Illinois General Assembly - Full Text of SB0264
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Full Text of SB0264  95th General Assembly


Human Services Committee

Adopted in House Comm. on May 08, 2007





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2     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
6 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
13             distinct from a hospital but is operated under a
14             license issued to a hospital under the Hospital
15             Licensing Act.
16             (B) A separate birth center license shall be
17         required if the birth center is operated as:



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1                 (1) A part of the operation of a federally
2             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
23     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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1 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
5     the birth center maintains a contractual relationship,
6     including a transfer agreement, as required under this
7     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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1 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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1         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.".