Bill Amendment: IL HB2800 | 2017-2018 | 100th General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: PERINATAL HIV PREVENTION

Status: 2017-08-22 - Public Act . . . . . . . . . 100-0265 [HB2800 Detail]

Download: Illinois-2017-HB2800-House_Amendment_001.html

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Rep. Mary E. Flowers

Filed: 3/7/2017

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AMENDMENT TO HOUSE BILL 2800
AMENDMENT NO. ______. Amend House Bill 2800 by replacing
everything after the enacting clause with the following:
"Section 5. The Perinatal HIV Prevention Act is amended by
changing Sections 5, 10, 15, 30, and 35 as follows:
(410 ILCS 335/5)
Sec. 5. Definitions. In this Act:
"Birthing center" means a designated site that is away from
the pregnant women usual place of residence in which births are
planned to occur following a normal, uncomplicated, and
low-risk pregnancy.
"Department" means the Department of Public Health.
"Health care professional" means a physician licensed to
practice medicine in all its branches, a licensed physician
assistant, or a licensed advanced practice nurse.
"Health care facility" or "facility" means any hospital,

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birthing center, or other institution that is licensed or
otherwise authorized to deliver health care services.
"Health care services" means any prenatal medical care,
emergency care, or labor or delivery services to a pregnant
woman and her newborn infant, including hospitalization.
"Opt-out testing" means an approach in which an HIV test is
offered to the patient, such that the patient is notified that
HIV testing may occur unless the patient opts out by declining
the test.
"Third trimester" means the 27th week of pregnancy through
delivery.
(Source: P.A. 99-173, eff. 7-29-15.)
(410 ILCS 335/10)
Sec. 10. HIV counseling and offer of HIV testing required.
(a) Every health care professional who provides health care
services to a pregnant woman including women identified as
pregnant and being treated for other health conditions in an
emergency setting, shall, unless the pregnant woman already has
a documented negative HIV status she has already been tested
during the third trimester of the current pregnancy, or is
already documented to be HIV-positive, provide the pregnant
woman with HIV counseling, as described in subpart (d) of this
Section, and shall test the pregnant woman her for HIV on an
opt-out basis unless she refuses. The counseling and testing or
refusal of testing shall be documented in the pregnant woman's

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medical record. A refusal may be verbal or in writing.
A health care professional shall provide the first opt-out
HIV testing counseling and recommend the testing as early in
the woman's pregnancy as possible. The health care professional
providing health care services to a pregnant woman in the third
trimester shall perform a second round of opt-out HIV testing,
ideally by the 36th week of pregnancy, unless the pregnant
woman already has a documented negative HIV status from the
third trimester of the current pregnancy, or is already
documented to be HIV-positive. For women at continued risk of
exposure to HIV infection in the judgment of the health care
professional, a repeat test should be recommended late in
pregnancy or at the time of labor and delivery. The counseling
and testing or refusal of testing shall be documented in the
woman's medical record.
(b) Every health care professional or facility that cares
for a pregnant woman during labor or delivery shall, unless the
pregnant woman she has already has a documented negative HIV
status from been tested during the third trimester of the
current pregnancy, or is already documented to be HIV-positive,
provide the pregnant woman with HIV counseling, as described in
subpart (d) of this Section, and rapid opt-out HIV testing
unless she refuses. The woman in labor or delivery may refuse
the HIV test verbally or in writing. A refusal may be verbal or
in writing. The counseling and testing or refusal of testing
shall be documented in the laboring or delivering woman's

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medical record. The health care facility shall adopt a policy
that provides that as soon as possible within medical standards
after the infant's birth, the delivering woman's mother's HIV
test result, if available, shall be noted in the newborn
infant's medical record. It shall also be noted in the newborn
infant's medical record if the woman's third trimester mother's
HIV test result is not available because the woman was not
tested in the third trimester she has not been tested or has
declined testing. Any testing or test results shall be
documented in accordance with the AIDS Confidentiality Act.
(c) Every health care professional or facility caring for a
newborn infant shall, upon delivery or as soon as possible
within medical standards after the infant's birth, provide
counseling as described in subsection (d) of this Section to
the parent or guardian of the infant and perform rapid HIV
testing on the infant, when the HIV status of the infant's
mother is unknown, or if the woman did not undergo HIV testing
in the third trimester of the current pregnancy.
(d) The counseling required under this Section must be
provided in accordance with the AIDS Confidentiality Act and
must include the following:
(1) For the health of the pregnant woman, the voluntary
nature of the testing, the benefits of HIV testing,
including the prevention of transmission, and the
requirement that HIV testing be performed unless the
pregnant woman she refuses and the methods by which the

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pregnant woman she can refuse.
(2) The benefit of HIV testing for the pregnant woman
herself and the newborn infant, including interventions to
prevent HIV transmission.
(3) The side effects of interventions to prevent HIV
transmission.
(4) The statutory confidentiality provisions that
relate to HIV and acquired immune deficiency syndrome
("AIDS") testing.
(5) The requirement for mandatory testing of the
newborn if the pregnant woman's mother's HIV status during
the third trimester of pregnancy is not documented and the
pregnant woman was not rapidly tested for HIV at delivery
unknown at the time of delivery.
(6) An explanation of the test, including its purpose,
limitations, and the meaning of its results.
(7) An explanation of the procedures to be followed.
(8) The availability of additional or confirmatory
testing, if appropriate. Counseling may be provided in
writing, verbally, or by video, electronic, or other means.
The pregnant woman must be offered an opportunity to ask
questions about testing and to decline testing for herself.
(e) All counseling and testing must be performed in
accordance with the standards set forth in the AIDS
Confidentiality Act, including the informed consent provisions
of Sections 4, 7, and 8 of that Act, with the exception of the

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requirement of consent for testing of newborn infants.
Consent for testing of a newborn infant shall be presumed
when a health care professional or health care facility seeks
to perform a test on a newborn infant when the whose mother's
HIV status of the woman who gave birth to the infant was is not
documented either in the third trimester of pregnancy or at
delivery known, provided that the counseling required under
subsection (d) of this Section and the AIDS Confidentiality Act
has taken place.
(f) The Illinois Department of Public Health shall adopt
necessary rules to implement this Act by July 1, 2008.
(Source: P.A. 94-910, eff. 6-23-06; 95-702, eff. 6-1-08.)
(410 ILCS 335/15)
Sec. 15. Reporting.
(a) Health A health care facilities facility shall adopt a
policy that provides that a report of a preliminarily
HIV-positive pregnant or post-partum woman identified by a
rapid HIV test or woman and a report of a preliminarily
HIV-exposed newborn infant identified by a rapid HIV test
conducted during labor and delivery or after delivery shall be
made to the Department's Perinatal HIV Hotline within 12 hours
but not later than 24 hours of the test result after birth.
Section 15 of the AIDS Confidentiality Act applies to reporting
under this Act, except that the immunities set forth in that
Section do not apply in cases of willful or wanton misconduct.

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(b) The Department shall adopt rules specifying the
information required in reporting the preliminarily
HIV-positive pregnant or post-partum woman and preliminarily
HIV-exposed newborn infant and the method of reporting. In
adopting the rules, the Department shall consider the need for
information, protections for the privacy and confidentiality
of the infant and parents, the need to provide access to care
and follow-up services to the infant, and procedures for
destruction of records maintained by the Department if, through
subsequent HIV testing, the pregnant or post-partum woman or
newborn infant is found to be HIV-negative.
(c) The confidentiality provisions of the AIDS
Confidentiality Act shall apply to the reports of cases of
perinatal HIV made pursuant to this Section.
(d) Health care facilities shall monthly report aggregate
statistics to the Department that include the number of
pregnant or delivering women infected women who presented with
known HIV status; , the number of pregnant women rapidly tested
for HIV in labor and delivery as either a first HIV test or a
repeat third trimester HIV test; , the number of newborn infants
rapidly tested for HIV-exposure because the HIV status of the
woman was unknown in the third trimester, or the woman refused
testing; , the number of preliminarily HIV-positive pregnant or
women and preliminarily HIV-exposed newborn infants
identified; , the number of families referred to case
management; , and other information the Department determines

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is necessary to measure progress under the provisions of this
Act. Health care facilities must report the confirmatory test
result when it becomes available for each preliminarily
positive rapid HIV test performed on the pregnant woman and on
a newborn.
(e) The Department or its authorized representative shall
provide case management services to the preliminarily positive
pregnant or post-partum woman or the parent or guardian of the
preliminarily positive newborn infant to ensure access to
treatment and care and other services where the pregnant or
post-partum woman or the as appropriate if the parent or
guardian of the newborn infant has consented to the services.
(f) Every health care facility caring for a newborn infant
whose mother had been diagnosed HIV positive prior to labor and
delivery shall report a case of perinatal HIV exposure in
accordance with the HIV/AIDS Registry Act, the Illinois
Sexually Transmissible Disease Control Act, and rules to be
developed by the Department. If after 18 months from the date
that the report was submitted, a newborn infant is determined
to not have HIV or AIDS, the Department shall remove the
newborn infant's name from all reports, records, and files
collected or created under this subsection (f).
(Source: P.A. 94-910, eff. 6-23-06; 95-702, eff. 6-1-08.)
(410 ILCS 335/30)
Sec. 30. Objections of parent or guardian to test. The

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provisions of this Act requiring testing for HIV shall not
apply when a parent or guardian of a child objects to HIV
testing thereto on the grounds that the test conflicts with the
parent's his or her religious tenets and practices. A written
statement of the objection shall be presented to the physician
or other person whose duty it is to administer and report the
tests under the provisions of this Act.
(Source: P.A. 94-910, eff. 6-23-06.)
(410 ILCS 335/35)
Sec. 35. Department report. The Department of Public Health
shall prepare an annual report for the Governor and the General
Assembly on the implementation of this Act that includes
information on the number of HIV-positive pregnant women who
presented with known HIV status, the number of pregnant women
rapidly tested for HIV in labor and delivery, the number of
newborn infants rapidly tested for HIV exposure, the number of
preliminarily HIV-positive pregnant women and preliminarily
HIV-exposed newborn infants identified, the confirmatory test
result for each preliminarily positive rapid HIV test performed
on the woman and newborn, the number of families referred to
case management, and other information the Department
determines is necessary to measure progress under the
provisions of this Act. The Department shall assess the needs
of health care professionals and facilities for ongoing
training in implementation of the provisions of this Act and

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make recommendations to improve the program.
(Source: P.A. 94-910, eff. 6-23-06.)
Section 99. Effective date. This Act takes effect upon
becoming law.".