First Substitute H.B. 86

Representative Judy Ann Buffmire proposes to substitute the following bill:

1 HEALTH INSURANCE - PRIMARY CARE
2 PROVIDER
3 1998 GENERAL SESSION
4 STATE OF UTAH
5 Sponsor: Judy Ann Buffmire
6 AN ACT RELATING TO INSURANCE; PERMITTING A WOMAN TO SELECT AN
7 OBSTETRICIAN/GYNECOLOGIST AS A PRIMARY CARE PHYSICIAN; AND
8 PROVIDING AN EFFECTIVE DATE.
9 This act affects sections of Utah Code Annotated 1953 as follows:
10 ENACTS:
11 31A-22-623, Utah Code Annotated 1953
12 Be it enacted by the Legislature of the state of Utah:
13 Section 1. Section 31A-22-623 is enacted to read:
14 31A-22-623. Primary care physician.
15 A disability insurance policy that requires an insured to select a primary care physician to
16 receive optimum coverage:
17 (1) shall permit a female insured to select a participating provider who is an
18 obstetrician/gynecologist and is qualified and willing to provide primary care services, as defined
19 by the health care plan, as the insured's provider from whom primary care services are received;
20 (2) shall clearly state in literature explaining the policy the option available to female
21 insureds under Subsection (1); and
22 (3) may not impose a higher premium, higher copayment requirement, or any other
23 additional expense on an insured by virtue of the insured selecting a primary care physician in
24 accordance with Subsection (1).
25 Section 3. Effective date.

1 This act takes effect on July 1, 1998.

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