State Laws

Search state statutes and regulations in all 50 states and the District of Columbia to find out what rights you have in your state and what other states are doing to empower physicians and patients in the face of health insurer market power.

State Law

Indiana Code-Title 27-Article 8-Chapter 11-Accident and Sickness Insurance─Reimbursement Agreements

07/13/2023 Indiana Sections 27-8-11-1, 27-8-11-4.5, 27-8-11-7, 27-8-11-8, 27-8-11-9, 27-8-11-11, 27-8-11-13

Definitions; Permitted Disclosures by Providers; Coverage of Benefit or Service; Payment of Provider, Application; Provider Credentialing; Provider Directories; Preferred Provider Agreement Prohibitions; Insurer Payment to Insured for Service Rendered by Noncontracted Provider; Requirements; Fully Credentialed Provider Reimbursement; Requirements

Anti-gag clause, Anti-retaliation, Credentialing-Deadlines, Credentialing-Payment Issues, Directories, Most Favored Nation
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
State Law

The Insurance Company Law of 1921 (P.L.682, No.284)

08/22/2023 Pennsylvania Section 2121

Credentialing procedures

Anti-retaliation
State Law

Washington Admin Code-Title 284-Chapter 284-43-Subchapter D. Prior Authorization and Utilization Review

08/26/2023 Washington Sections 284-43-2021, 284-43-2022 and 284-43-5100

Prescription drug utilization management exception and substitution process; Time frame for exception and substitution request determinations; Formulary changes

Anti-retaliation, Step Therapy Override
State Law

Rhode Island Gen Laws-Title 27-Chapter 27-41. Health Maintenance Organization

08/22/2023 Rhode Island Section 27-41-46

Whistleblowers protection

Anti-retaliation
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

Minnesota Statutes-Chapter 62J. Health Care Cost Containment-Patient Protection Act

08/08/2023 Minnesota Section 62J.71

 Prohibited Provider Contracts

Anti-gag clause, Anti-retaliation
State Law

Rhode Island Gen Laws-Title 27-Chapter 27-18.8. Health Care Accessibility and Quality Assurance Act

08/22/2023 Rhode Island Section 27-18.8-3

Certification of network plans

Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Directories, Most Favored Nation, Termination