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

Maryland Statutes-Article 15. Insurance

08/07/2023 Maryland Section 15-113

Health Insurance – Two–Sided Incentive Arrangements

Amendments, Fee Schedules, Overpayments / Recoupments, Participation in Products, Plans, or Networks, Payment Edits, Payment Rules, Prohibited financial incentives, Prompt Payment Deadlines, Risk—Physicians Taking
State Law

KY. Rev. Statutes-Chapter 304-Subtitle 17A-Health Benefit Plans-Miscellaneous Provisions

08/05/2023 Kentucky Section 304.17A-150

Unfair trade practices — Penalties

Participation in Products, Plans, or Networks
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 12. Healthcare Contracting Simplification Act

07/28/2023 Arkansas Section 23-99-1203

All-products clause — Prohibition

Participation in Products, Plans, or Networks
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 12. Healthcare Contracting Simplification Act

07/18/2023 Arkansas Sections 23-99-1202

Definitions

Amendments, Most Favored Nation, Participation in Products, Plans, or Networks
Ama Policy

Elimination of Subsidies to Medicare Advantage Plans D-390.967

10/16/2019
Participation in Products, Plans, or Networks
ARC Advocacy Resources

All Products Clause Model Bill

Bans the use of all products clauses and gives physicians termination rights with respect to such clauses, e.g., a health insurer cannot terminate a physician’s contract because the physician refuses to participate in a new product.

Model Legislation, Participation in Products, Plans, or Networks
Ama Policy

ERISA and Managed Care Oversight D-383.984

08/31/2022
Participation in Products, Plans, or Networks, Preemption-ERISA
Ama Policy

AMA Opposition to All Products Clauses H-285.989

03/13/2019
Participation in Products, Plans, or Networks
State Law

Utah Code-Title 31A-Chapter 22-Part 6. Accident and Health Insurance

08/25/2023 Utah Section 31A-22-637

Health care provider payment information — Notice of admissions

Fee Schedules, Participation in Products, Plans, or Networks
State Law

Vermont Statutes-Title 18-Chapter 221-Subchapter 2. Claims Processing and Contract Standards

08/25/2023 Vermont Section 9418c

Fair contract standards

Fee Schedules, Participation in Products, Plans, or Networks, Payment Edits, Termination