N.Y. Public Health Law § 2506: Obstetric and pediatric practitioner incentive demonstration program

§ 2506. Obstetric and pediatric practitioner incentive demonstration

program. 1. There is hereby established in the department the obstetric

and pediatric practitioner incentive demonstration program, to provide

financial support for obstetric practitioners providing prenatal and

obstetric services to medically needy women and to pediatric

practitioners serving children up to one year of age, to assist them in

paying for professional liability insurance coverage related to those

services, within amounts appropriated for that purpose.

2. As used in this section, the following terms shall have the

following meanings:

(a) "Obstetric practitioner". A physician who is board certified or an

active candidate for board certification in obstetrics, a physician who

is board certified, or eligible for board certification, in family

practice and provides obstetric services, a certified nurse midwife, or

an obstetric nurse practitioner.

(b) "Pediatric practitioner". A physician who is board certified, or

eligible for board certification, in pediatrics or a pediatric nurse

practitioner.

(c) "Prenatal and obstetric services to medically needy women" and

"pediatric services for children up to one year of age". Prenatal and

obstetric services provided by an obstetric practitioner, and pediatric

services for children up to one year of age, in private individual or

group practice, or comprehensive diagnostic and treatment centers

pursuant to article twenty-eight of this chapter, to women and children

(i) through the prenatal care assistance program, or the medical

assistance program under the social services law; or (ii) through a

program approved by the commissioner under this section, under which the

services are provided without remuneration to the practitioner for his

or her services; or (iii) who are not covered for these services by

subparagraph (i) of this paragraph or by private health insurance.

3. The commissioner is authorized to contract with obstetric and

pediatric practitioners to provide financial support for the costs they

bear for their professional liability insurance coverage, to the extent

that the cost is reasonably related or proportional to the amount of

prenatal and obstetric and pediatric services to medically needy women

and children up to one year of age the practitioner provides in

proportion to the total amount of prenatal, obstetric and pediatric

services the practitioner provides.

4. Prenatal and obstetric services and pediatric services for children

up to one year of age provided without remuneration to the obstetrical

or pediatric practitioner, for the purposes of this section, shall be

provided as part of a program administered by a general hospital (as

defined in article twenty-eight of this chapter) or a city or county

health department, approved by the commissioner.

5. The commissioner shall establish regulations, standards and

procedures for the obstetric and pediatric practitioner incentive

demonstration program, including but not limited to quality assurance,

the services to be provided, and the provision or records and

information by obstetric and pediatric practitioners applying for or

receiving support under this section.

6. In making contracts under this section, the commissioner shall

consider the extent to which the support will increase, maintain and

improve the accessibility and quality of prenatal and obstetric services

to medically needy women and pediatric services to children up to one

year of age, and shall assure that support is reasonably distributed

geographically throughout urban and rural areas of the state.

7. On or before February first, nineteen hundred ninety-two, the

commissioner shall submit to the governor and the chairs of the assembly

and senate committees on health a report on the operation and

effectiveness of the obstetric and pediatric practitioner incentive

demonstration program, including any recommendations the commissioner

deems appropriate.