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
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
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
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 > Prepaid Limited Health Service Organization 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