YOUTH HEALTH PROTECTION ACT

Illinois General Assembly - Full Text of SB3920

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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB3920

Introduced 2/6/2026, by Sen. Andrew S. Chesney

SYNOPSIS AS INTRODUCED:

New Act
225 ILCS 60/22

Creates the Youth Health Protection Act. Provides that a medical
doctor shall not prescribe, provide, administer, or deliver
puberty-suppressing drugs or cross-sex hormones and shall not perform
surgical orchiectomy or castration, urethroplasty, vaginoplasty,
mastectomy, phalloplasty, or metoidioplasty on biologically healthy and
anatomically normal persons under the age of 18 for the purpose of treating
the subjective, internal psychological condition of gender dysphoria or
gender discordance. Provides that any efforts to modify the anatomy,
physiology, or biochemistry of a biologically healthy person under the age
of 18 who experiences gender dysphoria or gender discordance shall be
considered unprofessional conduct and shall be subject to discipline by
the licensing entity or disciplinary review board. Provides that no
medical doctor or mental health provider shall refer any person under the
age of 18 to any medical doctor for chemical or surgical interventions to
treat gender dysphoria or gender discordance. Contains definitions, a
statement of purpose, and legislative findings. Amends the Medical
Practice Act of 1987 to make related changes.
LRB104 18708 BDA 32151 b

A BILL FOR

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LRB104 18708 BDA 32151 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 1.
Short title.
This Act may be cited as the
Youth
5
Health Protection Act.

6

Section 5.
Legislative findings.
The General Assembly
7
finds and declares the following:
8

(1) At birth, doctors identify the sex of babies. They do
9
not assign them a "gender."
10

(2) Being biologically male or biologically female is not
11
a disorder, illness, deficiency, shortcoming, or error.
12
Scientists and other medical professionals have recognized
13
that biological sex is a neutral, objective, and immutable
14
fact of human nature.
15

(3) Puberty is not a disease or a disorder.
16

(4) There is no conclusive, research-based evidence
17
proving that if there is incongruence between one's objective
18
and immutable biological sex (and its attendant healthy and
19
normally functioning anatomy and physiology) and one's
20
subjective, internal sense of being male or female that the
21
problem resides in the body rather than the mind.
22

(5) The May 19, 2014 issue of the highly respected Hayes
23
Directory reports that the practice of using hormones and

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surgery to treat gender dysphoria in adults is based on "very
2
low quality of evidence" and goes on to discuss the "serious
3
limitations to the evidence" in great detail. It reports
4
further that the use of hormones and surgery to treat gender
5
dysphoria in children and adolescents has no evidence base.
6

(6) Health risks and complications of puberty suppression:
7
The use of puberty-suppression medications for the treatment
8
of gender-dysphoric minors is "off-label." The health risks
9
include the arrest of bone growth, a decrease in bone
10
accretion, the prevention of sex-steroid-dependent
11
organization and maturation of the adolescent brain, and the
12
inhibition of fertility by preventing the development of
13
gonadal tissue and mature gametes for the duration of
14
treatment.
15

(7) Self-fulfilling nature of puberty suppression: "There
16
is an obvious self-fulfilling nature to encouraging a young
17
boy with [gender dysphoria] to socially impersonate a girl and
18
then institute pubertal suppression. Given the
19
well-established phenomenon of neuroplasticity, the repeated
20
behavior of impersonating a girl alters the structure and
21
function of the boy's brain in some way-potentially in a way
22
that will make identity alignment with his biologic sex less
23
likely. This, together with the suppression of puberty that
24
prevents further endogenous masculinization of his brain,
25
causes him to remain a gender non-conforming prepubertal boy
26
disguised as a prepubertal girl."

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(8) Cross-sex hormones risks and effects: The use of
2
cross-sex hormones for the treatment of gender dysphoria in
3
minors is "off-label," and long-term risks are unknown.
4

Sterility and voice changes are permanent for both men and
5
women.
6

An interagency statement published by the World Health
7
Organization states that "sterilization should only be
8
provided with the full, free and informed consent of the
9
individual" and that "sterilization refers not just to
10
interventions where the intention is to limit fertility ...
11
but also to situations where loss of fertility is a secondary
12
outcome. ... Sterilization without full, free and informed
13
consent has been variously described by international,
14
regional and national human rights bodies as an involuntary,
15
coercive and/or forced practice, and as a violation of
16
fundamental human rights, including the right to health, the
17
right to information, the right to privacy."
18

Since parents or guardians must provide consent for
19
hormonal interventions, and since parents and guardians are
20
not being made aware of the experimental nature of the
21
off-label use of hormones for the treatment of gender
22
dysphoria or of the fact that most children with gender
23
dysphoria outgrow it by late adolescence if otherwise
24
supported through natural puberty, parents and guardians are
25
unable to provide fully informed consent.
26

Breast tissue growth in men who take estrogen is

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permanent. "Male"-pattern baldness and body and facial hair
2
growth in women who take testosterone are permanent.
3

For biologically healthy men who take estrogen to treat
4
their subjective, internal feelings about their sex, there is
5
an "increased risk of liver disease, increased risk of blood
6
clots, (risk of death or permanent damage), increased risk of
7
diabetes and of headaches/migraines heart disease, increased
8
risk of gallstones, may be increased risk of noncancerous
9
[tumor] of pituitary gland."
10

For biologically healthy women who take testosterone to
11
treat their subjective, internal feelings about their sex,
12
there is an increased risk of heart disease, stroke, diabetes,
13
breast cancer, ovarian cancer, and uterine cancer. Taking
14
testosterone can have a "destabilizing effect" on "bipolar
15
disorder, schizoaffective disorder, and schizophrenia."
16

(9) The Christian Medical and Dental Associations
17
"[believe] that prescribing hormonal treatments to children or
18
adolescents to disrupt normal sexual development for the
19
purpose of gender reassignment is ethically impermissible,
20
whether requested by the child or the parent."
21

(10) The Catholic Medical Association "urges health care
22
professionals to adhere to genetic science and sexual
23
complementarity over ideology in the treatment of gender
24
dysphoria (GD) in children. This includes especially avoiding
25
puberty suppression and the use of cross-sex hormones in
26
children with GD. One's sex is not a social construct, but an

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1
unchangeable biological reality."
2

(11) Surgery (e.g., mastectomy and orchiectomy) is
3
irreversible.
4

(12) Teen brain: Neuroscientist, Professor of Neurology at
5
the University of Pennsylvania, and author of The Teenage
6
Brain, Dr. Frances Jensen, explains that:
7

Teenagers do have frontal lobes, which are the seat of our
8
executive, adult-like functioning like impulse control,
9
judgment and empathy. But the frontal lobes haven't been
10
connected with fast-acting connections yet. ...
11

But there is another part of the brain that is fully active
12
in adolescents, and that's the limbic system. And that is the
13
seat of risk, reward, impulsivity, sexual behavior and
14
emotion.
15

So they are built to be novelty-seeking at this point in
16
their lives.
17

(13) Suicide rate: The oft-cited suicide rate of 41% for
18
those who identify as "trans" is based on an erroneous
19
understanding of a study by the Williams Institute, an
20
understanding that ignores the acknowledged and serious
21
limitations of the study.
22

(14) There is no evidence that surgery or chemical
23
disruption of normal, natural, and healthy development or
24
processes reduces the incidence of suicide.
25

(15) Dr. J. Michael Bailey, Professor of Psychology at
26
Northwestern University, and Dr. Raymond Blanchard, former

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1
psychologist in the Adult Gender Identity Clinic of Toronto's
2
Centre for Addiction and Mental Health (CAMH) from 1980-1995
3
and the Head of CAMH's Clinical Sexology Services from
4
1995-2010, have written the following:
5

(a) Children (most commonly, adolescents) who threaten
6

to commit suicide rarely do so, although they are more
7

likely to kill themselves than children who do not
8

threaten suicide.
9

(b) Mental health problems, including suicide, are
10

associated with some forms of gender dysphoria. But
11

suicide is rare even among gender dysphoric persons.
12

(c) There is no persuasive evidence that gender
13

transition reduces gender dysphoric children's likelihood
14

of suicide.
15

(d) The idea that mental health problems, including
16

suicidality, are caused by gender dysphoria rather than
17

the other way around (i.e., mental health and personality
18

issues cause a vulnerability to experience gender
19

dysphoria) is currently popular and politically correct.
20

It is, however, unproven and as likely to be false as true.
21

(16) There is no phenomenon of women trapped in men's
22
bodies or vice versa, or of men having women's brains or vice
23
versa: Science has not proven that the brains of transgender
24
individuals are "wired differently" than others with the same
25
biological sex. In other words, there is no conclusive
26
evidence of a "female brain" being contained in a male body or

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1
vice versa. In fact, it is impossible for an opposite sexed
2
brain to be "trapped" in the wrong body. Every brain cell of a
3
male fetus has a Y chromosome; female fetal brains do not. This
4
makes their brains forever intrinsically different.
5
Additionally, at 8 weeks gestation, male fetuses have every
6
cell of their body, including every brain cell, bathed by a
7
testosterone surge secreted by their testes. Female fetuses
8
lack testes; none of their cells, including their brain cells,
9
experience this endogenous testosterone surge. [Reyes FI,
10
Winter JS, Faiman C. "Studies on human sexual development
11
Fetal gonadal and adrenal sex steroids"; J Clin Endocrinol
12
Metab. 1973 Jul; 37(1):74-8; Lombardo, M. "Fetal Testosterone
13
Influences Sexually Dimorphic Gray Matter in the Human Brain";
14
The Journal of Neuroscience, 11 January 2012, 32(2); Campano,
15
A. [ed]. Geneva Foundation for Medical Education and Research:
16
human sexual differentiation (2016).]
17

(17) Brain-sex theories: "[C]urrent studies on
18
associations between brain structure and transgender identity
19
are small, methodologically limited, inconclusive, and
20
sometimes contradictory. Even if they were more
21
methodologically reliable, they would be insufficient to
22
demonstrate that brain structure is a cause, rather than an
23
effect, of the gender-identity behavior. They would likewise
24
lack predictive power, the real challenge for any theory in
25
science."
26

(18) Desistance: The best research to date suggests that

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1
without social or medical "transition" most (60-90%)
2
gender-dysphoric children will come to accept their biological
3
sex after passing naturally through puberty. While "12-27% of
4
'gender variant' children persist in gender dysphoria; that
5
percentage rises to 40% amongst those who visit gender
6
clinics." Research shows that desistance rates rise
7
significantly among those who are given puberty-blockers and
8
"gender-affirmative psychotherapy," thus suggesting that such
9
interventions lead minors "to commit more strongly to sex
10
reassignment than they might have if they had received a
11
different diagnosis or a different course of treatment."
12

(19) The American College of Pediatricians confirms what
13
"detransitioners" assert: There are many possible post-natal,
14
environmental causes for gender dysphoria:
15

Family and peer relationships, one's school and
16
neighborhood, the experience of any form of abuse, media
17
exposure, chronic illness, war, and natural disasters are all
18
examples of environmental factors that impact an individual's
19
emotional, social, and psychological development.
20

(20) Autism: "Mounting evidence over the last decade
21
points to increased rates of autism spectrum disorders (ASD)
22
and autism traits among children and adults with gender
23
dysphoria, or incongruence between a person's experienced or
24
expressed gender and the gender assigned to them at birth. ...
25
It is possible that some of the psychological characteristics
26
common in children with ASD-including cognitive deficits,

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1
tendencies toward obsessive preoccupations, or difficulties
2
learning from other people-complicate the formation of gender
3
identity."
4

(21) A study published in May 2018 "further confirmed a
5
possible association between ASD and the wish to be of the
6
opposite gender by establishing increased endorsement of this
7
wish in adolescents and adults with ASD compared to the
8
general population controls."
9

(22) "Rapid-onset gender dysphoria" (ROGD): Dr. J. Michael
10
Bailey, Professor of Psychology at Northwestern University,
11
and Dr. Raymond Blanchard, former psychologist in the Adult
12
Gender Identity Clinic of Toronto's Centre for Addiction and
13
Mental Health (CAMH) from 1980-1995 and the Head of CAMH's
14
Clinical Sexology Services from 1995-2010, explain the
15
phenomenon of ROGD:
16

The typical case of ROGD involves an adolescent or young
17
adult female whose social world outside the family glorifies
18
transgender phenomena and exaggerates their prevalence.
19
Furthermore, it likely includes a heavy dose of internet
20
involvement. The adolescent female acquires the conviction
21
that she is transgender. (Not uncommonly, others in her peer
22
group acquire the same conviction.) These peer groups
23
encouraged each other to believe that all unhappiness,
24
anxiety, and life problems are likely due to their being
25
transgender, and that gender transition is the only solution.
26
Subsequently, there may be a rush towards gender transition.

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1
... We believe that ROGD is a socially contagious phenomenon
2
in which a young person-typically a natal female-comes to
3
believe that she has a condition that she does not have. ROGD
4
is not about discovering gender dysphoria that was there all
5
along; rather, it is about falsely coming to believe that
6
one's problems have been due to gender dysphoria previously
7
hidden (from the self and others). Let us be clear: People with
8
ROGD do have a kind of gender dysphoria, but it is gender
9
dysphoria due to persuasion of those especially vulnerable to
10
a false idea.
11

(23) Brown University Researcher, Dr. Lisa Littman,
12
conducted a survey of parents whose children developed Rapid
13
Onset Gender Dysphoria. Littman wrote that the "worsening of
14
mental well-being and parent-child relationships and behaviors
15
that isolate [adolescents and young adults] from their
16
parents, families, non-transgender friends and mainstream
17
sources of information are particularly concerning. More
18
research is needed to better understand this phenomenon, its
19
implications and scope."
20

(24) The number of children "being referred for
21
transitioning treatment" in England has increased 4,400% for
22
girls and 1,250% for boys, which has resulted in calls from
23
members of Parliament for an investigation.
24

(25) Body Integrity Identity Disorder (BIID) shares in
25
common several features with gender dysphoria. BIID is a
26
condition in which "[s]ufferers from BIID experience a

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1
mismatch between their physically healthy body and the body
2
with which they identify. They identify as disabled. They
3
often desire a specific amputation to achieve the disabled
4
body they want." As with some cases of gender dysphoria,
5
scientists say there is evidence for neurological involvement
6
as a cause of the experience of BIID, and yet physicians
7
largely oppose elective amputations of healthy anatomical
8
parts:
9

According to the principle of nonmaleficence physicians
10
must not perform amputations without a medical indication
11
because amputations bear great risks and often have severe
12
consequences besides the disability ... for example,
13
infections [or] thromboses. Even though some physicians
14
perform harmful surgeries as breast enlargement surgeries,
15
this cannot justify surgeries that are even more harmful. Even
16
if amputations would be a possible therapy for BIID, they
17
would be risky experimental therapies that could be justified
18
only if they promised lifesaving or the cure of severe
19
diseases and if an alternative therapy would not be available.
20
At least the first condition is not fulfilled in the case of
21
BIID, and probably the second is not fulfilled either. Above
22
all, an amputation causes an irreversible damage that could
23
not be healed, even if the patient's body image would be
24
restored spontaneously or through a new therapy. ... But since
25
all psychiatrists who have investigated BIID patients found
26
that the amputation desire is either obsessive or based on a

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1
monothematic delusion, and since neurological studies support
2
the hypothesis of a brain disorder (which is also supported by
3
the most influential advocates of elective amputations),
4
elective amputations have to be regarded as severe bodily
5
injuries of patients.
6

(26) The American College of Pediatricians (ACPeds), "a
7
national medical association of licensed physicians and
8
healthcare professionals who specialize in the care of
9
infants, children, and adolescents" that split from the
10
American Academy of Pediatrics because of its politicization
11
of the practice of medicine, describes puberty-suppression,
12
cross-sex hormone, and surgeries variously referred to as
13
sex-change, sex reassignment, gender reassignment and gender
14
confirmation surgeries as child abuse."
15

(27) Dr. Lisa Simons, pediatrician at Robert H. Lurie
16
Children's Hospital of Chicago, stated in a PBS Frontline
17
documentary that "'The bottom line is we don't really know how
18
sex hormones impact any adolescent's brain development.' ...
19
What's lacking, she said, are specific studies that look at
20
the neurocognitive effects of puberty blockers."
21

(28) Dr. Kenneth Zucker, one of the world's leading
22
authorities on gender dysphoria, states that:
23

"Identity is a process. It is complicated. It takes a long
24
period of time ... to know who a child really is. ... There are
25
different pathways that can lead to gender dysphoria. ... It's
26
an intellectual and clinical mistake to think that there's one

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1
single cause that explains all gender dysphoria. ... Just
2
because little kids say something doesn't necessarily mean
3
that you accept it, or that it's true, or that it's in the best
4
interest of the child. ... Little kids can present with
5
extreme gender dysphoria, but that doesn't mean they're all
6
going to grow up to continue to have gender dysphoria.
7

(29) Dr. Eric Vilain, a geneticist at UCLA who specializes
8
in sexual development and sex differences in the brain, says
9
the studies on twins are mixed and that, on the whole, "there
10
is no evidence of a biological influence on transsexualism
11
yet."
12

(30) Sheila Jeffreys, lesbian feminist scholar, warns
13
against the "transgendering" of children: "Those who do not
14
conform to correct gender stereotypes are being sterilized and
15
they're being sterilized as children."
16

(31) Heather Brunskell-Evans Heather, social theorist,
17
philosopher, and Senior Research Fellow at King's College,
18
London, UK, and Michele Moore, Professor of Inclusive
19
Education and Editor-in-Chief of the world-leading journal
20
Disability & Society, critique the "transgender" ideology:
21

[O]ur central contention is that transgender children
22
don't exist. Although we argue that 'the transgender child' is
23
a fabrication, we do not disavow that some children and
24
adolescents experience gender dysphoria and that concerned and
25
loving parents will do anything to alleviate their children's
26
distress. It is because of children's bodily discomfort that

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1
we argue it is important families and support services are
2
informed by appropriate models for understanding gender. Our
3
analysis of transgenderism demonstrates it is a new
4
phenomenon, since dissatisfaction with assigned gender takes
5
different forms in different historical contexts. The
6
'transgender child' is a relatively new historical figure,
7
brought into being by a coalition of pressure groups,
8
political activists and knowledge makers. ... Bizarrely, in
9
transgender theory, biology is said to be a social construct
10
but gender is regarded as an inherent property located
11
'somewhere' in the brain or soul or other undefined area of the
12
body. We reverse these propositions with the concept that it
13
is gender, not biology, which is a social construct. From our
14
theoretical perspective, the sexed body is material and
15
biological, and gender is the externally imposed set of norms
16
that prescribe and proscribe desirable [behaviors] for
17
children. Our objection to transgenderism is that it confines
18
children to traditional views about gender.
19

(32) Stephanie Davies-Arias, writer, communication skills
20
expert, and pediatric transition critic, writes that "changing
21
your sex to match your 'gender identity' reinforces the very
22
stereotypes which [transgender organizations] claim to be
23
challenging ... as, in increasing numbers, boys who love
24
princess culture become 'girls' and short-haired
25
football-loving girls become 'boys'. Promoted as a
26
'progressive' social justice movement based on 'accepting

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1
difference', transgender ideology in fact takes that
2
difference and stamps it out. It says that the sexist
3
stereotypes of 'gender' are the true distinction between boys
4
and girls and biological sex is an illusion."
5

(33) Sex-change regret/De-transitioning: Increasing
6
numbers of young men and women experience "sex-change regret"
7
and are "detransitioning." Unfortunately, some effects of
8
"medical transitions" are irreversible. A BBC documentary
9
titled "Luke" includes a young biological woman who regrets
10
taking cross-sex hormones and having a double mastectomy at
11
age 20 and shares her experience.

12

Section 10.
Purpose.
The purpose of this Act is to protect
13
gender-dysphoric, gender-discordant, and
14
gender-non-conforming minors or minors who experience rapid
15
onset gender dysphoria from medical procedures or the
16
off-label use of chemicals that have not been studied for
17
these purposes and that permanently alter anatomy,
18
biochemistry, or physiology.
19

The State has a moral duty and legal right to step in and
20
regulate medical practices that are found in violation of the
21
principles that inhere in the Nuremberg Code, including the
22
principle that experiments should be based on previous
23
knowledge (e.g., an expectation derived from animal
24
experiments) that justifies the experiment.

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1

Section 15.
Definitions.
As used in this Act:
2

"Biological sex" means a person's objective, immutable
3
biological sex, which may be understood according to the
4
following: In biology, an organism is male or female if it is
5
structured to perform one of the respective roles in
6
reproduction. This definition does not require any arbitrary
7
measurable or quantifiable physical characteristics or
8
behaviors; it requires understanding the reproductive system
9
and the reproduction process. Different animals have different
10
reproductive systems, but sexual reproduction occurs when the
11
sex cells from the male and female of the species come together
12
to form newly fertilized embryos. It is these reproductive
13
roles that provide the conceptual basis for the
14
differentiation of animals into the biological categories of
15
male and female. There is no other widely accepted biological
16
classification for the sexes.
17

"Desistance" means the tendency for gender dysphoria to
18
resolve itself as a child gets older and older.
19

"Detransition" means the process by which someone who has
20
been identifying as the opposite sex, presenting himself or
21
herself as the opposite sex, taking cross-sex hormones, and
22
may or may not have had surgery rejects his or her "trans"
23
identity and accepts his or her objective, immutable
24
biological sex.
25

"Gender" means the psychological, behavioral, social, and
26
cultural aspects of being male or female.

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1

"Gender dysphoria" means one's persistent discomfort with
2
his or her sex or sense of inappropriateness in the gender role
3
of that sex.
4

"Gender identity" means one's sense of oneself as male,
5
female, or transgender. "Gender identity" also means one's
6
innermost concept of self as male, female, a blend of both male
7
and female, or neither male nor female.

8

Section 20.
Prohibition on treatment of persons under the
9
age of 18 for gender dysphoria or gender discordance.
10

(a) A medical doctor shall not prescribe, provide,
11
administer, or deliver puberty-suppressing drugs or cross-sex
12
hormones and shall not perform surgical orchiectomy or
13
castration, urethroplasty, vaginoplasty, mastectomy,
14
phalloplasty, or metoidioplasty on biologically healthy and
15
anatomically normal persons under the age of 18 for the
16
purpose of treating the subjective, internal psychological
17
condition of gender dysphoria or gender discordance.
18

(b) Any efforts to modify the anatomy, physiology, or
19
biochemistry of a biologically healthy person under the age of
20
18 who experiences gender dysphoria or gender discordance
21
shall be considered unprofessional conduct and shall be
22
subject to discipline by the licensing entity or disciplinary
23
review board with competent jurisdiction.
24

(c) No medical doctor or mental health provider shall
25
refer any person under the age of 18 to any medical doctor for

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1
chemical or surgical interventions to treat gender dysphoria
2
or gender discordance.

3

Section 90.
The Medical Practice Act of 1987 is amended by
4
changing Section 22 as follows:

5

(225 ILCS 60/22)
6

(Section scheduled to be repealed on January 1, 2027)
7

Sec. 22.
Disciplinary action.
8

(A) The Department may revoke, suspend, place on
9
probation, reprimand, refuse to issue or renew, or take any
10
other disciplinary or non-disciplinary action as the
11
Department may deem proper with regard to the license or
12
permit of any person issued under this Act, including imposing
13
fines not to exceed $10,000 for each violation, upon any of the
14
following grounds:
15

(1) (Blank).
16

(2) (Blank).
17

(3) A plea of guilty or nolo contendere, finding of
18

guilt, jury verdict, or entry of judgment or sentencing,
19

including, but not limited to, convictions, preceding
20

sentences of supervision, conditional discharge, or first
21

offender probation, under the laws of any jurisdiction of
22

the United States of any crime that is a felony.
23

(4) Gross negligence in practice under this Act.
24

(5) Engaging in dishonorable, unethical, or

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1

unprofessional conduct of a character likely to deceive,
2

defraud, or harm the public.
3

(6) Obtaining any fee by fraud, deceit, or
4

misrepresentation.
5

(7) Habitual or excessive use or abuse of drugs
6

defined in law as controlled substances, of alcohol, or of
7

any other substances which results in the inability to
8

practice with reasonable judgment, skill, or safety.
9

(8) Practicing under a false or, except as provided by
10

law, an assumed name.
11

(9) Fraud or misrepresentation in applying for, or
12

procuring, a license under this Act or in connection with
13

applying for renewal of a license under this Act.
14

(10) Making a false or misleading statement regarding
15

their skill or the efficacy or value of the medicine,
16

treatment, or remedy prescribed by them at their direction
17

in the treatment of any disease or other condition of the
18

body or mind.
19

(11) Allowing another person or organization to use
20

their license, procured under this Act, to practice.
21

(12) Adverse action taken by another state or
22

jurisdiction against a license or other authorization to
23

practice as a medical doctor, doctor of osteopathy, doctor
24

of osteopathic medicine, or doctor of chiropractic, a
25

certified copy of the record of the action taken by the
26

other state or jurisdiction being prima facie evidence

SB3920
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LRB104 18708 BDA 32151 b
1

thereof. This includes any adverse action taken by a State
2

or federal agency that prohibits a medical doctor, doctor
3

of osteopathy, doctor of osteopathic medicine, or doctor
4

of chiropractic from providing services to the agency's
5

participants.
6

(13) Violation of any provision of this Act or of the
7

Medical Practice Act prior to the repeal of that Act, or
8

violation of the rules, or a final administrative action
9

of the Secretary, after consideration of the
10

recommendation of the Medical Board.
11

(14) Violation of the prohibition against fee
12

splitting in Section 22.2 of this Act.
13

(15) A finding by the Medical Board that the
14

registrant after having his or her license placed on
15

probationary status or subjected to conditions or
16

restrictions violated the terms of the probation or failed
17

to comply with such terms or conditions.
18

(16) Abandonment of a patient.
19

(17) Prescribing, selling, administering,
20

distributing, giving, or self-administering any drug
21

classified as a controlled substance (designated product)
22

or narcotic for other than medically accepted therapeutic
23

purposes.
24

(18) Promotion of the sale of drugs, devices,
25

appliances, or goods provided for a patient in such manner
26

as to exploit the patient for financial gain of the

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LRB104 18708 BDA 32151 b
1

physician.
2

(19) Offering, undertaking, or agreeing to cure or
3

treat disease by a secret method, procedure, treatment, or
4

medicine, or the treating, operating, or prescribing for
5

any human condition by a method, means, or procedure which
6

the licensee refuses to divulge upon demand of the
7

Department.
8

(20) Immoral conduct in the commission of any act,
9

including, but not limited to, commission of an act of
10

sexual misconduct related to the licensee's practice.
11

(21) Willfully making or filing false records or
12

reports in his or her practice as a physician, including,
13

but not limited to, false records to support claims
14

against the medical assistance program of the Department
15

of Healthcare and Family Services (formerly Department of
16

Public Aid) under the Illinois Public Aid Code.
17

(22) Willful omission to file or record, or willfully
18

impeding the filing or recording, or inducing another
19

person to omit to file or record, medical reports as
20

required by law, or willfully failing to report an
21

instance of suspected abuse or neglect as required by law.
22

(23) Being named as a perpetrator in an indicated
23

report by the Department of Children and Family Services
24

under the Abused and Neglected Child Reporting Act, and
25

upon proof by clear and convincing evidence that the
26

licensee has caused a child to be an abused child or

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1

neglected child as defined in the Abused and Neglected
2

Child Reporting Act.
3

(24) Solicitation of professional patronage by any
4

corporation, agents, or persons, or profiting from those
5

representing themselves to be agents of the licensee.
6

(25) Gross
,

and
willful
,
and continued overcharging
7

for professional services, including filing false
8

statements for collection of fees for which services are
9

not rendered, including, but not limited to, filing such
10

false statements for collection of monies for services not
11

rendered from the medical assistance program of the
12

Department of Healthcare and Family Services (formerly
13

Department of Public Aid) under the Illinois Public Aid
14

Code.
15

(26) A pattern of practice or other behavior which
16

demonstrates incapacity or incompetence to practice under
17

this Act.
18

(27) Mental illness or disability which results in the
19

inability to practice under this Act with reasonable
20

judgment, skill, or safety.
21

(28) Physical illness, including, but not limited to,
22

deterioration through the aging process, or loss of motor
23

skill which results in a physician's inability to practice
24

under this Act with reasonable judgment, skill, or safety.
25

(29) Cheating on or attempting to subvert the
26

licensing examinations administered under this Act.

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1

(30) Willfully or negligently violating the
2

confidentiality between physician and patient except as
3

required by law.
4

(31) The use of any false, fraudulent, or deceptive
5

statement in any document connected with practice under
6

this Act.
7

(32) Aiding and abetting an individual not licensed
8

under this Act in the practice of a profession licensed
9

under this Act.
10

(33) Violating State or federal laws or regulations
11

relating to controlled substances, legend drugs, or
12

ephedra as defined in the Ephedra Prohibition Act.
13

(34) Failure to report to the Department any adverse
14

final action taken against them by another licensing
15

jurisdiction (any other state or any territory of the
16

United States or any foreign state or country), by any
17

peer review body, by any health care institution, by any
18

professional society or association related to practice
19

under this Act, by any governmental agency, by any law
20

enforcement agency, or by any court for acts or conduct
21

similar to acts or conduct which would constitute grounds
22

for action as defined in this Section.
23

(35) Failure to report to the Department surrender of
24

a license or authorization to practice as a medical
25

doctor, a doctor of osteopathy, a doctor of osteopathic
26

medicine, or doctor of chiropractic in another state or

SB3920
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1

jurisdiction, or surrender of membership on any medical
2

staff or in any medical or professional association or
3

society, while under disciplinary investigation by any of
4

those authorities or bodies, for acts or conduct similar
5

to acts or conduct which would constitute grounds for
6

action as defined in this Section.
7

(36) Failure to report to the Department any adverse
8

judgment, settlement, or award arising from a liability
9

claim related to acts or conduct similar to acts or
10

conduct which would constitute grounds for action as
11

defined in this Section.
12

(37) Failure to provide copies of medical records as
13

required by law.
14

(38) Failure to furnish the Department,
or
its
15

investigators or representatives, relevant information
,

16

legally requested by the Department after consultation
17

with the Chief Medical Coordinator or the Deputy Medical
18

Coordinator.
19

(39) Violating the Health Care Worker Self-Referral
20

Act.
21

(40) (Blank).
22

(41) Failure to establish and maintain records of
23

patient care and treatment as required by this law.
24

(42) Entering into an excessive number of written
25

collaborative agreements with licensed advanced practice
26

registered nurses resulting in an inability to adequately

SB3920
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LRB104 18708 BDA 32151 b
1

collaborate.
2

(43) Repeated failure to adequately collaborate with a
3

licensed advanced practice registered nurse.
4

(44) Violating the Compassionate Use of Medical
5

Cannabis Program Act.
6

(45) Entering into an excessive number of written
7

collaborative agreements with licensed prescribing
8

psychologists resulting in an inability to adequately
9

collaborate.
10

(46) Repeated failure to adequately collaborate with a
11

licensed prescribing psychologist.
12

(47) Willfully failing to report an instance of
13

suspected abuse, neglect, financial exploitation, or
14

self-neglect of an eligible adult as defined in and
15

required by the Adult Protective Services Act.
16

(48) Being named as an abuser in a verified report by
17

the Department on Aging under the Adult Protective
18

Services Act, and upon proof by clear and convincing
19

evidence that the licensee abused, neglected, or
20

financially exploited an eligible adult as defined in the
21

Adult Protective Services Act.
22

(49) Entering into an excessive number of written
23

collaborative agreements with licensed physician
24

assistants resulting in an inability to adequately
25

collaborate.
26

(50) Repeated failure to adequately collaborate with a

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1

physician assistant.
2

(51) Violating the Youth Health Protection Act.

3

Except for actions involving the ground numbered (26), all
4
proceedings to suspend, revoke, place on probationary status,
5
or take any other disciplinary action as the Department may
6
deem proper, with regard to a license on any of the foregoing
7
grounds, must be commenced within 5 years next after receipt
8
by the Department of a complaint alleging the commission of or
9
notice of the conviction order for any of the acts described
10
herein. Except for the grounds numbered (8), (9), (26), and
11
(29), no action shall be commenced more than 10 years after the
12
date of the incident or act alleged to have violated this
13
Section. For actions involving the ground numbered (26), a
14
pattern of practice or other behavior includes all incidents
15
alleged to be part of the pattern of practice or other behavior
16
that occurred, or a report pursuant to Section 23 of this Act
17
received, within the 10-year period preceding the filing of
18
the complaint. In the event of the settlement of any claim or
19
cause of action in favor of the claimant or the reduction to
20
final judgment of any civil action in favor of the plaintiff,
21
such claim, cause of action, or civil action being grounded on
22
the allegation that a person licensed under this Act was
23
negligent in providing care, the Department shall have an
24
additional period of 2 years from the date of notification to
25
the Department under Section 23 of this Act of such settlement
26
or final judgment in which to investigate and commence formal

SB3920
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LRB104 18708 BDA 32151 b
1
disciplinary proceedings under Section 36 of this Act, except
2
as otherwise provided by law. The time during which the holder
3
of the license was outside the State of Illinois shall not be
4
included within any period of time limiting the commencement
5
of disciplinary action by the Department.
6

The entry of an order or judgment by any circuit court
7
establishing that any person holding a license under this Act
8
is a person in need of mental treatment operates as a
9
suspension of that license. That person may resume his or her
10
practice only upon the entry of a Departmental order based
11
upon a finding by the Medical Board that the person has been
12
determined to be recovered from mental illness by the court
13
and upon the Medical Board's recommendation that the person be
14
permitted to resume his or her practice.
15

The Department may refuse to issue or take disciplinary
16
action concerning the license of any person who fails to file a
17
return, or to pay the tax, penalty, or interest shown in a
18
filed return, or to pay any final assessment of tax, penalty,
19
or interest, as required by any tax Act administered by the
20
Illinois Department of Revenue, until such time as the
21
requirements of any such tax Act are satisfied as determined
22
by the Illinois Department of Revenue.
23

The Department, upon the recommendation of the Medical
24
Board, shall adopt rules which set forth standards to be used
25
in determining:
26

(a) when a person will be deemed sufficiently

SB3920
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LRB104 18708 BDA 32151 b
1

rehabilitated to warrant the public trust;
2

(b) what constitutes dishonorable, unethical, or
3

unprofessional conduct of a character likely to deceive,
4

defraud, or harm the public;
5

(c) what constitutes immoral conduct in the commission
6

of any act, including, but not limited to, commission of
7

an act of sexual misconduct related to the licensee's
8

practice; and
9

(d) what constitutes gross negligence in the practice
10

of medicine.
11

However, no such rule shall be admissible into evidence in
12
any civil action except for review of a licensing or other
13
disciplinary action under this Act.
14

In enforcing this Section, the Medical Board, upon a
15
showing of a possible violation, may compel any individual who
16
is licensed to practice under this Act or holds a permit to
17
practice under this Act, or any individual who has applied for
18
licensure or a permit pursuant to this Act, to submit to a
19
mental or physical examination and evaluation, or both, which
20
may include a substance abuse or sexual offender evaluation,
21
as required by the Medical Board and at the expense of the
22
Department. The Medical Board shall specifically designate the
23
examining physician licensed to practice medicine in all of
24
its branches or, if applicable, the multidisciplinary team
25
involved in providing the mental or physical examination and
26
evaluation, or both. The multidisciplinary team shall be led

SB3920
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LRB104 18708 BDA 32151 b
1
by a physician licensed to practice medicine in all of its
2
branches and may consist of one or more or a combination of
3
physicians licensed to practice medicine in all of its
4
branches, licensed chiropractic physicians, licensed clinical
5
psychologists, licensed clinical social workers, licensed
6
clinical professional counselors, and other professional and
7
administrative staff. Any examining physician or member of the
8
multidisciplinary team may require any person ordered to
9
submit to an examination and evaluation pursuant to this
10
Section to submit to any additional supplemental testing
11
deemed necessary to complete any examination or evaluation
12
process, including, but not limited to, blood testing,
13
urinalysis, psychological testing, or neuropsychological
14
testing. The Medical Board or the Department may order the
15
examining physician or any member of the multidisciplinary
16
team to provide to the Department or the Medical Board any and
17
all records, including business records, that relate to the
18
examination and evaluation, including any supplemental testing
19
performed. The Medical Board or the Department may order the
20
examining physician or any member of the multidisciplinary
21
team to present testimony concerning this examination and
22
evaluation of the licensee, permit holder, or applicant,
23
including testimony concerning any supplemental testing or
24
documents relating to the examination and evaluation. No
25
information, report, record, or other documents in any way
26
related to the examination and evaluation shall be excluded by

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LRB104 18708 BDA 32151 b
1
reason of any common law or statutory privilege relating to
2
communication between the licensee, permit holder, or
3
applicant and the examining physician or any member of the
4
multidisciplinary team. No authorization is necessary from the
5
licensee, permit holder, or applicant ordered to undergo an
6
evaluation and examination for the examining physician or any
7
member of the multidisciplinary team to provide information,
8
reports, records, or other documents or to provide any
9
testimony regarding the examination and evaluation. The
10
individual to be examined may have, at his or her own expense,
11
another physician of his or her choice present during all
12
aspects of the examination. Failure of any individual to
13
submit to mental or physical examination and evaluation, or
14
both, when directed, shall result in an automatic suspension,
15
without hearing, until such time as the individual submits to
16
the examination. If the Medical Board finds a physician unable
17
to practice following an examination and evaluation because of
18
the reasons set forth in this Section, the Medical Board shall
19
require such physician to submit to care, counseling, or
20
treatment by physicians, or other health care professionals,
21
approved or designated by the Medical Board, as a condition
22
for issued, continued, reinstated, or renewed licensure to
23
practice. Any physician, whose license was granted pursuant to
24
Section 9, 17, or 19 of this Act
,
or, continued, reinstated,
25
renewed, disciplined, or supervised, subject to such terms,
26
conditions, or restrictions who shall fail to comply with such

SB3920
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LRB104 18708 BDA 32151 b
1
terms, conditions, or restrictions, or to complete a required
2
program of care, counseling, or treatment, as determined by
3
the Chief Medical Coordinator or Deputy Medical Coordinators,
4
shall be referred to the Secretary for a determination as to
5
whether the licensee shall have his or her license suspended
6
immediately, pending a hearing by the Medical Board. In
7
instances in which the Secretary immediately suspends a
8
license under this Section, a hearing upon such person's
9
license must be convened by the Medical Board within 15 days
10
after such suspension and completed without appreciable delay.
11
The Medical Board shall have the authority to review the
12
subject physician's record of treatment and counseling
13
regarding the impairment, to the extent permitted by
14
applicable federal statutes and regulations safeguarding the
15
confidentiality of medical records.
16

An individual licensed under this Act, affected under this
17
Section, shall be afforded an opportunity to demonstrate to
18
the Medical Board that he or she can resume practice in
19
compliance with acceptable and prevailing standards under the
20
provisions of his or her license.
21

The Medical Board, in determining mental capacity of an
22
individual licensed under this Act, shall consider the latest
23
recommendations of the Federation of State Medical Boards.
24

The Department may promulgate rules for the imposition of
25
fines in disciplinary cases, not to exceed $10,000 for each
26
violation of this Act. Fines may be imposed in conjunction

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LRB104 18708 BDA 32151 b
1
with other forms of disciplinary action, but shall not be the
2
exclusive disposition of any disciplinary action arising out
3
of conduct resulting in death or injury to a patient. Any funds
4
collected from such fines shall be deposited in the Illinois
5
State Medical Disciplinary Fund.
6

All fines imposed under this Section shall be paid within
7
60 days after the effective date of the order imposing the fine
8
or in accordance with the terms set forth in the order imposing
9
the fine.
10

(B) The Department shall revoke the license or permit
11
issued under this Act to practice medicine of a chiropractic
12
physician who has been convicted a second time of committing
13
any felony under the Illinois Controlled Substances Act or the
14
Methamphetamine Control and Community Protection Act, or who
15
has been convicted a second time of committing a Class 1 felony
16
under Sections 8A-3 and 8A-6 of the Illinois Public Aid Code. A
17
person whose license or permit is revoked under this
18
subsection (B) shall be prohibited from practicing medicine or
19
treating human ailments without the use of drugs and without
20
operative surgery.
21

(C) The Department shall not revoke, suspend, place on
22
probation, reprimand, refuse to issue or renew, or take any
23
other disciplinary or non-disciplinary action against a
24
person's authorization to practice under this Act:
25

(1) based solely upon the recommendation of the person
26

to an eligible patient regarding, or prescription for, or

SB3920
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1

treatment with, an investigational drug, biological
2

product, or device;
3

(2) for experimental treatment for Lyme disease or
4

other tick-borne diseases, including, but not limited to,
5

the prescription of or treatment with long-term
6

antibiotics;
7

(3) based solely upon the person providing,
8

authorizing, recommending, aiding, assisting, referring
9

for, or otherwise participating in any health care
10

service, so long as the care was not unlawful under the
11

laws of this State, regardless of whether the patient was
12

a resident of this State or another state; or
13

(4) based upon the person's license, registration, or
14

permit being revoked or suspended, or the person being
15

otherwise disciplined, by any other state if that
16

revocation, suspension, or other form of discipline was
17

based solely on the person violating another state's laws
18

prohibiting the provision of, authorization of,
19

recommendation of, aiding or assisting in, referring for,
20

or participation in any health care service if that health
21

care service as provided would not have been unlawful
22

under the laws of this State and is consistent with the
23

applicable standard of conduct for the person practicing
24

in Illinois under this Act.
25

(D) (Blank).
26

(E) The conduct specified in subsection (C) shall not

SB3920
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LRB104 18708 BDA 32151 b
1
trigger reporting requirements under Section 23, constitute
2
grounds for suspension under Section 25, or be included on the
3
physician's profile required under Section 10 of the Patients'
4
Right to Know Act.
5

(F) An applicant seeking licensure, certification, or
6
authorization pursuant to this Act and who has been subject to
7
disciplinary action by a duly authorized professional
8
disciplinary agency of another jurisdiction solely on the
9
basis of having provided, authorized, recommended, aided,
10
assisted, referred for, or otherwise participated in health
11
care shall not be denied such licensure, certification, or
12
authorization, unless the Department determines that the
13
action would have constituted professional misconduct in this
14
State; however, nothing in this Section shall be construed as
15
prohibiting the Department from evaluating the conduct of the
16
applicant and making a determination regarding the licensure,
17
certification, or authorization to practice a profession under
18
this Act.
19

(G) The Department may adopt rules to implement,
20
administer, and enforce this Section
Public Act 102-1117
.
21
(Source: P.A. 103-442, eff. 1-1-24; 104-417, eff. 8-15-25;
22
104-432, eff. 1-1-26; revised 9-15-25.)

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