103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5431 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED: See Index Amends the County Department of Corrections Law. In provisions about pregnant prisoners, modifies the definitions of "post-partum" and "correctional institution", including that "correctional institution" includes institutions in all counties (rather than only in counties more than 3,000,000 inhabitants). Modifies and removes provisions relating to security restraints on a prisoner who is pregnant or in postpartum recovery. Adds provisions relating to annual reports by sheriffs documenting the number of pregnant prisoners in custody each year and the number of people who deliver or miscarry while in custody, relating to county department of corrections providing informational materials concerning the laws pertaining to pregnant prisoners to any pregnant or postpartum prisoner, and relating to supplemental nutrition for prisoners who are pregnant or lactating. Amends the Unified Code of Corrections and the County Jail Act making similar changes. In the Unified Code of Corrections, also adds language relating to restraints of committed persons who are pregnant. Amends the Health Care Violence Prevention Act. In provisions relating to pregnant prisoners, removes a limitation on the provisions to pregnant prisoners in the custody of the Cook County. Provides that restraint of a pregnant prisoner shall comply with specified provisions of the Counties Code, the Unified Code of Corrections, and the County Jail Act (rather than only the Counties Code provisions). LRB103 39388 AWJ 69563 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5431 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED: See Index See Index Amends the County Department of Corrections Law. In provisions about pregnant prisoners, modifies the definitions of "post-partum" and "correctional institution", including that "correctional institution" includes institutions in all counties (rather than only in counties more than 3,000,000 inhabitants). Modifies and removes provisions relating to security restraints on a prisoner who is pregnant or in postpartum recovery. Adds provisions relating to annual reports by sheriffs documenting the number of pregnant prisoners in custody each year and the number of people who deliver or miscarry while in custody, relating to county department of corrections providing informational materials concerning the laws pertaining to pregnant prisoners to any pregnant or postpartum prisoner, and relating to supplemental nutrition for prisoners who are pregnant or lactating. Amends the Unified Code of Corrections and the County Jail Act making similar changes. In the Unified Code of Corrections, also adds language relating to restraints of committed persons who are pregnant. Amends the Health Care Violence Prevention Act. In provisions relating to pregnant prisoners, removes a limitation on the provisions to pregnant prisoners in the custody of the Cook County. Provides that restraint of a pregnant prisoner shall comply with specified provisions of the Counties Code, the Unified Code of Corrections, and the County Jail Act (rather than only the Counties Code provisions). LRB103 39388 AWJ 69563 b LRB103 39388 AWJ 69563 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5431 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED: See Index See Index See Index Amends the County Department of Corrections Law. In provisions about pregnant prisoners, modifies the definitions of "post-partum" and "correctional institution", including that "correctional institution" includes institutions in all counties (rather than only in counties more than 3,000,000 inhabitants). Modifies and removes provisions relating to security restraints on a prisoner who is pregnant or in postpartum recovery. Adds provisions relating to annual reports by sheriffs documenting the number of pregnant prisoners in custody each year and the number of people who deliver or miscarry while in custody, relating to county department of corrections providing informational materials concerning the laws pertaining to pregnant prisoners to any pregnant or postpartum prisoner, and relating to supplemental nutrition for prisoners who are pregnant or lactating. Amends the Unified Code of Corrections and the County Jail Act making similar changes. In the Unified Code of Corrections, also adds language relating to restraints of committed persons who are pregnant. Amends the Health Care Violence Prevention Act. In provisions relating to pregnant prisoners, removes a limitation on the provisions to pregnant prisoners in the custody of the Cook County. Provides that restraint of a pregnant prisoner shall comply with specified provisions of the Counties Code, the Unified Code of Corrections, and the County Jail Act (rather than only the Counties Code provisions). LRB103 39388 AWJ 69563 b LRB103 39388 AWJ 69563 b LRB103 39388 AWJ 69563 b A BILL FOR HB5431LRB103 39388 AWJ 69563 b HB5431 LRB103 39388 AWJ 69563 b HB5431 LRB103 39388 AWJ 69563 b 1 AN ACT concerning government. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Counties Code is amended by changing 5 Sections 3-15003.6, 3-15003.8, and 3-15003.9 and by adding 6 Section 3-15003.11 as follows: 7 (55 ILCS 5/3-15003.6) 8 Sec. 3-15003.6. Pregnant female prisoners. 9 (a) Definitions. For the purpose of this Section and the 10 Sections preceding Section 3-15004 Sections 3-15003.7, 11 3-15003.8, 3-15003.9, and 3-15003.10: 12 (1) "Restraints" means any physical restraint or 13 mechanical device used to control the movement of a 14 prisoner's body or limbs, or both, including, but not 15 limited to, flex cuffs, soft restraints, hard metal 16 handcuffs, a black box, Chubb cuffs, leg irons, belly 17 chains, a security (tether) chain, or a convex shield, or 18 shackles of any kind. 19 (2) "Labor" means the period of time before a birth 20 and shall include any medical condition in which an 21 individual a woman is sent or brought to the hospital for 22 the purpose of delivering a her baby. These situations 23 include: induction of labor, prodromal labor, pre-term 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5431 Introduced , by Rep. Kelly M. Cassidy SYNOPSIS AS INTRODUCED: See Index See Index See Index Amends the County Department of Corrections Law. In provisions about pregnant prisoners, modifies the definitions of "post-partum" and "correctional institution", including that "correctional institution" includes institutions in all counties (rather than only in counties more than 3,000,000 inhabitants). Modifies and removes provisions relating to security restraints on a prisoner who is pregnant or in postpartum recovery. Adds provisions relating to annual reports by sheriffs documenting the number of pregnant prisoners in custody each year and the number of people who deliver or miscarry while in custody, relating to county department of corrections providing informational materials concerning the laws pertaining to pregnant prisoners to any pregnant or postpartum prisoner, and relating to supplemental nutrition for prisoners who are pregnant or lactating. Amends the Unified Code of Corrections and the County Jail Act making similar changes. In the Unified Code of Corrections, also adds language relating to restraints of committed persons who are pregnant. Amends the Health Care Violence Prevention Act. In provisions relating to pregnant prisoners, removes a limitation on the provisions to pregnant prisoners in the custody of the Cook County. Provides that restraint of a pregnant prisoner shall comply with specified provisions of the Counties Code, the Unified Code of Corrections, and the County Jail Act (rather than only the Counties Code provisions). LRB103 39388 AWJ 69563 b LRB103 39388 AWJ 69563 b LRB103 39388 AWJ 69563 b A BILL FOR See Index LRB103 39388 AWJ 69563 b HB5431 LRB103 39388 AWJ 69563 b HB5431- 2 -LRB103 39388 AWJ 69563 b HB5431 - 2 - LRB103 39388 AWJ 69563 b HB5431 - 2 - LRB103 39388 AWJ 69563 b 1 labor, prelabor rupture of membranes, the 3 stages of 2 active labor, uterine hemorrhage during the third 3 trimester of pregnancy, and caesarian delivery including 4 pre-operative preparation. 5 (3) "Postpartum" means the 6-week period following 6 birth unless determined to be a longer period by a 7 physician, advanced practice registered nurse, or 8 physician assistant. "Post-partum" means, as determined by 9 her physician, advanced practice registered nurse, or 10 physician assistant, the period immediately following 11 delivery, including the entire period a woman is in the 12 hospital or infirmary after birth. 13 (4) "Correctional institution" means any entity under 14 the authority of a county law enforcement division of a 15 county of more than 3,000,000 inhabitants that has the 16 power to detain or restrain, or both, a person under the 17 laws of the State. 18 (5) "Corrections official" means the official that is 19 responsible for oversight of a correctional institution, 20 or his or her designee. 21 (6) "Prisoner" means any person incarcerated or 22 detained in any facility who is accused of, convicted of, 23 sentenced for, or adjudicated delinquent for, violations 24 of criminal law or the terms and conditions of parole, 25 probation, pretrial release, or diversionary program, and 26 any person detained under the immigration laws of the HB5431 - 2 - LRB103 39388 AWJ 69563 b HB5431- 3 -LRB103 39388 AWJ 69563 b HB5431 - 3 - LRB103 39388 AWJ 69563 b HB5431 - 3 - LRB103 39388 AWJ 69563 b 1 United States at any correctional facility. 2 (7) "Extraordinary circumstance" means an 3 extraordinary medical or security circumstance, including 4 a substantial flight risk, that dictates restraints be 5 used to ensure the safety and security of the prisoner, 6 the staff of the correctional institution or medical 7 facility, other prisoners, or the public. 8 (b) A county department of corrections shall not apply 9 security restraints to a prisoner that has been determined by 10 a qualified medical professional to be pregnant or otherwise 11 and is known by the county department of corrections to be 12 pregnant or in postpartum recovery, which is the entire period 13 a woman is in the medical facility after birth, unless the 14 corrections official makes an individualized determination 15 that the prisoner presents a substantial flight risk or some 16 other extraordinary circumstance that dictates security 17 restraints be used to ensure the safety and security of the 18 prisoner, the prisoner's her child or unborn child, the staff 19 of the county department of corrections or medical facility, 20 other prisoners, or the public. The protections set out in 21 clauses (b)(3) and (b)(4) of this Section shall apply to 22 security restraints used pursuant to this subsection. The 23 corrections official shall immediately remove all restraints 24 upon the written or oral request of medical personnel. The 25 corrections official shall immediately remove all approved 26 electronic monitoring devices, as that term is defined in HB5431 - 3 - LRB103 39388 AWJ 69563 b HB5431- 4 -LRB103 39388 AWJ 69563 b HB5431 - 4 - LRB103 39388 AWJ 69563 b HB5431 - 4 - LRB103 39388 AWJ 69563 b 1 Section 5-8A-2 of the Unified Code of Corrections, of a 2 pregnant prisoner during labor and delivery. Oral requests 3 made by medical personnel shall be verified in writing as 4 promptly as reasonably possible. 5 (1) Qualified authorized health staff shall have the 6 authority to order therapeutic restraints for a pregnant 7 or postpartum prisoner who is a danger to the prisoner, 8 the prisoner's herself, her child, unborn child, or other 9 persons due to a psychiatric or medical disorder. 10 Therapeutic restraints may only be initiated, monitored 11 and discontinued by qualified and authorized health staff 12 and used to safely limit a prisoner's mobility for 13 psychiatric or medical reasons. No order for therapeutic 14 restraints shall be written unless medical or mental 15 health personnel, after personally observing and examining 16 the prisoner, are clinically satisfied that the use of 17 therapeutic restraints is justified and permitted in 18 accordance with hospital policies and applicable State 19 law. Metal handcuffs or shackles are not considered 20 therapeutic restraints. 21 (2) Whenever therapeutic restraints are used by 22 medical personnel, Section 2-108 of the Mental Health and 23 Developmental Disabilities Code shall apply. 24 (3) Leg irons, shackles or waist shackles shall not be 25 used on any pregnant or postpartum prisoner regardless of 26 security classification. Except for therapeutic restraints HB5431 - 4 - LRB103 39388 AWJ 69563 b HB5431- 5 -LRB103 39388 AWJ 69563 b HB5431 - 5 - LRB103 39388 AWJ 69563 b HB5431 - 5 - LRB103 39388 AWJ 69563 b 1 under clause (b)(2), no restraints of any kind may be 2 applied to prisoners during labor. 3 (4) When a pregnant or postpartum prisoner must be 4 restrained, restraints used shall be the least restrictive 5 restraints possible to ensure the safety and security of 6 the prisoner, the prisoner's her child, unborn child, the 7 staff of the county department of corrections or medical 8 facility, other prisoners, or the public, and in no case 9 shall include leg irons, shackles or waist shackles. 10 (5) Upon the pregnant prisoner's entry into a hospital 11 room, and completion of initial room inspection, a 12 corrections official shall be posted immediately outside 13 the hospital room, unless requested to be in the room by 14 medical personnel attending to the prisoner's medical 15 needs. 16 (6) The county department of corrections shall provide 17 adequate corrections personnel to monitor the pregnant 18 prisoner during the prisoner's her transport to and from 19 the hospital and during the prisoner's her stay at the 20 hospital. 21 (7) Where the county department of corrections 22 requires prisoner safety assessments, a corrections 23 official may enter the hospital room to conduct periodic 24 prisoner safety assessments, except during a medical 25 examination or the delivery process. 26 (8) (Blank). Upon discharge from a medical facility, HB5431 - 5 - LRB103 39388 AWJ 69563 b HB5431- 6 -LRB103 39388 AWJ 69563 b HB5431 - 6 - LRB103 39388 AWJ 69563 b HB5431 - 6 - LRB103 39388 AWJ 69563 b 1 postpartum prisoners shall be restrained only with 2 handcuffs in front of the body during transport to the 3 county department of corrections. A corrections official 4 shall immediately remove all security restraints upon 5 written or oral request by medical personnel. Oral 6 requests made by medical personnel shall be verified in 7 writing as promptly as reasonably possible. 8 (c) Enforcement. No later than 30 days before the end of 9 each fiscal year, the county sheriff or corrections official 10 of the correctional institution where a pregnant or postpartum 11 prisoner has been restrained during that previous fiscal year, 12 shall submit a written report to the Illinois General Assembly 13 and the Office of the Governor that includes an account of 14 every instance of prisoner restraint pursuant to this Section. 15 The written report shall state the date, time, location and 16 rationale for each instance in which restraints are used. The 17 written report shall not contain any individually identifying 18 information of any prisoner. Such reports shall be made 19 available for public inspection. 20 (d) Data reporting. No later than 30 days before the end of 21 each fiscal year, each county sheriff shall submit a written 22 report to the Illinois General Assembly and the Office of the 23 Governor that includes the number of pregnant prisoners in 24 custody each year and the number of people who deliver or 25 miscarry while in custody. The written report shall not 26 contain any individually identifying information of a HB5431 - 6 - LRB103 39388 AWJ 69563 b HB5431- 7 -LRB103 39388 AWJ 69563 b HB5431 - 7 - LRB103 39388 AWJ 69563 b HB5431 - 7 - LRB103 39388 AWJ 69563 b 1 prisoner. The written report shall be made available for 2 public inspection. 3 (Source: P.A. 100-513, eff. 1-1-18; 101-652, eff. 7-1-21.) 4 (55 ILCS 5/3-15003.8) 5 Sec. 3-15003.8. Educational programming for pregnant 6 prisoners. 7 (a) The Illinois Department of Public Health shall provide 8 the county department of corrections with educational 9 programming relating to pregnancy and parenting and the county 10 department of corrections shall provide the programming to 11 pregnant prisoners. The programming must include instruction 12 regarding: 13 (1) appropriate prenatal care and hygiene; 14 (2) the effects of prenatal exposure to alcohol and 15 drugs on a developing fetus; 16 (3) parenting skills; and 17 (4) medical and mental health issues applicable to 18 children. 19 (b) Each county department of corrections shall provide 20 written informational materials concerning the laws pertaining 21 to pregnant prisoners to any pregnant or postpartum 22 individual. The Department of Public Health shall provide 23 these informational materials to the warden of the county 24 department of corrections at no cost to the county and the 25 county may accept informational materials from community-based HB5431 - 7 - LRB103 39388 AWJ 69563 b HB5431- 8 -LRB103 39388 AWJ 69563 b HB5431 - 8 - LRB103 39388 AWJ 69563 b HB5431 - 8 - LRB103 39388 AWJ 69563 b 1 organizations specializing in the rights of pregnant 2 prisoners. The informational materials must include 3 information regarding: 4 (1) the prohibition against the use of restraints; 5 (2) rules concerning the treatment of pregnant 6 prisoners, including those relating to bed height and 7 supplemental nutrition; 8 (3) the right to spend time with a child following 9 delivery; 10 (4) the requirement to provide educational 11 programming; 12 (5) all rights under the Reproductive Health Act; 13 (6) the procedure for obtaining an abortion, if so 14 desired; 15 (7) any new or additional laws concerning the rights 16 of pregnant prisoners; and 17 (8) address or contact information for community 18 organizations specializing in the rights of pregnant 19 prisoners for questions or concerns. 20 (c) Each county department of corrections must also post 21 informational flyers wherever pregnant prisoners may be 22 housed. 23 (Source: P.A. 101-652, eff. 7-1-21; 102-28, eff. 6-25-21.) 24 (55 ILCS 5/3-15003.9) 25 Sec. 3-15003.9. Prisoner postpartum post-partum recovery HB5431 - 8 - LRB103 39388 AWJ 69563 b HB5431- 9 -LRB103 39388 AWJ 69563 b HB5431 - 9 - LRB103 39388 AWJ 69563 b HB5431 - 9 - LRB103 39388 AWJ 69563 b 1 requirements. A county department of corrections shall ensure 2 that, for a period of 72 hours after the birth of an infant by 3 a prisoner: 4 (1) the infant is allowed to remain with the prisoner, 5 unless a medical professional determines doing so would 6 pose a health or safety risk to the prisoner or infant; and 7 (2) the prisoner has access to any nutritional or 8 hygiene-related products necessary to care for the infant, 9 including diapers. 10 (Source: P.A. 101-652, eff. 7-1-21.) 11 (55 ILCS 5/3-15003.11 new) 12 Sec. 3-15003.11. Supplemental nutrition during pregnancy 13 or lactation. A prisoner who is pregnant or lactating, 14 including a prisoner who is nursing a baby or pumping 15 breastmilk, shall be provided supplemental nutrition of at 16 least 300 calories per day. This supplemental nutrition shall 17 be in addition to any regularly provided food and shall be 18 available outside of regular mealtimes. 19 Section 10. The Health Care Violence Prevention Act is 20 amended by changing Section 30 as follows: 21 (210 ILCS 160/30) 22 Sec. 30. Medical care for committed persons. 23 (a) If a committed person receives medical care and HB5431 - 9 - LRB103 39388 AWJ 69563 b HB5431- 10 -LRB103 39388 AWJ 69563 b HB5431 - 10 - LRB103 39388 AWJ 69563 b HB5431 - 10 - LRB103 39388 AWJ 69563 b 1 treatment at a place other than an institution or facility of 2 the Department of Corrections, a county, or a municipality, 3 then the institution or facility shall: 4 (1) to the greatest extent practicable, notify the 5 hospital or medical facility that is treating the 6 committed person prior to the committed person's visit and 7 notify the hospital or medical facility of any significant 8 medical, mental health, recent violent actions, or other 9 safety concerns regarding the patient; 10 (2) to the greatest extent practicable, ensure the 11 transferred committed person is accompanied by the most 12 comprehensive medical records possible; 13 (3) provide at least one guard trained in custodial 14 escort and custody of high-risk committed persons to 15 accompany any committed person. The custodial agency shall 16 attest to such training for custodial escort and custody 17 of high-risk committed persons through: (A) the training 18 of the Department of Corrections, Department of Juvenile 19 Justice, or Illinois State Police; (B) law enforcement 20 training that is substantially equivalent to the training 21 of the Department of Corrections, Department of Juvenile 22 Justice, or Illinois State Police; or (C) the training 23 described in Section 35. Under no circumstances may leg 24 irons or shackles or waist shackles be used on any 25 pregnant female prisoner who is in labor. In addition, 26 restraint of a pregnant female prisoner in the custody of HB5431 - 10 - LRB103 39388 AWJ 69563 b HB5431- 11 -LRB103 39388 AWJ 69563 b HB5431 - 11 - LRB103 39388 AWJ 69563 b HB5431 - 11 - LRB103 39388 AWJ 69563 b 1 the Cook County shall comply with Section 3-15003.6 of the 2 Counties Code. Additionally, restraints shall not be used 3 on a committed person if medical personnel determine that 4 the restraints would impede medical treatment; and 5 (4) ensure that only medical personnel, Department of 6 Corrections, county, or municipality personnel, and 7 visitors on the committed person's approved institutional 8 visitors list may visit the committed person. Visitation 9 by a person on the committed person's approved 10 institutional visitors list shall be subject to the rules 11 and procedures of the hospital or medical facility and the 12 Department of Corrections, county, or municipality. In any 13 situation in which a committed person is being visited: 14 (A) the name of the visitor must be listed per the 15 facility's or institution's documentation; 16 (B) the visitor shall submit to the search of his 17 or her person or any personal property under his or her 18 control at any time; and 19 (C) the custodial agency may deny the committed 20 person access to a telephone or limit the number of 21 visitors the committed person may receive for purposes 22 of safety. 23 If a committed person receives medical care and treatment 24 at a place other than an institution or facility of the 25 Department of Corrections, county, or municipality, then the 26 custodial agency shall ensure that the committed person is HB5431 - 11 - LRB103 39388 AWJ 69563 b HB5431- 12 -LRB103 39388 AWJ 69563 b HB5431 - 12 - LRB103 39388 AWJ 69563 b HB5431 - 12 - LRB103 39388 AWJ 69563 b 1 wearing security restraints in accordance with the custodial 2 agency's rules and procedures if the custodial agency 3 determines that restraints are necessary for the following 4 reasons: (i) to prevent physical harm to the committed person 5 or another person; (ii) because the committed person has a 6 history of disruptive behavior that has placed others in 7 potentially harmful situations or presents a substantial risk 8 of inflicting physical harm on himself or herself or others as 9 evidenced by recent behavior; or (iii) there is a well-founded 10 belief that the committed person presents a substantial risk 11 of flight. Under no circumstances may leg irons or shackles or 12 waist shackles be used on any pregnant female prisoner who is 13 in labor. In addition, restraint of a pregnant female prisoner 14 in the custody of the Cook County shall comply with Section 15 3-15003.6 of the Counties Code. 16 The hospital or medical facility may establish protocols 17 for the receipt of committed persons in collaboration with the 18 Department of Corrections, county, or municipality, 19 specifically with regard to potentially violent persons. 20 (b) If a committed person receives medical care and 21 treatment at a place other than an institution or facility of 22 the Department of Juvenile Justice, then the institution or 23 facility shall: 24 (1) to the greatest extent practicable, notify the 25 hospital or medical facility that is treating the 26 committed person prior to the committed person's visit, HB5431 - 12 - LRB103 39388 AWJ 69563 b HB5431- 13 -LRB103 39388 AWJ 69563 b HB5431 - 13 - LRB103 39388 AWJ 69563 b HB5431 - 13 - LRB103 39388 AWJ 69563 b 1 and notify the hospital or medical facility of any 2 significant medical, mental health, recent violent 3 actions, or other safety concerns regarding the patient; 4 (2) to the greatest extent practicable, ensure the 5 transferred committed person is accompanied by the most 6 comprehensive medical records possible; 7 (3) provide: (A) at least one guard trained in 8 custodial escort and custody of high-risk committed 9 persons to accompany any committed person. The custodial 10 agency shall attest to such training for custodial escort 11 and custody of high-risk committed persons through: (i) 12 the training of the Department of Corrections, Department 13 of Juvenile Justice, or Illinois State Police, (ii) law 14 enforcement training that is substantially equivalent to 15 the training of the Department of Corrections, Department 16 of Juvenile Justice, or Illinois State Police, or (iii) 17 the training described in Section 35; or (B) 2 guards to 18 accompany the committed person at all times during the 19 visit to the hospital or medical facility; and 20 (4) ensure that only medical personnel, Department of 21 Juvenile Justice personnel, and visitors on the committed 22 person's approved institutional visitors list may visit 23 the committed person. Visitation by a person on the 24 committed person's approved institutional visitors list 25 shall be subject to the rules and procedures of the 26 hospital or medical facility and the Department of HB5431 - 13 - LRB103 39388 AWJ 69563 b HB5431- 14 -LRB103 39388 AWJ 69563 b HB5431 - 14 - LRB103 39388 AWJ 69563 b HB5431 - 14 - LRB103 39388 AWJ 69563 b 1 Juvenile Justice. In any situation in which a committed 2 person is being visited: 3 (A) the name of the visitor must be listed per the 4 facility's or institution's documentation; 5 (B) the visitor shall submit to the search of his 6 or her person or any personal property under his or her 7 control at any time; and 8 (C) the custodial agency may deny the committed 9 person access to a telephone or limit the number of 10 visitors the committed person may receive for purposes 11 of safety. 12 If a committed person receives medical care and treatment 13 at a place other than an institution or facility of the 14 Department of Juvenile Justice, then the Department of 15 Juvenile Justice shall ensure that the committed person is 16 wearing security restraints on either his or her wrists or 17 ankles in accordance with the rules and procedures of the 18 Department of Juvenile Justice if the Department of Juvenile 19 Justice determines that restraints are necessary for the 20 following reasons: (i) to prevent physical harm to the 21 committed person or another person; (ii) because the committed 22 person has a history of disruptive behavior that has placed 23 others in potentially harmful situations or presents a 24 substantial risk of inflicting physical harm on himself or 25 herself or others as evidenced by recent behavior; or (iii) 26 there is a well-founded belief that the committed person HB5431 - 14 - LRB103 39388 AWJ 69563 b HB5431- 15 -LRB103 39388 AWJ 69563 b HB5431 - 15 - LRB103 39388 AWJ 69563 b HB5431 - 15 - LRB103 39388 AWJ 69563 b 1 presents a substantial risk of flight. Any restraints used on 2 a committed person under this paragraph shall be the least 3 restrictive restraints necessary to prevent flight or physical 4 harm to the committed person or another person. Restraints 5 shall not be used on the committed person as provided in this 6 paragraph if medical personnel determine that the restraints 7 would impede medical treatment. Under no circumstances may leg 8 irons or shackles or waist shackles be used on any pregnant 9 female prisoner who is in labor. In addition, restraint of a 10 pregnant female prisoner in the custody of the Cook County 11 shall comply with Section 3-15003.6 of the Counties Code. 12 The hospital or medical facility may establish protocols 13 for the receipt of committed persons in collaboration with the 14 Department of Juvenile Justice, specifically with regard to 15 persons recently exhibiting violence. 16 (Source: P.A. 102-538, eff. 8-20-21.) 17 Section 15. The Unified Code of Corrections is amended by 18 changing Sections 3-6-7, 3-6-7.2, 3-6-7.3, and 5-8A-4 and by 19 adding Sections 3-6-0.5 and 3-6-7.5 as follows: 20 (730 ILCS 5/3-6-0.5 new) 21 Sec. 3-6-0.5. Definitions. As used in this Section and 22 Sections 3-6-7, 3-6-7.2, 3-6-7.3, and 3-6-7.4: 23 "Extraordinary circumstance" means an extraordinary 24 medical or security circumstance, including a substantial HB5431 - 15 - LRB103 39388 AWJ 69563 b HB5431- 16 -LRB103 39388 AWJ 69563 b HB5431 - 16 - LRB103 39388 AWJ 69563 b HB5431 - 16 - LRB103 39388 AWJ 69563 b 1 flight risk, that dictates restraints be used to ensure the 2 safety and security of the committed person, the staff of the 3 correctional institution or medical facility, other committed 4 persons, or the public. 5 "Labor" means the period of time before a birth and shall 6 include any medical condition in which an individual is sent 7 or brought to the hospital for the purpose of delivering a 8 baby. These situations include: induction of labor, prodromal 9 labor, pre-term labor, prelabor rupture of membranes, the 3 10 stages of active labor, uterine hemorrhage during the third 11 trimester of pregnancy, and caesarian delivery, including 12 pre-operative preparation. 13 "Postpartum" means the 6-week period following birth 14 unless determined to be a longer period by a physician, 15 advanced practice registered nurse, or physician assistant. 16 "Restraints" means any physical restraint or mechanical 17 device used to control the movement of a committed person's 18 body or limbs, or both, including, but not limited to, flex 19 cuffs, soft restraints, hard metal handcuffs, a black box, 20 Chubb cuffs, leg irons, belly chains, a security (tether) 21 chain, or a convex shield, or shackles of any kind. 22 (730 ILCS 5/3-6-7) 23 Sec. 3-6-7. Pregnant female committed persons. 24 (a) The Department shall not apply security restraints to 25 a committed person that has been determined by a qualified HB5431 - 16 - LRB103 39388 AWJ 69563 b HB5431- 17 -LRB103 39388 AWJ 69563 b HB5431 - 17 - LRB103 39388 AWJ 69563 b HB5431 - 17 - LRB103 39388 AWJ 69563 b 1 medical professional to be pregnant or otherwise is known by 2 the Department to be pregnant or in postpartum recovery, 3 unless the correctional official makes an individualized 4 determination that the committed person presents a substantial 5 flight risk or some other extraordinary circumstance that 6 dictates security restraints be used to ensure the safety and 7 security of the committed person, the committed person's child 8 or unborn child, the staff of the Department or medical 9 facility, other committed persons, or the public. The 10 protections set out in paragraphs (3) and (4) of this Section 11 shall apply to security restraints used as provided in this 12 subsection. The correctional officer employed by the 13 Department shall immediately remove all restraints and 14 approved electronic monitoring devices, as that term is 15 defined in Section 5-8A-2 of the Unified Code of Corrections, 16 upon the written or oral request of medical personnel. Oral 17 requests made by medical personnel shall be verified in 18 writing as promptly as reasonably possible. 19 (1) Qualified authorized health staff shall have the 20 authority to order therapeutic restraints for a pregnant 21 or postpartum committed person who is a danger to the 22 committed person, the committed person's child, unborn 23 child, or other persons due to a psychiatric or medical 24 disorder. Therapeutic restraints may only be initiated, 25 monitored, and discontinued by qualified and authorized 26 health staff and used to safely limit a committed person's HB5431 - 17 - LRB103 39388 AWJ 69563 b HB5431- 18 -LRB103 39388 AWJ 69563 b HB5431 - 18 - LRB103 39388 AWJ 69563 b HB5431 - 18 - LRB103 39388 AWJ 69563 b 1 mobility for psychiatric or medical reasons. No order for 2 therapeutic restraints shall be written unless medical or 3 mental health personnel, after personally observing and 4 examining the committed person, are clinically satisfied 5 that the use of therapeutic restraints is justified and 6 permitted in accordance with hospital policies and 7 applicable State law. Metal handcuffs or shackles are not 8 considered therapeutic restraints. 9 (2) Whenever therapeutic restraints are used by 10 medical personnel, Section 2-108 of the Mental Health and 11 Developmental Disabilities Code shall apply. 12 (3) Leg irons, shackles or waist shackles shall not be 13 used on any pregnant or postpartum committed person 14 regardless of security classification. Except for 15 therapeutic restraints under paragraph (2) of subsection 16 (b), no restraints of any kind may be applied to committed 17 persons during labor. 18 (4) When a pregnant or postpartum committed person 19 must be restrained, restraints used shall be the least 20 restrictive restraints possible to ensure the safety and 21 security of the committed person, the committed person's 22 child, unborn child, the staff of the Department or 23 medical facility, other committed persons, or the public, 24 and in no case shall include leg irons, shackles, or waist 25 shackles. 26 (5) Upon the pregnant committed person's entry into a HB5431 - 18 - LRB103 39388 AWJ 69563 b HB5431- 19 -LRB103 39388 AWJ 69563 b HB5431 - 19 - LRB103 39388 AWJ 69563 b HB5431 - 19 - LRB103 39388 AWJ 69563 b 1 hospital room, and completion of initial room inspection, 2 a correctional officer shall be posted immediately outside 3 the hospital room unless requested to be in the room by 4 medical personnel attending to the committed person's 5 medical needs. 6 (6) The Department shall provide adequate corrections 7 personnel to monitor the pregnant committed person during 8 the committed person's transport to and from the hospital 9 and during the committed person's stay at the hospital. 10 (7) Where the correctional institution or facility 11 requires committed person safety assessments, a 12 correctional official may enter the hospital room to 13 conduct periodic committed person safety assessments, 14 except during a medical examination or the delivery 15 process. 16 (b) No later than 30 days before the end of each fiscal 17 year, the Department shall submit a written report to the 18 Illinois General Assembly and the Office of the Governor that 19 includes an account of every instance of committed person 20 restraint pursuant to this Section. The written report shall 21 state the date, time, location and rationale for each instance 22 in which restraints are used. The written report shall not 23 contain any individually identifying information of any 24 committed person. Such reports shall be made available for 25 public inspection. 26 (c) No later than 30 days before the end of each fiscal HB5431 - 19 - LRB103 39388 AWJ 69563 b HB5431- 20 -LRB103 39388 AWJ 69563 b HB5431 - 20 - LRB103 39388 AWJ 69563 b HB5431 - 20 - LRB103 39388 AWJ 69563 b 1 year, the Department shall submit a written report to the 2 Illinois General Assembly and the Office of the Governor that 3 includes the number of pregnant committed persons in custody 4 each year and the number of people who deliver or miscarry 5 while in custody. The written report shall not contain any 6 individually identifying information of a prisoner. The 7 written report shall be made available for public inspection 8 Notwithstanding any other statute, directive, or 9 administrative regulation, when a pregnant female committed 10 person is brought to a hospital from an Illinois correctional 11 center for the purpose of delivering her baby, no handcuffs, 12 shackles, or restraints of any kind may be used during her 13 transport to a medical facility for the purpose of delivering 14 her baby. Under no circumstances may leg irons or shackles or 15 waist shackles be used on any pregnant female committed person 16 who is in labor. Upon the pregnant female committed person's 17 entry to the hospital delivery room, a correctional officer 18 must be posted immediately outside the delivery room. The 19 Department must provide for adequate personnel to monitor the 20 pregnant female committed person during her transport to and 21 from the hospital and during her stay at the hospital. 22 (Source: P.A. 91-253, eff. 1-1-00.) 23 (730 ILCS 5/3-6-7.2) 24 Sec. 3-6-7.2. Educational programming and information for 25 pregnant committed persons. HB5431 - 20 - LRB103 39388 AWJ 69563 b HB5431- 21 -LRB103 39388 AWJ 69563 b HB5431 - 21 - LRB103 39388 AWJ 69563 b HB5431 - 21 - LRB103 39388 AWJ 69563 b 1 (a) The Department shall develop and provide to each 2 pregnant committed person educational programming relating to 3 pregnancy and parenting. The programming must include 4 instruction regarding: 5 (1) appropriate prenatal care and hygiene; 6 (2) the effects of prenatal exposure to alcohol and 7 drugs on a developing fetus; 8 (3) parenting skills; and 9 (4) medical and mental health issues applicable to 10 children. 11 (b) The Department shall provide informational materials 12 concerning the laws pertaining to pregnant committed persons 13 to any pregnant or postpartum individual. The Department of 14 Public Health and community-based organizations specializing 15 in the rights of pregnant committed persons shall provide 16 these information materials to the warden at no cost to the 17 county. The informational materials must include information 18 regarding: 19 (1) the prohibition against the use of restraints; 20 (2) rules concerning the treatment of pregnant 21 committed persons, including those relating to bed height 22 and supplemental nutrition; 23 (3) the right to spend time with a child following 24 delivery; 25 (4) the requirement to provide educational 26 programming; HB5431 - 21 - LRB103 39388 AWJ 69563 b HB5431- 22 -LRB103 39388 AWJ 69563 b HB5431 - 22 - LRB103 39388 AWJ 69563 b HB5431 - 22 - LRB103 39388 AWJ 69563 b 1 (5) all rights under the Reproductive Health Act; 2 (6) the procedure for obtaining an abortion, if so 3 desired; 4 (7) any new or additional laws concerning the rights 5 of pregnant committed persons; and 6 (8) address or contact information for community 7 organizations specializing in the rights of pregnant 8 committed persons for questions or concerns; 9 (c) The Department must also post informational flyers 10 wherever pregnant committed persons may be housed. 11 (Source: P.A. 101-652, eff. 7-1-21; 102-813, eff. 5-13-22.) 12 (730 ILCS 5/3-6-7.3) 13 Sec. 3-6-7.3. Committed person postpartum post-partum 14 recovery requirements. The Department shall ensure that, for a 15 period of 72 hours after the birth of an infant by a committed 16 person: 17 (1) the infant is allowed to remain with the committed 18 person, unless a medical professional determines doing so 19 would pose a health or safety risk to the committed person 20 or infant based on information only available to the 21 Department. The mental health professional shall make any 22 such determination on an individualized basis and in 23 consultation with the birthing team of the pregnant person 24 and the Chief of the Women's Division. The birthing team 25 shall include the committed person's perinatal care HB5431 - 22 - LRB103 39388 AWJ 69563 b HB5431- 23 -LRB103 39388 AWJ 69563 b HB5431 - 23 - LRB103 39388 AWJ 69563 b HB5431 - 23 - LRB103 39388 AWJ 69563 b 1 providers and doula, if available; and 2 (2) the committed person has access to any nutritional 3 or hygiene-related products necessary to care for the 4 infant, including diapers. 5 (Source: P.A. 102-28, eff. 6-25-21; 103-154, eff. 6-30-23.) 6 (730 ILCS 5/3-6-7.5 new) 7 Sec. 3-6-7.5. Supplemental nutrition during pregnancy or 8 lactation. A committed person who is pregnant or lactating, 9 including a committed person who is nursing a baby or pumping 10 breastmilk, shall be provided supplemental nutrition of at 11 least 300 calories per day. This supplemental nutrition shall 12 be in addition to any regularly provided food and shall be 13 available outside of regular mealtimes. 14 (730 ILCS 5/5-8A-4) (from Ch. 38, par. 1005-8A-4) 15 Sec. 5-8A-4. Program description. The supervising 16 authority may promulgate rules that prescribe reasonable 17 guidelines under which an electronic monitoring and home 18 detention program shall operate. When using electronic 19 monitoring for home detention these rules may include, but not 20 be limited to, the following: 21 (A) The participant may be instructed to remain within 22 the interior premises or within the property boundaries of 23 his or her residence at all times during the hours 24 designated by the supervising authority. Such instances of HB5431 - 23 - LRB103 39388 AWJ 69563 b HB5431- 24 -LRB103 39388 AWJ 69563 b HB5431 - 24 - LRB103 39388 AWJ 69563 b HB5431 - 24 - LRB103 39388 AWJ 69563 b 1 approved absences from the home shall include, but are not 2 limited to, the following: 3 (1) working or employment approved by the court or 4 traveling to or from approved employment; 5 (2) unemployed and seeking employment approved for 6 the participant by the court; 7 (3) undergoing medical, psychiatric, mental health 8 treatment, counseling, or other treatment programs 9 approved for the participant by the court; 10 (4) attending an educational institution or a 11 program approved for the participant by the court; 12 (5) attending a regularly scheduled religious 13 service at a place of worship; 14 (6) participating in community work release or 15 community service programs approved for the 16 participant by the supervising authority; 17 (7) for another compelling reason consistent with 18 the public interest, as approved by the supervising 19 authority; or 20 (8) purchasing groceries, food, or other basic 21 necessities. 22 (A-1) At a minimum, any person ordered to pretrial 23 home confinement with or without electronic monitoring 24 must be provided with movement spread out over no fewer 25 than two days per week, to participate in basic activities 26 such as those listed in paragraph (A). In this subdivision HB5431 - 24 - LRB103 39388 AWJ 69563 b HB5431- 25 -LRB103 39388 AWJ 69563 b HB5431 - 25 - LRB103 39388 AWJ 69563 b HB5431 - 25 - LRB103 39388 AWJ 69563 b 1 (A-1), "days" means a reasonable time period during a 2 calendar day, as outlined by the court in the order 3 placing the person on home confinement. 4 (B) The participant shall admit any person or agent 5 designated by the supervising authority into his or her 6 residence at any time for purposes of verifying the 7 participant's compliance with the conditions of his or her 8 detention. 9 (C) The participant shall make the necessary 10 arrangements to allow for any person or agent designated 11 by the supervising authority to visit the participant's 12 place of education or employment at any time, based upon 13 the approval of the educational institution employer or 14 both, for the purpose of verifying the participant's 15 compliance with the conditions of his or her detention. 16 (D) The participant shall acknowledge and participate 17 with the approved electronic monitoring device as 18 designated by the supervising authority at any time for 19 the purpose of verifying the participant's compliance with 20 the conditions of his or her detention. 21 (E) The participant shall maintain the following: 22 (1) access to a working telephone; 23 (2) a monitoring device in the participant's home, 24 or on the participant's person, or both; and 25 (3) a monitoring device in the participant's home 26 and on the participant's person in the absence of a HB5431 - 25 - LRB103 39388 AWJ 69563 b HB5431- 26 -LRB103 39388 AWJ 69563 b HB5431 - 26 - LRB103 39388 AWJ 69563 b HB5431 - 26 - LRB103 39388 AWJ 69563 b 1 telephone. 2 (F) The participant shall obtain approval from the 3 supervising authority before the participant changes 4 residence or the schedule described in subsection (A) of 5 this Section. Such approval shall not be unreasonably 6 withheld. 7 (G) The participant shall not commit another crime 8 during the period of home detention ordered by the Court. 9 (H) Notice to the participant that violation of the 10 order for home detention may subject the participant to 11 prosecution for the crime of escape as described in 12 Section 5-8A-4.1. 13 (I) The participant shall abide by other conditions as 14 set by the supervising authority. 15 The supervising authority shall adopt rules to immediately 16 remove all approved electronic monitoring devices of a 17 pregnant participant during labor and delivery. 18 (J) This Section takes effect January 1, 2022. 19 (Source: P.A. 101-652, eff. 7-1-21; 102-28, eff. 6-25-21; 20 102-687, eff. 12-17-21; 102-1104, eff. 12-6-22.) 21 Section 20. The County Jail Act is amended by changing 22 Sections 17.5, 17.7, and 17.8 and by adding Section 17.11 as 23 follows: 24 (730 ILCS 125/17.5) HB5431 - 26 - LRB103 39388 AWJ 69563 b HB5431- 27 -LRB103 39388 AWJ 69563 b HB5431 - 27 - LRB103 39388 AWJ 69563 b HB5431 - 27 - LRB103 39388 AWJ 69563 b 1 Sec. 17.5. Pregnant female prisoners. Restraint of a 2 pregnant or postpartum prisoner shall comply with Section 3 3-15003.6 of the County Department of Corrections Law 4 Notwithstanding any other statute, directive, or 5 administrative regulation, when a pregnant female prisoner is 6 brought to a hospital from a county jail for the purpose of 7 delivering her baby, no handcuffs, shackles, or restraints of 8 any kind may be used during her transport to a medical facility 9 for the purpose of delivering her baby. Under no circumstances 10 may leg irons or shackles or waist shackles be used on any 11 pregnant female prisoner who is in labor. In addition, 12 restraint of a pregnant female prisoner in the custody of the 13 Cook County shall comply with Section 3-15003.6 of the 14 Counties Code. Upon the pregnant female prisoner's entry to 15 the hospital delivery room, 2 county correctional officers 16 must be posted immediately outside the delivery room. The 17 Sheriff must provide for adequate personnel to monitor the 18 pregnant female prisoner during her transport to and from the 19 hospital and during her stay at the hospital. 20 (Source: P.A. 100-1051, eff. 1-1-19.) 21 (730 ILCS 125/17.7) 22 Sec. 17.7. Educational programming and information for 23 pregnant prisoners. 24 (a) The Illinois Department of Public Health shall provide 25 the sheriff with educational programming relating to pregnancy HB5431 - 27 - LRB103 39388 AWJ 69563 b HB5431- 28 -LRB103 39388 AWJ 69563 b HB5431 - 28 - LRB103 39388 AWJ 69563 b HB5431 - 28 - LRB103 39388 AWJ 69563 b 1 and parenting and the sheriff shall provide the programming to 2 pregnant prisoners. The programming must include instruction 3 regarding: 4 (1) appropriate prenatal care and hygiene; 5 (2) the effects of prenatal exposure to alcohol and 6 drugs on a developing fetus; 7 (3) parenting skills; and 8 (4) medical and mental health issues applicable to 9 children. 10 (b) Each sheriff shall provide informational materials 11 concerning the laws pertaining to pregnant prisoners to any 12 pregnant or postpartum individual. The Department of Public 13 Health shall provide these informational materials to the 14 warden of the sheriff at no cost to the county and the county 15 may accept informational materials from community-based 16 organizations specializing in the rights of pregnant 17 prisoners. The informational materials must include 18 information regarding: 19 (1) the prohibition against the use of restraints; 20 (2) rules concerning the treatment of pregnant 21 prisoners, including those relating to bed height and 22 supplemental nutrition; 23 (3) the right to spend time with a child following 24 delivery; 25 (4) the requirement to provide educational 26 programming; HB5431 - 28 - LRB103 39388 AWJ 69563 b HB5431- 29 -LRB103 39388 AWJ 69563 b HB5431 - 29 - LRB103 39388 AWJ 69563 b HB5431 - 29 - LRB103 39388 AWJ 69563 b 1 (5) all rights under the Reproductive Health Act; 2 (6) the procedure for obtaining an abortion, if so 3 desired; 4 (7) any new or additional laws concerning the rights 5 of pregnant prisoners; and 6 (8) address or contact information for community 7 organizations specializing in the rights of pregnant 8 prisoners for questions or concerns. 9 (c) Each sheriff must also post informational flyers 10 wherever pregnant prisoners may be housed. 11 (Source: P.A. 101-652, eff. 7-1-21; 102-28, eff. 6-25-21.) 12 (730 ILCS 125/17.8) 13 Sec. 17.8. Prisoner postpartum post-partum recovery 14 requirements. The sheriff shall ensure that, for a period of 15 72 hours after the birth of an infant by a prisoner: 16 (1) the infant is allowed to remain with the prisoner, 17 unless a medical professional determines doing so would 18 pose a health or safety risk to the prisoner or infant; and 19 (2) the prisoner has access to any nutritional or 20 hygiene-related products necessary to care for the infant, 21 including diapers. 22 (Source: P.A. 101-652, eff. 7-1-21.) 23 (730 ILCS 125/17.11 new) 24 Sec. 17.11. Supplemental nutrition during pregnancy or HB5431 - 29 - LRB103 39388 AWJ 69563 b HB5431- 30 -LRB103 39388 AWJ 69563 b HB5431 - 30 - LRB103 39388 AWJ 69563 b HB5431 - 30 - LRB103 39388 AWJ 69563 b 1 while lactating. A prisoner who is pregnant or lactating, 2 including a prisoner who is nursing a baby or pumping 3 breastmilk, shall be provided supplemental nutrition of at 4 least 300 calories per day. This supplemental nutrition shall 5 be in addition to any regularly provided food and shall be 6 available outside of regular mealtimes. HB5431- 31 -LRB103 39388 AWJ 69563 b 1 INDEX 2 Statutes amended in order of appearance HB5431- 31 -LRB103 39388 AWJ 69563 b HB5431 - 31 - LRB103 39388 AWJ 69563 b 1 INDEX 2 Statutes amended in order of appearance HB5431- 31 -LRB103 39388 AWJ 69563 b HB5431 - 31 - LRB103 39388 AWJ 69563 b HB5431 - 31 - LRB103 39388 AWJ 69563 b 1 INDEX 2 Statutes amended in order of appearance HB5431 - 30 - LRB103 39388 AWJ 69563 b HB5431- 31 -LRB103 39388 AWJ 69563 b HB5431 - 31 - LRB103 39388 AWJ 69563 b HB5431 - 31 - LRB103 39388 AWJ 69563 b 1 INDEX 2 Statutes amended in order of appearance HB5431 - 31 - LRB103 39388 AWJ 69563 b