S 2244 – New York
Introduced: 2017 Status: Inactive / Dead
Allows health insurers to offer out-of-network coverage outside of the health benefit exchange
S 4922 – New York
Introduced: 2023 Status: In Process
Prohibits approved organizations providing coverage under the child health insurance plan from discriminating against health care providers which do not participate in the organization’s health care network.
S 553 – New Jersey
Introduced: 2018 Status: Inactive / Dead
REQUIRES CARRIERS TO DISCLOSE SELECTION STANDARDS FOR PLACEMENT OF HEALTH CARE PROVIDERS IN TIERED HEALTH BENEFITS PLAN NETWORK; ESTABLISHES OVERSIGHT MONITOR TO REVIEW COMPLIANCE. With respect to those various selection standards and other data, the …
S 5675 (see companion bill A 7107) – New York
Introduced: 2017 Status: Inactive / Dead
Directs health insurers to provide enrollees the option to assign the payment of emergency services benefits directly to an out of network health care provider
S 630 (see companion bill H 1147) – Massachusetts
Introduced: 2023 Status: In Process
An Act ensuring access to specialty medications. This legislation amends the “Any Willing Provider” law to allow retail pharmacies to fill prescriptions for “specialty medications” provided the pharmacy is able to provide the required administrative, …
S 936 – New Jersey
Introduced: 2020 Status: Inactive / Dead
Requires managed care plans to allow any clinical laboratory to participate in provider network. This bill provides that a health insurance carrier which offers a managed care plan that provides coverage for laboratory services provided …
S 984 – New Jersey
Introduced: 2022 Status: In Process
This bill provides that a health insurance carrier which offers a managed care plan that provides coverage for laboratory services provided by clinical laboratories shall not deny a licensed clinical laboratory the right to participate …
S.C. Code Ann. § 38-71-147. Freedom of selection and participation in individual or group accident and health or health insurance policy or health maintenance organization plan: Accident and Health Insurance — General Provisions – South Carolina
Status: Enacted Year Enacted: 1994
An individual or group accident and health or health insurance policy or a health maintenance organization plan may not: deny a pharmacy or pharmacist the right to participate as a contract provider under the policy …
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S.C. Code Ann. §§ 38-71-1710 through 38-71-1760: South Carolina Patients’ Insurance and Benefits Protection Act – South Carolina
Status: Enacted Year Enacted: 1998
Statutes contain the South Carolina Patients’ Insurance and Benefits Protection Act.
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S.D. Codified Laws § 58-17J-1. Definitions: Patient Choice in Selection of Health Care Provider – South Dakota
Status: Enacted Year Enacted: 2015
Defines “Health benefit plan,“ “Health insurer,“ and “Health care provider.“
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S.D. Codified Laws § 58-17J-2. Patient choice–Health care provider participation: Patient Choice in Selection of Health Care Provider – South Dakota
Status: Enacted Year Enacted: 2015
No health insurer, including the South Dakota Medicaid program, may obstruct patient choice by excluding a health care provider licensed under the laws of this state.
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S.D. Codified Laws §§ 58-17J-1 through 58-17J-2 : Patient Choice in Selection of Health Care Provider – South Dakota
Status: Enacted Year Enacted: 2015
Licensed health care providers may not be excluded by insurer.
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SB 1275 (see companion bill HB 0874) – Tennessee
Introduced: 2023 Status: Enacted
As enacted, prohibits a health insurance issuer or a managed health insurance issuer from engaging in certain conduct. – Amends TCA Title 8; Title 56, Chapter 7; Title 68 and Title 71.
SB 14 – New Mexico
Introduced: 2023 Status: Inactive / Dead
Senate Bill 14 amends the Pharmacy Benefit Manager Regulation Act as follows: Section 3 amends the appeals process by requiring a PBM to reimburse a pharmacy in an amount that is calculated on a per-unit …
SB 217 (see companion bill HB 2387) – Kansas
Introduced: 2019 Status: Inactive / Dead
AN ACT concerning insurance; relating to health insurance; requiring the state healthcare benefits program to accept participation as a provider by any willing pharmacist.
SB 2316 – Mississippi
Introduced: 2023 Status: Inactive / Dead
An act to require an insurer or a managed care organization to allow policyholders to receive treatment from any health care provider on staff at a hospital located in a municipality having a population of …