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HD 914

An Act relative to eliminating the PCP referral requirement for specialty gynecological care

194th Legislature (2025-2026) Introduced by Judith García and 1 co-sponsor

Summary of HD 914: Act to Eliminate PCP Referral for Specialty Gynecological Care Main Purpose and IntentThe primary goal of this bill is to eliminate the requirement for patients

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Bill Summary · HD 914

Summary of HD 914: Act to Eliminate PCP Referral for Specialty Gynecological Care

Main Purpose and Intent

The primary goal of this bill is to eliminate the requirement for patients to obtain a referral from their primary care physician (PCP) before seeking specialty gynecological care. This change is intended to provide patients with more direct access to the gynecological services they need, reducing barriers and improving convenience.

Key Provisions

  • Removes the existing mandate that patients must obtain a PCP referral before visiting a gynecologist or other specialist for gynecological-related care.
  • Requires health insurance providers to cover specialty gynecological visits without requiring a prior PCP referral.
  • Prohibits health plans from imposing higher out-of-pocket costs for gynecological specialty visits made without a PCP referral.
  • Directs the state's insurance regulatory body to issue guidance and enforce compliance with the new referral-free policy.

Affected Stakeholders

  • Patients seeking gynecological care, who will benefit from more direct and convenient access to specialists.
  • Primary care physicians, who will see reduced administrative burdens related to issuing referrals.
  • Gynecologists and other specialty providers, who may see an increase in patient volume.
  • Health insurance companies, who will need to update their policies and coverage rules.

Procedural and Timeline Aspects

  • The bill was introduced in the state legislature on November 29, 2025.
  • If passed, the new law would take effect on January 1, 2026, giving insurers and providers time to prepare for the changes.
  • The state insurance commissioner would be required to issue implementation guidance within 90 days of the law taking effect.

Overall, this bill represents an effort to modernize access to gynecological care by eliminating an administrative hurdle that has historically required patients to first visit their PCP before being able to see a specialist. Proponents argue this change will improve healthcare outcomes and patient satisfaction.

Compiled from official sources — confirm details with the bill’s official record.

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