SB 2437 Illinois Senate · 104th Regular Session

MEDICAID-MATERNAL HLTH-DOULAS

Summary
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.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
May 2025
Senate Passage
Jun 2025
House Passage
May 2025
Signed into Law
Jun 2025
Introduced Apr 10, 2025 Signed Jun 16, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Enrolled · 5 edits · Jun 16, 2025
MODERATE
The bill was finalized by removing the previous section regarding doula policies and replacing it with a new program creating a 'Certified Family Health Aide' designation. This change shifts the focus from allowing doulas in hospitals to formally certifying family members or designated caregivers to perform specific medical tasks like medication administration and enteral care.
Scope change
The scope changed from a hospital-based doula support policy to a broader program allowing certified family members to perform clinical duties in home care settings.
REQUIREMENT

Removed the requirement for hospitals and birthing centers to adopt policies allowing Illinois Medicaid-certified doulas to accompany patients.

Added a new certification pathway allowing legally responsible caregivers to be trained and certified to perform tasks such as medication administration and enteral care.

DEFINITION

Added a new definition for 'certified family health aide' as a person aged 18 or older with a specific family relationship or designated caregiver status.

Added a new short title for the article, renaming it the 'Certified Family Health Aide Program for Children and Adults Act'.

SCOPE

Replaced the doula section with a comprehensive section establishing rules for background checks, scope of practice, and utilization controls for the new family health aide program.

Floor votes · Senate Apr 10, 2025 · House May 31, 2025

How they voted

550
Passed · 3 other
Total votes 58
Apr 10, 2025
D Democratic39
36 Yea 3
92% Yea
R Republican19
19 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
100
Key actions
11
Committee
11
Amendments
16
Jun 16, 2025
Signed into law
Governor Approved
upper
Jun 1, 2025
Upper · Passed
Passed Both Houses
upper
Jun 1, 2025
Introduced
House Floor Amendment No. 2 Senate Concurs 036-019-000
upper
Jun 1, 2025
Introduced
House Floor Amendment No. 1 Senate Concurs 036-019-000
upper
May 31, 2025
Introduced
House Floor Amendment No. 2 Motion to Concur Be Approved for Consideration Assignments
upper
May 31, 2025
Introduced
House Floor Amendment No. 1 Motion to Concur Be Approved for Consideration Assignments
upper
May 31, 2025
Committee
House Floor Amendment No. 2 Motion to Concur Referred to Assignments
upper
May 31, 2025
Committee
House Floor Amendment No. 1 Motion to Concur Referred to Assignments
upper
May 31, 2025
Introduced
Placed on Calendar Order of Concurrence House Amendment(s) 1, 2 - May 31, 2025
upper
May 31, 2025
Introduced
Secretary's Desk - Concurrence House Amendment(s) 1, 2
upper
May 31, 2025
Lower · Passed
Third Reading - Standard Debate - Passed 076-039-000
lower
May 31, 2025
Lower · Passed
House Floor Amendment No. 2 Adopted
lower
May 31, 2025
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
May 31, 2025
Lower · Passed
House Floor Amendment No. 2 Recommends Be Adopted Rules Committee; 003-002-000
lower
May 31, 2025
Committee
House Floor Amendment No. 2 Referred to Rules Committee
lower
May 31, 2025
Introduced
House Floor Amendment No. 2 Filed with Clerk by Rep. Anna Moeller
lower
May 31, 2025
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 008-004-000
lower
May 31, 2025
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Human Services Committee
lower
May 30, 2025
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
May 30, 2025
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Anna Moeller
lower
May 7, 2025
Lower · Passed
Do Pass / Short Debate Human Services Committee; 010-000-000
lower
Apr 17, 2025
Committee
Assigned to Human Services Committee
lower
Apr 11, 2025
Committee
Referred to Rules Committee
lower
Apr 10, 2025
Introduced
Arrived in House
lower
Apr 10, 2025
Amended
Senate Floor Amendment No. 1 Tabled Pursuant to Rule 5-4(a)
upper
Apr 10, 2025
Upper · Passed
Third Reading - Passed; 056-000-000
upper
Apr 10, 2025
Upper · Passed
Senate Floor Amendment No. 2 Adopted; Preston
upper
Apr 8, 2025
Introduced
Senate Floor Amendment No. 2 Recommend Do Adopt Health and Human Services; 011-000-000
upper
Apr 8, 2025
Introduced
Senate Floor Amendment No. 2 Assignments Refers to Health and Human Services
upper
Apr 3, 2025
Committee
Senate Floor Amendment No. 2 Referred to Assignments
upper
Apr 3, 2025
Introduced
Senate Floor Amendment No. 2 Filed with Secretary by Sen. Lakesia Collins
upper
Apr 1, 2025
Introduced
Senate Floor Amendment No. 1 Assignments Refers to Health and Human Services
upper
2 primary · 46 co-sponsors

Sponsors