Bill

HB 3728

Relating to dams.

2025 Regular Session Introduced by Court Boice and 4 co-sponsors

HB 3728 expands CRNA autonomy in ASTCs by removing physician presence requirements and allowing autonomous anesthesia planning and certain advanced duties within defined collaborat

In committee upon adjournment.

WeVote Research Nonpartisan

Bill Summary · HB 3728

HB 3728 — Summary (Relating to dams / anesthesia practice provisions)

Note: Although titled “Relating to dams” in the bill header, the text and amendments in HB 3728 address regulation of anesthesia practice and clinical privileges in ambulatory surgical treatment centers (ASTCs) and related licensing statutes.

Purpose / Intent

HB 3728 would revise state law to expand the authority and autonomy of certified registered nurse anesthetists (CRNAs) in ambulatory surgical treatment centers and make conforming changes across related health licensing Acts. The bill removes certain physician-supervision and anesthesiologist-presence requirements and clarifies when collaboration or consultation is required.

Key provisions

Ambulatory Surgical Treatment Center Act
- Removes the requirement that anesthesia services be “under the direction of a physician… with specialized preparation or residency in anesthesiology.”
- Revises anesthesia supervision language so that a CRNA “shall seek consultation regarding development of an anesthesia plan and treatment of patients as is appropriate to the CRNA’s level of expertise and scope of practice and as is warranted by the needs of the patient.”
- Eliminates the requirement that an anesthesiologist participate in development of the anesthesia plan and remain physically present and available on the premises during delivery of anesthesia.
- Allows a CRNA with clinical privileges to perform acts of advanced assessment and diagnosis and to provide functions for which the CRNA is educationally and experientially prepared.
- Clarifies ASTC policies on advanced practice registered nurses (APRNs): an APRN need not possess prescriptive authority or a written collaborative agreement to provide advanced practice services in an ASTC, but must have clinical staff membership and privileges.
Medical Practice Act of 1987
- Specifies that a written collaborative agreement is adequate if it (1) promotes CRNA professional judgment commensurate with education/experience, (2) is the basis for service provision, and (3) ensures methods of communication (in person or via telecommunications) for consultation, collaboration, and referral.
Nurse Practice Act
- Declares that an Illinois-licensed APRN certified as a CRNA is deemed by law to have the ability to practice without a written collaborative agreement and sets out requirements for CRNAs.
Conforming changes to the Illinois Dental Practice Act and Hospital Licensing Act where applicable.
Effective date: immediate upon enactment.

Who is affected

CRNAs and APRNs: increased statutory recognition of autonomous practice and expanded scope in ASTCs.
Anesthesiologists and physician anesthetists: reduction or removal of mandated supervisory/presence roles for some ASTC anesthesia services.
Ambulatory surgical treatment centers, hospitals, and surgical staff committees: responsibility to grant and monitor clinical privileges consistent with new authority.
Patients: potential changes in care delivery models in ASTCs.
Payers/insurers: potential operational and billing effects depending on delegation of services.

Procedural status (selected)

Filed: Feb 7, 2025 (first reading Feb 18, 2025)
Referred to multiple committees (Rules; Health Care Licenses; Agriculture; Culture, Recreation & Tourism)
Public hearing and testimony: April 23, 2025 (left pending)
Last recorded status: In committee upon adjournment (June 28, 2025)

Potential impacts / considerations

Access and cost: Greater CRNA autonomy may increase access to anesthesia services and change staffing costs for ASTCs.
Patient safety and oversight: Stakeholders may debate implications for clinical oversight, emergency backup, and standard of care where anesthesiologist presence is reduced.
Regulatory implementation: ASTCs and medical staff committees would need to update policies, clinical privileging processes, and collaboration/communication protocols.

This summary focuses on the bill’s substantive changes to anesthesia practice and clinical privileging statutes as presented in the introduced version of HB 3728.

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