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NJ A517

NJ A517
Requires employers and birthing facilities to notify insured pregnant women if their health insurance coverage is not subject to 48-hour maternity law.


summary

Introduced
01/14/2020
In Committee
01/14/2020
Crossed Over
Passed
Dead
01/11/2022

Introduced Session

2020-2021 Regular Session

Bill Summary

P.L.1995, c.138 requires that health, hospital and medical service corporation contracts, individual, small employer and group health insurance policies and health maintenance organization contracts delivered, issued, executed or renewed in this State, which include maternity benefits, provide coverage for a minimum of 48 hours of in-patient care following a vaginal delivery and a minimum of 96 hours of in-patient care following a cesarean section for a mother and her newborn child in a licensed health care facility. The bill provides specifically as follows: · An employer in this State who provides coverage for maternity benefits to his employees or their dependents is required to annually, and upon request of an employee at other times during the year, notify each employee whether that employee's coverage for maternity benefits is subject to the requirements of P.L.1995, c.138. · The administrator of a licensed general hospital or other birthing facility providing maternity care to a pregnant woman who has health care insurance coverage which includes maternity benefits, or a person designated by the administrator, is required, prior to the delivery date, to: -- determine if the coverage is subject to the requirements of P.L.1995, c.138; and -- if the person determines that the woman's coverage is not subject to the requirements of that law, promptly notify the woman of that fact and, if known, the duration of the inpatient care to which the woman is entitled under her insurance coverage.

AI Summary

This bill requires employers and birthing facilities to notify insured pregnant women if their health insurance coverage is not subject to the 48-hour maternity law, which mandates a minimum of 48 hours of inpatient care following a vaginal delivery and 96 hours following a cesarean section. The bill imposes annual notification requirements on employers and pre-delivery notification requirements on birthing facilities to ensure that pregnant women are informed about the duration of inpatient care covered by their insurance plans.

Committee Categories

Education

Sponsors (10)

Last Action

Introduced, Referred to Assembly Women and Children Committee (on 01/14/2020)

bill text


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