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Massachusetts General Laws > Part I > Title XXII > Chapter 176G - Health Maintenance Organizations

Massachusetts General Laws > Part I > Title XXII > Chapter 176G - Health Maintenance Organizations


Current as of: 2009
§ 1Definitions
§ 2Application of laws
§ 3Health maintenance organizations; organization; accounting; contracts
§ 4Required coverage for certain conditions and groups
§ 4AEmployees terminated due to plant closings; coverage
§ 4BConfidentiality of information; mental or nervous condition; exceptions
§ 4CHome care benefits
§ 4DNonprescription enteral formulas for home use; modified low protein food products
§ 4EOff-label use of prescription drugs for cancer treatment; liability
§ 4FBone marrow transplants; group health maintenance contract coverage for certain patients
§ 4GOff-label use of prescription drugs for HIV/AIDS treatment
§ 4HBlood-glucose monitoring strips for insulin dependent diabetics. — Hospice services for terminally ill patients
§ 4IRequired coverage for prenatal care, childbirth and postpartum care
§ 4JScalp hair protheses necessary due to cancer or leukemia treatment.
§ 4KNewborn hearing screening tests
§ 4LCoverage for hospice services
§ 4MMental health benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders of children and adolescents under age 19
§ 4NCoverage for speech, hearing and language disorders
§ 4OOutpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs or devices; exception
§ 4PPatient care services provided pursuant to qualified clinical trials
§ 4QCoverage for human leukocyte or histocompatibility locus antigen testing
§ 5Medical emergencies; indemnity cash benefits
§ 5ADivorced or separated spouses; coverage
§ 6Contracts
§ 7Evidence of coverage; publication of additional information
§ 8Public dissemination of deceptive or misleading materials
§ 9Trade regulation practices; application of law
§ 10Reports; audits, examinations or inspections; confidentiality; summons and oaths of officers and agents
§ 11Contracts with group insurance commission or local governments
§ 11AAlternative dental coverage option
§ 12Health regulations not limited
§ 13Name restriction
§ 14Application; approval by commissioner
§ 15Bond; waiver
§ 16Contracts, rates, evidence of coverage; disapproval of commissioner
§ 17Rules and regulations; standardized claim form
§ 17AOpen enrollment for nongroup medicare beneficiaries; period, notice of termination
§ 19Discrimination against abuse victims in terms of health maintenance contract
§ 20Insolvent health maintenance organization; administrative supervision, rehabilitation or liquidation; priority of claims
§ 21Participating provider; contracts with health maintenance organizations; hold harmless clause; limitation on collection actions
§ 22Health care providers; liability of member of health maintenance organization; limitation on collection of amounts owed
§ 23Insolvency of health maintenance organization; replacement coverage
§ 24Health maintenance contracts; genetic tests; discrimination based on genetic information

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