42 USC 300gg-117 - Other patient protections

U.S Code last checked for updates: May 19, 2024

§ 300gg–117.

Other patient protections

(a)

Choice of health care professional

(b)

Access to pediatric care

(1)

Pediatric care

(2)

Construction

(c)

Patient access to obstetrical and gynecological care

(1)

General rights

(A)

Direct access

(B)

Obstetrical and gynecological care

(2)

Application of paragraph

A group health plan, or health insurance issuer offering group or individual health insurance coverage, described in this paragraph is a group health plan or health insurance coverage that—

(A)

provides coverage for obstetric or gynecologic care; and

(B)

requires the designation by a participant, beneficiary, or enrollee of a participating primary care provider.

(3)

Construction

Nothing in paragraph (1) shall be construed to—

(A)

waive any exclusions of coverage under the terms and conditions of the plan or health insurance coverage with respect to coverage of obstetrical or gynecological care; or

(B)

preclude the group health plan or health insurance issuer involved from requiring that the obstetrical or gynecological provider notify the primary care health care professional or the plan or issuer of treatment decisions.

(July 1, 1944, ch. 373, title XXVII, § 2799A–7, as added Pub. L. 116–260, div. BB, title I, § 102(a)(2), Dec. 27, 2020, 134 Stat. 2770.)

cite as: 42 USC 300gg-117