§ 27-19-27. Certified registered nurse practitioners and psychiatric and mental health nurse clinical
specialists.
(a) Every health insurance contract, plan, or policy delivered, issued for delivery, or
renewed in this state shall provide coverage for the services of a certified registered
nurse practitioner, practicing collaboratively, or in the employ of a physician licensed
under chapter 37 of title 5, and psychiatric and mental health nurse clinical specialists, to subscribers if
the services are within the certified registered nurse practitioner's or psychiatric
and mental health nurse clinical specialist's area of professional competence as established
by education and certification, and are currently reimbursed when rendered by any
other licensed healthcare provider. No insurer or hospital or medical service corporation
may require signature by any other healthcare provider as a condition of reimbursement.
No insurer or hospital or medical service corporation may be required to pay for duplicative
services actually rendered by both a certified nurse practitioner and any other healthcare
provider.
(b) Nothing in this chapter shall preclude the conducting of managed care reviews and
medical necessity reviews by an insurer or hospital or medical service corporation
or health maintenance organization.
(c) Every individual or group hospital or medical expense insurance policy or individual
or group hospital or medical service plan contract delivered, issued for delivery,
or renewed in this state shall provide coverage for certified registered nurse practitioners
to provide primary care, intermediate, home, long-term, and inpatient care as primary
care providers, when said certified registered nurse practitioner is a participating
provider, consistent with, and practicing within, the scope of his or her professional
license.
(d) Notwithstanding any law to the contrary, all insurers, nonprofit medical service corporations,
nonprofit hospital service corporations, and health maintenance organizations shall
provide subscribers with an opportunity to select a certified registered nurse practitioner,
who is a participating provider, as a primary care provider.
(e) Notwithstanding any law to the contrary, all insurers, nonprofit medical service corporations,
nonprofit hospital service corporations, and health maintenance organizations shall
insure that all participating primary care provider certified registered nurse practitioners
are included on any publicly accessible list of participating providers for the respective
organization.