Text: HF02368 Text: HF02370 Text: HF02300 - HF02399 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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1 1 Section 1. NEW SECTION. 514C.11 POSTDELIVERY BENEFITS
1 2 AND CARE.
1 3 1. Notwithstanding section 514C.6, a person who provides
1 4 an individual or group policy of accident or health insurance
1 5 or individual or group hospital or health care service
1 6 contract issued pursuant to chapter 509, 509A, 514, or 514A or
1 7 an individual or group health maintenance organization
1 8 contract issued and regulated under chapter 514B, which is
1 9 delivered, amended, or renewed on or after July 1, 1996, and
1 10 which provides maternity benefits, which are not limited to
1 11 complications of pregnancy, or newborn care benefits, shall
1 12 not terminate inpatient benefits or require discharge of a
1 13 mother or the newborn from a hospital following delivery
1 14 earlier than determined to be medically appropriate by the
1 15 attending physician after consultation with the mother and in
1 16 accordance with guidelines adopted by rule by the
1 17 commissioner. The guidelines adopted by rule shall be
1 18 consistent with or may adopt by reference the guidelines for
1 19 perinatal care established by the American academy of
1 20 pediatrics and the American college of obstetricians and
1 21 gynecologists which provide that when complications are not
1 22 present, the postpartum hospital stay ranges from a minimum of
1 23 forty-eight hours for a vaginal delivery to a minimum of
1 24 ninety-six hours for a cesarean birth, excluding the day of
1 25 delivery. The guidelines adopted by rule by the commissioner
1 26 shall also provide that in the event of a discharge from the
1 27 hospital prior to the minimum stay established in the
1 28 guidelines, a postdischarge follow-up visit shall be provided
1 29 to the mother and newborn by providers competent in postpartum
1 30 care and newborn assessment if determined medically
1 31 appropriate as directed by the attending physician, in
1 32 accordance with the guidelines.
1 33 2. When performing utilization review of inpatient
1 34 hospital services related to maternity and newborn care,
1 35 including but not limited to length of postdelivery stay and
2 1 postdischarge follow-up care, any person who provides an
2 2 individual or group policy of accident or health insurance or
2 3 individual or group hospital or health care service contract
2 4 issued pursuant to chapter 509, 509A, 514, or 514A, or an
2 5 individual or group health maintenance organization contract
2 6 issued and regulated under chapter 514B, shall use the
2 7 guidelines adopted by rule by the commissioner, and shall not
2 8 deselect, require additional documentation, require additional
2 9 utilization review, terminate services to, reduce payment to,
2 10 or in any manner provide a disincentive to an attending
2 11 physician solely on the basis that the attending physician
2 12 provided or directed the provision of services in compliance
2 13 with the guidelines adopted by rule.
2 14 3. Preauthorization or precertification for a hospital
2 15 stay or for a postdischarge follow-up visit in accordance with
2 16 the guidelines adopted by rule by the commissioner shall not
2 17 be required.
2 18 HF 2369
2 19 pf/pk/25
Text: HF02368 Text: HF02370 Text: HF02300 - HF02399 Text: HF Index Bills and Amendments: General Index Bill History: General Index
Iowa General Assembly
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