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The Newborns’ and Mothers’ Health Protection Act (NMHPA) was enacted in 1996 to provide protections to mothers and their newborn children with respect to the length of hospital stays after childbirth. Under the NMHPA, group health plans may not restrict mothers’ and newborns’ benefits for hospital stays after childbirth to less than:
48 hours following a vaginal delivery; and
96 hours following a delivery by cesarean section.
A group health plan may also not require a physician or other health care provider to obtain authorization from the plan for prescribing the minimum hospital stay for the mother or newborn. However, the health plan may impose cost sharing, such as deductibles or coinsurance, on hospital stays related to childbirth.
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