State of Illinois
90th General Assembly
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90_SB0834

      New Act
      775 ILCS 5/1-103          from Ch. 68, par. 1-103
          Creates the HIV Pregnancy Screening  Act.  Provides  that
      health  care providers caring for pregnant women must provide
      information and counseling regarding HIV, the  advantages  of
      being  tested as soon as possible in the course of pregnancy,
      and the reduced rate of transmission of HIV to the newborn if
      the woman receives treatment during pregnancy.    Gives  each
      woman  the  right  to  consent  to or refuse testing for HIV.
      Provides that HIV testing is confidential, may be  anonymous,
      and  that the woman's care will not be altered because of her
      decision regarding testing. Directs health care providers  to
      arrange  HIV  testing  as  early  as  possible  for  pregnant
      patients  who  consent.  Requires the health care provider to
      document that material was distributed  and  whether  consent
      for  HIV testing was obtained or refused. Requires counseling
      and information and the opportunity for testing for women who
      present for delivery without having  been  tested.  Specifies
      procedures  at  the  time  of  communicating  a positive test
      result  to  a  pregnant  woman  or  new   mother.    Requires
      counselors   to  assist  women  in  obtaining  access  to  an
      appropriate comprehensive clinical  care  facility.  Requires
      reporting  to  the  Illinois  Department of Public Health and
      directs  the  Department  to  publish  reports  and   provide
      guidelines  and information. Amends the Illinois Human Rights
      Act. Specifically includes human immunodeficiency virus as  a
      disease  from  which  a number of conditions may result which
      meet the definition of "handicap" under the Act.
                                                     LRB9003342SMdv
                                               LRB9003342SMdv
 1        AN ACT concerning human immunodeficiency virus.
 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:
 4        Section  1.   Short  title.  This Act may be cited as the
 5    HIV Pregnancy Screening Act.
 6        Section 5.  Purpose.  The  purpose  of  this  Act  is  to
 7    require  all  providers  of  health  care services to counsel
 8    pregnant women  and  make  testing  available  to  those  who
 9    consent,  except  in  cases  where  women refuse testing, for
10    human immunodeficiency virus (HIV), to provide counseling for
11    those women who test positive, and to  facilitate  access  to
12    comprehensive clinical services.
13        Section 10. Testing and counseling.
14        (a)  A provider of health care services to pregnant women
15    shall  counsel  each  pregnant  woman  in his or her care, as
16    early as possible  in  the  course  of  the  pregnancy,  with
17    written   material   or   videos  that  explain  and  provide
18    information on:
19             (1)  The nature of the human immunodeficiency  virus
20        (HIV).
21             (2)  The  methods  by  which  HIV  infection  can be
22        transmitted and prevented.
23             (3)  The  advantages  of  being   tested   for   HIV
24        infection  as  early  as  possible  in  the course of the
25        pregnancy.
26             (4)  The medical treatment available  to  treat  HIV
27        infection if diagnosed.
28             (5)  The  reduced rate of transmission of HIV to the
29        newborn  if  an  HIV-infected  pregnant  woman   receives
30        treatment for the HIV infection during pregnancy.
                            -2-                LRB9003342SMdv
 1             (6)  The reliability of tests for HIV infection.
 2             (7)  The  confidentiality  of  test  results and the
 3        woman's right to refuse HIV testing, the availability  of
 4        anonymous  testing,  and assurance that her care will not
 5        be altered by her decision.
 6        (b)  A health care  provider  shall  test  or  refer  for
 7    testing  each  pregnant  woman  under  his  or  her  care who
 8    consents to testing for HIV  as  early  as  possible  in  the
 9    course of the pregnancy, after having received the counseling
10    and information specified in subsection (a).
11        (c)  The  provider  shall  document in the medical record
12    that written or video material was  distributed  and  whether
13    the  form  indicating  consent  or refusal of HIV testing was
14    obtained.
15        (d)  A pregnant woman who presents for delivery  and  who
16    has  not  been  tested  for  HIV  during  the  course  of the
17    pregnancy shall  be  given  the  counseling  and  information
18    specified  in  subsection  (a)  as  soon  as may be medically
19    appropriate and be given the opportunity to be  tested  after
20    receiving that counseling and information.
21        (e)  All  HIV  testing  performed under this Act shall be
22    done in a confidential manner.  The results  of  the  testing
23    shall   be   disclosed   only   as   provided   in  the  AIDS
24    Confidentiality Act.
25        (f)  After receiving a positive HIV test  result  from  a
26    testing  laboratory,  the  health care provider shall counsel
27    the pregnant woman or new mother or arrange for  a  counselor
28    who is competent in counseling pregnant women and new mothers
29    with  HIV  infection.  The  counselor  shall  (1) explain the
30    meaning  and  reliability  of  the  test  results   and   the
31    availability   of  additional  or  confirmatory  testing,  if
32    appropriate; (2) initiate  supportive  intervention  for  the
33    affected  woman;  (3) counsel the woman to obtain appropriate
34    medical  treatment  for  herself  and  her  baby  to  prevent
                            -3-                LRB9003342SMdv
 1    progression  of  illness  in  the  mother  and   reduce   the
 2    possibility  of  transmission  of  HIV  to her child; and (4)
 3    assist the woman  in  obtaining  access  to  a  comprehensive
 4    clinical care facility that can meet her needs.
 5        Section 15. Statistical reports; IDPH guidelines.
 6        (a)  Each  health  care  provider  having  pregnant women
 7    under his or her care shall report to the Illinois Department
 8    of Public Health on a monthly basis the total number of women
 9    under his or her care who were tested for HIV  under  Section
10    10  and  the total number of those women who tested positive.
11    The  reports  shall  be  made  on  forms  prescribed  by  the
12    Department.
13        Each month the Department shall compile the  reports  and
14    publish the total number of women tested and the total number
15    of  women  testing  positive  in  the  previous month for the
16    entire State, and for each county.
17        (b)  The Illinois Department of Public Health shall  make
18    available   to  all  health  care  providers  in  this  State
19    guidelines and information regarding the recommended  content
20    of  the  written  materials, the consent form, and counseling
21    referred to in this Act.
22        Section 90. The Illinois Human Rights Act is  amended  by
23    changing Section 1-103 as follows:
24        (775 ILCS 5/1-103) (from Ch. 68, par. 1-103)
25        Sec.  1-103.  General Definitions. When used in this Act,
26    unless the context requires otherwise, the term:
27        (A)  Age.  "Age" means the chronological age of a  person
28    who  is  at  least  40  years  old, except with regard to any
29    practice described in Section 2-102, insofar as that practice
30    concerns training or apprenticeship programs. In the case  of
31    training  or  apprenticeship  programs,  for  the purposes of
                            -4-                LRB9003342SMdv
 1    Section 2-102, "age" means the chronological age of a  person
 2    who is 18 but not yet 40 years old.
 3        (B)  Aggrieved  Party.  "Aggrieved  party" means a person
 4    who is alleged or proved to have  been  injured  by  a  civil
 5    rights  violation  or believes he or she will be injured by a
 6    civil rights violation under  Article  3  that  is  about  to
 7    occur.
 8        (C)  Charge.  "Charge" means an allegation filed with the
 9    Department  by  an  aggrieved  party  or  initiated  by   the
10    Department under its authority.
11        (D)  Civil  Rights  Violation.  "Civil  rights violation"
12    includes and shall be limited to only those specific acts set
13    forth in Sections 2-102, 2-103, 2-105, 3-102,  3-103,  3-104,
14    3-104.1, 3-105, 4-102, 4-103, 5-102, 5A-102 and 6-101 of this
15    Act.
16        (E)  Commission.  "Commission"  means  the  Human  Rights
17    Commission created by this Act.
18        (F)  Complaint.  "Complaint"  means  the  formal pleading
19    filed by the Department  with  the  Commission  following  an
20    investigation  and finding of substantial evidence of a civil
21    rights violation.
22        (G)  Complainant. "Complainant" means a person  including
23    the  Department  who files a charge of civil rights violation
24    with the Department or the Commission.
25        (H)  Department. "Department"  means  the  Department  of
26    Human Rights created by this Act.
27        (I)  Handicap.  "Handicap"  means a determinable physical
28    or mental characteristic of  a  person,  including,  but  not
29    limited  to,  a  determinable  physical  characteristic which
30    necessitates the person's use of a guide, hearing or  support
31    dog, the history of such characteristic, or the perception of
32    such  characteristic  by the person complained against, which
33    may result from  disease,  including  human  immunodeficiency
34    virus,    injury, congenital condition of birth or functional
                            -5-                LRB9003342SMdv
 1    disorder and which characteristic:
 2             (1)  For purposes of Article 2 is unrelated  to  the
 3        person's  ability  to  perform the duties of a particular
 4        job or position and, pursuant to Section  2-104  of  this
 5        Act,  a person's illegal use of drugs or alcohol is not a
 6        handicap;
 7             (2)  For purposes of Article 3, is unrelated to  the
 8        person's  ability  to acquire, rent or maintain a housing
 9        accommodation;
10             (3)  For purposes of Article 4, is  unrelated  to  a
11        person's ability to repay;
12             (4)  For  purposes  of  Article 5, is unrelated to a
13        person's ability to utilize and benefit from a  place  of
14        public accommodation.
15        (J)  Marital  Status.  "Marital  status"  means the legal
16    status of  being  married,  single,  separated,  divorced  or
17    widowed.
18        (J-1)  Military   Status.    "Military  status"  means  a
19    person's status on active duty in the  armed  forces  of  the
20    United States.
21        (K)  National  Origin.  "National origin" means the place
22    in which a person or one of his or her ancestors was born.
23        (L)  Person. "Person" includes one or  more  individuals,
24    partnerships,    associations    or    organizations,   labor
25    organizations, labor unions, joint apprenticeship committees,
26    or union  labor  associations,  corporations,  the  State  of
27    Illinois  and  its instrumentalities, political subdivisions,
28    units of local government, legal representatives, trustees in
29    bankruptcy or receivers.
30        (M)  Public Contract. "Public  contract"  includes  every
31    contract   to   which   the   State,  any  of  its  political
32    subdivisions or any municipal corporation is a party.
33        (N)  Religion.  "Religion"  includes   all   aspects   of
34    religious  observance and practice, as well as belief, except
                            -6-                LRB9003342SMdv
 1    that with respect to employers, for the purposes  of  Article
 2    2, "religion" has the meaning ascribed to it in paragraph (F)
 3    of Section 2-101.
 4        (O)  Sex. "Sex" means the status of being male or female.
 5        (P)  Unfavorable    Military    Discharge.   "Unfavorable
 6    military discharge" includes discharges from the Armed Forces
 7    of  the  United  States,  their  Reserve  components  or  any
 8    National Guard or Naval Militia which are classified as  RE-3
 9    or  the  equivalent  thereof,  but  does  not  include  those
10    characterized as RE-4 or "Dishonorable".
11        (Q)  Unlawful  Discrimination.  "Unlawful discrimination"
12    means discrimination against a person because of his  or  her
13    race,  color,  religion, national origin, ancestry, age, sex,
14    marital status, handicap,  military  status,  or  unfavorable
15    discharge from military service as those terms are defined in
16    this Section.
17    (Source: P.A. 88-178; 88-180; 88-670, eff. 12-2-94.)

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