§432:1-602.5  Coverage for childhealth supervision services.  (a)  All individual and group hospital andmedical service corporation contracts which provide coverage for the childrenof the subscriber shall provide coverage for child health supervision servicesfrom the moment of birth through age five years.  These services shall beexempt from any deductible provisions, and immunizations shall be exempt fromany copayment provisions, which may be in 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 thecommittee and the academy differ, the department of health shall determinewhich recommendations 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, or nurse-delivered services as defined by section 457-2("registered nurse") which shall include as the minimum benefitcoverage for services delivered at intervals and scope stated in this section.[L 1988, c 201, §3; am L 1993, c 83, §3 and c 362, §5]