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

Code of Virginia-Title 38.2-Chapter 34-Article 1. General Provisions

10/15/2024 Virginia Section 38.2-3407.10

Health care provider panels

Anti-gag clause, Continuity of Care Post-Contract, Directories, Liability-insurer shifting to physician, Participation in Products, Plans, or Networks, Rental Networks, Termination
State Law

New Jersey Admin Code-Title 11-Chapter 24B-Subchapter 5. Provider Agreements

05/09/2025 New Jersey Section 11:24B-5.2

General provisions

Amendments, Anti-gag clause, Anti-retaliation, Most Favored Nation, Participation in Products, Plans, or Networks, Payment Edits, Profiling, Prohibited financial incentives, Retroactive Denial, Risk—Physicians Taking
State Law

Revised Code of Washington-Title 48-Chapter 48.39. Contracts Between Insurance Carriers, Health Care Providers, and Third-Party Payors

08/28/2023 Washington Section 48.39.020

Payor may require provider to extend payor’s medicaid rates — Limitations

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

Rhode Island Gen Laws-Title 27-Chapter 27-20.9. Contract with Health Care Providers

08/22/2023 Rhode Island Section 27-20.9-3

Pay-for-performance guidelines

Participation in Products, Plans, or Networks
State Law

Nevada Rev. Statutes-Title 57-Chapter 687B. Contracts of Insurance-Network Plans

08/15/2023 Nevada Section 687B.840

Health carrier to notify participating provider of health care of status and inclusion on certain lists maintained by health carrier

Participation in Products, Plans, or Networks
State Law

Minnesota Statutes-Chapter 62Q. Health Plan Companies-Minnesota Health Plan Contracting Act

08/08/2023 Minnesota Section 62Q.74

Network shadow contracting

Participation in Products, Plans, or Networks, Rental Networks, Termination
State Law

Ohio Revised Code-Title XXXIX-Chapter 3963. Health Care Contracts

08/17/2023 Ohio Sections 3963.01, 3963.02, 3963.03, and 3963.04

Health care contracts definitions; Assignment of right under health care contracts; Information required in contracts-disclosure form-proposed contracts; Material amendment to contract

Amendments, Fee Schedules, Participation in Products, Plans, or Networks, Payment Edits, Rental Networks, Termination
State Law

Chapter 58. Insurance-North Carolina Gen. Statutes-Chapter 58-Article 50. General Accident and Health Insurance Regulations Article 50-Part 2. PPOs, Utilization Review and Grievances

08/13/2023 North Carolina Section 58-50-56

Insurers, preferred provider organizations, and preferred provider benefit plans

Directories, Participation in Products, Plans, or Networks
State Law

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

08/05/2023 Kentucky Section 304.17A-235

Notice of proposed material change in health benefit plan’s agreement with participating provider

Amendments, Participation in Products, Plans, or Networks, Payment Edits, Termination
State Law

KY. Rev. Statutes-Chapter 304-Subtitle 17A-Health Benefit Plans-Payment of Claims

08/05/2023 Kentucky Section 304.17A-728

Contract disclosures of discounted fees–Violation is unfair claims settlement practice

Participation in Products, Plans, or Networks