DHS-NEWBORN HOME VISITING

Illinois General Assembly - Full Text of HB4606

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Full Text of HB4606

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HB4606 - 104th General Assembly

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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

HB4606 Enrolled
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LRB104 17639 KTG 31070 b
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

HB4606 Enrolled
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LRB104 17639 KTG 31070 b
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:

HB4606 Enrolled
- 4 -
LRB104 17639 KTG 31070 b
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

HB4606 Enrolled
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LRB104 17639 KTG 31070 b
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

HB4606 Enrolled
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LRB104 17639 KTG 31070 b
1
implement this Section.

2

Section 99.
Effective date.
This Act takes effect July 1,
3
2027.

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