Ind. Code §§ 27-8-24.7-1 through 27-8-24.7-5: Life, Accident, and Health — Referrals to Women’s Health Care Providers – Indiana
Status: Enacted Year Enacted: 1996
Statute prohibits a health insurance policy from refusing to designate a women’s health care provider as an insured’s primary care provider if the women’s health care provider meets the terms and conditions for participation as …
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Kan. Stat. Ann. § 39-709h. Medical assistance program; patient encounter data; requirements imposed on managed care organizations; audits; rules and regulations: Social Welfare – Kansas
Status: Enacted Year Enacted: 2017
Statute requires the secretary to develop uniform standards to be utilized by each managed care organization, including prior authorization procedures and requirements, and retrospective utilization review. A managed care organization may not discriminate against any …
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Ky. Rev. Stat. § 304.17A-270. Nondiscrimination against provider in geographic coverage area: Health Benefit Plans — Miscellaneous Provisions – Kentucky
Status: Enacted Year Enacted: 1998
Prohibits a health insurer from discriminating against any provider who is located within the geographic coverage area of the health benefit plan and is also willing to meet the established terms and conditions for participation …
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La. Rev. Stat. Ann. § 22:2181. Establishment of the Louisiana State University Health Sciences Center Health Maintenance Organization: Louisiana State University Health Sciences Center Health Maintenance Organization – Louisiana
Status: Enacted Year Enacted: 1997
Statute lays out the rules and regulations of the Louisiana State University Health Sciences Center Health Maintenance Organization. The plan shall enter into a contract with any willing provider licensed by the Louisiana State Board …
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La. Rev. Stat. Ann. §§ 40:1189.1 through 40:1189.7: Rural Hospital Preservation Act – Louisiana
Status: Enacted Year Enacted: 1997
Statutes address the issues of rural hospitals, which are in a poor financial condition and have a difficult time attracting physicians to practice in their service areas. Statutes intend to reduce rural hospital dependence on …
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La. Rev. Stat. Ann. §§ 40:2202 through 40:2207: Health Care Cost Control– Preferred Provider Organizations – Louisiana
Status: Enacted Year Enacted: 1984
Statutes govern preferred provider organization contracting and state that any group purchaser may contract with any provider in any contractual agreement or agreements to form a preferred provider organization.
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LD 254 – Maine
Introduced: 2021 Status: Enacted
An Act To Allow Certified Registered Nurse Anesthetists To Bill for Their Services
Mass. Gen. Laws ch. 176C, § 6. Associated physician; grounds for termination of agreement: Non–Profit Medical Service Plans – Massachusetts
Status: Enacted Year Enacted: 1941
Enables every registered physician who complies with the medical organization’s requirements to be associated.
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Me. Stat. tit. 24-A, § 4317. Pharmacy providers: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2009
Requires health carriers to contract with any pharmacy that meets their terms and conditions for participation in the carrier’s network.
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Minn. Stat. § 62Q.19. Essential community providers: Health Plan Companies – Minnesota
Status: Enacted Year Enacted: 1994
The commissioner shall designate essential community providers meeting pre-determined criteria.
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Minn. Stat. § 62Q.51. Point-of-service option: Health Plan Companies – Minnesota
Status: Enacted Year Enacted: 1996
For purposes for this section, “point-of-service option” means a health plan under which the health plan company will reimburse an appropriately licensed or registered provider for providing covered services to an enrollee, without regard to …
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Minn. Stat. § 62Q.74. Network Shadow Contracting: Minnesota Health Plan Contracting Act – Minnesota
Status: Enacted Year Enacted: 1999
No health plan company shall require a health care provider to participate in a network under a category of coverage that differs from the category or categories of coverage to which the existing contract between …
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Minn. Stat. § 72A.20. Methods, acts, and practices which are defined as unfair or deceptive: Regulation of Trade Practices – Minnesota
Status: Enacted Year Enacted: 1967
No insurer or health plan company may design a network of providers, policies on access to providers, or marketing strategy in such a way as to discourage enrollment by individuals or groups whose health care …
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Mo. Rev. Stat. § 376.325. Acceptance of licensed physicians into closed or exclusive provider network, when: Life, Health and Accident Insurance – Missouri
Status: Enacted Year Enacted: 2013
To the extent a health carrier has developed a closed or exclusive provider network as provided in subdivision (19) of section 376.426 through contractual arrangements with selected providers, such health carrier shall accept into such …
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Mont. Code Ann. § 53-6-104. Freedom of doctors to treat recipients of medical assistance — freedom to select doctor: Medical Assistance — Medicaid – Montana
Status: Enacted Year Enacted: 1967
The department of public health and human services shall provide for professional freedom of those licensed practitioners who provide medical assistance under this part and provide reasonable freedom of choice to recipients of medical aid …
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N.C. Gen. Stat. § 58-51-37. Pharmacy of choice: Nature of Policies – North Carolina
Status: Enacted Year Enacted: 1993
Requires health carriers that provide prescription drug benefits to accept any pharmacy into their network that agrees to the carrier’s terms for participation.
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