E.__The program has procedures for the reporting of possible quality concerns by providers and enrollees and for remedial actions to correct quality problems, including written procedures for responding to concerns and taking appropriate corrective action.

F.__The program provides for an analysis of the carrier's performance on quality measures using data that include the data collected under section 4302.

Sec. 18. 24-A MRSA §§4310 to 4316 are enacted to read:

§4310.__Access to specialty care

1.__Obstetrical and gynecological care.__If a carrier requires or provides for an enrollee to designate a participating primary care provider:

A.__The carrier shall permit a female enrollee to designate a participating provider__who specializes in obstetrics and gynecology as that enrollee's primary care provider; or

B.__If a female enrollee has not designated such a provider as a primary care provider, the carrier:

(1)__May not require authorization or a referral by the enrollee's primary care provider for coverage of primary, preventive or therapeutic obstetrics and gynecologic services indicated for women's health care or required as a result of any gynecological examination or as a result of a gynecologic condition that are performed by a participating provider who specializes in obstetrics and gynecology, including a certified nurse practitioner or a certified nurse midwife, to the extent those services are otherwise covered;

(2)__May treat the ordering of other gynecological care by such a participating provider as the authorization of the primary care provider with respect to that care under the plan or coverage; and

(3)__May require such a participating provider to provide a written notice of services and any treatment plan to the female enrollee's primary care provider.