Idaho Code Ann. § 41-3927. Health care providers–Participation by any qualified, willing provider–Contracts–Grievance procedure: Managed Care Reform Act – Idaho
Status: Enacted Year Enacted: 1994
Provides that any managed care organization issuing benefits shall be ready and willing to enter into care provider service agreements with all qualified providers of the category which are necessary to provide the health care …
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Ind. Code § 27-13-15-4. Participating provider agreement prohibitions: Health Maintenance Organizations– Participating Providers; Contracts and Legal Actions – Indiana
Status: Enacted Year Enacted: 2007
Provides prohibited conduct in “health maintenance organization” (HMO) contracts. Prohibits most favored nation (MFN) clauses and gag clauses; requires the participating provider to disclose the participating provider’s reimbursement rates under contracts with other health maintenance …
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Ind. Code § 27-8-11-0.1. Applicability of IC 27-8-11-9 to an insurer-provider agreement entered, amended, or renewed on or after April 26, 2007: Accident and Sickness Insurance–Reimbursement Agreements – Indiana
Status: Enacted Year Enacted: 2011
The addition of section 9 [IC 27-8-11-9] of this chapter by P.L.74-2007 applies to an agreement between an insurer and a provider that is entered into, amended, or renewed on or after April 26, 2007.
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Ind. Code § 27-8-11-1. Definitions: Accident and Sickness Insurance─Reimbursement Agreements – Indiana
Status: Enacted Year Enacted: 1984
Definitions related to Indiana’s Accident and Sickness Insurance — Reimbursement Agreements.
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Ind. Code § 27-8-11-9. Preferred provider agreement prohibition: Accident and Sickness Insurance–Reimbursement Agreements – Indiana
Status: Enacted Year Enacted: 2007
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 nation clause is an agreement between a payer and a …
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Ky. Rev. Stat. Ann. § 304.17A-560 – Kentucky
Status: Enacted
Prohibits most favored nation provision in an agreement between an insurance carrier and a participating provider except in cases “where the commissioner determines the market share of the insurer is nominal.” A most favored nations …
Md. Code, Ins. § 15-112. Powers and Duties of Carriers Relating to Provider Panels: Health Insurance — General Provisions – Maryland
Status: Enacted Year Enacted: 1997
Provides powers and duties of carriers relating to provider panels, regulations for evaluation of network sufficiency of health benefit plans, notification on access to information, arrier reimbursement of group practice at participating provider rate for …
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Md. Code, Ins. § 15-112. Powers and duties of carriers relating to provider panels: Health Insurance, General Provisions – Maryland
Status: Enacted Year Enacted: 1997
Plan carriers must meet network adequacy standards as set by the Commisioner. A carrier that uses a provider panel shall provide an application and information that relates to consideration for participation on the carrier’s provider …
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Md. Code, Ins. §§ 15-101 through 15-143: Health Insurance, General Provisions – Maryland
Status: Enacted Year Enacted: 1997
In accordance with regulations that the Commissioner adopts, the Commissioner shall allow health insurance policies and policies of nonprofit health service plans to contain nonduplication provisions or provisions to coordinate coverage with other health insurance …
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Me. Stat. tit. 24-A, § 4303. Plan requirements: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 1995
Prescribes requirements for health plan contracts. Among other things, such as ensuring adequate access to providers, the statute prohibits certain contract provisions including (1) those which induce financial incentives to deny medically necessary services and …
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Mich. Comp. Laws § 500.3405a. Use of most favored nation clause: Disability Insurance Policies – Michigan
Status: Enacted Year Enacted: 2013
Prohibits most-favored nations (MFN) clauses in a contract between a health insurance carrier and a health care provider. A most-favored nation clause is a type of contractual provision that requires that the provider give the …
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Mich. Comp. Laws § 550.1400. Use of most favored nation clause in provider contract: The Nonprofit Health Care Corporation Reform Act – Michigan
Status: Enacted Year Enacted: 2013
Prohibits most-favored nations (MFN) clauses in a contract between a health insurance carrier and a health care provider. A most-favored nation clause is a type of contractual provision that requires that the provider give the …
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Minn. Stat. §§ 62A.63 through 62A.64. Health insurance; prohibited agreements: Accident and Health Insurance – Minnesota
Status: Enacted Year Enacted: 1991
Prohibits the use of most favored nations clauses between a health care provider or facility and a certified health plan: An agreement between an insurer and a health care provider may not prohibit, or grant the …
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N.C. Gen. Stat. § 58-50-295. Prohibited contract provisions related to reimbursement rates: Contracts Between Health Benefit Plans and Health Care Providers – North Carolina
Status: Enacted Year Enacted: 2013
Prohibits most-favored nations (MFN) clauses in a contract between a health insurance carrier and a health care provider. A most-favored nations clause is a type of contractual provision that requires that the provider give the …
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N.D. Cent. Code §§ 26.1-04-01 through 26.1-04-19: Prohibited Practices in Insurance Business – North Dakota
Status: Enacted Year Enacted: 1983
An insurance company organized under this title may not deal or trade, directly or indirectly, in the buying or selling of any goods, wares, merchandise, or other commodities whatsoever, except such as may have been …
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N.H. Rev. Stat. Ann. § 416:4 – New Hampshire
Status: Enacted
Prohibits most favored nation or equally favored nation provisions in any contract for medical care provider services. A most favored nation clause is a requirement that a provider give the insurer the benefit of any …