Me. Stat. tit. 24-A, § 4302. Reporting requirements: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 1995
To offer or renew a health plan in the state, a carrier must comply with specific requirements regarding description and explanation of plan, coverage, prior authorization, claims data, and annual report, as pursuant under the …
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Me. Stat. tit. 24-A, § 4319. Rebates: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2011
Requires insurance carriers to provide rebates in the large group, small group and individual markets to the extent required by the Affordable Care Act based on the required mdical loss ratios.
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Me. Stat. tit. 24-A, § 4320-C. Emergency services: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2011
States that if a carrier provides or covers any benefits with respect to services in an emergency department, the plan must cover emergency services in accordance with the requirements of the Affordable Care Act, including …
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Me. Stat. tit. 24-A, § 4320-E. Reinsurance, risk corridors and risk adjustment: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2011
1. Transitional reinsurance program. The superintendent shall establish a transitional reinsurance program for calendar years 2014, 2015 and 2016 as required by Section 1341 of the federal Affordable Care Act. 2. Risk corridors. A carrier …
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Me. Stat. tit. 24-A, §§ 1 through 14: Maine Insurance Code — General Definitions and Provisions – Maine
Status: Enacted Year Enacted: 1969
Provides definitions related to the Maine Insurance Code and other provisions.
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Me. Stat. tit. 24-A, §§ 4201 through 4228: Health Maintenance Organization Act of 1975 – Maine
Status: Enacted Year Enacted: 1975
Provides requirments for health maintenance organizations. Among other things, states that every contract between a health maintenance organization and participating provider must be set forth in writing that in the event the health maintenance organization …
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Mich. Comp. Laws. § 400.105d. Medical assistance program; waiver; acceptance of Medicare rates by hospital as payments in full; submission of approved waiver provisions to legislature; enrollment plan; pharmaceutical benefit; cost-sharing compliance bonus pool; Medicaid hospital cost report; baseline uncompensated care report; insurance rates and insurance rate change filings; evaluation by department of insurance and financial services; reports; financial incentives; performance bonus incentive pool; limitation on administrative costs; uniform procedures and compliance metrics; distribution of funds from performance bonus incentive pool; substance abuse disorders; options after 48 cumulative months of medical assistance coverage; availability of data to vendor; failure to receive waivers; inapplicability of section; offset of state tax refunds; liability; emergency department overutilization and improper usage; symposium and report; review of reports by independent third party vendor; “legislature” defined; definitions: The Social Welfare Act – Michigan
Status: Enacted Year Enacted: 2014
The department shall seek a waiver from the United States Department of Health and Human Services to do, without jeopardizing federal match dollars or otherwise incurring federal financial penalties, and upon approval of the waiver …
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Minn. Stat. § 256B.0756. Hennepin and Ramsey counties pilot program: Medical Assistance for Needy Persons – Minnesota
Status: Enacted Year Enacted: 2010
The commissioner, upon federal approval of a new waiver request or amendment of an existing demonstration, may establish a pilot program in Hennepin County or Ramsey County, or both, to test alternative and innovative integrated …
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Minn. Stat. § 256B.0757. Coordinated care through a health home: Medical Assistance for Needy Persons – Minnesota
Status: Enacted Year Enacted: 2010
The commissioner shall provide medical assistance coverage of health home services for eligible individuals with chronic conditions who select a designated provider as the individual’s health home.
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Mo. Rev. Stat. § 376.1186. State-based health benefit exchanges prohibited without statutory authority–executive order to establish prohibited–state agency restrictions–taxpayer standing–definitions: Life, Health and Accident Insurance– Health Insurance Exchanges – Missouri
Status: Enacted Year Enacted: 2012
No state-based health benefit exchange may be established, created, or operated within this state in order to implement Section 1311 of the federal health care act, 42 U.S.C. Section 18031, or any other provision of …
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N.D. Cent. Code § 26.1-36-45. Health insurance coverage not required: Accident and Health Insurance – North Dakota
Status: Enacted Year Enacted: 2011
Regardless of whether a resident of this state has or is eligible for health insurance coverage under a health insurance policy, health service contract, or evidence of coverage by or through an employer or under …
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N.H. Rev. Stat. Ann. §§ 420-N:1 through 420-N:6: Federal Health Care Reform 2010 – New Hampshire
Status: Enacted Year Enacted: 2011
Provides authority of the Insurance Commissioner. The commissioner shall publish and accept public comment on the 1332 waiver application and the plan of operation for the individual market mechanism prior to approving such plans. Upon …
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N.M. Stat. § 59A-2-9.9. State innovation waiver application: Office of the Superintendent of Insurance – New Mexico
Status: Enacted Year Enacted: 2019
The superintendent, in consultation with and pursuant to approval by the governor, is authorized to submit a state innovation waiver application pursuant to Section 1332 of the federal Patient Protection and Affordable Care Act to …
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N.Y. Pub. Health Law §§ 268 through 268-H: Department of Health– NY State of Health – New York
Status: Enacted Year Enacted: 2019
The purpose of this title if to codify the establishment of the health benefit exchange in New York, known as NY State of Health, The Official Health Plan Marketplace (Marketplace), in conformance with Executive Order …
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Nev. Rev. Stat. §§ 695I.010 through 695I.210: Silver State Health Insurance Exchange – Nevada
Status: Enacted Year Enacted: 2011
As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 695I.020 to 695I.110, inclusive, have the meanings ascribed to them in those sections.
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Okla. Stat. tit. 36, § 1416. State Innovation Waiver: Insurance Code – Insurance Navigators – Oklahoma
Status: Enacted Year Enacted: 2016
Authorizes the use of a State Innovation Waiver for the purpose of creating Oklahoma health insurance products that improve health and healthcare quality while controlling costs.
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