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S3288Senate2017-2018 Session

Guarantee Hospital Stay After Birth

Official title

“Establishes mandatory minimum medicaid coverage for hospital confinement for childbirth”

Sponsor Kevin S. ParkerSD-21+1 co-sponsorAffects Health
Status
In Senate Committee
Health
Impact
7/10
Significant
Passage
0%

Bill progress

Step 2 of 7

In committee · Health

What's happening

This bill requires Medicaid to cover a minimum hospital stay after childbirth, with specific conditions for early discharge and follow-up care.

Why it matters

  1. Guarantees mothers and newborns on Medicaid the right to a minimum hospital stay after childbirth. (48 hours for vaginal delivery, 96 hours for caesarean), which may reduce pressure for early discharge and help ensure both are medically stable before going home.

  2. Allows for earlier discharge only if the mother chooses it and a physician confirms both mother and newborn are ready. , empowering families to make decisions while maintaining medical oversight for safety.

  3. Requires at least one home visit from a qualified health provider within 24 hours if early discharge occurs. , ensuring that critical postpartum support, education, and physical assessments are provided, which can be especially important for vulnerable Medicaid populations.

  4. Specifies that home visits for early discharge are an added benefit, not a replacement for other home health care coverage. , potentially enhancing overall postpartum care and support for Medicaid recipients.

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Who cares

Headline styles

Guarantee Hospital Stay After Birth

Plain English, a few words. Used as the page title.

Sponsors

Primary sponsor
Kevin S. Parker

Senator · Senate District 21

1 Co-sponsor

History

  1. Referred to health
  2. Referred to health

Full text

2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗

STATE OF NEW YORK

3288

2017-2018 Regular Sessions

IN SENATE

January 20, 2017

Introduced by Sens. PARKER, AVELLA -- read twice and ordered printed, and when printed to be committed to the Committee on Health

AN ACT to amend the social services law, in relation to establishing mandatory minimum medicaid coverage for hospital confinement for childbirth

The People of the State of New York, represented in Senate and Assembly, do enact as follows:

Section 1. Section 365-a of the social services law is amended by adding a new subdivision 6-a to read as follows:

6-a. Medicaid assistance shall also include, for mother and newborn, coverage of hospital confinement of at least forty-eight hours following a vaginal delivery and at least ninety-six hours following a caesarean section. Notwithstanding the above, a social services district may provide coverage for a shorter period of hospital confinement provided that:

(a) the mother in her sole discretion, exercises the option to be discharged from the hospital earlier than the time period stated above; and

(b) the treating physician, in accordance with generally accepted medical standards, has determined that the mother and newborn are ready for discharge; and

(c) post-discharge follow-up includes at least one home visit provided within twenty-four hours of discharge by a licensed health care provider whose scope of practice includes providing postpartum care and such other home visits as are deemed appropriate. Coverage of such home visits shall include, at a minimum, parent education, assistance and training in breast or bottle feeding and the performance of any necessary maternal and newborn physical assessments and shall be in addition to, rather than in lieu of, any home health care coverage otherwise available.

EXPLANATION--Matter in italics (underscored) is new; matter in brackets

[ ] is old law to be omitted.

LBD06110-01-7

S. 3288 2

§ 2. This act shall take effect on the one hundred eightieth day after it shall have become a law.

Reflowed for reading: line numbers and page breaks removed. Cite the official text.

Sponsor's memo

Title of bill

An act to amend the social services law, in relation to establishing mandatory minimum medicaid coverage for hospital confinement for childbirth

Purpose

To require Medicaid to provide coverage for maternity patients and their newborns for hospital stays of at least 48 hours for natural delivery and 96 hours following caesarean section as is currently provided by private insurers and HMO's.

Summary of provisions

Section 1 adds a new subdivision 6-a to Social services Law § 365-a to require Medicaid to provide coverage for maternity patients and their newborns for hospital stays of at least 48 hours for natural delivery and 96 hours following caesarean section. It also provides that coverage may be provided for a shorter period of time under certain circumstances outlined in the bill.

Section 2 provides that the act shall take effect 180 days after becoming law.

Existing law

Chapter 56 of 1996 established mandatory minimum periods of coverage by insurers and HMO's and care by hospitals for maternity stays following childbirth.

Justification

In 1996 the legislature addressed the growing trend of "Revolving Door Deliveries," in which HMOs, insurance companies and hospitals were restricting the length of maternity stay for mothers and newborns following childbirth to 24 hours or less, based upon financial rather than public health considerations. Such early discharges can be detrimental to the health of both mother and newborn, particularly because many conditions which affect newborns, such as jaundice, do not manifest themselves during the first 24 hours of life.

The legislation adopted in 1996 established mandatory minimum periods of coverage for maternity stays following childbirth, however it did not include the same protections for those whose care is paid for through Medicaid. This bill insurers that those covered by Medicaid are not treated differently than those covered by private insurance. It establishes the same mandatory minimum periods of coverage under Medicaid that private insurers are bound to provide.

Legislative history

2015-16: S.1891/A.7110 - Referred to Health 2013-14: S.1335/A.2424 - Died in Health 2011-12: S.2556/A.6983 - Died in Rules 2009-10: S.3117A/A.5047A - Passed Senate 2007-08: S.4106/A.3716 - Referred to Social Services, Children & Families 2005-06: S.1061/A.2801 - Referred to Social Services, Children & Families 2003-04: S.651/A.867 - Referred to Social Services 2001-02: S.4077/A.751 - Referred to Social Services 1999-00: S.2801/A.7025 - Referred to Social Services

Fiscal implications

None.

Effective date

This act shall take effect on the one hundred eightieth day after it shall have become a law.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.