03-05Enrolled 16:35Copy S.B.

S (a)(i) an obstetrician;

B (ii) a gynecologist;

or 0 (iv) a physician assistant who works with a physician:

4 (A) providing primary care;

or (B)S.B. described in Subsection (1)(a)(i), (ii), or (iii);

and204 (b)Enrolled qualifiedCopy and(B) willingdescribed toin provideSubsection primary(1)(a)(i), care(ii), services,or as(iii); defined by the health care S.B.

204and 03-05(b) 16:35qualified and willing to provide primary care services, as defined by the health care plan, as the insured's provider from whom primary care services are received.

(3)(3)(a) 36a Ĥ→ (a) ←Ĥ An accident and health insurance policy that provides coverage for 36b physical therapy services may not impose a copayment, coinsurance, or office visit deductible for a covered physical therapy visit that exceeds the copayment, coinsurance, or office 38a visit deductible applicable to a visit with a primary care provider.

39a Ĥ→ (b) Subsection (3)(a) applies to a health benefit plan renewed or entered into 39b on or after January 1, 2027.

←Ĥ [(3)] (4) An accident and health insurance policy shall clearly state in literature explaining the policy the options available to insureds under Subsections (1) and (2).