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The Newborns’ and Mothers’ Health Protection Act of 1996

Disclosure with Respect to Hospital Lengths of Stay in Connection with Childbirth

A group health plan that provides maternity or newborn infant coverage must include in its summary plan description (SPD) a statement describing the federal or state law requirements applicable to the plan (or any health care coverage offered by the plan) relating to hospital length of stay in connection with childbirth for the mother or newborn child. If the federal Newborns’ Act applies in some areas in which the plan operates and state laws apply in others, the SPD must describe both the federal and state requirements that apply in each area covered by the plan.

Model language for the federal Newborns’ Act disclosure requirement is available. Correct use of the model will generally assure compliance with the regulatory requirements.

Does your plan have the proper notice provisions relating to hospital lengths of stay in connection with childbirth?