Rep(s). By Representative Millican


HB434

Enrolled, An Act,
SYNOPSIS:Under existing state law, there is no provision that requires a health benefit plan to provide for coverage for a minimum postpartum hospital stay for a mother and her newborn child.
This bill would require that a health benefit plan provide coverage for a minimum postpartum hospital stay for a mother and her newborn child, and the administration of medical tests. The bill would provide for exceptions.

To amend Section 27-48-2, Code of Alabama 1975, relating to coverage for postpartum care; to require that a health benefit plan provide coverage for a minimum postpartum hospital stay for a mother and her newborn child; to require the administration of medical tests for a mother and newborn child; and to provide for exceptions.

BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:

Section 1. This amendatory act shall be known and may be cited as "Rose's Law."

Section 2. Section 27-48-2, Code of Alabama 1975, is amended to read as follows:

27-48-2.

"(a) Every health benefit plan that provides maternity coverage shall provide coverage for the following:

"(1) All medically necessary inpatient care for a mother and her newly born child as determined by the woman's prenatal care physician, obstetrician-gynecologist, certified nurse midwife, or the child's attending pediatrician and when consistent with the most recent version of the "Guidelines for Perinatal Care" prepared by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, including the administration of medical tests recommended by the American Academy of Pediatrics or the American College of Obstetricians and Gynecologists or both on the admission and discharge of a mother and the newborn child to determine whether additional medical care is needed for the mother or newborn child or both. Included in medically necessary inpatient care is the requirement that all hospitals providing a maternity hospital stay perform a complete blood count with differential, or its equipment equivalent, on the mother upon admission and discharge of the mother from the hospital.

(2) Benefits for any hospital length of stay of not less than 48 hours in connection with childbirth for the mother or newborn child, following a normal vaginal delivery.

"(3) Benefits for any hospital length of stay of not less than 96 hours in connection with childbirth for the mother or newborn child, following a cesarean section.

"(b) Notwithstanding the provisions of subdivisions (2) and (3), a mother may be discharged early if she, after being advised by her medical provider in writing of the advantages and disadvantages of early discharge, consents in writing, and the medical provider agrees to the early discharge."

Section 3. This act shall become effective on the first day of the third month following its passage and approval by the Governor, or its otherwise becoming law.


Health
Insurance
Health Benefit Plans
Women
Children
Infants
Hospitals
Code Amended