PRINTER'S NO. 2440
No. 1977 Session of 1995
INTRODUCED BY MICOZZIE, SCHRODER, E. Z. TAYLOR, COLAIZZO, BARD,
BOSCOLA, BROWN, CARONE, L. I. COHEN, DURHAM, FARMER, HARHART,
LAUGHLIN, LEDERER, MAJOR, MILLER, MUNDY, RUBLEY, RUDY,
SHEEHAN, TRUE, VANCE, ADOLPH, CIVERA, FLICK, GANNON, LAWLESS,
RAYMOND, BUXTON, DEMPSEY, FICHTER, GLADECK, SATHER, STEIL,
GEIST, STERN AND HERSHEY, SEPTEMBER 18, 1995
REFERRED TO COMMITTEE ON INSURANCE, SEPTEMBER 18, 1995
AN ACT
1 Providing for certain health insurance benefits to aid the
2 health and well-being of mother and child following the birth
3 of a child.
4 The General Assembly of the Commonwealth of Pennsylvania
5 hereby enacts as follows:
6 Section 1. Short title.
7 This act shall be known and may be cited as the Mother and
8 Infant Health Security Act.
9 Section 2. Health benefit contract.
10 Every individual or group health benefits contract that
11 provides maternity benefits and is delivered, issued, executed
12 or renewed in this Commonwealth pursuant to the act of May 18,
13 1976 (P.L.123, No.54), known as the Individual Accident and
14 Sickness Insurance Minimum Standards Act, or approved for
15 issuance or renewal in this Commonwealth by the Insurance
16 Commissioner on or after the effective date of this act shall
1 provide coverage for a minimum of 48 hours of inpatient care,
2 excluding the day of delivery, for the mother and the newborn
3 after childbirth, except as otherwise provided in this act.
4 Section 3. Utilization review standards.
5 (a) Length of stay.--A plan for utilization review
6 standards, including those standards applied to determine length
7 of stay and inpatient services related to maternity and newborn
8 care, shall be applied in accordance with the medical criteria
9 outlined in the most current version of the "Guidelines for
10 Perinatal Care" prepared by the American Academy of Pediatrics
11 and the American College of Obstetricians and Gynecologists.
12 (b) Medical stability.--A plan may provide coverage for a
13 shorter length of hospital inpatient stay for services related
14 to maternity and newborn care provided that the mother and the
15 newborn meet the criteria for medical stability in the
16 "Guidelines for Perinatal Care" and the plan provides coverage
17 for an initial postpartum home visit for the mother and child.
18 Section 4. Effective date.
19 This act shall take effect in 60 days.
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