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 Admin. Code-Title 28-Part 1-Chapter 11-Subchapter J. Physician and Provider Contracts and Arrangements

05/11/2025 Texas Section 11.901

Required and Prohibited Provisions

Amendments, Anti-retaliation, Continuity of Care Post-Contract, Fee Schedules, Liability-insurer shifting to physician, Payment Edits, Payment Rules, Prompt Payment Deadlines, Termination, Termination-Due Process
State Law

Texas Statutes-Insurance Code-Title 6-Subtitle C-Chapter 843-Subchapter J. Payment of Claims to Physicians and Providers

08/24/2023 Texas Section 843.341

Claims Processing Procedures

Payment Edits, Payment Rules
State Law

Minnesota Statutes-Chapter 62Q. Health Plan Companies

08/08/2023 Minnesota Section 62Q.735

Provider contracting procedures

Amendments, Anti-retaliation, Fee Schedules, Payment Edits, Payment Rules, Profiling, Termination
State Law

North Carolina Gen. Statutes-Chapter 58-Article 3. General Regulations for Insurance

08/13/2023 North Carolina Section 58-3-227

Health plans fee schedules

Amendments, Fee Schedules, Payment Edits, Payment Rules
State Law

Title 18. Insurance-1300-1312. Standards of payment for Assistants at Surgery

06/22/2020 Delaware Section 5.0

Guidelines for payment for the services of assistants at surgery

Payment Rules
State Law

Title 18 Insurance-1300-1311. Standards of Payment for Multiple Surgical Procedures

08/01/2023 Delaware Section 5.0

Procedure for payment of multiple surgical services

Payment Rules
State Law

Insurance Code-Division 2-Part 2-Chapter 1. The Contract-Article 2. Transfer

07/31/2023 California Section 10133.66

Claims filing-overpayment-health insurers’ payment dislosure obligations

Amendments, Claims Filing Deadlines, Fee Schedules, Overpayments / Recoupments, Payment Edits, Payment Rules
State Law

Business and Professions Code-Division 2-Chapter 1-Article 1.5. Advocacy for Appropriate Health Care

07/28/2023 California Section 511.4

Contracting agent’s disclosure obligations to providers

Fee Schedules, Payment Edits, Payment Rules