Section 38a-503b - Carriers to permit direct access to obstetrician-gynecologist(a) As used in this section, "carrier" means each insurer, health care center, hospital service corporation, medical service corporation or other entity delivering, issuing for delivery, renewing, amending or continuing any individual health insurance policy in this state providing coverage of the type specified in subdivisions (1), (2), (4), (10), (11) and (12) of section 38a-469.(b) Each carrier shall permit a female enrollee direct access to a participating in-network obstetrician-gynecologist for any gynecological examination or care related to pregnancy and shall allow direct access to a participating in-network obstetrician-gynecologist for primary and preventive obstetric and gynecologic services required as a result of any gynecological examination or as a result of a gynecological condition. Such obstetric and gynecologic services include, but are not limited to, pap smear tests. The plan may require the participating in-network obstetrician-gynecologist to discuss such services and any treatment plan with the female enrollee's primary care provider. Nothing in this section shall preclude access to an in-network nurse-midwife as licensed pursuant to sections 20-86c and 20-86 g and in-network advanced practice registered nurses as licensed pursuant to sections 20-93 and 20-94 a for obstetrical and gynecological services within their scope of practice.(c) Each carrier may allow a female enrollee to designate either a participating, in-network obstetrician-gynecologist or any other in-network physician designated by the carrier as a primary care provider, or both, and may offer the same choice to all female enrollees.Conn. Gen. Stat. § 38a-503b
( P.A. 95-199, S. 1; P.A. 96-227, S. 14; P.A. 01-171, S. 18; P.A. 10-32, S. 120; P.A. 11-19, S. 49; P.A. 14-122, S. 50.)
Amended by P.A. 19-0125,S. 10 of the Connecticut Acts of the 2019 Regular Session, eff. 1/1/2020.Amended by P.A. 14-0122, S. 50 of the Connecticut Acts of the 2014 Regular Session, eff. 10/1/2014.Amended by P.A. 11-0019, S. 49 of the the 2011 Regular Session, eff. 1/1/2012.Amended by P.A. 10-0032, S. 120 of the February 2010 Regular Session, eff. 5/10/2010. See Sec. 38a-530b for similar provisions re group policies.