Ariz. Rev. Stat. § 20-1404. Blanket disability insurance; definitions: Group and Blanket Disability Insurance – Arizona
Status: Enacted Year Enacted: 1974
Outlines requirements for blanket disability insurance
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Ariz. Rev. Stat. § 20-1404.01. Blanket disability insurance; clinical trials; cancer; definitions: Group and Blanket Disability Insurance – Arizona
Status: Enacted Year Enacted: 2000
A blanket disability insurer is not obligated to pay any costs, other than patient costs, that are directly associated with a cancer clinical trial that is offered in this state and in which the insured …
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Ariz. Rev. Stat. § 20-1410. Mail order prescription drugs; prohibition: Group and Blanket Disability Insurance – Arizona
Status: Enacted Year Enacted: 1990
From and after September 30, 1990, no medical benefits contract on a group basis delivered or issued for delivery in this state, whether issued by an insurance company, a hospital service corporation, a medical service corporation or …
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Ariz. Rev. Stat. § 20-841.05. Prescription drug formulary; definitions: Hospital, Medical, Dental and Optometric Service Corporations – Arizona
Status: Enacted Year Enacted: 2000
Requires corporations with drug benefits to disclose applicable drug formulary, develop and maintain a process by which health care professionals may request authorization for a medically necessary formulary or nonformulary prescription drug during nonbusiness hours, …
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Ark. Code § 23-99-413. Disclosure requirements: Arkansas Health Care Consumer Act – Arkansas
Status: Enacted Year Enacted: 1997
Upon request, healthcare insurers must provide the following information in a clear and understandable form to all prospective policyholders, policyholders, and covered persons: Coverage provisions, benefits, and exclusions by category of service and provider; A …
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Ark. Code §§ 23-99-1101 through 23-99-1118: Prior Authorization Transparency Act – Arkansas
Status: Enacted Year Enacted: 2015
(a) The General Assembly finds that: (1) A physician-patient relationship is paramount and should not be subject to third-party intrusion; and (2) Prior authorizations can place attempted cost savings ahead of optimal patient care. (b) …
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Cal. Bus. & Prof. Code §§ 3500 through 3503.5: Physician Assistants — General Provisions – California
Status: Enacted Year Enacted: 1994
In addition to the services authorized in the regulations adopted by the Medical Board of California, and except as prohibited by Section 3502, while under the supervision of a licensed physician and surgeon or physicians …
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Cal. Ins. Code §§ 10181 through 10181.13: Review of Rate Increases – California
Status: Enacted Year Enacted: 2010
A health insurer shall annually provide claims data at no charge to a large group purchaser if the large group purchaser requests the information and otherwise meets the requirements of this section.
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Cal. Welf. & Inst. Code §§ 14087.3 through 14087.48: Contracts for Medi-Cal Services and Case Management – California
Status: Enacted Year Enacted: 1982
The director may contract, on a bid or nonbid basis, with any qualified individual, organization, or entity to provide services to, arrange for or case manage the care of Medi-Cal beneficiaries. At the director’s discretion, …
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Cal. Welf. & Inst. Code §§ 14100 through 14124.14: Medi-Cal Act – California
Status: Enacted Year Enacted: 1965
Each eligible facility, as described in subdivision (b), may, in addition to the rate of payment that the facility would otherwise receive for adult day health services, receive supplemental Medi-Cal reimbursement to the extent provided …
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Cal. Welf. & Inst. Code §§ 14131 through 14138: The Medi-Cal Benefits Program – California
Status: Enacted Year Enacted: 1974
Any increase in the amount charged to the Medi-Cal program for patient care or treatment that is directly related to an identifiable provider-preventable condition is excluded from reimbursement under Medi-Cal.
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Cal. Welf. & Inst. Code §§ 14195 through 14196: Medi-Cal Therapeutic Drug Utilization Review – California
Status: Enacted Year Enacted: 1984
It is the intent of the Legislature to provide medical assistance, including prescribed drugs, to the state’s eligible poor in a manner consistent with the provisions of the federal Medicaid Act, provided for under Title …
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Colo. Rev. Stat. § 10-16-104.6. Off-label use of cancer drugs: Colorado Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2010
Any health plan that provides coverage for perscription drugs cannot limit or exclude coverage for FDA approved drugs.
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Colo. Rev. Stat. § 10-16-124.5. Prior authorization form – drug benefits – rules of commissioner – definition: Colorado Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2013
Outlines the process by which a pharmacy or pharmacy benefit manager can institute prior authorization procedures.
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Colo. Rev. Stat. § 10-16-145. Step therapy-prohibited-definitions: Colorado Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2017
A carrier shall not require a covered person to undergo step therapy, and shall provide coverage for the drug prescribed by the covered person’s health care provider as long as the prescribed drug is on …
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Colo. Rev. Stat. § 10-16-145.5. Step therapy prohibited – stage four advanced metastatic cancer – definition: Colorado Health Care Coverage Act – Colorado
Status: Enacted Year Enacted: 2018
Provides that a carrier that provides coverage under a health benefit plan for the treatment of stage four advanced metastatic cancer shall not limit or exclude coverage under the health benefit plan for a drug …
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