20-123. Direct primary care provider; exemption from regulation; definitions
A. A direct primary care provider plan issued pursuant to title 44, chapter 11, article 25 does not constitute the transaction of insurance business or a health care services organization in this state for the purposes of regulation under this title if the plan does not assume financial risk or agree to indemnify for services provided by a third party.
B. For the purposes of this section:
1. " Direct primary care provider plan" means a primary care provider, group, entity or practice that collects on a prepaid basis fees to conduct primary health care for enrollees.
2. " Enrollee" means an individual, family or group that has enrolled in a direct primary care provider plan.
3. " Primary care provider" means a physician who is licensed pursuant to title 32, chapter 13 or 17 and who specializes or is board certified in general practice, family medicine, internal medicine or pediatrics.
4. " Primary health care" means conducting all components of primary care that is ordered and supervised by a primary care provider, including medical visits, laboratory testing, imaging, pathology testing, prescribing and administering medication and other medical procedures that may be performed or supervised by a primary care provider with training and experience in that procedure.
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