Public Act 099-0230
 
SB0973 EnrolledLRB099 05440 RPS 25475 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Regulatory Sunset Act is amended by changing
Section 4.26 and by adding Section 4.36 as follows:
 
    (5 ILCS 80/4.26)
    Sec. 4.26. Acts repealed on January 1, 2016. The following
Acts are repealed on January 1, 2016:
    The Illinois Athletic Trainers Practice Act.
    The Illinois Roofing Industry Licensing Act.
    The Illinois Dental Practice Act.
    The Collection Agency Act.
    The Barber, Cosmetology, Esthetics, Hair Braiding, and
Nail Technology Act of 1985.
    The Respiratory Care Practice Act.
    The Hearing Instrument Consumer Protection Act.
    The Illinois Physical Therapy Act.
    The Professional Geologist Licensing Act.
(Source: P.A. 95-331, eff. 8-21-07; 95-876, eff. 8-21-08;
96-1246, eff. 1-1-11.)
 
    (5 ILCS 80/4.36 new)
    Sec. 4.36. Act repealed on January 1, 2026. The following
Act is repealed on January 1, 2026:
    The Respiratory Care Practice Act.
 
    Section 10. The Respiratory Care Practice Act is amended by
changing Sections 10, 15, 20, 30, 35, 40, 45, 65, 80, 95, 100,
105, 110, 115, 125, 130, 135, 140, 145, 150, 160, 170, and 180
and by adding Sections 22, 190, and 195 as follows:
 
    (225 ILCS 106/10)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 10. Definitions. In this Act:
    "Address of record" means the designated address recorded
by the Department in the applicant's or licensee's application
file or license file as maintained by the Department's
licensure maintenance unit. It is the duty of the applicant or
licensee to inform the Department of any change of address and
those changes must be made either through the Department's
website or by contacting the Department.
    "Advanced practice nurse" means an advanced practice nurse
licensed under the Nurse Practice Act.
    "Board" means the Respiratory Care Board appointed by the
Secretary Director.
    "Basic respiratory care activities" means and includes all
of the following activities:
         (1) Cleaning, disinfecting, and sterilizing equipment
    used in the practice of respiratory care as delegated by a
    licensed health care professional or other authorized
    licensed personnel.
        (2) Assembling equipment used in the practice of
    respiratory care as delegated by a licensed health care
    professional or other authorized licensed personnel.
        (3) Collecting and reviewing patient data through
    non-invasive means, provided that the collection and
    review does not include the individual's interpretation of
    the clinical significance of the data. Collecting and
    reviewing patient data includes the performance of pulse
    oximetry and non-invasive monitoring procedures in order
    to obtain vital signs and notification to licensed health
    care professionals and other authorized licensed personnel
    in a timely manner.
        (4) Maintaining a nasal cannula or face mask for oxygen
    therapy in the proper position on the patient's face.
        (5) Assembling a nasal cannula or face mask for oxygen
    therapy at patient bedside in preparation for use.
        (6) Maintaining a patient's natural airway by
    physically manipulating the jaw and neck, suctioning the
    oral cavity, or suctioning the mouth or nose with a bulb
    syringe.
        (7) Performing assisted ventilation during emergency
    resuscitation using a manual resuscitator.
        (8) Using a manual resuscitator at the direction of a
    licensed health care professional or other authorized
    licensed personnel who is present and performing routine
    airway suctioning. These activities do not include care of
    a patient's artificial airway or the adjustment of
    mechanical ventilator settings while a patient is
    connected to the ventilator.
"Basic respiratory care activities" does not mean activities
that involve any of the following:
        (1) Specialized knowledge that results from a course of
    education or training in respiratory care.
        (2) An unreasonable risk of a negative outcome for the
    patient.
        (3) The assessment or making of a decision concerning
    patient care.
        (4) The administration of aerosol medication or
    medical gas oxygen.
        (5) The insertion and maintenance of an artificial
    airway.
        (6) Mechanical ventilatory support.
        (7) Patient assessment.
        (8) Patient education.
        (9) The transferring of oxygen devices, for purposes of
    patient transport, with a liter flow greater than 6 liters
    per minute, and the transferring of oxygen devices at any
    liter flow being delivered to patients less than 12 years
    of age.
    "Department" means the Department of Financial and
Professional Regulation.
    "Director" means the Director of Professional Regulation.
    "Licensed" means that which is required to hold oneself out
as a respiratory care practitioner as defined in this Act.
    "Licensed health care professional" means a physician
licensed to practice medicine in all its branches, an advanced
practice nurse who has a written collaborative agreement with a
collaborating physician that authorizes the advanced practice
nurse to transmit orders to a respiratory care practitioner, or
a physician assistant who has been delegated the authority to
transmit orders to a respiratory care practitioner by his or
her supervising physician.
    "Order" means a written, oral, or telecommunicated
authorization for respiratory care services for a patient by
(i) a licensed health care professional who maintains medical
supervision of the patient and makes a diagnosis or verifies
that the patient's condition is such that it may be treated by
a respiratory care practitioner or (ii) a certified registered
nurse anesthetist in a licensed hospital or ambulatory surgical
treatment center.
    "Other authorized licensed personnel" means a licensed
respiratory care practitioner, a licensed registered nurse, or
a licensed practical nurse whose scope of practice authorizes
the professional to supervise an individual who is not
licensed, certified, or registered as a health professional.
    "Proximate supervision" means a situation in which an
individual is responsible for directing the actions of another
individual in the facility and is physically close enough to be
readily available, if needed, by the supervised individual.
    "Respiratory care" and "cardiorespiratory care" mean
preventative services, evaluation and assessment services,
therapeutic services, cardiopulmonary disease management, and
rehabilitative services under the order of a licensed health
care professional or a certified registered nurse anesthetist
in a licensed hospital for an individual with a disorder,
disease, or abnormality of the cardiopulmonary system. These
terms include, but are not limited to, measuring, observing,
assessing, and monitoring signs and symptoms, reactions,
general behavior, and general physical response of individuals
to respiratory care services, including the determination of
whether those signs, symptoms, reactions, behaviors, or
general physical responses exhibit abnormal characteristics;
the administration of pharmacological and therapeutic agents
and procedures related to respiratory care services; the
collection of blood specimens and other bodily fluids and
tissues for, and the performance of, cardiopulmonary
diagnostic testing procedures, including, but not limited to,
blood gas analysis; development, implementation, and
modification of respiratory care treatment plans based on
assessed abnormalities of the cardiopulmonary system,
respiratory care guidelines, referrals, and orders of a
licensed health care professional; application, operation, and
management of mechanical ventilatory support and other means of
life support, including, but not limited to, hemodynamic
cardiovascular support; and the initiation of emergency
procedures under the rules promulgated by the Department. A
respiratory care practitioner shall refer to a physician
licensed to practice medicine in all its branches any patient
whose condition, at the time of evaluation or treatment, is
determined to be beyond the scope of practice of the
respiratory care practitioner.
    "Respiratory care education program" means a course of
academic study leading to eligibility for registry or
certification in respiratory care. The training is to be
approved by an accrediting agency recognized by the Board and
shall include an evaluation of competence through a
standardized testing mechanism that is determined by the Board
to be both valid and reliable.
    "Respiratory care practitioner" means a person who is
licensed by the Department of Professional Regulation and meets
all of the following criteria:
        (1) The person is engaged in the practice of
    cardiorespiratory care and has the knowledge and skill
    necessary to administer respiratory care.
        (2) The person is capable of serving as a resource to
    the licensed health care professional in relation to the
    technical aspects of cardiorespiratory care and the safe
    and effective methods for administering cardiorespiratory
    care modalities.
        (3) The person is able to function in situations of
    unsupervised patient contact requiring great individual
    judgment.
    "Secretary" means the Secretary of Financial and
Professional Regulation.
(Source: P.A. 94-523, eff. 1-1-06; 95-639, eff. 10-5-07.)
 
    (225 ILCS 106/15)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 15. Exemptions.
    (a) This Act does not prohibit a person legally regulated
in this State by any other Act from engaging in any practice
for which he or she is authorized.
    (b) Nothing in this Act shall prohibit the practice of
respiratory care by a person who is employed by the United
States government or any bureau, division, or agency thereof
while in the discharge of the employee's official duties.
    (c) Nothing in this Act shall be construed to limit the
activities and services of a person enrolled in an approved
course of study leading to a degree or certificate of registry
or certification eligibility in respiratory care if these
activities and services constitute a part of a supervised
course of study and if the person is designated by a title
which clearly indicates his or her status as a student or
trainee. Status as a student or trainee shall not exceed 3
years from the date of enrollment in an approved course.
    (d) Nothing in this Act shall prohibit a person from
treating ailments by spiritual means through prayer alone in
accordance with the tenets and practices of a recognized church
or religious denomination.
    (e) Nothing in this Act shall be construed to prevent a
person who is a registered nurse, an advanced practice nurse, a
licensed practical nurse, a physician assistant, or a physician
licensed to practice medicine in all its branches from
providing respiratory care.
    (f) Nothing in this Act shall limit a person who is
credentialed by the National Society for Cardiopulmonary
Technology or the National Board for Respiratory Care from
performing pulmonary function tests and respiratory care
procedures related to the pulmonary function test. Individuals
who do not possess a license to practice respiratory care or a
license in another health care field may perform basic
screening spirometry limited to peak flow, forced vital
capacity, slow vital capacity, and maximum voluntary
ventilation if they possess spirometry certification from the
National Institute for Occupational Safety and Health, an
Office Spirometry Certificate from the American Association
for Respiratory Care, or other similarly accepted
certification training.
    (g) Nothing in this Act shall prohibit the collection and
analysis of blood by clinical laboratory personnel meeting the
personnel standards of the Illinois Clinical Laboratory Act.
    (h) Nothing in this Act shall prohibit a polysomnographic
technologist, technician, or trainee, as defined in the job
descriptions jointly accepted by the American Academy of Sleep
Medicine, the Association of Polysomnographic Technologists,
the Board of Registered Polysomnographic Technologists, and
the American Society of Electroneurodiagnostic Technologists,
from performing activities within the scope of practice of
polysomnographic technology while under the direction of a
physician licensed in this State.
    (i) Nothing in this Act shall prohibit a family member from
providing respiratory care services to an ill person.
    (j) Nothing in this Act shall be construed to limit an
unlicensed practitioner in a licensed hospital who is working
under the proximate supervision of a licensed health care
professional or other authorized licensed personnel and
providing direct patient care services from performing basic
respiratory care activities if the unlicensed practitioner (i)
has been trained to perform the basic respiratory care
activities at the facility that employs or contracts with the
individual and (ii) at a minimum, has annually received an
evaluation of the unlicensed practitioner's performance of
basic respiratory care activities documented by the facility.
    (k) Nothing in this Act shall be construed to prohibit a
person enrolled in a respiratory care education program or an
approved course of study leading to a degree or certification
in a health care-related discipline that provides respiratory
care activities within his or her scope of practice and
employed in a licensed hospital in order to provide direct
patient care services under the direction of other authorized
licensed personnel from providing respiratory care activities.
    (l) Nothing in this Act prohibits a person licensed as a
respiratory care practitioner in another jurisdiction from
providing respiratory care: (i) in a declared emergency in this
State; (ii) as a member of an organ procurement team; or (iii)
as part of a medical transport team that is transporting a
patient into or out of this State.
(Source: P.A. 96-456, eff. 8-14-09.)
 
    (225 ILCS 106/20)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 20. Restrictions and limitations.
    (a) No person shall, without a valid license as a
respiratory care practitioner (i) hold himself or herself out
to the public as a respiratory care practitioner; (ii) use the
title "respiratory care practitioner"; or (iii) perform or
offer to perform the duties of a respiratory care practitioner,
except as provided in Section 15 of this Act.
    (b) Nothing in the Act shall be construed to permit a
person licensed as a respiratory care practitioner to engage in
any manner in the practice of medicine in all its branches as
defined by State law.
(Source: P.A. 94-523, eff. 1-1-06.)
 
    (225 ILCS 106/22 new)
    Sec. 22. Durable medical equipment use and training.
    (a) Notwithstanding any other provision of this Act,
unlicensed or non-credentialed individuals who deliver
prescribed respiratory care equipment, including, but not
limited to, oxygen, oxygen concentrators, pulmonary hygiene
devices, aerosol compressors and generators, suction machines,
and positive airway pressure devices, may deliver, set up,
calibrate, and demonstrate the mechanical operation of a
specific piece of equipment to the patient, family, and
caregivers, with the exception of mechanical ventilators,
which only a licensed respiratory care practitioner or other
authorized licensed personnel operating within the scope of his
or her scope of practice may deliver and set up. Demonstration
of the mechanical operation of a specific piece of equipment
includes demonstration of the on-off switches, emergency
buttons, and alarm silence and reset buttons, as appropriate.
In order for unlicensed or non-credentialed personnel to
deliver, set up, calibrate, and demonstrate a specific piece of
equipment as allowed in this subsection (a), the employer must
document that the employee has both received training and
demonstrated competency using the specific piece of equipment
under the supervision of a respiratory care practitioner
licensed by this State or some other licensed practitioner
operating within his or her scope of practice.
    Equipment demonstration is not to be interpreted as
teaching, administration, or performance of respiratory care.
Unlicensed or non-credentialed individuals may not attach the
equipment to the patient or instruct the patient, family, or
caregiver on the use of the equipment beyond the mechanical
functions of the device.
    (b) Patients, family, and caregivers must be taught to use
the equipment for the intended clinical application by a
licensed respiratory care practitioner or other licensed
health care professional operating within his or her scope of
practice. This instruction may occur through follow-up after
delivery, with an identical model in the health care facility
prior to discharge or with an identical model at the medical
supply office. Instructions to the patient regarding the
clinical use of equipment, patient monitoring, patient
assessment, or any other procedure used with the intent of
evaluating the effectiveness of the treatment must be performed
by a respiratory care practitioner licensed by this State or
any other licensed practitioner operating within his or her
scope of practice.
 
    (225 ILCS 106/30)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 30. Powers and duties of the Department. Subject to
the provision of this Act, the Department may:
    (a) Authorize examinations to ascertain the qualifications
and fitness of an applicant for licensure as a respiratory care
practitioner.
    (b) Pass upon the qualifications of an applicant for
licensure by endorsement.
    (c) Conduct hearings on proceedings to refuse to issue,
renew, or revoke a license or to suspend, place on probation,
or reprimand a license issued or applied for person licensed
under this Act.
    (d) Formulate rules required for the administration of this
Act. Notice of proposed rulemaking shall be transmitted to the
Board, and the Department shall review the Board's response and
any recommendations made in the response.
    (e) Solicit the advice and expert knowledge of the Board on
any matter relating to the administration and enforcement of
this Act.
    (f) (Blank). Issue a quarterly report to the Board of the
status of all complaints related to licensed practitioners
received by the Department.
    (g) Maintain a roster of the names and addresses of all
licenses and all persons whose licenses have been suspended,
revoked, or denied renewal for cause within the previous
calendar year. The roster shall be available upon written
request and payment of the required fee.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/35)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 35. Respiratory Care Board.
    (a) The Secretary Director shall appoint a Respiratory Care
Board which shall serve in an advisory capacity to the
Secretary Director. The Board shall consist of 7 9 persons of
which 4 members shall be currently engaged in the practice of
respiratory care with a minimum of 3 years practice in the
State of Illinois, one member 3 members shall be a qualified
medical director directors, and 2 members shall be hospital
administrators.
    (b) Members shall be appointed to a 4-year 3-year term;
except, initial appointees shall serve the following terms: 3
members shall serve for one year, 3 members shall serve for 2
years, and 3 members shall serve for 3 years. A member whose
term has expired shall continue to serve until his or her
successor is appointed and qualified. No member shall be
reappointed to the Board for a term that would cause his or her
continuous service on the Board to be longer than 10 8 years.
Appointments to fill vacancies shall be made in the same manner
as original appointments for the unexpired portion of the
vacated term. Initial terms shall begin upon the effective date
of this Act.
    (c) The membership of the Board shall reasonably represent
all the geographic areas in this State. The Secretary Director
shall consider the recommendations of the organization
representing the largest number of respiratory care
practitioners for appointment of the respiratory care
practitioner members of the Board and the organization
representing the largest number of physicians licensed to
practice medicine in all its branches for the appointment of
the medical director directors to the Board board.
    (d) The Secretary Director has the authority to remove any
member of the Board for cause at any time before the expiration
of his or her term. The Secretary shall be the sole arbiter of
cause. from office for neglect of any duty required by law, for
incompetence, or for unprofessional or dishonorable conduct.
    (e) The Secretary Director shall consider the
recommendations of the Board on questions involving standards
of professional conduct, discipline, and qualifications of
candidates for licensure under this Act.
    (f) The members of the Board shall be reimbursed for all
legitimate and necessary expenses incurred in attending
meetings of the Board.
    (g) Four members of the Board shall constitute a quorum. A
vacancy in the membership of the Board shall not impair the
right of a quorum to exercise all of the rights and perform all
of the duties of the Board.
    (h) Members of the Board shall be immune from suit in any
action based upon any disciplinary proceedings or other
activities performed as members of the Board, except for
willful and wanton misconduct.
(Source: P.A. 94-523, eff. 1-1-06.)
 
    (225 ILCS 106/40)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 40. Application for original license. Applications
for original license shall be made to the Department on forms
prescribed by the Department and accompanied by the appropriate
documentation and the required fee, which is not refundable.
All applications shall contain information that, in the
judgment judgement of the Department, will enable the
Department to pass on the qualifications of the applicant for a
license as a respiratory care practitioner.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/45)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 45. Examination; failure or refusal to take
examination.
    (a) The Department shall authorize examinations of
applicants as respiratory care practitioners at the times and
places as it may determine. The examination shall test an
applicant's the competence and qualifications of the applicant
to practice respiratory care.
    (b) Applicants for examination shall pay, either to the
Department or to the designated testing service, a fee covering
the cost of providing the examination. Failure to appear for
the examination on the scheduled date, at the time and place
specified, after the application for examination has been
received and acknowledged by the Department or the designated
testing service shall result in the forfeiture of the
examination fee.
    (c) If an applicant neglects, fails, or refuses to take an
examination, or fails to pass an examination for a license
under this Act within 3 years after filing an application, the
application shall be denied and the fee forfeited. However, the
applicant may thereafter submit a new application accompanied
by the required fee. The applicant shall meet the requirements
in force at the time of making the new application.
    (d) The Department may employ consultants for the purpose
of preparing and conducting examinations.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/65)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 65. Licenses; renewal; restoration; inactive status.
    (a) The expiration date and renewal period for each license
issued under this Act shall be set by rule. The licensee may
renew a license during the 30 day period preceding its
expiration date by paying the required fee and demonstrating
compliance with any continuing education requirements.
    (b) A person who has permitted a license to expire or who
has a license on inactive status may have it restored by
submitting an application to the Department and filing proof of
fitness, as defined by rule, to have the license restored,
including, if appropriate, evidence that is satisfactory to the
Department certifying the active practice of respiratory care
in another jurisdiction and by paying the required fee.
    A person practicing on an expired license is considered to
be practicing without a license.
    (c) If the person has not maintained an active practice
that is satisfactory to the Department in another jurisdiction,
the Department shall determine the person's fitness to resume
active status. The Department may require the person to
complete a specified period of evaluated respiratory care and
may require successful completion of an examination.
    (d) A person whose license expired while he or she was (1)
in federal service on active duty with the Armed Forces armed
forces of the United States or , while called into service or
training with the State Militia, or (2) while in training or
education under the supervision of the United States government
preliminary to before induction into the military service may
have his or her license restored without paying any lapsed
renewal fees a renewal fee if, within 2 years after the
termination of his or her service, training, or education,
except under conditions other than honorable, the Department is
furnished with satisfactory evidence that the person has been
so engaged and that the service, training, or education has
been terminated.
    (e) A license to practice shall not be denied any applicant
because of the applicant's race, religion, creed, national
origin, political beliefs, or activities, age, sex, sexual
orientation, or physical impairment.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/80)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 80. Returned checks; fines. Any person who delivers a
check or other payment to the Department that is returned to
the Department unpaid by the financial institution upon which
it is drawn shall pay to the Department, in addition to the
amount already owed to the Department, a fine of $50. The fines
imposed by this Section are in addition to any other discipline
provided under this Act for unlicensed practice or practice on
a nonrenewed license. The Department shall notify the person
that payment of fees and fines shall be paid to the Department
by certified check or money order within 30 calendar days of
the notification. If, after the expiration of 30 days from the
date of the notification, the person has failed to submit the
necessary remittance, the Department shall automatically
terminate the license or certificate or deny the application,
without hearing. If, after termination or denial, the person
seeks a license or certificate, he or she shall apply to the
Department for restoration or issuance of the license or
certificate and pay all fees and fines due to the Department.
The Department may establish a fee for the processing of an
application for restoration of a license or certificate to pay
all expenses of processing this application. The Secretary
Director may waive the fines due under this Section in
individual cases where the Secretary Director finds that the
fines would be unreasonable or unnecessarily burdensome.
(Source: P.A. 92-146, eff. 1-1-02.)
 
    (225 ILCS 106/95)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 95. Grounds for discipline.
    (a) The Department may refuse to issue, renew, or may
revoke, suspend, place on probation, reprimand, or take other
disciplinary or non-disciplinary action as the Department
considers appropriate, including the issuance of fines not to
exceed $10,000 $5,000 for each violation, with regard to any
license for any one or combination more of the following:
        (1) Material misstatement in furnishing information to
    the Department or to any other State or federal agency.
        (2) Violations of this Act, or any of the its rules
    adopted under this Act.
        (3) Conviction by plea of guilty or nolo contendere,
    finding of guilt, jury verdict, or entry of judgment or by
    sentencing of any crime, including, but not limited to,
    convictions preceding sentences of supervision,
    conditional discharge, or first offender probation, under
    the laws of any jurisdiction of the United States or any
    state or territory thereof: (i) that is a felony or (ii)
    that is or a misdemeanor, an essential element of which is
    dishonesty, or of any crime that is directly related to the
    practice of the profession.
        (4) Making any misrepresentation for the purpose of
    obtaining a license.
        (5) Professional incompetence or negligence in the
    rendering of respiratory care services.
        (6) Malpractice.
        (7) Aiding or assisting another person in violating any
    rules or provisions of this Act.
        (8) Failing to provide information within 60 days in
    response to a written request made by the Department.
        (9) Engaging in dishonorable, unethical, or
    unprofessional conduct of a character likely to deceive,
    defraud, or harm the public.
        (10) Violating the rules of professional conduct
    adopted by the Department.
        (11) Discipline by another jurisdiction, if at least
    one of the grounds for the discipline is the same or
    substantially equivalent to those set forth in this Act.
        (12) Directly or indirectly giving to or receiving from
    any person, firm, corporation, partnership, or association
    any fee, commission, rebate, or other form of compensation
    for any professional services not actually rendered.
    Nothing in this paragraph (12) affects any bona fide
    independent contractor or employment arrangements among
    health care professionals, health facilities, health care
    providers, or other entities, except as otherwise
    prohibited by law. Any employment arrangements may include
    provisions for compensation, health insurance, pension, or
    other employment benefits for the provision of services
    within the scope of the licensee's practice under this Act.
    Nothing in this paragraph (12) shall be construed to
    require an employment arrangement to receive professional
    fees for services rendered.
        (13) A finding that the licensee, after having her or
    his license placed on probationary status or subject to
    conditions or restrictions, has violated the terms of
    probation or failed to comply with such terms or conditions
    A finding by the Department that the licensee, after having
    the license placed on probationary status, has violated the
    terms of the probation.
        (14) Abandonment of a patient.
        (15) Willfully filing false records or reports
    relating to a licensee's practice including, but not
    limited to, false records filed with a federal or State
    agency or department.
        (16) Willfully failing to report an instance of
    suspected child abuse or neglect as required by the Abused
    and Neglected Child Reporting Act.
        (17) Providing respiratory care, other than pursuant
    to an order.
        (18) Physical or mental disability including, but not
    limited to, deterioration through the aging process or loss
    of motor skills that results in the inability to practice
    the profession with reasonable judgment, skill, or safety.
        (19) Solicitation of professional services by using
    false or misleading advertising.
        (20) Failure to file a tax return, or to pay the tax,
    penalty, or interest shown in a filed return, or to pay any
    final assessment of tax penalty, or interest, as required
    by any tax Act administered by the Illinois Department of
    Revenue or any successor agency or the Internal Revenue
    Service or any successor agency.
        (21) Irregularities in billing a third party for
    services rendered or in reporting charges for services not
    rendered.
        (22) Being named as a perpetrator in an indicated
    report by the Department of Children and Family Services
    under the Abused and Neglected Child Reporting Act, and
    upon proof by clear and convincing evidence that the
    licensee has caused a child to be an abused child or
    neglected child as defined in the Abused and Neglected
    Child Reporting Act.
        (23) Habitual or excessive use or addiction to alcohol,
    narcotics, stimulants, or any other chemical agent or drug
    that results in an inability to practice with reasonable
    skill, judgment, or safety.
        (24) Being named as a perpetrator in an indicated
    report by the Department on Aging under the Adult
    Protective Services Act, and upon proof by clear and
    convincing evidence that the licensee has caused an adult
    with disabilities or an older adult to be abused or
    neglected as defined in the Adult Protective Services Act.
        (25) Willfully failing to report an instance of
    suspected abuse, neglect, financial exploitation, or
    self-neglect of an adult with disabilities or an older
    adult as required by the Adult Protective Services Act.
        (26) Willful omission to file or record, or willfully
    impeding the filing or recording, or inducing another
    person to omit to file or record medical reports as
    required by law or willfully failing to report an instance
    of suspected child abuse or neglect as required by the
    Abused and Neglected Child Reporting Act.
        (27) Practicing under a false or assumed name, except
    as provided by law.
        (28) Willfully or negligently violating the
    confidentiality between licensee and patient, except as
    required by law.
        (29) The use of any false, fraudulent, or deceptive
    statement in any document connected with the licensee's
    practice.
    (b) The determination by a court that a licensee is subject
to involuntary admission or judicial admission as provided in
the Mental Health and Developmental Disabilities Code will
result in an automatic suspension of his or her license. The
suspension will end upon a finding by a court that the licensee
is no longer subject to involuntary admission or judicial
admission, the issuance of an order so finding and discharging
the patient, and the recommendation of the Board to the
Secretary Director that the licensee be allowed to resume his
or her practice.
    All fines imposed under this Section shall be paid within
60 days after the effective date of the order imposing the fine
or in accordance with the terms set forth in the order imposing
the fine.
(Source: P.A. 98-49, eff. 7-1-13.)
 
    (225 ILCS 106/100)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 100. Violations; injunctions; cease and desist order.
    (a) If a person violates any provision of this Act, the
Secretary Director may, in the name of the People of the State
of Illinois, through the Attorney General, petition for an
order enjoining the violation or an order enforcing compliance
with this Act. Upon the filling of a verified petition, the
court with appropriate jurisdiction may issue a temporary
restraining order without notice or bond and may preliminarily
and permanently enjoin the violation. If it is established that
the person has violated or is violating the injunction, the
court may punish the offender for contempt of court.
Proceedings under this Section are in addition to all other
remedies and penalties provided by this Act.
    (b) If a person holds himself or herself out as being a
respiratory care practitioner under this Act and is not
licensed to do so, then any licensed respiratory care
practitioner, interested party, or injured person may petition
for relief as provided in subsection (a) of this Section.
    (c) Whenever, in the opinion of the Department, a person
violates any provision of this Act, the Department may issue a
rule to show cause why an order to cease and desist should not
be entered against that person. The rule shall clearly set
forth the grounds relied upon by the Department and shall allow
at least 7 days from the date of the rule to file an answer
satisfactory to the Department. Failure to answer to the
satisfaction of the Department shall cause an order to cease
and desist to be issued.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/105)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 105. Investigations; notice; hearing. The Department
may investigate the actions of an applicant, a licensee, or a
person claiming to hold a license. The Department shall, before
revoking, suspending, placing on probation, reprimanding, or
taking any other disciplinary action under Section 95 of this
Act, at least 30 days before the date set for the hearing (i)
notify the accused, in writing, of any charges made and the
time and place for the hearing on the charges, (ii) direct him
or her to file a written answer to the charges with the Board
under oath within 20 days after the service upon him or her of
the notice, and (iii) inform the accused that, if he or she
fails to answer, default will be taken against him or her and
or his or her license or certificate may be suspended, revoked,
placed on probationary status, or other disciplinary action
taken with regard to the license, including limiting the scope,
nature, or extent of his or her practice, without a hearing, as
the Department may consider proper. In case the person, after
receiving notice, fails to file an answer, his or her license
may, in the discretion of the Department, be suspended,
revoked, placed on probationary status, or the Department may
take whatever disciplinary action is considered proper,
including, limiting the scope, nature, or extent of the
person's practice or the imposition of a fine, without a
hearing, if the act or acts charged constitute sufficient
grounds for an action under this Act. The written notice may be
served by personal delivery or certified mail to the address of
record specified by the accused in his or her last notification
to the Department.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/110)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 110. Record of proceedings; transcript. The
Department, at its expense, shall preserve the record of all
proceedings at a formal hearing of any case. The notice of
hearing, complaint, all other documents in the nature of
pleadings and written motions filed in the proceedings, the
transcript of testimony, the report of the Board and orders of
the Department shall be in the record of the proceedings. The
Department shall furnish a transcript of the record to any
person interested in the hearing upon payment of the fee
required under Section 2105-115 of the Department of
Professional Regulation Law (20 ILCS 2105/2105-115).
(Source: P.A. 91-239, eff. 1-1-00.)
 
    (225 ILCS 106/115)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 115. Subpoena; depositions; oaths. The Department has
the power to subpoena and to bring before it any person,
exhibit, book, document, record, file, or any other material
and to take testimony either orally or by deposition, or both,
with the same fees and mileage and in the same manner as
proscribed in civil cases in the courts of this State.
    The Secretary Director, the designated hearing officer,
and every member of the Board has the power to administer oaths
to witnesses at any hearing which the Department is authorized
to conduct, and any other oaths authorized in any Act
administered by the Department.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/125)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 125. Findings and recommendations. At the conclusion
of the hearing, the Board shall present to the Secretary
Director a written report of its findings of fact, conclusions
of law, and recommendations. The report shall contain a finding
of whether the licensee violated this Act or failed to comply
with the conditions required in this Act. The Board shall
specify the nature of the violation or failure to comply, and
shall make its recommendations to the Secretary Director.
    The report of findings of fact, conclusions of law, and
recommendations of the Board shall be the basis for the
Department's order for refusal or for the granting of a license
or for any other disciplinary action. If the Secretary Director
disagrees with the recommendation of the Board, the Secretary
Director may issue an order in contravention of the Board's
recommendation. The Secretary Director shall provide a written
report to the Board on any disagreement and shall specify the
reasons for the action in the final order. The report of
findings of fact is not admissible in evidence against the
person in a criminal prosecution brought for violation of this
Act, but the hearing and findings of fact are not a bar to a
criminal prosecution brought for the violation of this Act.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/130)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 130. Board; rehearing. In any case involving the
refusal to issue or renew a registration, or the discipline of
a registrant, a copy of the Board's report shall be served upon
the respondent by the Department, either personally or as
provided in this Act for the service of the notice of hearing.
Within 20 calendar days after service of the notice, the
respondent may present to the Department a motion in writing
for a rehearing. The motion shall specify the particular
grounds for rehearing. If no motion for rehearing is filed,
then upon the expiration of the time specified for filing a
motion (or, if a motion for rehearing is denied, then upon
denial) the Secretary Director may enter an order in accordance
with recommendation of the Board, except as provided in Section
135 45. If the respondent orders from the reporting service,
and pays for a transcript of the record within the time for
filing a motion for rehearing, the 20 calendar day period
within which a motion may be filed shall commence upon the
delivery of the transcript to the respondent.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/135)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 135. Secretary Director; rehearing. Whenever the
Secretary Director believes that substantial justice has not
been done in the revocation, suspension, refusal to issue or
renew a license, or any other the discipline of an applicant or
a licensee, he or she may order a rehearing by the same or
other hearing officers.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/140)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 140. Appointment of a hearing officer. The Secretary
Director has the authority to appoint an attorney, licensed to
practice law in the State of Illinois, to serve as a hearing
officer in any action for refusal to issue or renew a license
or to discipline a licensee. The hearing officer has full
authority to conduct the hearing. A At least one member or
members of the Board may shall attend hearings each hearing.
The hearing officer shall report his or her findings of fact,
conclusions of law, and recommendations to the Board and to the
Secretary Director. The Board shall have 60 calendar days from
receipt of the report to review it and to present its findings
of fact, conclusions of law, and recommendations to the
Secretary Director. If the Board does not present its report
within the 60 day period, the Secretary Director may issue an
order based on the report of the hearing officer. If the
Secretary Director disagrees with the recommendation of the
Board or the hearing officer, the Secretary Director may issue
an order in contravention of the recommendation.
    The Secretary Director shall promptly provide notice a
written explanation to the Board of on any such disagreement.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/145)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 145. Order or certified copy; prima facie proof. An
order or a certified copy thereof, over the seal of the
Department and purporting to be signed by the Secretary
Director, is prima facie proof that:
    (1) the signature is the genuine signature of the Secretary
Director;
    (2) the Secretary Director is duly appointed and qualified;
and
    (3) the Board and its the members thereof are qualified to
act.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/150)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 150. Restoration of suspended or revoked license. At
any time after the successful completion of a term of
probation, suspension or revocation of any license, the
Department may restore the license to the licensee upon the
written recommendation of the Board, unless after an
investigation and hearing the Board determines that
restoration is not in the public interest.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/160)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 160. Summary suspension of license. The Secretary
Director may summarily suspend the license of a respiratory
care practitioner without a hearing, simultaneously with the
institution of proceedings for a hearing provided for in
Section 105 of this Act, if the Secretary Director finds that
evidence in his or her possession indicates that the
continuation of practice by the respiratory care practitioner
would constitute an imminent danger to the public. In the event
that the Secretary Director summarily suspends the license of
respiratory care practitioner an individual without a hearing,
a hearing must be commenced held within 30 calendar days after
the suspension has occurred and concluded as expeditiously as
practical.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/170)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 170. Administrative review; certification
Certification of record; costs.
    All final administrative decisions of the Department are
subject to judicial review pursuant to the Administrative
Review Law and its rules. The term "administrative decision" is
defined as in Section 3-101 of the Code of Civil Procedure.
    Proceedings for judicial review shall be commenced in the
circuit court of the county in which the party applying for
review resides, but if the party is not a resident of this
State, the venue shall be in Sangamon County.
    The Department shall not be required to certify any record
to the court, or file an answer in court, or otherwise appear
in any court in a judicial review proceeding, unless and until
the Department has received from the plaintiff payment of the
costs of furnishing and certifying the record, which costs
shall be determined by the Department there is filed in the
court, with the complaint, a receipt from the Department
acknowledging payment of the costs of furnishing and certifying
the record. Exhibits shall be certified without cost. Failure
on the part of the plaintiff to file a receipt is grounds for
dismissal of the action. During the pendency and hearing of any
and all judicial proceedings incident to the disciplinary
action, the sanctions imposed upon the accused by the
Department specified in the Department's final administrative
decision shall, as a matter of public policy, remain in full
force and effect in order to protect the public pending final
resolution of any of the proceedings.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/180)
    (Section scheduled to be repealed on January 1, 2016)
    Sec. 180. Illinois Administrative Procedure Act;
application. The Illinois Administrative Procedure Act is
hereby expressly adopted and incorporated in this Act as if all
of the provisions of the Act were included in this Act, except
that the provision of paragraph (d) of Section 10-65 of the
Illinois Administrative Procedure Act, which provides that at
hearings the registrant or licensee has the right to show
compliance with all lawful requirements for retention or
continuation or renewal of the license, is specifically
excluded. For the purpose of this Act, the notice required
under Section 10-25 of the Illinois Administrative Procedure
Act is considered sufficient when mailed to address of record
of the licensee or applicant.
(Source: P.A. 89-33, eff. 1-1-96.)
 
    (225 ILCS 106/190 new)
    Sec. 190. Consent order. At any point in the proceedings as
provided in Sections 90 through 105 and Section 125, both
parties may agree to a negotiated consent order. The consent
order shall be final upon signature of the Secretary.
 
    (225 ILCS 106/195 new)
    Sec. 195. Confidentiality. All information collected by
the Department in the course of an examination or investigation
of a licensee or applicant, including, but not limited to, any
complaint against a licensee filed with the Department and
information collected to investigate any such complaint, shall
be maintained for the confidential use of the Department and
shall not be disclosed. The Department shall not disclose the
information to anyone other than law enforcement officials,
regulatory agencies that have an appropriate regulatory
interest as determined by the Secretary, or a party presenting
a lawful subpoena to the Department. Information and documents
disclosed to a federal, State, county, or local law enforcement
agency shall not be disclosed by the agency for any purpose to
any other agency or person. A formal complaint filed against a
licensee by the Department or any order issued by the
Department against a licensee or applicant shall be a public
record, except as otherwise prohibited by law.
 
    Section 99. Effective date. This Act takes effect upon
becoming law.