republic-os/legislation/us/states/il/104th/hb-2688.md

---
type: "Bill"
title: "NURSE PRACTICE ACT MIDWIVES"
description: "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."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "104th"
identifier: "HB 2688"
citation: "Illinois HB 2688 (104th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Lakesia Collins", "Yolonda Morris"]
version_count: 5
action_count: 75
vote_count: 5
first_action: "2025-02-04"
last_action: "2025-08-15"
source: "openstates"
source_identifier: "ocd-bill/70a4e2ff-8ac2-4203-8d26-02aededfcc7b"
source_url: "https://ilga.gov/Legislation/BillStatus?DocNum=2688&GAID=18&DocTypeID=HB&LegId=160680&SessionID=114"
source_hash: "2eeda75a6764eec74acb629cb7dbfe31b7aa697384cfb967535496f1189a9c61"
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 HB 2688 (104th) — NURSE PRACTICE ACT MIDWIVES

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.

## Version chain

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

1. **Introduced** (filed) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB2688.pdf)
2. **Engrossed** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB2688eng.pdf)
3. **House Amendment 001** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB2688ham001.pdf)
4. **House Amendment 002** (committee substitute) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB2688ham002.pdf)
5. **Enrolled** (enrolled) — [source](https://ilga.gov/documents/legislation/104/HB/PDF/10400HB2688enr.pdf)

## Votes

- Third Reading — **57–1** (pass) · upper
- Licensed Activities — **7–0** (pass) · upper
- Health Care Licenses — **14–0** (pass) · lower
- Health Care Licenses, Amendment 2 — **14–0** (pass) · lower
- Third Reading — **114–0** (pass) · lower

## Sponsors

- Lakesia Collins — primary (person)
- Yolonda Morris — primary (person)
- Adam M. Niemerg — cosponsor (person)
- Adriane Johnson — cosponsor (person)
- Amy Briel — cosponsor (person)
- Anna Moeller — cosponsor (person)
- Brad Halbrook — cosponsor (person)
- Camille Y. Lilly — cosponsor (person)
- Celina Villanueva — cosponsor (person)
- Chris Miller — cosponsor (person)
- Dagmara Avelar — cosponsor (person)
- Debbie Meyers-Martin — cosponsor (person)
- Emil Jones, III — cosponsor (person)
- Graciela Guzmán — cosponsor (person)
- Hoan Huynh — cosponsor (person)
- Javier L. Cervantes — cosponsor (person)
- Jehan Gordon-Booth — cosponsor (person)
- Joyce Mason — cosponsor (person)
- Karina Villa — cosponsor (person)
- Kelly M. Cassidy — cosponsor (person)
- Kimberly Du Buclet — cosponsor (person)
- Laura Faver Dias — cosponsor (person)
- Lilian Jiménez — cosponsor (person)
- Lisa Davis — cosponsor (person)
- Mark L. Walker — cosponsor (person)
- Mary Edly-Allen — cosponsor (person)
- Maura Hirschauer — cosponsor (person)
- Michael W. Halpin — cosponsor (person)
- Mike Porfirio — cosponsor (person)
- Mike Simmons — cosponsor (person)
- Natalie A. Manley — cosponsor (person)
- Nicolle Grasse — cosponsor (person)
- Rachel Ventura — cosponsor (person)
- Robert F. Martwick — cosponsor (person)
- Robert Peters — cosponsor (person)
- Sara Feigenholtz — cosponsor (person)
- Sharon Chung — cosponsor (person)
- Sonya M. Harper — cosponsor (person)
- Suzanne M. Ness — cosponsor (person)
- Tracy Katz Muhl — cosponsor (person)

## Timeline

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

- **2025-02-04** Filed with the Clerk by Rep. Anna Moeller `filing`
- **2025-02-06** First Reading `reading-1`
- **2025-02-06** Referred to Rules Committee
- **2025-02-18** Added Co-Sponsor Rep. Adam M. Niemerg
- **2025-02-21** Added Co-Sponsor Rep. Chris Miller
- **2025-02-21** Added Co-Sponsor Rep. Brad Halbrook
- **2025-03-04** Assigned to Health Care Licenses Committee `referral-committee`
- **2025-03-18** House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller `amendment-introduction`
- **2025-03-18** House Committee Amendment No. 1 Referred to Rules Committee
- **2025-03-19** Do Pass / Short Debate Health Care Licenses Committee; 014-000-000
- **2025-03-19** House Committee Amendment No. 1 Tabled `amendment-failure`
- **2025-03-19** Placed on Calendar 2nd Reading - Short Debate `reading-2`
- **2025-03-24** House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller `amendment-introduction`
- **2025-03-24** House Floor Amendment No. 2 Referred to Rules Committee
- **2025-03-25** House Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee
- **2025-03-26** House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 014-000-000 `committee-passage-favorable`
- **2025-03-26** Second Reading - Short Debate `reading-2`
- **2025-03-26** Held on Calendar Order of Second Reading - Short Debate `reading-2`
- **2025-03-27** Added Chief Co-Sponsor Rep. Kelly M. Cassidy
- **2025-03-27** Chief Co-Sponsor Changed to Rep. Kelly M. Cassidy
- **2025-04-08** Chief Sponsor Changed to Rep. Yolonda Morris
- **2025-04-09** House Floor Amendment No. 2 Adopted `amendment-passage`
- **2025-04-09** Placed on Calendar Order of 3rd Reading - Short Debate
- **2025-04-09** Third Reading - Short Debate - Passed 114-000-000 `passage, reading-3`
- **2025-04-09** Added Co-Sponsor Rep. Joyce Mason
- **2025-04-09** Added Chief Co-Sponsor Rep. Camille Y. Lilly
- **2025-04-09** Added Chief Co-Sponsor Rep. Suzanne M. Ness
- **2025-04-09** Added Chief Co-Sponsor Rep. Anna Moeller
- **2025-04-09** Added Co-Sponsor Rep. Tracy Katz Muhl
- **2025-04-09** Added Co-Sponsor Rep. Laura Faver Dias
- **2025-04-09** Added Co-Sponsor Rep. Maura Hirschauer
- **2025-04-09** Added Co-Sponsor Rep. Debbie Meyers-Martin
- **2025-04-09** Added Co-Sponsor Rep. Kimberly Du Buclet
- **2025-04-09** Added Co-Sponsor Rep. Dagmara Avelar
- **2025-04-09** Added Co-Sponsor Rep. Nicolle Grasse
- **2025-04-09** Added Co-Sponsor Rep. Lilian Jiménez
- **2025-04-09** Added Co-Sponsor Rep. Sharon Chung
- **2025-04-09** Added Co-Sponsor Rep. Lisa Davis
- **2025-04-09** Added Co-Sponsor Rep. Natalie A. Manley
- **2025-04-09** Added Co-Sponsor Rep. Sonya M. Harper
- **2025-04-09** Added Co-Sponsor Rep. Amy Briel
- **2025-04-09** Added Co-Sponsor Rep. Jehan Gordon-Booth
- **2025-04-09** Added Co-Sponsor Rep. Hoan Huynh
- **2025-04-10** Arrive in Senate `introduction`
- **2025-04-10** Placed on Calendar Order of First Reading `reading-1`
- **2025-04-10** Chief Senate Sponsor Sen. Lakesia Collins
- **2025-04-10** First Reading `reading-1`
- **2025-04-10** Referred to Assignments
- **2025-04-23** Assigned to Licensed Activities `referral-committee`
- **2025-05-01** Do Pass Licensed Activities; 007-000-000
- **2025-05-01** Placed on Calendar Order of 2nd Reading May 6, 2025 `reading-2`
- **2025-05-07** Second Reading `reading-2`
- **2025-05-07** Placed on Calendar Order of 3rd Reading May 8, 2025
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Celina Villanueva
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Robert Peters
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Adriane Johnson
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Rachel Ventura
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Michael W. Halpin
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Mark L. Walker
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Mike Porfirio
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Mike Simmons
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Emil Jones, III
- **2025-05-14** Added as Alternate Co-Sponsor Sen. Graciela Guzmán
- **2025-05-15** Added as Alternate Co-Sponsor Sen. Sara Feigenholtz
- **2025-05-15** Added as Alternate Co-Sponsor Sen. Javier L. Cervantes
- **2025-05-16** Added as Alternate Co-Sponsor Sen. Karina Villa
- **2025-05-20** Added as Alternate Co-Sponsor Sen. Mary Edly-Allen
- **2025-05-20** Added as Alternate Co-Sponsor Sen. Robert F. Martwick
- **2025-05-20** Placed on Calendar Order of 3rd Reading **
- **2025-05-22** Third Reading - Passed; 057-001-000 `passage, reading-3`
- **2025-05-22** Passed Both Houses
- **2025-06-20** Sent to the Governor `executive-receipt`
- **2025-08-15** Governor Approved `executive-signature`
- **2025-08-15** Effective Date January 1, 2026
- **2025-08-15** Public Act . . . . . . . . . 104-0244 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/70a4e2ff-8ac2-4203-8d26-02aededfcc7b`. Confidence: reported (aggregated from official Illinois legislature records).