Section 47-2.1 - Definitions.

Section 47-2.1 Definitions.

(a) "Program" means the Obstetric and Pediatric Practitioner Incentive Demonstration Program, also known as the Obstetric and Pediatric Malpractice Insurance Subsidy Program, as administered by the New York State Department of Health.

(b) "Obstetric practitioner" means:

(1) a New York State licensed physician who is board certified or an active candidate for board certification in obstetrics;

(2) a New York State licensed physician who is board certified or eligible for board certification in family practice and who provides obstetrical services;

(3) a New York State Education Department licensed midwife or person certified to practice midwifery by the Department of Health; or

(4) a licensed registered nurse certified as an obstetric nurse practitioner by the New York State Education Department.

(c) "Pediatric practitioner" means:

(1) a New York State licensed physician who is board certified or eligible for board certification in Pediatrics; or

(2) a licensed registered nurse certified as a pediatric nurse practitioner by the New York State Education Department.

(d) "Obstetric Group Practice" means an obstetric practitioner with an arrangement to practice with one or more other obstetric practitioners whether by partnership agreement or by forming a professional corporation.

(e) "Covered services" means prenatal, delivery and post-partum services provided by an obstetric practitioner or pediatric services provided by a pediatric practitioner for children under the age of one in a private individual or group practice, or in a comprehensive diagnostic and treatment center (1) through the Prenatal Care Assistance Program, or the Medical Assistance Program under the Social Services Law; or (2) to women and children who are not covered for obstetric or pediatric services by the programs set forth in paragraph (1) of this subdivision, or by private health insurance; or (3) through a program approved by the commissioner pursuant to section 2506(4) of the Public Health Law, under which the services are provided as part of a program provided by a general hospital or a city or a county health department and without remuneration to the practitioner.

(f) "Target population" means pregnant women and children up to the age of one who (1) are eligible for the Prenatal Care Assistance Program or the Medical Assistance Program under the Social Services Law; or (2) are not covered for obstetric or pediatric services by the programs set forth in paragraph (1) of this subdivision or by private health insurance; or (3) are eligible for a program approved by the commissioner pursuant to Section 2506(4) of the Public Health Law under which the services are provided as part of a program provided by a general hospital or a city or a county health department and without remuneration to the practitioner.

(g) "Malpractice insurance premium" means the cost of professional liability insurance coverage for the contract period.

(h) "Contractor" means an eligible obstetric or pediatric practitioner or group practice who has contracted with the Department of Health for a subsidy.

(i) "Subsidy" means the amount of remuneration a contractor may receive through this Program for his/her malpractice insurance premium.

(j) "Designated pediatric area" means a Federally designated Health Professional Shortage Area or an area designated by New York State Board of Regents as a Regents Physician Loan Forgiveness Area.

(k) "New pediatric practitioner" means a pediatric practitioner who is proposing to begin practice, or began practice, six months before or after filing an application for a subsidy, in a designated pediatric area.

(l) "Additional service obstetric practitioner" means an obstetric practitioner or obstetric group practice that agrees to increase the number of the target population provided covered services.

(m) "Disproportionate share obstetric practitioner" means an obstetric practitioner or obstetric group practice that has in the past provided and agrees to continue to provide covered services to a high number of the target population.

(n) "High-number" means 1/3 the average number of deliveries performed per year per obstetrician, family practitioner, or nurse midwife, as determined by the Department of Health.

(o) "Full-time pediatric practice" means providing patient care services at least 37.5 hours per week during at least 46 weeks per year in a designated pediatric area. Up to 8 hours per week providing services to residents from the designated pediatric area in a hospital located outside the designated area may be counted towards those hours.

(p) "General pediatric services" means ambulatory health care services provided to children under the age of one.

(q) "Comprehensive obstetrical services" means prenatal, delivery and post-partum services.

(r) "Application" means an application for a contract submitted by an obstetric practitioner, obstetric group practice, or pediatric practitioner on forms prescribed by the Department. (s) "Average obstetrical malpractice premium (AOMP)" means the amount determined by the commissioner to reflect the average malpractice insurance premium per delivery for obstetricians in a geographic region.
 

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