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---
type: "Bill"
title: "PHYSICIAN ASSISTANT-VARIOUS"
description: "Amends the Physician Assistant Practice Act of 1987. Changes the definition of \"physician assistant\", \"physician assistant practice\", \"board\", and \"collaborating physician\". Provides that a physician assistant shall be deemed by law to possess the ability to prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of such authority by a physician. Provides that such ability shall include the prescribing of Schedule II, III, IV, and V controlled substances. Provides that to prescribe Schedule II, III, IV, or V controlled substances under the Act, a physician assistant shall obtain a mid-level practitioner controlled substances license. Provides that when a written collaboration agreement is required under the Act, delegation of prescriptive authority by a physician is not required. Provides that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of continuing education or training and at least 2,000 hours of clinical experience after first attaining national certification shall not require a written collaborative agreement. Provides the specified scope of practice of a physician assistant with optimal practice authority. Provides that a physician assistant shall be able to hold more than one professional position. Makes changes in provisions concerning the physician assistant title, collaboration requirements, and the written collaborative agreement. Makes other changes and corresponding changes to the Act and to the Illinois Controlled Substances Act."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "103rd"
identifier: "SB 218"
citation: "Illinois SB 218 (103rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Ann Gillespie", "Lakesia Collins"]
version_count: 5
action_count: 44
vote_count: 5
first_action: "2023-01-31"
last_action: "2023-06-09"
source: "openstates"
source_identifier: "ocd-bill/4cefd1a8-7c55-4a85-8daf-4035b5769b24"
source_url: "https://beta.ilga.gov/Legislation/BillStatus?DocNum=218&GAID=17&DocTypeID=SB&LegId=143815&SessionID=112"
source_hash: "7093c79ae18b525619b3367985e028305c291b4f01e16712fb8fa5afd9afbb36"
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 218 (103rd) — PHYSICIAN ASSISTANT-VARIOUS
Amends the Physician Assistant Practice Act of 1987. Changes the definition of "physician assistant", "physician assistant practice", "board", and "collaborating physician". Provides that a physician assistant shall be deemed by law to possess the ability to prescribe, dispense, order, administer, and procure drugs and medical devices without delegation of such authority by a physician. Provides that such ability shall include the prescribing of Schedule II, III, IV, and V controlled substances. Provides that to prescribe Schedule II, III, IV, or V controlled substances under the Act, a physician assistant shall obtain a mid-level practitioner controlled substances license. Provides that when a written collaboration agreement is required under the Act, delegation of prescriptive authority by a physician is not required. Provides that a physician assistant who files with the Department of Financial and Professional Regulation a notarized attestation of completion of at least 250 hours of continuing education or training and at least 2,000 hours of clinical experience after first attaining national certification shall not require a written collaborative agreement. Provides the specified scope of practice of a physician assistant with optimal practice authority. Provides that a physician assistant shall be able to hold more than one professional position. Makes changes in provisions concerning the physician assistant title, collaboration requirements, and the written collaborative agreement. Makes other changes and corresponding changes to the Act and to the Illinois Controlled Substances Act.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB0218.pdf)
2. **Engrossed** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB0218eng.pdf)
3. **Senate Amendment 001** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB0218sam001.pdf)
4. **Senate Amendment 002** (committee substitute) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB0218sam002.pdf)
5. **Enrolled** (enrolled) — [source](https://beta.ilga.gov/documents/legislation/103/SB/PDF/10300SB0218enr.pdf)
## Votes
- Health Care Licenses — **120** (pass) · lower
- Third Reading — **520** (pass) · lower
- Third Reading — **1030** (pass) · lower
- Licensed Activities — **90** (pass) · lower
- Licensed Activities — **90** (pass) · lower
## Sponsors
- Ann Gillespie — primary (person)
- Lakesia Collins — primary (person)
- Dagmara Avelar — cosponsor (person)
- Dave Severin — cosponsor (person)
- Javier L. Cervantes — cosponsor (person)
- Laura M. Murphy — cosponsor (person)
- Mattie Hunter — cosponsor (person)
- Terri Bryant — cosponsor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2023-01-31** Filed with Secretary by Sen. Ann Gillespie `filing`
- **2023-01-31** First Reading `reading-1`
- **2023-01-31** Referred to Assignments
- **2023-02-06** Added as Chief Co-Sponsor Sen. Laura M. Murphy
- **2023-02-07** Assigned to Licensed Activities `referral-committee`
- **2023-02-22** Added as Co-Sponsor Sen. Javier L. Cervantes
- **2023-02-23** Postponed - Licensed Activities
- **2023-02-23** Added as Co-Sponsor Sen. Terri Bryant
- **2023-03-09** Postponed - Licensed Activities
- **2023-03-10** Rule 2-10 Committee Deadline Established As March 24, 2023
- **2023-03-23** Postponed - Licensed Activities
- **2023-03-23** Rule 2-10 Committee Deadline Established As March 31, 2023
- **2023-03-24** Senate Committee Amendment No. 1 Filed with Secretary by Sen. Ann Gillespie `amendment-introduction`
- **2023-03-24** Senate Committee Amendment No. 1 Referred to Assignments
- **2023-03-28** Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
- **2023-03-28** Senate Committee Amendment No. 2 Filed with Secretary by Sen. Ann Gillespie `amendment-introduction`
- **2023-03-28** Senate Committee Amendment No. 2 Referred to Assignments
- **2023-03-29** Senate Committee Amendment No. 2 Assignments Refers to Licensed Activities
- **2023-03-29** Senate Committee Amendment No. 2 Adopted; Licensed Activities `amendment-passage`
- **2023-03-29** Senate Committee Amendment No. 1 Postponed - Licensed Activities
- **2023-03-30** Do Pass as Amended Licensed Activities; 009-000-000
- **2023-03-30** Placed on Calendar Order of 2nd Reading `reading-2`
- **2023-03-30** Second Reading `reading-2`
- **2023-03-30** Placed on Calendar Order of 3rd Reading March 31, 2023
- **2023-03-31** Third Reading - Passed; 052-000-000 `passage, reading-3`
- **2023-03-31** Senate Committee Amendment No. 1 Tabled Pursuant to Rule 5-4(a) `amendment-failure`
- **2023-03-31** Added as Co-Sponsor Sen. Mattie Hunter
- **2023-03-31** Arrived in House `introduction`
- **2023-03-31** Chief House Sponsor Rep. Lakesia Collins
- **2023-04-11** First Reading `reading-1`
- **2023-04-11** Referred to Rules Committee
- **2023-04-11** Assigned to Health Care Licenses Committee `referral-committee`
- **2023-04-19** Do Pass / Short Debate Health Care Licenses Committee; 012-000-000
- **2023-04-19** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2023-05-03** Second Reading - Short Debate `reading-2`
- **2023-05-03** Placed on Calendar Order of 3rd Reading - Short Debate
- **2023-05-08** Third Reading - Short Debate - Passed 103-000-000 `passage, reading-3`
- **2023-05-08** Added Alternate Co-Sponsor Rep. Dave Severin
- **2023-05-08** Added Alternate Co-Sponsor Rep. Dagmara Avelar
- **2023-05-08** Passed Both Houses
- **2023-06-06** Sent to the Governor `executive-receipt`
- **2023-06-09** Governor Approved `executive-signature`
- **2023-06-09** Effective Date January 1, 2024
- **2023-06-09** Public Act . . . . . . . . . 103-0065 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/4cefd1a8-7c55-4a85-8daf-4035b5769b24`. Confidence: reported (aggregated from official Illinois legislature records).