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 Originally enacted in 2003 as 23 R.I. Gen.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 […]
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 […]
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 […]
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 […]
Status: Enacted
Year Enacted: 2019
Provides prohibition of most favored nation clauses in healthcare contracting.
Status: Enacted
Year Enacted: 2019
Prohibits healthcare contracting practices including most favored nation clauses and all-products clauses.
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 […]
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 […]
Status: Enacted
Year Enacted: 2012
Regulation prohibiting most favored nation clauses in provider contracts.
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 […]
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 […]
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 […]
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 […]
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.
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.
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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