Conn. Gen. Stat. § 38a-479b. Material changes to fee schedules. Return of payment by provider. Appeals. Filing of claim by provider under other applicable insurance coverage. Certain clauses, covenants and agreements prohibited. Exception: Health Insurance: Managed Care – Connecticut
Status: Enacted Year Enacted: 2011
Prohibits health organizations from making changes to a provider’s fee schedule except one time annually with 90-day notice, and, with 30-day notice, changes to comply with federal laws and regulations, the medical data code, national …
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Ga. Comp. R. & Regs. r. 120-2-20-.03. Unlawful Agreements between Insurers and Providers: Unfair Trade and Claims Settlement Practices – Georgia
Status: Enacted Year Enacted: 2012
Regulation prohibiting most favored nation clauses in provider contracts.
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H 1133 (see companion bill S 706) – Massachusetts
Introduced: 2019 Status: Inactive / Dead
Relative to the pricing of prescription drugs. Health Care Financing. To ensure prescription drug cost transparency and affordability
HB 1117 – Indiana
Introduced: 2022 Status: Inactive / Dead
Health provider contracts. Makes various changes to the provisions that are prohibited in a health provider contract, including most favored nation, all or nothing, and anti-tiering/anti-steering clauses. Allows the insurance commissioner to grant a waiver …
HB 1203 (see companion bill SB 2775) – Mississippi
Introduced: 2021 Status: Inactive / Dead
An Act To Create New Sections 83-9-401 Through 83-9-415, Mississippi Code Of 1972, To Enact The Healthcare Contracting Simplification Act; To Provide Definitions For The Act; To Prohibit The All-products Clause; To Prohibit The Most …
HB 1741 – Washington
Introduced: 2022 Status: Inactive / Dead
Addressing affordability through health care provider contracting. The legislature intends to prohibit the use of certain contractual provisions often used by providers, hospitals, health systems, and carriers with significant market power, including most favored nation, …
HB 2274 – Virginia
Introduced: 2021 Status: Inactive / Dead
Health insurance; provider contracts. Requires that each provider contract include provisions (i) requiring providers to provide health care services to enrollees in a manner similar to and within the same time availability in which the …
HB 4051 – Texas
Introduced: 2021 Status: Inactive / Dead
Relating to the method of payment for certain health care and certain contract provisions affecting health care reimbursement rates. HB 4051 would prohibit the restriction of a physician or health care provider from accepting direct …
HB 6620 – Connecticut
Introduced: 2023 Status: Inactive / Dead
To exclude the following in contracts between health carriers and health care providers: (1) All-or-nothing clauses; (2) anti-steering clauses; (3) anti-tiering clauses; (4) gag clauses; and (5) most-favored health carrier or health plan administrator clauses.
HB 6669 – Connecticut
Introduced: 2023 Status: Enacted Year Enacted: 2023
An Act Protecting Patients And Prohibiting Unnecessary Health Care Costs. Prohibits all-or-nothing clauses, anti-steering clauses, anti-tiering clauses, and gag clauses in contracts entered or renewed by a health care provider, carrier, or plan administrator. Requires …
HB 711 – Texas
Introduced: 2023 Status: Enacted Year Enacted: 2023
A provider may not: (1) offer to a general contracting entity a provider network contract that includes an all-or-nothing, anti-steering, anti-tiering, gag, or most favored nation clause; (2) enter into a provider network contract that …
HB 803 – Mississippi
Introduced: 2022 Status: Inactive / Dead
An Act To Create New Sections 83-9-401 Through 83-9-419, Mississippi Code Of 1972, To Enact The Healthcare Contracting Simplification Act; To Provide Definitions For The Act; To Prohibit The All-products Clause; To Prohibit The Most …
HB 934 – Mississippi
Introduced: 2022 Status: Inactive / Dead
An Act To Create New Sections 83-9-401 Through 83-9-417, Mississippi Code Of 1972, To Enact The Healthcare Contracting Simplification Act; To Provide Definitions For The Act; To Prohibit The All-products Clause; To Prohibit The Most …
HF 2599 (see companion bill SF 2673) – Minnesota
Introduced: 2023 Status: In Process
This bill requires hospitals to screen patients to determine eligibility for certain health coverage or assistance and to help patients apply for programs to assist with paying for health services. It requires hospitals to certify …
Idaho Code Ann. § 41-2873. Best price–Most favored nations clause prohibited: Organization and Corporate Procedures of Stock and Mutual Insurers – Idaho
Status: Enacted Year Enacted: 1998
No stock or mutual insurance company may require a health care provider to agree: to disclose his or hers contractual reimbursement rates from other payors or to a requirement that the provider adjust, or enter …
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Idaho Code Ann. § 41-3443. Best price — most favored nations clause prohibited: Hospital and Service Corporations – Idaho
Status: Enacted Year Enacted: 1998
Prohibits most favored nation clauses, or clauses having a similar effect, in an agreement between an insurance carrier and a participating provider. A most favored nations clause is an agreement between a payer (such as …
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