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Illinois General Assembly· HB 4606Governor Approved

DHS-NEWBORN HOME VISITING, the official text

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HB4606 Enrolled                     LRB104 17639 KTG 31070 b

1   AN ACT concerning State government.

2   Be it enacted by the People of the State of Illinois,

3 represented in the General Assembly:

4   Section 5. The Department of Human Services Act is amended

5 by adding Section 10-85 as follows:

6   (20 ILCS 1305/10-85 new)

7   Sec. 10-85. Short-term Universal Newborn Home Visiting

8 Services.

9   (a) The General Assembly finds all of the following:

10  (1) The weeks following birth are a critical period

11  for the person who has given birth, the newborn infant,

12  and the entire family, setting the stage for long-term

13  health and well-being.

14  (2) Families may struggle to navigate and access early

15  childhood, health and mental health, and other support

16  service networks in the early postpartum period, and

17  targeted services and supports may fail to identify

18  families who do not present with risk factors.

19  (3) Research also indicates that postpartum education

20  and care leads to lower rates of morbidity and mortality

21  in persons who have given birth, as many of the risk

22  factors for post-delivery complications, such as

23  hemorrhaging or a pulmonary embolism, may not be
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1   identifiable before a person who has given birth is

2   discharged following the birth. Research also indicates

3   that parenting education on health risks for newborns,

4   including substance use, lactation, safe sleep, and other

5   topics, leads to lower infant mortality and morbidity.

6   (4) Illinois communities have invested in and are

7   already implementing short-term universal newborn home

8   visiting services, including Stephenson, Peoria,

9   Winnebago, and Macon counties, and the city of Chicago,

10  and have demonstrated positive outcomes for the physical,

11  mental, and social well-being of newborns and the parents

12  or caregivers of newborns.

13  (5) The 2018 Illinois Maternal Morbidity and Mortality

14  Report from the Department of Public Health recommended

15  that the State expand efforts to provide short-term

16  universal home visiting to all mothers within 3 weeks of

17  giving birth.

18  (6) In October 2021, the Department of Human Services

19  received an Early Childhood Comprehensive Services grant

20  from the federal Health Resources and Services

21  Administration to investigate ways to enhance the

22  prenatal-to-age 3 statewide maternal and early childhood

23  system of care by establishing a Universal Newborn Support

24  System that better connects families to programs and

25  services.

26  (7) Short-term universal newborn home visiting
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1   services are a covered Medicaid benefit under the approved

2   State Plan Amendment.

3   (8) While no unified State system exists, local

4   communities are already implementing universal newborn

5   home visiting services with some combination of local,

6   State, federal, and philanthropic funding, and current

7   programs, future programs, and the State would benefit

8   from the cohesion and guidance generated by a statewide

9   vision and supported by a permanent agency administrative

10  home and related infrastructure.

11  (b) The purpose of this Section is to authorize the

12 Department of Human Services to identify, develop, and manage

13 the administrative infrastructure needed to support existing

14 and future short-term universal newborn home visiting

15 services. In carrying out this work, the Department may

16 consider the recommendations contained in the Early Childhood

17 Comprehensive Services grant report when adopting rules to

18 support implementation.

19  (c) By January 1, 2028, the Department may do the

20 following:

21  (1) Create and maintain a list of the voluntary

22  universal newborn home visiting models that align with the

23  State's priorities for approach and outcomes and that may

24  inform future local implementation or support existing

25  State grants. Any universal newborn home visiting model

26  included on the list must:
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1   (A) Be validated by evidence demonstrating

2   effectiveness in promoting the physical, mental, and

3   social well-being of newborn infants and the parents

4   or caregivers of newborn infants.

5   (B) Include an evidence-based assessment of the

6   physical, social, and emotional factors affecting the

7   family and newborn infant, including a health and

8   wellness check of the newborn infant, an assessment of

9   the physical and mental health of a person who has

10  given birth, lactation support as needed, and

11  screening for social determinants or drivers of health

12  and perinatal mood and anxiety disorders using

13  validated tools.

14  (C) Provide information, referrals, and

15  connections to community resources, early childhood

16  services,        family  supports,  community-based

17  organizations, social service agencies, and medically

18  necessary follow-up health care.

19  (D) Offer at least one visit within the first 3

20  weeks after the newborn's discharge from the birth

21  hospital with up to 2 follow-up visits as determined

22  by clinical judgment.

23  (E) Be voluntary and offered at no cost to each

24  family with a newborn infant that resides in the

25  participating community. For purposes of this Section,

26  the family of a newborn infant includes biological
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1   parents, foster and adoptive parents, kinship

2   caregivers, and parents who have recently experienced

3   a stillbirth.

4   (F) Impose no adverse consequences on families who

5   decline to receive services or participate in the

6   program.

7   (2) Coordinate with relevant State agencies to support

8   implementation of State-administered funding for local

9   programs; request, collect, and report available data from

10  universal newborn home visiting implementers and develop

11  recommendations for future data collection and data

12  infrastructure; and develop criteria for prioritizing

13  future State funding, including the identification of

14  communities for potential implementation.

15  (3) Consult, coordinate, and collaborate with relevant

16  stakeholders when designing the infrastructure to support

17  universal newborn home visiting services, including early

18  childhood home visiting programs, community-based

19  organizations, social service providers, maternal and

20  child health stakeholders, hospitals, birth centers, local

21  public health authorities, insurance carriers, and other

22  State agencies.

23  (d) Funds received under this Section shall supplement,

24 and not supplant, existing or new federal, State, or local

25 funding for these services.

26  (e) The Department may adopt any rules necessary to
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1 implement this Section.

2  Section 99. Effective date. This Act takes effect July 1,

3 2027.
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