2020 New York Laws
ISC - Insurance
Article 32 - Insurance Contracts - Life, Accident and Health, Annuities
3217-C - Primary and Preventive Obstetric and Gynecologic Care.

§  3217-c.  Primary and preventive obstetric and gynecologic care. (a)
No insurer subject to this article shall by contract, written policy  or
procedure  limit  a  female  insured'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  insured's  primary  care
practitioner in accordance with the requirements of the insurer; and (2)
such  qualified  provider agrees to adhere to the insurer'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
insurer.
  (b) An insurer 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 insurer subject to the provisions of this  article  to
advise  each  female  insured,  in  writing,  of  the provisions of this
section.