State Law
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
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
08/07/2023
Louisiana
Section 40:2207
Requirements of provider contracts
Prohibited financial incentives
Ama Policy
03/05/2021
Anti-retaliation, Prohibited financial incentives
ARC Advocacy Resources
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
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
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
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
03/14/2019
Prohibited financial incentives, Risk—Physicians Taking
State Law
08/02/2023
Idaho
Section 41-3928
Incentives to withhold care prohibited
Prohibited financial incentives
