Sen. Cristina Castro

Filed: 3/12/2019





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2    AMENDMENT NO. ______. Amend Senate Bill 1909, AS AMENDED,
3in Section 10, Sec. 10-23, at the end of the first paragraph,
4by inserting "The registered nurses may collaborate with other
5providers, including, but not limited to, obstetricians,
6gynecologists, and pediatricians, when providing the services
7to the patient."; and
8by deleting Section 15; and
9immediately below Section 57, by inserting the following:
10    "Section 58. The Developmental Disability Prevention Act
11is amended by adding Section 11.2 as follows:
12    (410 ILCS 250/11.2 new)
13    Sec. 11.2. Birthing facilities; maternal care



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1    (a) In this Section, "birthing facility" means: (1) a
2hospital, as defined in the Hospital Licensing Act, with more
3than one licensed obstetric bed or a neonatal intensive care
4unit; (2) a hospital operated by a State university; or (3) a
5birth center, as defined in the Alternative Health Care
6Delivery Act.
7    (b) Every birthing facility shall, at a minimum, have an
8obstetric hemorrhage protocol and conduct a drill or simulation
9of the protocol. Every contracted provider who may encounter a
10pregnant woman shall participate in the drill or simulation on
11a regular basis. The Department shall adopt rules to implement
12this subsection.
13    (c) After holding multiple public hearings with
14representatives from diverse geographical regions and
15professional backgrounds and seeking broad public and
16stakeholder input, the Department shall establish criteria for
17levels of maternal care designations for birthing facilities.
18All hearings shall be open to the public and held at specific
19times and places that are convenient and available to the
20public. No hearing shall be held on a legal holiday. Public
21notice of hearings shall state the dates, times, and places of
22the hearings. Notice of hearings shall be posted on the
23Department's website and in the Department's main office, and
24minutes from the hearings shall be recorded.
25    The levels of maternal care designations developed under
26this Section shall be based upon:



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1        (1) the most current published version of the "Levels
2    of Maternal Care" developed by the American Congress of
3    Obstetricians and Gynecologists and the Society for
4    Maternal-Fetal Medicine; and
5        (2) necessary variance when considering the geographic
6    and varied needs of citizens of this State.
7    (d) Nothing in this Section shall be construed in any way
8to modify or expand the licensure of any health care
10    (e) Nothing in this Section shall be construed in any way
11to require a patient to be transferred to a different facility.
12    (f) The Department shall adopt rules to implement the
13provisions of this Section no later than June 1, 2021. These
14rules shall be limited to those necessary for the establishment
15of levels of maternal care designations for birthing facilities
16under subsection (c) of this Section.".