Synopsis As Introduced Amends the Alternative Health Care Delivery Act. Provides that there shall be no more than 10 birth center alternative health care models in the demonstration program authorized under the Act. Sets forth requirements for the location of the centers and for services and standards of the centers. Requires the Department of Public Health to adopt rules for the operation and research protocols of birth centers. Makes other changes.
House Committee Amendment No. 1 Provides that a birth center shall be exclusively dedicated to serving the childbirth-related needs of women and their newborns. Provides that a birth center shall not be separately licensed if it is a part of a hospital or a freestanding facility that is operated under a license issued to a hospital under the Hospital Licensing Act. Provides that in adopting rules for birth centers, the Department of Public Health shall consider: the American Association of Birth Centers' Standards for Freestanding Birth Centers; the American Academy of Pediatrics/American College of Obstetricians and Gynecologists Guidelines for Perinatal Care; and the Regionalized Perinatal Health Care Code (instead of requiring the Department to adopt rules that establish standards equivalent to those of the American Association of Birth Centers' Standards for Freestanding Birth Centers). Makes changes in the provisions concerning the location of a birth center in relation to the performance of caesarian deliveries. Provides that no general anesthesia and no surgery may be performed at a birth center, and authorizes the Department to adopt rules adding birth center patient eligibility criteria or standards as it deems necessary. Sets forth information that must be reported by birth centers. Makes other changes.
House Floor Amendment No. 2 Replaces all of the amendatory provisions concerning the features of birth centers. Reinserts provisions substantially similar to those of the engrossed bill as amended by House Amendment No. 1, but with changes that include the following. Provides that the services of a medical director physician (instead of a collaborating physician) who is certified or eligible for certification by the American College of Obstetricians and Gynecologists (instead of by the American Board of Obstetrics and Gynecology) are required in birth centers. Provides that the medical director in consultation with the Director of Nursing and Midwifery Services shall coordinate the clinical staff and overall provision of patient care. Provides that the medical director and the Director of Nursing and Midwifery Services shall jointly develop and approve policies defining the criteria to determine which pregnancies are accepted as normal, uncomplicated, and low-risk, and the anesthesia services available at the center; provides that no general anesthesia may be administered at the center. Requires the presence at each birth center of a second staff person who is licensed or certified "in Illinois" in a health-related field. Makes other changes.