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

Oregon Rev. Statutes-Title 56-Chapter 743B. Health Benefit Plans: Individual and Group

08/19/2023 Oregon Section 743B.400

Decisions regarding health care facility length of stay, level of care and follow-up care.

Termination
State Law

Code of Massachusetts Regs-Title 958-Part 3. Health Insurance Consumer Protection

07/26/2023 Massachusetts Sections 958 CMR 3.500 through 3.504, 3.508 and 3.509

Disenrollment of Primary Care Provider; Disenrollment of Providers of Care to Pregnant Women; Disenrollment of Providers of Care to the Terminally Ill; Coverage for the Newly Insured; Carrier’s Coverage Conditions; Denial of Provider Application; Provider Termination Without Cause Provisions

Continuity of Care Post-Contract, Termination, Termination-Due Process
Ama Policy

Hospital-Based Physician Contracting H-383.997

09/02/2022
Risk—Physicians Taking, Termination
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
State Law

Colorado Rev. Statutes-Title 25-Article 37. Contracts with Health Care Providers

07/31/2023 Colorado Section 25-37-104

Material change in health care contract – written advance notice

Amendments, Termination
Ama Policy

AMA Principles for Physician Employment H-225.950

10/14/2019
Anti-retaliation, Restrictive Covenants, Termination, Termination-Due Process
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
State Law

Code of Colorado Regs-3 CCR 702-4 Series 4-2

08/18/2020 Colorado Regulation 4-2-56

Concerning Network Adequacy and Continuity of Care Requirements for ACA-Compliant Health Benefit Plans

Continuity of Care Post-Contract, Network Adequacy, Termination
State Law

Nevada Admin. Code-Chapter 689B. Group and Blanket Health Insurance-Use of Preferred Providers of Health Care

08/15/2023 Nevada Section 689B.160

Agreements with preferred providers: Notice of termination.

Termination
State Law

New Jersey Admin Code-Title 11-Chapter 24A-Subchapter 4. Provisions Applicable to Carriers Offering One or More Health Benefits Plans That Are Managed Care Plans

08/15/2023 New Jersey Section 11:24A-4.8

Termination of providers from a network

Continuity of Care Post-Contract, Termination, Termination-Due Process