PARRIS N. GLENDENING, Governor

Ch. 35

(I) PUBLIC HEALTH POLICY;

(II) PROFESSIONAL STANDARDS; AND

(III) SCIENTIFIC EVIDENCE OF EFFECTIVENESS.

(2) THE MINIMUM PACKAGE OF CHILD WELLNESS SERVICES 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, THE
FIRST OF WHICH IS TO BE COLLECTED BEFORE 2 WEEKS OF AGE, FOR HEREDITARY
AND METABOLIC NEWBORN SCREENING AND FOLLOW-UP BETWEEN BIRTH AND 4
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) A PHYSICAL EXAMINATION, DEVELOPMENTAL ASSESSMENT,
AND PARENTAL ANTICIPATORY GUIDANCE SERVICES AT EACH OF THE VISITS
REQUIRED UNDER ITEMS (I), (II), AND (III) OF THIS PARAGRAPH; AND

(V) ANY LABORATORY TESTS CONSIDERED NECESSARY BY THE
PHYSICIAN AS INDICATED BY THE SERVICES PROVIDED UNDER ITEMS (I), (II), (III),
OR (IV) OF THIS PARAGRAPH.

(D) CHOICE OF PRIMARY CARE PROVIDER AND INFORMATION ON
POSTPARTUM HOME VISITS.

EXCEPT AS PROVIDED IN SUBSECTION (E) OF THIS SECTION, AN INSURER OR
NONPROFIT HEALTH SERVICE PLAN THAT ISSUES A POLICY OR PLAN SUBJECT TO
THIS SECTION, ON NOTIFICATION OF THE PREGNANCY OF THE INSURED AND
BEFORE THE DELIVERY DATE, SHALL:

(1) ENCOURAGE AND HELP THE INSURED TO CHOOSE AND CONTACT A
PRIMARY CARE PROVIDER FOR THE EXPECTED NEWBORN BEFORE DELIVERY; AND

(2) PROVIDE THE INSURED WITH INFORMATION ON POSTPARTUM
HOME VISITS FOR THE MOTHER AND THE EXPECTED NEWBORN, INCLUDING THE
NAMES OF HEALTH CARE PROVIDERS THAT ARE AVAILABLE FOR POSTPARTUM
HOME VISITS.

(E) EXCEPTION.

AN INSURER OR NONPROFIT HEALTH SERVICE PLAN THAT DOES NOT REQUIRE
OR ENCOURAGE THE INSURED TO USE A PARTICULAR HEALTH CARE PROVIDER OR
GROUP OF HEALTH CARE PROVIDERS THAT HAS CONTRACTED WITH THE INSURER

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