Abstract

This social historiography tells the story of the origin of the Newborns' and Mothers' Health Protection Act of 1996. In the 1980s when the federal government reduced allocations to states' Medicaid programs as a cost saving measure, hospitals, initiated early discharge of patients to save costs. Given four million births annually, childbirth is the most frequent reason for hospitalization in the United States. Hospitals discharged Medicaid insured mothers and newborns very early at twenty-four hours for a normal birth and seventy-two hours for a cesarean. Other insurers adopted similar managed care strategies in the early 1990s. By 1995, unionized nurses from New Jersey, bolstered by a national outcry against early maternal discharge, and individual states legislative actions, met with staff in Senator Bradley's (Democrat, NJ) Washington, DC office to request a federal law that would extend hospital length of stays for maternity patients. The result was the creation of the Newborns' and Mothers' Health Protection Act of 1996 (Newborn's Act). Insurers must now reimburse hospitals a minimum length of maternity stay of forty-eight hours for a normal birth and ninety-six hours for a cesarean birth. This historical investigation found that a revival occurred in professional nursing organizations' voice in health care policy.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3242345; ProQuest document ID: 305306238. The author still retains copyright.

Author Details

Jan-Louise Leonard, PhD, RN

Sigma Membership

Theta at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Historical

Research Approach

Qualitative Research

Keywords:

Hospital Stay for New Mothers, Health Care for Newborns, Nurses Effecting Policy

Advisor

Eileen T. Breslin

Degree

PhD

Degree Grantor

University of Massachusetts, Amherst

Degree Year

2006

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-07-06

Full Text of Presentation

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