Full Text of SB0264 95th General Assembly
SB0264ham001 95TH GENERAL ASSEMBLY
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Human Services Committee
Adopted in House Comm. on May 08, 2007
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09500SB0264ham001 |
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LRB095 03976 DRJ 35965 a |
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| AMENDMENT TO SENATE BILL 264
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| AMENDMENT NO. ______. Amend Senate Bill 264 on page 16, | 3 |
| line 1, after " center ", by inserting " shall be exclusively | 4 |
| dedicated to serving the childbirth-related needs of women and | 5 |
| their newborns and "; and
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| by replacing lines 8 through 26 on page 16 and lines 1 through | 7 |
| 4 on page 17 with the following: | 8 |
| " the community. | 9 |
| (A) A birth center shall not be separately licensed | 10 |
| if it
is one of the following: | 11 |
| (1) A part of a hospital; or | 12 |
| (2) A freestanding facility that is physically
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| distinct from a hospital but is operated under a
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| license issued to a hospital under the Hospital
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| Licensing Act. | 16 |
| (B) A separate birth center license shall be | 17 |
| required if the birth center is operated as: |
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LRB095 03976 DRJ 35965 a |
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| (1) A part of the operation of a federally
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| qualified health center as designated by the | 3 |
| United
States Department of Health and Human | 4 |
| Services; or | 5 |
| (2) A facility other than one described in | 6 |
| subparagraph (A)(1), (A)(2), or (B)(1) of this | 7 |
| paragraph (6) whose costs are
reimbursable under | 8 |
| Title XIX of the federal Social
Security Act. | 9 |
| In adopting rules for birth centers, the Department | 10 |
| shall consider:
the American Association
of Birth Centers' | 11 |
| Standards for Freestanding Birth Centers; the American | 12 |
| Academy of Pediatrics/American College of Obstetricians | 13 |
| and Gynecologists Guidelines for Perinatal Care; and the | 14 |
| Regionalized Perinatal Health Care Code. The Department's | 15 |
| rules shall stipulate the eligibility criteria for birth | 16 |
| center admission. The Department's rules shall
stipulate | 17 |
| the necessary equipment for emergency care
according to the | 18 |
| American Association of Birth Centers'
standards and any | 19 |
| additional equipment deemed necessary by the Department. | 20 |
| The Department's rules shall provide for a time
period | 21 |
| within which each birth center not part of a
hospital must | 22 |
| become accredited by either the Commission for the
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| Accreditation of Freestanding Birth Centers or the Joint | 24 |
| Commission. "; and | 25 |
| on page 17, by replacing lines 13 through 24 with the |
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LRB095 03976 DRJ 35965 a |
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| following: | 2 |
| " A birth center that is not operated under a hospital | 3 |
| license shall be located within a ground travel time | 4 |
| distance from the general acute care hospital with which
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| the birth center maintains a contractual relationship,
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| including a transfer agreement, as required under this
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| paragraph, that allows for an emergency caesarian delivery | 8 |
| to be started within 30 minutes of the decision a caesarian | 9 |
| delivery is necessary. A birth center operating under a | 10 |
| hospital license shall be located within a ground travel | 11 |
| time distance from the licensed hospital that allows for an | 12 |
| emergency caesarian delivery to be started within 30 | 13 |
| minutes of the decision a caesarian delivery is necessary. | 14 |
| The services of a collaborating physician, licensed to | 15 |
| practice medicine in all its branches, who is certified "; | 16 |
| and | 17 |
| on page 18, by replacing lines 7 through 9 with the following: | 18 |
| " who has hospital obstetrical privileges. A physician on | 19 |
| the clinical staff or a collaborating
physician shall be | 20 |
| available either on the premises or by
phone, and in | 21 |
| collaboration with the Director of Nursing for Midwifery | 22 |
| Services shall develop policies defining the criteria to | 23 |
| determine both which pregnancies are accepted as normal, | 24 |
| uncomplicated, and low-risk, and the anesthesia services | 25 |
| available at the center. "; and |
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| on page 18, line 21, after " who is ", by inserting " licensed or | 2 |
| certified in a health-related field and "; and | 3 |
| on page 19, after line 16, by inserting the following: | 4 |
| " No general anesthesia and no surgery may be performed | 5 |
| at a birth center.
The Department may by rule add birth | 6 |
| center patient eligibility criteria or standards as it | 7 |
| deems necessary.
The Department shall by rule require each | 8 |
| birth center to report the information which the Department | 9 |
| shall make publicly available, which shall include, but is | 10 |
| not limited to, the following: | 11 |
| (i) Birth center ownership. | 12 |
| (ii) Sources of payment for services. | 13 |
| (iii) Utilization data involving patient length of | 14 |
| stay. | 15 |
| (iv) Admissions and discharges. | 16 |
| (v) Complications. | 17 |
| (vi) Transfers. | 18 |
| (vii) Unusual incidents. | 19 |
| (viii) Deaths. | 20 |
| (xi) Any other publicly reported data required | 21 |
| under the Illinois Consumer Guide. | 22 |
| (x) Post-discharge patient status data where | 23 |
| patients are followed for 14 days after discharge from | 24 |
| the birth center to determine whether the mother or |
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| baby developed a complication or infection. "; and | 2 |
| on page 19, by replacing lines 19 through 21 with the | 3 |
| following: | 4 |
| " shall adopt rules that are developed with consideration | 5 |
| of: the American Association of Birth Centers' Standards | 6 |
| for Freestanding Birth Centers; the American Academy of | 7 |
| Pediatrics/American College of Obstetricians and | 8 |
| Gynecologists Guidelines for Perinatal Care; and the | 9 |
| Regionalized Perinatal Health Care Code. ".
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