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S.B. 567
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PARRIS N. GLENDENING, Governor
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to visit the woman's primary care provider first, whether or not the primary care
provider is qualified to and regularly does provide routine gynecological care.
(D) (1) AN ENTITY SUBJECT TO THIS SECTION MAY NOT LIMIT A WOMAN'S
DIRECT ACCESS TO PRIMARY AND PREVENTIVE OBSTETRIC AND GYNECOLOGICAL
SERVICES FROM A CERTIFIED NURSE MIDWIFE OR ANY OTHER PROVIDER
AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE TO PROVIDE OBSTETRIC
AND GYNECOLOGICAL SERVICES.
(2) AN ENTITY SUBJECT TO THIS SECTION SHALL ALLOW A WOMAN TO
CHOOSE A CERTIFIED NURSE MIDWIFE PARTICIPATING IN THE HEALTH BENEFIT
PLAN IF THE CERTIFIED NURSE MIDWIFE DISCUSSES THE SERVICES AND
TREATMENT PLAN WITH THE WOMAN'S PRIMARY CARE PROVIDER AND INFORMS THE
WOMAN'S PRIMARY CARE PROVIDER OF ALL HEALTH SERVICES PROVIDED.
(3) AN ENTITY SUBJECT TO THIS SECTION SHALL OFFER THE WOMAN
THE CHOICE OF AN OBSTETRIC AND GYNECOLOGICAL PROVIDER WITHIN THE
HEALTH BENEFIT PLAN AND MAY NOT REQUIRE THE WOMAN TO RECEIVE
OBSTETRIC AND GYNECOLOGICAL SERVICES FROM A SPECIFIC CATEGORY OF
PROVIDER.
(D) (1) AN ENTITY SUBJECT TO THIS SECTION SHALL ALLOW A WOMAN TO
RECEIVE MEDICALLY NECESSARY, ROUTINE OBSTETRIC AND GYNECOLOGICAL CARE
FROM AN IN-NETWORK, CERTIFIED NURSE MIDWIFE OR ANY OTHER IN-NETWORK
PROVIDER AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE TO PROVIDE
OBSTETRIC AND GYNECOLOGICAL SERVICES WITHOUT FIRST REQUIRING THE
WOMAN TO VISIT A PRIMARY CARE PROVIDER
(2) A CERTIFIED NURSE MIDWIFE OR OTHER NONPHYSICIAN PROVIDER
AUTHORIZED UNDER THE HEALTH OCCUPATIONS ARTICLE TO PROVIDE OBSTETRIC
AND GYNECOLOGICAL SERVICES SHALL CONSULT WITH AN
OBSTETRICIAN/GYNECOLOGIST WITH WHOM THE CERTIFIED NURSE MIDWIFE OR
OTHER PROVIDER HAS A COLLABORATIVE AGREEMENT, IN ACCORDANCE WITH THE
COLLABORATIVE AGREEMENT, REGARDING ANY CARE RENDERED UNDER THIS
SUBSECTION.
Article - Health - General
19-706.
(1) (1) A health maintenance organization shall:
(i) Classify an obstetrician/gynecologist as a primary care
physician; or
(ii) If the obstetrician/gynecologist chooses not to be a primary care
physician, permit a woman to receive gynecological care from an in-network
obstetrician/gynecologist without requiring the woman to first visit a primary care
provider, provided that:
1. The care is medically necessary, including, but not limited
to, care that is routine;
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- 3949 -
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