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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 Originally enacted in 2003 as 23 R.I. Gen.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 …

A 8169 (see companion bill S 7199) – New York
Introduced: 2021    Status: In Process    
Prohibits certain provisions in insurance and HMO contracts that requires the insurer to include within the scope of the contract all covered groups of the insurer for access to the insurer’s network of participating providers …

A 832 (see companion bill S 3231) – New York
Introduced: 2021    Status: In Process    
Relates to certain prohibitions in contracts or agreements by health maintenance organizations; prohibits clauses which entitle reimbursement at the lowest price or rate; prohibits contracts which restrict referral of patients based solely upon a health …

AB 1132 – California
Introduced: 2021    Status: Inactive / Dead    
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

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