Illinois General Assembly - Full Text of HB2661
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Full Text of HB2661  98th General Assembly

HB2661eng 98TH GENERAL ASSEMBLY

  
  
  

 


 
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1    AN ACT concerning health facilities.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Alternative Health Care Delivery Act is
5amended by adding Section 85 as follows:
 
6    (210 ILCS 3/85 new)
7    Sec. 85. Newborn screening; critical congenital heart
8defects.
9    (a) The General Assembly finds as follows:
10        (1) Congenital heart defects (CHDs) are structural
11    abnormalities of the heart that are present at birth. CHDs
12    range in severity from simple problems such as holes
13    between chambers of the heart to severe malformations, such
14    as the complete absence of one or more chambers or valves.
15    Some critical CHDs can cause severe and life-threatening
16    symptoms that require intervention within the first days of
17    life.
18        (2) According to the United States Secretary of Health
19    and Human Services' Advisory Committee on Heritable
20    Disorders in Newborns and Children, congenital heart
21    disease affects approximately 7 to 9 of every 1,000 live
22    births in the United States and Europe. The federal Centers
23    for Disease Control and Prevention states that CHD is the

 

 

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1    leading cause of infant death due to birth defects.
2        (3) Current methods for detecting CHDs generally
3    include prenatal ultrasound screening and repeated
4    clinical examinations. While prenatal ultrasound
5    screenings can detect some major congenital heart defects,
6    these screenings, alone, identify less than half of all CHD
7    cases, and critical CHD cases are often missed during
8    routine clinical exams performed prior to a newborn's
9    discharge from a birthing facility.
10        (4) Pulse oximetry is a non-invasive test that
11    estimates the percentage of hemoglobin in blood that is
12    saturated with oxygen. When performed on a newborn within a
13    minimum of 24 hours after birth, pulse oximetry screening
14    is often more effective at detecting critical,
15    life-threatening CHDs that otherwise go undetected by
16    current screening methods. Newborns with abnormal pulse
17    oximetry results require immediate confirmatory testing
18    and intervention.
19        (5) Many newborn lives could potentially be saved by
20    earlier detection and treatment of CHDs if birthing
21    facilities in the State were required to perform this
22    simple, non-invasive newborn screening in conjunction with
23    current CHD screening methods.
24    (b) All birth centers must test every newborn for critical
25congenital heart defects via a screening test in line with the
26current standard of care, such as pulse oximetry screening,

 

 

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1according to critical congenital heart defect screening
2protocols developed by the Department of Public Health in
3consultation with relevant medical practitioners and
4stakeholders.
5    (c) Exceptions to mandatory critical congenital heart
6defect screenings shall be limited to cases in which the
7parents object to the screening, or as directed by the critical
8congenital heart defect screening protocol.
 
9    Section 10. The Hospital Licensing Act is amended by adding
10Section 17 as follows:
 
11    (210 ILCS 85/17 new)
12    Sec. 17. Newborn screening; critical congenital heart
13defects.
14    (a) The General Assembly finds as follows:
15        (1) Congenital heart defects (CHDs) are structural
16    abnormalities of the heart that are present at birth. CHDs
17    range in severity from simple problems such as holes
18    between chambers of the heart to severe malformations, such
19    as the complete absence of one or more chambers or valves.
20    Some critical CHDs can cause severe and life-threatening
21    symptoms that require intervention within the first days of
22    life.
23        (2) According to the United States Secretary of Health
24    and Human Services' Advisory Committee on Heritable

 

 

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1    Disorders in Newborns and Children, congenital heart
2    disease affects approximately 7 to 9 of every 1,000 live
3    births in the United States and Europe. The federal Centers
4    for Disease Control and Prevention states that CHD is the
5    leading cause of infant death due to birth defects.
6        (3) Current methods for detecting CHDs generally
7    include prenatal ultrasound screening and repeated
8    clinical examinations. While prenatal ultrasound
9    screenings can detect some major congenital heart defects,
10    these screenings, alone, identify less than half of all CHD
11    cases, and critical CHD cases are often missed during
12    routine clinical exams performed prior to a newborn's
13    discharge from a birthing facility.
14        (4) Pulse oximetry is a non-invasive test that
15    estimates the percentage of hemoglobin in blood that is
16    saturated with oxygen. When performed on a newborn within a
17    minimum of 24 hours after birth, pulse oximetry screening
18    is often more effective at detecting critical,
19    life-threatening CHDs that otherwise go undetected by
20    current screening methods. Newborns with abnormal pulse
21    oximetry results require immediate confirmatory testing
22    and intervention.
23        (5) Many newborn lives could potentially be saved by
24    earlier detection and treatment of CHDs if birthing
25    facilities in the State were required to perform this
26    simple, non-invasive newborn screening in conjunction with

 

 

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1    current CHD screening methods.
2    (b) All birthing hospitals must test every newborn for
3critical congenital heart defects via a screening test in line
4with the current standard of care, such as pulse oximetry
5screening, according to critical congenital heart defect
6screening protocols developed by the Department of Public
7Health in consultation with relevant medical practitioners and
8stakeholders.
9    (c) Exceptions to mandatory critical congenital heart
10defect screenings shall be limited to cases in which the
11parents object to the screening, or as directed by the critical
12congenital heart defect screening protocol.