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Celebrating the Passage of HB4606

Policy Manager Kayla Goldfarb expands on the passage of HB4606, which will lay the foundation for Illinois to establish a state-wide framework of Universal Newborn Support Systems.

Kayla Goldfarb June 3, 2026
  • Policy and Systems
  • Blog

After years of advocacy, research and community-led and state-systems work, Illinois has moved closer toward advancing a statewide Universal Newborn Support Systems (UNSS), a voluntary, no-cost postpartum home visiting program that will offer every family with a newborn the support, screening, and connections they need in the critical weeks after birth. Because the Illinois General Assembly approved HB4606 (Faver Dias, Castro) this spring, Illinois will lay the administrative groundwork necessary to establish a statewide framework for UNSS. We anticipate Governor JB Pritzker will sign the bill into law this summer.

What HB4606 Does

The 2018 Illinois Maternal Morbidity and Mortality Report from the Illinois Department of Public Health specifically recommended that the state expand short-term universal home visiting to all mothers within three weeks of giving birth; HB4606 answers that recommendation by allowing the state to begin building the key infrastructure and pathways needed to eventually scale UNSS statewide.

Once enacted, HB4606 will authorize the Illinois Department of Human Services (IDHS) to design, implement, and maintain the infrastructure to support a statewide universal newborn home visiting program. Under the new law, IDHS may create a list of evidence-based, voluntary home visiting models, coordinate data collection across local programs, and work collaboratively with a wide range of stakeholders, from hospitals and community health workers to insurance carriers and local public health authorities, to build a cohesive, statewide system for local UNSS programs.

Why UNSS is critical for maternal, infant, and family well-being

The weeks following birth are among the most consequential in a family’s life. Research consistently shows that postpartum education and care programs like UNSS reduce maternal and infant morbidity and mortality, improve physical, mental and social wellbeing for parents and newborns, and strengthen family stability during a high-stress transition period.

Families who accept the offer of a UNSS program receive a home visit from a nurse, community health worker or other trained professional around three weeks after childbirth. That visitor conducts a brief maternal and infant health screening and connects the family to any additional services and resources they need and want. Participation is entirely voluntary, offered at no cost and carries no adverse consequences for families who decline.

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Building on existing UNSS toward statewide infrastructure

Illinois communities have been investing in and implementing universal newborn home visiting for years. Stephenson, Peoria, Winnebago and Macon counties, as well as the City of Chicago, have demonstrated concrete positive outcomes for the physical, mental and social well-being of newborns and their families through their UNSS programs. As IDHS moves to implement the statewide infrastructure for UNSS, it will be critical to build on those local successes, coordinate and collaborate with existing programs and connect UNSS goals with related maternal and infant health initiatives including the Birth Equity Blueprint.

HB4606 follows a five-year planning process led by IDHS under a federal grant to establish the framework for a statewide UNSS program to improve maternal and early childhood systems of care. This work, supported by the Early Childhood Systems Grant (ECCS), culminated in the development of a final report and recommendations; Start Early awaits the publication of this report and hopes to see IDHS to integrate next steps for ECCS into the implementation of HB4606.

Start Early appreciates the leadership of the Representative Laura Faver Dias and Senator Cristina Castro as chief sponsors of the bill and applauds the bipartisan supporters across the legislature who helped to pass this significant legislation. As we await Governor Pritzker’s signature, Start Early remains committed to partnering with IDHS to ensure that implementation of HB4606 builds upon the lessons learned from existing UNSS programs and maternal and child health advocates, and centers the experiences of families across Illinois.

About the Author

Kayla Goldfarb

Kayla Goldfarb

Policy Manager, Start Early

Kayla Goldfarb is a policy manager with the Illinois Policy Team and primarily focuses on home visiting where she provides staffing support to the Illinois Home Visiting Task Force.

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