S 2774 – Massachusetts
Introduced: 2021 Status: Inactive / Dead
An Act investing in the future of our health(a) There shall be a task force to make recommendations on aligned measures of health care provider quality and health system performance to ensure consistency in the …
S 509 (accompanied by study order S 2496) – Massachusetts
Introduced: 2017 Status: Inactive / Dead
An Act relative to insurance companies and quality measures: a petition for legislation relative to insurance companies and quality measures. The commissioner shall promulgate by regulation uniform criteria for determining network adequacy for a tiered …
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 554 – New Jersey
Introduced: 2018 Status: Inactive / Dead
REQUIRES HEALTH INSURANCE CARRIERS TO COMPLY WITH CERTAIN NETWORK ADEQUACY REQUIREMENTS. The bill prohibits the Commissioner of Banking and Insurance from issuing conditional approval of provider network adequacy. The bill provides that in the case …
S 561 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
For legislation to empower health care consumers. Financial Services.
S 592 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
For legislation relative to consumer transparency about provider networks. Financial Services.
S 610 – Massachusetts
Introduced: 2019 Status: Inactive / Dead
For legislation to increase consumer transparency about insurance provider networks. Financial Services.
S 972 (see companion bill A 1720) – New Jersey
Introduced: 2018 Status: Inactive / Dead
REGULATES PHYSICIAN PROFILING PROGRAMS USED BY MANAGED CARE NETWORKS. Physician profiling programs are relatively new, and are designed to evaluate physicians participating in managed care plan networks, by measuring physicians’ performance based on quality and …
S.C. Code Ann. § 38-71-1420. Advisory committee: Small Employer Health Insurance Availability Act – South Carolina
Status: Enacted Year Enacted: 1994
The committee also shall design a basic health insurance plan and a standard health insurance plan which contain benefit and cost-sharing levels that are consistent with the basic method of operation and the benefit plans …
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S.C. Code Ann. § 38-74-20. South Carolina health insurance pool: Health Insurance Pool – South Carolina
Status: Enacted Year Enacted: 1989
Among other things, states that the board my design, utilize, contract or otherwise arrange for delivery of cost effective health care services, including establishing or contracting with preferred provider organizations, health maintenance organizations, or other …
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S.D. Codified Laws § 58-17H-10. Negotiated amounts for in-network providers for a particular emergency service: Utilization Review and Benefit Determinations – South Dakota
Status: Enacted Year Enacted: 2011
If a health benefit plan has more than one negotiated amount for in-network providers for a particular emergency service, the amount in subdivision 58-17H-8(1) is the median of these negotiated amounts.
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S.D. Codified Laws § 58-17H-13. Health carrier may be deemed to meet emergency medical coverage requirements if met by private accrediting body: Utilizations Review and Benefit Determinations – South Dakota
Status: Enacted Year Enacted: 2011
If the director and the secretary find that the requirements of any private accrediting body meet the requirements of coverage of emergency medical services, the health carrier may, at the discretion of the director and …
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S.D. Codified Laws § 58-40-11. Care provided by noncontracting hospitals–Contracting hospital unavailable: Nonprofit Hospital Service Plans – South Dakota
Status: Enacted Year Enacted: 1966
All contracts issued by a hospital service plan corporation to the subscribers shall constitute direct obligations of the corporation and of the hospitals with which such corporation has contracted for hospital service.
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S.D. Codified Laws §§ 58-17F-1 through 58-17-21: Network Adequacy Standards – South Dakota
Status: Enacted Year Enacted: 2011
Provides network adequency standards for health benefit plans and enforcement measures.
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SB 1047 – Virginia
Introduced: 2020 Status: Inactive / Dead
Health insurance; narrow network plans. Prohibits a health carrier from offering more than one narrow network plan, as defined in the bill, in a geographic region if any two narrow network plans offered by the …
SB 113 – Maryland
Introduced: 2020 Status: Inactive / Dead
Health Insurance – Provider Panels – Definitions of Provider and Health Care Services. Defining the term “health care services” and altering the definition of “provider” for purposes of certain provisions of law governing provider panels …