Ind. Code § 16-23-1-19. Duties of governing board; executive sessions confidentiality of records: Municipal and Other Types of Hospitals– City Hospitals in Third Class Cities – Indiana
Status: Enacted Year Enacted: 1993
Statute requires the governing board of city hospitals to fix reasonable rates to patients for rooms, care, treatment and service and to discuss and prepare bids, proposals or arrangements that will be competitively awarded among …
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Ind. Code § 16-31-5-1. Provision or authorization of emergency medical services; procedures: Emergency Medical Services — Provision or Authorization of Emergency Medical Services by Local Governments – Indiana
Status: Enacted Year Enacted: 1993
Statute requires the governing body of a city, town, township or county to establish and provide for the collection of reasonable fees for emergency ambulance services the governing body provides under this chapter.
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Ind. Code §§ 27-13-20-1 & 27-13-20-2: Health Maintenance Organizations — Filing Requirements – Indiana
Status: Enacted Year Enacted: 1994
Statutes require the rates to be used by an HMO to be filed with the commissioner for approval and the rates may not be excessive, inadequate, or unfairly discriminatory. See definition section Ind. Code §§ 27-13-1-1 …
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Iowa Code §§ 509.1 through 509.19: Group Insurance – Iowa
Status: Enacted Year Enacted: 1947
Statutes regulating group insurance policies. An individual policy of credit life or credit accident and health insurance or certificate under a policy of group credit life or credit accident and health insurance shall not be …
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Iowa Code §§ 514B.1 through 514B.33: Health Maintenance Organizations – Iowa
Status: Enacted Year Enacted: 1973
Statutes governing health maintenance organizations.
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Kan. Stat. Ann. § 40-3223. Open enrollment: Health Maintenance Organizations and Medicare Provider Organizations – Kansas
Status: Enacted Year Enacted: 1974
An HMO may have an annual open enrollment period during which it accepts enrollees up to the limits of its capacity. An HMO shall apply to the commissioner for authorization to impose such underwriting restrictions …
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Ky. Rev. Stat. § 304.17A-162. Identification of sources used to calculate drug product reimbursement; process to appeal disputes over maximum allowable cost pricing; adjustment of maximum allowable cost and drug product reimbursement; duties of pharmacy benefit manager: Health Benefit Plans — Miscellaneous Provisions – Kentucky
Status: Enacted Year Enacted: 2013
A pharmacy benefit manager shall identify to contracted pharmacies the sources used by the pharmacy benefit manager to calculate the drug product reimbursement paid for covered drugs available under the pharmacy health benefit plan administered …
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La. Rev. Stat. Ann. §§ 22:1091 through 22:1099: Rate Review – Louisiana
Status: Enacted Year Enacted: 1990
Statutes require that every health insurance issuer file with the department every proposed rate to be used in connection with all of its particular products. The department shall review rates to determine whether they are …
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La. Rev. Stat. Ann. §§ 22:1201 through 22:1214: Louisiana Health Plan Act – Louisiana
Status: Enacted Year Enacted: 1990
Statutes explain the purpose of the Louisiana Health Plan, including that it was created to provide health care coverage to those with preexisting conditions. Statutes state that any pricing information contained in any contract made …
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LD 1162 – Maine
Introduced: 2019 Status: Enacted
This bill requires that, if a prescription drug has a wholesale acquisition cost of more than $40 for a course of therapy and there is an increase in the wholesale acquisition cost of that prescription …
LD 1499 – Maine
Introduced: 2019 Status: Enacted
This bill creates the Maine Prescription Drug Affordability Board to determine the reasonableness of the costs for certain prescription drug products. The bill requires prescription drug manufacturers to notify the board when the introductory price …
LD 1504 – Maine
Introduced: 2019 Status: Enacted
This bill replaces the current registration requirement for pharmacy benefits managers doing business in this State with a licensing requirement beginning January 1, 2020. The bill imposes the following requirements on a carrier that provides …
LD 2115 – Maine
Introduced: 2024 Status: In Process
This bill, also known as the Act to Prohibit Unfair Practices Related to the Collection of Medical Debt, aims to reform the methods by which medical debts are collected. The bill mandates that a healthcare …
Md. Code, Health-Gen. §§ 2-801 through 2-803: Prohibition Against Price Gouging for Essential Off-Patent or Generic Drugs – Maryland
Status: Enacted Year Enacted: 2017
A manufacturer or wholesale distributor may not engage in price gouging in the sale of an essential off-patent or generic drug. It is not a violation of subsection (a) of this section for a wholesale …
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Md. Code, Ins. § 11-219. Deviations from rating organization rates: Prior Approval Rate Making — Part IV. Rating Organizations and Similar Organizations – Maryland
Status: Enacted Year Enacted: 1997
An insurer may deviate from the rates filed by a rating organization if: (1) the insurer has filed the deviation to be applied with the rating organization and Commissioner; (2) the deviation is uniform in …
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Md. Code, Ins. §§ 11-201 and 11-202: Prior Approval Rate Making — Part I. General Provisions – Maryland
Status: Enacted Year Enacted: 1997
The purposes of this subtitle are: (1) to promote the public welfare by regulating insurance rates so that they are not excessive, inadequate, or unfairly discriminatory; and (2) to authorize and regulate cooperative action among …
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