Legal Memorandum: "Health Care Specialist" in UT

Issue: What is the statutory definition of ‘health care specialist’ in Utah?

Area of Law: Healthcare & Pharmaceutical Law Compliance
Keywords: Health care specialist; Referral; Direct access
Jurisdiction: Utah
Cited Cases: None
Cited Statutes: Utah Code § 31A-22-628
Date: 09/01/2014

Utah Code § 31A-22-628 (2014) (“With respect to a health insurance policy or health maintenance organization contract that does not allow an insured to have direct access to a health care specialist, the insurer shall establish and implement a procedure by which an insured may obtain a standing referral to a health care specialist.”  No definition is provided.).


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