§431:10A-115 - .
§431:10A-115.5 Coverage for childhealth supervision services. (a) All health insurance policies issued inthis State which provide coverage for the children of the insured shall providecoverage for child health supervision services from the moment of birth throughage five years. These services shall be exempt from any deductible provisions,and immunizations shall be exempt from any copayment provisions, which may bein force in these policies or contracts.
(b) Child health supervision services shallinclude twelve visits at approximately the following intervals: birth; twomonths; four months; six months; nine months; twelve months; fifteen months;eighteen months; two years; three years; four years; and five years. Servicesto be covered at each visit shall include a history, physical examination,developmental assessment, anticipatory guidance, immunizations, and laboratorytests, in keeping with prevailing medical standards. For purposes of thissubsection, the term "prevailing medical standards" means therecommendations of the Immunizations Practices Advisory Committee of the UnitedStates Department of Health and Human Services and the American Academy ofPediatrics; provided that in the event that the recommendations of the committeeand the academy differ, the department of health shall determine whichrecommendations shall apply.
(c) Minimum benefits may be limited to onevisit payable to one provider for all of the services provided at each visitcited in this section, except that the limitations authorized by thissubsection shall not apply to immunizations recommended by the ImmunizationsPractices Advisory Committee of the United States Department of Health andHuman Services and the American Academy of Pediatrics; provided that in theevent that the recommendations of the committee and the academy differ, thedepartment of health shall determine which recommendations shall apply.
(d) This section does not apply to disabilityincome, specified disease, medicare supplement, or hospital indemnity policies.
(e) For the purposes of this section,"child health supervision services" means physician-delivered,physician-supervised, physician assistant-delivered, or nurse-deliveredservices as defined by section 457-2 ("registered nurse") which shallinclude as the minimum benefit coverage for services delivered at intervals andscope stated in this section. [L 1988, c 201, §1; am L 1993, c 83, §1 and c362, §3; am L 2009, c 151, §18]