Sec. 1366.056. COVERAGE FOR POSTDELIVERY CARE REQUIRED. (a) If a decision is made to discharge a woman who has given birth to a child or the newborn child from inpatient care before the expiration of the minimum hours of coverage required under Section 1366.055(a), a health benefit plan must provide to the woman and child coverage for timely postdelivery care.
(b) The timeliness of the postdelivery care shall be determined in accordance with recognized medical standards for that care.
(c) The postdelivery care may be provided by a physician, registered nurse, or other appropriate licensed health care provider.
(d) Subject to Subsection (e), the postdelivery care may be provided at:
(1) the woman's home;
(2) a health care provider's office;
(3) a health care facility; or
(4) another location determined to be appropriate under rules adopted by the commissioner.
(e) The coverage required under this section must give the woman the option to have the care provided in the woman's home.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Chapter 1366 - Benefits Related to Fertility and Childbirth
Subchapter B. Minimum Inpatient Stay Following Birth of Child and Postdelivery Care
Section 1366.053. Applicability of Subchapter
Section 1366.055. Coverage for Inpatient Care Required
Section 1366.056. Coverage for Postdelivery Care Required
Section 1366.057. Prohibited Conduct