PARRIS N. GLENDENING, Governor                             Ch. 396

(II) AN ADDITIONAL HOME VISIT AS MAY BE PRESCRIBED BY THE
ATTENDING PROVIDER

(3) FOR A MOTHER AND NEWBORN CHILD WHO REMAIN IN THE HOSPITAL
FOR AT LEAST THE PERIOD OF TIME PROVIDED UNDER SUBSECTION (C) OF THIS
SECTION, THE PRIVATE REVIEW AGENT OR HEALTH MAINTENANCE ORGANIZATION
PERFORMING UTILIZATION REVIEW SHALL AUTHORIZE A HOME VISIT AS MAY BE
PRESCRIBED BY THE ATTENDING PROVIDER

(4) A HOME VISIT UNDER PARAGRAPH (2) OR (3) OF THIS SUBSECTION
SHALL:

(I) BE PROVIDED IN ACCORDANCE WITH GENERALLY ACCEPTED
STANDARDS OF NURSING PRACTICE FOR HOME CARE OF A MOTHER AND NEWBORN
CHILD;

(II) BE PROVIDED BY A REGISTERED NURSE WITH AT LEAST 1 YEAR OF
EXPERIENCE IN MATERNAL AND CHILD HEALTH NURSING OR IN COMMUNITY HEALTH
NURSING WITH AN EMPHASIS ON MATERNAL AND CHILD HEALTH; AND

(III) INCLUDE ANY SERVICES REQUIRED BY THE ATTENDING
PROVIDER

(E) (1) THE PRIVATE REVIEW AGENT OR HEALTH MAINTENANCE
ORGANIZATION MAY NOT REQUIRE ADDITIONAL DOCUMENTATION FROM,
REQUIRE ADDITIONAL UTILIZATION REVIEW OF, OR OTHERWISE PROVIDE
FINANCIAL DISINCENTIVES FOR AN ATTENDING PROVIDER WHO ORDERS CARE
CONSISTENT WITH FOR WHICH COVERAGE IS REQUIRED TO BE PROVIDED UNDER THE
TERMS OF THIS SECTION OR WITH THE TERMS OF § 19-703 OF THIS ARTICLE OR ARTICLE
48A, §§ 354F, 470H, OR 477-I OF THE CODE.

(2) THE PRIVATE REVIEW AGENT, HOSPITAL, OR HEALTH MAINTENANCE
ORGANIZATION MAY NOT DENY, LIMIT, OR OTHERWISE IMPAIR THE PARTICIPATION OF
ANY ATTENDING PROVIDER UNDER A CONTRACT OR ANY PRIVILEGE GRANTED AN
ATTENDING PROVIDER WHO ADVOCATES MORE THAN 48 HOURS OF INPATIENT
HOSPITAL CARE FOLLOWING A COMPLICATED VAGINAL DELIVERY OR MORE THAN 96
HOURS OF INPATIENT HOSPITAL CARE FOLLOWING A COMPLICATED CESAREAN
SECTION.

SECTION 2. AND BE IT FURTHER ENACTED, That, in addition to the
requirements of Article 48A, § 490FF(e)(2) of the Code as enacted by this Act, an
insurer, nonprofit health service plan, or health maintenance organization subject to the
requirements of Article 48A, § 490FF(e) shall send to insureds or enrollees the notice
required under Article 48A, § 490FF(e)(l) of the Code as enacted by this Act by January
1, 1997.

SECTION 3. AND BE IT FURTHER ENACTED, That all health insurance or other
benefit plans subject to the provisions of this Act shall make the benefits available on and after
its effective date, notwithstanding any policy or benefit statement to the contrary.

SECTION 3. 4. AND BE IT FURTHER ENACTED, That this Act shall take effect
July 1, 1996.

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