Physician Assistant Cheat Sheet for Illinois
Requirements for Supervising Physician agreements in Illinois, plus a free agreement builder tailored to Illinois law.
Provider supervision requirements in Illinois
Updated 2026-09-03
Provided for educational and research purposes only — this is not legal advice. Laws and regulations change frequently, and this content may contain errors or omissions. Always confirm current requirements with a licensed attorney before relying on this for compliance decisions.
The 2017 Nurse Practice Act reform (P.A. 100-0513) lets NP/CNM/CNS attest to full practice authority after 4,000 hours under a written collaborative agreement plus 250 hours of CE — CRNAs are not included in that attestation pathway. The Medical Corporation Act (805 ILCS 15) restricts clinical-entity ownership to physicians; APRNs/PAs may still use a professional service corporation or PLLC of their own licensees.
Physician Assistant
No independent-practice pathway exists for PAs in Illinois — a supervision agreement (or a collaborative arrangement for a higher ratio, see supervisionRatio) with one or more physicians is required for as long as the PA practices (225 ILCS 95, Physician Assistant Practice Act of 1987).
Proximity
Available remotely (no on-site requirement)
No fixed mile/minute radius or on-site requirement is codified; the supervision/collaborative agreement governs availability for consultation.Chart review
Not codified — left to the practice agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Prescriptive scope, including controlled substances, must be set out in the written supervision agreement; Illinois statute does not state a PA-specific schedule limit.Practice ownership (CPOM)
Licensee-only ownership required — A PA-owned clinical entity performing medical acts falls outside the physician-only Medical Corporation Act (805 ILCS 15); PAs instead use a professional service corporation (805 ILCS 10) or PLLC (805 ILCS 185) held by PA licensees, or co-own such an entity with physicians where permitted.
This ownership question is legally distinct from the clinical supervision agreement above.Supervision ratio
standard supervision agreement: Up to 5 at a time
A supervising physician may supervise up to 5 full-time-equivalent (40 hrs/week) PAs, reduced by the number of separate collaborative agreements the physician also maintains (225 ILCS 95/7).collaborative arrangement (rather than a supervision agreement): Up to 7 at a time
Up to 7 full-time-equivalent PAs under a collaborative arrangement (225 ILCS 95/7). Hospitals, hospital affiliates, FQHCs, and ambulatory surgical treatment centers are exempt from both ratio caps.
Meeting cadence
Not codified — left to the practice agreement
Written agreement
Required
Legal sources
805 ILCS 15 — Medical Corporation Act
$600–$900/mo
Estimated PA supervision cost in Illinois
Available Supervising Physicians in Illinois
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