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2020 SESSION

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SB 718 Health insurance; interhospital transfer for newborn or mother.

Introduced by: Jennifer L. McClellan | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED SENATE:

Health insurance; interhospital transfer for newborn or mother. Prohibits health insurers from requiring prior authorization for the interhospital transfer of (i) a newborn infant experiencing a life-threatening emergency condition or (ii) the hospitalized mother of such newborn infant to accompany the infant.

SUMMARY AS INTRODUCED:

Health insurance; access for a mother to same facility as her newborn. Requires health insurers to provide coverage for the birth mother of a newborn infant who is currently admitted to a facility for delivery-related services and whose newborn infant is receiving services at a different facility to receive such delivery-related services, if available, at the facility where the newborn infant is receiving services. The bill provides that such coverage (i) shall not require any prior authorization determination, regardless of whether the services are provided on an in-network or out-of-network basis; (ii) is provided without regard to whether the health care provider furnishing the services is a participating health care provider with respect to such services; (iii) for out-of-network services, shall not impose any administrative requirement or limitation on coverage that is more restrictive than the requirements or limitations that apply to such services provided in-network; and (iv) for out-of-network services, not require any copayment amounts or coinsurance rates, or apply any deductible except to the extent such amounts, rates, or deductibles would apply to in-network services. The bill provides that if the services are provided out-of-network, any balance payment shall be settled in the same manner as balance payments for emergency services.