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| 1 | AN ACT concerning health.
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| 2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
| 3 | represented in the General Assembly:
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| 4 | Section 5. The Perinatal HIV Prevention Act is amended by | |||||||||||||||||||
| 5 | changing Section 10 as follows:
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| 6 | (410 ILCS 335/10)
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| 7 | Sec. 10. HIV counseling and offer of HIV testing required.
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| 8 | (a) Every health care professional who provides health care | |||||||||||||||||||
| 9 | services to a
pregnant
woman shall provide the
the woman with | |||||||||||||||||||
| 10 | HIV counseling and recommend HIV
testing, unless she has | |||||||||||||||||||
| 11 | already received an HIV test during pregnancy. HIV
testing | |||||||||||||||||||
| 12 | shall be provided with the woman's consent. A health care
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| 13 | professional shall
provide the counseling and recommend the | |||||||||||||||||||
| 14 | testing as early in the woman's pregnancy
as
possible. For | |||||||||||||||||||
| 15 | women at continued risk of exposure to HIV infection in the
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| 16 | judgment
of the health care professional, a repeat test should | |||||||||||||||||||
| 17 | be recommended late in
pregnancy or at the time of labor and | |||||||||||||||||||
| 18 | delivery. The health care professional shall inform the | |||||||||||||||||||
| 19 | pregnant woman that, should she refuse HIV testing during | |||||||||||||||||||
| 20 | pregnancy, her newborn infant will be tested for HIV. The
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| 21 | counseling and recommendation of testing shall be documented in | |||||||||||||||||||
| 22 | the woman's medical
record. | |||||||||||||||||||
| 23 | (b) Every health care professional or facility that cares | |||||||||||||||||||
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| 1 | for a pregnant
woman
during
labor or delivery shall provide the | ||||||
| 2 | woman with HIV counseling and recommend
HIV
testing. HIV
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| 3 | testing
shall be provided with the woman's consent. No | ||||||
| 4 | counseling or offer of testing
is
required if
already provided | ||||||
| 5 | during the woman's pregnancy. The counseling and offer of
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| 6 | testing shall be
documented in the woman's medical record. The | ||||||
| 7 | health care facility shall adopt a policy that provides that as | ||||||
| 8 | soon as possible within medical standards after the infant's | ||||||
| 9 | birth, the mother's HIV test result, if available, shall be | ||||||
| 10 | noted in the newborn infant's medical record. It shall also be | ||||||
| 11 | noted in the newborn infant's medical record if the mother's | ||||||
| 12 | HIV test result is not available because she has not been | ||||||
| 13 | tested or has declined testing. Any testing or test results | ||||||
| 14 | shall be
documented in accordance with the AIDS Confidentiality | ||||||
| 15 | Act.
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| 16 | (c) Every health care professional or facility caring for a | ||||||
| 17 | newborn infant
shall, upon
delivery or as soon as possible | ||||||
| 18 | within medical standards after the infant's birth, provide
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| 19 | counseling to the
parent or
guardian of the infant and perform | ||||||
| 20 | rapid HIV testing on the infant, when the HIV status of the
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| 21 | infant's mother is unknown.
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| 22 | (d) The counseling required under this Section must be | ||||||
| 23 | provided in
accordance with
the
AIDS Confidentiality Act and | ||||||
| 24 | must include the following:
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| 25 | (1) For the health of the pregnant woman, the voluntary | ||||||
| 26 | nature of the testing and the benefits of HIV testing, | ||||||
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| 1 | including the
prevention of
transmission.
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| 2 | (2) The benefit of HIV testing for the newborn infant, | ||||||
| 3 | including
interventions
to
prevent
HIV transmission.
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| 4 | (3) The side effects of interventions to prevent HIV | ||||||
| 5 | transmission.
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| 6 | (4) The statutory confidentiality provisions that | ||||||
| 7 | relate to HIV and
acquired
immune
deficiency syndrome | ||||||
| 8 | ("AIDS") testing.
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| 9 | (e) All counseling and testing must be performed in | ||||||
| 10 | accordance with the
standards set forth in the AIDS | ||||||
| 11 | Confidentiality Act, including the written informed consent | ||||||
| 12 | provisions of Sections 4, 7, and 8 of that Act, with the | ||||||
| 13 | exception of
the requirement of consent for testing of newborn | ||||||
| 14 | infants. Consent for
testing of a newborn infant shall be | ||||||
| 15 | presumed when a health care professional
or health care
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| 16 | facility seeks to perform a test on a newborn infant whose | ||||||
| 17 | mother's HIV status
is not known, provided that the counseling | ||||||
| 18 | required under subsection (d)
has taken place.
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| 19 | (f) The Illinois Department of Public Health shall adopt | ||||||
| 20 | necessary rules to
implement this Act.
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| 21 | (Source: P.A. 93-566, eff. 8-20-03; 94-910, eff. 6-23-06.)
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