N.M. Stat. § 13-7-15. Prescription drugs; prohibited formulary changes; notice requirements: Health Care Purchasing Act – New Mexico
Status: Enacted Year Enacted: 2013
As of January 1, 2014, group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that provides coverage for prescription drugs categorized or tiered for purposes of …
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N.M. Stat. § 13-7-17. Pharmacy benefits; prescription synchronization: Health Care Purchasing Act – New Mexico
Status: Enacted Year Enacted: 2015
Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that offers a prescription drug benefit shall allow an enrollee to fill or refill a prescription for …
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N.M. Stat. § 13-7-18. Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions: Health Care Purchasing Act – New Mexico
Status: Enacted Year Enacted: 2018
A. Group health coverage, including any form of self-insurance, offered, issued or renewed under the Health Care Purchasing Act that provides coverage for prescription drugs for which any step therapy protocols are required shall establish …
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N.M. Stat. § 13-7-3. Definitions: Health Care Purchasing Act – New Mexico
Status: Enacted Year Enacted: 1997
Provides definitions for the Health Care Purchasing Act, sections 13-7-1 through 13-7-25.
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N.M. Stat. § 59A-22-49.4. Prescription drugs; prohibited formulary changes; notice requirements: Health Insurance Contracts – New Mexico
Status: Enacted Year Enacted: 2013
As of January 1, 2014, an individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state and that provides prescription …
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N.M. Stat. § 59A-23-7.13. Prescription drugs; prohibited formulary changes; notice requirements: Group and Blanket Health Insurance Contracts – New Mexico
Status: Enacted Year Enacted: 2013
As of January 1, 2014, an individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state and that provides prescription …
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N.M. Stat. §§ 59A-22A-1 through 59A-22A-7: Preferred Provider Arrangements Law – New Mexico
Status: Enacted Year Enacted: 1993
States the purpose of the Preferred Provider Arrangements Law is to encourage health care cost containment while preserving quality of care by allowing health care insurers to enter into preferred provider arrangements.
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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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Neb. Rev. Stat. § 44-4101. Definitions, where found: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1984
Where to find definitions for preferred providers in Art. 41 of Ch. 44 (Insurance).
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Neb. Rev. Stat. § 44-4109. Preferred provider insurance arrangements; authorized: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1984
Insurers may create preferred provider insurance arrangements.
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Neb. Rev. Stat. § 44-4109.01. Policies or contracts; requirements: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1995
Potential insureds must be fully informed about the preferred provider arrangement, including information about any review requirements, benefits, coverage, and exclusions.
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Neb. Rev. Stat. § 44-4110. Development of preferred provider organizations; conditions: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1984
In developing preferred provider networks, the insurance companies may limit the number of providers, and all providers must meet the license and certification requirements in NE.
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Neb. Rev. Stat. § 44-4111. Contracts with preferred providers; procedure; discrimination prohibited: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1984
Insurers and participants may contract for health services with preferred providers through a process of competitive bidding or through individual negotiations with preferred providers.
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Neb. Rev. Stat. § 44-4112. Mandated providers; opportunity to bid, contract, provide services: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1984
Mandated types of providers whose services are required to be made available to insureds pursuant to section 44-513 shall, to the extent required by such section, have the same opportunity to bid and negotiate contracts …
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Neb. Rev. Stat. § 44-4113. Use of nonpreferred providers; effect: Preferred Providers – Nebraska
Status: Enacted Year Enacted: 1984
Enrollees who choose to use a non-preferred provider are financially responsible for those costs.
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