SB 1187 – Illinois
Introduced: 2019 Status: Inactive / Dead
RIGHT TO SHOP ACT. Creates the Right to Shop Act. Requires a carrier offering a health plan to develop and implement a program that provides incentives for enrollees in a health plan who elect to receive …
SB 145 – Georgia
Introduced: 2019 Status: Inactive / Dead
Insurance; insurers to develop selection standards for provider participation; require: A BILL to be entitled an Act to amend Title 33 of the Official Code of Georgia Annotated, relating to insurance, so as to require …
SB 1458 – Arizona
Introduced: 2023 Status: Inactive / Dead
A Health Care Insurer May Not Rank Or Classify Health Care Providers Based On Performance Or Publish Provider-Specific Information That Includes Ranking, Tiers, Ratings Or Other Comparisons Of A Health Care Provider’S Performance Against Standards, …
SB 2108 – Hawaii
Introduced: 2018 Status: Inactive / Dead
HEALTH CARE ASSISTANCE: Requires the Department of Human Services to provide a tiered level of health care premium assistance for individuals depending on their family’s income as compared to the federal poverty level.
SB 358 – Michigan
Introduced: 2023 Status: In Process
Senate Bill 358 (S-2) would add Section 3406z to the Insurance Code to prescribe the levels of coverage a health policy insurer would have to offer in the State. The bill also would prescribe how …
SB 3733 – Illinois
Introduced: 2020 Status: Inactive / Dead
INS-GENERIC PRESCRIPTION DRUGS. Amends the Illinois Insurance Code. Provides that if a generic equivalent for a brand name drug is approved by the Food and Drug Administration, insurance companies with plans that provide coverage for …
SB 5526 (see companion bill HB 1523) – Washington
Introduced: 2019 Status: Enacted Year Enacted: 2019
INCREASING THE AVAILABILITY OF QUALITY, AFFORDABLE HEALTH COVERAGE IN THE INDIVIDUAL MARKET. The exchange, in consultation with the commissioner, the authority, an independent actuary, and other stakeholders, must establish up to three standardized health plans …
SF 1229 (see companion bill HF 1340) – Minnesota
Introduced: 2019 Status: Inactive / Dead
Parity between mental health benefits and other medical benefits requirement; health and commerce commissioners accountability requirement
SF 379 (see companion bill HF 254) – Minnesota
Introduced: 2019 Status: Inactive / Dead
Parity between mental health benefits and other medical benefits requirement; mental health and substance use disorder definition; health plan transparency requirement; health and commerce commissioners accountability requirement.
Tenn. Code Ann. § 56-32-130. Notice for providers: Health Maintenance Organization Act of 1986 – Tennessee
Status: Enacted Year Enacted: 1998
Among other things, requires health insurance issuers to inform providers of procedures used to evaluate the performance or practice of health care providers as well as all methodologies, quality measures, data, analysis, and conclusions.
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Tenn. Code Ann. § 56-7-120. Assignment of benefits: General Provisions – Tennessee
Status: Enacted Year Enacted: 2015
The insured or other persons entitled to benefits under the policy are entitled to assign their benefits to the healthcare provider and such rights must be stated clearly in the policy. Notice of the assignment …
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Tex. Ins. Code § 1301.0041. Applicability: Preferred Provider Benefit Plans – Texas
Status: Enacted Year Enacted: 2007
This chapter applies to any plan that provides for different levels of coverage depending on whether the insured uses a preferred or nonpreferred provider.
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Tex. Ins. Code § 1379.054. Limitations on Coverage: Coverage for Routine Patient Care Costs for Enrollees Participating in Certain Clinical Trials – Texas
Status: Enacted Year Enacted: 2009
This section does not require a benefit plan to provide benefits for patient care provided outside the provider network unless those benefits are otherwise provided. This also does not mean that the issuer must provide …
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Tex. Ins. Code § 1452.107. Enrollee Held Harmless: Physician and Provider Credentials – Texas
Status: Enacted Year Enacted: 2007
An enrollee in a managed care plan shall be held harmless for the difference between in-network co payments paid to the physician and managed care plan’s out of network charges.
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Tex. Ins. Code § 1452.157. Enrollee Held Harmless: Physician and Provider Credentials – Texas
Status: Enacted Year Enacted: 2013
An enrollee in a managed care plan shall be held harmless for the difference between in-network co payments paid to a podiatrist and managed care plan’s out of network charges.
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Tex. Ins. Code § 843.101. Providing or Arranging for Care: Texas Health Maintenance Organization Act – Texas
Status: Enacted Year Enacted: 2001
Limits the ways in which health maintenance organizations may provide services.
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