LD 1742
pg. 1
LD 1742 Title Page An Act to Clarify and Update the Laws Related to Health Insurance Contracts ... Page 2 of 2
Download Bill Text
LR 743
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
PART A

 
Sec. A-1. 24 MRSA §2318-A, as enacted by PL 1995, c. 615, §1, is
amended to read:

 
§2318-A. Maternity and routine newborn care

 
A nonprofit hospital or medical service organization that
issues individual and group contracts providing maternity
benefits, including benefits for childbirth, must shall provide
coverage for services related to maternity and routine newborn
care, including coverage for hospital stay, in accordance with
the attending physician's or attending certified nurse midwife's
determination in conjunction with the mother that the mother and
newborn meet the criteria outlined in the "Guidelines for
Perinatal Care," published by the American Academy of Pediatrics
and the American College of Obstetrics and Gynecology. For the
purposes of this section, "routine newborn care" does not include
any services provided after the mother has been discharged from
the hospital. For the purposes of this section, "attending
physician" includes the obstetrician, pediatrician or other
physician attending the mother and newborn. Benefits for routine
newborn care required by this section are part of the mother's
benefit.__The mother and the newborn are treated as one person in
calculating the deductible, coinsurance and copayments for
coverage required by this section.

 
Sec. A-2. 24-A MRSA §2743-A, as enacted by PL 1995, c. 615, §2, is
amended to read:

 
§2743-A. Maternity and routine newborn care

 
An insurer that issues individual contracts providing
maternity benefits, including benefits for childbirth, must shall
provide coverage for services related to maternity and routine
newborn care, including coverage for hospital stay, in accordance
with the attending physician's or attending certified nurse
midwife's determination in conjunction with the mother that the
mother and newborn meet the criteria outlined in the "Guidelines
for Perinatal Care," published by the American Academy of
Pediatrics and the American College of Obstetrics and Gynecology.
For the purposes of this section, "routine newborn care" does not
include any services provided after the mother has been
discharged from the hospital. For the purposes of this section,
"attending physician" includes the obstetrician, pediatrician or
other physician attending the mother and newborn. Benefits for
routine newborn care required by this section are part of the
mother's benefit.__The mother and the


LD 1742 Title Page Top of Page Page 2 of 2