Illinois General Assembly

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Full Text of SB0015  95th General Assembly



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1     AN ACT concerning public health.
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4     Section 1. Short title. This Act may be cited as the
5 Perinatal Mental Health Disorders Prevention and Treatment
6 Act.
7     Section 5. Findings and purposes.
8     (a) The General Assembly finds all of the following:
9         (1) Perinatal mental health disorders, commonly
10     referred to as "postpartum depression", include a wide
11     range of emotional, psychological, and physiological
12     reactions to childbirth, including feelings of
13     hopelessness, excessive guilt, sustained sadness,
14     inability to feel pleasure, low energy, sleep and appetite
15     disturbances, difficulty concentrating, and thoughts of
16     death or suicide, which challenge the stamina of a woman
17     during pregnancy or after childbirth, and impair her
18     ability to function and care for her child.
19         (2) Every year, more than 500,000 women experience the
20     anxiety, hopelessness, desolation, and fatigue of
21     perinatal mental health disorders during pregnancy, in the
22     early postpartum months, and into their child's first year
23     of life.



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1         (3) Women at highest risk for perinatal mental health
2     disorders can be those with previous mental health
3     disorders, such as depression, anxiety or panic disorder,
4     and those with a family member with a history of such
5     mental health disorders. However, perinatal mental health
6     disorders frequently strike without warning in women
7     without any past mental health disorders and with or
8     without any complications in pregnancy.
9         (4) Many women suffering from perinatal mental health
10     disorders require counseling and treatment, yet many do not
11     realize that they need help or are unable to find and
12     secure appropriate resources.
13         (5) In addition to the mother, the effects of perinatal
14     mental health disorders can also significantly impact the
15     infant, as well as the father, other children, and extended
16     family members. Perinatal mental health disorders can
17     affect the mother's ability to respond sensitively to her
18     infant's needs and can strain the family relationships.
19     (b) The purpose of this Act is:
20         (1) to provide information to women and their families
21     about perinatal mental health disorders in order to lower
22     the likelihood that new mothers will continue to suffer
23     from this illness in silence;
24         (2) to develop procedures for assessing women for
25     perinatal mental health disorders during prenatal and
26     postnatal visits to licensed health care professionals;



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1     and
2         (3) to promote early detection of perinatal mental
3     health disorders to promote early care and treatment and,
4     when medically appropriate, to avoid medication.
5     Section 10. Definitions. In this Act:
6     "Hospital" has the meaning given to that term in the
7 Hospital Licensing Act.
8     "Licensed health care professional" means a physician
9 licensed to practice medicine in all its branches, an advanced
10 practice nurse who has a collaborative agreement with a
11 collaborating physician that authorizes care, or a physician's
12 assistant who has been delegated authority to provide care.
13     "Postnatal care" means an office visit to a licensed health
14 care professional occurring after birth, with reference to the
15 infant or mother.
16     "Prenatal care" means an office visit to a licensed health
17 care professional for pregnancy-related care occurring before
18 birth.
19     "Questionnaire" means an assessment tool administered by a
20 licensed health care professional to detect perinatal mental
21 health disorders, such as the Edinburgh Postnatal Depression
22 Scale, the Postpartum Depression Screening Scale, the Beck
23 Depression Inventory, the Patient Health Questionnaire, or
24 other validated assessment methods.



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1     Section 15. Perinatal mental health disorders prevention
2 and treatment. The Department of Human Services, in conjunction
3 with the Department of Healthcare and Family Services, the
4 Department of Public Health, and the Department of Financial
5 and Professional Regulation and the Medical Licensing Board,
6 shall work with hospitals and licensed health care
7 professionals in this State to develop policies, procedures,
8 information, and educational materials to meet each of the
9 following requirements concerning perinatal mental health
10 disorders:
11         (1) Licensed health care professionals providing
12     prenatal care to women shall provide education to women
13     and, if possible and with permission, to their families
14     about perinatal mental health disorders in accordance with
15     the formal opinions and recommendations of the American
16     College of Obstetricians and Gynecologists.
17         (2) All hospitals that provide labor and delivery
18     services in the State shall provide new mothers, prior to
19     discharge following childbirth, and, if possible, shall
20     provide fathers and other family members with complete
21     information about perinatal mental health disorders,
22     including its symptoms, methods of coping with the illness,
23     and treatment resources. The Department of Human Services
24     shall provide written information that hospitals may use to
25     satisfy this subsection (2).
26         (3) Licensed health care professionals providing



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1     prenatal care at a prenatal visit shall invite each
2     pregnant patient to complete a questionnaire and shall
3     review the completed questionnaire in accordance with the
4     formal opinions and recommendations of the American
5     College of Obstetricians and Gynecologists. Assessment for
6     perinatal mental health disorders must be repeated when, in
7     the professional judgment of the licensed health care
8     professional, a reasonable possibility exists that the
9     woman suffers from perinatal mental health disorders.
10         (4) Licensed health care professionals providing
11     postnatal care to women shall invite each patient to
12     complete a questionnaire and shall review the completed
13     questionnaire in accordance with the formal opinions and
14     recommendations of the American College of Obstetricians
15     and Gynecologists.
16         (5) Licensed health care professionals providing
17     pediatric care to an infant shall invite the infant's
18     mother to complete a questionnaire at any well-baby
19     check-up at which the mother is present prior to the
20     infant's first birthday, and shall review the completed
21     questionnaire in accordance with the formal opinions and
22     recommendations of the American College of Obstetricians
23     and Gynecologists, in order to ensure that the health and
24     well-being of the infant are not compromised by an
25     undiagnosed perinatal mental health disorder in the
26     mother. In order to share results from an assessment with



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1     the mother's primary licensed health care professional,
2     consent should be obtained from the mother in accordance
3     with the Illinois Health Insurance Portability and
4     Accountability Act. If the mother is determined to present
5     an acute danger to herself or someone else, consent is not
6     required.