HB2688 - 104th General Assembly (2025-2026)

NURSE PRACTICE ACT MIDWIVES
Last Action
08/15/2025 - House: Public Act . . . . . . . . . 104-0244
Statutes Amended In Order of Appearance
225 ILCS 65/50-10  was 225 ILCS 65/5-10
225 ILCS 65/65-35  was 225 ILCS 65/15-15
225 ILCS 65/65-40  was 225 ILCS 65/15-20
225 ILCS 65/65-43  
Synopsis As Introduced
Amends the Nurse Practice Act. Provides that a certified nurse midwife with full practice authority may enter into a written collaborative agreement with an advanced practice registered nurse. Provides that an advanced practice registered nurse certified as a nurse midwife may enter into a written collaborative agreement with an advanced practice registered nurse with full practice authority who is certified as a nurse midwife or a physician. Provides that, for an advanced practice registered nurse certified as a nurse midwife, the clinical experience shall be in collaboration with a certified nurse midwife with full practice authority. Makes conforming changes in provisions concerning written collaborative agreements, prescriptive authority under a written collaborative agreement, and full practice authority.

House Floor Amendment No. 2
Deletes reference to:
225 ILCS 65/65-40  
225 ILCS 65/65-43  
Adds reference to:
225 ILCS 65/65-44 new  
225 ILCS 65/65-70 new  
Replaces everything after the enacting clause. Amends the Nurse Practice Act. Makes changes in provisions concerning definitions. In provisions concerning written collaborative agreements, provides that, in the case of home birth services provided by a certified nurse midwife, a written collaborative agreement may permit, but shall not prohibit, a certified nurse midwife to provide home birth services within the scope of the certified nurse midwife's training and experience. Provides that, if a collaborating physician does not provide home birth services, home birth services may be provided by a certified nurse midwife working under a written collaborative agreement with the collaborating physician if the services are provided in a federal primary care Health Professional Shortage Area with a Health Professional Shortage Area score greater than or equal to 12 or a maternity care desert. Provides that an advanced practice registered nurse certified as a nurse midwife may provide out-of-hospital birth services in a licensed birth center without a written collaborative agreement if the advanced practice registered nurse certified as a nurse midwife is granted clinical privileges for out-of-hospital birth services by the clinical director of the birth center. Provides that a physician shall not be liable for the acts or omissions of an advanced practice registered nurse solely on the basis of having signed a collaborative agreement, an order, a standing medical order, a standing delegation order, or another order or guideline authorizing an advanced practice registered nurse to perform certain acts, unless the physician has reason to believe that the advanced practice registered nurse lacked the competency to perform the act or acts or committed willful and wanton misconduct. Removes provisions concerning definitions; prescriptive authority; and full practice authority. Makes other changes.
Actions
DateChamberAction
02/04/2025HouseFiled with the Clerk by Rep. Anna Moeller
02/06/2025HouseFirst Reading
02/06/2025HouseReferred to Rules Committee
02/18/2025HouseAdded Co-Sponsor Rep. Adam M. Niemerg
02/21/2025HouseAdded Co-Sponsor Rep. Chris Miller
02/21/2025HouseAdded Co-Sponsor Rep. Brad Halbrook
03/04/2025HouseAssigned to Health Care Licenses Committee
03/18/2025HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
03/18/2025HouseHouse Committee Amendment No. 1 Referred to Rules Committee
03/19/2025HouseDo Pass / Short Debate Health Care Licenses Committee; 014-000-000
03/19/2025HouseHouse Committee Amendment No. 1 Tabled
03/19/2025HousePlaced on Calendar 2nd Reading - Short Debate
03/24/2025HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller
03/24/2025HouseHouse Floor Amendment No. 2 Referred to Rules Committee
03/25/2025HouseHouse Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee
03/26/2025HouseHouse Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 014-000-000
03/26/2025HouseSecond Reading - Short Debate
03/26/2025HouseHeld on Calendar Order of Second Reading - Short Debate
03/27/2025HouseAdded Chief Co-Sponsor Rep. Kelly M. Cassidy
03/27/2025HouseChief Co-Sponsor Changed to Rep. Kelly M. Cassidy
04/08/2025HouseChief Sponsor Changed to Rep. Yolonda Morris
04/09/2025HouseHouse Floor Amendment No. 2 Adopted
04/09/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
04/09/2025HouseThird Reading - Short Debate - Passed 114-000-000
04/09/2025HouseAdded Co-Sponsor Rep. Joyce Mason
04/09/2025HouseAdded Chief Co-Sponsor Rep. Camille Y. Lilly
04/09/2025HouseAdded Chief Co-Sponsor Rep. Suzanne M. Ness
04/09/2025HouseAdded Chief Co-Sponsor Rep. Anna Moeller
04/09/2025HouseAdded Co-Sponsor Rep. Tracy Katz Muhl
04/09/2025HouseAdded Co-Sponsor Rep. Laura Faver Dias
04/09/2025HouseAdded Co-Sponsor Rep. Maura Hirschauer
04/09/2025HouseAdded Co-Sponsor Rep. Debbie Meyers-Martin
04/09/2025HouseAdded Co-Sponsor Rep. Kimberly Du Buclet
04/09/2025HouseAdded Co-Sponsor Rep. Dagmara Avelar
04/09/2025HouseAdded Co-Sponsor Rep. Nicolle Grasse
04/09/2025HouseAdded Co-Sponsor Rep. Lilian Jiménez
04/09/2025HouseAdded Co-Sponsor Rep. Sharon Chung
04/09/2025HouseAdded Co-Sponsor Rep. Lisa Davis
04/09/2025HouseAdded Co-Sponsor Rep. Natalie A. Manley
04/09/2025HouseAdded Co-Sponsor Rep. Sonya M. Harper
04/09/2025HouseAdded Co-Sponsor Rep. Amy Briel
04/09/2025HouseAdded Co-Sponsor Rep. Jehan Gordon-Booth
04/09/2025HouseAdded Co-Sponsor Rep. Hoan Huynh
04/10/2025SenateArrive in Senate
04/10/2025SenatePlaced on Calendar Order of First Reading
04/10/2025SenateChief Senate Sponsor Sen. Lakesia Collins
04/10/2025SenateFirst Reading
04/10/2025SenateReferred to Assignments
04/23/2025SenateAssigned to Licensed Activities
05/01/2025SenateDo Pass Licensed Activities; 007-000-000
05/01/2025SenatePlaced on Calendar Order of 2nd Reading May 6, 2025
05/07/2025SenateSecond Reading
05/07/2025SenatePlaced on Calendar Order of 3rd Reading May 8, 2025
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Celina Villanueva
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Robert Peters
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Adriane Johnson
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Rachel Ventura
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Michael W. Halpin
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Mark L. Walker
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Mike Porfirio
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Mike Simmons
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III
05/14/2025SenateAdded as Alternate Co-Sponsor Sen. Graciela Guzmán
05/15/2025SenateAdded as Alternate Co-Sponsor Sen. Sara Feigenholtz
05/15/2025SenateAdded as Alternate Co-Sponsor Sen. Javier L. Cervantes
05/16/2025SenateAdded as Alternate Co-Sponsor Sen. Karina Villa
05/20/2025SenateAdded as Alternate Co-Sponsor Sen. Mary Edly-Allen
05/20/2025SenateAdded as Alternate Co-Sponsor Sen. Robert F. Martwick
05/20/2025SenatePlaced on Calendar Order of 3rd Reading **
05/22/2025SenateThird Reading - Passed; 057-001-000
05/22/2025HousePassed Both Houses
06/20/2025HouseSent to the Governor
08/15/2025HouseGovernor Approved
08/15/2025HouseEffective Date January 1, 2026
08/15/2025HousePublic Act . . . . . . . . . 104-0244