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C. If the examination specified in paragraph B reveals a | gynecological condition for which another visit to the | physician participating in the plan is medically required and | appropriate, or for any gynecological care beyond the annual | examination, the carrier may require the patient or the | examining physician, certified nurse practitioner or certified | nurse midwife to secure from the patient's primary care | physician a referral to the participating physician, certified | nurse practitioner or certified nurse midwife from whom such | care may be obtained. |
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| | | Sec. 4. Application. This Act applies to all group policies and | | contracts executed, delivered, issued for delivery, continued or | | renewed in this State on or after January 1, 2000. For purposes | | of this Act, all contracts are deemed to be renewed no later than | | the next yearly anniversary of the contract date. |
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| | | This bill allows women enrolled in group managed care plans to | | receive primary, preventive and therapeutic obstetrics and | | gynecological services from an obstetrician/gynecologist, | | certified nurse practitioner or certified nurse midwife | | participating in the managed care plan, without a referral from a | | primary care physician. Under current law, enrollees are only | | allowed to self-refer to a participating provider for an annual | | gynecological examination. |
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