HB2423 - 104th General Assembly

MEDICAID-MATERNAL HLTH-DOULAS
Last Action

05/15/2025 - Senate: Placed on Calendar Order of 3rd Reading May 20, 2025
Statutes Amended In Order of Appearance

305 ILCS 5/5-18.6 new
305 ILCS 5/5-18.7 new
Synopsis As Introduced

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires hospitals and birthing centers to adopt and maintain written policies and procedures authorizing a patient enrolled in the medical assistance program to select an Illinois Medicaid certified and enrolled doula of the patient's choice to accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth, and during the patient's entire postpartum stay. Provides that the doula shall be considered part of the patient's care team and shall not be counted as a support person or against any guest quota. Requires hospitals and birthing centers to provide a written copy of their policies and procedures to maternity patients, the facilities' maternity health care providers, and any other person at the patient's request. Requires publication of the written policies on each facility's website. Contains provisions concerning hospital and birthing center liaisons and doulas certification acknowledgment requirements. Permits the Department of Healthcare and Family Services and the Department of Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services, including Medicaid-covered maternal and reproductive health supports and services.

House Floor Amendment No. 2

Replaces everything after the enacting clause. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that, within 6 months after the amendatory Act, all hospitals with licensed obstetric beds and birthing centers shall adopt and maintain written policies and procedures to permit a patient enrolled in the medical assistance program to have an Illinois Medicaid certified and enrolled doula of the patient's choice accompany the patient within the facility's premises for the purposes of providing support before, during, and after labor and childbirth. Provides that an Illinois Medicaid certified and enrolled doula shall not be counted as a support person or against the guest quota before, during, or after childbirth. Requires each applicable facility to post a summary of the facility's adopted policies and procedures on its website, including contact information to facilitate communication between the facility and Illinois Medicaid enrolled doulas and doula organizations. Provides that nothing in the amendatory Act: (i) shall be construed to provide a doula with access to a patient when that access is inconsistent with generally accepted medical standards or practices; and (ii) is intended to expand or limit the malpractice liability of a hospital beyond the limits existing in current Illinois statutory and common law. Requires Illinois Medicaid enrolled doulas to provide written acknowledgment of doula certification and enrollment in the medical assistance program upon request of the hospital or birthing facility. Permits the Departments of Healthcare and Family Services and Public Health to establish standing recommendations to meet Centers for Medicare and Medicaid Services requirements and ensure access to preventive services.

Senate Committee Amendment No. 1

Deletes reference to:
305 ILCS 5/5-18.6 new
305 ILCS 5/5-18.7 new
Adds reference to:
305 ILCS 5/5-1from Ch. 23, par. 5-1
Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Makes a technical change in a Section concerning the purpose of the Medical Assistance Article.
Actions

Date Chamber Action
01/31/2025 House Filed with the Clerk by Rep. Yolonda Morris
02/04/2025 House First Reading
02/04/2025 House Referred to Rules Committee
02/25/2025 House Assigned to Human Services Committee
03/19/2025 House Do Pass / Short Debate Human Services Committee; 012-000-000
03/19/2025 House Placed on Calendar 2nd Reading - Short Debate
03/19/2025 House Added Chief Co-Sponsor Rep. Lisa Davis
03/19/2025 House Added Chief Co-Sponsor Rep. Camille Y. Lilly
03/19/2025 House Added Chief Co-Sponsor Rep. Nicolle Grasse
03/19/2025 House Added Chief Co-Sponsor Rep. Jehan Gordon-Booth
03/19/2025 House Added Co-Sponsor Rep. Kimberly Du Buclet
03/19/2025 House Added Co-Sponsor Rep. Amy Briel
03/19/2025 House Added Co-Sponsor Rep. Theresa Mah
03/19/2025 House Added Co-Sponsor Rep. Maura Hirschauer
03/19/2025 House Added Co-Sponsor Rep. Dagmara Avelar
03/19/2025 House Added Co-Sponsor Rep. Mary Gill
03/19/2025 House Added Co-Sponsor Rep. Barbara Hernandez
03/19/2025 House Added Co-Sponsor Rep. Mary Beth Canty
03/19/2025 House Added Co-Sponsor Rep. Tracy Katz Muhl
03/19/2025 House Added Co-Sponsor Rep. Michelle Mussman
03/19/2025 House Added Co-Sponsor Rep. Anne Stava-Murray
03/19/2025 House Added Co-Sponsor Rep. Sharon Chung
03/19/2025 House Added Co-Sponsor Rep. Kelly M. Cassidy
03/19/2025 House Added Co-Sponsor Rep. Michael Crawford
03/19/2025 House Added Co-Sponsor Rep. Debbie Meyers-Martin
03/19/2025 House Added Co-Sponsor Rep. Lindsey LaPointe
03/19/2025 House Added Co-Sponsor Rep. William "Will" Davis
03/19/2025 House Added Co-Sponsor Rep. Suzanne M. Ness
03/19/2025 House Added Co-Sponsor Rep. Laura Faver Dias
03/19/2025 House Added Co-Sponsor Rep. Jawaharial Williams
03/19/2025 House Added Co-Sponsor Rep. Natalie A. Manley
03/19/2025 House Added Co-Sponsor Rep. Sonya M. Harper
03/24/2025 House House Floor Amendment No. 1 Filed with Clerk by Rep. Yolonda Morris
03/24/2025 House House Floor Amendment No. 1 Referred to Rules Committee
03/24/2025 House Added Co-Sponsor Rep. Emanuel "Chris" Welch
03/25/2025 House House Floor Amendment No. 1 Rules Refers to Human Services Committee
03/26/2025 House Second Reading - Short Debate
03/26/2025 House Held on Calendar Order of Second Reading - Short Debate
04/07/2025 House House Floor Amendment No. 2 Filed with Clerk by Rep. Yolonda Morris
04/07/2025 House House Floor Amendment No. 2 Referred to Rules Committee
04/08/2025 House Added Co-Sponsor Rep. Terra Costa Howard
04/08/2025 House House Floor Amendment No. 2 Rules Refers to Human Services Committee
04/09/2025 House House Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 012-000-000
04/09/2025 House Added Co-Sponsor Rep. Anna Moeller
04/10/2025 House House Floor Amendment No. 2 Adopted
04/10/2025 House Placed on Calendar Order of 3rd Reading - Short Debate
04/10/2025 House Third Reading - Short Debate - Passed 112-000-000
04/10/2025 House House Floor Amendment No. 1 Tabled
04/10/2025 House Added Co-Sponsor Rep. Hoan Huynh
04/10/2025 House Added Co-Sponsor Rep. Angelica Guerrero-Cuellar
04/10/2025 House Added Co-Sponsor Rep. Abdelnasser Rashid
04/14/2025 Senate Arrive in Senate
04/14/2025 Senate Placed on Calendar Order of First Reading
04/14/2025 Senate Chief Senate Sponsor Sen. Lakesia Collins
04/14/2025 Senate First Reading
04/14/2025 Senate Referred to Assignments
05/08/2025 Senate Assigned to Executive
05/09/2025 Senate Rule 2-10 Committee Deadline Established As May 23, 2025
05/13/2025 Senate Senate Committee Amendment No. 1 Filed with Secretary by Sen. Don Harmon
05/13/2025 Senate Senate Committee Amendment No. 1 Referred to Assignments
05/13/2025 Senate Alternate Chief Sponsor Changed to Sen. Don Harmon
05/14/2025 Senate Senate Committee Amendment No. 1 Assignments Refers to Executive
05/14/2025 Senate Senate Committee Amendment No. 1 Adopted
05/15/2025 Senate Do Pass as Amended Executive; 009-004-000
05/15/2025 Senate Placed on Calendar Order of 2nd Reading
05/15/2025 Senate Second Reading
05/15/2025 Senate Placed on Calendar Order of 3rd Reading May 20, 2025