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Summary of neonatal and maternal transport and reimbursement policies—a 5-year update



To examine the number of states with neonatal and maternal transport and reimbursement policies in 2019, compared with 2014.

Study design

We conducted a systematic review of web-based, publicly available information on neonatal and maternal transport policies for each state in 2019. Information was abstracted from rules, codes, licensure regulations, and planning and program documents, then summarized within two categories: transport and reimbursement policies.


In 2019, 42 states had a policy for neonatal transport and 37 states had a policy for maternal transport, increasing by 8 and 7 states respectively. Further, 31 states had a reimbursement policy for neonatal transport and 11 states for maternal transport, increases of 1 state per category. Overall, the number of states with policies increased from 2014 to 2019.


The number of state neonatal and maternal transport policies increased; these policies may support provision of care at the most risk-appropriate facilities.

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Keriann Uesugi and students at the University of Illinois at Chicago School of Public Health for conducting the policy review; Nina Nandi for her assistance with reviewing relevant literature

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EMO and CDK conceptualized and designed the study, reviewed the data analysis, and critically reviewed and revised the paper. CLD synthesized and analyzed the data, drafted the initial paper, and led the revision process. WDB critically reviewed and revised the paper. All authors approved the final paper as submitted and agree to be accountable for all aspects of the work.

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Correspondence to Carla L. DeSisto.

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DeSisto, C.L., Okoroh, E.M., Kroelinger, C.D. et al. Summary of neonatal and maternal transport and reimbursement policies—a 5-year update. J Perinatol 42, 1306–1311 (2022).

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