IllinoisHB2688104th General Assembly (2025–2026)House

NURSE PRACTICE ACT MIDWIVES

Sponsored By: Sponsor information unavailable

Signed by Governor

Summary

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.

health care licensesassignmentslicensed activities

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

More birth options with nurse midwives

Written collaborative agreements cannot bar certified nurse midwives from providing home births within their training and experience. If the collaborating physician does not provide home births, services are allowed only in qualifying underserved areas. These are federal primary care shortage areas with a U.S. Department of Health and Human Services HPSA score of at least 12, or maternity care deserts—counties without a hospital, birth center, or licensed professional offering obstetric care. In those same areas, midwives can also provide out-of-hospital births in all settings allowed by their national certification, under a written agreement meeting the law’s requirements with an advanced practice nurse who has full practice authority. Separately, midwives can provide birth services in licensed birth centers without a written collaborative agreement when the center’s clinical director grants privileges for those services.

Limits on doctors’ liability for nurses

Doctors are not liable for an advanced practice nurse’s acts or omissions solely because they signed a collaborative agreement or issued an authorizing order or guideline. That protection does not apply if the doctor had reason to believe the nurse lacked competency or committed willful and wanton misconduct. Doctors also are not liable for a nurse midwife’s home-birth care solely because they signed a collaborative agreement. Doctors remain responsible for their own acts and omissions.

Sponsors & Cosponsors

Sponsors

There is no primary sponsor on record.

Cosponsors

  • Adam M. Niemerg

    Republican • House

  • Adriane L. Johnson

    Democratic • Senate

  • Amy Briel

    Democratic • House

  • Anna Moeller

    Democratic • House

  • Brad Halbrook

    Republican • House

  • Camille Y. Lilly

    Democratic • House

  • Celina Villanueva

    Democratic • Senate

  • Chris Miller

    Republican • House

  • Dagmara Avelar

    Democratic • House

  • Debbie Meyers-Martin

    Democratic • House

  • Emil Jones, III

    Democratic • Senate

  • Graciela Guzmán

    Democratic • Senate

  • Hoan Huynh

    Democratic • House

  • Javier L. Cervantes

    Democratic • Senate

  • Jehan Gordon-Booth

    Democratic • House

  • Joyce Mason

    Democratic • House

  • Karina Villa

    Democratic • Senate

  • Kelly M. Cassidy

    Democratic • House

  • Kimberly Du Buclet

    Democratic • House

  • Lakesia Collins

    Democratic • Senate

  • Laura Faver Dias

    Democratic • House

  • Lilian Jiménez

    Democratic • House

  • Lisa Davis

    Democratic • House

  • Mark L. Walker

    Democratic • Senate

  • Mary Edly-Allen

    Democratic • Senate

  • Maura Hirschauer

    Democratic • House

  • Michael W. Halpin

    Democratic • Senate

  • Mike Porfirio

    Democratic • Senate

  • Mike Simmons

    Democratic • Senate

  • Natalie A. Manley

    Democratic • House

  • Nicolle Grasse

    Democratic • House

  • Rachel Ventura

    Democratic • Senate

  • Robert F. Martwick

    Democratic • Senate

  • Robert Peters

    Democratic • Senate

  • Sara Feigenholtz

    Democratic • Senate

  • Sharon Chung

    Democratic • House

  • Sonya M. Harper

    Democratic • House

  • Suzanne M. Ness

    Democratic • House

  • Tracy Katz Muhl

    Democratic • House

  • Yolonda Morris

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 206 • No: 1

Senate vote • 5/22/2025

Third Reading - Passed;

Yes: 57 • No: 1

Senate vote • 5/1/2025

Do Pass Licensed Activities;

Yes: 7 • No: 0

House vote • 4/9/2025

Third Reading - Short Debate - Passed

Yes: 114 • No: 0

House vote • 3/26/2025

House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee;

Yes: 14 • No: 0

House vote • 3/19/2025

Do Pass / Short Debate Health Care Licenses Committee;

Yes: 14 • No: 0

Actions Timeline

  1. Public Act . . . . . . . . . 104-0244

    8/15/2025House
  2. Effective Date January 1, 2026

    8/15/2025House
  3. Governor Approved

    8/15/2025House
  4. Sent to the Governor

    6/20/2025House
  5. Passed Both Houses

    5/22/2025House
  6. Third Reading - Passed; 057-001-000

    5/22/2025Senate
  7. Placed on Calendar Order of 3rd Reading **

    5/20/2025Senate
  8. Added as Alternate Co-Sponsor Sen. Robert F. Martwick

    5/20/2025Senate
  9. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

    5/20/2025Senate
  10. Added as Alternate Co-Sponsor Sen. Karina Villa

    5/16/2025Senate
  11. Added as Alternate Co-Sponsor Sen. Javier L. Cervantes

    5/15/2025Senate
  12. Added as Alternate Co-Sponsor Sen. Sara Feigenholtz

    5/15/2025Senate
  13. Added as Alternate Co-Sponsor Sen. Graciela Guzmán

    5/14/2025Senate
  14. Added as Alternate Co-Sponsor Sen. Emil Jones, III

    5/14/2025Senate
  15. Added as Alternate Co-Sponsor Sen. Mike Simmons

    5/14/2025Senate
  16. Added as Alternate Co-Sponsor Sen. Mike Porfirio

    5/14/2025Senate
  17. Added as Alternate Co-Sponsor Sen. Mark L. Walker

    5/14/2025Senate
  18. Added as Alternate Co-Sponsor Sen. Michael W. Halpin

    5/14/2025Senate
  19. Added as Alternate Co-Sponsor Sen. Rachel Ventura

    5/14/2025Senate
  20. Added as Alternate Co-Sponsor Sen. Adriane L. Johnson

    5/14/2025Senate
  21. Added as Alternate Co-Sponsor Sen. Robert Peters

    5/14/2025Senate
  22. Added as Alternate Co-Sponsor Sen. Celina Villanueva

    5/14/2025Senate
  23. Placed on Calendar Order of 3rd Reading May 8, 2025

    5/7/2025Senate
  24. Second Reading

    5/7/2025Senate
  25. Placed on Calendar Order of 2nd Reading May 6, 2025

    5/1/2025Senate

Bill Text

  • Engrossed

  • Enrolled

  • House Amendment 1

  • House Amendment 2

  • Introduced

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