# Illinois HB2688: NURSE PRACTICE ACT MIDWIVES Illinois HB2688, NURSE PRACTICE ACT MIDWIVES, is a 104th General Assembly (2025–2026) House bill sponsored by no sponsor on record; status signed, last action 2025-08-15 (Public Act . . . . . . . . . 104-0244) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IL-HB2688-2025-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Illinois HB2688 - State: Illinois - Session: 104th General Assembly (2025–2026) - Title: NURSE PRACTICE ACT MIDWIVES - Status: signed - Chamber: House - Introduced: 2025-02-04 - Last action: 2025-08-15, Public Act . . . . . . . . . 104-0244 - Sponsors: no sponsor on record - Cosponsors: 40 - Subjects: health care licenses, assignments, licensed activities - Touches household money: no - Roll calls: 5 (206 yes, 1 no in all) - Economic provisions PRIA read: 2 ## 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. ## Bill overview: provisions PRIA read - More birth options with nurse midwives: benefit, medium. 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… - Limits on doctors’ liability for nurses: mixed, low. 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… ## Sponsors and cosponsors - Cosponsor: Adam M. Niemerg (Republican), House - Cosponsor: Adriane L. Johnson (Democratic), Senate - Cosponsor: Amy Briel (Democratic), House - Cosponsor: Anna Moeller (Democratic), House - Cosponsor: Brad Halbrook (Republican), House - Cosponsor: Camille Y. Lilly (Democratic), House - Cosponsor: Celina Villanueva (Democratic), Senate - Cosponsor: Chris Miller (Republican), House - Cosponsor: Dagmara Avelar (Democratic), House - Cosponsor: Debbie Meyers-Martin (Democratic), House - Cosponsor: Emil Jones, III (Democratic), Senate - Cosponsor: Graciela Guzmán (Democratic), Senate - Cosponsor: Hoan Huynh (Democratic), House - Cosponsor: Javier L. Cervantes (Democratic), Senate - Cosponsor: Jehan Gordon-Booth (Democratic), House - Cosponsor: Joyce Mason (Democratic), House - Cosponsor: Karina Villa (Democratic), Senate - Cosponsor: Kelly M. Cassidy (Democratic), House - Cosponsor: Kimberly Du Buclet (Democratic), House - Cosponsor: Lakesia Collins (Democratic), Senate - Cosponsor: Laura Faver Dias (Democratic), House - Cosponsor: Lilian Jiménez (Democratic), House - Cosponsor: Lisa Davis (Democratic), House - Cosponsor: Mark L. Walker (Democratic), Senate - Cosponsor: Mary Edly-Allen (Democratic), Senate - Cosponsor: Maura Hirschauer (Democratic), House - Cosponsor: Michael W. Halpin (Democratic), Senate - Cosponsor: Mike Porfirio (Democratic), Senate - Cosponsor: Mike Simmons (Democratic), Senate - Cosponsor: Natalie A. Manley (Democratic), House - Cosponsor: Nicolle Grasse (Democratic), House - Cosponsor: Rachel Ventura (Democratic), Senate - Cosponsor: Robert F. Martwick (Democratic), Senate - Cosponsor: Robert Peters (Democratic), Senate - Cosponsor: Sara Feigenholtz (Democratic), Senate - Cosponsor: Sharon Chung (Democratic), House - Cosponsor: Sonya M. Harper (Democratic), House - Cosponsor: Suzanne M. Ness (Democratic), House - Cosponsor: Tracy Katz Muhl (Democratic), House - Cosponsor: Yolonda Morris (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-22 | Senate | Third Reading - Passed; | pass | 57 | 1 | | | 2025-05-01 | Senate | Do Pass Licensed Activities; | pass | 7 | 0 | | | 2025-04-09 | House | Third Reading - Short Debate - Passed | pass | 114 | 0 | | | 2025-03-26 | House | House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; | pass | 14 | 0 | | | 2025-03-19 | House | Do Pass / Short Debate Health Care Licenses Committee; | pass | 14 | 0 | | ## Actions (75) - 2025-08-15: Public Act . . . . . . . . . 104-0244 (House) - 2025-08-15: Effective Date January 1, 2026 (House) - 2025-08-15: Governor Approved (House) - 2025-06-20: Sent to the Governor (House) - 2025-05-22: Passed Both Houses (House) - 2025-05-22: Third Reading - Passed; 057-001-000 (Senate) - 2025-05-20: Placed on Calendar Order of 3rd Reading ** (Senate) - 2025-05-20: Added as Alternate Co-Sponsor Sen. Robert F. Martwick (Senate) - 2025-05-20: Added as Alternate Co-Sponsor Sen. Mary Edly-Allen (Senate) - 2025-05-16: Added as Alternate Co-Sponsor Sen. Karina Villa (Senate) - 2025-05-15: Added as Alternate Co-Sponsor Sen. Javier L. Cervantes (Senate) - 2025-05-15: Added as Alternate Co-Sponsor Sen. Sara Feigenholtz (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Graciela Guzmán (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Emil Jones, III (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Mike Simmons (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Mike Porfirio (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Mark L. Walker (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Michael W. Halpin (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Rachel Ventura (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Adriane L. Johnson (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Robert Peters (Senate) - 2025-05-14: Added as Alternate Co-Sponsor Sen. Celina Villanueva (Senate) - 2025-05-07: Placed on Calendar Order of 3rd Reading May 8, 2025 (Senate) - 2025-05-07: Second Reading (Senate) - 2025-05-01: Placed on Calendar Order of 2nd Reading May 6, 2025 (Senate) - 2025-05-01: Do Pass Licensed Activities; 007-000-000 (Senate) - 2025-04-23: Assigned to Licensed Activities (Senate) - 2025-04-10: Referred to Assignments (Senate) - 2025-04-10: First Reading (Senate) - 2025-04-10: Chief Senate Sponsor Sen. Lakesia Collins (Senate) - 2025-04-10: Placed on Calendar Order of First Reading (Senate) - 2025-04-10: Arrive in Senate (Senate) - 2025-04-09: Added Co-Sponsor Rep. Hoan Huynh (House) - 2025-04-09: Added Co-Sponsor Rep. Jehan Gordon-Booth (House) - 2025-04-09: Added Co-Sponsor Rep. Amy Briel (House) - 2025-04-09: Added Co-Sponsor Rep. Sonya M. Harper (House) - 2025-04-09: Added Co-Sponsor Rep. Natalie A. Manley (House) - 2025-04-09: Added Co-Sponsor Rep. Lisa Davis (House) - 2025-04-09: Added Co-Sponsor Rep. Sharon Chung (House) - 2025-04-09: Added Co-Sponsor Rep. Lilian Jiménez (House) - 2025-04-09: Added Co-Sponsor Rep. Nicolle Grasse (House) - 2025-04-09: Added Co-Sponsor Rep. Dagmara Avelar (House) - 2025-04-09: Added Co-Sponsor Rep. Kimberly Du Buclet (House) - 2025-04-09: Added Co-Sponsor Rep. Debbie Meyers-Martin (House) - 2025-04-09: Added Co-Sponsor Rep. Maura Hirschauer (House) - 2025-04-09: Added Co-Sponsor Rep. Laura Faver Dias (House) - 2025-04-09: Added Co-Sponsor Rep. Tracy Katz Muhl (House) - 2025-04-09: Added Chief Co-Sponsor Rep. Anna Moeller (House) - 2025-04-09: Added Chief Co-Sponsor Rep. Suzanne M. Ness (House) - 2025-04-09: Added Chief Co-Sponsor Rep. Camille Y. Lilly (House) - 2025-04-09: Added Co-Sponsor Rep. Joyce Mason (House) - 2025-04-09: Third Reading - Short Debate - Passed 114-000-000 (House) - 2025-04-09: Placed on Calendar Order of 3rd Reading - Short Debate (House) - 2025-04-09: House Floor Amendment No. 2 Adopted (House) - 2025-04-08: Chief Sponsor Changed to Rep. Yolonda Morris (House) - 2025-03-27: Chief Co-Sponsor Changed to Rep. Kelly M. Cassidy (House) - 2025-03-27: Added Chief Co-Sponsor Rep. Kelly M. Cassidy (House) - 2025-03-26: Held on Calendar Order of Second Reading - Short Debate (House) - 2025-03-26: Second Reading - Short Debate (House) - 2025-03-26: House Floor Amendment No. 2 Recommends Be Adopted Health Care Licenses Committee; 014-000-000 (House) - 2025-03-25: House Floor Amendment No. 2 Rules Refers to Health Care Licenses Committee (House) - 2025-03-24: House Floor Amendment No. 2 Referred to Rules Committee (House) - 2025-03-24: House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller (House) - 2025-03-19: Placed on Calendar 2nd Reading - Short Debate (House) - 2025-03-19: House Committee Amendment No. 1 Tabled (House) - 2025-03-19: Do Pass / Short Debate Health Care Licenses Committee; 014-000-000 (House) - 2025-03-18: House Committee Amendment No. 1 Referred to Rules Committee (House) - 2025-03-18: House Committee Amendment No. 1 Filed with Clerk by Rep. Anna Moeller (House) - 2025-03-04: Assigned to Health Care Licenses Committee (House) - 2025-02-21: Added Co-Sponsor Rep. Brad Halbrook (House) - 2025-02-21: Added Co-Sponsor Rep. Chris Miller (House) - 2025-02-18: Added Co-Sponsor Rep. Adam M. Niemerg (House) - 2025-02-06: Referred to Rules Committee (House) - 2025-02-06: First Reading (House) - 2025-02-04: Filed with the Clerk by Rep. Anna Moeller (House) ## Bill text - Engrossed: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688eng.pdf) - Enrolled: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688enr.pdf) - House Amendment 1: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688ham001.pdf) - House Amendment 2: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688ham002.pdf) - Introduced: [PDF](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688.pdf) ## Related bills - HB5198: AFFORDABLE HOUSING-CILAS (passed house) - SB1937: PENSION CODE-VARIOUS (passed senate) - HB2563: CONDO-RESERVE STUDY (in committee) - HB4701: LIMITATIONS FACILITY FEES ACT (in committee) - SB3008: DHS-ABLE PROGRAM INFO MATERIAL (passed senate) - SB3484: VEH CD-PLATES-REGISTRATION (signed) ## Sources - [Engrossed (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688eng.pdf) - [Enrolled (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688enr.pdf) - [House Amendment 1 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688ham001.pdf) - [House Amendment 2 (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688ham002.pdf) - [Introduced (PDF)](https://www.ilga.gov/documents/legislation/104/HB/PDF/10400HB2688.pdf) ## Related - [HB5198: AFFORDABLE HOUSING-CILAS](https://policyrisk.com/state-bill/IL-HB5198-2025-2026) - [SB1937: PENSION CODE-VARIOUS](https://policyrisk.com/state-bill/IL-SB1937-2025-2026) - [HB2563: CONDO-RESERVE STUDY](https://policyrisk.com/state-bill/IL-HB2563-2025-2026) - [HB4701: LIMITATIONS FACILITY FEES ACT](https://policyrisk.com/state-bill/IL-HB4701-2025-2026) - [SB3008: DHS-ABLE PROGRAM INFO MATERIAL](https://policyrisk.com/state-bill/IL-SB3008-2025-2026) - [SB3484: VEH CD-PLATES-REGISTRATION](https://policyrisk.com/state-bill/IL-SB3484-2025-2026) - [Illinois bills](https://policyrisk.com/states/illinois/bills) - [Illinois state hub](https://policyrisk.com/states/illinois) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IL-HB2688-2025-2026 (as of 2026-11-01).