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Utah · Through 2026 General Session

Utah Code § 31A-8-105.5: Primary care physicians.

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Where this section sits in the code
  1. Title 31A Insurance Code
  2. Chapter 31A-8 Health Maintenance Organizations and Limited Health Plans
  3. Part 31A-8-1 General Provisions

With regard to participating providers who are physicians who are members of the American 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 from the enrollee's choice of one of those participating providers. An organization may not require the enrollee to receive a preapproval, preauthorization, or referral from the enrollee's primary care physician before receiving this examination; and

(2) clearly state in the organization's health benefit plan literature that enrollees may seek the care described in Subsection (1) without preapproval, preauthorization, or referral from the patient's primary care physician.

Collected 2026-09-03T11:34:33Z. Source file · JSON

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