§ 38.2-3407.15:2 – Virginia
Introduced: 2024 Status: Enacted
Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that prohibit the carrier from revoking, limiting, conditioning, modifying, or restricting a prior authorization if such prior authorization […]
§ 38.2-3407.15:2 – Virginia
Introduced: 2024 Status: Enacted
Requires that any provider contract between a carrier and a participating health care provider contain specific provisions that prohibit the carrier from revoking, limiting, conditioning, modifying, or restricting a prior authorization if such prior authorization […]
1342.75, 10123.1935 – California
Introduced: 2024 Status: Enacted
Health care coverage: Medication-assisted treatment. This bill would prohibit a medical service plan and a health insurer from subjecting a naloxone product or another opioid antagonist approved by the United States Food and Drug Administration, […]
1367.627, 10123.869 – California
Introduced: 2024 Status: Enacted
Immediate postpartum contraception. 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 Managed Health Care, and makes a […]
19-108.5, 15-10A, 15-10B – Maryland
Introduced: 2024 Status: Enacted
This bill seeks to alter and implement various requirements related to health insurance utilization review. The utilization review involves evaluating the necessity, appropriateness, and efficiency of healthcare services, procedures and facilities. The bill also revises […]
19-108.5, 15-10A, 15-10B – Maryland
Introduced: 2024 Status: Enacted
This bill seeks to alter and implement various requirements related to health insurance utilization review. The utilization review involves evaluating the necessity, appropriateness, and efficiency of healthcare services, procedures and facilities. The bill also revises […]
20 Ill. Comp. Stat. § 1705/9. Charges for outpatient services: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted Year Enacted: 1961
Only reasonable charges shall be imposed for outpatient services at State facilities. What is reasonable shall be determined by the Department and charges may be waived for persons who are unable to make payment.
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20 Ill. Comp. Stat. § 2215/5-1. Mandatory Utilization Review: Illinois Health Finance Reform Act – Illinois
Status: Enacted Year Enacted: 1984
Statute grants any third party payor the option to require utilization review for hospital admissions and continued hospital stays.
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20 Ill. Comp. Stat. § 505/5.45. Managed care plan services: Children and Family Services Act – Illinois
Status: Enacted Year Enacted: 2018
Statute regulates Medicaid managed care organizations and plans that cover children. Statute requires managed care organizations to post certain information on its website, including defined prior authorization requirements. Prior to transitioning a child to managed […]
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20 Ill. Comp. Stat. §§ 1340/1 through 1340/25: Regional Integrated Behavioral Health Networks Act – Illinois
Status: Enacted Year Enacted: 2012
Each Network shall develop a plan for its respective region that addresses the following: inventory of all mental health and substance use disorder services; identification of unmet community needs, identification of opportunities to improve access […]
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20 Ill. Comp. Stat. §§ 2215/4-1 through 2215/4-4: Illinois Health Finance Reform Act – Illinois
Status: Enacted Year Enacted: 1984
Statutes require hospitals to make information available about the normal charge incurred for any procedure or operation to prospective patients. Statutes require the Department to make available the “Consumer Guide to Health Care” and the […]
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20 Ill. Comp. Stat. §§ 3860/1 through 3860/10: Illinois Health Information Exchange and Technology Act – Illinois
Status: Enacted Year Enacted: 2010
The Illinois Health Information Exchange Authority exists to to serve as a State-level electronic medical records exchange providing for the transfer of health information, medical records, and other health data in a secure environment for […]
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20 Ill. Comp. Stat. §§ 3934/1 through 3934/15: Electronic Health Records Taskforce Act – Illinois
Status: Enacted Year Enacted: 2005
Statute creates an Electronic Health Records Taskforce to create a plan for development and utilization of electronic health records in order to improve the quality of patient care, increase the efficiency of health care practice, […]
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20 Ill. Comp. Stat. §§ 3960/1 through 3960/5.3: Illinois Health Facilities Planning Act – Illinois
Status: Enacted Year Enacted: 1974
The purpose of this act is to establish a procedure that promotes the orderly and economic development of health care facilities in the state of Illinois that avoids unnecessary duplication of such facilities and promotes […]
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210 Ill. Comp. Stat. §§ 155/1 through 155/45: Long Term Acute Care Hospital Quality Improvement Transfer Program Act – Illinois
Status: Enacted Year Enacted: 2010
Act created as a method to improve health care outcomes of patients, which results in a more efficient use of resources needed to provide care. It is estimated this Act could save $10,000,000 annually. Statutes […]
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210 Ill. Comp. Stat. §§ 3/1 through 3/35: Alternative Health Care Delivery Act – Illinois
Status: Enacted Year Enacted: 1992
The Alternative Health Care Delivery Act is created by these statutes with the intent to foster new and innovative solutions to health care problems, including limited access, lack of choice and high cost. These statutes […]
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