Full Text of SB0015 95th General Assembly
SB0015enr 95TH GENERAL ASSEMBLY
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| AN ACT concerning public 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 1. Short title. This Act may be cited as the | 5 |
| Perinatal Mental Health Disorders Prevention and Treatment | 6 |
| Act. | 7 |
| Section 5. Findings and purposes. | 8 |
| (a) The General Assembly finds all of the following: | 9 |
| (1) Perinatal mental health disorders, commonly | 10 |
| referred to as "postpartum depression", include a wide | 11 |
| range of emotional, psychological, and physiological | 12 |
| reactions to childbirth, including feelings of | 13 |
| hopelessness, excessive guilt, sustained sadness, | 14 |
| inability to feel pleasure, low energy, sleep and appetite | 15 |
| disturbances, difficulty concentrating, and thoughts of | 16 |
| death or suicide, which challenge the stamina of a woman | 17 |
| during pregnancy or after childbirth, and impair her | 18 |
| ability to function and care for her child. | 19 |
| (2) Every year, more than 500,000 women experience the | 20 |
| anxiety, hopelessness, desolation, and fatigue of | 21 |
| perinatal mental health disorders during pregnancy, in the | 22 |
| early postpartum months, and into their child's first year | 23 |
| of life. |
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| (3) Women at highest risk for perinatal mental health | 2 |
| disorders can be those with previous mental health | 3 |
| disorders, such as depression, anxiety or panic disorder, | 4 |
| and those with a family member with a history of such | 5 |
| mental health disorders. However, perinatal mental health | 6 |
| disorders frequently strike without warning in women | 7 |
| without any past mental health disorders and with or | 8 |
| without any complications in pregnancy. | 9 |
| (4) Many women suffering from perinatal mental health | 10 |
| disorders require counseling and treatment, yet many do not | 11 |
| realize that they need help or are unable to find and | 12 |
| secure appropriate resources. | 13 |
| (5) In addition to the mother, the effects of perinatal | 14 |
| mental health disorders can also significantly impact the | 15 |
| infant, as well as the father, other children, and extended | 16 |
| family members. Perinatal mental health disorders can | 17 |
| affect the mother's ability to respond sensitively to her | 18 |
| infant's needs and can strain the family relationships. | 19 |
| (b) The purpose of this Act is: | 20 |
| (1) to provide information to women and their families | 21 |
| about perinatal mental health disorders in order to lower | 22 |
| the likelihood that new mothers will continue to suffer | 23 |
| from this illness in silence; | 24 |
| (2) to develop procedures for assessing women for | 25 |
| perinatal mental health disorders during prenatal and | 26 |
| postnatal visits to licensed health care professionals; |
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| and | 2 |
| (3) to promote early detection of perinatal mental | 3 |
| health disorders to promote early care and treatment and, | 4 |
| when medically appropriate, to avoid medication. | 5 |
| Section 10. Definitions. In this Act: | 6 |
| "Hospital" has the meaning given to that term in the | 7 |
| Hospital Licensing Act. | 8 |
| "Licensed health care professional" means a physician | 9 |
| licensed to practice medicine in all its branches, an advanced | 10 |
| practice nurse who has a collaborative agreement with a | 11 |
| collaborating physician that authorizes care, or a physician's | 12 |
| assistant who has been delegated authority to provide care. | 13 |
| "Postnatal care" means an office visit to a licensed health | 14 |
| care professional occurring after birth, with reference to the | 15 |
| infant or mother. | 16 |
| "Prenatal care" means an office visit to a licensed health | 17 |
| care professional for pregnancy-related care occurring before | 18 |
| birth. | 19 |
| "Questionnaire" means an assessment tool administered by a | 20 |
| licensed health care professional to detect perinatal mental | 21 |
| health disorders, such as the Edinburgh Postnatal Depression | 22 |
| Scale, the Postpartum Depression Screening Scale, the Beck | 23 |
| Depression Inventory, the Patient Health Questionnaire, or | 24 |
| other validated assessment methods. |
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| Section 15. Perinatal mental health disorders prevention | 2 |
| and treatment. The Department of Human Services, in conjunction | 3 |
| with the Department of Healthcare and Family Services, the | 4 |
| Department of Public Health, and the Department of Financial | 5 |
| and Professional Regulation and the Medical Licensing Board, | 6 |
| shall work with hospitals and licensed health care | 7 |
| professionals in this State to develop policies, procedures, | 8 |
| information, and educational materials to meet each of the | 9 |
| following requirements concerning perinatal mental health | 10 |
| disorders: | 11 |
| (1) Licensed health care professionals providing | 12 |
| prenatal care to women shall provide education to women | 13 |
| and, if possible and with permission, to their families | 14 |
| about perinatal mental health disorders in accordance with | 15 |
| the formal opinions and recommendations of the American | 16 |
| College of Obstetricians and Gynecologists. | 17 |
| (2) All hospitals that provide labor and delivery | 18 |
| services in the State shall provide new mothers, prior to | 19 |
| discharge following childbirth, and, if possible, shall | 20 |
| provide fathers and other family members with complete | 21 |
| information about perinatal mental health disorders, | 22 |
| including its symptoms, methods of coping with the illness, | 23 |
| and treatment resources. The Department of Human Services | 24 |
| shall provide written information that hospitals may use to | 25 |
| satisfy this subsection (2). | 26 |
| (3) Licensed health care professionals providing |
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| prenatal care at a prenatal visit shall invite each | 2 |
| pregnant patient to complete a questionnaire and shall | 3 |
| review the completed questionnaire in accordance with the | 4 |
| formal opinions and recommendations of the American | 5 |
| College of Obstetricians and Gynecologists. Assessment for | 6 |
| perinatal mental health disorders must be repeated when, in | 7 |
| the professional judgment of the licensed health care | 8 |
| professional, a reasonable possibility exists that the | 9 |
| woman suffers from perinatal mental health disorders.
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| (4) Licensed health care professionals providing | 11 |
| postnatal care to women shall invite each patient to | 12 |
| complete a questionnaire and shall review the completed | 13 |
| questionnaire in accordance with the formal opinions and | 14 |
| recommendations of the American College of Obstetricians | 15 |
| and Gynecologists. | 16 |
| (5) Licensed health care professionals providing | 17 |
| pediatric care to an infant shall invite the infant's | 18 |
| mother to complete a questionnaire at any well-baby | 19 |
| check-up at which the mother is present prior to the | 20 |
| infant's first birthday, and shall review the completed | 21 |
| questionnaire in accordance with the formal opinions and | 22 |
| recommendations of the American College of Obstetricians | 23 |
| and Gynecologists, in order to ensure that the health and | 24 |
| well-being of the infant are not compromised by an | 25 |
| undiagnosed perinatal mental health disorder in the | 26 |
| mother. In order to share results from an assessment with |
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| the mother's primary licensed health care professional, | 2 |
| consent should be obtained from the mother in accordance | 3 |
| with the Illinois Health Insurance Portability and | 4 |
| Accountability Act. If the mother is determined to present | 5 |
| an acute danger to herself or someone else, consent is not | 6 |
| required.
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