Minnesota Session Laws - 1989, Regular Session

  

                         Laws of Minnesota 1989 

                         CHAPTER 69-S.F.No. 701 
           An act relating to insurance; requiring coverage for 
          child health supervision and prenatal services; 
          clarifying certain definitions; amending Minnesota 
          Statutes 1988, section 62A.047.  
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
     Section 1.  Minnesota Statutes 1988, section 62A.047, is 
amended to read: 
    62A.047 [CHILDREN'S HEALTH SUPERVISION SERVICES AND 
PRENATAL CARE SERVICES.] 
    No A policy of individual or group health and accident 
insurance regulated under this chapter, or individual or group 
subscriber contract regulated under chapter 62C, health 
maintenance contract regulated under chapter 62D, or health 
benefit certificate regulated under chapter 64B, shall be 
issued, renewed, or continued, delivered, issued for delivery, 
or executed in this state, or approved for issuance or renewal 
in this state by the commissioner of commerce unless to provide 
coverage to a Minnesota resident, must provide coverage for 
child health supervision services and prenatal care services.  
The policy or, contract, or certificate must specifically 
exempts exempt reasonable and customary charges for child health 
supervision services and perinatal prenatal care services from a 
deductible, copayment, or other coinsurance or dollar limitation 
requirement.  For individual policies, this section does not 
prohibit the use of waiting periods or preexisting condition 
limitations for these services. Minimum benefits may be limited 
to one visit payable to one provider for all of the services 
provided at each visit cited in this section subject to the 
schedule set forth in this section.  Nothing in this 
section shall apply applies to a commercial health insurance 
policy issued as a companion to a health maintenance 
organization contract, a policy designed primarily to provide 
coverage payable on a per diem, fixed indemnity, or nonexpense 
incurred basis, or a policy that provides only accident coverage.
    "Child health supervision services" means pediatric 
preventive services, appropriate immunizations, developmental 
assessments, and laboratory services appropriate to the age of a 
child from birth to age six as defined by Standards of Child 
Health Care issued by the American Academy of Pediatrics.  
Reimbursement must be made for at least five child health 
supervision visits from birth to 12 months, three child health 
supervision visits from 12 months to 24 months, once a year from 
three years old 24 months to six years old 72 months. 
    "Perinatal Prenatal care services" means the comprehensive 
package of medical and psychosocial support provided throughout 
the pregnancy, labor, delivery, and postpartum period including 
risk assessment, serial surveillance, prenatal education, and 
use of specialized skills and technology, when 
needed, observation of the mother and infant, preparation for 
discharge, and follow-up during the postpartum period as defined 
by Standards for Obstetric-Gynecologic Services issued by the 
American College of Obstetricians and Gynecologists. 
    Sec. 2.  [EFFECTIVE DATE.] 
    Section 1 is effective for policies issued or renewed on or 
after August 1, 1989. 
    Presented to the governor May 2, 1989 
    Signed by the governor May 3, 1989, 3:13 p.m.