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Health Insurance: Related Laws

U.S.

  • U.S. Code > Title 26 > Subtitle D > Chapter 47 - Certain Group Health Plans
  • U.S. Code > Title 26 > Subtitle D > Chapter 48 - Maintenance of Minimum Essential Coverage
  • U.S. Code > Title 26 > Subtitle K - Group Health Plan Requirements
  • U.S. Code > Title 42 > Chapter 157 - Quality, Affordable Health Care for All Americans
  • CFR > Title 42 > Chapter IV > Subchapter B - Medicare Program

Alabama

  • Alabama Code > Title 27 > Chapter 3A - Health Care Service Utilization Review Act
  • Alabama Code > Title 27 > Chapter 20A - Alcoholism Treatment in Group Plans
  • Alabama Code > Title 27 > Chapter 21 - Alabama Health Care Plan
  • Alabama Code > Title 27 > Chapter 21B - Medical Support Health Care Access Act
  • Alabama Code > Title 27 > Chapter 45 - Pharmaceutical Insurance Coverage

Alaska

  • Alaska Statutes > Chapter 51 - Health Insurance Policies
  • Alaska Statutes > Chapter 54 - Health Insurance
  • Alaska Statutes > Chapter 55 - State Health Insurance
  • Alaska Statutes > Chapter 56 - Small Employer Health Insurance
  • Alaska Statutes > Chapter 61 - Air Ambulance Membership Agreements

Arizona

  • Arizona Laws > Title 20 > Chapter 2 > Article 3.4 - Navigators and Certified Application Counselors
  • Arizona Laws > Title 20 > Chapter 13 - Accountable Health Plans
  • Arizona Laws > Title 20 > Chapter 15 > Article 2 - Health Care Appeals
  • Arizona Laws > Title 20 > Chapter 20 > Article 2 - Out-of-Network Claim Dispute Resolution
  • Arizona Laws > Title 20 > Chapter 25 - Pharmacy Benefits

California

  • California Codes > Government Code > Title 22 - California Health Benefit Exchange
  • California Codes > Government Code > Title 24 - Minimum Essential Coverage Individual Mandate
  • California Codes > Government Code > Title 25 - Individual Market Assistance
  • California Codes > Health and Safety Code > Division 111 - Golden Bear State Pharmacy Assistance Program
  • California Codes > Health and Safety Code > Division 113 - The Adult Health Coverage Expansion Program

Connecticut

  • Connecticut General Statutes > Chapter 698a - Health Care and Related Service Groups
  • Connecticut General Statutes > Chapter 700c - Health Insurance
  • Connecticut General Statutes > Chapter 706b - Office of the Healthcare Advocate
  • Connecticut General Statutes > Chapter 706c - Connecticut Health Insurance Exchange
  • Connecticut General Statutes > Chapter 949e - Health Insurance Fraud Act

Delaware

  • Delaware Code > Title 18 > Chapter 33 - Health Insurance Contracts
  • Delaware Code > Title 18 > Chapter 34 - Medicare Supplement Insurance Minimum Standards
  • Delaware Code > Title 18 > Chapter 35 - Group and Blanket Health Insurance
  • Delaware Code > Title 18 > Chapter 36 - Individual Health Insurance Minimum Standards
  • Delaware Code > Title 18 > Chapter 40 - Health Insurance for Children and Persons On Medicaid

Florida

  • Florida Statutes > Chapter 626 > Part IV - Health Insurance Agents
  • Florida Statutes > Chapter 626 > Part XIII - Navigators
  • Florida Statutes > Chapter 627 > Part VI - Health Insurance Policies
  • Florida Statutes > Chapter 627 > Part VII - Group, Blanket, and Franchise Health Insurance Policies
  • Florida Statutes > Chapter 627 > Part VIII - Medicare Supplement Policies

Guam

  • Guam Code > Title 22 > Chapter 28 - Parity in Health Insurance for Mental Illness and Chemical Dependency
  • Guam Code > Title 22 > Chapter 29 - Medical Care Insurance

Hawaii

  • Hawaii Revised Statutes > Chapter 393 - Prepaid Health Care Act
  • Hawaii Revised Statutes > Chapter 431L - Medicaid-Related Mandates
  • Hawaii Revised Statutes > Chapter 431M - Mental Health and Alcohol and Substance Use Disorder Treatment Insurance Benefits
  • Hawaii Revised Statutes > Chapter 431N - State Health Insurance Program Act
  • Hawaii Revised Statutes > Chapter 431R - Prescription Drug Benefits

Idaho

  • Idaho Code > Title 39 > Chapter 90 - Idaho Health Freedom Act
  • Idaho Code > Title 41 > Chapter 39 - Managed Care Reform
  • Idaho Code > Title 41 > Chapter 40 - Self-Funded Health Care Plans
  • Idaho Code > Title 41 > Chapter 41 - Joint Public Agency Self-Funded Health Care Plans
  • Idaho Code > Title 41 > Chapter 42 - Individual Accident and Health Insurance Policies

Illinois

  • Illinois Compiled Statutes > Chapter 20 > Illinois Health Information Exchange Authority
  • Illinois Compiled Statutes > 215 ILCS 93 - Small Employer Health Insurance Rating Act
  • Illinois Compiled Statutes > 215 ILCS 97 - Illinois Health Insurance Portability and Accountability Act
  • Illinois Compiled Statutes > 215 ILCS 105 - Comprehensive Health Insurance Plan Act
  • Illinois Compiled Statutes > 215 ILCS 106 - Children?s Health Insurance Program Act

Indiana

  • Indiana Code > Title 27 > Article 19 - Health Benefit Exchange

Iowa

  • Iowa Code > Chapter 93 - Marketplace Contractors
  • Iowa Code > Chapter 509B - Continuation of Group Health Insurance
  • Iowa Code > Chapter 510C - Pharmacy Benefits Manager Reporting
  • Iowa Code > Chapter 513A - Third-Party Payors of Health Care Benefits
  • Iowa Code > Chapter 513B - Small Group Health Coverage

Kansas

  • Kansas Statutes > Chapter 38 > Article 20 - Insurance Coverage for Children
  • Kansas Statutes > Chapter 40 > Article 34 - Healthcare Provider Insurance
  • Kansas Statutes > Chapter 40 > Article 44 - Kansas Healthy Kids Program
  • Kansas Statutes > Chapter 40 > Article 46 - Managed Care
  • Kansas Statutes > Chapter 40 > Article 59 - Vision Care Services Act

Kentucky

  • Kentucky Statutes > Chapter 304 > Subtitle 17 - Health Insurance Contracts
  • Kentucky Statutes > Chapter 304 > Subtitle 17A - Health Benefit Plans
  • Kentucky Statutes > Chapter 304 > Subtitle 17B - Kentucky Access
  • Kentucky Statutes > Chapter 304 > Subtitle 17C - Limited Health Service Benefit Plans
  • Kentucky Statutes > Chapter 304 > Subtitle 18 - Group and Blanket Health Insurance

Louisiana

  • Louisiana Revised Statutes > Title 22 > Chapter 20 - Louisiana Health Insurance Innovation and Stabilization Program

Maine

  • Maine Revised Statutes > Title 24-A > Chapter 32 - Preferred Provider Arrangement Act
  • Maine Revised Statutes > Title 24-A > Chapter 32-A - Types of Health Insurance
  • Maine Revised Statutes > Title 24-A > Chapter 33 - Health Insurance Contracts
  • Maine Revised Statutes > Title 24-A > Chapter 34 - Licensure of Medical Utilization Review Entities
  • Maine Revised Statutes > Title 24-A > Chapter 34-A - State-Federal Health Coverage Partnerships

Maryland

  • Maryland Code > Insurance > Title 14 - Entities That Act as Health Insurers
  • Maryland Code > Insurance > Title 15 - Health Insurance
  • Maryland Code > Insurance > Title 31 - Maryland Health Benefit Exchange
  • Maryland Code > Labor and Employment > Title 8.5 - Health Care Payroll Assessment

Massachusetts

  • Massachusetts General Laws > Chapter 111M - Individual Health Coverage
  • Massachusetts General Laws > Chapter 175H - False Health Care Claims
  • Massachusetts General Laws > Chapter 176I - Preferred Provider Arrangements
  • Massachusetts General Laws > Chapter 176J - Small Group Health Insurance
  • Massachusetts General Laws > Chapter 176K - Medicare Supplement Insurance Plans

Michigan

  • Michigan Laws > Chapter 500 > Act 218 of 1956 > Chapter 37 - Small Employer Group Health Coverage
  • Michigan Laws > Chapter 500 > Act 218 of 1956 > Chapter 38 - Medicare Supplement Policies and Certificates
  • Michigan Laws > Chapter 550 > Act 593 of 2006 - Sharing Health Care Information
  • Michigan Laws > Chapter 550 > Act 11 of 2022 - Pharmacy Benefit Manager Licensure and Regulation Act
  • Michigan Laws > Chapter 550 > Act 350 of 1980 > Part 6A - Health Endowment Fund Corporations

Minnesota

  • Minnesota Statutes > Chapter 62A - Accident and Health Insurance
  • Minnesota Statutes > Chapter 62C - Nonprofit Health Service Plan Corporations
  • Minnesota Statutes > Chapter 62E - Comprehensive Health Insurance
  • Minnesota Statutes > Chapter 62H - Employer Health Coverage Arrangements
  • Minnesota Statutes > Chapter 62J - Health Care Cost Containment

Montana

  • Montana Code > Title 33 > Chapter 32 - Health Utilization Review
  • Montana Code > Title 33 > Chapter 36 - Managed Care Plan Network Adequacy and Quality Assurance
  • Montana Code > Title 33 > Chapter 38 - Medical Care and Pharmacy Discount Cards

Nebraska

  • Nebraska Statutes > Health Carrier External Review Act
  • Nebraska Statutes > Nebraska Right to Shop Act
  • Nebraska Statutes > Medicare Supplement Insurance Minimum Standards Act
  • Nebraska Statutes > Comprehensive Health Insurance Pool Act
  • Nebraska Statutes > Pharmacy Benefit Manager Licensure and Regulation Act

Nevada

  • Nevada Revised Statutes > Chapter 689A - Individual Health Insurance
  • Nevada Revised Statutes > Chapter 689B - Group and Blanket Health Insurance
  • Nevada Revised Statutes > Chapter 689C - Health Insurance for Small Employers
  • Nevada Revised Statutes > Chapter 695F - Prepaid Limited Health Service Organizations
  • Nevada Revised Statutes > Chapter 695G - Managed Care

New Hampshire

  • New Hampshire Revised Statutes > Chapter 161-K - New Hampshire Pharmaceutical Assistance Program
  • New Hampshire Revised Statutes > Chapter 161-L - New Hampshire Rx Advantage Program
  • New Hampshire Revised Statutes > Chapter 404-G - Individual Health Insurance Market
  • New Hampshire Revised Statutes > Chapter 404-J - Commission On the Status of Health Coverage Markets for Individuals and Small Employers
  • New Hampshire Revised Statutes > Chapter 415 - Accident and Health Insurance

New Jersey

  • New Jersey Statutes > Title 17 > Chapter 48D - Dental Plan Organization Act
  • New Jersey Statutes > Title 26 > Chapter 2SS - Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act
  • New Jersey Statutes > Title 43 > Chapter 23 - New Jersey Small Business Retirement Marketplace Act
  • New Jersey Statutes > Title 54A > Chapter 11 - New Jersey Health Insurance Market Preservation Act

New Mexico

  • New Mexico Statutes > Chapter 59A > Article 22 - Health Insurance Contracts
  • New Mexico Statutes > Chapter 59A > Article 22A - Preferred Provider Arrangements
  • New Mexico Statutes > Chapter 59A > Article 22B - Prior Authorization
  • New Mexico Statutes > Chapter 59A > Article 23 - Group and Blanket Health Insurance Contracts
  • New Mexico Statutes 59A-23A-1. Short title

New York

  • New York Laws > Elder > Article 2 > Title 3 - Program for Elderly Pharmaceutical Insurance Coverage
  • New York Laws > Insurance > Article 29 - Pharmacy Benefit Managers
  • New York Laws > Insurance > Article 56 - Health Care Arbitrations
  • New York Laws > Public Health > Article 9-A - New York State Small Business Health Insurance Partnership Program
  • New York Laws > Public Health > Article 25 > Title 1-A - Child Health Insurance Plan

North Carolina

  • North Carolina General Statutes > Chapter 58 > Article 50A - Association Health Plans and Multiple Employer Welfare Arrangements
  • North Carolina General Statutes > Chapter 58 > Article 53 - Group Health Insurance Continuation and Conversion Privileges
  • North Carolina General Statutes > Chapter 58 > Article 54 - Medicare Supplement Insurance Minimum Standards
  • North Carolina General Statutes > Chapter 58 > Article 56A - Pharmacy Benefits Management
  • North Carolina General Statutes > Chapter 58 > Article 68 - Health Insurance Portability and Accountability

North Dakota

  • North Dakota Code > Chapter 26.1-26.4 - Health Care Service Utilization Review
  • North Dakota Code > Chapter 26.1-27.1 - Pharmacy Benefits Management
  • North Dakota Code > Chapter 26.1-36 - Accident and Health Insurance
  • North Dakota Code > Chapter 26.1-36.1 - Medicare Supplement Policies
  • North Dakota Code > Chapter 26.1-36.3 - Small Employer Employee Health Insurance

Ohio

  • Ohio Code > Chapter 1731 - Small Employer Health Care Alliances
  • Ohio Code > Chapter 1751 - Health Insuring Corporation Law
  • Ohio Code > Chapter 1753 - Physician-Health Plan Partnership Act; Risk-Based Capital for Insurers Model Act
  • Ohio Code > Chapter 3923 - Sickness and Accident Insurance
  • Ohio Code > Chapter 3924 - Small Employer Health Benefit Plans; Provision of Health Care Coverage

Oregon

  • Oregon Statutes 741.102 - Health Insurance Exchange Fund
  • Oregon Statutes 741.105 - Charges and fees to be paid by insurers and state programs; rules
  • Oregon Statutes 741.107 - Notice to Legislative Assembly required for procurement request exceeding $1 million for technology product or service
  • Oregon Statutes 741.220 - Financial and performance audits of health insurance exchange accounts; report of audit
  • Oregon Statutes 741.222 - Annual reports to Legislative Assembly

Rhode Island

  • Rhode Island General Laws > Chapter 23-17.12 - Health Care Services - Utilization Review Act
  • Rhode Island General Laws > Chapter 23-17.13 - Health Care Accessibility and Quality Assurance Act
  • Rhode Island General Laws > Chapter 23-17.18 - Health Plan Modification Act
  • Rhode Island General Laws > Chapter 27-18 - Accident and Sickness Insurance Policies
  • Rhode Island General Laws > Chapter 27-18.1 - Compliance of Health Benefit Contracts and Medical Assistance Program with Federal Law

South Carolina

  • South Carolina Code > Title 38 > Chapter 41 - Multiple Employer Self-Insured Health Plan
  • South Carolina Code > Title 38 > Chapter 71 - Accident and Health Insurance
  • South Carolina Code > Title 38 > Chapter 74 - Health Insurance Pool

South Dakota

  • South Dakota Codified Laws > Title 58 > Chapter 17 - Health Insurance Policies
  • South Dakota Codified Laws > Title 58 > Chapter 17A - Medicare Supplement Policies
  • South Dakota Codified Laws > Title 58 > Chapter 17E - Discount Medical Plans
  • South Dakota Codified Laws > Title 58 > Chapter 17F - Network Adequacy Standards
  • South Dakota Codified Laws > Title 58 > Chapter 17G - Quality Assessment and Improvements

Tennessee

  • Tennessee Code > Title 50 > Chapter 8 - Marketplace Contractors
  • Tennessee Code > Title 56 > Chapter 26 - Accident and Sickness Insurance
  • Tennessee Code > Title 56 > Chapter 27 - Medical Service Plan Law, 1945
  • Tennessee Code > Title 56 > Chapter 30 - Dental Service Plan Law, 1961
  • Tennessee Code > Title 56 > Chapter 31 - Vision Service Plan Law

Texas

  • Texas Civil Practice and Remedies Code Chapter 74A - Limitation of Liability Relating to Health Information Exchanges
  • Texas Insurance Code > Title 8 - Health Insurance and Other Health Coverages
  • Texas Insurance Code Chapter 5002 - Interstate Health Care Compact
  • Texas Insurance Code > Title 21 - Discount Health Care Programs

Utah

  • Utah Code > Title 31A > Chapter 8 - Health Maintenance Organizations and Limited Health Plans
  • Utah Code 31A-8a-101. Title
  • Utah Code 31A-8a-102. Definitions
  • Utah Code 31A-8a-103. Scope and purposes
  • Utah Code 31A-8a-201. License required

Vermont

  • Vermont Statutes > Title 8 > Chapter 107 - Health Insurance
  • Vermont Statutes Title 9 Sec. 4083
  • Vermont Statutes Title 9 Sec. 4084
  • Vermont Statutes Title 9 Sec. 4085
  • Vermont Statutes Title 9 Sec. 4086

Virginia

  • Virginia Code > Title 30 > Chapter 53 - Health Insurance Reform Commission
  • Virginia Code > Title 30 > Chapter 54 - Medicaid Innovation and Reform Commission
  • Virginia Code > Title 32.1 > Chapter 13 - Family Access to Medical Insurance Security Plan
  • Virginia Code > Title 38.2 > Chapter 34 - Provisions Relating to Accident and Sickness Insurance
  • Virginia Code > Title 38.2 > Chapter 35 - Accident and Sickness Insurance Policies

Washington

  • Washington Code > Chapter 19.390 - Health care market participants
  • Washington Code > Chapter 43.71 - Washington health benefit exchange
  • Washington Code > Chapter 43.71A - Pacific Island citizens -- Health care premium assistance
  • Washington Code > Chapter 43.371 - Statewide health care claims data
  • Washington Code > Chapter 48.39 - Contracts between insurance carriers, health care providers, and third-party payors

West Virginia

  • West Virginia Code > Chapter 5 > Article 16C - Prescription Drug Cost Management Act
  • West Virginia Code > Chapter 5 > Article 16D - West Virginia Retirement Health Benefit Trust Fund
  • West Virginia Code > Chapter 16 > Article 29F - Uninsured and Underinsured Pilot Programs
  • West Virginia Code > Chapter 33 > Article 15 - Accident and Sickness Insurance
  • West Virginia Code > Chapter 33 > Article 15B - Uniform Health Care Administration Act

Wisconsin

  • Wisconsin Statutes > Chapter 601 > Subchapter VII - Healthcare Stability Plan
  • Wisconsin Statutes > Chapter 609 - Defined network plans
  • Wisconsin Statutes > Chapter 628 > Subchapter V - Regulation of Navigators
  • Wisconsin Statutes > Chapter 635 - Small employer health insurance
  • Wisconsin Statutes > Chapter 648 - Regulation of care management organizations
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