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ARC Advocacy Resources

Model Network Adequacy Model Bill

A red-lined version of the NAIC’s model bill to assist medical societies in states where the NAIC model has been introduced or where the medical society would like to propose network adequacy legislation.

Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Directories, Model Legislation, Network Adequacy, Prohibited financial incentives, Termination
ARC Advocacy Resources

Anti-gag Clause/Protecting Physicians from Retaliation Model Bill

Provides comprehensive protections for physicians from health insurer retaliation for both physician communications with patients and communications with regulators/legislators.

Anti-gag clause, Anti-retaliation, Model Legislation
State Law

Alaska Statutes-Title 21-Chapter 07. Patient Protections Under Health Care Insurance Policies

07/27/2023 Alaska Section 21.07.010

Patient and health care provider protection

Anti-gag clause, Anti-retaliation, Fee Schedules, Liability-insurer shifting to physician, Most Favored Nation, Participation in Products, Plans, or Networks, Prohibited financial incentives, Termination
State Law

Alaska Statutes-Title 21-Chapter 86. Health Maintenance Organizations

07/27/2023 Alaska Section 21.86.150

Prohibited practices

Anti-gag clause, Prohibited financial incentives, Termination
State Law

Ariz. Rev. Statutes-Title 20. Insurance-Chapter 4-Article 1. Scope of Title

07/28/2023 Arizona Section 20-118

Prohibition; definitions

Anti-gag clause, Anti-retaliation
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 4. Arkansas Health Care Consumer Act

07/28/2023 Arkansas Section 23-99-407

“Gag clause” prohibition

Anti-gag clause
State Law

Insurance Code-Division 2-Part 2-Chapter 1. Article 1. General Provisions

08/29/2023 California Section 10123.204

Gag clauses and retaliation prohibited with respect to prescribing providers

Anti-gag clause, Anti-retaliation
State Law

Health and Safety Code-Division 2-Chapter 2.2. Health Care Service Plans-Article 5. Standards

08/29/2023 California Section 1367.207

Gag clauses and retaliation prohibited with respect to prescribing providers

Anti-gag clause, Anti-retaliation