Our AMA will develop model legislative and regulatory language for states to insure that managed care plans: (1) which require surgical pathology specimens to be sent to specified laboratories, provide a list of qualified surgical pathologists and surgical pathology subspecialists associated with those laboratories to whom physicians may refer surgical pathology specimens or slides for consultation; and (2) allow clinicians in the plans access to qualified surgical pathologists and surgical pathology subspecialists for covered pathology services, when the plans do not have contracts with a specific laboratory or laboratories for such services or when the plan’s contracted laboratory or laboratories cannot provide the appropriate surgical pathology services.

Policy Timeline

Res. 716, A-98 Reaffirmation A-99 Reaffirmed: BOT Rep. 23, A-09 Reaffirmed: BOT Rep. 09, A-19