D.C. Code § 31-3862. Private reimbursement: Telehealth Reimbursement – District of Columbia
Status: Enacted Year Enacted: 2013
A health insurer offering a health benefits plan in the District may not deny coverage for a healthcare service on the basis that the service is provided through telehealth if the same service would be …
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D.C. Code § 44-664.01. Definitions: Medicaid Hospital Outpatient Supplemental Payment – District of Columbia
Status: Enacted Year Enacted: 2017
Definitions related to Medicaid Hospital Outpatient Supplemental Payment in D.C.
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D.C. Code § 48-855.01. Definitions: Specialty Drug Copayment Limitation – District of Columbia
Status: Enacted Year Enacted: 2017
Definitions of relevant network provider and asepects of benefit design in D.C. health care system.
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D.C. Code § 48-855.02. Specialty drug copayment or coinsurance limitation: Specialty Drug Copayment Limitation – District of Columbia
Status: Enacted Year Enacted: 2017
A health benefit plan that provides coverage for prescription drugs shall ensure that a required copayment or coinsurance applicable to a drug on a specialty tier does not exceed $150 per month for up to …
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D.C. Code § 7-734. Public Health Laboratory fees: General Powers, Fees and Funds – District of Columbia
Status: Enacted Year Enacted: 2001
The Mayor is authorized to establish a schedule of fees for forms and for performing laboratory analysis of biological and environmental samples obtained from humans, animals, or various environmental media for the purpose of identifying …
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D.C. Code §§ 31-3302.01 through 31-3302.09: Health Insurance Portability and Accountability — Individual Health Insurance – District of Columbia
Status: Enacted Year Enacted: 1999
Nothing in this subchapter shall be construed to: (1) Restrict the amount of the premium rates that an issuer may charge an individual for health insurance coverage provided in the individual market; or (2) Prevent …
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D.C. Code §§ 4-631 through 4-638: Healthy DC Program – District of Columbia
Status: Enacted Year Enacted: 2008
There is established the Healthy DC Program, which shall provide affordable health benefits to eligible individuals.
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D.C. Code §§ 48-855.01-48-855.03 – District of Columbia
Status: Enacted
Requires that a health benefit plan that provides coverage for prescription drugs shall ensure that a required copayment or coinsurance applicable to a drug on a specialty tier does not exceed $150 per month for …
Del. Code tit. 16, §§ 2001 through 2009: Purpose: Uniform Health Data – Delaware
Status: Enacted Year Enacted: 1989
Establishes a state organized health information database based on hospital and nursing home billing data for health care purchasers, health care insurers, health care providers and the general public to review. The database includes charge …
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Del. Code tit. 18, § 3321A through 3324A: Maximum Allowable Cost Pricing for Prescription Drugs – Delaware
Status: Enacted Year Enacted: 2016
To place a drug on a maximum allowable cost list, a pharmacy benefit manager must ensure that the drug meets the following requirements.
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Del. Code tit. 18, § 3333. Filing of rates: Uniform Health Policy Provisions Law – Delaware
Status: Enacted Year Enacted: 1968
Statute requires insurers issuing health insurance policies to file its premium rates and classification of rates with the Commissioner.
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Del. Code tit. 18, § 3551. Filing of Rates: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 1976
The rates of group health insurance and blanket health insurance shall be filed pursuant to and be subject to the requirements of Chapter 25 of this title.
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Del. Code tit. 18, § 3571M. Comprehensive health insurance coverage: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
A health insurer that offers health insurance coverage in the small group market shall ensure that such coverage includes the essential health benefits package in conformity with § 1302 of the Patient Protection and Affordable …
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Del. Code tit. 18, § 3571N. Prohibiting discrimination against individual participants and beneficiaries based on health status: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
Statute governs programs of health promotion or disease prevention offered by an employer and premium discounts and rebates for participation in wellness programs.
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Del. Code tit. 18, § 3571P. Rating factors: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
Statute regulates the establishment of rates for health insurance coverage in the small group market.
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Del. Code tit. 18, § 7207. Availability of coverage; preexisting conditions; minimum participation: Small Employer Health Insurance – Delaware
Status: Enacted Year Enacted: 1992
Provides every small employer carrier shall actively offer to small employers at least 2 health benefit plans, file with the Commissioner, in a format and manner prescribed by the Commissioner, and shall not deny, exclude …
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