§27-41-30.1  Post-partum hospital stays. –


Published: 2015

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TITLE 27

Insurance

CHAPTER 27-41

Health Maintenance Organizations

SECTION 27-41-30.1



   § 27-41-30.1  Post-partum hospital stays.

–

(a) Every individual or group hospital or medical services plan contract

delivered, issued for delivery, or renewed in this state shall provide coverage

for a forty-eight (48) hour time period in a hospital after a vaginal birth,

and ninety-six (96) hours after a Cesarean section for a mother and her newly

born child. Any decision to shorten these minimum coverages shall be made by

the attending health care provider in consultation with the mother. The

decision shall be made in accordance with the standards for guidelines for

perinatal care published by the American College of Obstetrics and Gynecology

and the American Academy of Pediatrics. The standards shall be relative to

early discharge, defined as less than forty-eight (48) hours for a vaginal

delivery and ninety-six (96) for a Cesarean delivery. In the case of early

discharge, post-delivery care shall include home visits, parent education,

assistance and training in breast or bottle feeding and the performance of any

necessary and appropriate clinical tests or any other tests or services

consistent with the guidelines in this subsection.



   (b) For the purposes of this section, "attending health care

provider" includes the attending obstetrician, pediatrician, family

practitioner, general practitioner or certified nurse midwife attending the

mother and newly born child.



   (c) Any member who is aggrieved by a denial of benefits to be

provided under this section may appeal the denial in accordance with

regulations of the department of health, which have been promulgated pursuant

to chapter 17.12 of title 23. No policy or plan covered under this chapter

shall terminate the services, reduce capitation payment, or penalize an

attending physician or other health care provider who orders care consistent

with the provisions of this section.



History of Section.

(P.L. 1996, ch. 246, § 5; P.L. 1996, ch. 260, § 5; P.L. 2002, ch.

292, § 85.)

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