STATE OF CONNECTICUT
Substitute Bill No. 330                          Page 1


                                            LCO No.
                             General Assembly
                             February Session, A.D., 1996

AN ACT CONCERNING MINIMUM STAY FOR POST MATERNITY CARE.

    Be it enacted  by  the Senate and House of Representatives in
General Assembly convened:
    Section 1. (NEW) (a) As used in this section, "carrier" means
each insurer, health  care  center,  hospital and medical service
corporation, or other  entity  delivering,  issuing for delivery,
renewing or amending  any  individual  health insurance policy in
this state on or after October 1, 1996, providing coverage of the
type specified in subdivisions (1), (2), (4), (6), (10), (11) and
(12) of section 38a-469 of the general statutes.
    (b) Each individual  health  insurance  carrier  that  offers
maternity  benefits  shall  provide  coverage  of  a  minimum  of
forty-eight hours of  inpatient care for a mother and her newborn
infant following a  vaginal  delivery and a minimum of ninety-six
hours of inpatient  care  for  a  mother  and  her newborn infant
following a cesarean delivery. The time periods shall commence at
the time of delivery.
    (c) Any decision  to  shorten the length of inpatient stay to
less than that  provided  under  subsection  (b)  of this section
shall be made  by  the  attending  health  care  providers  after
conferring with the mother.
    (d) If a  mother  and  newborn  are  discharged  pursuant  to
subsection (c) of  this section, prior to the inpatient length of
stay provided under  subsection  (b)  of  this  section, coverage
shall be provided  for a follow-up visit within forty-eight hours
of discharge and  an additional follow-up visit within seven days
of discharge. Such  follow-up  services shall include, but not be
limited to, physical assessment of the newborn, parent education,
assistance and training  in  breast or bottle feeding, assessment
of the home  support  system and the performance of any medically
necessary and appropriate  clinical tests. Such services shall be
consistent with protocols  and  guidelines developed by attending
providers  or  by   national  pediatric,  obstetric  and  nursing
professional  organizations  for  these  services  and  shall  be
provided by qualified health care personnel trained in postpartum
maternal and newborn pediatric care.
    (e) Each individual  health  insurance  carrier shall provide
notice to policyholders  regarding  the  coverage  required under
this act. The notice shall be in writing and shall be transmitted
at the earliest  of  either the next mailing to the policyholder,
the yearly summary  of  benefits  sent  to  the  policyholder  or
January 1, 1997.
    Sec. 2. (NEW)  (a)  As  used in this section, "carrier" means
each insurer, health  care  center,  hospital and medical service
corporation, or other  entity  delivering,  issuing for delivery,
renewing or amending  any  group  health insurance policy in this
state on or after October 1, 1996, providing coverage of the type
specified in subdivisions (1), (2), (4), (6), (10), (11) and (12)
of section 38a-469 of the general statutes.
    (b)  Each  group  insurance  carrier  that  offers  maternity
benefits shall provide coverage of a minimum of forty-eight hours
of inpatient care for a mother and her newborn infant following a
vaginal delivery and  a  minimum of ninety-six hours of inpatient
care for a  mother  and  her  newborn infant following a cesarean
delivery.  The  time  periods  shall  commence  at  the  time  of
delivery.
    (c) Any decision  to  shorten the length of inpatient stay to
less than that  provided  under  subsection  (b)  of this section
shall be made  by  the  attending  health  care  providers  after
conferring with the mother.
    (d) If a  mother  and  newborn  are  discharged  pursuant  to
subsection (c) of  this section, prior to the inpatient length of
stay provided under  subsection  (b)  of  this  section, coverage
shall be provided  for a follow-up visit within forty-eight hours
of discharge and  an additional follow-up visit within seven days
of discharge. Such  follow-up  services shall include, but not be
limited to, physical assessment of the newborn, parent education,
assistance and training  in  breast or bottle feeding, assessment
of the home  support  system and the performance of any medically
necessary and appropriate  clinical tests. Such services shall be
consistent with protocols  and  guidelines developed by attending
providers  or  by   national  pediatric,  obstetric  and  nursing
professional  organizations  for  these  services  and  shall  be
provided by qualified health care personnel trained in postpartum
maternal and newborn pediatric care.
    (e) Each group  insurance  carrier  shall  provide  notice to
policyholders regarding the coverage required under this act. The
notice shall be  in  writing  and  shall  be  transmitted  at the
earliest of either  the  next  mailing  to  the policyholder, the
yearly summary of benefits sent to the policyholder or January 1,
1997.
    Sec. 3. This act shall take effect from its passage.

INS  COMMITTEE VOTE: YEA 17 NAY 0   JFS
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