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[Billing Codes: 4120-01-P; 4830-01-P; 4510-29-P] - page 34 / 83

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Subtitle K with respect to health insurance issuers offering group health insurance

coverage. * * *

*****

Par. 3. In §54.9801-2T, the introductory text is revised to read as follows:

§54.9801-2T Definitions (temporary).

Unless otherwise provided, the definitions in this section govern in applying the provisions

of §§54.9801-1T through 54.9801-6T, 54.9802-1T, 54.9811-1T, 54.9812-1T, 54.9831-1T, and

54.9833-1T.

*****

Par. 4. Section 54.9811-1T is added to read as follows:

§54.9811-1 Standards relating to benefits for mothers and newborns (temporary).

(a) Hospital length of stay — (1) General rule. Except as provided in paragraph (a)(5) of

this section, a group health plan that provides benefits for a hospital length of stay in connection

with childbirth for a mother or her newborn may not restrict benefits for the stay to less than —

  • (i)

    48 hours following a vaginal delivery; or

  • (ii)

    96 hours following a delivery by cesarean section.

    • (2)

      When stay begins — (i) Delivery in a hospital. If delivery occurs in a hospital, the

hospital length of stay for the mother or newborn child begins at the time of delivery (or in the

case of multiple births, at the time of the last delivery).

(ii) Delivery outside a hospital. If delivery occurs outside a hospital, the hospital length

of stay begins at the time the mother or newborn is admitted as a hospital inpatient in connection

with childbirth. The determination of whether an admission is in connection with childbirth is a

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