Public Act 104-0362
 
SB0711 EnrolledLRB104 07009 BAB 17046 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Emergency Medical Services (EMS) Systems
Act is amended by changing Sections 3.5, 3.50, 3.55, and 3.65
and by adding Section 3.260 as follows:
 
    (210 ILCS 50/3.5)
    Sec. 3.5. Definitions. As used in this Act:
    "Clinical observation" means the ongoing observation of a
patient's medical or mental health condition by a licensed
health care professional utilizing a medical skill set while
continuing assessment and care.
    "Department" means the Illinois Department of Public
Health.
    "Director" means the Director of the Illinois Department
of Public Health.
    "Emergency" means a medical condition of recent onset and
severity that would lead a prudent layperson, possessing an
average knowledge of medicine and health, to believe that
urgent or unscheduled medical care is required.
    "Emergency Medical Services personnel" or "EMS personnel"
means persons licensed as an Emergency Medical Responder (EMR)
(First Responder), Emergency Medical Dispatcher (EMD),
Emergency Medical Technician (EMT), Emergency Medical
Technician-Intermediate (EMT-I), Advanced Emergency Medical
Technician (A-EMT), Paramedic (EMT-P), Emergency
Communications Registered Nurse (ECRN), Pre-Hospital
Registered Nurse (PHRN), Pre-Hospital Advanced Practice
Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant
(PHPA).
    "Exclusive representative" has the same meaning as defined
in Section 3 of the Illinois Public Labor Relations Act.
    "Health care facility" means a hospital, nursing home,
physician's office or other fixed location at which medical
and health care services are performed. It does not include
"pre-hospital emergency care settings" which utilize EMS
personnel to render pre-hospital emergency care prior to the
arrival of a transport vehicle, as defined in this Act.
    "Hospital" has the meaning ascribed to that term in the
Hospital Licensing Act.
    "Labor organization" has the same meaning as defined in
Section 3 of the Illinois Public Labor Relations Act.
    "Medical monitoring" means the performance of medical
tests and physical exams to evaluate an individual's ongoing
exposure to a factor that could negatively impact that
person's health. "Medical monitoring" includes close
surveillance or supervision of patients liable to suffer
deterioration in physical or mental health and checks of
various parameters such as pulse rate, temperature,
respiration rate, the condition of the pupils, the level of
consciousness and awareness, the degree of appreciation of
pain, and blood gas concentrations such as oxygen and carbon
dioxide.
    "NREMT" means the National Registry of Emergency Medical
Technicians.
    "Silver spanner program" means a program in which a member
under a fire department's or fire protection district's
collective bargaining agreement works on or at the EMS System
under another fire department's or fire protection district's
collective bargaining agreement and (i) the other fire
department or fire protection district is not the member's
full-time employer and (ii) any EMS services not included
under the original fire department's or fire protection
district's collective bargaining agreement are included in the
other fire department's or fire protection district's
collective bargaining agreement.
    "Trauma" means any significant injury which involves
single or multiple organ systems.
(Source: P.A. 103-521, eff. 1-1-24; 103-689, eff. 1-1-25.)
 
    (210 ILCS 50/3.50)
    Sec. 3.50. Emergency Medical Services personnel licensure
levels.
    (a) "Emergency Medical Technician" or "EMT" means a person
who has successfully completed a course in basic life support
as approved by the Department, is currently licensed by the
Department in accordance with standards prescribed by this Act
and rules adopted by the Department pursuant to this Act, and
practices within an EMS System. A valid Emergency Medical
Technician-Basic (EMT-B) license issued under this Act shall
continue to be valid and shall be recognized as an Emergency
Medical Technician (EMT) license until the Emergency Medical
Technician-Basic (EMT-B) license expires.
    (b) "Emergency Medical Technician-Intermediate" or "EMT-I"
means a person who has successfully completed a course in
intermediate life support as approved by the Department, is
currently licensed by the Department in accordance with
standards prescribed by this Act and rules adopted by the
Department pursuant to this Act, and practices within an
Intermediate or Advanced Life Support EMS System.
    (b-5) "Advanced Emergency Medical Technician" or "A-EMT"
means a person who has successfully completed a course in
basic and limited advanced emergency medical care as approved
by the Department, is currently licensed by the Department in
accordance with standards prescribed by this Act and rules
adopted by the Department pursuant to this Act, and practices
within an Intermediate or Advanced Life Support EMS System.
    (c) "Paramedic (EMT-P)" means a person who has
successfully completed a course in advanced life support care
as approved by the Department, is licensed by the Department
in accordance with standards prescribed by this Act and rules
adopted by the Department pursuant to this Act, and practices
within an Advanced Life Support EMS System. A valid Emergency
Medical Technician-Paramedic (EMT-P) license issued under this
Act shall continue to be valid and shall be recognized as a
Paramedic license until the Emergency Medical
Technician-Paramedic (EMT-P) license expires.
    (c-5) "Emergency Medical Responder" or "EMR (First
Responder)" means a person who has successfully completed a
course in emergency medical response as approved by the
Department and provides emergency medical response services in
accordance with the level of care established by the National
EMS Educational Standards Emergency Medical Responder course
as modified by the Department, or who provides services as
part of an EMS System response plan, as approved by the
Department, of that EMS System. The Department shall have the
authority to adopt rules governing the curriculum, practice,
and necessary equipment applicable to Emergency Medical
Responders.
    On August 15, 2014 (the effective date of Public Act
98-973), a person who is licensed by the Department as a First
Responder and has completed a Department-approved course in
first responder defibrillator training based on, or equivalent
to, the National EMS Educational Standards or other standards
previously recognized by the Department shall be eligible for
licensure as an Emergency Medical Responder upon meeting the
licensure requirements and submitting an application to the
Department. A valid First Responder license issued under this
Act shall continue to be valid and shall be recognized as an
Emergency Medical Responder license until the First Responder
license expires.
    (c-10) All EMS Systems and licensees shall be fully
compliant with the National EMS Education Standards, as
modified by the Department in administrative rules, within 24
months after the adoption of the administrative rules.
    (d) The Department shall have the authority and
responsibility to:
        (1) Prescribe education and training requirements,
    which includes training in the use of epinephrine, for all
    levels of EMS personnel except for EMRs, based on the
    National EMS Educational Standards and any modifications
    to those curricula specified by the Department through
    rules adopted pursuant to this Act.
            (A) A failure rate per course of 30% or greater at
        the first attempt on the licensure examination shall
        require the EMS System to submit a quality improvement
        plan to the Department. The EMS System shall share
        failure rates with the EMS Lead Instructor quarterly.
        Neither the EMS System nor the Department may take
        licensure action against an EMS Lead Instructor based
        solely on first-attempt pass rates.
            (B) Candidates shall complete the licensure
        examination within the timeline required by the NREMT.
            (C) An accredited Paramedic program shall be
        conducted only by an EMS System or an academic
        institution whose curriculum has been approved by the
        EMS System. An EMS System associate hospital may allow
        students from an EMS System-approved and
        Department-approved Paramedic course to complete
        clinical rotations as approved by the EMS System
        Medical Director. The approval by the EMS System
        Medical Director may not be unreasonably denied.
        (2) Prescribe licensure testing requirements for all
    levels of EMS personnel, which shall include a requirement
    that all phases of instruction, training, and field
    experience be completed before taking the appropriate
    licensure examination. Candidates shall may elect to take
    the appropriate National Registry examination in lieu of
    the Department's examination, but are responsible for
    making their own arrangements for taking the National
    Registry examination. In prescribing licensure testing
    requirements for honorably discharged members of the armed
    forces of the United States under this paragraph (2), the
    Department shall ensure that a candidate's military
    emergency medical training, emergency medical curriculum
    completed, and clinical experience, as described in
    paragraph (2.5), are recognized.
        (2.5) Review applications for EMS personnel licensure
    from honorably discharged members of the armed forces of
    the United States with military emergency medical
    training. Applications shall be filed with the Department
    within one year after military discharge and shall
    contain: (i) proof of successful completion of military
    emergency medical training; (ii) a detailed description of
    the emergency medical curriculum completed; and (iii) a
    detailed description of the applicant's clinical
    experience. The Department may request additional and
    clarifying information. The Department shall evaluate the
    application, including the applicant's training and
    experience, consistent with the standards set forth under
    subsections (a), (b), (c), and (d) of Section 3.10. If the
    application clearly demonstrates that the training and
    experience meet such standards, the Department shall offer
    the applicant the opportunity to successfully complete a
    Department-approved EMS personnel examination for the
    level of license for which the applicant is qualified.
    Upon passage of an examination, the Department shall issue
    a license, which shall be subject to all provisions of
    this Act that are otherwise applicable to the level of EMS
    personnel license issued.
        (3) License individuals as an EMR, EMT, EMT-I, A-EMT,
    or Paramedic who have met the Department's education,
    training and examination requirements.
        (4) Prescribe annual continuing education and
    relicensure requirements for all EMS personnel licensure
    levels.
        (5) Relicense individuals as an EMD, EMR, EMT, EMT-I,
    A-EMT, PHRN, PHAPRN, PHPA, or Paramedic every 4 years,
    based on their compliance with continuing education and
    relicensure requirements as required by the Department
    pursuant to this Act. Every 4 years, a Paramedic shall
    have 100 hours of approved continuing education, an EMT-I
    and an advanced EMT shall have 80 hours of approved
    continuing education, and an EMT shall have 60 hours of
    approved continuing education. An Illinois licensed EMR,
    EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHPA, PHAPRN, or
    PHRN whose license has been expired for less than 36
    months may apply for reinstatement by the Department.
    Reinstatement shall require that the applicant (i) submit
    satisfactory proof of completion of continuing medical
    education and clinical requirements to be prescribed by
    the Department in an administrative rule; (ii) submit a
    positive recommendation from an Illinois EMS Medical
    Director attesting to the applicant's qualifications for
    retesting; and (iii) pass a Department approved test for
    the level of EMS personnel license sought to be
    reinstated.
        (6) Grant inactive status to any EMR, EMD, EMT, EMT-I,
    A-EMT, Paramedic, ECRN, PHAPRN, PHPA, or PHRN who
    qualifies, based on standards and procedures established
    by the Department in rules adopted pursuant to this Act.
        (7) Charge a fee for EMS personnel examination,
    licensure, and license renewal.
        (8) Suspend, revoke, or refuse to issue or renew the
    license of any licensee, after an opportunity for an
    impartial hearing before a neutral administrative law
    judge appointed by the Director, where the preponderance
    of the evidence shows one or more of the following:
            (A) The licensee has not met continuing education
        or relicensure requirements as prescribed by the
        Department;
            (B) The licensee has failed to maintain
        proficiency in the level of skills for which he or she
        is licensed;
            (C) The licensee, during the provision of medical
        services, engaged in dishonorable, unethical, or
        unprofessional conduct of a character likely to
        deceive, defraud, or harm the public;
            (D) The licensee has failed to maintain or has
        violated standards of performance and conduct as
        prescribed by the Department in rules adopted pursuant
        to this Act or his or her EMS System's Program Plan;
            (E) The licensee is physically impaired to the
        extent that he or she cannot physically perform the
        skills and functions for which he or she is licensed,
        as verified by a physician, unless the person is on
        inactive status pursuant to Department regulations;
            (F) The licensee is mentally impaired to the
        extent that he or she cannot exercise the appropriate
        judgment, skill and safety for performing the
        functions for which he or she is licensed, as verified
        by a physician, unless the person is on inactive
        status pursuant to Department regulations;
            (G) The licensee has violated this Act or any rule
        adopted by the Department pursuant to this Act; or
            (H) The licensee has been convicted (or entered a
        plea of guilty or nolo contendere) by a court of
        competent jurisdiction of a Class X, Class 1, or Class
        2 felony in this State or an out-of-state equivalent
        offense.
        (9) Prescribe education and training requirements in
    the administration and use of opioid antagonists for all
    levels of EMS personnel based on the National EMS
    Educational Standards and any modifications to those
    curricula specified by the Department through rules
    adopted pursuant to this Act.
    (d-5) An EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN,
PHAPRN, PHPA, or PHRN who is a member of the Illinois National
Guard or an Illinois State Trooper or who exclusively serves
as a volunteer for units of local government with a population
base of less than 5,000 or as a volunteer for a not-for-profit
organization that serves a service area with a population base
of less than 5,000 may submit an application to the Department
for a waiver of the fees described under paragraph (7) of
subsection (d) of this Section on a form prescribed by the
Department.
    (d-10) A person who is not an EMS personnel may operate an
EMS vehicle pursuant to this Act if the following requirements
are met: (i) the person meets the requirements of Section
11-1421 of the Illinois Vehicle Code; (ii) 2
Department-licensed EMS personnel are present and have met
educational requirements prescribed by the Department; and
(iii) the clinical condition of the patient necessitates the
involvement of additional licensed personnel to ensure
appropriate assessment, treatment, and patient safety. If a
waiver is issued by the Department, the person who is not an
EMS personnel may operate the EMS vehicle if only one EMS
personnel is present. Upon request, the Department may issue a
retroactive waiver when appropriate.
    The education requirements prescribed by the Department
under this Section must allow for the suspension of those
requirements in the case of a member of the armed services or
reserve forces of the United States or a member of the Illinois
National Guard who is on active duty pursuant to an executive
order of the President of the United States, an act of the
Congress of the United States, or an order of the Governor at
the time that the member would otherwise be required to
fulfill a particular education requirement. Such a person must
fulfill the education requirement within 6 months after his or
her release from active duty.
    (e) In the event that any rule of the Department or an EMS
Medical Director that requires testing for drug use as a
condition of the applicable EMS personnel license conflicts
with or duplicates a provision of a collective bargaining
agreement that requires testing for drug use, that rule shall
not apply to any person covered by the collective bargaining
agreement.
    (f) At the time of applying for or renewing his or her
license, an applicant for a license or license renewal may
submit an email address to the Department. The Department
shall keep the email address on file as a form of contact for
the individual. The Department shall send license renewal
notices electronically and by mail to a licensee who provides
the Department with his or her email address. The notices
shall be sent at least 60 days prior to the expiration date of
the license.
(Source: P.A. 101-81, eff. 7-12-19; 101-153, eff. 1-1-20;
102-558, eff. 8-20-21; 102-623, eff. 8-27-21.)
 
    (210 ILCS 50/3.55)
    Sec. 3.55. Scope of practice.
    (a) Any person currently licensed as an EMR, EMT, EMT-I,
A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency
and non-emergency medical services as defined in this Act, in
accordance with his or her level of education, training and
licensure, the standards of performance and conduct prescribed
by the Department in rules adopted pursuant to this Act, and
the requirements of the EMS System in which he or she
practices, as contained in the approved Program Plan for that
System. The Director may, by written order, temporarily modify
individual scopes of practice in response to public health
emergencies for periods not exceeding 180 days.
    (a-5) EMS personnel who have successfully completed a
Department approved course in automated defibrillator
operation and who are functioning within a Department approved
EMS System may utilize such automated defibrillator according
to the standards of performance and conduct prescribed by the
Department in rules adopted pursuant to this Act and the
requirements of the EMS System in which they practice, as
contained in the approved Program Plan for that System.
    (a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
Paramedic who has successfully completed a Department approved
course in the administration of epinephrine shall be required
to carry epinephrine with him or her as part of the EMS
personnel medical supplies whenever he or she is performing
official duties as determined by the EMS System. The
epinephrine may be administered from a glass vial,
auto-injector, ampule, or pre-filled syringe.
    (b) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or
Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN,
PHAPRN, PHPA, or Paramedic license in pre-hospital or
inter-hospital emergency care settings or non-emergency
medical transport situations, under the written or verbal
direction of the EMS Medical Director. For purposes of this
Section, a "pre-hospital emergency care setting" may include a
location, that is not a health care facility, which utilizes
EMS personnel to render pre-hospital emergency care prior to
the arrival of a transport vehicle. The location shall include
communication equipment and all of the portable equipment and
drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or
Paramedic's level of care, as required by this Act, rules
adopted by the Department pursuant to this Act, and the
protocols of the EMS Systems, and shall operate only with the
approval and under the direction of the EMS Medical Director.
    This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT,
PHRN, PHAPRN, PHPA, or Paramedic from practicing within an
emergency department or other health care setting for the
purpose of receiving continuing education or training approved
by the EMS Medical Director. This Section shall also not
prohibit an EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
Paramedic from seeking credentials other than his or her EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic license and
utilizing such credentials to work in emergency departments or
other health care settings under the jurisdiction of that
employer.
    (c) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
may honor Do Not Resuscitate (DNR) orders and powers of
attorney for health care only in accordance with rules adopted
by the Department pursuant to this Act and protocols of the EMS
System in which he or she practices.
    (d) A student enrolled in a Department approved EMS
personnel program, while fulfilling the clinical training and
in-field supervised experience requirements mandated for
licensure or approval by the System and the Department, may
perform prescribed procedures under the direct supervision of
a physician licensed to practice medicine in all of its
branches, a qualified registered professional nurse, or
qualified EMS personnel, only when authorized by the EMS
Medical Director. A student enrolled in an EMT class may take
the Department-approved EMR licensure exam after the student
has completed the first 40 hours of the EMS System-approved
and Department-approved EMT course.
    (e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or
Paramedic may transport a police dog injured in the line of
duty to a veterinary clinic or similar facility if there are no
persons requiring medical attention or transport at that time.
For the purposes of this subsection, "police dog" means a dog
owned or used by a law enforcement department or agency in the
course of the department or agency's work, including a search
and rescue dog, service dog, accelerant detection canine, or
other dog that is in use by a county, municipal, or State law
enforcement agency.
    (f) Nothing in this Act shall be construed to prohibit an
EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an
initial Occupational Safety and Health Administration
Respirator Medical Evaluation Questionnaire on behalf of fire
service personnel, as permitted by his or her EMS System
Medical Director.
    (g) An EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA
shall be eligible to work for another EMS System for a period
not to exceed 2 weeks if the individual is under the direct
supervision of another licensed individual operating at the
same or higher level as the EMT, EMT-I, A-EMT, Paramedic,
PHRN, PHAPRN, or PHPA; obtained approval in writing from the
EMS System's Medical Director; and tests into the EMS System
based upon appropriate standards as outlined in the EMS System
Program Plan. The EMS System within which the EMT, EMT-I,
A-EMT, Paramedic, PHRN, PHAPRN, or PHPA is seeking to join
must make all required testing available to the EMT, EMT-I,
A-EMT, Paramedic, PHRN, PHAPRN, or PHPA within 2 weeks after
the written request. Failure to do so by the EMS System shall
allow the EMT, EMT-I, A-EMT, Paramedic, PHRN, PHAPRN, or PHPA
to continue working for another EMS System until all required
testing becomes available.
    (h) A member of a fire department's or fire protection
district's collective bargaining unit shall be eligible to
work under a silver spanner program for another EMS System's
fire department or fire protection district that is not the
full-time employer of that member, for a period not to exceed 2
weeks, if the member: (1) is under the direct supervision of
another licensed individual operating at the same or higher
licensure level as the member; (2) made a written request to
the EMS System's Medical Director for approval to work under
the silver spanner program, which shall be approved or denied
within 24 hours after the EMS System's Medical Director
received the request; and (3) tests into the EMS System based
upon appropriate standards as outlined in the EMS System
Program Plan. The EMS System within which the member is
seeking to join must make all required testing available to
the member within 2 weeks of the written request. Failure to do
so by the EMS System shall allow the member to continue working
under a silver spanner program until all required testing
becomes available.
(Source: P.A. 102-79, eff. 1-1-22; 103-521, eff. 1-1-24;
103-547, eff. 8-11-23; 103-605, eff. 7-1-24.)
 
    (210 ILCS 50/3.65)
    Sec. 3.65. EMS Lead Instructor.
    (a) "EMS Lead Instructor" means a person who has
successfully completed a course of education as approved by
the Department, and who is currently approved by the
Department to coordinate or teach education, training and
continuing education courses, in accordance with standards
prescribed by this Act and rules adopted by the Department
pursuant to this Act.
    (b) The Department shall have the authority and
responsibility to:
        (1) Prescribe education requirements for EMS Lead
    Instructor candidates through rules adopted pursuant to
    this Act.
        (2) Prescribe testing requirements for EMS Lead
    Instructor candidates through rules adopted pursuant to
    this Act.
        (3) Charge each candidate for EMS Lead Instructor a
    fee to be submitted with an application for an
    examination, an application for licensure, and an
    application for relicensure.
        (4) Approve individuals as EMS Lead Instructors who
    have met the Department's education and testing
    requirements.
        (5) Require that all education, training and
    continuing education courses for EMT, EMT-I, A-EMT,
    Paramedic, PHRN, PHPA, PHAPRN, ECRN, EMR, and Emergency
    Medical Dispatcher be coordinated by at least one approved
    EMS Lead Instructor. A program which includes education,
    training or continuing education for more than one type of
    personnel may use one EMS Lead Instructor to coordinate
    the program, and a single EMS Lead Instructor may
    simultaneously coordinate more than one program or course.
    An EMS Lead Instructor may oversee a paramedic with at
    least 3 years of experience to teach EMT classes, with a
    licensed teacher, in high schools. High school students
    electing to not take the National Registry of Emergency
    Medical Technicians (NREMT) Certification exam shall not
    be accounted for in calculating the course pass rate by
    the EMS System or Department.
        (6) Provide standards and procedures for awarding EMS
    Lead Instructor approval to persons previously approved by
    the Department to coordinate such courses, based on
    qualifications prescribed by the Department through rules
    adopted pursuant to this Act.
        (7) Suspend, revoke, or refuse to issue or renew the
    approval of an EMS Lead Instructor, after an opportunity
    for a hearing, when findings show one or more of the
    following:
            (A) The EMS Lead Instructor has failed to conduct
        a course in accordance with the curriculum prescribed
        by this Act and rules adopted by the Department
        pursuant to this Act; or
            (B) The EMS Lead Instructor has failed to comply
        with protocols prescribed by the Department through
        rules adopted pursuant to this Act.
    (c) To be eligible for an EMS Lead Instructor license, the
applicant shall meet at least the following minimum experience
and education requirements and shall provide a written
recommendation from the EMS Medical Director of the primary
EMS System affiliation:
        (1) a current Illinois license as an EMD, EMT, EMT-I,
    A-EMT, Paramedic, RN, PHRN, PHPA, PHAPRN, or physician;
        (2) a minimum of 2 years of experience in EMS or
    emergency care;
        (3) at least 6 hours of teaching hours audited by a
    current EMS Lead Instructor;
        (4) documented EMS classroom teaching experience with
    a recommendation for EMS Lead Instructor licensure by an
    EMS Medical Director; and
        (5) documented successful completion of the National
    Standard Curriculum for EMS Instructors, or its
    equivalent, as approved by the Department.
(Source: P.A. 103-689, eff. 1-1-25.)
 
    (210 ILCS 50/3.260 new)
    Sec. 3.260. Emergency Medical Services bridge programs.
    (a) As used in this Section, "stakeholders" include, but
are not limited to, members representing private ground
ambulance providers throughout this State representing
for-profit and nonprofit rural and urban ground ambulance
providers; the State Board of Education, the Illinois
Community College Systems, and the University of Illinois
Systems; the Illinois Board of Higher Education; and the
Department of Commerce and Economic Opportunity.
    (b) The Department of Public Health shall facilitate
gathering stakeholders to review and provide recommendations
on the development of bridge programs that encourage and allow
individuals licensed as certified nursing assistants to
transition to careers as EMS personnel and a bridge program
that encourages and allows EMS personnel to transition to
careers as nursing professionals licensed under the Nurse
Practice Act.
 
    Section 99. Effective date. This Act takes effect upon
becoming law.