215 Ill. Comp. Stat. §§ 5/370g through 5/370o: Health Care Reimbursement Reform Act of 1985 – Illinois
Status: Enacted Year Enacted: 1985
Statutes prohibit an insurer or administrator from refusing to contract with any noninstitutional provider who meets the terms and conditions established by the insurer. Statutes allow an insurer to issue or administer programs or policies …
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27 R.I. Gen. Laws § 27-20.9-1. Health care contracts — Required provisions — Definitions: Contract with Health Care Providers – Rhode Island
Status: Enacted Year Enacted: 2007
Definitions related to Contract with Health Care Providers
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27 R.I. Gen. Laws § 27-20.9-3. Pay-for-performance guidelines: Contract with Health Care Providers – Rhode Island
Status: Enacted Year Enacted: 2007
A health insurer shall not require a physician, as a condition of contracting, to participate in any financial or reimbursement incentive program, commonly referred to as pay-for-performance programs unless such program meets the principles and …
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30 Ill. Comp. Stat. § 105/14c. Prescription drug benefits: State Finance Act – Illinois
Status: Enacted Year Enacted: 2004
No appropriation may be expended for prescription drug benefits under the State Employees Group Insurance Act of 1971 unless the benefit program allows all prescription drug benefits to be provided on the same terms and …
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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 3407 – New York
Introduced: 2017 Status: Inactive / Dead
Requires health insurance coverage for clinical laboratory services if a covered health care provider directs a specimen to be sent to an out-of-network laboratory or refers a patient to an out-of-network laboratory for clinical laboratory …
A 7107 (see companion bill S 5675) – New York
Introduced: 2017 Status: Inactive / Dead
Directs health insurers to provide enrollees the option to assign the payment of emergency services benefits directly to an out of network health care provider
AB 3148 (see companion bill SB 6973) – New York
Introduced: 2024 Status: In Process
Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts.
AB 317 – California
Introduced: 2023 Status: Enacted
Pharmacist service coverage. This bill would instead require a health care service plan and certain disability insurers that offer coverage for a service that is within the scope of practice of a duly licensed pharmacist …
Ala. Code § 27-19A-3. Prohibited provisions: Dental Care Services – Alabama
Status: Enacted Year Enacted: 1984
Any willing provider law for dental services.
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Ala. Code § 27-45-3. Choice of pharmaceutical services; right to participate as contracting provider: Pharmaceutical Insurance Coverage – Alabama
Status: Enacted Year Enacted: 1988
Any willing provider law for pharmaceutical services.
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Ala. Code §§ 22-6-220 through 22-6-237: Medicaid Program — Integrated Care – Alabama
Status: Enacted Year Enacted: 2015
Statutes relate to the delivery of Medicaid through an integrated care network. Statutes include measures to assure quality such as advisory and quality assurance committees, minimum provider reimbursements, cost containment mechanisms such as risk contracts, …
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Ala. Code §§ 27-1-1 through 27-1-10, 27-1-12: Alabama Insurance Code – Alabama
Status: Enacted Year Enacted: 1971
General provisions including definition and applicability of the Alabama Insurance Code; any willing provider law for chiropractic services, definitions, applicability.
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Ark. Code §§ 23-99-801 through 23-99-804: Healthcare Providers — Enforcement of any Willing Provider Laws – Arkansas
Status: Enacted Year Enacted: 2005
The state’s any willing provider laws shall apply to (A) All health insurers, regardless of whether they are providing insurance, including prepaid coverage, or administering or contracting to provide provider networks; and (B) All multiple-employer …
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Colo. Rev. Stat. § 10-16-107.7. Nondiscrimination against providers: Colorado Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2013
Any insurance company offering a plan may not discriminate against any provider acting within the scope of their license.
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D.C. Code § 44-507. Standards for clinical privileges and staff membership; anticompetitive practices prohibited: Health-Care and Community Residence Facility, Hospice and Home Care Licensure – Licensure – District of Columbia
Status: Enacted Year Enacted: 1984
General and family practitioners who have demonstrated a current competence in the performance of particular services or procedures shall not be discriminated against with respect to staff membership or the accordance and delineation of clinical …
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