AB 874 – California
Introduced: 2023 Status: In Process
Health care coverage: out-of-pocket expenses. This bill would require a health care service plan, health insurance policy, other health coverage carrier, or pharmacy benefit manager that administers pharmacy benefits to apply any amounts paid by …
AB 907 – California
Introduced: 2023 Status: Inactive / Dead
Coverage for PANDAS and PANS. This bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2024, to provide coverage for treatment of …
AB 931 – California
Introduced: 2023 Status: Inactive / Dead
Prior authorization: physical therapy. This bill would prohibit a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2025, that provides coverage for physical therapy from …
AB 942 – California
Introduced: 2021 Status: Inactive / Dead
Specialty mental health services and substance use disorder treatment. (1) Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care …
AB 990 – California
Introduced: 2019 Status: Inactive / Dead
Medi-Cal: Medi-Cal managed care plans: financial incentives – This bill would require a Medi-Cal managed care plan contract entered into, or amended, on or after January 1, 2021, to require the contracting Medi-Cal managed care …
AB 993 – California
Introduced: 2019 Status: Inactive / Dead
The Governor VETOED this bill. Health care coverage: HIV specialists – This bill would require a health care service plan contract or health insurance policy that is issued, amended, or renewed on or after January …
ACR 103 (see companion bill SCR 28) – New Jersey
Introduced: 2022 Status: In Process
Amends Constitution to prohibit denial of coverage by certain health insurers based on preexisting conditions.
ACR 118 – New Jersey
Introduced: 2020 Status: Inactive / Dead
Amends Constitution to prohibit denial of coverage by certain health insurers based on preexisting conditions.
Ala. Code § 22-6-123. Considerations for inclusion on preferred drug list; review; adoption of list: Medicaid Preferred Drug Plan – Alabama
Status: Enacted Year Enacted: 2003
Until Medicaid adopts the preferred drug list, Medicaid shall continue to use its existing voluntary preferred drug list and prior authorization program
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Ala. Code § 27-1-20. Patient Right to Know Act: Alabama Insurance Code – Alabama
Status: Enacted Year Enacted: 1996
Each insurer, health service corporation, and health benefit that issues or renews any policy of accident or health insurance providing benefits for medical or hospital expenses for its insured persons shall pay for services rendered …
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Ala. Code § 27-21A-27. Acquisition of control of or merger of a health maintenance organization: Health Maintenance Organizations – Alabama
Status: Enacted Year Enacted: 1986
No person may make a tender for or a request or invitation for tenders of, or enter into an agreement to exchange securities for or acquire in the open market or otherwise, any voting security …
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Ala. Code § 27-3-21. Certificates of authority; suspension or revocation; willful violations: Authorization of Insurers – Alabama
Status: Enacted Year Enacted: 1971
Insurance commissioner may revoke or suspend an insurer’s certificate of authority for several reasons listed in the statute, including acts in which “the insured has engaged in an unfair method of competition or an unfair …
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Ala. Code §§ 22-6-150 through 22-6-164: Medicaid Agency, Delivery of Services on Managed Care Basis through Regional Care Organizations – Alabama
Status: Enacted Year Enacted: 2013
Statutes relate to the delivery of care through the Medicaid system, including quality assurance, contracts with providers, coverage of beneficiaries and exemption from state and federal anti-trust laws.
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Ala. Code §§ 27-1-16 through 27-1-19: Alabama Insurance Code – Alabama
Status: Enacted Year Enacted: 1981
Provisions regarding standard health insurance claim form and provider reimbursement and payment.
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Ala. Code §§ 27-21A-1, 27-21A-7 through 27-21A-9, 27-21A-24: Health Maintenance Organizations – Alabama
Status: Enacted Year Enacted: 1986
Statutes prevent a person from acquiring control of an HMO and from entering into an agreement to merge or consolidate or otherwise acquire control of an HMO without filing the proper information with the insurance …
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Ala. Code §§ 27-21A-29 through 27-21A-32: Health Maintenance Organizations – Alabama
Status: Enacted Year Enacted: 1986
A health maintenance organization is entitled to coordinate benefits on the same basis as an insurer. No such coordination shall be allowed against policies covering individuals on other than a group basis. There shall be …
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