Mass. Gen. Laws ch. 176C, § 6. Associated physician; grounds for termination of agreement: Non–Profit Medical Service Plans – Massachusetts
Status: Enacted
Year Enacted: 1941
Enables every registered physician who complies with the medical organization’s requirements to be associated.
Status: Enacted
Year Enacted: 2009
Requires health carriers to contract with any pharmacy that meets their terms and conditions for participation in the carrier’s network.
Status: Enacted
Year Enacted: 1994
The commissioner shall designate essential community providers meeting pre-determined criteria.
Status: Enacted
Year Enacted: 1996
For purposes for this section, “point-of-service option” means a health plan under which the health plan company will reimburse an appropriately licensed or registered provider for providing covered services to an enrollee, without regard to […]
Status: Enacted
Year Enacted: 1999
No health plan company shall require a health care provider to participate in a network under a category of coverage that differs from the category or categories of coverage to which the existing contract between […]
Status: Enacted
Year Enacted: 1967
No insurer or health plan company may design a network of providers, policies on access to providers, or marketing strategy in such a way as to discourage enrollment by individuals or groups whose health care […]
Status: Enacted
Year Enacted: 2013
To the extent a health carrier has developed a closed or exclusive provider network as provided in subdivision (19) of section 376.426 through contractual arrangements with selected providers, such health carrier shall accept into such […]
Status: Enacted
Year Enacted: 1967
The department of public health and human services shall provide for professional freedom of those licensed practitioners who provide medical assistance under this part and provide reasonable freedom of choice to recipients of medical aid […]
N.C. Gen. Stat. § 58-51-37. Pharmacy of choice: Nature of Policies – North Carolina
Status: Enacted
Year Enacted: 1993
Requires health carriers that provide prescription drug benefits to accept any pharmacy into their network that agrees to the carrier’s terms for participation.
Status: Enacted
Year Enacted: 1985
Any provision in any accident or health insurance policy issued by any insurance company denying the insured, in case of accident or sickness, the right to consult or employ any doctor licensed to practice in […]
Status: Enacted
Year Enacted: 1989
Any provision in any health service contract issued by a health service corporation denying the insured or subscriber, subscriber member, officer, or employee, in case of accident or sickness, the right to consult or employ […]
N.D. Cent. Code § 26.1-36-12.2. Freedom of choice for pharmacy services: Accident and Health Insurance – North Dakota
Status: Enacted
Year Enacted: 1989
o third-party payer, including a health care insurer as defined in section 26.1-47-01, providing pharmacy services and prescription drugs to any beneficiary may: a. Prevent a beneficiary from selecting the pharmacy or pharmacist of the […]
Status: Enacted
Year Enacted: 1993
Requires hospital service corporations to allow all pharmacists or pharmacies that agree to the corporation’s terms to participate in the corporation’s provider network.
N.M. Stat. § 59A-46-35. Provider discrimination prohibited: Health Maintenance Organization Law – New Mexico
Status: Enacted
Year Enacted: 1978
No class of licensed individual providers willing to meet the terms and conditions offered by a health maintenance organization shall be excluded from a health maintenance organization.
N.M. Stat. § 59A-47-28.3. Provider discrimination prohibited: Nonprofit Health Care Plan Law – New Mexico
Status: Enacted
Year Enacted: 1978
All individual and group subscriber contracts delivered or issued for delivery in New Mexico that, on a prepaid, service or indemnity basis, or all of them, provide for treatment of persons for the prevention, cure […]
Status: Enacted
Year Enacted: 2004
Commissioner may enter into contracts with contractors through a competitive process to create a pharmacy insurance program. Statute outlines duties and responsibilities of the contractor. Commissioner is required to review rates of payment with contractors.
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