---
type: "Bill"
title: "NURSING HOMES-DRUG TREATMENT"
description: "Amends the Nursing Home Care Act. In provisions requiring the Department of Public Health to adopt a protocol specifying how informed consent for psychotropic medication may be obtained or refused that requires a discussion between the resident or the resident's surrogate decision maker and the resident's physician, a registered pharmacist, or a licensed nurse about the possible risks and benefits of a recommended medication and the use of standardized consent forms designated by the Department, (i) removes language prohibiting the registered pharmacist from being a dispensing pharmacist for the facility where the resident lives and (ii) specifies that a licensed nurse includes a licensed practical nurse. Provides that specified forms shall be designated (rather than developed) by the Department and may be able to be downloaded from a website designated by the Department (other than the Department's official website). Provides that the maximum possible period for informed consent shall be until a change in the prescription occurs as to the change in the type of psychotropic medication or an increase in dosage (rather than a change in dosage), unless the physician's order for which informed consent was given provides for an increase in dosage. Effective immediately."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "102nd"
identifier: "SB 2265"
citation: "Illinois SB 2265 (102nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dave Syverson", "Norine K. Hammond"]
version_count: 5
action_count: 58
vote_count: 3
first_action: "2021-02-26"
last_action: "2021-08-27"
source: "openstates"
source_identifier: "ocd-bill/aa4419d5-07b7-4a31-baa3-554d61351b16"
source_url: "https://ilga.gov/legislation/BillStatus.asp?DocNum=2265&GAID=16&DocTypeID=SB&LegId=134919&SessionID=110&GA=102"
source_hash: "dd6dfd163c98ae1f647b3f618a1c7fef7e30a842a53480b04480ab05e822562b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-il"]
---

# Illinois SB 2265 (102nd) — NURSING HOMES-DRUG TREATMENT

Amends the Nursing Home Care Act. In provisions requiring the Department of Public Health to adopt a protocol specifying how informed consent for psychotropic medication may be obtained or refused that requires a discussion between the resident or the resident's surrogate decision maker and the resident's physician, a registered pharmacist, or a licensed nurse about the possible risks and benefits of a recommended medication and the use of standardized consent forms designated by the Department, (i) removes language prohibiting the registered pharmacist from being a dispensing pharmacist for the facility where the resident lives and (ii) specifies that a licensed nurse includes a licensed practical nurse. Provides that specified forms shall be designated (rather than developed) by the Department and may be able to be downloaded from a website designated by the Department (other than the Department's official website). Provides that the maximum possible period for informed consent shall be until a change in the prescription occurs as to the change in the type of psychotropic medication or an increase in dosage (rather than a change in dosage), unless the physician's order for which informed consent was given provides for an increase in dosage. Effective immediately.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2265.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2265eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2265ham001.pdf)
4. **Senate Amendment 001** (committee substitute) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2265sam001.pdf)
5. **Enrolled** (enrolled) — [source](https://ilga.gov/legislation/102/SB/PDF/10200SB2265enr.pdf)

## Votes

- Third Reading — **54–0** (pass) · upper
- Third Reading — **117–0** (pass) · lower
- Concurrence, Amendment 1 — **59–0** (pass) · upper

## Sponsors

- Dave Syverson — primary (person)
- Norine K. Hammond — primary (person)
- Amy Grant — cosponsor (person)
- Bradley Stephens — cosponsor (person)
- C.D. Davidsmeyer — cosponsor (person)
- Dave Severin — cosponsor (person)
- David Koehler — cosponsor (person)
- Frances Ann Hurley — cosponsor (person)
- Jackie Haas — cosponsor (person)
- Jaime M. Andrade, Jr. — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Patrick J. Joyce — cosponsor (person)
- Patrick Windhorst — cosponsor (person)
- Robyn Gabel — cosponsor (person)
- Thomas M. Bennett — cosponsor (person)
- Tom Weber — cosponsor (person)
- Tony McCombie — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-02-26** Filed with Secretary by Sen. Dave Syverson `filing`
- **2021-02-26** First Reading `reading-1`
- **2021-02-26** Referred to Assignments `referral-committee`
- **2021-03-23** Assigned to Health `referral-committee`
- **2021-03-31** To Subcommittee on Long-Term Care & Aging
- **2021-04-06** Reported Back To Health; 005-000-000
- **2021-04-12** Added as Co-Sponsor Sen. Patrick J. Joyce
- **2021-04-13** Added as Co-Sponsor Sen. David Koehler
- **2021-04-14** Do Pass Health; 013-000-000 `committee-passage`
- **2021-04-14** Placed on Calendar Order of 2nd Reading April 15, 2021
- **2021-04-15** Senate Floor Amendment No. 1 Filed with Secretary by Sen. Dave Syverson `amendment-introduction`
- **2021-04-15** Senate Floor Amendment No. 1 Referred to Assignments `referral-committee`
- **2021-04-16** Added as Co-Sponsor Sen. Laura M. Murphy
- **2021-04-20** Senate Floor Amendment No. 1 Assignments Refers to Health
- **2021-04-20** Senate Floor Amendment No. 1 Recommend Do Adopt Health; 011-000-000
- **2021-04-20** Second Reading `reading-2`
- **2021-04-20** Senate Floor Amendment No. 1 Adopted; Syverson `amendment-passage`
- **2021-04-20** Placed on Calendar Order of 3rd Reading April 21, 2021
- **2021-04-21** Third Reading - Passed; 054-000-000 `passage, reading-3`
- **2021-04-22** Arrived in House `introduction`
- **2021-04-22** Chief House Sponsor Rep. Norine K. Hammond
- **2021-04-23** First Reading `reading-1`
- **2021-04-23** Referred to Rules Committee `referral-committee`
- **2021-04-28** Assigned to Human Services Committee `referral-committee`
- **2021-05-06** Added Alternate Co-Sponsor Rep. Tony McCombie
- **2021-05-06** Added Alternate Co-Sponsor Rep. Amy Grant
- **2021-05-06** Added Alternate Co-Sponsor Rep. C.D. Davidsmeyer
- **2021-05-06** Added Alternate Co-Sponsor Rep. Jackie Haas
- **2021-05-06** Added Alternate Co-Sponsor Rep. Bradley Stephens
- **2021-05-06** Added Alternate Co-Sponsor Rep. Thomas M. Bennett
- **2021-05-06** Added Alternate Co-Sponsor Rep. Patrick Windhorst
- **2021-05-10** Added Alternate Co-Sponsor Rep. Jaime M. Andrade, Jr.
- **2021-05-10** Added Alternate Chief Co-Sponsor Rep. Frances Ann Hurley
- **2021-05-12** Added Alternate Co-Sponsor Rep. Robyn Gabel
- **2021-05-12** Do Pass / Short Debate Human Services Committee; 015-000-000 `committee-passage`
- **2021-05-12** Placed on Calendar 2nd Reading - Short Debate
- **2021-05-13** Added Alternate Co-Sponsor Rep. Tom Weber
- **2021-05-13** House Floor Amendment No. 1 Filed with Clerk by Rep. Norine K. Hammond `amendment-introduction`
- **2021-05-13** House Floor Amendment No. 1 Referred to Rules Committee `referral-committee`
- **2021-05-18** House Floor Amendment No. 1 Recommends Be Adopted Rules Committee; 003-001-000 `committee-passage-favorable`
- **2021-05-19** Second Reading - Short Debate `reading-2`
- **2021-05-19** House Floor Amendment No. 1 Adopted `amendment-passage`
- **2021-05-19** Placed on Calendar Order of 3rd Reading - Short Debate
- **2021-05-20** Third Reading - Short Debate - Passed 117-000-000 `passage, reading-3`
- **2021-05-20** Added Alternate Co-Sponsor Rep. Dave Severin
- **2021-05-21** Secretary's Desk - Concurrence House Amendment(s) 1
- **2021-05-21** Placed on Calendar Order of Concurrence House Amendment(s) 1 - May 24, 2021
- **2021-05-24** House Floor Amendment No. 1 Motion to Concur Filed with Secretary Sen. Dave Syverson `filing`
- **2021-05-24** House Floor Amendment No. 1 Motion to Concur Referred to Assignments `referral-committee`
- **2021-05-25** House Floor Amendment No. 1 Motion to Concur Assignments Referred to Health `referral-committee`
- **2021-05-25** House Floor Amendment No. 1 Motion To Concur Recommended Do Adopt Health; 014-000-000
- **2021-05-30** House Floor Amendment No. 1 Senate Concurs 059-000-000
- **2021-05-30** Senate Concurs
- **2021-05-30** Passed Both Houses
- **2021-06-28** Sent to the Governor `executive-receipt`
- **2021-08-27** Governor Approved `executive-signature`
- **2021-08-27** Effective Date August 27, 2021
- **2021-08-27** Public Act . . . . . . . . . 102-0646 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/aa4419d5-07b7-4a31-baa3-554d61351b16`. Confidence: reported (aggregated from official Illinois legislature records).