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HB 5233

NURSING-DELEGATION

104th Regular Session Introduced by Debbie Meyers-Martin

HB 5233 modifies Illinois nursing delegation rules governing which healthcare tasks licensed nurses can assign to unlicensed personnel, balancing patient safety with workforce efficiency needs.

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WeVote Research Nonpartisan
Bill Summary · HB 5233

Legislative bill overview

HB 5233 addresses the delegation of nursing duties in Illinois, likely modifying scope of practice rules for licensed nurses or establishing new parameters for which tasks can be delegated to unlicensed personnel. The bill is currently in committee review after being filed in February 2026 and re-referred following initial processing.

Why is this important

Nursing delegation policies directly affect patient safety, healthcare workforce efficiency, and the quality of care delivery in hospitals, clinics, and long-term care facilities. Clear delegation standards protect both patients and healthcare workers by defining legal responsibilities and preventing unauthorized practice of nursing duties.

Potential points of contention

  • Patient safety vs. workforce flexibility: Opponents may argue expanded delegation increases liability risks, while supporters may contend current restrictions create unnecessary inefficiencies and healthcare workforce shortages
  • Scope of practice boundaries: Disagreement likely exists over which specific tasks can be safely delegated to unlicensed nursing assistants, certified nursing assistants, or other support staff
  • Nursing professional autonomy: Licensed nurses and nursing associations may resist provisions that limit their control over delegation decisions or expand non-nurse authority over nursing responsibilities

Compiled from official sources — confirm details with the bill’s official record.

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