] is old law to be omitted. LBD06621-04-4A. 3241--A 2 1 the respective profession and may include issues such as: methods to 2 eliminate non-medically indicated (elective) deliveries prior to thir- 3 ty-nine weeks gestation including the neonatal impact of late preterm 4 births; vaginal births after cesarean births and the applicability to a 5 trial of labor; reductions in cesarean births; monitoring of fetal well- 6 being; management of pain in labor; management of maternal hemorrhage, 7 including placenta accreta, hypertension in pregnancy, including pre-ec- 8 lampsia and eclampsia, vaginal breech and prevention of shoulder dysto- 9 cia; and other evidence-based guideline determined issues that improve 10 the care and outcomes of women. 11 3. Attendance at any course approved by the commissioner pursuant to 12 this section may be in person or through distance learning methods which 13 evince that all participants are in attendance for the duration of the 14 course and able to ask questions of the instructor. 15 4. Physicians who are board certified or are active candidates for 16 board certification in obstetrics and physicians who are board certified 17 or are eligible for board certification in family practice and provide 18 obstetric services and midwives who are licensed in the state are eligi- 19 ble for a risk management strategies course. 20 5. The commissioner is authorized to prescribe any rules and regu- 21 lations necessary to implement this section. In prescribing such rules 22 and regulations, the commissioner shall consider the rules and regu- 23 lations promulgated by the superintendent of financial services pursuant 24 to subsection (e) of section two thousand three hundred forty-three of 25 the insurance law and may consult with the superintendent of financial 26 services. 27 § 2. Subsection (e) of section 2343 of the insurance law, as added by 28 chapter 642 of the laws of 1990, is amended and a new subsection (f) is 29 added to read as follows: 30 (e) The superintendent may approve an actuarially appropriate premium 31 reduction for an insured physician or licensed midwife who successfully 32 completes a risk management course or a course authorized by the commis- 33 sioner of health under section two thousand five hundred six-a of the 34 public health law, which must be approved by the superintendent subject 35 to such standards as the superintendent may prescribe by regulation. In 36 prescribing such regulation the superintendent may consult with the 37 commissioner of health. 38 (f) An insured physician or licensed midwife who successfully 39 completes a course authorized by the commissioner of health under 40 section two thousand five hundred six-a of the public health law shall 41 not, during the period set forth in the superintendent's regulations 42 prescribing standards for the premium reduction, also be eligible for 43 additional premium reduction for an insured physician or licensed 44 midwife's medical malpractice insurance policy for successful completion 45 of a risk management course approved by the superintendent under part 46 152 of title 11 of the New York code of rules and regulations. 47 § 3. This act shall take effect one year after it shall have become a 48 law and shall apply to all insurance policies and contracts issued, 49 renewed, modified or altered on and after such effective date. The 50 commissioner of health and the superintendent of financial services are 51 authorized and directed to adopt, amend, suspend or repeal regulations 52 and take other actions necessary for the implementation of this act 53 prior to such effective date; provided, however, that such adoption, 54 amendment, suspension or repeal of regulations shall not have legal 55 effect until this act takes effect.