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Session Laws, 1995
Volume 793, Page 2919   View pdf image
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PARRIS N. GLENDENING, Governor

Ch. 503

(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 NONPROFIT
HEALTH SERVICE PLAN 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; 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
.

(E) A NONPROFIT HEALTH SERVICE PLAN THAT DOES NOT REQUIRE OR
ENCOURAGE THE INSURED TO UTILIZE ANY PARTICULAR HEALTH CARE PROVIDER
OR GROUP OF HEALTH CARE PROVIDERS THAT HAVE ENTERED INTO A CONTRACT
WITH THE NONPROFIT HEALTH SERVICE PLAN TO PROVIDE SERVICES TO THE
PLAN'S INSUREDS IS NOT REQUIRED TO COMPLY WITH SUBSECTION (D) OF THIS
SECTION.

(E) (F) (1) A nonprofit health service plan may not impose a deductible on
the coverage required under this section.

(2) Notice of the prohibition established under paragraph (1) of this
subsection shall be stated in each health insurance policy and certificate in a form
approved by the Commissioner.

470AA.

(a) In this section, "child wellness services" means a preventive activity designed
to:

(1) Protect children from morbidity and mortality; and

- 2919 -

 

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Session Laws, 1995
Volume 793, Page 2919   View pdf image
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