It is enacted by the General Assembly as follows:

SECTION 1. Section 27-18-34 of the General Laws in Chapter 27-18 entitled "Accident and Sickness Insurance Policies" is hereby amended to read as follows:

{ADD 27-18-34. Health insurance contracts -- Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists. -- ADD} Every health insurance contract, plan or policy delivered, issued for delivery or renewed in this state {DEL on or after January 1, 1992 will DEL} {ADD may, through the period ending January 1, 1995, and thereafter shall ADD} provide coverage for the services of the certified registered nurse practitioner and psychiatric and mental health nurse clinical specialist practicing {DEL in a private nonprofit organized ambulatory care facility licensed by the department of health DEL} {ADD collaboration with or in the employ of a physician licensed under chapter 37 of title 5 ADD} to subscribers if the services are within the certified registered nurse practitioner's or psychiatric and mental health nurse clinical specialist's area of professional competence as established by education and certification, and are currently reimbursed when rendered by any other licensed health care provider. No insurer or hospital, medical service corporation or health maintenance organization may require {DEL supervision, DEL} {ADD the ADD} signature {DEL or referral DEL} by any other health care provider as a condition of reimbursement. No insurer or hospital, medical service corporation or health maintenance organization may be required to pay for duplicative services actually rendered by both a certified registered nurse practitioner and any other health care provider.

{ADD Nothing in this chapter shall preclude the conducting of managed care reviews and medical necessity reviews by an insurer or hospital or medical service corporation or health maintenance organization ADD} .

SECTION 2. Section 27-19-27 of the General Laws in Chapter 27-19 entitled "Nonprofit Hospital Service Corporations" is hereby amended to read as follows:

{ADD 27-19-27. Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists. -- ADD} Every individual or group hospital or medical expense insurance policy or individual or group hospital or medical service plan contract delivered, issued for delivery or renewed in this state {DEL on or after January 1, 1992 will DEL} {ADD may through the period ending January 1, 1995, and thereafter shall ADD} provide coverage for the services of the certified registered nurse practitioner and psychiatric and mental health nurse clinical specialist practicing in {DEL a private nonprofit organized ambulatory care facility licensed by the department of health DEL} {ADD collaboration with or in the employ of a physician licensed under chapter 37 of title 5 ADD} to subscribers if the services are within the certified registered nurse practitioner's or psychiatric and mental health nurse clinical specialist's area of professional competence as established by education and certification, and are currently reimbursed when rendered by any other licensed health care provider. No insurer or hospital or medical service corporation may require {DEL supervision, DEL} {ADD the ADD} signature {DEL or referral DEL} by any other health care provider as a condition of reimbursement. No insurer or hospital or medical service corporation may be required to pay for duplicative services actually rendered by both a certified nurse practitioner and any other health care provider.

{ADD Nothing in this chapter shall preclude the conducting of managed care reviews and medical necessity reviews by an insurer or hospital or medical service corporation or health maintenance organization ADD} .

SECTION 3. Section 27-41-39 of the General Laws in Chapter 27-41 entitled "Health Maintenance Organizations" is hereby amended to read as follows:

{ADD 27-41-39. Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists. -- ADD} Every individual or group policy or contract delivered, issued for delivery or renewed by a health maintenance organization in this state on or after January 1, 1992 will provide coverage for the services of certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists {DEL practicing in a private nonprofit organized ambulatory care facility licensed by the department of health DEL} to subscribers if such services are within the certified registered nurse practitioner's or psychiatric and mental health nurse clinical specialist's area of professional competence as established by education and certification, and are currently reimbursed when rendered by any other health care provider. No health maintenance organization may be required to pay for duplicative services actually rendered by a certified nurse practitioner and any other health care provider.

{ADD Nothing in this chapter shall preclude the conducting of managed care reviews and medical necessity reviews by an insurer or hospital or medical service corporation or health maintenance organization ADD} .

SECTION 4. This act shall take effect upon passage.