Rep. Mary E. Flowers

Filed: 3/9/2023

 

 


 

 


 
10300HB2820ham001LRB103 29740 BMS 58887 a

1
AMENDMENT TO HOUSE BILL 2820

2    AMENDMENT NO. ______. Amend House Bill 2820 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Department of Public Health Powers and
5Duties Law of the Civil Administrative Code of Illinois is
6amended by changing Section 2310-222 as follows:
 
7    (20 ILCS 2310/2310-222)
8    Sec. 2310-222. Obstetric hemorrhage and hypertension
9training.
10    (a) As used in this Section:
11    "Birthing facility" means (1) a hospital, as defined in
12the Hospital Licensing Act, with more than one licensed
13obstetric bed or a neonatal intensive care unit; (2) a
14hospital operated by a State university; or (3) a birth
15center, as defined in the Alternative Health Care Delivery
16Act; or (4) a birth center, as defined in the Birth Center

 

 

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1Licensing Act.
2    "Postpartum" means the 12-month period after a person has
3delivered a baby.
4    (b) The Department shall ensure that all birthing
5facilities have a written policy and conduct continuing
6education yearly for providers and staff of obstetric medicine
7and of the emergency department and other staff that may care
8for pregnant or postpartum women. The written policy and
9continuing education shall include yearly educational modules
10regarding management of severe maternal hypertension and
11obstetric hemorrhage, addressing airway emergencies
12experienced during childbirth, and management of other leading
13causes of maternal mortality for units that care for pregnant
14or postpartum women. Birthing facilities must demonstrate
15compliance with these written policy and , education, and
16training requirements.
17    (c) The Department shall collaborate with the Illinois
18Perinatal Quality Collaborative or its successor organization
19to develop an initiative to improve birth equity and reduce
20peripartum racial and ethnic disparities. The Department shall
21ensure that the initiative includes the development of best
22practices for implicit bias training and education in cultural
23competency to be used by birthing facilities in interactions
24between patients and providers. In developing the initiative,
25the Illinois Perinatal Quality Collaborative or its successor
26organization shall consider existing programs, such as the

 

 

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1Alliance for Innovation on Maternal Health and the California
2Maternal Quality Collaborative's pilot work on improving birth
3equity. The Department shall support the initiation of a
4statewide perinatal quality improvement initiative in
5collaboration with birthing facilities to implement strategies
6to reduce peripartum racial and ethnic disparities and to
7address implicit bias in the health care system.
8    (d) In order to better facilitate continuity of care, the
9Department, in consultation with the Illinois Perinatal
10Quality Collaborative, shall make available to all birthing
11facilities best practices for timely identification and
12assessment of all pregnant and postpartum women for common
13pregnancy or postpartum complications in the emergency
14department and for care provided by the birthing facility
15throughout the pregnancy and postpartum period. The best
16practices shall include the appropriate and timely
17consultation of an obstetric or other relevant provider to
18provide input on management and follow-up, such as offering
19coordination of a post-delivery early postpartum visit or
20other services that may be appropriate and available. Birthing
21facilities shall incorporate these best practices into the
22written policy required under subsection (b). Birthing
23facilities may use telemedicine for the consultation.
24    (e) The Department may adopt rules for the purpose of
25implementing this Section.
26(Source: P.A. 101-390, eff. 1-1-20; 102-558, eff. 8-20-21;

 

 

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1102-665, eff. 10-8-21.)
 
2    Section 99. Effective date. This Act takes effect upon
3becoming law.".