IL HB2383

Authorizes non-licensed direct care staff in residential programs (16 or fewer persons), intermediate care facilities (16 or fewer beds), and day programs certified to serve persons with developmental disabilities to administer medications under supervision of a registered professional nurse.

Requires direct care staff to complete Department of Human Services-approved medication administration training conducted by a nurse-trainer, including written exams and 100% competency-based assessments specific to each individual and their medications.

Permits authorized staff to administer oral, topical, insulin (via pre-filled pens), oxygen, epinephrine auto-injectors, and vaginal/rectal medications, with additional restrictions on insulin dosage calculations and blood glucose monitoring for complex cases.

Establishes that medication errors by authorized staff are not grounds for suspension or discharge unless the staff person's actions constitute willful and wanton conduct, and prohibits day program facilities from receiving Type AA, Type A, or Type B violations or license denials based solely on medication administration issues.

Requires annual re-evaluation of authorized staff competency, quarterly medication record reviews by qualified professionals, and maintains a registered nurse on duty or on-call at all times in covered programs.