ANESTHESIA SERVICES-NURSES

Illinois General Assembly - Full Text of SB3021

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB3021

Introduced 1/28/2026, by Sen. Adriane Johnson

SYNOPSIS AS INTRODUCED:

210 ILCS 5/6.5
210 ILCS 85/10.7
225 ILCS 60/54.5
225 ILCS 65/65-45

was 225 ILCS 65/15-25

Amends the Ambulatory Surgical Treatment Center Act and the Hospital
Licensing Act. Removes the requirement that an anesthesiologist must
remain physically present during the delivery of anesthesia services.
Amends the Medical Practice Act of 1987. In provisions concerning
delegation of authority, removes the requirement that an anesthesiologist
or physician must remain physically present during the delivery of
anesthesia services by a certified registered nurse anesthetist. Amends
the Nurse Practice Act. Removes the requirement that an anesthesiologist,
physician, dentist, or podiatric physician must remain physically present
during the delivery of anesthesia services by a certified registered nurse
anesthetist.
LRB104 17373 BAB 30798 b

A BILL FOR

SB3021
LRB104 17373 BAB 30798 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

SB3021
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LRB104 17373 BAB 30798 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

SB3021
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LRB104 17373 BAB 30798 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) 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:

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LRB104 17373 BAB 30798 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, an anesthesiologist
12

shall participate through discussion of and agreement
13

with the anesthesia plan and shall
remain physically
14

present and
be available
on the premises
during the
15

delivery of anesthesia services for diagnosis,
16

consultation, and treatment of emergency medical
17

conditions. In the absence of 24-hour availability of
18

anesthesiologists with clinical privileges, an
19

alternate policy (requiring participation
, presence,

20

and availability of a physician licensed to practice
21

medicine in all its branches) shall be developed by
22

the medical staff consulting committee in consultation
23

with the anesthesia service and included in the
24

medical staff consulting committee policies.
25

(C) A certified registered nurse anesthetist is
26

not required to possess prescriptive authority or a

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LRB104 17373 BAB 30798 b
1

written collaborative agreement meeting the
2

requirements of Section 65-35 of the Nurse Practice
3

Act to provide anesthesia services ordered by a
4

licensed physician, dentist, or podiatric physician.
5

Licensed certified registered nurse anesthetists are
6

authorized to select, order, and administer drugs and
7

apply the appropriate medical devices in the provision
8

of anesthesia services under the anesthesia plan
9

agreed with by the anesthesiologist or, in the absence
10

of an available anesthesiologist with clinical
11

privileges, agreed with by the operating physician,
12

operating dentist, or operating podiatric physician in
13

accordance with the medical staff consulting committee
14

policies of a licensed ambulatory surgical treatment
15

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

17

Section 10.
The Hospital Licensing Act is amended by
18
changing Section 10.7 as follows:

19

(210 ILCS 85/10.7)
20

Sec. 10.7.
Clinical privileges; advanced practice
21
registered nurses.
All hospitals licensed under this Act
22
shall comply with the following requirements:
23

(1) No hospital policy, rule, regulation, or practice
24

shall be inconsistent with the provision of adequate

SB3021
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LRB104 17373 BAB 30798 b
1

collaboration and consultation in accordance with Section
2

54.5 of the Medical Practice Act of 1987.
3

(2) Operative surgical procedures shall be performed
4

only by a physician licensed to practice medicine in all
5

its branches under the Medical Practice Act of 1987, a
6

dentist licensed under the Illinois Dental Practice Act,
7

or a podiatric physician licensed under the Podiatric
8

Medical Practice Act of 1987, with medical staff
9

membership and surgical clinical privileges granted at the
10

hospital. A licensed physician, dentist, or podiatric
11

physician may be assisted by a physician licensed to
12

practice medicine in all its branches, dentist, dental
13

assistant, podiatric physician, licensed advanced practice
14

registered nurse, licensed physician assistant, licensed
15

registered nurse, licensed practical nurse, surgical
16

assistant, surgical technician, or other individuals
17

granted clinical privileges to assist in surgery at the
18

hospital. Payment for services rendered by an assistant in
19

surgery who is not a hospital employee shall be paid at the
20

appropriate non-physician modifier rate if the payor would
21

have made payment had the same services been provided by a
22

physician.
23

(2.5) A registered nurse licensed under the Nurse
24

Practice Act and qualified by training and experience in
25

operating room nursing shall be present in the operating
26

room and function as the circulating nurse during all

SB3021
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LRB104 17373 BAB 30798 b
1

invasive or operative procedures. For purposes of this
2

paragraph (2.5), "circulating nurse" means a registered
3

nurse who is responsible for coordinating all nursing
4

care, patient safety needs, and the needs of the surgical
5

team in the operating room during an invasive or operative
6

procedure.
7

(3) An advanced practice registered nurse is not
8

required to possess prescriptive authority or a written
9

collaborative agreement meeting the requirements of the
10

Nurse Practice Act to provide advanced practice registered
11

nursing services in a hospital. An advanced practice
12

registered nurse must possess clinical privileges
13

recommended by the medical staff and granted by the
14

hospital in order to provide services. Individual advanced
15

practice registered nurses may also be granted clinical
16

privileges to order, select, and administer medications,
17

including controlled substances, to provide delineated
18

care. The attending physician must determine the advanced
19

practice registered nurse's role in providing care for his
20

or her patients, except as otherwise provided in medical
21

staff bylaws. The medical staff shall periodically review
22

the services of advanced practice registered nurses
23

granted privileges. This review shall be conducted in
24

accordance with item (2) of subsection (a) of Section 10.8
25

of this Act for advanced practice registered nurses
26

employed by the hospital.

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LRB104 17373 BAB 30798 b
1

(4) The anesthesia service shall be under the
2

direction of a physician licensed to practice medicine in
3

all its branches who has had specialized preparation or
4

experience in the area or who has completed a residency in
5

anesthesiology. An anesthesiologist, Board certified or
6

Board eligible, is recommended. Anesthesia services may
7

only be administered pursuant to the order of a physician
8

licensed to practice medicine in all its branches,
9

licensed dentist, or licensed podiatric physician.
10

(A) The individuals who, with clinical privileges
11

granted at the hospital, may administer anesthesia
12

services are limited to the following:
13

(i) an anesthesiologist; or
14

(ii) a physician licensed to practice medicine
15

in all its branches; or
16

(iii) a dentist with authority to administer
17

anesthesia under Section 8.1 of the Illinois
18

Dental Practice Act; or
19

(iv) a licensed certified registered nurse
20

anesthetist; or
21

(v) a podiatric physician licensed under the
22

Podiatric Medical Practice Act of 1987.
23

(B) For anesthesia services, an anesthesiologist
24

shall participate through discussion of and agreement
25

with the anesthesia plan and shall
remain physically
26

present and
be available
on the premises
during the

SB3021
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LRB104 17373 BAB 30798 b
1

delivery of anesthesia services for diagnosis,
2

consultation, and treatment of emergency medical
3

conditions. In the absence of 24-hour availability of
4

anesthesiologists with medical staff privileges, an
5

alternate policy (requiring participation
, presence,

6

and availability of a physician licensed to practice
7

medicine in all its branches) shall be developed by
8

the medical staff and licensed hospital in
9

consultation with the anesthesia service.
10

(C) A certified registered nurse anesthetist is
11

not required to possess prescriptive authority or a
12

written collaborative agreement meeting the
13

requirements of Section 65-35 of the Nurse Practice
14

Act to provide anesthesia services ordered by a
15

licensed physician, dentist, or podiatric physician.
16

Licensed certified registered nurse anesthetists are
17

authorized to select, order, and administer drugs and
18

apply the appropriate medical devices in the provision
19

of anesthesia services under the anesthesia plan
20

agreed with by the anesthesiologist or, in the absence
21

of an available anesthesiologist with clinical
22

privileges, agreed with by the operating physician,
23

operating dentist, or operating podiatric physician in
24

accordance with the hospital's alternative policy.
25
(Source: P.A. 99-642, eff. 7-28-16; 100-513, eff. 1-1-18
.)

SB3021
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LRB104 17373 BAB 30798 b
1

Section 15.
The Medical Practice Act of 1987 is amended by
2
changing Section 54.5 as follows:

3

(225 ILCS 60/54.5)
4

(Section scheduled to be repealed on January 1, 2027)
5

Sec. 54.5.
Physician delegation of authority to physician
6
assistants, advanced practice registered nurses without full
7
practice authority, and prescribing psychologists.
8

(a) Physicians licensed to practice medicine in all its
9
branches may delegate care and treatment responsibilities to a
10
physician assistant under guidelines in accordance with the
11
requirements of the Physician Assistant Practice Act of 1987.
12
A physician licensed to practice medicine in all its branches
13
may enter into collaborative agreements with no more than 7
14
full-time equivalent physician assistants, except in a
15
hospital, hospital affiliate, or ambulatory surgical treatment
16
center as set forth by Section 7.7 of the Physician Assistant
17
Practice Act of 1987 and as provided in subsection (a-5).
18

(a-5) A physician licensed to practice medicine in all its
19
branches may collaborate with more than 7 physician assistants
20
when the services are provided in a federal primary care
21
health professional shortage area with a Health Professional
22
Shortage Area score greater than or equal to 12, as determined
23
by the United States Department of Health and Human Services.
24

The collaborating physician must keep appropriate
25
documentation of meeting this exemption and make it available

SB3021
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LRB104 17373 BAB 30798 b
1
to the Department upon request.
2

(b) A physician licensed to practice medicine in all its
3
branches in active clinical practice may collaborate with an
4
advanced practice registered nurse in accordance with the
5
requirements of the Nurse Practice Act. Collaboration is for
6
the purpose of providing medical consultation, and no
7
employment relationship is required. A written collaborative
8
agreement shall conform to the requirements of Section 65-35
9
of the Nurse Practice Act. The written collaborative agreement
10
shall be for services for which the collaborating physician
11
can provide adequate collaboration. A written collaborative
12
agreement shall be adequate with respect to collaboration with
13
advanced practice registered nurses if all of the following
14
apply:
15

(1) The agreement is written to promote the exercise
16

of professional judgment by the advanced practice
17

registered nurse commensurate with his or her education
18

and experience.
19

(2) The advanced practice registered nurse provides
20

services based upon a written collaborative agreement with
21

the collaborating physician, except as set forth in
22

subsection (b-5) of this Section. With respect to labor
23

and delivery, the collaborating physician must provide
24

delivery services in order to participate with a certified
25

nurse midwife.
26

(3) Methods of communication are available with the

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LRB104 17373 BAB 30798 b
1

collaborating physician in person or through
2

telecommunications for consultation, collaboration, and
3

referral as needed to address patient care needs.
4

(b-5) An anesthesiologist or physician licensed to
5
practice medicine in all its branches may collaborate with a
6
certified registered nurse anesthetist in accordance with
7
Section 65-35 of the Nurse Practice Act for the provision of
8
anesthesia services. With respect to the provision of
9
anesthesia services, the collaborating anesthesiologist or
10
physician shall have training and experience in the delivery
11
of anesthesia services consistent with Department rules.
12
Collaboration shall be adequate if:
13

(1) an anesthesiologist or a physician participates in
14

the joint formulation and joint approval of orders or
15

guidelines and periodically reviews such orders and the
16

services provided patients under such orders; and
17

(2) for anesthesia services, the anesthesiologist or
18

physician participates through discussion of and agreement
19

with the anesthesia plan and is
physically present and

20

available
on the premises
during the delivery of
21

anesthesia services for diagnosis, consultation, and
22

treatment of emergency medical conditions. Anesthesia
23

services in a hospital shall be conducted in accordance
24

with Section 10.7 of the Hospital Licensing Act and in an
25

ambulatory surgical treatment center in accordance with
26

Section 6.5 of the Ambulatory Surgical Treatment Center

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LRB104 17373 BAB 30798 b
1

Act.
2

(b-10) The anesthesiologist or operating physician must
3
agree with the anesthesia plan prior to the delivery of
4
services.
5

(c) The collaborating physician shall have access to the
6
medical records of all patients attended by a physician
7
assistant. The collaborating physician shall have access to
8
the medical records of all patients attended to by an advanced
9
practice registered nurse.
10

(d) (Blank).
11

(e) A physician shall not be liable for the acts or
12
omissions of a prescribing psychologist, physician assistant,
13
or advanced practice registered nurse solely on the basis of
14
having signed a supervision agreement or guidelines or a
15
collaborative agreement, an order, a standing medical order, a
16
standing delegation order, or other order or guideline
17
authorizing a prescribing psychologist, physician assistant,
18
or advanced practice registered nurse to perform acts, unless
19
the physician has reason to believe the prescribing
20
psychologist, physician assistant, or advanced practice
21
registered nurse lacked the competency to perform the act or
22
acts or commits willful and wanton misconduct.
23

(f) A collaborating physician may, but is not required to,
24
delegate prescriptive authority to an advanced practice
25
registered nurse as part of a written collaborative agreement,
26
and the delegation of prescriptive authority shall conform to

SB3021
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LRB104 17373 BAB 30798 b
1
the requirements of Section 65-40 of the Nurse Practice Act.
2

(g) A collaborating physician may, but is not required to,
3
delegate prescriptive authority to a physician assistant as
4
part of a written collaborative agreement, and the delegation
5
of prescriptive authority shall conform to the requirements of
6
Section 7.5 of the Physician Assistant Practice Act of 1987.
7

(h) (Blank).
8

(i) A collaborating physician shall delegate prescriptive
9
authority to a prescribing psychologist as part of a written
10
collaborative agreement, and the delegation of prescriptive
11
authority shall conform to the requirements of Section 4.3 of
12
the Clinical Psychologist Licensing Act.
13

(j) As set forth in Section 22.2 of this Act, a licensee
14
under this Act may not directly or indirectly divide, share,
15
or split any professional fee or other form of compensation
16
for professional services with anyone in exchange for a
17
referral or otherwise, other than as provided in Section 22.2.
18
(Source: P.A. 103-228, eff. 1-1-24
.)

19

Section 20.
The Nurse Practice Act is amended by changing
20
Section 65-45 as follows:

21

(225 ILCS 65/65-45)

(was 225 ILCS 65/15-25)
22

(Section scheduled to be repealed on January 1, 2028)
23

Sec. 65-45.
Advanced practice registered nursing in
24
hospitals, hospital affiliates, or ambulatory surgical

SB3021
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LRB104 17373 BAB 30798 b
1
treatment centers.
2

(a) An advanced practice registered nurse may provide
3
services in a hospital or a hospital affiliate as those terms
4
are defined in the Hospital Licensing Act or the University of
5
Illinois Hospital Act or a licensed ambulatory surgical
6
treatment center without a written collaborative agreement
7
pursuant to Section 65-35 of this Act. An advanced practice
8
registered nurse must possess clinical privileges recommended
9
by the hospital medical staff and granted by the hospital or
10
the consulting medical staff committee and ambulatory surgical
11
treatment center in order to provide services. The medical
12
staff or consulting medical staff committee shall periodically
13
review the services of all advanced practice registered nurses
14
granted clinical privileges, including any care provided in a
15
hospital affiliate. Authority may also be granted when
16
recommended by the hospital medical staff and granted by the
17
hospital or recommended by the consulting medical staff
18
committee and ambulatory surgical treatment center to
19
individual advanced practice registered nurses to select,
20
order, and administer medications, including controlled
21
substances, to provide delineated care. In a hospital,
22
hospital affiliate, or ambulatory surgical treatment center,
23
the attending physician shall determine an advanced practice
24
registered nurse's role in providing care for his or her
25
patients, except as otherwise provided in the medical staff
26
bylaws or consulting committee policies.

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LRB104 17373 BAB 30798 b
1

(a-2) An advanced practice registered nurse privileged to
2
order medications, including controlled substances, may
3
complete discharge prescriptions provided the prescription is
4
in the name of the advanced practice registered nurse and the
5
attending or discharging physician.
6

(a-3) Advanced practice registered nurses practicing in a
7
hospital or an ambulatory surgical treatment center are not
8
required to obtain a mid-level controlled substance license to
9
order controlled substances under Section 303.05 of the
10
Illinois Controlled Substances Act.
11

(a-4) An advanced practice registered nurse meeting the
12
requirements of Section 65-43 may be privileged to complete
13
discharge orders and prescriptions under the advanced practice
14
registered nurse's name.
15

(a-5) For anesthesia services provided by a certified
16
registered nurse anesthetist, an anesthesiologist, physician,
17
dentist, or podiatric physician shall participate through
18
discussion of and agreement with the anesthesia plan and shall
19
remain
physically present and be
available
on the premises

20
during the delivery of anesthesia services for diagnosis,
21
consultation, and treatment of emergency medical conditions,
22
unless hospital policy adopted pursuant to clause (B) of
23
subdivision (3) of Section 10.7 of the Hospital Licensing Act
24
or ambulatory surgical treatment center policy adopted
25
pursuant to clause (B) of subdivision (3) of Section 6.5 of the
26
Ambulatory Surgical Treatment Center Act provides otherwise. A

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LRB104 17373 BAB 30798 b
1
certified registered nurse anesthetist may select, order, and
2
administer medication for anesthesia services under the
3
anesthesia plan agreed to by the anesthesiologist or the
4
physician, in accordance with hospital alternative policy or
5
the medical staff consulting committee policies of a licensed
6
ambulatory surgical treatment center.
7

(b) An advanced practice registered nurse who provides
8
services in a hospital shall do so in accordance with Section
9
10.7 of the Hospital Licensing Act and, in an ambulatory
10
surgical treatment center, in accordance with Section 6.5 of
11
the Ambulatory Surgical Treatment Center Act. Nothing in this
12
Act shall be construed to require an advanced practice
13
registered nurse to have a collaborative agreement to practice
14
in a hospital, hospital affiliate, or ambulatory surgical
15
treatment center.
16

(c) Advanced practice registered nurses certified as nurse
17
practitioners, nurse midwives, or clinical nurse specialists
18
practicing in a hospital affiliate may be, but are not
19
required to be, privileged to prescribe Schedule II through V
20
controlled substances when such authority is recommended by
21
the appropriate physician committee of the hospital affiliate
22
and granted by the hospital affiliate. This authority may, but
23
is not required to, include prescription of, selection of,
24
orders for, administration of, storage of, acceptance of
25
samples of, and dispensing over-the-counter medications,
26
legend drugs, medical gases, and controlled substances

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LRB104 17373 BAB 30798 b
1
categorized as Schedule II through V controlled substances, as
2
defined in Article II of the Illinois Controlled Substances
3
Act, and other preparations, including, but not limited to,
4
botanical and herbal remedies.
5

To prescribe controlled substances under this subsection
6
(c), an advanced practice registered nurse certified as a
7
nurse practitioner, nurse midwife, or clinical nurse
8
specialist must obtain a controlled substance license.
9
Medication orders shall be reviewed periodically by the
10
appropriate hospital affiliate physicians committee or its
11
physician designee.
12

The hospital affiliate shall file with the Department
13
notice of a grant of prescriptive authority consistent with
14
this subsection (c) and termination of such a grant of
15
authority, in accordance with rules of the Department. Upon
16
receipt of this notice of grant of authority to prescribe any
17
Schedule II through V controlled substances, the licensed
18
advanced practice registered nurse certified as a nurse
19
practitioner, nurse midwife, or clinical nurse specialist may
20
register for a mid-level practitioner controlled substance
21
license under Section 303.05 of the Illinois Controlled
22
Substances Act.
23

In addition, a hospital affiliate may, but is not required
24
to, privilege an advanced practice registered nurse certified
25
as a nurse practitioner, nurse midwife, or clinical nurse
26
specialist to prescribe any Schedule II controlled substances,

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LRB104 17373 BAB 30798 b
1
if all of the following conditions apply:
2

(1) specific Schedule II controlled substances by oral
3

dosage or topical or transdermal application may be
4

designated, provided that the designated Schedule II
5

controlled substances are routinely prescribed by advanced
6

practice registered nurses in their area of certification;
7

the privileging documents must identify the specific
8

Schedule II controlled substances by either brand name or
9

generic name; privileges to prescribe or dispense Schedule
10

II controlled substances to be delivered by injection or
11

other route of administration may not be granted;
12

(2) any privileges must be controlled substances
13

limited to the practice of the advanced practice
14

registered nurse;
15

(3) any prescription must be limited to no more than a
16

30-day supply;
17

(4) the advanced practice registered nurse must
18

discuss the condition of any patients for whom a
19

controlled substance is prescribed monthly with the
20

appropriate physician committee of the hospital affiliate
21

or its physician designee; and
22

(5) the advanced practice registered nurse must meet
23

the education requirements of Section 303.05 of the
24

Illinois Controlled Substances Act.
25

(d) An advanced practice registered nurse meeting the
26
requirements of Section 65-43 may be privileged to prescribe

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LRB104 17373 BAB 30798 b
1
controlled substances categorized as Schedule II through V in
2
accordance with Section 65-43.
3
(Source: P.A. 99-173, eff. 7-29-15; 100-513, eff. 1-1-18
.)

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