Human Services Committee
Adopted in House Comm. on May 08, 2007
 
 

 




 

 		












09500SB0264ham001

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AMENDMENT TO SENATE BILL 264




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    AMENDMENT NO. ______. Amend Senate Bill 264 on page 16, 
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line 1, after "center", by inserting "shall be exclusively 
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dedicated to serving the    childbirth-related needs of women and 
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their newborns and"; and

 
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by replacing lines 8 through 26 on page 16 and lines 1 through 
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4 on page 17 with the following:
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    "the community.
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            (A) A birth center shall not be separately licensed 
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        if it
      is one of the following:
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                (1) A part of a hospital; or
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                (2) A freestanding facility that is physically
      
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            distinct from a hospital but is operated under a
      
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            license issued to a hospital under the Hospital
      
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            Licensing Act.
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            (B) A separate birth center license shall be 
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        required if the birth center is operated as:
 


 






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                (1) A part of the operation of a federally
      
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            qualified health center as designated by the 
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            United
      States Department of Health and Human 
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            Services; or
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                (2) A facility other than one described in 
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            subparagraph (A)(1), (A)(2), or (B)(1)  of this 
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            paragraph (6) whose costs are
      reimbursable under 
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            Title XIX of the federal Social
      Security Act.
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        In adopting rules for birth centers, the Department 
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    shall consider:
      the American Association
      of Birth Centers' 
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    Standards for Freestanding Birth Centers; the American 
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    Academy of Pediatrics/American College of Obstetricians 
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    and Gynecologists Guidelines for Perinatal Care; and the 
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    Regionalized Perinatal Health Care Code. The Department's 
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    rules shall stipulate the eligibility criteria for birth 
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    center admission. The Department's rules shall
      stipulate 
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    the necessary equipment for emergency care
      according to the 
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    American Association of Birth Centers'


            standards and any 
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    additional equipment deemed necessary by the Department. 
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    The Department's rules shall provide for a time
      period 
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    within which each birth center not part of a
      hospital must 
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    become accredited by either the Commission for the
      
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    Accreditation of Freestanding Birth Centers or the Joint 
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    Commission."; and
 
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on page 17, by replacing lines 13 through 24 with the 
 


 






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following:
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        "A birth center that is not operated under a hospital 
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    license shall be located within a ground travel time 
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    distance from the general acute care hospital with which
      
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    the birth center maintains a contractual relationship,
      
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    including a transfer agreement, as required under this
      
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    paragraph, that allows for an emergency caesarian delivery 
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    to be started within 30 minutes of the decision a caesarian 
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    delivery is necessary. A birth center operating under a 
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    hospital license shall be located within a ground travel 
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    time distance from the licensed hospital that allows for an 
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    emergency caesarian delivery to be started within 30 
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    minutes of the decision a caesarian delivery is necessary.
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        The services of a collaborating physician, licensed to 
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    practice medicine in all its branches, who is certified"; 
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    and
 
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on page 18, by replacing lines 7 through 9 with the following:
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    "who has hospital obstetrical privileges. A physician on 
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    the clinical staff or a collaborating
      physician shall be 
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    available either on the premises or by
      phone, and in 
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    collaboration with the Director of Nursing for Midwifery 
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    Services shall develop policies defining the criteria to 
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    determine both which pregnancies are accepted as normal, 
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    uncomplicated, and low-risk, and the anesthesia services 
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    available at the center."; and
 
 


 






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on page 18, line 21, after "who is", by inserting "licensed or 
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certified in a health-related field and"; and
 
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on page 19, after line 16, by inserting the following:
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        "No general anesthesia and no surgery may be performed 
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    at a birth center.

The Department may by rule add birth 
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    center patient eligibility criteria or standards as it 
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    deems necessary.

       The Department shall by rule require each 
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    birth center to report the information which the Department 
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    shall make publicly available, which shall include, but is 
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    not limited to, the following:
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            (i) Birth center ownership.
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            (ii) Sources of payment for services.
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            (iii) Utilization data involving patient length of 
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        stay.
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            (iv) Admissions and discharges.
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            (v) Complications.
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            (vi) Transfers.
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            (vii) Unusual incidents.
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            (viii) Deaths.
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            (xi) Any other publicly reported data required 
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        under the Illinois Consumer Guide.
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            (x) Post-discharge patient status data where 
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        patients are followed for 14 days after discharge from 
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        the birth center to determine whether the mother or 
 


 






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        baby developed a complication or infection."; and
 
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on page 19, by replacing lines 19 through 21 with the 
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following:
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    "shall adopt rules that are developed with consideration 
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    of: the American Association of Birth Centers' Standards 
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    for Freestanding Birth Centers; the American Academy of 
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    Pediatrics/American College of Obstetricians and 
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    Gynecologists Guidelines for Perinatal Care; and the 
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    Regionalized Perinatal Health Care Code.".