State of Illinois
92nd General Assembly
Legislation

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92_HB3930

 
                                               LRB9212965JSpc

 1        AN ACT concerning insurance.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The  Illinois  Insurance  Code is amended by
 5    changing Section 356s as follows:

 6        (215 ILCS 5/356s)
 7        Sec. 356s. Post-parturition care.  An individual or group
 8    policy  of  accident  and  health  insurance  that   provides
 9    maternity  coverage  and  is  amended,  delivered, issued, or
10    renewed after the effective date of this  amendatory  Act  of
11    1996 shall provide coverage for the following:
12             (1)  a   minimum  of  48  hours  of  inpatient  care
13        following a vaginal  delivery  for  the  mother  and  the
14        newborn, except as otherwise provided in this Section; or
15             (2)  a   minimum  of  96  hours  of  inpatient  care
16        following a delivery by caesarian section for the  mother
17        and   newborn,  except  as  otherwise  provided  in  this
18        Section.
19        The decision to deliver by  caesarian  section  shall  be
20    made only by the patient and her attending physician licensed
21    to  practice  medicine  in  all  its  branches.  Coverage and
22    benefits may not  be  reduced  because  of  the  decision  to
23    deliver by caesarian section.
24        A  shorter length of hospital inpatient stay for services
25    related to maternity and newborn care may be provided if  the
26    attending  physician  licensed to practice medicine in all of
27    its branches determines, in accordance with the protocols and
28    guidelines developed by the American College of Obstetricians
29    and Gynecologists or the American Academy of Pediatrics, that
30    the mother and the newborn meet  the  appropriate  guidelines
31    for  that  length of stay based upon evaluation of the mother
 
                            -2-                LRB9212965JSpc
 1    and  newborn  and  the  coverage  and   availability   of   a
 2    post-discharge  physician office visit or in-home nurse visit
 3    to verify the condition of the infant in the first  48  hours
 4    after discharge.
 5    (Source: P.A. 89-513, eff. 9-15-96; 90-14, eff. 7-1-97.)

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