N.J.S.A 17:48E-35.14. Coverage for minimum inpatient care following mastectomy by individual, group health service corporation

17:48E-35.14. Coverage for minimum inpatient care following mastectomy by individual, group health service corporation

3. a. Every individual or group health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State pursuant to P.L.1985, C. 236 (C. 17:48E-1 et seq.) or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance on or after the effective date of this act shall provide coverage for a minimum of 72 hours of inpatient care following a modified radical mastectomy and a minimum of 48 hours of inpatient care following a simple mastectomy. The contract shall not require a health care provider to obtain authorization from the health service corporation for prescribing 72 or 48 hours, as appropriate, of inpatient care as provided for in this section.

The provisions of this section shall not be construed to: require a patient to receive inpatient care for 72 or 48 hours, as appropriate, if the patient in consultation with the patient’s physician determines that a shorter length of stay is medically appropriate; or relieve a patient or a patient’s physician, if appropriate, of any notification requirements to the health service corporation under the contract.

The benefits shall be provided to the same extent as for any other sickness under the contract.

The provisions of this section shall apply to all contracts in which the health service corporation has reserved the right to change the premium.

b. The Commissioner of Banking and Insurance shall adopt regulations pursuant to the “Administrative Procedure Act,” P.L.1968, C. 410 (52:14B-1. Short title et seq.) to implement the provisions of this section.

L.1997,C. 149,S.3.

Case(s):

Look up case for New Jersey Statute 17:48E-35.14. Coverage for minimum inpatient care following mastectomy by individual, group health service corporation

Original Text maintained by the State of New Jersey:

NJ Maintained Unanotated Statutes References to 17:48E-35.14. Coverage for minimum inpatient care following mastectomy by individual, group health service corporation

Previous: 17:48E-35.13. Health service corporation contract, prostate cancer testing Next: 17:48E-35.15 Applicability of Health Care Quality Act

Disclaimer: Always check for the most up to date language of a statute. Every time a new law is enacted it has a possibility of changing the wording of a statute or override case law. These pages were created to assist in looking up and migrating between statutes easily. No accuracy is guaranteed. If you need help with researching law, contact an attorney.

Related Posts

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.