Title 10 — Health and Safety
112 chapters · 2,597 sections in this title.
10 GCA § 92100 Legislative Findings
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Between 1970 and 1992, according to the Centers for Disease Control, the median length of hospital stay for expectant mothers declined from 3.9 to 2.1 days for vaginal delivery and from 7.8 to 4 days for cesarean. The post-1970 decrease in length of stay was a response to changin…
10 GCA § 92101 Legislative Intent
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It is a growing concern that mothers and infants at high medical risk are being discharged too early from the hospital, creating potential postpartum problems. It is the intent of the Legislature that efficient, cost- effective, quality and necessary postpartum health care, and n…
10 GCA § 92102 Definitions
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As Used in This Chapter: (1) Attending clinician means the attending obstetrician, pediatrician, family practitioner, other physician or certified nurse midwife attending the mother or newly-born child. (2) Inpatient means a patient who is confined to a health facility for medica…
10 GCA § 92103 Adoption of Rules and Regulation
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The Director of Public Health and Social Services shall adopt rules and regulations to implement the health provisions of this section, which includes, but is not limited to, defining a Amedically necessary@ decision for shortening minimum coverage, and home visit requirements, w…
10 GCA § 92104 Insurer Contracts
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All insurer contracts delivered or issued for delivery, which are also executed or renewed on Guam, and which provide maternity coverage shall also provide coverage for a minimum of forty-eight (48) hours of inpatient care following a vaginal delivery, and a minimum of ninety-six…
10 GCA § 92105 Maternity-Stay Exemption
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COL120106 Notwithstanding the provisions of § 92104, an insurance policy delivered or issued for delivery on Guam that provides coverage for postpartum care to a mother and her newly born child in the home shall not be required to provide for coverage for a minimum of forty-eight…
10 GCA § 92106 In-home Postpartum Care
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Postpartum care in the home shall be made in accordance with accepted maternal and neonatal physician assessments, by a registered professional nurse with community maternal and child health nursing experience or by a person with appropriate licensure, training and experience to …
10 GCA § 92107 Responsibility of Insurer
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Each insurer providing maternity coverage on Guam shall mail a written description of the coverage and notify the expectant mother of her right to complain should she not receive the coverage as required under this Article, in a form approved by the Department of Public Health an…
10 GCA § 92108 Appeals Process
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Any subscriber or member who is aggrieved by a denial of benefits to be provided under this section may appeal said denial in accordance with regulations of the Department of Public Health and Social Services. COL120106
10 GCA § 92109 Incentives or Penalties Prohibited
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No person, insurer, health maintenance organization, nonprofit health care plan, insurance pool, or health insurance alliance, transacting health insurance or providing health care services, as defined herein, on Guam, shall provide, directly or indirectly, any financial incentiv…
10 GCA § 92110 Penalties
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In addition to any other penalty provided by law or rule, violation of any provisions of this rule is subject to penalties for violation of the insurance code.
10 GCA § 92111 No Statutory Maximum
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Nothing in this Act shall be construed as establishing any maximum limitation on inpatient maternity care or inpatient maternity benefits.
10 GCA § 92112 Severability
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If any section of this rule, or applicability of any section to any person or circumstance, is for any reason held invalid by a court, the remainder of the rule, or the applicability of such provisions to other persons or circumstances, shall not be affected. ---------- COL120106…