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

Texas Statutes-Insurance Code-Title 6-Subtitle C-Chapter 843-Subchapter I. Relations with Physicians and Providers

08/24/2023 Texas Section 843.310

Contracts with Physicians or Providers: Certain Indemnity Clauses Prohibited

Liability-insurer shifting to physician
State Law

Texas Statutes-Insurance Code-Title 8-Subtitle D-Chapter 1301-Subchapter B. Relations with Physicians or Health Care Providers

08/24/2023 Texas Section 1301.065

Shifting of Insurer’s Tort Liability Prohibited

Liability-insurer shifting to physician
State Law

State of Vermont-Dept. of Financial Regulation-Rule H-2009-03

08/26/2023 Vermont Reg. H-2009-03

Consumer protection and quality requirements for managed care organizations

Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Due Process-Denial of Contract, Credentialing-Patient Demographics, Directories, ERISA-Med. Nec. Decisions-Deadlines, Liability-insurer shifting to physician, Medical Necessity-Definition, Network Adequacy, OON-Payment Issues, Prohibited financial incentives, Retroactive Denial, State Medical Necessity Appeals-Deadlines, Termination, Termination-Due Process, U.R. Criteria
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

South Dakota Codified Laws-Title 58-Chapter. 17F. Network Adequacy Standards

08/24/2023 South Dakota Section 58-17F-14

Contract does not relieve health carrier of liability

Liability-insurer shifting to physician
State Law

South Carolina Code of Laws-Title 38-Chapter 71-Article 17. Patients’ Insurance and Benefits Protection Act

08/22/2023 South Carolina Section 38-71-1740

Responsibility for errors and omissions by parties to managed care participating provider agreements; limitations on network providers to discuss treatments, risks and legal obligations with an insured or member prohibited; permissible limitations

Anti-gag clause, Liability-insurer shifting to physician
State Law

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

08/22/2023 Rhode Island Section 27-41-14

Prohibited practices

Liability-insurer shifting to physician
State Law

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

08/08/2023 Minnesota Section 62Q.739

Unilateral terms prohibited

Liability-insurer shifting to physician, Termination
State Law

The Laws Of New York-Consolidated Laws-Public Health-Article 44. Health Maintenance Organizations

04/06/2023 New York Section 4406-C

Prohibitions

Amendments, Anti-gag clause, Anti-retaliation, Fee Schedules, Liability-insurer shifting to physician, Most Favored Nation, OON-Payment Issues, Overpayments / Recoupments, Risk—Physicians Taking
State Law

The Laws Of New York-Consolidated Laws-Insurance. Article 43. Non-profit Medical and Dental Indemnity, or Health and Hospital Service Corporations

08/16/2023 New York Section 4325

Prohibitions

Amendments, Anti-gag clause, Anti-retaliation, Fee Schedules, Liability-insurer shifting to physician, Prohibited financial incentives, Risk—Physicians Taking