31A-8-105.5 - Primary care physicians. - Utah Statutes

31A-8-105.5. Primary care physicians.
With regard to participating providers who are physicians who are members of theAmerican College of Obstetrics and Gynecology, organizations operating under this chapter shall:
(1) permit a female enrollee to receive at least one outpatient examination per year fromthe enrollee's choice of one of those participating providers. An organization may not require theenrollee to receive a preapproval, preauthorization, or referral from the enrollee's primary carephysician before receiving this examination; and
(2) clearly state in the organization's health benefit plan literature that enrollees may seekthe care described in Subsection (1) without preapproval, preauthorization, or referral from thepatient's primary care physician.

Amended by Chapter 10, 1997 General Session