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---
type: "Bill"
title: "ASTC-HOSPITL-OPERATNG RM NURSE"
description: "Amends the Ambulatory Surgical Treatment Center Act and the Hospital Licensing Act. Provides that a registered nurse licensed under the Nursing and Advanced Practice Nursing Act and qualified by training and experience in operating room nursing shall be present in the operating room and function as the circulating nurse during all invasive or operative procedures. Provides that such a circulating nurse is responsible for coordinating all nursing care, patient safety needs, and the needs of the surgical team in the operating room."
jurisdiction: "us/states/il"
legislature: "Illinois General Assembly"
session: "94th"
identifier: "SB 2238"
citation: "Illinois SB 2238 (94th)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 3
action_count: 32
vote_count: 2
first_action: "2006-01-11"
last_action: "2006-06-23"
source: "openstates"
source_identifier: "ocd-bill/e4fa8b72-b0ac-4114-99eb-048e76d619b3"
source_url: "http://ilga.gov/legislation/BillStatus.asp?DocNum=2238&GAID=8&DocTypeID=SB&LegId=22769&SessionID=50&GA=94"
source_hash: "99f3d96489e70c4600fcff19e5518a296a756b9cd0d4cd750476c3a8b4595bb3"
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 2238 (94th) — ASTC-HOSPITL-OPERATNG RM NURSE
Amends the Ambulatory Surgical Treatment Center Act and the Hospital Licensing Act. Provides that a registered nurse licensed under the Nursing and Advanced Practice Nursing Act and qualified by training and experience in operating room nursing shall be present in the operating room and function as the circulating nurse during all invasive or operative procedures. Provides that such a circulating nurse is responsible for coordinating all nursing care, patient safety needs, and the needs of the surgical team in the operating room.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Introduced** (filed) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400SB2238&GA=94&SessionId=50&DocTypeId=SB&LegID=22769&DocNum=2238&GAID=8&Session=&print=true)
2. **Engrossed** (committee substitute) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400SB2238eng&GA=94&SessionId=50&DocTypeId=SB&LegID=22769&DocNum=2238&GAID=8&Session=&print=true)
3. **Enrolled** (enrolled) — [source](http://ilga.gov/legislation/fulltext.asp?DocName=09400SB2238enr&GA=94&SessionId=50&DocTypeId=SB&LegID=22769&DocNum=2238&GAID=8&Session=&print=true)
## Votes
- Third Reading — **1065** (pass) · lower
- Third Reading — **530** (pass) · upper
## Sponsors
- Carol Ronen — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2006-01-11** Filed with Secretary by Sen. Carol Ronen `filing`
- **2006-01-11** First Reading `reading-1`
- **2006-01-11** Referred to Rules `referral-committee`
- **2006-01-12** Assigned to Health & Human Services `referral-committee`
- **2006-01-31** Added as Chief Co-Sponsor Sen. Iris Y. Martinez
- **2006-02-01** Do Pass Health & Human Services; 010-000-000 `committee-passage`
- **2006-02-01** Placed on Calendar Order of 2nd Reading February 2, 2006
- **2006-02-02** Added as Chief Co-Sponsor Sen. Jacqueline Y. Collins
- **2006-02-02** Second Reading `reading-2`
- **2006-02-02** Placed on Calendar Order of 3rd Reading February 7, 2006
- **2006-02-08** Added as Chief Co-Sponsor Sen. Mattie Hunter
- **2006-02-08** Third Reading - Passed; 053-000-000 `reading-3, passage`
- **2006-02-08** Arrived in House `introduction`
- **2006-02-08** Placed on Calendar Order of First Reading `reading-1`
- **2006-02-16** Chief House Sponsor Rep. Julie Hamos
- **2006-02-16** First Reading `reading-1`
- **2006-02-16** Referred to Rules Committee `referral-committee`
- **2006-03-08** Assigned to Registration and Regulation Committee `referral-committee`
- **2006-03-15** Do Pass / Short Debate Registration and Regulation Committee; 023-000-000 `committee-passage`
- **2006-03-16** Placed on Calendar 2nd Reading - Short Debate
- **2006-03-16** Added Alternate Chief Co-Sponsor Rep. Thomas Holbrook
- **2006-03-16** Added Alternate Chief Co-Sponsor Rep. Patricia R. Bellock
- **2006-03-24** Second Reading - Short Debate `reading-2`
- **2006-03-24** Placed on Calendar Order of 3rd Reading - Short Debate
- **2006-03-28** Added Alternate Chief Co-Sponsor Rep. Terry R. Parke
- **2006-03-28** Added Alternate Chief Co-Sponsor Rep. Elizabeth Coulson
- **2006-03-28** Third Reading - Short Debate - Passed 106-005-001 `reading-3, passage`
- **2006-03-28** Passed Both Houses
- **2006-04-26** Sent to the Governor `executive-receipt`
- **2006-06-23** Governor Approved `executive-signature`
- **2006-06-23** Effective Date January 1, 2007
- **2006-06-23** Public Act . . . . . . . . . 94-0915 `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e4fa8b72-b0ac-4114-99eb-048e76d619b3`. Confidence: reported (aggregated from official Illinois legislature records).