Full Text of SB3273 96th General Assembly
SB3273enr 96TH GENERAL ASSEMBLY
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| AN ACT concerning health.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Prenatal and Newborn Care Act is amended by | 5 |
| adding Sections 8 and 9 as follows: | 6 |
| (410 ILCS 225/8 new) | 7 |
| Sec. 8. Educational information on risks and healthcare | 8 |
| needs of premature infants. | 9 |
| (a) It is the purpose of this Section to: | 10 |
| (1) improve healthcare quality and outcomes for | 11 |
| infants born preterm through enhanced hospital discharge, | 12 |
| follow-up care, and management processes and reduced | 13 |
| rehospitalization from infectious disease and other | 14 |
| complications; and | 15 |
| (2) reduce infant morbidity and mortality associated | 16 |
| with prematurity. | 17 |
| (b) The General Assembly finds the following: | 18 |
| (1) Infants born premature at less than 37 weeks | 19 |
| gestational age have greater morbidity and mortality than | 20 |
| full-term infants. | 21 |
| (2) In 2006, 12.8% of all births in the United States | 22 |
| were premature, accounting for more than 542,000 infants. | 23 |
| (3) In Illinois, 1 in 8 babies were born premature in |
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| 2006, or 13.3% of live births, accounting for 23,955 | 2 |
| premature births. | 3 |
| (4) Between 1996 and 2006, the rate of infants born | 4 |
| premature in Illinois increased nearly 15%. | 5 |
| (5) The rate of premature birth in Illinois is highest | 6 |
| in African American infants, 19.3%, followed by Native | 7 |
| Americans, 15.6%, Hispanics, 12.1%, and Caucasians, 11.9%. | 8 |
| (6) Approximately 70% of premature births occur in the | 9 |
| late preterm period between 34 and 36 weeks of gestation, | 10 |
| and late-preterm babies have significant differences in | 11 |
| clinical outcomes than full-term infants, including | 12 |
| greater risk for temperature instability, hypoglycemia, | 13 |
| respiratory distress, and jaundice. | 14 |
| (7) In 2005, preterm birth cost the United States at | 15 |
| least $26.2 billion, or $51,600 for every infant born | 16 |
| prematurely. | 17 |
| (8) Medical costs for premature babies are greater than | 18 |
| they are for healthy newborns. In 2007, the average medical | 19 |
| costs for a preterm baby were more than 10 times as high as | 20 |
| they were for a healthy full-term baby. The costs for a | 21 |
| healthy baby from birth to his first birthday were $4,551. | 22 |
| For a pre-term baby, the costs were $49,033. | 23 |
| (9) The costs of premature birth in Illinois may be | 24 |
| significant because the State Medicaid Program paid for 40% | 25 |
| of all births in 2003. | 26 |
| (10) Premature infant standard of care practices of |
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| clinicians and hospitals may vary across the State, | 2 |
| particularly for late preterm births. | 3 |
| (c) The Department of Public Health shall publish on its | 4 |
| website information about the possible health complications | 5 |
| associated with newborn infants who are born premature at less | 6 |
| than 37 weeks gestational age and the proper care and support | 7 |
| for these newborn infants. The written information shall, at a | 8 |
| minimum, include the following: | 9 |
| (1) The unique health issues affecting infants born | 10 |
| premature, such as increased risk of developmental | 11 |
| problems; nutritional challenges; infection; chronic lung | 12 |
| disease (bronchopulmonary dysplasia); vision and hearing | 13 |
| impairment; breathing problems; feeding; maintaining body | 14 |
| temperature; jaundice; hyperactivity; infant mortality as | 15 |
| well as long-term complications associated with growth and | 16 |
| nutrition; respiratory problems; fine motor skills; | 17 |
| reading; and speaking. | 18 |
| (2) The proper care needs of premature infants, | 19 |
| developmental screenings, and monitoring and healthcare | 20 |
| services available to premature infants through the | 21 |
| Medicaid program or other public or private health | 22 |
| programs. | 23 |
| (3) Methods, vaccines, and other preventative measures | 24 |
| to protect premature infants from infectious diseases, | 25 |
| including viral respiratory infections. | 26 |
| (4) The emotional and financial burdens and other |
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| challenges that parents and family members of premature | 2 |
| infants experience and information about community | 3 |
| resources available to support them. | 4 |
| (d) The information shall be easily accessible and written | 5 |
| in clear language to educate parents of premature infants | 6 |
| across a variety of socioeconomic statuses. | 7 |
| (e) In determining what information is most beneficial to | 8 |
| the public, the Department may consult with pediatric | 9 |
| healthcare providers, community organizations, or other | 10 |
| experts as the Department deems necessary. | 11 |
| (f) The Department shall ensure that the information is | 12 |
| accessible to children's health providers, maternal care | 13 |
| providers, hospitals, public health departments, and medical | 14 |
| organizations. The Department shall encourage those | 15 |
| organizations to provide the publications to parents or | 16 |
| guardians of premature infants. | 17 |
| (410 ILCS 225/9 new) | 18 |
| Sec. 9. The Illinois Department of Healthcare and Family | 19 |
| Services; consultation; data reporting. | 20 |
| (a) The Illinois Department of Healthcare and Family | 21 |
| Services, which administers the Illinois Medicaid Program and | 22 |
| the Covering ALL KIDS Health Insurance Program, shall consult | 23 |
| with statewide organizations focused on premature infant | 24 |
| healthcare in order to: | 25 |
| (1) examine and improve hospital discharge and |
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| follow-up care procedures for premature infants born | 2 |
| earlier than 37 weeks gestational age to ensure | 3 |
| standardized and coordinated processes are followed as | 4 |
| premature infants leave the hospital from either a Level 1 | 5 |
| (well baby nursery), Level 2 (step down or transitional | 6 |
| nursery), or Level 3 (neonatal intensive care unit) unit | 7 |
| and transition to follow-up care by a health care provider | 8 |
| in the community; and | 9 |
| (2) use guidance from the Centers for Medicare and | 10 |
| Medicaid Services' Neonatal Outcome Improvement Project to | 11 |
| implement programs to improve newborn outcome, reduce | 12 |
| newborn health costs, and establish ongoing quality | 13 |
| improvement for newborns. | 14 |
| (b) In consultation with statewide organizations | 15 |
| representing hospitals, the Department of Public Health shall | 16 |
| consider mechanisms to collect discharge data for purposes of | 17 |
| analyzing readmission rates of certain premature infants.
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| Section 99. Effective date. This Act takes effect upon | 19 |
| becoming law.
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