Status: Enacted
Year Enacted: 2015
HealthSource RI shall provide a monthly report to the chairpersons of the house finance committee and the senate finance committee which shall include, but not be limited to, the following information: actual enrollment data by market […]
42 R.I. Gen. Laws § 42-157-9. Relation to other laws: Rhode Island Health Benefit Exchange – Rhode Island
Status: Enacted
Year Enacted: 2015
Nothing in this chapter, and no action taken by the exchange pursuant to this chapter shall be construed to preempt or supersede the authority of the health insurance commissioner to regulate the business of insurance […]
42 R.I. Gen. Laws §§ 42-14.5-1 through 42-14.5-4: The Rhode Island Health Care Reform Act of 2004 — Health Insurance Oversight – Rhode Island
Status: Enacted
Year Enacted: 2004
Provisions govern the responsibilies of the health insurance commissioner to guard the solvency of health insurers, protect the interests of consumers, encourage fair treatment of health care providers, encourage policies that imporve the quality and […]
Status: Enacted
Year Enacted: 2011
The department of insurance must submit and publish an annual report about the workers’ compensation system, including things such as advisory organization premium rate for workers’ compensation insurance in Illinois for the previous year and […]
Status: Enacted
Year Enacted: 2005
No person may conduct a utilization review program for workers’ compensation services in this State unless once every 2 years the person registers the utilization review program with the Department of Insurance and certifies compliance […]
Status: Enacted
Year Enacted: 2003
Until Medicaid adopts the preferred drug list, Medicaid shall continue to use its existing voluntary preferred drug list and prior authorization program
Status: Enacted
Year Enacted: 1994
Statutes set out the purpose of the Health Care Service Utilization Review Act, provide definitions and provide minimum standards that utilization review agents must adhere to.
Status: Enacted
Year Enacted: 2016
The director shall adopt regulations to provide standards and criteria for the structure and operation of utilization review and benefit determination processes; the establishment and maintenance of procedures by health care insurers to ensure that […]
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
A health care insurance policy must contain certain provisions.
Alaska Stat. § 47.07.036. Cost containment measures authorized: Medical Assistance for Needy Persons – Alaska
Status: Enacted
Year Enacted: 2003
The cost containment measures taken under this subsection may include new utilization review procedures, changes in provider payment rates, precertification requirements for coverage of services, and agreements with federal officials under which the federal government […]
Status: Enacted
Year Enacted: 2016
The department shall contract with one or more third parties to implement one or more coordinated care demonstration projects for recipients of medical assistance identified by the department. The purpose of a demonstration project under […]
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: 1990
Creation and regulation of health maintenance organizations in Alaska.
Status: Enacted
Year Enacted: 2002
The legislature finds that permitting competing physicians to engage in collective negotiation of certain terms and conditions of contracts with a health benefit plan will benefit competition, so long as the physicians do not engage […]
Status: Enacted
Year Enacted: 1972
The cost containment measures taken under this subsection may include new utilization review procedures, changes in provider payment rates, precertification requirements for coverage of services, and agreements with federal officials under which the federal government […]
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