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27 R.I. Gen. Laws § 27-18.8-3. Certification of network plans: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Describes the requirements for a network to be certified by the Insurance Commissioner. Prohibits most favored nation clauses. Originally enacted in 2003 as 23 R.I. Gen. Laws §§ 23-17.13-2 and 23-17.13-3. General certificate requirements: Health …
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27 R.I. Gen. Laws §§ 27-18.8-1 through 27-18.8-10: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Describes the purpose of the Health Care Accessibility and Quality Assurance Act; provides the office shall establish reporting requirements to determine if health care entities and/or network plans are in compliance with the provisions of …
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A 09781 – New York
Introduced: 2020    Status: Inactive / Dead    
Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts.

A 3283 (see companion bill S 1047) – New Jersey
Introduced: 2018    Status: Inactive / Dead    
CONCERNS THE DELIVERY AND OVERSIGHT OF COVERAGE UNDER CERTAIN HEALTH BENEFITS PLANS; ESTABLISHES HEALTH CARE PATIENT OMBUDSPERSON IN THE DIVISION OF CONSUMER AFFAIRS.  The bill requires the Commissioner of Banking and Insurance to establish a …

A 3659 (see companion bill S 1007) – New York
Introduced: 2021    Status: In Process    
Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts. The legislation would ban anti-competitive hospital contracting practices that create higher health care prices for consumers and employers. Section one amends …

AB 1132 – California
Introduced: 2021    Status: In Process    
Health Care Consolidation and Contracting Fairness Act of 2021. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of …

Alaska Stat. § 21.07.010. Patient and health care provider protection: Patient Protections Under Health Care Insurance Policies – Alaska
Status: Enacted     Year Enacted: 2000
Regulates contracts between health care providers and insurers, stating that a contract may not contain a provision that the provider be compensated for medical care services performed at the same rate as the provider has …
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Alaska Stat. §§ 21.07.005 through 21.07.030, 21.07.080, 21.07.090, 21.07.250: Patient Protections Under Health Care Insurance Policies – Alaska
Status: Enacted     Year Enacted: 2000
Regulates contracts between health care providers and insurers, stating that a contract may not contain a provision that the provider be compensated for medical care services performed at the same rate as the provider has …
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Ark. Code § 23-99-1204. Prohibition — Most favored nation clause: Healthcare Contracting Simplification Act – Arkansas
Status: Enacted     Year Enacted: 2019
Provides prohibition of most favored nation clauses in healthcare contracting.
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Ark. Code §§ 23-99-1201 through 23-99-1209: Healthcare Contracting Simplification Act – Arkansas
Status: Enacted     Year Enacted: 2019
Prohibits healthcare contracting practices including most favored nation clauses and all-products clauses.
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Cal. Health & Safety Code § 1371.22. Standards: Health Care Service Plans – California
Status: Enacted     Year Enacted: 1998
If a contract between a health care service plan and a provider requires that the provider accept, as payment from the plan, the lowest payment rate charged by the provider to any patient or third …
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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 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 2274 – Virginia
Introduced: 2021    Status: In Process    
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 …

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