HB 1069 | Requires Minimum Insurance Coverage for Maternity Care |
SCS/HS/HCS/HBs 1069, 794, 807, 936, 1128, 1153 & 1202 - This act requires all health insurers and health maintenance organizations which provide maternity benefits to provide a minimum of forty-eight hours of in-patient care for mother and child following a vaginal delivery and a minimum of ninety-six hours of in-patient care for mother and child following a caesarean section.
SHORTER STAYS - A health insurance provider may authorize a shorter length of hospital stay for services related to maternity and newborn care if: (1) the attending physician approves of the shorter hospital stay after consulting with the mother; the physician's approval must be made in accordance with national guidelines; and (2) the insurance provider provides for a minimum of two post-discharge care visits by a registered professional nurse with experience in maternal and child health nursing or by a physician. These post-discharge visits shall be on a schedule determined by the attending physician and shall include several listed services. At least one of the visits shall be conducted in the home of the patient.
NOTICE - Health insurers and HMOs shall notify insured persons of the coverage required by this act.
DEDUCTIBLES, COPAYMENTS - Health care services required by
this act shall not be subject to a greater deductible or
copayment than the lowest of any similar health care service
provided by the plan.
JON HAGLER