State of Illinois
91st General Assembly
Legislation

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[ Introduced ][ House Amendment 001 ]

91_HB0189eng

 
HB0189 Engrossed                               LRB9101013JSgc

 1        AN ACT to amend the Illinois Insurance Code  by  changing
 2    Section 356s.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section 5.  The Illinois Insurance  Code  is  amended  by
 6    changing Section 356s as follows:

 7        (215 ILCS 5/356s)
 8        Sec. 356s. Post-parturition care.  An individual or group
 9    policy   of  accident  and  health  insurance  that  provides
10    maternity coverage and  is  amended,  delivered,  issued,  or
11    renewed  after  the  effective date of this amendatory Act of
12    1996 shall provide coverage for the following:
13             (1)  a  minimum  of  48  hours  of  inpatient   care
14        following  a  vaginal  delivery  for  the  mother and the
15        newborn, except as otherwise provided in this Section; or
16             (2)  a  minimum  of  96  hours  of  inpatient   care
17        following  a delivery by caesarian section for the mother
18        and  newborn,  except  as  otherwise  provided  in   this
19        Section.
20        The  decision  to  deliver  by caesarian section shall be
21    made only by the patient and her attending physician licensed
22    to practice medicine  in  all  its  branches.   Coverage  and
23    benefits  may  not  be  reduced  because  of  the decision to
24    deliver by caesarian section.
25        A shorter length of hospital inpatient stay for  services
26    related  to maternity and newborn care may be provided if the
27    attending physician licensed to practice medicine in  all  of
28    its branches determines, in accordance with the protocols and
29    guidelines developed by the American College of Obstetricians
30    and Gynecologists or the American Academy of Pediatrics, that
31    the  mother  and  the newborn meet the appropriate guidelines
 
HB0189 Engrossed            -2-                LRB9101013JSgc
 1    for that length of stay based upon evaluation of  the  mother
 2    and   newborn   and   the  coverage  and  availability  of  a
 3    post-discharge physician office visit or in-home nurse  visit
 4    to  verify  the condition of the infant in the first 48 hours
 5    after discharge.
 6    (Source: P.A. 89-513, eff. 9-15-96; 90-14, eff. 7-1-97.)

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