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HB 2688

Protection of employees; restricting use of accrued leave for other employment prohibited.

2025 Regular Session Introduced by Mike Webert

Expands CNMs and APRNs to full practice authority, links collaborative mentoring to 250 CE hours and 4,000 clinical hours, boosting out-of-hospital maternity care.

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Bill Summary · HB 2688

Summary — HB 2688 (Public Act 104‑0244): Nurse Practice Act — Midwives

Status: Enacted (Public Act 104‑0244)
Introduced: February 11, 2025
Governor approved: August 15, 2025 — Effective date: January 1, 2026

Purpose

The Act is intended to improve maternal health care access — especially out‑of‑hospital services — by clarifying and adjusting how certified nurse midwives (CNMs) and other advanced practice registered nurses (APRNs) collaborate, obtain full practice authority, and fulfill clinical experience requirements under the Illinois Nurse Practice Act.

Key provisions and changes

  • Definitions: Amends the Nurse Practice Act definitions (Section 50‑10) to clarify terms including APRN, CNM, "full practice authority," and "full practice authority‑pending" (the latter requires a notarized attestation of at least 250 hours of continuing education/training and at least 4,000 clinical hours after national certification before applying to the Department for full practice authority).

  • Collaborative agreements:

    • A CNM who already holds full practice authority may enter into a written collaborative agreement with another APRN.
    • An APRN certified as a nurse midwife (but not yet with full practice authority) may enter a written collaborative agreement with either (a) an APRN with full practice authority who is also certified as a nurse midwife, or (b) a physician.
    • Conforming edits are made to other provisions addressing written collaborative agreements and prescriptive authority that arise from these changes.

  • Clinical experience requirement: For APRNs certified as nurse midwives, required clinical experience for certain statuses must be obtained in collaboration with a CNM who has full practice authority (i.e., the supervising/mentoring clinical experience must be with a CNM who already has full practice authority).

  • New sections: Adds Sections 65‑44 and 65‑70 to the Nurse Practice Act (text not fully reproduced in the materials provided), reflecting the above structural changes.

  • Prescriptive authority: The statute continues to recognize that full practice authority includes authority to prescribe, including Schedule II–V controlled substances, as provided elsewhere in the Act.

Who is affected

  • Certified nurse midwives (CNMs) and APRNs (including nurse practitioners, clinical nurse specialists, CRNAs) — particularly those seeking or working under full practice authority.
  • Physicians and other APRNs who serve as collaborators or mentors.
  • Settings offering out‑of‑hospital maternity care (birth centers, community clinics) and patients in areas with limited obstetric access.

Procedural & timeline notes

  • Passed both chambers in May 2025 after committee and floor actions; enrolled May 2025.
  • Governor approved Aug 15, 2025. Public Act number: 104‑0244. Effective January 1, 2026.

If you want, I can extract and summarize the specific language added in Sections 65‑44 and 65‑70 (if you can provide the full text), or prepare a one‑page comparison showing before/after statutory language.

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

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