Existing law requires certain public and private health insurance plans to include a provision authorizing a woman covered by such a plan to obtain covered gynecological or obstetrical services without first receiving authorization from the insurer or a referral from her primary care physician. (NRS 287.010, 687B.225, 689A.0413, 689B.031, 695B.1914, 695C.1713) Sections 1-6, 8 and 9 of this bill apply this requirement to: (1) health plans that provide medical care to certain private-sector employees of small employers and their dependents; (2) benefit contracts issued by fraternal benefit societies; (3) managed care organizations; (4) the Public Employees' Benefits Program; and (5) Medicaid. Sections 1.3-6, 8 and 9 require all public and private health insurance plans which are subject to this requirement to additionally authorize a woman covered by the plan to designate as her primary care physician an obstetrician or gynecologist who meets certain criteria. Section 7 of this bill makes a conforming change to require the Director of the Department of Health and Human Services to administer the provisions of section 9 in the same manner as other requirements governing Medicaid.

Statutes affected:
As Introduced: 687B.225, 689C.425, 695C.050, 232.320, 287.04335
Reprint 1: 687B.225, 689A.0413, 689B.031, 689C.425, 695B.1914, 695C.050, 695C.1713, 232.320, 287.04335
As Enrolled: 687B.225, 689A.0413, 689B.031, 689C.425, 695B.1914, 695C.050, 695C.1713, 232.320, 287.04335
BDR: 687B.225, 689C.425, 695C.050, 232.320, 287.04335