Bill Amendment: IL HB4606 | 2025-2026 | 104th General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: DHS-NEWBORN HOME VISITING
Status: 2026-06-01 - Added as Alternate Co-Sponsor Sen. Mattie Hunter [HB4606 Detail]
Download: Illinois-2025-HB4606-House_Amendment_002.html
Bill Title: DHS-NEWBORN HOME VISITING
Status: 2026-06-01 - Added as Alternate Co-Sponsor Sen. Mattie Hunter [HB4606 Detail]
Download: Illinois-2025-HB4606-House_Amendment_002.html
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| 1 | AMENDMENT TO HOUSE BILL 4606 | ||||||
| 2 | AMENDMENT NO. ______. Amend House Bill 4606 by replacing | ||||||
| 3 | everything after the enacting clause with the following: | ||||||
| 4 | "Section 5. The Department of Human Services Act is | ||||||
| 5 | amended 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 | ||||||
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| 1 | targeted services and supports may fail to identify | ||||||
| 2 | families who do not present with risk factors. | ||||||
| 3 | (3) Research also indicates that postpartum education | ||||||
| 4 | and care leads to lower rates of morbidity and mortality | ||||||
| 5 | in persons who have given birth, as many of the risk | ||||||
| 6 | factors for post-delivery complications, such as | ||||||
| 7 | hemorrhaging or a pulmonary embolism, may not be | ||||||
| 8 | identifiable before a person who has given birth is | ||||||
| 9 | discharged following the birth. Research also indicates | ||||||
| 10 | that parenting education on health risks for newborns, | ||||||
| 11 | including substance use, lactation, safe sleep, and other | ||||||
| 12 | topics, leads to lower infant mortality and morbidity. | ||||||
| 13 | (4) Illinois communities have invested in and are | ||||||
| 14 | already implementing short-term universal newborn home | ||||||
| 15 | visiting services, including Stephenson, Peoria, | ||||||
| 16 | Winnebago, and Macon counties, and the city of Chicago, | ||||||
| 17 | and have demonstrated positive outcomes for the physical, | ||||||
| 18 | mental, and social well-being of newborns and the parents | ||||||
| 19 | or caregivers of newborns. | ||||||
| 20 | (5) The 2018 Illinois Maternal Morbidity and Mortality | ||||||
| 21 | Report from the Department of Public Health recommended | ||||||
| 22 | that the State expand efforts to provide short-term | ||||||
| 23 | universal home visiting to all mothers within 3 weeks of | ||||||
| 24 | giving birth. | ||||||
| 25 | (6) In October 2021, the Department of Human Services | ||||||
| 26 | received an Early Childhood Comprehensive Services grant | ||||||
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| 1 | from the federal Health Resources and Services | ||||||
| 2 | Administration to investigate ways to enhance the | ||||||
| 3 | prenatal-to-age 3 statewide maternal and early childhood | ||||||
| 4 | system of care by establishing a Universal Newborn Support | ||||||
| 5 | System that better connects families to programs and | ||||||
| 6 | services. | ||||||
| 7 | (7) Short-term universal newborn home visiting | ||||||
| 8 | services are a covered Medicaid benefit under the approved | ||||||
| 9 | State Plan Amendment. | ||||||
| 10 | (8) While no unified State system exists, local | ||||||
| 11 | communities are already implementing universal newborn | ||||||
| 12 | home visiting services with some combination of local, | ||||||
| 13 | State, federal, and philanthropic funding, and current | ||||||
| 14 | programs, future programs, and the State would benefit | ||||||
| 15 | from the cohesion and guidance generated by a statewide | ||||||
| 16 | vision and supported by a permanent agency administrative | ||||||
| 17 | home and related infrastructure. | ||||||
| 18 | (b) The purpose of this Section is to authorize the | ||||||
| 19 | Department of Human Services to identify, develop, and manage | ||||||
| 20 | the administrative infrastructure needed to support existing | ||||||
| 21 | and future short-term universal newborn home visiting | ||||||
| 22 | services. In carrying out this work, the Department may | ||||||
| 23 | consider the recommendations contained in the Early Childhood | ||||||
| 24 | Comprehensive Services grant report when adopting rules to | ||||||
| 25 | support implementation. | ||||||
| 26 | (c) By January 1, 2028, the Department may do the | ||||||
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| 1 | following: | ||||||
| 2 | (1) Create and maintain a list of the voluntary | ||||||
| 3 | universal newborn home visiting models that align with the | ||||||
| 4 | State's priorities for approach and outcomes and that may | ||||||
| 5 | inform future local implementation or support existing | ||||||
| 6 | State grants. Any universal newborn home visiting model | ||||||
| 7 | included on the list must: | ||||||
| 8 | (A) Be validated by evidence demonstrating | ||||||
| 9 | effectiveness in promoting the physical, mental, and | ||||||
| 10 | social well-being of newborn infants and the parents | ||||||
| 11 | or caregivers of newborn infants. | ||||||
| 12 | (B) Include an evidence-based assessment of the | ||||||
| 13 | physical, social, and emotional factors affecting the | ||||||
| 14 | family and newborn infant, including a health and | ||||||
| 15 | wellness check of the newborn infant, an assessment of | ||||||
| 16 | the physical and mental health of a person who has | ||||||
| 17 | given birth, lactation support as needed, and | ||||||
| 18 | screening for social determinants or drivers of health | ||||||
| 19 | and perinatal mood and anxiety disorders using | ||||||
| 20 | validated tools. | ||||||
| 21 | (C) Provide information, referrals, and | ||||||
| 22 | connections to community resources, early childhood | ||||||
| 23 | services, family supports, community-based | ||||||
| 24 | organizations, social service agencies, and medically | ||||||
| 25 | necessary follow-up health care. | ||||||
| 26 | (D) Offer at least one visit within the first 3 | ||||||
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| 1 | weeks after the newborn's discharge from the birth | ||||||
| 2 | hospital with up to 2 follow-up visits as determined | ||||||
| 3 | by clinical judgment. | ||||||
| 4 | (E) Be voluntary and offered at no cost to each | ||||||
| 5 | family with a newborn infant that resides in the | ||||||
| 6 | participating community. For purposes of this Section, | ||||||
| 7 | the family of a newborn infant includes biological | ||||||
| 8 | parents, foster and adoptive parents, kinship | ||||||
| 9 | caregivers, and parents who have recently experienced | ||||||
| 10 | a stillbirth. | ||||||
| 11 | (F) Impose no adverse consequences on families who | ||||||
| 12 | decline to receive services or participate in the | ||||||
| 13 | program. | ||||||
| 14 | (2) Coordinate with relevant State agencies to support | ||||||
| 15 | implementation of State-administered funding for local | ||||||
| 16 | programs; request, collect, and report available data from | ||||||
| 17 | universal newborn home visiting implementers and develop | ||||||
| 18 | recommendations for future data collection and data | ||||||
| 19 | infrastructure; and develop criteria for prioritizing | ||||||
| 20 | future State funding, including the identification of | ||||||
| 21 | communities for potential implementation. | ||||||
| 22 | (3) Consult, coordinate, and collaborate with relevant | ||||||
| 23 | stakeholders when designing the infrastructure to support | ||||||
| 24 | universal newborn home visiting services, including early | ||||||
| 25 | childhood home visiting programs, community-based | ||||||
| 26 | organizations, social service providers, maternal and | ||||||
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| 1 | child health stakeholders, hospitals, birth centers, local | ||||||
| 2 | public health authorities, insurance carriers, and other | ||||||
| 3 | State agencies. | ||||||
| 4 | (d) Funds received under this Section shall supplement, | ||||||
| 5 | and not supplant, existing or new federal, State, or local | ||||||
| 6 | funding for these services. | ||||||
| 7 | (e) The Department may adopt any rules necessary to | ||||||
| 8 | implement this Section. | ||||||
| 9 | Section 99. Effective date. This Act takes effect July 1, | ||||||
| 10 | 2027.". | ||||||
