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

Minnesota Statutes-Chapter 72A. Insurance Industry Trade Practices

08/08/2023 Minnesota Section 72A.20

Methods, acts, and practices which are defined as unfair or deceptive

OON-Payment Issues, Prohibited financial incentives
State Law

LA. Rev. Statutes-Title 40. Public Health and Safety

08/07/2023 Louisiana Section 40:2207

Requirements of provider contracts

Prohibited financial incentives
Ama Policy

Managed Care Cost Containment Involving Prescription Drugs H-285.965

Anti-retaliation, Prohibited financial incentives
ARC Advocacy Resources

Model Network Adequacy Model Bill

A red-lined version of the NAIC’s model bill to assist medical societies in states where the NAIC model has been introduced or where the medical society would like to propose network adequacy legislation.

Amendments, Anti-gag clause, Anti-retaliation, Continuity of Care Post-Contract, Credentialing-Patient Demographics, Directories, Model Legislation, Network Adequacy, Prohibited financial incentives, Termination
State Law

Nevada Rev. Statutes-Title 57-Chapter 695G. Managed Care-Prohibited Acts

08/15/2023 Nevada Section 695G.420

Offering or paying financial incentive to provider to deny, reduce, withhold, limit or delay medically necessary services prohibited

Prohibited financial incentives
State Law

New Jersey Statutes-Title 26. Health and Vital Statistics

08/15/2023 New Jersey Section 26:2S-9

Contract terms concerning appropriate medical care

Anti-gag clause, Anti-retaliation, Prohibited financial incentives
State Law

Nebraska Rev. Statutes-Chapter 44. Insurance

08/10/2023 Nebraska Section 44-7106

Requirements for health carriers and participating providers

Anti-gag clause, Anti-retaliation, Prohibited financial incentives, Termination
Ama Policy

Financial Incentives Utilized in the Management of Medical Care H-285.951

Prohibited financial incentives, Risk—Physicians Taking
State Law

Title 41. Insurance-Chapter 39. Managed Care Reform

08/02/2023 Idaho Section 41-3928

Incentives to withhold care prohibited

Prohibited financial incentives