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8 "gynecologists which provide that when complications 9 are not present, the postpartum hospital stay ranges 10 from a minimum of forty-eight hours for a vaginal 11 delivery to a minimum of ninety-six hours for a 12 cesarean birth, excluding the day of delivery. The 13 guidelines adopted by rule by the commissioner shall 14 also provide that in the event of a discharge from the 15 hospital prior to the minimum stay established in the 16 guidelines, a postdischarge follow-up visit shall be 17 provided to the mother and newborn by providers 18 competent in postpartum care and newborn assessment if 19 determined medically appropriate as directed by the 20 attending physician, in accordance with the 21 guidelines." 22 3. Page 1, line 31, by inserting after the word 23 "stay" the following: "and postdischarge follow-up 24 care". 25 4. Page 1, line 34, by inserting after the figure 26 "509," the following: "509A,". 27 5. Page 1, by striking lines 37 through 40 and 28 inserting the following: "under chapter 514B, shall 29 use the guidelines adopted by rule by the 30 commissioner, and shall not deselect, require 31 additional documentation, require additional 32 utilization review, terminate services to, reduce 33 payment to, or in any manner provide a disincentive to 34 an attending physician solely on the basis that the 35 attending physician provided or directed the provision 36 of services in compliance with the guidelines adopted 37 by rule." 38 6. Page 1, by inserting before line 41 the 39 following: 40 "3. Preauthorization or precertification for a 41 hospital stay or for a postdischarge follow-up visit 42 in accordance with the guidelines adopted by rule by 43 the commissioner shall not be required."" Amendment H-6087 was adopted. Martin of Scott asked and received unanimous consent to withdraw amendment H-5867, to the Senate amendment H-5821, filed by Martin, et. al., on April 8, 1996. On motion by Metcalf of Polk, the House concurred in the Senate amendment H-5821, as amended. Metcalf of Polk moved that the bill be read a last time now and placed upon its passage which motion prevailed and the bill was read a last time. On the question "Shall the bill pass?" (H.F. 2369) The ayes were, 96: Arnold Baker Bell Bernau Blodgett Boddicker Boggess Bradley
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