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

Ohio Revised Code-Title XXXIX-Chapter 3923. Sickness and Accident Insurance

08/17/2023 Ohio Section 3923.041

Policies with prior authorization requirement provisions

Amendments, ERISA-Med. Nec. Decisions-Deadlines, Retroactive Denial, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law

North Dakota Century Code-Title 26.1-Chapter. 26.1-26.4. Health Care Service Utilization Review

08/15/2023 North Dakota Section 26.1-26.4-04

Minimum standards of utilization review agents

ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law

North Dakota Century Code-Title 26.1-Chapter. 26.1-36. Accident and Health Insurance

08/15/2023 North Dakota Section 26.1-36-47

Internal claims and appeals procedures

ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Appeals-Deadlines, State Medical Necessity Decisions-Deadlines
State Law

KY. Rev. Statutes-Chapter 304-Subtitle 17A-Health Benefit Plans-Utilization Reviews

08/05/2023 Kentucky Section 304.17A-607

Duties of insurer or private review agent performing utilization reviews — Requirement for registration — Consequences of insurer’s failure to make timely utilization review determination — Requirement that insurer or private review agent submit changes to the department — Requirement that private review agent provide timely notice of entities for whom it is providing review.

ERISA-Med. Nec. Decisions-Deadlines, State Medical Necessity Decisions-Deadlines