Section 421.412 - Medical and Laboratory Services(A) For an initial or annual visit, a family planning agency must provide all of the following medical and laboratory services: (1) a complete medical history (including family and interval);(2) a physical examination: (a) for a member who is female, this includes thyroid, breast, heart, abdominal, speculum, pelvic, and rectal examinations, and measurements of height, weight, and blood pressure;(b) for a member who is male, this includes thyroid, heart, genital, abdominal, and rectal examinations, and measurements of height, weight, and blood pressure;(3) a Pap smear (for a female member) as indicated by current nationally recommended protocols, such as American College of Obstetrics and Gynecology (ACOG), American Cancer Society (ACS), or the US Preventive Services Task Force (USPSTF);(4) any laboratory test indicated by the member's history or examination (such a test may be provided directly or by referral);(5) a medically approved method of contraception, if appropriate; and(6) referrals for the screening, diagnosis, prevention, or treatment of general as well as reproductive medical conditions.(B) For a routine visit, a family planning agency must provide medical and laboratory services necessary to monitor the member's contraceptive care or to follow-up on conditions requiring medical attention by agency personnel. These services must include, but are not limited to, the following: (1) update of medical history;(2) a physical examination that may include pelvic or genital examination;(3) measurements of blood pressure and weight;(4) any laboratory test indicated by the member's history or examination (such a test may be provided directly or by referral);(5) identification of any symptoms, conditions, or side effects that may contraindicate the method of contraception used;(6) assessment of the member's use of the method of contraception; and(7) referrals for the screening, diagnosis, prevention, or treatment of general as well as reproductive medical conditions.(C) For a minimal visit, a family planning agency must provide counseling services only or brief medical and counseling services. The purpose of a minimal service visit is to reinforce contraceptive instructions, to monitor the member's use of a contraceptive method, or to provide education and counseling.(D) A family planning agency must make available all methods of contraception listed in Subchapter 6 of the Family Planning Agency Manual.(E) Physical examinations must be performed by a physician, a nurse practitioner, or a physician assistant. A physician must examine all members with medical problems and members who request to be seen by a physician. A nurse practitioner or physician assistant may examine members during an initial, annual, or routine visit. A physician must be on site or on call during all hours of operation.(F) The family planning agency must have written medical protocols that include a periodicity schedule for return visits, procedures for follow-up for each method of contraception, procedures for care of high-risk patients, and emergency drug protocols.