820 Ill. Comp. Stat. § 305/8.1a. Preferred provider programs: Workers’ Compensation Act – Illinois
Status: Enacted Year Enacted: 2011
Employers can use a preferred provider program for their workers’ compensation programs.
Download
820 Ill. Comp. Stat. § 305/8.3. Workers’ Compensation Medical Fee Advisory Board: Workers’ Compensation Act – Illinois
Status: Enacted Year Enacted: 2005
Statute creates a Workers’ Compensation Medical Fee Advisory Board which has duties including advising the Commission on establishment of fees for medical services and accessibility of medical treatment.
Download
A 00598 (see companion bill S 03461) – New York
Introduced: 2019 Status: Inactive / Dead
Requires health insurers to offer coverage of health care provided by out-of-network providers.
A 02975 – New York
Introduced: 2019 Status: Inactive / Dead
Directs health insurers to provide enrollees the option to assign the payment of emergency services benefits directly to an out of network health care provider.
A 03928 (see companion bill S 01323) – New York
Introduced: 2019 Status: Inactive / Dead
Relates to the reimbursement of out-of-network providers of clinical laboratory services by organizations providing or offering comprehensive health services plans.
A 04882 – New York
Introduced: 2019 Status: Inactive / Dead
Requires hospitals to inform emergency care patients whether the attending physician participates in the insured’s insurance policy; requires insurance companies to cover the cost of out-of-network care for patients who are unconscious or otherwise unable …
A 1015 (see companion bill S 7082) – New York
Introduced: 2017 Status: Inactive / Dead
Relates to the closure of hospitals; includes general hospitals or the surrender of an operating certificate.
A 1529 (see companion bill S 1331) – New York
Introduced: 2017 Status: Inactive / Dead
PROVISIONAL CREDENTIALING OF PHYSICIANS: A newly-licensed physician, a physician who has recently relocated to this state from another state and has not previously practiced in this state, or a physician who has changed his or …
A 1532 (see companion bill S 3330) – New York
Introduced: 2017 Status: Inactive / Dead
Enacts the “safe staffing for quality care act” to require acute care facilities and nursing homes to implement certain direct-care nurse to patient ratios in all nursing units; sets minimum staffing requirements; requires every such …
A 1571 (see companion bill S 963) – New Jersey
Introduced: 2018 Status: Inactive / Dead
REQUIRES AUDITS OF MANAGED CARE PLAN PROVIDER NETWORKS. If the audit finds that a carrier failed to maintain an adequate network in accordance with applicable federal or State law, including specialists as enumerated in N.J.A.C.11:24-6.2, the …
A 1591 – New Jersey
Introduced: 2018 Status: Inactive / Dead
PERMITS REGISTERED SURGICAL PRACTICES TO CONVERT TO OR COMBINE WITH AMBULATORY CARE FACILITIES; PROVIDES FOR PHASED-IN GROSS RECEIPTS ASSESSMENT; AUTHORIZES NON-PROFIT HOSPITALS TO ACQUIRE JOINT OWNERSHIP INTEREST IN PRACTICES. This bill authorizes surgical practices registered …
A 1714 – 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 …
A 1720 (see companion bill S 972) – 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 …
A 1870 – New Jersey
Introduced: 2018 Status: Inactive / Dead
ESTABLISHES CERTAIN NETWORK ADEQUACY AND STANDARD APPLICATION REQUIREMENTS FOR HEALTH INSURANCE CARRIERS; REQUIRES DETERMINATION OF HOSPITAL DIVERSITY FOR TIERED NETWORKS. The bill prohibits the commissioner from issuing conditional approvals of provider network adequacy. Carriers must …
A 1872 – New Jersey
Introduced: 2018 Status: Inactive / Dead
ESTABLISHES “NEW JERSEY TASK FORCE ON TIERED HEALTH INSURANCE NETWORKS.” The purpose of the task force is to study the recent trend towards tiered health insurance networks, identify the impact of tiered health insurance networks …
A 1946 – New Jersey
Introduced: 2018 Status: Inactive / Dead
ALLOWS PHYSICIANS TO JOINTLY NEGOTIATE WITH CARRIERS OVER CONTRACTUAL TERMS AND CONDITIONS. The bill permits two or more independent physicians who are practicing in the geographic service area of a carrier to jointly negotiate with the …