ASTC-ANESTHESIA SERVICES

Illinois General Assembly - Full Text of SB2932

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB2932

Introduced 1/27/2026, by Sen. Lakesia Collins

SYNOPSIS AS INTRODUCED:

See Index

Amends the Ambulatory Surgical Treatment Center Act. Removes a
provision which provides that, in ambulatory surgical treatment centers,
anesthesia service shall be under the direction of a physician who has had
specialized preparation or experience in the area or who has completed a
residency in anesthesiology. Specifies that with respect to anesthesia
service in an ambulatory surgical treatment center, a certified registered
nurse anesthetist shall seek consultation regarding development of an
anesthesia plan and treatment of patients as is appropriate to the
certified registered nurse anesthetist's level of expertise and scope of
practice and as is warranted by the needs of the patient. Removes a
requirement that an anesthesiologist participate through discussion of and
agreement with the anesthesia plan and remain physically present and be
available on the premises. Provides that a certified registered nurse
anesthetist with clinical privileges may perform acts of advanced
assessment and diagnosis and may provide such functions for which the
certified registered nurse anesthetist is educationally and experientially
prepared. Makes conforming changes to the Hospital Licensing Act. Amends
the Medical Practice Act of 1987. Provides that a written collaborative
agreement shall be adequate with respect to collaboration with certified
registered nurse anesthetists if all of the following apply: (1) the
agreement is written to promote exercise of professional judgment by the
certified registered nurse anesthetist commensurate with his or her
education and experience; (2) the certified registered nurse anesthetist
provides service based on a written collaborative agreement with the
collaborating physician; and (3) methods of communication are available
with the collaborating physician in person or through telecommunications
for consultation, collaboration, and referral as needed to address patient
care needs. Amends the Nurse Practice Act. Provides that an
Illinois-licensed advanced practice registered nurse certified as a
certified registered nurse anesthetist shall be deemed by law to possess
the ability to practice without a written collaborative agreement. Sets
forth requirements of a certified registered nurse anesthetist. Makes
conforming changes in the Illinois Dental Practice Act. Effective
immediately.
LRB104 17376 BAB 30801 b

A BILL FOR

SB2932
LRB104 17376 BAB 30801 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 Ambulatory Surgical Treatment Center Act is
5
amended by changing Section 6.5 as follows:

6

(210 ILCS 5/6.5)
7

Sec. 6.5.
Clinical privileges; advanced practice
8
registered nurses.
All ambulatory surgical treatment centers
9
(ASTC) licensed under this Act shall comply with the following
10
requirements:
11

(1) No ASTC policy, rule, regulation, or practice
12

shall be inconsistent with the provision of adequate
13

collaboration and consultation in accordance with Section
14

54.5 of the Medical Practice Act of 1987.
15

(2) Operative surgical procedures shall be performed
16

only by a physician licensed to practice medicine in all
17

its branches under the Medical Practice Act of 1987, a
18

dentist licensed under the Illinois Dental Practice Act,
19

or a podiatric physician licensed under the Podiatric
20

Medical Practice Act of 1987, with medical staff
21

membership and surgical clinical privileges granted by the
22

consulting committee of the ASTC. A licensed physician,
23

dentist, or podiatric physician may be assisted by a

SB2932
- 2 -
LRB104 17376 BAB 30801 b
1

physician licensed to practice medicine in all its
2

branches, dentist, dental assistant, podiatric physician,
3

licensed advanced practice registered nurse, licensed
4

physician assistant, licensed registered nurse, licensed
5

practical nurse, surgical assistant, surgical technician,
6

or other individuals granted clinical privileges to assist
7

in surgery by the consulting committee of the ASTC.
8

Payment for services rendered by an assistant in surgery
9

who is not an ambulatory surgical treatment center
10

employee shall be paid at the appropriate non-physician
11

modifier rate if the payor would have made payment had the
12

same services been provided by a physician.
13

(2.5) A registered nurse licensed under the Nurse
14

Practice Act and qualified by training and experience in
15

operating room nursing shall be present in the operating
16

room and function as the circulating nurse during all
17

invasive or operative procedures. For purposes of this
18

paragraph (2.5), "circulating nurse" means a registered
19

nurse who is responsible for coordinating all nursing
20

care, patient safety needs, and the needs of the surgical
21

team in the operating room during an invasive or operative
22

procedure.
23

(3) An advanced practice registered nurse is not
24

required to possess prescriptive authority or a written
25

collaborative agreement meeting the requirements of the
26

Nurse Practice Act to provide advanced practice registered

SB2932
- 3 -
LRB104 17376 BAB 30801 b
1

nursing services in an ambulatory surgical treatment
2

center. An advanced practice registered nurse must possess
3

clinical privileges granted by the consulting medical
4

staff committee and ambulatory surgical treatment center
5

in order to provide services. Individual advanced practice
6

registered nurses may also be granted clinical privileges
7

to order, select, and administer medications, including
8

controlled substances, to provide delineated care. The
9

attending physician must determine the advanced practice
10

registered nurse's role in providing care for his or her
11

patients, except as otherwise provided in the consulting
12

staff policies. The consulting medical staff committee
13

shall periodically review the services of advanced
14

practice registered nurses granted privileges.
15

(4)
(Blank).

The anesthesia service shall be under the
16

direction of a physician licensed to practice medicine in
17

all its branches who has had specialized preparation or
18

experience in the area or who has completed a residency in
19

anesthesiology. An anesthesiologist, Board certified or
20

Board eligible, is recommended. Anesthesia services may
21

only be administered pursuant to the order of a physician
22

licensed to practice medicine in all its branches,
23

licensed dentist, or licensed podiatric physician.
24

(A) The individuals who, with clinical privileges
25

granted by the medical staff and ASTC, may administer
26

anesthesia services are limited to the following:

SB2932
- 4 -
LRB104 17376 BAB 30801 b
1

(i) an anesthesiologist; or
2

(ii) a physician licensed to practice medicine
3

in all its branches; or
4

(iii) a dentist with authority to administer
5

anesthesia under Section 8.1 of the Illinois
6

Dental Practice Act; or
7

(iv) a licensed certified registered nurse
8

anesthetist; or
9

(v) a podiatric physician licensed under the
10

Podiatric Medical Practice Act of 1987.
11

(B) For anesthesia services,
a certified
12

registered nurse anesthetist shall seek consultation
13

regarding development of an anesthesia plan and
14

treatment of patients as is appropriate to the
15

certified registered nurse anesthetist's level of
16

expertise and scope of practice and as is warranted by
17

the needs of the patient

an anesthesiologist shall
18

participate through discussion of and agreement with
19

the anesthesia plan and shall remain physically
20

present and be available on the premises during the
21

delivery of anesthesia services for diagnosis,
22

consultation, and treatment of emergency medical
23

conditions. In the absence of 24-hour availability of
24

anesthesiologists with clinical privileges, an
25

alternate policy (requiring participation, presence,
26

and availability of a physician licensed to practice

SB2932
- 5 -
LRB104 17376 BAB 30801 b
1

medicine in all its branches) shall be developed by
2

the medical staff consulting committee in consultation
3

with the anesthesia service and included in the
4

medical staff consulting committee policies
.
5

(C) A certified registered nurse anesthetist is
6

not required to possess prescriptive authority or a
7

written collaborative agreement meeting the
8

requirements of Section 65-35 of the Nurse Practice
9

Act to provide anesthesia
and related
services
ordered
10

by a licensed physician, dentist, or podiatric
11

physician
. Licensed certified registered nurse
12

anesthetists are authorized to select, order, and
13

administer drugs and apply the appropriate medical
14

devices in the provision of anesthesia
and related

15

services
under the anesthesia plan agreed with by the
16

anesthesiologist or, in the absence of an available
17

anesthesiologist with clinical privileges, agreed with
18

by the operating physician, operating dentist, or
19

operating podiatric physician
in accordance with the
20

medical staff consulting committee policies of a
21

licensed ambulatory surgical treatment center.
22

(D) In accordance with the medical staff
23

consulting committee policies of a licensed ambulatory
24

surgical treatment center, a certified registered
25

nurse anesthetist with clinical privileges may perform
26

acts of advanced assessment and diagnosis and may

SB2932
- 6 -
LRB104 17376 BAB 30801 b
1

provide such functions for which the certified
2

registered nurse anesthetist is educationally and
3

experientially prepared. A certified registered nurse
4

anesthetist shall practice in accordance with the
5

scope and all standards of the appropriate national
6

professional nursing association.

7
(Source: P.A. 99-642, eff. 7-28-16; 100-513, eff. 1-1-18
.)

8

Section 10.
The Hospital Licensing Act is amended by
9
changing Section 10.7 as follows:

10

(210 ILCS 85/10.7)
11

Sec. 10.7.
Clinical privileges; advanced practice
12
registered nurses.
All hospitals licensed under this Act
13
shall comply with the following requirements:
14

(1) No hospital policy, rule, regulation, or practice
15

shall be inconsistent with the provision of adequate
16

collaboration and consultation in accordance with Section
17

54.5 of the Medical Practice Act of 1987.
18

(2) Operative surgical procedures shall be performed
19

only by a physician licensed to practice medicine in all
20

its branches under the Medical Practice Act of 1987, a
21

dentist licensed under the Illinois Dental Practice Act,
22

or a podiatric physician licensed under the Podiatric
23

Medical Practice Act of 1987, with medical staff
24

membership and surgical clinical privileges granted at the

SB2932
- 7 -
LRB104 17376 BAB 30801 b
1

hospital. A licensed physician, dentist, or podiatric
2

physician may be assisted by a physician licensed to
3

practice medicine in all its branches, dentist, dental
4

assistant, podiatric physician, licensed advanced practice
5

registered nurse, licensed physician assistant, licensed
6

registered nurse, licensed practical nurse, surgical
7

assistant, surgical technician, or other individuals
8

granted clinical privileges to assist in surgery at the
9

hospital. Payment for services rendered by an assistant in
10

surgery who is not a hospital employee shall be paid at the
11

appropriate non-physician modifier rate if the payor would
12

have made payment had the same services been provided by a
13

physician.
14

(2.5) A registered nurse licensed under the Nurse
15

Practice Act and qualified by training and experience in
16

operating room nursing shall be present in the operating
17

room and function as the circulating nurse during all
18

invasive or operative procedures. For purposes of this
19

paragraph (2.5), "circulating nurse" means a registered
20

nurse who is responsible for coordinating all nursing
21

care, patient safety needs, and the needs of the surgical
22

team in the operating room during an invasive or operative
23

procedure.
24

(3) An advanced practice registered nurse is not
25

required to possess prescriptive authority or a written
26

collaborative agreement meeting the requirements of the

SB2932
- 8 -
LRB104 17376 BAB 30801 b
1

Nurse Practice Act to provide advanced practice registered
2

nursing services in a hospital. An advanced practice
3

registered nurse must possess clinical privileges
4

recommended by the medical staff and granted by the
5

hospital in order to provide services. Individual advanced
6

practice registered nurses may also be granted clinical
7

privileges to order, select, and administer medications,
8

including controlled substances, to provide delineated
9

care. The attending physician must determine the advanced
10

practice registered nurse's role in providing care for his
11

or her patients, except as otherwise provided in medical
12

staff bylaws. The medical staff shall periodically review
13

the services of advanced practice registered nurses
14

granted privileges. This review shall be conducted in
15

accordance with item (2) of subsection (a) of Section 10.8
16

of this Act for advanced practice registered nurses
17

employed by the hospital.
18

(4)
(Blank).

The anesthesia service shall be under the
19

direction of a physician licensed to practice medicine in
20

all its branches who has had specialized preparation or
21

experience in the area or who has completed a residency in
22

anesthesiology. An anesthesiologist, Board certified or
23

Board eligible, is recommended. Anesthesia services may
24

only be administered pursuant to the order of a physician
25

licensed to practice medicine in all its branches,
26

licensed dentist, or licensed podiatric physician.

SB2932
- 9 -
LRB104 17376 BAB 30801 b
1

(A) The individuals who, with clinical privileges
2

granted at the hospital, may administer anesthesia
3

services are limited to the following:
4

(i) an anesthesiologist; or
5

(ii) a physician licensed to practice medicine
6

in all its branches; or
7

(iii) a dentist with authority to administer
8

anesthesia under Section 8.1 of the Illinois
9

Dental Practice Act; or
10

(iv) a licensed certified registered nurse
11

anesthetist; or
12

(v) a podiatric physician licensed under the
13

Podiatric Medical Practice Act of 1987.
14

(B) For anesthesia services,
a certified
15

registered nurse anesthetist shall seek consultation
16

regarding development of an anesthesia plan and
17

treatment of patients as is appropriate to the
18

certified registered nurse anesthetist's level of
19

expertise and scope of practice and as is warranted by
20

the needs of the patient

an anesthesiologist shall
21

participate through discussion of and agreement with
22

the anesthesia plan and shall remain physically
23

present and be available on the premises during the
24

delivery of anesthesia services for diagnosis,
25

consultation, and treatment of emergency medical
26

conditions. In the absence of 24-hour availability of

SB2932
- 10 -
LRB104 17376 BAB 30801 b
1

anesthesiologists with medical staff privileges, an
2

alternate policy (requiring participation, presence,
3

and availability of a physician licensed to practice
4

medicine in all its branches) shall be developed by
5

the medical staff and licensed hospital in
6

consultation with the anesthesia service
.
7

(C) A certified registered nurse anesthetist is
8

not required to possess prescriptive authority or a
9

written collaborative agreement meeting the
10

requirements of Section 65-35 of the Nurse Practice
11

Act to provide anesthesia
and related
services
ordered
12

by a licensed physician, dentist, or podiatric
13

physician
. Licensed certified registered nurse
14

anesthetists are authorized to select, order, and
15

administer drugs and apply the appropriate medical
16

devices in the provision of anesthesia
and related

17

services
under the anesthesia plan agreed with by the
18

anesthesiologist or, in the absence of an available
19

anesthesiologist with clinical privileges, agreed with
20

by the operating physician, operating dentist, or
21

operating podiatric physician
in accordance with the
22

hospital's
alternative
policy.
23

(D) In accordance with the hospital's policies, a
24

certified registered nurse anesthetist with clinical
25

privileges may perform acts of advanced assessment and
26

diagnosis and may provide such functions for which the

SB2932
- 11 -
LRB104 17376 BAB 30801 b
1

CRNA is educationally and experientially prepared. A
2

certified registered nurse anesthetist shall practice
3

in accordance with the scope and all standards of the
4

appropriate national professional nursing association.

5
(Source: P.A. 99-642, eff. 7-28-16; 100-513, eff. 1-1-18
.)

6

Section 15.
The Medical Practice Act of 1987 is amended by
7
changing Section 54.5 as follows:

8

(225 ILCS 60/54.5)
9

(Section scheduled to be repealed on January 1, 2027)
10

Sec. 54.5.
Physician delegation of authority to physician
11
assistants, advanced practice registered nurses without full
12
practice authority, and prescribing psychologists.
13

(a) Physicians licensed to practice medicine in all its
14
branches may delegate care and treatment responsibilities to a
15
physician assistant under guidelines in accordance with the
16
requirements of the Physician Assistant Practice Act of 1987.
17
A physician licensed to practice medicine in all its branches
18
may enter into collaborative agreements with no more than 7
19
full-time equivalent physician assistants, except in a
20
hospital, hospital affiliate, or ambulatory surgical treatment
21
center as set forth by Section 7.7 of the Physician Assistant
22
Practice Act of 1987 and as provided in subsection (a-5).
23

(a-5) A physician licensed to practice medicine in all its
24
branches may collaborate with more than 7 physician assistants

SB2932
- 12 -
LRB104 17376 BAB 30801 b
1
when the services are provided in a federal primary care
2
health professional shortage area with a Health Professional
3
Shortage Area score greater than or equal to 12, as determined
4
by the United States Department of Health and Human Services.
5

The collaborating physician must keep appropriate
6
documentation of meeting this exemption and make it available
7
to the Department upon request.
8

(b) A physician licensed to practice medicine in all its
9
branches in active clinical practice may collaborate with an
10
advanced practice registered nurse in accordance with the
11
requirements of the Nurse Practice Act. Collaboration is for
12
the purpose of providing medical consultation, and no
13
employment relationship is required. A written collaborative
14
agreement shall conform to the requirements of Section 65-35
15
of the Nurse Practice Act. The written collaborative agreement
16
shall be for services for which the collaborating physician
17
can provide adequate collaboration. A written collaborative
18
agreement shall be adequate with respect to collaboration with
19
advanced practice registered nurses if all of the following
20
apply:
21

(1) The agreement is written to promote the exercise
22

of professional judgment by the advanced practice
23

registered nurse commensurate with his or her education
24

and experience.
25

(2) The advanced practice registered nurse provides
26

services based upon a written collaborative agreement with

SB2932
- 13 -
LRB104 17376 BAB 30801 b
1

the collaborating physician
, except as set forth in
2

subsection (b-5) of this Section
. With respect to labor
3

and delivery, the collaborating physician must provide
4

delivery services in order to participate with a certified
5

nurse midwife.
6

(3) Methods of communication are available with the
7

collaborating physician in person or through
8

telecommunications for consultation, collaboration, and
9

referral as needed to address patient care needs.
10

(b-5) An anesthesiologist or physician licensed to
11
practice medicine in all its branches may collaborate with a
12
certified registered nurse anesthetist in accordance with
13
Section 65-35 of the Nurse Practice Act for the provision of
14
anesthesia
and related
services.
A written collaborative
15
agreement shall be adequate with respect to collaboration with
16
certified registered nurse anesthetists if all of the
17
following apply:
18

(1) The agreement is written to promote exercise of
19

professional judgment by the certified registered nurse
20

anesthetist commensurate with his or her education and
21

experience.
22

(2) The certified registered nurse anesthetist
23

provides service based on a written collaborative
24

agreement with the collaborating physician.
25

(3) Methods of communication are available with the
26

collaborating physician in person or through

SB2932
- 14 -
LRB104 17376 BAB 30801 b
1

telecommunications for consultation, collaboration, and
2

referral as needed to address patient care needs.

With
3

respect to the provision of anesthesia services, the
4

collaborating anesthesiologist or physician shall have
5

training and experience in the delivery of anesthesia
6

services consistent with Department rules. Collaboration
7

shall be adequate if:
8

(1) an anesthesiologist or a physician participates in
9

the joint formulation and joint approval of orders or
10

guidelines and periodically reviews such orders and the
11

services provided patients under such orders; and
12

(2) for anesthesia services, the anesthesiologist or
13

physician participates through discussion of and agreement
14

with the anesthesia plan and is physically present and
15

available on the premises during the delivery of
16

anesthesia services for diagnosis, consultation, and
17

treatment of emergency medical conditions.

Collaboration
18

with respect to an anesthesia and related

Anesthesia

19

services in a hospital shall be conducted in accordance
20

with Section 10.7 of the Hospital Licensing Act and in an
21

ambulatory surgical treatment center in accordance with
22

Section 6.5 of the Ambulatory Surgical Treatment Center
23

Act.
24

(b-10)
For anesthesia services, a certified registered
25
nurse anesthetist shall consult with the collaborating
26
physician or other appropriate health care professionals

SB2932
- 15 -
LRB104 17376 BAB 30801 b
1
regarding development of an anesthesia plan and treatment of a
2
patient as is appropriate to the certified registered nurse
3
anesthetist's level of expertise and scope of practice and as
4
is warranted by the needs of the patient

The anesthesiologist
5
or operating physician must agree with the anesthesia plan
6
prior to the delivery of services
.
7

(c) The collaborating physician shall have access to the
8
medical records of all patients attended by a physician
9
assistant. The collaborating physician shall have access to
10
the medical records of all patients attended to by an advanced
11
practice registered nurse.
12

(d) (Blank).
13

(e) A physician shall not be liable for the acts or
14
omissions of a prescribing psychologist, physician assistant,
15
or advanced practice registered nurse solely on the basis of
16
having signed a supervision agreement or guidelines or a
17
collaborative agreement, an order, a standing medical order, a
18
standing delegation order, or other order or guideline
19
authorizing a prescribing psychologist, physician assistant,
20
or advanced practice registered nurse to perform acts, unless
21
the physician has reason to believe the prescribing
22
psychologist, physician assistant, or advanced practice
23
registered nurse lacked the competency to perform the act or
24
acts or commits willful and wanton misconduct.
25

(f) A collaborating physician may, but is not required to,
26
delegate prescriptive authority to an advanced practice

SB2932
- 16 -
LRB104 17376 BAB 30801 b
1
registered nurse as part of a written collaborative agreement,
2
and the delegation of prescriptive authority shall conform to
3
the requirements of Section 65-40 of the Nurse Practice Act.
4

(g) A collaborating physician may, but is not required to,
5
delegate prescriptive authority to a physician assistant as
6
part of a written collaborative agreement, and the delegation
7
of prescriptive authority shall conform to the requirements of
8
Section 7.5 of the Physician Assistant Practice Act of 1987.
9

(h) (Blank).
10

(i) A collaborating physician shall delegate prescriptive
11
authority to a prescribing psychologist as part of a written
12
collaborative agreement, and the delegation of prescriptive
13
authority shall conform to the requirements of Section 4.3 of
14
the Clinical Psychologist Licensing Act.
15

(j) As set forth in Section 22.2 of this Act, a licensee
16
under this Act may not directly or indirectly divide, share,
17
or split any professional fee or other form of compensation
18
for professional services with anyone in exchange for a
19
referral or otherwise, other than as provided in Section 22.2.
20
(Source: P.A. 103-228, eff. 1-1-24
.)

21

Section 20.
The Nurse Practice Act is amended by changing
22
Sections 65-35 and 65-45 and by adding Section 65-75 as
23
follows:

24

(225 ILCS 65/65-35)

(was 225 ILCS 65/15-15)

SB2932
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LRB104 17376 BAB 30801 b
1

(Section scheduled to be repealed on January 1, 2028)
2

Sec. 65-35.
Written collaborative agreements.
3

(a) A written collaborative agreement is required for all
4
advanced practice registered nurses engaged in clinical
5
practice prior to meeting the requirements of Section 65-43,
6
except for advanced practice registered nurses who are
7
privileged to practice in a hospital, hospital affiliate, or
8
ambulatory surgical treatment center.
9

(a-5) If an advanced practice registered nurse engages in
10
clinical practice outside of a hospital, hospital affiliate,
11
or ambulatory surgical treatment center in which he or she is
12
privileged to practice, the advanced practice registered nurse
13
must have a written collaborative agreement, except as set
14
forth in
Sections

Section
65-43
and 65-75
.
15

(b) A written collaborative agreement shall describe the
16
relationship of the advanced practice registered nurse with
17
the collaborating physician and shall describe the categories
18
of care, treatment, or procedures to be provided by the
19
advanced practice registered nurse. A collaborative agreement
20
with a podiatric physician must be in accordance with
21
subsection (c-5) or (c-15) of this Section. A collaborative
22
agreement with a dentist must be in accordance with subsection
23
(c-10) of this Section. A collaborative agreement with a
24
podiatric physician must be in accordance with subsection
25
(c-5) of this Section. Collaboration does not require an
26
employment relationship between the collaborating physician

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1
and the advanced practice registered nurse.
2

The collaborative relationship under an agreement shall
3
not be construed to require the personal presence of a
4
collaborating physician at the place where services are
5
rendered. Methods of communication shall be available for
6
consultation with the collaborating physician in person or by
7
telecommunications or electronic communications as set forth
8
in the written agreement.
9

(b-5) Absent an employment relationship, a written
10
collaborative agreement may not (1) restrict the categories of
11
patients of an advanced practice registered nurse within the
12
scope of the advanced practice registered nurses training and
13
experience, (2) limit third party payors or government health
14
programs, such as the medical assistance program or Medicare
15
with which the advanced practice registered nurse contracts,
16
or (3) limit the geographic area or practice location of the
17
advanced practice registered nurse in this State.
18

(b-10) In the case of home birth services provided by a
19
certified nurse midwife, a written collaborative agreement may
20
permit a certified nurse midwife to provide home birth
21
services within the scope of the certified nurse midwife's
22
training and experience. A written collaborative agreement may
23
not prohibit a certified nurse midwife from providing home
24
birth services within the scope of the certified nurse
25
midwife's training and experience. Where the collaborating
26
physician does not provide home birth services, home birth

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1
services may be provided by a certified nurse midwife working
2
under a written collaborative agreement with a collaborating
3
physician when the services are provided in a federal primary
4
care health professional shortage area with a Health
5
Professional Shortage Area score greater than or equal to 12,
6
as determined by the United States Department of Health and
7
Human Services, or a maternity care desert.
8

(c) In the case of anesthesia services provided by a
9
certified registered nurse anesthetist,
a certified registered
10
nurse anesthetist shall seek consultation regarding
11
development of an anesthesia plan and treatment of patients as
12
is appropriate to the certified registered nurse anesthetist's
13
level of expertise and scope of practice and as is warranted by
14
the needs of the patient

an anesthesiologist, a physician, a
15
dentist, or a podiatric physician must participate through
16
discussion of and agreement with the anesthesia plan and
17
remain physically present and available on the premises during
18
the delivery of anesthesia services for diagnosis,
19
consultation, and treatment of emergency medical conditions
.
20

(c-5) A certified registered nurse anesthetist, who
21
provides anesthesia
and related
services outside of a hospital
22
or ambulatory surgical treatment center shall enter into a
23
written collaborative agreement with an anesthesiologist or
24
the physician licensed to practice medicine in all its
25
branches or the podiatric physician performing the procedure.
26
The collaborative agreement may, but is not required to,

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1
include the following terms: (i) that the certified registered
2
nurse anesthetist providing anesthesia services and the
3
anesthesiologist, physician, or podiatric physician
4
participate through discussion of and reach agreement on the
5
anesthesia plan or (ii) that anesthesia services shall only be
6
delivered when the anesthesiologist, physician, or podiatric
7
physician is present and available on the premises for
8
diagnosis, consultation, and treatment of emergency medical
9
conditions.
Outside of a hospital or ambulatory surgical
10
treatment center, the certified registered nurse anesthetist
11
may provide only those services that the collaborating
12
podiatric physician is authorized to provide pursuant to the
13
Podiatric Medical Practice Act of 1987 and rules adopted
14
thereunder. A certified registered nurse anesthetist may
15
select, order, and administer medication, including controlled
16
substances, and apply appropriate medical devices for delivery
17
of anesthesia
and related
services
under the anesthesia plan
18
agreed with by the anesthesiologist or the operating physician
19
or operating podiatric physician
.
20

(c-10) A certified registered nurse anesthetist who
21
provides anesthesia services in a dental office shall enter
22
into a written collaborative agreement with an
23
anesthesiologist or the physician licensed to practice
24
medicine in all its branches or the operating dentist
25
performing the procedure. The agreement shall describe the
26
working relationship of the certified registered nurse

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1
anesthetist and dentist and shall authorize the categories of
2
care, treatment, or procedures to be performed by the
3
certified registered nurse anesthetist.
The collaborative
4
agreement may, but is not required to, include the following
5
terms: (i) that the certified registered nurse anesthetist
6
providing anesthesia services and the anesthesiologist,
7
physician, or podiatric physician participate through
8
discussion of and reach agreement on the anesthesia plan or
9
(ii) that anesthesia services shall only be delivered when the
10
anesthesiologist, physician, or podiatric physician is present
11
and available on the premises for diagnosis, consultation, and
12
treatment of emergency medical conditions.
In a collaborating
13
dentist's office, the certified registered nurse anesthetist
14
may only provide those services that the operating dentist
15
with the appropriate permit is authorized to provide pursuant
16
to the Illinois Dental Practice Act and rules adopted
17
thereunder. For anesthesia services,
a certified registered
18
nurse anesthetist shall seek consultation regarding
19
development of an anesthesia plan and treatment of patients as
20
is appropriate to the certified registered nurse anesthetist's
21
level of expertise and scope of practice and as is warranted by
22
the needs of the patient

an anesthesiologist, physician, or
23
operating dentist shall participate through discussion of and
24
agreement with the anesthesia plan and shall remain physically
25
present and be available on the premises during the delivery
26
of anesthesia services for diagnosis, consultation, and

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1
treatment of emergency medical conditions
. A certified
2
registered nurse anesthetist may select, order, and administer
3
medication, including controlled substances, and apply
4
appropriate medical devices for delivery of anesthesia
and
5
related
services
under the anesthesia plan agreed with by the
6
operating dentist
.
7

(c-15) An advanced practice registered nurse who had a
8
written collaborative agreement with a podiatric physician
9
immediately before the effective date of Public Act 100-513
10
may continue in that collaborative relationship or enter into
11
a new written collaborative relationship with a podiatric
12
physician under the requirements of this Section and Section
13
65-40, as those Sections existed immediately before the
14
amendment of those Sections by Public Act 100-513 with regard
15
to a written collaborative agreement between an advanced
16
practice registered nurse and a podiatric physician.
17

(d) A copy of the signed, written collaborative agreement
18
must be available to the Department upon request from both the
19
advanced practice registered nurse and the collaborating
20
physician, dentist, or podiatric physician.
21

(e) Nothing in this Act shall be construed to limit the
22
delegation of tasks or duties by a physician to a licensed
23
practical nurse, a registered professional nurse, or other
24
persons in accordance with Section 54.2 of the Medical
25
Practice Act of 1987. Nothing in this Act shall be construed to
26
limit the method of delegation that may be authorized by any

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1
means, including, but not limited to, oral, written,
2
electronic, standing orders, protocols, guidelines, or verbal
3
orders.
4

(e-5) Nothing in this Act shall be construed to authorize
5
an advanced practice registered nurse to provide health care
6
services required by law or rule to be performed by a
7
physician. The scope of practice of an advanced practice
8
registered nurse does not include operative surgery. Nothing
9
in this Section shall be construed to preclude an advanced
10
practice registered nurse from assisting in surgery.
11

(f) An advanced practice registered nurse shall inform
12
each collaborating physician, dentist, or podiatric physician
13
of all collaborative agreements he or she has signed and
14
provide a copy of these to any collaborating physician,
15
dentist, or podiatric physician upon request.
16

(g) (Blank).
17
(Source: P.A. 104-244, eff. 1-1-26
.)

18

(225 ILCS 65/65-45)

(was 225 ILCS 65/15-25)
19

(Section scheduled to be repealed on January 1, 2028)
20

Sec. 65-45.
Advanced practice registered nursing in
21
hospitals, hospital affiliates, or ambulatory surgical
22
treatment centers.
23

(a) An advanced practice registered nurse may provide
24
services in a hospital or a hospital affiliate as those terms
25
are defined in the Hospital Licensing Act or the University of

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1
Illinois Hospital Act or a licensed ambulatory surgical
2
treatment center without a written collaborative agreement
3
pursuant to Section 65-35 of this Act. An advanced practice
4
registered nurse must possess clinical privileges recommended
5
by the hospital medical staff and granted by the hospital or
6
the consulting medical staff committee and ambulatory surgical
7
treatment center in order to provide services. The medical
8
staff or consulting medical staff committee shall periodically
9
review the services of all advanced practice registered nurses
10
granted clinical privileges, including any care provided in a
11
hospital affiliate. Authority may also be granted when
12
recommended by the hospital medical staff and granted by the
13
hospital or recommended by the consulting medical staff
14
committee and ambulatory surgical treatment center to
15
individual advanced practice registered nurses to select,
16
order, and administer medications, including controlled
17
substances, to provide delineated care. In a hospital,
18
hospital affiliate, or ambulatory surgical treatment center,
19
the attending physician shall determine an advanced practice
20
registered nurse's role in providing care for his or her
21
patients, except as otherwise provided in the medical staff
22
bylaws or consulting committee policies.
23

(a-2) An advanced practice registered nurse privileged to
24
order medications, including controlled substances, may
25
complete discharge prescriptions provided the prescription is
26
in the name of the advanced practice registered nurse and the

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1
attending or discharging physician.
2

(a-3) Advanced practice registered nurses practicing in a
3
hospital or an ambulatory surgical treatment center are not
4
required to obtain a mid-level controlled substance license to
5
order controlled substances under Section 303.05 of the
6
Illinois Controlled Substances Act.
7

(a-4) An advanced practice registered nurse meeting the
8
requirements of Section 65-43
or 65-75
may be privileged to
9
complete discharge orders and prescriptions under the advanced
10
practice registered nurse's name.
11

(a-5) For anesthesia services provided by a certified
12
registered nurse anesthetist,
certified registered nurse
13
anesthetist shall seek consultation regarding development of
14
an anesthesia plan and treatment of patients as is appropriate
15
to the certified registered nurse anesthetist's level of
16
expertise and scope of practice and as is warranted by the
17
needs of the patient

an anesthesiologist, physician, dentist,
18
or podiatric physician shall participate through discussion of
19
and agreement with the anesthesia plan and shall remain
20
physically present and be available on the premises during the
21
delivery of anesthesia services for diagnosis, consultation,
22
and treatment of emergency medical conditions, unless hospital
23
policy adopted pursuant to clause (B) of subdivision (3) of
24
Section 10.7 of the Hospital Licensing Act or ambulatory
25
surgical treatment center policy adopted pursuant to clause
26
(B) of subdivision (3) of Section 6.5 of the Ambulatory

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1
Surgical Treatment Center Act provides otherwise
. A certified
2
registered nurse anesthetist may select, order, and administer
3
medication for anesthesia
and related
services
under the
4
anesthesia plan agreed to by the anesthesiologist or the
5
physician,
in accordance with hospital
alternative
policy or
6
the medical staff consulting committee policies of a licensed
7
ambulatory surgical treatment center.
8

(b) An advanced practice registered nurse who provides
9
services in a hospital shall do so in accordance with Section
10
10.7 of the Hospital Licensing Act and, in an ambulatory
11
surgical treatment center, in accordance with Section 6.5 of
12
the Ambulatory Surgical Treatment Center Act. Nothing in this
13
Act shall be construed to require an advanced practice
14
registered nurse to have a collaborative agreement to practice
15
in a hospital, hospital affiliate, or ambulatory surgical
16
treatment center.
17

(c) Advanced practice registered nurses certified as nurse
18
practitioners, nurse midwives, or clinical nurse specialists
19
practicing in a hospital affiliate may be, but are not
20
required to be, privileged to prescribe Schedule II through V
21
controlled substances when such authority is recommended by
22
the appropriate physician committee of the hospital affiliate
23
and granted by the hospital affiliate. This authority may, but
24
is not required to, include prescription of, selection of,
25
orders for, administration of, storage of, acceptance of
26
samples of, and dispensing over-the-counter medications,

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1
legend drugs, medical gases, and controlled substances
2
categorized as Schedule II through V controlled substances, as
3
defined in Article II of the Illinois Controlled Substances
4
Act, and other preparations, including, but not limited to,
5
botanical and herbal remedies.
6

To prescribe controlled substances under this subsection
7
(c), an advanced practice registered nurse certified as a
8
nurse practitioner, nurse midwife, or clinical nurse
9
specialist must obtain a controlled substance license.
10
Medication orders shall be reviewed periodically by the
11
appropriate hospital affiliate physicians committee or its
12
physician designee.
13

The hospital affiliate shall file with the Department
14
notice of a grant of prescriptive authority consistent with
15
this subsection (c) and termination of such a grant of
16
authority, in accordance with rules of the Department. Upon
17
receipt of this notice of grant of authority to prescribe any
18
Schedule II through V controlled substances, the licensed
19
advanced practice registered nurse certified as a nurse
20
practitioner, nurse midwife, or clinical nurse specialist may
21
register for a mid-level practitioner controlled substance
22
license under Section 303.05 of the Illinois Controlled
23
Substances Act.
24

In addition, a hospital affiliate may, but is not required
25
to, privilege an advanced practice registered nurse certified
26
as a nurse practitioner, nurse midwife, or clinical nurse

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1
specialist to prescribe any Schedule II controlled substances,
2
if all of the following conditions apply:
3

(1) specific Schedule II controlled substances by oral
4

dosage or topical or transdermal application may be
5

designated, provided that the designated Schedule II
6

controlled substances are routinely prescribed by advanced
7

practice registered nurses in their area of certification;
8

the privileging documents must identify the specific
9

Schedule II controlled substances by either brand name or
10

generic name; privileges to prescribe or dispense Schedule
11

II controlled substances to be delivered by injection or
12

other route of administration may not be granted;
13

(2) any privileges must be controlled substances
14

limited to the practice of the advanced practice
15

registered nurse;
16

(3) any prescription must be limited to no more than a
17

30-day supply;
18

(4) the advanced practice registered nurse must
19

discuss the condition of any patients for whom a
20

controlled substance is prescribed monthly with the
21

appropriate physician committee of the hospital affiliate
22

or its physician designee; and
23

(5) the advanced practice registered nurse must meet
24

the education requirements of Section 303.05 of the
25

Illinois Controlled Substances Act.
26

(d) An advanced practice registered nurse meeting the

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1
requirements of Section 65-43 may be privileged to prescribe
2
controlled substances categorized as Schedule II through V in
3
accordance with Section 65-43.
4
(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18
.)

5

(225 ILCS 65/65-75 new)
6

Sec. 65-75.
Conditions under which a written collaborative
7
agreement is not required.
8

(a) An Illinois-licensed advanced practice registered
9
nurse certified as a certified registered nurse anesthetist
10
shall be deemed by law to possess the ability to practice
11
without a written collaborative agreement as set forth in this
12
Act.
13

(b) An advanced practice registered nurse certified as a
14
certified registered nurse anesthetist who (i) has attained
15
national certification and completed a professional practice
16
doctorate or (ii) files with the Department a notarized
17
attestation of completion of at least 250 hours of continuing
18
education or training and at least 4,000 hours of clinical
19
experience after first attaining national certification, shall
20
not require a written collaborative agreement. Documentation
21
of successful completion shall be provided to the Department
22
upon request. Continuing education or training hours required
23
by this subsection shall be in the certified registered nurse
24
anesthetist's area of certification as set forth by Department
25
rule.

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1

The clinical experience must be in the certified
2
registered nurse anesthetist's area of certification. The
3
clinical experience shall be in collaboration with a physician
4
or physicians or a certified registered nurse anesthetist with
5
full practice authority. Completion of the clinical experience
6
must be attested to by the collaborating physician or
7
physicians or employer, collaborating certified registered
8
nurse anesthetist and the certified registered nurse
9
anesthetist. If the collaborating physician or physicians
10
collaborating certified nurse anesthetist, or employer is
11
unable to attest to the completion of the clinical experience,
12
the Department may accept other evidence of clinical
13
experience as established by rule.
14

(c) The scope of practice of a certified registered nurse
15
anesthetist with full practice authority includes:
16

(1) all matters included in subsection (c) of Section
17

65-30 of this Act;
18

(2) practicing without a written collaborative
19

agreement in all practice settings consistent with
20

national certification;
21

(3) authority to prescribe both legend drugs and
22

Schedule II through V controlled substances; this
23

authority includes prescription of, selection of, orders
24

for, administration of, storage of, acceptance of samples
25

of, and dispensing over the counter medications, legend
26

drugs, and controlled substances categorized as any

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1

Schedule II through V controlled substances, as defined in
2

Article II of the Illinois Controlled Substances Act, and
3

other preparations, including, but not limited to,
4

botanical and herbal remedies;
5

(4) prescribing benzodiazepines or Schedule II
6

narcotic drugs, such as opioids; and
7

(5) authority to obtain an Illinois controlled
8

substance license and a federal Drug Enforcement
9

Administration number.

10

(d) The Department may adopt rules necessary to administer
11
this Section, including, but not limited to, requiring the
12
completion of forms and the payment of fees.
13

(e) Nothing in this Act shall be construed to authorize a
14
certified registered nurse anesthetist with full practice
15
authority to provide health care services required by law or
16
rule to be performed by a physician.

17

Section 25.
The Illinois Dental Practice Act is amended by
18
changing Section 8.1 as follows:

19

(225 ILCS 25/8.1)

(from Ch. 111, par. 2308.1)
20

(Section scheduled to be repealed on January 1, 2031)
21

Sec. 8.1.
Permit for the administration of anesthesia and
22
sedation.

23

(a) No licensed dentist shall administer general
24
anesthesia, deep sedation, or moderate sedation without first

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1
applying for and obtaining a permit for such purpose from the
2
Department. The Department shall issue such permit only after
3
ascertaining that the applicant possesses the minimum
4
qualifications necessary to protect public safety. A person
5
with a dental degree who administers anesthesia, deep
6
sedation, or moderate sedation in an approved hospital
7
training program under the supervision of either a licensed
8
dentist holding such permit or a physician licensed to
9
practice medicine in all its branches shall not be required to
10
obtain such permit.
11

(b) The minimum requirements for a permit to administer
12
moderate sedation issued after the effective date of this
13
amendatory Act of the 103rd General Assembly shall include the
14
completion of a minimum of 75 hours of didactic and supervised
15
clinical study in either:
16

(1) an American Dental Association Commission on
17

Dental Accreditation accredited dental specialty program,
18

general practice residency, or advanced education in
19

general dentistry residency that includes training and
20

documentation in moderate sedation techniques appropriate
21

for each specialty or an American Dental Association
22

Commission on Dental Accreditation accredited dental
23

anesthesiology residency program and proof of completion
24

of 20 individually managed patients utilizing appropriate
25

routes of administration, in which the applicant is the
26

sole provider, which can include, but are not limited to,

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1

intravenous, oral, intranasal, or intramuscular or
2

combinations thereof; or
3

(2) a structured course of study provided by an
4

approved continuing education provider that includes
5

training and documentation in moderate sedation, physical
6

evaluation, venipuncture, advanced airway management,
7

technical administration, recognition and management of
8

complications and emergencies and monitoring with
9

additional supervised experience and documentation
10

demonstrating competence in providing moderate sedation
11

utilizing enteral and parenteral routes of administration
12

of medications to competency to 20 individual patient
13

experiences on a 1 to 1 ratio with an instructor, in which
14

the applicant is the sole provider of sedation over a
15

continuous time frame as set by the Department and as
16

provided in the American Dental Association's Guidelines
17

for Teaching Pain Control and Sedation to Dentists and
18

Dental Students.
19

(b-5) The minimum requirements for a permit to administer
20
deep sedation and general anesthesia issued after the
21
effective date of this amendatory Act of the 103rd General
22
Assembly shall include:
23

(1) the completion of a minimum of 2 years of advanced
24

training in anesthesiology beyond the pre-doctoral level
25

in a training program approved by the American Dental
26

Association's Council on Dental Education and Licensure,

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1

as outlined in Guidelines for Teaching Pain Control and
2

Sedation to Dentists and Dental Students, as published by
3

the American Dental Association's Council on Dental
4

Education and Licensure;
5

(2) a specialty license in oral and maxillofacial
6

surgery;
7

(3) completion of an accredited oral or maxillofacial
8

surgery residency program; or
9

(4) the completion of an American Dental Association
10

Commission on Dental Accreditation accredited dental
11

anesthesiology residency program.
12

(b-10) The Department may establish, by rule, additional
13
training programs and training requirements consistent with
14
this Section to ensure patient safety in dental offices
15
administering anesthesia, which shall include, but not be
16
limited to the following:
17

(1) (blank);
18

(2) establish the standards for properly equipped
19

dental facilities (other than licensed hospitals and
20

ambulatory surgical treatment centers) in which general
21

anesthesia, deep sedation, or moderate sedation is
22

administered, as necessary to protect public safety;
23

(3) establish minimum requirements for all persons who
24

assist the dentist in the administration of general
25

anesthesia, deep sedation, or moderate sedation, including
26

minimum training requirements for each member of the

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1

dental team, monitoring requirements, recordkeeping
2

requirements, and emergency procedures;
3

(4) ensure that the dentist has completed and
4

maintains current certification in advanced cardiac life
5

support or pediatric advanced life support and all persons
6

assisting the dentist or monitoring the administration of
7

general anesthesia, deep sedation, or moderate sedation
8

maintain current certification in Basic Life Support
9

(BLS); and
10

(5) establish continuing education requirements in
11

sedation techniques and airway management for dentists who
12

possess a permit under this Section.
13

The Department shall adopt rules that ensure that a
14
continuing education course designed to meet the permit
15
requirements for moderate sedation training is reviewed and
16
certified by the Department if the course is not accredited by
17
the American Dental Association Commission on Dental
18
Accreditation.
19

When establishing requirements under this Section, the
20
Department shall consider the current American Dental
21
Association guidelines on sedation and general anesthesia, the
22
current "Guidelines for Monitoring and Management of Pediatric
23
Patients During and After Sedation for Diagnostic and
24
Therapeutic Procedures" established by the American Academy of
25
Pediatrics and the American Academy of Pediatric Dentistry,
26
and the current parameters of care and Office Anesthesia

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1
Evaluation (OAE) Manual established by the American
2
Association of Oral and Maxillofacial Surgeons.
3

(c) A licensed dentist must hold an appropriate permit
4
issued under this Section in order to perform dentistry while
5
a nurse anesthetist administers moderate sedation, and a valid
6
written collaborative agreement must exist between the dentist
7
and the nurse anesthetist, in accordance with the Nurse
8
Practice Act
, unless the nurse anesthetist has full practice
9
authority under the requirements of Section 65-75
.
10

A licensed dentist must hold an appropriate permit issued
11
under this Section in order to perform dentistry while a nurse
12
anesthetist administers deep sedation or general anesthesia,
13
and a valid written collaborative agreement must exist between
14
the dentist and the nurse anesthetist, in accordance with the
15
Nurse Practice Act
, unless the nurse anesthetist has full
16
practice authority under the requirements of Section 65-75
.
17

For the purposes of this subsection (c), "nurse
18
anesthetist" means a licensed certified registered nurse
19
anesthetist who holds a license as an advanced practice
20
registered nurse.
21
(Source: P.A. 103-628, eff. 7-1-24
.)

22

Section 30.
The Podiatric Medical Practice Act of 1987 is
23
amended by changing Section 20.5 as follows:

24

(225 ILCS 100/20.5)

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1

(Section scheduled to be repealed on January 1, 2028)
2

Sec. 20.5.
Delegation of authority to advanced practice
3
registered nurses.

4

(a) A podiatric physician in active clinical practice may
5
collaborate with an advanced practice registered nurse in
6
accordance with the requirements of the Nurse Practice Act.
7
Collaboration shall be for the purpose of providing podiatric
8
care and no employment relationship shall be required. A
9
written collaborative agreement shall conform to the
10
requirements of Section 65-35 of the Nurse Practice Act. A
11
written collaborative agreement and podiatric physician
12
collaboration and consultation shall be adequate with respect
13
to advanced practice registered nurses if all of the following
14
apply:
15

(1) With respect to the provision of anesthesia
16

services by a certified registered nurse anesthetist, the
17

collaborating podiatric physician must have training and
18

experience in the delivery of anesthesia consistent with
19

Department rules
unless the certified registered nurse
20

anesthetist has full practice authority under the
21

requirements of Section 65-75
.
22

(2) Methods of communication are available with the
23

collaborating podiatric physician in person or through
24

telecommunications or electronic communications for
25

consultation, collaboration, and referral as needed to
26

address patient care needs.

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1

(3) With respect to the provision of anesthesia
2

services by a certified registered nurse anesthetist,
3

certified registered nurse anesthetist shall seek
4

consultation regarding development of an anesthesia plan
5

and treatment of patients as is appropriate to the
6

certified registered nurse anesthetist's level of
7

expertise and scope of practice and as is warranted by the
8

needs of the patient

an anesthesiologist, physician, or
9

podiatric physician shall participate through discussion
10

of and agreement with the anesthesia plan and shall remain
11

physically present and be available on the premises during
12

the delivery of anesthesia services for diagnosis,
13

consultation, and treatment of emergency medical
14

conditions. The anesthesiologist or operating podiatric
15

physician must agree with the anesthesia plan prior to the
16

delivery of services
.
17

(b) The collaborating podiatric physician shall have
18
access to the records of all patients attended to by an
19
advanced practice registered nurse.
20

(c) Nothing in this Section shall be construed to limit
21
the delegation of tasks or duties by a podiatric physician to a
22
licensed practical nurse, a registered professional nurse, or
23
other appropriately trained persons.
24

(d) A podiatric physician shall not be liable for the acts
25
or omissions of an advanced practice registered nurse solely
26
on the basis of having signed guidelines or a collaborative

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1
agreement, an order, a standing order, a standing delegation
2
order, or other order or guideline authorizing an advanced
3
practice registered nurse to perform acts, unless the
4
podiatric physician has reason to believe the advanced
5
practice registered nurse lacked the competency to perform the
6
act or acts or commits willful or wanton misconduct.
7

(e) A podiatric physician, may, but is not required to
8
delegate prescriptive authority to an advanced practice
9
registered nurse as part of a written collaborative agreement
10
and the delegation of prescriptive authority shall conform to
11
the requirements of Section 65-40 of the Nurse Practice Act.
12
(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18
.)

13

Section 99.
Effective date.
This Act takes effect upon
14
becoming law.

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1

INDEX

2

Statutes amended in order of appearance

3

210 ILCS 5/6.5
4

210 ILCS 85/10.7
5

225 ILCS 60/54.5
6

225 ILCS 65/65-35
was 225 ILCS 65/15-15
7

225 ILCS 65/65-45
was 225 ILCS 65/15-25
8

225 ILCS 65/65-75 new
9

225 ILCS 25/8.1
from Ch. 111, par. 2308.1
10

225 ILCS 100/20.5

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