S.B. 792

VETOES

(3) "LICENSED HEALTH-CARE PROVIDER" MEANS AN INDIVIDUAL
LICENSED OR CERTIFIED UNDER THE HEALTH OCCUPATIONS ARTICLE.

(B) AN INSURER OR NONPROFIT HEALTH SERVICE PLAN SHALL PREPARE IN
CLEAR LANGUAGE A WRITTEN STATEMENT THAT DISCLOSES THE MANAGED CARE
AND COST CONTROL FEATURES OF THE CONTRACT OR POLICY, ALONG WITH ALL
APPROPRIATE MAILING ADDRESSES AND TELEPHONE NUMBERS TO BE UTILIZED IN
SEEKING INFORMATION OR AUTHORIZATION, FOR COVERAGE OF:

(1) POSTPARTUM HOSPITAL STAYS, INCLUDING THE NUMBER OF
HOURS ALLOWED FROM CHILDBIRTH TO DISCHARGE FROM THE HOSPITAL FOR:

(I) THE MOTHER; AND

(II) THE CHILD;

(2) POSTPARTUM VISITS IN THE HOME BY A HEALTH CARE PROVIDER,
INCLUDING:

(I) THE NUMBER OF VISITS;                                                         

(II) THE SERVICES PROVIDED AT THE VISITS;

(III) THE TYPE OF LICENSE HELD BY THE HEALTH-CARE PROVIDER
MAKING THE VISITS; AND

(IV) THE PROCEDURES FOR SCHEDULING VISITS; AND

(3) OFFICE VISITS TO A HEALTH CARE PROVIDER WITHIN 30 DAYS
AFTER CHILDBIRTH, INCLUDING:

(I) THE NUMBER OF VISITS; AND

(II) SCREENING AND RESCREENING AT THE VISITS FOR
HEREDITARY AND CONGENITAL DISORDERS.

(C) AN INSURER OR NONPROFIT HEALTH SERVICE PLAN SHALL EVERY 2
YEARS MAKE A STUDY AND PREPARE THE RESULTS IN A WRITTEN STATEMENT IN
CLEAR LANGUAGE, TAKING A RANDOM SAMPLE OF AT LEAST 3% OF ITS INSUREDS
WITH CHILDREN NO MORE THAN 1 YEAR OF AGE, TO ASCERTAIN:

(1) THE AVERAGE TIME OF DISCHARGE, IN HOURS AFTER CHILDBIRTH,
OF:

(I) THE MOTHER; AND

(II) THE CHILD;

(2) THE AVERAGE NUMBER OF HOME VISITS COVERED FOLLOWING
CHILDBIRTH;

(3) THE AVERAGE NUMBER OF OFFICE VISITS COVERED FOR THE
CHILD WITHIN 30 DAYS AFTER CHILDBIRTH; AND

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