Federal Laws

Find out what rights you and your patients have under current federal statutes and regulations, such as the Employee Retirement Income Security Act and the Medicare Advantage program.

Federal Law

Title 42-Chapter 7-Subchapter XVIII-Part C. Medicare+Choice Program

08/30/2023 42 USC Section 1395w-22

Benefits and beneficiary protections

Anti-gag clause-Med. Adv., Directories-Med. Adv., Liability-insurer shifting to physician-Med. Adv., Med. Adv.-Med. Nec. Appeals-Deadlines, Med. Adv.-Med. Nec. Decisions-Deadlines, Network Adequacy-Med. Adv., Prohibited financial incentives-Med. Adv., Risk-Physicians Taking-Med. Adv.
Federal Law

Title 42-Chapter IV-Subchapter B-Part 422-Subpart E. Relationships with Providers

08/30/2023 42 CFR 422.206

Interference with health care professionals’ advice to enrollees prohibited

Anti-gag clause-Med. Adv.
State Law

The Laws Of New York-Consolidated Laws-Public Health-Article 44. Health Maintenance Organizations

08/16/2023 New York Section 4406-D

Health care professional applications and terminations

Anti-gag clause-Med. Adv., Anti-retaliation, Credentialing-Deadlines, Credentialing-Payment Issues, Profiling, Termination, Termination-Due Process