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Session Laws, 1995
Volume 793, Page 2915   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 502

(c)     (1) A group or blanket health insurance policy shall include under the
family member coverage a minimum package of child wellness services that are consistent
with:

(i) Public health policy;

(ii) Professional standards; and

(iii) Scientific evidence of effectiveness.

(2) A child wellness services package required under this subsection shall
cover, at least:

(i) All visits for and costs of childhood and adolescent immunizations
recommended by the Advisory Committee on Immunization Practices of the Centers for
Disease Control;

(ii) Visits for the collection of adequate samples for hereditary and
metabolic newborn screening and follow-up between birth and 4 weeks of age, the first of
which is to be collected before 2 weeks of age;

(iii) All visits for and costs of age-appropriate screening tests for
tuberculosis, anemia, lead toxicity, hearing, and vision as determined by the American
Academy of Pediatrics;

(iv) The following services at each of the visits required under
subparagraphs (i), (ii), and (iii) of this paragraph:

1.       A physical examination;

2.       A developmental assessment; and

3.       Parental anticipatory guidance; and

(v) Laboratory tests considered necessary by the physician as indicated
by the services provided under subparagraphs (i), (ii), (iii), or (iv) of this paragraph.

(d)     EXCEPT AS PROVIDED IN SUBSECTION (E) OF THIS SECTION, A GROUP OR
BLANKET HEALTH INSURANCE POLICY UPON NOTIFICATION OF THE PREGNANCY OF
THE INSURED, SHALL:

(1)     ENCOURAGE AND ASSIST THE INSURED, PRIOR TO THE DELIVERY
DATE, TO SELECT AND CONTACT A PRIMARY CARE PROVIDER FOR THE EXPECTED
NEWBORN; PRIOR TO DELIVERY; AND

(2)     PROVIDE THE INSURED, PRIOR TO THE DELIVERY DATE, WITH
INFORMATION ON POSTPARTUM HOME VISITS FOR THE MOTHER AND THE CHILD
THAT INCLUDES THE NAMES OF PROVIDERS THAT ARE AVAILABLE FOR
POSTPARTUM HOME VISITS; AND

(3) REQUIRE THE INSURED TO SELECT AND CONTACT A PRIMARY CARE
PROVIDER FOR THE NEWBORN PRIOR TO DISCHARGE OF THE NEWBORN FROM THE
HOSPITAL
.

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Session Laws, 1995
Volume 793, Page 2915   View pdf image
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