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ARC Advocacy Resources
Uses most favored nation (MFN) clauses in physician managed-care contracts. Dominant health insurers can force physicians to give discounts to the dominant insurer that the physician may have given to other insurers or payers. This model bill prohibits health insurers from putting MFN clauses in physician contracts.
Model Legislation, Most Favored Nation
Ama Policy
03/13/2019
Most Favored Nation
State Law
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
07/18/2023
Arkansas
Sections 23-99-1202
Amendments, Most Favored Nation, Participation in Products, Plans, or Networks
State Law
07/28/2023
Arkansas
Section 23-99-1204
Prohibition-Most favored nation clause
Most Favored Nation
State Law
07/28/2023
California
Section 1371.2
No overpayment request solely because of contract with another health care service plan
Most Favored Nation, Overpayments / Recoupments
State Law
07/28/2023
California
Section 1371.22
Limitation on most favored nation clauses
Most Favored Nation
State Law
07/29/2023
Connecticut
Section 38a-479b
Material changes to fee schedules. Return of payment by provider. Appeals. Filing of claim by provider under other applicable insurance coverage. Certain clauses, covenants and agreements prohibited. Exception
Amendments, Claims Filing Deadlines, Fee Schedules, Most Favored Nation, Overpayments / Recoupments, Participation in Products, Plans, or Networks, Termination
State Law
08/02/2023
Idaho
Section 41-3443
Best price–Most favored nations clause prohibited
Most Favored Nation
State Law
08/02/2023
Idaho
Section 41-3927
Health care providers–Participation by any qualified, willing provider–Contracts–Grievance procedure
Anti-gag clause, Liability-insurer shifting to physician, Most Favored Nation, Termination
