognized by the United States Department of
2
Education and approved by the Department.
3

(d) Any institution conducting a registered professional
4
nursing program that wishes to discontinue the program must do
5
each of the following:
6

(1) Notify the Department, in writing, of its intent
7

to discontinue the program.
8

(2) Continue to meet the requirements of this Act and
9

the rules adopted thereunder until the official date of
10

termination of the program.
11

(3) Notify the Department of the date on which the
12

last student shall graduate from the program and the
13

program shall terminate.
14

(4) Assist remaining students in the continuation of
15

their education in the event of program termination prior
16

to the graduation of the program's final student.
17

(5) Upon the closure of the program, notify the
18

Department, in writing, of the location of student and
19

graduate records' storage.
20

(m)

(e)
Out-of-State registered professional nursing
21
education programs planning to offer clinical practice
22
experiences in this State must meet the requirements set forth
23
in this Section and must meet the clinical and faculty
24
requirements for institutions outside of this State, as
25
established by rule. The institution responsible for
26
conducting an out-of-State registered professional nursing

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
education program and the administrator of the program shall
2
be responsible for ensuring that the individual faculty and
3
preceptors overseeing the clinical experience are academically
4
and professionally competent.
5

(n) To operate under this Act, a registered professional
6
nursing education program must maintain approval by the
7
Department in accordance with the following:
8

(1) A registered professional nursing education
9

program must complete and submit an annual evaluation
10

report to the Department and maintain programmatic
11

accreditation by a national accrediting body for nursing
12

education recognized by the United States Department of
13

Education.
14

(2) The Board and the Department shall review and
15

analyze various sources of information regarding program
16

performance before granting annual approval, including,
17

but not limited to:
18

(A) previous Board survey visits and reports;
19

(B) annual report data;
20

(C) evidence of accreditation by a national
21

accrediting body for nursing education recognized by
22

the United States Department of Education;
23

(D) Board-recognized national accreditation
24

visits, reports, and other pertinent national
25

accreditation documents provided by the program; and
26

(E) results of ongoing programmatic evaluation.

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

(o) The Department shall make the policies and procedures
2
related to probationary status transparent, and related forms
3
shall be readily available to program administrators on the
4
Department's website.
5
(Source: P.A. 103-533, eff. 1-1-24
.)

6

(225 ILCS 65/60-10)
7

(Section scheduled to be repealed on January 1, 2028)
8

Sec. 60-10.
RN licensure by examination.
9

(a) Each applicant who successfully meets the requirements
10
of this Section is eligible for licensure as a registered
11
professional nurse.
12

(b) An applicant for licensure by examination to practice
13
as a registered professional nurse is eligible for licensure
14
when the following requirements are met:
15

(1) the applicant has submitted a completed written
16

application, on forms provided by the Department, and
17

fees, as established by the Department;
18

(2) the applicant has graduated from a professional
19

nursing education program approved by the Department or
20

has been granted a certificate of completion of
21

pre-licensure requirements from another United States
22

jurisdiction;
23

(3) the applicant has successfully completed a
24

licensure examination approved by the Department;
25

(4) (blank);

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

(5) the applicant has submitted to the criminal
2

history records check required under Section 50-35 of this
3

Act;
4

(6) the applicant has submitted, either to the
5

Department or its designated testing service, a fee
6

covering the cost of providing the examination; failure to
7

appear for the examination on the scheduled date at the
8

time and place specified after the applicant's application
9

for examination has been received and acknowledged by the
10

Department or the designated testing service shall result
11

in the forfeiture of the examination fee; and
12

(7) the applicant has met all other requirements
13

established by the Department by rule.
14

An applicant for licensure by examination may take the
15
Department-approved examination in another jurisdiction.
16

(b-3) An applicant who graduates from a professional
17
nursing program in this State on or after
January 1, 2024 (
the
18
effective date of
Public Act 103-533)

this amendatory Act of
19
the 103rd General Assembly
and does not take the licensure
20
examination within 180 days after his or her degree is
21
conferred by the institution of higher education or fails the
22
licensure examination for a second time shall be required to
23
demonstrate proof of completion of a National Council
24
Licensure Examination preparatory class or a comparable test
25
preparatory program before taking a subsequent licensure
26
examination or the graduate may return to the institution of

HB1807 Enrolled
- 16 -
LRB104 06840 AAS 16876 b
1
higher education from which he or she graduated which shall
2
provide remedial educational resources to the graduate at no
3
cost to the graduate. Such an applicant must contact the
4
institution of higher education from which he or she graduated
5
prior to retesting.
6

(b-4)
(Blank).

All professional nursing programs in
7
probationary status on the effective date of this amendatory
8
Act of the 103rd General Assembly and subject to a program
9
revision plan shall be deemed in good standing for a period of
10
3 years beginning on the effective date of this amendatory Act
11
of the 103rd General Assembly. Prior to September 1, 2026, no
12
professional nursing program shall be placed on probationary
13
status for failing to reach a passage rate of less than 75%.

14

(b-5) If an applicant for licensure by examination
15
neglects, fails, or refuses to take an examination or fails to
16
pass an examination for a license within 3 years of the date of
17
initial application, the application shall be denied. When an
18
applicant's application is denied due to the failure to pass
19
the examination within the 3-year period, that applicant must
20
undertake an additional course of education as defined by rule
21
prior to submitting a new application for licensure. Any new
22
application must be accompanied by the required fee, evidence
23
of meeting the requirements in force at the time of the new
24
application, and evidence of completion of the additional
25
course of education prescribed by rule.
26

(c) An applicant for licensure by examination shall have

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
one year after the date of notification of the successful
2
completion of the examination to apply to the Department for a
3
license. If an applicant fails to apply within one year, the
4
applicant shall be required to retake and pass the examination
5
unless licensed in another jurisdiction of the United States.
6

(d) An applicant for licensure by examination who passes
7
the Department-approved licensure examination for professional
8
nursing may obtain employment as a license-pending registered
9
nurse and practice under the direction of a registered
10
professional nurse or an advanced practice registered nurse
11
until such time as he or she receives his or her license to
12
practice or until the license is denied. In no instance shall
13
any such applicant practice or be employed in any management
14
capacity. An individual may be employed as a license-pending
15
registered nurse if all of the following criteria are met:
16

(1) He or she has completed and passed the
17

Department-approved licensure exam and presents to the
18

employer the official written notification indicating
19

successful passage of the licensure examination.
20

(2) He or she has completed and submitted to the
21

Department an application for licensure under this Section
22

as a registered professional nurse.
23

(3) He or she has submitted the required licensure
24

fee.
25

(4) He or she has met all other requirements
26

established by rule, including having submitted to a

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1

criminal history records check.
2

(e) The privilege to practice as a license-pending
3
registered nurse shall terminate with the occurrence of any of
4
the following:
5

(1) Six months have passed since the official date of
6

passing the licensure exam as inscribed on the formal
7

written notification indicating passage of the exam. The
8

6-month license-pending period may be extended if more
9

time is needed by the Department to process the licensure
10

application.
11

(2) Receipt of the registered professional nurse
12

license from the Department.
13

(3) Notification from the Department that the
14

application for licensure has been refused.
15

(4) A request by the Department that the individual
16

terminate practicing as a license-pending registered nurse
17

until an official decision is made by the Department to
18

grant or deny a registered professional nurse license.
19

(f) (Blank).
20

(g) (Blank).
21

(h) (Blank).
22

(i) (Blank).
23

(j) (Blank).
24

(k) All applicants for registered professional nurse
25
licensure have 3 years after the date of application to
26
complete the application process. If the process has not been

HB1807 Enrolled
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LRB104 06840 AAS 16876 b
1
completed within 3 years after the date of application, the
2
application shall be denied, the fee forfeited, and the
3
applicant must reapply and meet the requirements in effect at
4
the time of reapplication.
5

(l) All applicants for registered nurse licensure by
6
examination who are graduates of practical nursing educational
7
programs in a country other than the United States and its
8
territories shall have their nursing education credentials
9
evaluated by a Department-approved nursing credentialing
10
evaluation service. No such applicant may be issued a license
11
under this Act unless the applicant's program is deemed by the
12
nursing credentialing evaluation service to be equivalent to a
13
professional nursing education program approved by the
14
Department. An applicant who has graduated from a nursing
15
educational program outside of the United States or its
16
territories and whose first language is not English shall
17
submit evidence of English proficiency, as defined by rule.
18

(m) (Blank).
19
(Source: P.A. 103-533, eff. 1-1-24; 103-686, eff. 1-1-25
.)

20

Section 99.
Effective date.
This Act takes effect on
21
September 1, 2026.

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