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News & Press: Advocacy in Action

FPA to become a reality in Illinois - Details of Agreement

Thursday, May 18, 2017   (6 Comments)
Posted by: Susan Swart

Thank you for your patience as we wrapped up the process of writing our amendment based on our agreement with the Illinois State Medical Society.

Below is the summary (attached as well).  Please be aware that will be transferring our language for APRN practice from SB 642 to HB 313.  This will create a single Nurse Practice Act bill for passage.  The amendment should be filed either tomorrow or Monday morning.


HB 313, Senate Amendment 1:  Full Practice Authority for APRNs

Agreed between ISAPN and ISMS:

  • Grants an Illinois licensed Advanced Practice Registered Nurse, certified as a nurse practitioner, nurse midwife, or clinical nurse specialist the ability to practice without a written collaborative agreement. 
  • A notarized attestation, signed by both the APRN and collaborating physician of 1) 4000 hours of clinical experience and 2) 250 hours of continuing education or training after first attaining national certification, 3) such documentation shall be provided to IDFPR upon request. 

The continuing education and training shall be in the APRNs area of certification and set forth by Department rule.

Effective date of January 1, 2018 - all APRNs who meet the above requirements will be required to file the notarized attestation as of January 1, 2018.

  • Scope of practice for APRNs with Full Practice Authority:
    • No written collaborative agreement in any practice setting.
    • Authority to prescribe legend and Schedule II-V controlled substances.
    • When prescribing benzodiazepines and opioids:
      • a consultation relationship between the APRN and a physician must be registered with the PMP and specific opioids indicated for prescribing. 
      • This is not a signed agreement, no delegation and no written document.
      • Communication (type of communication is determined by the two professionals involved) is required at least once every 30 days between the APRN and physician for the purpose of discussing opioid or benzodiazepine therapy.
    • The physician's name is not required on any prescription for an APRN with full practice authority.

APRNs who do not meet the above requirements for Full Practice Authority will work with a collaborative agreement with a physician.  Scope of Practice and WCA requirements and delegated prescriptive authority will be as currently regulated.

APRNs with Full Practice Authority will be eligible for a controlled substance license and not have a"mid-level provider controlled substance license"

Added language regarding fee splitting:|
As set forth in Section 22.2 of this Act, a licensee under this Act may not directly or indirectly divide, share, or split any professional fee or other form of compensation for professional services with anyone in exchange for a referral or otherwise, other than as provided in Section 22.2.

APRN Title: An APRN must clearly designate their credentials as an APRN and if hold a doctorate degree provide clarification that she/he is not a medical doctor or physician.



HB 313 SA1 OVERVIEW - FINAL v2.pdf

If you have any questions regarding this bill, please send your inquiries to Susan Y Swart


W. Christine Davis FNP-C says...
Posted Saturday, March 24, 2018
What is the time span for the 250 hrs? 2, 3, 5 years? Is there a limit on how many opioids and benzos?
Gordon Sigl says...
Posted Friday, October 20, 2017
Is this perfect? No. But it's a far cry better than what we had. Hopefully in a few years we can try again to tweak the rough spots. I will be interested to see if I introduce myself as "I'm Dr. X, your Nurse Practitioner" is adequate. Or do we actually have to say, "but I'm not a physician". Some clinical psychologists have prescriptive authority, do they have to make the same disclaimer? When a dentist introduces him/herself, do they have to point out they are not physicians? How about the PhD ornithology professor at the university? I could go on, and on. In time the ridiculousness of that will be apparent and we will have more influence to change it then. For now, let's celebrate this huge, even if not total, victory.
Victoria I. Rowlands says...
Posted Friday, May 26, 2017
Well Maureen in the 23 other states that did get independent practice, all were at the opposition of their state medical society. They had the nerve to go against them and won. That's what we should have done. Who is going to monitor the PMP and how will it be put in there? If they have to give us permission to prescribe "specific opiods" in the PMP, that's supervision. We had a great bill and blew it. My comments may be mean spirited but they are honest. I have waited for this for 23 years and now we lost again. We are not hogs, we just want what is fair.
Maureen Milota says...
Posted Friday, May 19, 2017
Hi Victoria, I understand that you are disappointed but I believe your comments to be misdirected at those that worked so tirelessly to bring FPA to Illinois APRNs. However, more importantly I find your comments to be mean-spirited and inaccurate. Inaccuracies exist in your comments such referring to the consultation relationship for controlled substance as a role of supervision as this is not the case. I standby and applaud the efforts of those that brought about the bill as I recognize regardless of their gender compromise is a necessity to moving change forward. Remember, pigs get fat and hogs get slaughtered;) Cheers, Maureen Milota
Victoria I. Rowlands says...
Posted Friday, May 19, 2017
I am so disappointed!!! This is not full practice authority.we all worked so hard for basically nothing. We still have to list a supervising doc in the PMP to list what opioids we can prescribe? Ridiculous! And if a pt calls us "Dr" will we lose our license? I can't believe you gave in to them after we worked so hard. Both my legislators were going to vote yes. We should have gone for broke. Maybe we need to recruit men to do the negotiating who will stand up to the men at ISMS. This is going to be a nightmare for the rules committee just like it was when they tried to limit opioids to 5 drugs. Who will monitor all this? PMP? The pharmacists? IDFPR? Now I have to face Rep Swanson and tell him his NP in Aledo will still have her hands tied if she wants to prescribe pain meds. And will I be able to send an Rx of Percocet from Iowa where I practice to a pharmacy in Illinois for my cancer patients? Not if I don't have a supervising Doc to give me permission in the PMP.
Victoria I. Rowlands says...
Posted Thursday, May 18, 2017
Now I know why Neil Anderson agreed to change his vote


Illinois Society for Advanced Practice Nursing
P.O. Box 636
Manteno, IL 60950
Phone: 815-468-8804