N.D. Cent. Code § 26.1-36-11. Accident and health policy provision denying insured right to employ doctor or enter hospital prohibited: Accident and Health Insurance – North Dakota
Status: Enacted Year Enacted: 1985
Any provision in any accident or health insurance policy issued by any insurance company denying the insured, in case of accident or sickness, the right to consult or employ any doctor licensed to practice in …
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N.D. Cent. Code § 26.1-36-12.1. Health service corporation contract provision denying insured or subscriber right to employ doctor or enter hospital prohibited: Accident and Health Insurance – North Dakota
Status: Enacted Year Enacted: 1989
Any provision in any health service contract issued by a health service corporation denying the insured or subscriber, subscriber member, officer, or employee, in case of accident or sickness, the right to consult or employ …
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N.D. Cent. Code § 26.1-36-12.2. Freedom of choice for pharmacy services: Accident and Health Insurance – North Dakota
Status: Enacted Year Enacted: 1989
o third-party payer, including a health care insurer as defined in section 26.1-47-01, providing pharmacy services and prescription drugs to any beneficiary may: a. Prevent a beneficiary from selecting the pharmacy or pharmacist of the …
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N.J. Rev. Stat. § 17:48-6j. Issuance or renewal of hospital corporation contracts providing benefits for pharmacy services, prescription drugs or for prescription drug plans; conditions: Hospital Service Corporations – New Jersey
Status: Enacted Year Enacted: 1993
Requires hospital service corporations to allow all pharmacists or pharmacies that agree to the corporation’s terms to participate in the corporation’s provider network.
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N.M. Stat. § 59A-46-35. Provider discrimination prohibited: Health Maintenance Organization Law – New Mexico
Status: Enacted Year Enacted: 1978
No class of licensed individual providers willing to meet the terms and conditions offered by a health maintenance organization shall be excluded from a health maintenance organization.
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N.M. Stat. § 59A-47-28.3. Provider discrimination prohibited: Nonprofit Health Care Plan Law – New Mexico
Status: Enacted Year Enacted: 1978
All individual and group subscriber contracts delivered or issued for delivery in New Mexico that, on a prepaid, service or indemnity basis, or all of them, provide for treatment of persons for the prevention, cure …
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N.Y. Elder Law §§ 240 through 254: Program for Elderly Pharmaceutical Insurance Coverage – New York
Status: Enacted Year Enacted: 2004
Commissioner may enter into contracts with contractors through a competitive process to create a pharmacy insurance program. Statute outlines duties and responsibilities of the contractor. Commissioner is required to review rates of payment with contractors.
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N.Y. Ins. Law § 4235. Group accident and health insurance: Life Insurance Companies and Accident and Health Insurance Companies and Legal Services Insurance Companies – New York
Status: Enacted Year Enacted: 1984
NY’s any willing provider law regarding group accident and health insurance.
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N.Y. Ins. Law §§ 3216 through 3243: Insurance Contracts–Life, Accident and Health, Annuities – New York
Status: Enacted Year Enacted: 1984
Requirements for health insurance policies in NY.
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N.Y. Ins. Law §§ 4301 through 4330: Non-Profit Medical and Dental Indemnity, or Health and Hospital Service Corporations – New York
Status: Enacted Year Enacted: 1984
A corporation may be organized under the not-for-profit corporation law, and a consumers’ cooperative stock corporation may be organized under article two of the cooperative corporations law, for the purpose of furnishing medical expense indemnity, …
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N.Y. Pub. Health Law §§ 2950 through 2958: Rural Health Care Access – New York
Status: Enacted Year Enacted: 1986
Regulations for NY Rural Health Care Access.
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Neb. Rev. Stat. § 44-32,178. Coordination of benefits: Health Maintenance Organization Act – Nebraska
Status: Enacted Year Enacted: 1990
HMOs may engage in coordination of benefits.
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Or. Rev. Stat. §§ 414.570 through 414.619: Oregon Integrated and Coordinated Care Delivery System – Coordinated Care Organizations – Oregon
Status: Enacted Year Enacted: 2018
There is established the Oregon Integrated and Coordinated Health Care Delivery System. See definition section Or. Rev. Stat. § 414.025.
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Or. Rev. Stat. §§ 743B.500 through 743B.505: Health Benefit Plans: Individual and Group – Oregon
Status: Enacted Year Enacted: 2015
Provides provider network access requirements and the methods for evaluating a provider network including access, consumer satisfaction, transparency, quality and cost containment.
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S 1045 – New Jersey
Introduced: 2018 Status: Inactive / Dead
ESTABLISHES CERTAIN STANDARDS FOR HEALTH BENEFITS PLANS WITH TIERED NETWORK. The bill requires a carrier that offers a health benefits plan with a tiered network to clearly and conspicuously state on the carrier’s website and …
S 1047 (see companion bill A 3283) – New Jersey
Introduced: 2018 Status: Inactive / Dead
CONCERNS THE DELIVERY AND OVERSIGHT OF COVERAGE UNDER CERTAIN HEALTH BENEFITS PLANS; ESTABLISHES HEALTH CARE PATIENT OMBUDSPERSON IN THE DIVISION OF CONSUMER AFFAIRS. The bill requires the Commissioner of Banking and Insurance to establish a …