May 1, 2025
Dear Family and Friends:
Thanks to your continued support, this marks the eleventh year that David’s fund has been able to promote mental wellness, especially for the underserved. Last year, thanks to your generous donations, we awarded a grant to Trilogy as they addressed the mental-health needs of Chicago residents by opening a new mental health drop-in center in Chatham. We are sharing the story of Keith, a Trilogy Client who spends most of his days at this center, to demonstrate how our network of support is changing lives. The fund has made multiple grants to Trilogy, and Jeff Fenwick, the organizations director of development, tells us that they are “honored to be part of celebrating David’s legacy.”
You may recall that in 2023 we contributed to the Institute for Children’s Mental Health’s third research trial on the cognitive benefits to children whose mothers took choline supplements during pregnancy. Since then, we’ve seen exciting progress. In 2024, Colorado passed legislation to add choline supplements to its Medicaid formulary, and the federal government has agreed to cover half the cost of these supplements starting in 2025. Last Summer, while these developments were unfolding, Joanna and I met with Illinois House of Representatives Leader Robyn Gabel to advocate for the passage of similar legislation in Illinois. That bill, HB1504(see enclosed), has now been introduced, and on March 27th I testified before the Medicare Subcommittee in support of its passage. A copy of my testimony is attached. We won’t know if the bill will pass until later this month, but the hearing was encouraging. We will keep you updated on new developments.
Thank you for your continued support of David’s fund,
Mike, Susan, Joanna, and Peter

104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB1504
Introduced 1/28/2025, by Rep. Robyn Gabel
SYNOPSIS AS INTRODUCED:
HB1504. 305 ILCS 5/5-5 Amends the Medical Assistance Article of the Illinois Public Aid Code.
Provides that no later than July 1, 2025, over-the-counter choline dietary supplements for
pregnant persons shall be covered under the medical assistance program.
Testimony of Michael M. Mulder
- Based on current research studies, choline supplements are predicted to reduce preterm birth
rate by at least 20%. The effect occurs because high stress causes women to have very low
choline levels, which prevents normal maturation of the placenta. The effect is especially
prominent in poorer Black women, who report high levels of stress from their socioeconomic
condition and who have higher 1.5 times higher preterm birth than White women. Choline
supplements help reverse that disparity. - In 2023, Illinois had 124,820 live births, 40% covered by Medicaid. 10% of births were
preterm. The minimum cost for Neonatal Intensive care after preterm birth is $3000 and
average length of stay is 7 days in Illinois for birth at 36 weeks’ gestation, or $21,000, according
to Lurie Children’s Hospital. The cost of choline supplements for a pregnancy is $150. For the
cost of 1 preterm infant in the NICU, 140 women could receive a choline supplement. Of these
140 women 11 White and 3 Black women would otherwise be expected to have a preterm
birth. Prevention of 2-3 of these preterm births would more than cover the cost of the choline
supplement. - Based on 2024 Colorado legislation authorizing Medicaid coverage for choline, the U.S. Center
for Medicaid Services authorized 50% Federal reimbursement for choline along with other
prenatal vitamins beginning in 2025. Illinois would be eligible as well. - Higher maternal choline also supports fetal brain development and can protect babies from
early symptoms of Attention Deficit Disorder (ADHD), some forms of autism like Asperger’s
Syndrome, and Schizophrenia. Higher reading readiness scores on entrance to school are also
reported. - The American Medical Association, American College of Obstetricians and Gynecologists and
the American Academy of Pediatrics all recommend higher maternal choline. Choline is a
natural substance and has been added to infant formula in substantial amounts since 1980.
June 18, 2019
