2012 New York Consolidated Laws
ISC - Insurance
Article 43 - (4301 - 4327) NON-PROFIT MEDICAL AND DENTAL INDEMNITY, OR HEALTH AND HOSPITAL SERVICE CORPORATIONS
4306-B - Primary and preventive obstetric and gynecologic care.

 
    §  4306-b.  Primary and preventive obstetric and gynecologic care. (a)
  No corporation subject to  the  provisions  of  this  article  shall  by
  contract, written policy or procedure limit a female subscriber's direct
  access  to  primary  and  preventive obstetric and gynecologic services,
  including  annual  examinations,  care  resulting   from   such   annual
  examinations,  and  treatment  of  acute  gynecologic conditions, from a
  qualified provider of such services of her choice from within  the  plan
  or  for  any  care  related  to  a  pregnancy,  provided  that: (1) such
  qualified provider discusses such services and treatment plan  with  the
  subscriber's   primary   care   practitioner   in  accordance  with  the
  requirements of the corporation; and (2) such qualified provider  agrees
  to  adhere  to  the corporation's policies and procedures, including any
  applicable  procedures   regarding   referrals   and   obtaining   prior
  authorization for services other than obstetric and gynecologic services
  rendered  by  such  qualified  provider,  and agrees to provide services
  pursuant to a treatment plan (if any) approved by the corporation.
    (b)  A  corporation  shall  treat  the  provision  of  obstetric   and
  gynecologic  care, and the ordering of related obstetric and gynecologic
  items  and  services,  pursuant  to  the  direct  access  described   in
  subsection  (a) of this section by a participating qualified provider of
  such services, as the authorization of the primary care provider.
    (c) It shall be the duty of the administrative officer or other person
  in charge of each corporation subject to the provisions of this  article
  to  advise each female subscriber, in writing, of the provisions of this
  section.