NRS 695B.1914: Required provision concerning coverage of certain gynecological and obstetrical services without authorization or referral from primary care physician; designation of obstetrician or gynecologist as primary care provider.

1. A contract for hospital or medical service must include a provision authorizing a woman covered by the contract to:

(a) Obtain covered gynecological or obstetrical services without first receiving authorization or a referral from her primary care physician.

(b) Designate as her primary care physician an obstetrician or gynecologist who:

(1) Participates in the network plan of the hospital or medical services corporation;

(2) Satisfies the criteria established by the hospital or medical services corporation for designation as a primary care provider under the contract; and

(3) Agrees to abide by all terms and conditions imposed by the hospital or medical services corporation on other primary care physicians generally.

2. A contract subject to the provisions of this chapter that is delivered, issued for delivery or renewed on or after January 1, 2026, has the legal effect of including the coverage required by this section, and any provision of the contract or the renewal which is in conflict with this section is void.

3. As used in this section:

(a) “Network plan” means a policy of health insurance offered by a hospital or medical services corporation under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the hospital or medical services corporation. The term does not include an arrangement for the financing of premiums.

(b) “Primary care physician” has the meaning ascribed to it in NRS 695G.060.