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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.)