HB2354ham001 96TH GENERAL ASSEMBLY

Human Services Committee

Filed: 3/11/2009

09600HB2354ham001 LRB096 09274 RPM 22219 a

AMENDMENT TO HOUSE BILL 2354

AMENDMENT NO. ______. Amend House Bill 2354 by replacing everything after the enacting clause with the following:

"Section 1. Short title. This Act may be cited as the Reproductive Health and Access Act.

Section 5. Findings and policy. The General Assembly finds and declares that every individual possesses a fundamental right of privacy with respect to reproductive decisions.

It is the public policy of this State to ensure that all individuals have appropriate and necessary access to the full range of reproductive education, healthcare and services, including but not limited to prenatal care, adoption, contraceptive care including timely access to emergency contraception, pregnancy termination, comprehensive sexual health education, and screening and treatment for sexually transmitted infections.

Section 10. Definitions. In this Act:

"Physician" means a person licensed to practice medicine in all of its branches under the Medical Practice Act of 1987.

"Pregnancy termination" or "termination of pregnancy" means any medical treatment intended to terminate a pregnancy. Pregnancy termination shall not include medical treatment conducted for the purpose of increasing the probability of the birth of a sustainable life.

"Viability" means that stage of pregnancy when, in the good faith medical judgment of the attending physician, based on the particular medical facts of the case before the physician, there is a reasonable likelihood of the sustained survival of the fetus outside of the uterus without the application of extraordinary medical measures.

Section 15. Prohibition of interference and retaliation.

(a) Notwithstanding any other provision of this Act or any other law to the contrary, the State or any municipality, political subdivision, or other governmental unit or agency shall not:

(1) deny or interfere with an individual's right to use or refuse contraception;

(2) deny or interfere with a pregnant woman's right to bear a child;

(3) deny or interfere with a pregnant woman's right to terminate a pregnancy: (i) prior to the viability of the fetus or (ii) when the abortion is necessary to protect the life or health of the pregnant woman; or

(4) require any woman to terminate pregnancy without her consent.

(b) Any party aggrieved by conduct that violates subsections (1) through (4) of this Section may bring a civil lawsuit in a State circuit court or as a supplemental claim in a federal district court, against the offending unit of government. If a federal or State court finds that a violation of any of subsections (1) through (4) of this Section has occurred, the court may award to the plaintiff actual damages, declaratory or injunctive relief, a temporary restraining order, or other relief. Upon a motion, the court shall award reasonable attorneys' fees and costs, including expert witness and other other litigation expenses, to a plaintiff who is a prevailing party, including where the plaintiff's pursuit of a non-frivolous claim was the a catalyst for a unilateral change in position by the opposing party relative to the relief sought.

Section 20. Non-discrimination in funding. Notwithstanding any other provision of this Act or any other law to the contrary, the State shall ensure that individuals eligible for State medicaid assistance, or other State medical assistance, receive financial assistance for reproductive healthcare at least to the same extent as other comparable services. Violation of this provision shall constitute a denial or interference in contravention of Section 15 of this Act.

Section 25. Pregnancy terminations.

(a) Pregnancy terminations shall be performed in accordance with accepted standards of medical practice, by the method that, in the clinical judgment of the attending medical professional, will best serve the interests of the pregnant patient. Notwithstanding any other provision of this Act or any other law to the contrary, a qualified medical professional is not liable for civil damages or subject to criminal penalty relating to a pregnancy termination performed in good faith, in accordance with the attending medical professional's good faith clinical judgment and accepted standards of medical practice.

(b) Notwithstanding any other provision of this Act or any other law to the contrary, a report of each pregnancy termination performed shall be made to the Illinois Department of Public Health on forms prescribed by the Department. Such report forms shall not identify the patient by name and shall preserve the anonymity of each woman who has obtained a pregnancy termination. The Department of Public Health shall promulgate and enforce regulations regarding the administration of these reporting requirements that secure protection of patient identity and ensure the anonymity of each woman who has undergone a pregnancy termination. Failure of the Department to preserve confidentiality and anonymity shall constitute interference in contravention of Section 15 of this Act.

Section 30. Sexual health education. Notwithstanding any other provision of this Act or any other law, all Illinois public schools shall offer medically accurate, age appropriate, comprehensive sexual health education as a part of the Comprehensive Health Education Program established in Section 3 of the Critical Health Problems and Comprehensive Health Education Act. Course material and instruction shall be free of bias regarding race, color, sex, sexual orientation, gender identity, religion, disability, or national or ethnic origin. The Illinois Department of Public Health shall promulgate and enforce regulations consistent with this provision.

Section 35. Patient access.

(a) Pursuant to this Act, all individuals shall have appropriate and necessary access to the full range of reproductive healthcare. Notwithstanding any other provision of this Act or any other law to the contrary, individual health care professionals who object to providing certain reproductive health care based on religion or personal conscience may refuse to provide such services only under the following conditions:

(1) the objecting health care professional provides prior written notice to patients, or, where the objecting professional is an employee, to his or her employer, of his or her intention to refuse to provide such health care services;

(2) the objecting health care professional or another health care professional within his or her practice or place of employment provides the patient with timely, accurate, and complete information about the patient's care options in a balanced and professional manner;

(3) the objecting health care professional or another health care professional within his or her practice or place of employment assists the patient in obtaining such care in a timely fashion; and

(4) where the objecting health care professional is an employee, the employer can accommodate the employee's objection without undue hardship.

(B) Violations of this Section shall be sanctioned under State licensing statutes by the appropriate State agency.

Section 40. Construction. This Act and the rules now or hereafter applicable thereto shall be liberally construed consistent with the public policies announced in this Act.

Section 45. The Critical Health Problems and Comprehensive Health Education Act is amended by changing Section 3 as follows:

(105 ILCS 110/3) (from Ch. 122, par. 863)

Sec. 3. Comprehensive Health Education Program. The program established under this Act shall include, but not be limited to, the following major educational areas as a basis for curricula in all elementary and secondary schools in this State: human ecology and health, human growth and development, the emotional, psychological, physiological, hygienic and social responsibilities of family life, including comprehensive sexual health education that complies with Section 30 of Reproductive Health and Access Act, sexual abstinence until marriage, prevention and control of disease, including instruction in grades 6 through 12 on the prevention, transmission and spread of AIDS, sexual assault awareness in secondary schools, public and environmental health, consumer health, safety education and disaster survival, mental health and illness, personal health habits, alcohol, drug use, and abuse including the medical and legal ramifications of alcohol, drug, and tobacco use, abuse during pregnancy, sexual abstinence until marriage, tobacco, nutrition, and dental health. The program shall also provide course material and instruction to advise pupils of the Abandoned Newborn Infant Protection Act. Notwithstanding the above educational areas, the following areas may also be included as a basis for curricula in all elementary and secondary schools in this State: basic first aid (including, but not limited to, cardiopulmonary resuscitation and the Heimlich maneuver), early prevention and detection of cancer, heart disease, diabetes, stroke, and the prevention of child abuse, neglect, and suicide.

The school board of each public elementary and secondary school in the State shall encourage all teachers and other school personnel to acquire, develop, and maintain the knowledge and skills necessary to properly administer life-saving techniques, including without limitation the Heimlich maneuver and rescue breathing. The training shall be in accordance with standards of the American Red Cross, the American Heart Association, or another nationally recognized certifying organization. A school board may use the services of non-governmental entities whose personnel have expertise in life-saving techniques to instruct teachers and other school personnel in these techniques. Each school board is encouraged to have in its employ, or on its volunteer staff, at least one person who is certified, by the American Red Cross or by another qualified certifying agency, as qualified to administer first aid and cardiopulmonary resuscitation. In addition, each school board is authorized to allocate appropriate portions of its institute or inservice days to conduct training programs for teachers and other school personnel who have expressed an interest in becoming qualified to administer emergency first aid or cardiopulmonary resuscitation. School boards are urged to encourage their teachers and other school personnel who coach school athletic programs and other extracurricular school activities to acquire, develop, and maintain the knowledge and skills necessary to properly administer first aid and cardiopulmonary resuscitation in accordance with standards and requirements established by the American Red Cross or another qualified certifying agency. Subject to appropriation, the State Board of Education shall establish and administer a matching grant program to pay for half of the cost that a school district incurs in training those teachers and other school personnel who express an interest in becoming qualified to administer cardiopulmonary resuscitation (which training must be in accordance with standards of the American Red Cross, the American Heart Association, or another nationally recognized certifying organization) or in learning how to use an automated external defibrillator. A school district that applies for a grant must demonstrate that it has funds to pay half of the cost of the training for which matching grant money is sought. The State Board of Education shall award the grants on a first-come, first-serve basis.

No pupil shall be required to take or participate in any class or course on AIDS or family life instruction if his parent or guardian submits written objection thereto, and refusal to take or participate in the course or program shall not be reason for suspension or expulsion of the pupil.

Curricula developed under programs established in accordance with this Act in the major educational area of alcohol and drug use and abuse shall include classroom instruction in grades 5 through 12. The instruction, which shall include matters relating to both the physical and legal effects and ramifications of drug and substance abuse, shall be integrated into existing curricula; and the State Board of Education shall develop and make available to all elementary and secondary schools in this State instructional materials and guidelines which will assist the schools in incorporating the instruction into their existing curricula. In addition, school districts may offer, as part of existing curricula during the school day or as part of an after school program, support services and instruction for pupils or pupils whose parent, parents, or guardians are chemically dependent.

(Source: P.A. 94-933, eff. 6-26-06; 95-43, eff. 1-1-08; 95-764, eff. 1-1-09; revised 9-5-08.)

Section 97. Severability. If any portion of this Act or any amendments thereto, or its applicability to any person or circumstance is held invalid by a court, the remainder of this Act or its applicability to other persons or circumstances shall not be affected.

Section 99. Effective date. This Act takes effect upon becoming law.".