Text: HF02046 Text: HF02048 Text: HF02000 - HF02099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514C.11 MINIMUM POSTDELIVERY
1 2 CARE REQUIREMENTS.
1 3 1. Notwithstanding section 514C.6, an individual or group
1 4 policy of accident or health insurance or individual or group
1 5 hospital or health care service contract issued pursuant to
1 6 chapter 509, 514, or 514A or an individual or group health
1 7 maintenance organization contract issued and regulated under
1 8 chapter 514B, which is delivered, amended, or renewed on or
1 9 after July 1, 1996, and which provides maternity benefits,
1 10 shall provide coverage for a minimum of forty-eight hours of
1 11 inpatient care following a vaginal delivery and a minimum of
1 12 ninety-six hours of inpatient care following a cesarean
1 13 section for the insured mother and newly born child in a
1 14 hospital licensed pursuant to chapter 135B.
1 15 2. a. A mother and newly born child shall only be
1 16 discharged prior to the minimum inpatient length of care
1 17 prescribed under subsection 1 if the attending provider
1 18 determines that the minimum inpatient stay is not necessary,
1 19 following consultation with the mother.
1 20 b. If the mother and newly born child are discharged
1 21 pursuant to paragraph "a" prior to the required minimum length
1 22 of care, the entity providing coverage, as described in
1 23 subsection 1, shall provide coverage for a postdischarge visit
1 24 to the mother and newly born child by an attending provider
1 25 within forty-eight hours of the discharge. Services provided
1 26 during the visit shall include but are not limited to a
1 27 physical assessment of the newly born child, parent education,
1 28 assistance and training in breast or bottle feeding,
1 29 assessment of the home support system, and the performance of
1 30 any medically necessary and appropriate clinical tests. The
1 31 services shall be consistent with protocols and guidelines
1 32 developed by national pediatric, obstetric, and nursing
1 33 professional organizations for these services.
1 34 3. An entity providing coverage, as described in
1 35 subsection 1, shall not deselect, terminate services to,
2 1 require additional documentation from, require additional
2 2 utilization review of, reduce payments, or in any other manner
2 3 provide disincentives to an attending provider who complies
2 4 with the provisions of this section.
2 5 4. As used in this section, "attending provider" means a
2 6 pediatrician or other licensed physician attending the newly
2 7 born child, or an obstetrician, certified nurse-midwife, or
2 8 other physician attending the mother.
2 9 EXPLANATION
2 10 This bill requires that an individual or group policy of
2 11 accident or health insurance, an individual or group hospital
2 12 or health care service contract, or an individual or group
2 13 health maintenance organization contract, which is delivered,
2 14 amended, or renewed on or after July 1, 1996, and which
2 15 provides maternity benefits, is to provide a minimum of 48
2 16 hours of inpatient care following a vaginal delivery and a
2 17 minimum of 96 hours of inpatient care following a cesarean
2 18 section for an insured mother and the newly born child in a
2 19 licensed hospital. The bill also provides that if the
2 20 attending provider, in consultation with the mother, decides
2 21 to shorten the required length of stay, a follow-up visit must
2 22 be provided within 48 hours of the discharge. The bill
2 23 designates the follow-up services to be provided by an
2 24 attending provider and also defines "attending provider". The
2 25 bill also prohibits an insurer or other coverage provider from
2 26 terminating the services of, requiring additional
2 27 documentation or utilization review, reducing payments, or
2 28 otherwise providing disincentives to attending providers for
2 29 compliance with the bill.
2 30 LSB 3605HH 76
2 31 pf/sc/14
Text: HF02046 Text: HF02048 Text: HF02000 - HF02099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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