FOR AN ACT ENTITLED, An Act
to revise certain provisions regarding insurance coverage
for and after delivery of a baby.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF SOUTH DAKOTA:
Section
1.
That
§
58-17-88
be amended to read as follows:
58-17-88.
If a health insurance policy that is issued or renewed on or after July 1, 1996,
provides maternity coverage, the policy shall provide coverage for a minimum of forty-eight
hours of inpatient care following a vaginal delivery and a minimum of ninety-six hours of
inpatient care following delivery by cesarean section for a mother and her newborn child in a
health care facility licensed pursuant to chapter 34-12, except as otherwise provided in
§
58-17-89.
Any policy that provides coverage for complications of pregnancy, and does not
provide other maternity benefits, is not required to comply with this section.
Section
2.
That
§
58-18-76
be amended to read as follows:
58-18-76.
If a group health insurance policy that is issued or renewed on or after July 1,
1996, provides maternity coverage, the policy shall provide coverage for a minimum of
forty-eight hours of inpatient care following a vaginal delivery and a minimum of ninety-six
hours of inpatient care following delivery by cesarean section for a mother and her newborn
child in a health care facility licensed pursuant to chapter 34-12, except as otherwise provided
in
§
58-18-77.
Any policy issued to employers with less than fifteen employees that provides
coverage for complications of pregnancy, and does not provide other maternity benefits, is not
required to comply with this section.
Section
3.
That
§
58-18B-50
be amended to read as follows:
58-18B-50.
If a health benefit plan of a small employer carrier that is issued or renewed on
or after July 1, 1996, provides maternity coverage, the plan shall provide coverage for a
minimum of forty-eight hours of inpatient care following a vaginal delivery and a minimum of
ninety-six hours of inpatient care following delivery by cesarean section for a mother and her
newborn child in a health care facility licensed pursuant to chapter 34-12, except as otherwise
provided in
§
58-18B-51.
Any policy issued to employers with less than fifteen employees that
provides coverage for complications of pregnancy, and does not provide other maternity
benefits, is not required to comply with this section.
Section
4.
That
§
58-38-37
be amended to read as follows:
58-38-37.
If a service or indemnity-type contract issued or renewed on or after July 1, 1996,
by a nonprofit medical and surgical service plan corporation provides maternity coverage, the
contract shall provide coverage for a minimum of forty-eight hours of inpatient care following
a vaginal delivery and a minimum of ninety-six hours of inpatient care following delivery by
cesarean section for a mother and her newborn child in a health care facility licensed pursuant
to chapter 34-12, except as otherwise provided in
§
58-38-38.
Any individual policy and any
policy issued to employers with less than fifteen employees that provides coverage for
complications of pregnancy, and does not provide other maternity benefits, is not required to
comply with this section.
Section
5.
That
§
58-40-34
be amended to read as follows:
58-40-34.
If a service or indemnity-type contract issued or renewed on or after July 1, 1996,
by a nonprofit hospital service plan corporation provides maternity coverage, the contract shall
provide coverage for a minimum of forty-eight hours of inpatient care following a vaginal
delivery and a minimum of ninety-six hours of inpatient care following delivery by cesarean
section for a mother and her newborn child in a health care facility licensed pursuant to chapter
34-12, except as otherwise provided in
§
58-40-35.
Any individual policy and any policy issued
to employers with less than fifteen employees that provides coverage for complications of
pregnancy, and does not provide other maternity benefits, is not required to comply with this
section.
Section
6.
That
§
58-41-112
be amended to read as follows:
58-41-112.
If a health maintenance contract issued or renewed on or after July 1, 1996, by
a health maintenance organization provides maternity coverage, the contract shall provide
coverage for a minimum of forty-eight hours of inpatient care following a vaginal delivery and
a minimum of ninety-six hours of inpatient care following delivery by cesarean section for a
mother and her newborn child in a health care facility licensed pursuant to chapter 34-12, except
as otherwise provided in
§
58-41-113.
Any individual policy and any policy issued to employers
with less than fifteen employees that provides coverage for complications of pregnancy, and
does not provide other maternity benefits, is not required to comply with this section.
BILL HISTORY
1/26/98 First read in Senate and referred to Commerce.
S.J.
200
1/29/98 Scheduled for Committee hearing on this date.
2/3/98 Commerce Do Pass Amended, Passed, AYES 5, NAYS 0.
S.J.
293
2/3/98 Commerce Place on Consent Calendar.
