215 Ill. Comp. Stat. §§ 5/370g through 5/370o: Health Care Reimbursement Reform Act of 1985 – Illinois
Status: Enacted
Year Enacted: 1985
Statutes prohibit an insurer or administrator from refusing to contract with any noninstitutional provider who meets the terms and conditions established by the insurer. Statutes allow an insurer to issue or administer programs or policies […]
27 R.I. Gen. Laws § 27-20.9-1. Health care contracts — Required provisions — Definitions: Contract with Health Care Providers – Rhode Island
Status: Enacted
Year Enacted: 2007
Definitions related to Contract with Health Care Providers
27 R.I. Gen. Laws § 27-20.9-3. Pay-for-performance guidelines: Contract with Health Care Providers – Rhode Island
Status: Enacted
Year Enacted: 2007
A health insurer shall not require a physician, as a condition of contracting, to participate in any financial or reimbursement incentive program, commonly referred to as pay-for-performance programs unless such program meets the principles and […]
Status: Enacted
Year Enacted: 2004
No appropriation may be expended for prescription drug benefits under the State Employees Group Insurance Act of 1971 unless the benefit program allows all prescription drug benefits to be provided on the same terms and […]
Status: Enacted
Year Enacted: 1984
Any willing provider law for dental services.
Status: Enacted
Year Enacted: 1988
Any willing provider law for pharmaceutical services.
Status: Enacted
Year Enacted: 2015
Statutes relate to the delivery of Medicaid through an integrated care network. Statutes include measures to assure quality such as advisory and quality assurance committees, minimum provider reimbursements, cost containment mechanisms such as risk contracts, […]
Status: Enacted
Year Enacted: 1971
General provisions including definition and applicability of the Alabama Insurance Code; any willing provider law for chiropractic services, definitions, applicability.
Status: Enacted
Year Enacted: 2005
The state’s any willing provider laws shall apply to (A) All health insurers, regardless of whether they are providing insurance, including prepaid coverage, or administering or contracting to provide provider networks; and (B) All multiple-employer […]
Status: Enacted
Year Enacted: 2013
Any insurance company offering a plan may not discriminate against any provider acting within the scope of their license.
Status: Enacted
Year Enacted: 2017
A contract between a provider and a dentist must not require that the dentist provide services at a set fee.
Colo. Rev. Stat. § 10-16-122. Access to prescription drugs: Colorado Health Care Coverage Act – Colorado
Status: Enacted
Year Enacted: 1998
A pharmacy benefit manager shall allow participation by any provider in the network service area. Regulates other aspects of any service provided by a pharmacy benefit manager.
D.C. Code § 44-507. Standards for clinical privileges and staff membership; anticompetitive practices prohibited: Health-Care and Community Residence Facility, Hospice and Home Care Licensure – Licensure – District of Columbia
Status: Enacted
Year Enacted: 1984
General and family practitioners who have demonstrated a current competence in the performance of particular services or procedures shall not be discriminated against with respect to staff membership or the accordance and delineation of clinical […]
D.C. Code §§ 44-501 through 44-509: Health-Care and Community Residence Facility, Hospice and Home Care Licensure — Licensure – District of Columbia
Status: Enacted
Year Enacted: 1984
Statute bestows the Mayor responsibilities related to the licensure of healthcare facilities, such as ensuring that licensing rules are consistent with CON and anticompetitive rules.
Status: Enacted
Year Enacted: 2013
Statute prohibits a group health plan and a health insurer offering group health insurance coverage from discriminating with respect to participation under the plan against any healthcare provider, but does not require that a group […]
Status: Enacted
Year Enacted: 1983
Statutes purpose is to provide reasonable standardization and simplification of terms and coverages of individual health insurance policies and subscriber contracts of health service corporations to facilitate public understanding and comparison. Statutes also prevent a […]
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