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[Billing Codes: 4120-01-P; 4830-01-P; 4510-29-P] - page 67 / 83

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beneficiary receiving benefits under a group health plan, not later than 60 days after the first day of the first plan year beginning on or after January 1, 1999.

not

(4) apply

Exceptions. The in the following

requirements situations:

of

this

paragraph

(d)

do

(i)

Self-insured plans.

The benefits for hospital lengths

of stay in connection with health insurance coverage,

childbirth are not provided through and the group health plan has made the

election described in §146.180 to be exempted from the

requirements of this section.

(ii)

Insured plans.

The benefits for hospital lengths of

stay in connection with childbirth are provided through insurance coverage, and the coverage is regulated under law described in paragraph (e) of this section.

health a State

(e)

Applicability in certain States

(1) Health insurance

coverage.

The requirements of

this

section

do

not

apply

with

section respect

2704 of the PHS Act to health insurance

and

coverage offered in connection with a group is a State law regulating the coverage that following criteria:

health plan if there meets any of the

(i) The State law requires the coverage to provide for at least a 48-hour hospital length of stay following a vaginal delivery and at least a 96-hour hospital length of stay following a delivery by cesarean section.

(ii) The State law requires the coverage to provide for maternity and pediatric care in accordance with guidelines

67

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