Chapter 27-19 - NONPROFIT HOSPITAL SERVICE CORPORATIONS
- Section 27-19-1 - Definitions
- Section 27-19-2 - Organization as charitable corporation - Insurance laws inapplicable
- Section 27-19-2.1 - Investments and holdings in certain corporations authorized
- Section 27-19-3 - [Repealed]
- Section 27-19-4 - Certificate of public convenience and advantage
- Section 27-19-5 - Contracts with subscribers, hospitals, and other eligible entities
- Section 27-19-5.1 - Cancellation of coverage by employers
- Section 27-19-5.2 - Patient responsibility - Administrative requirements
- Section 27-19-5.3 - Additional powers
- Section 27-19-6 - Rates charged subscribers - reserves
- Section 27-19-7 - Rates charged by hospitals
- Section 27-19-7.1 - Uniform explanation of benefits and coverage
- Section 27-19-7.2 - Filing of policy forms
- Section 27-19-8 - Annual and quarterly statements
- Section 27-19-9 - Examination of affairs of corporations
- Section 27-19-10 - Commission plans for solicitors or insurance producers
- Section 27-19-11 - Investment standards
- Section 27-19-12 - Corporations deemed public charitable institutions
- Section 27-19-13 - Services rendered in certain institutions
- Section 27-19-14 - Negotiation of hospital cost
- Section 27-19-15 - Agreement on budgets
- Section 27-19-16 - Severability
- Section 27-19-17 - Additional benefits
- Section 27-19-18 - Coverage for adoptive children
- Section 27-19-19 - Changing coverage
- Section 27-19-20 - Mammograms and pap smears - coverage mandated
- Section 27-19-21 - Mammograms - Quality assurance standards
- Section 27-19-22 - Pap smears - Quality assurance standards
- Section 27-19-23 - Coverage for infertility
- Section 27-19-23.1 - Insurance coverage for post-partum hospital stays
- Section 27-19-24 - Nonprofit hospital service corporations assessment
- Section 27-19-25 - Discontinuance of coverage - Chronic disabilities
- Section 27-19-26 - Drug coverage
- Section 27-19-26.1 - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies
- Section 27-19-26.2 - Medication synchronization
- Section 27-19-27 - Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists
- Section 27-19-28 - Rehabilitation, liquidation, or conservation
- Section 27-19-29 - Holding company systems
- Section 27-19-29.1 - No derogation of attorney general
- Section 27-19-30 - Regulations
- Section 27-19-30.1 - Health insurance rates
- Section 27-19-31 - Certified counselors in mental health and therapists in marriage and family practice
- Section 27-19-32 - [Repealed]
- Section 27-19-32.1 - [Repealed]
- Section 27-19-32.2 - [Repealed]
- Section 27-19-32.3 - [Repealed]
- Section 27-19-33 - [Repealed]
- Section 27-19-34 - Mastectomy treatment
- Section 27-19-34.1 - Insurance coverage for mastectomy hospital stays
- Section 27-19-35 - Diabetes treatment
- Section 27-19-36 - Primary and preventive obstetric and gynecological care
- Section 27-19-36.1 - Hysterectomy or myomectomy treatment
- Section 27-19-37 - Whistleblowers protection
- Section 27-19-38 - Penalties and remedies
- Section 27-19-39 - Additional relief and damages - Reinstatement
- Section 27-19-40 - Third party reimbursement for services of certain health care workers
- Section 27-19-40.1 - Third party reimbursement for services of registered nurse first assistants
- Section 27-19-41 - Human leukocyte antigen testing
- Section 27-19-42 - Drug coverage
- Section 27-19-42.1 - [Effective 1/1/2025] Specialty drugs
- Section 27-19-43 - Restricted annual rate payments prohibited
- Section 27-19-44 - Genetic testing
- Section 27-19-44.1 - Genetic information
- Section 27-19-45 - [Repealed]
- Section 27-19-46 - Magnetic resonance imaging - Quality assurance standards
- Section 27-19-47 - Acupuncture services
- Section 27-19-48 - FDA approved prescription contraceptive drugs and devices
- Section 27-19-49 - Prostate and colorectal examinations - coverage mandated - the maryellen goodwin colorectal cancer screening act
- Section 27-19-50 - Eligibility for children's benefits
- Section 27-19-51 - Hearing aids
- Section 27-19-52 - Prompt processing of claims
- Section 27-19-53 - Mandatory coverage for certain lyme disease treatments
- Section 27-19-54 - Dental insurance assignment of benefits
- Section 27-19-55 - Coverage for early intervention services
- Section 27-19-56 - Post-payment audits
- Section 27-19-57 - Tobacco cessation programs
- Section 27-19-58 - Reimbursement for orthotics and prosthetic services
- Section 27-19-59 - Mandatory coverage for scalp hair prosthesis
- Section 27-19-60 - Licensed ambulance service
- Section 27-19-61 - Enteral nutrition products
- Section 27-19-62 - Prohibition on rescission of coverage
- Section 27-19-63 - Prohibition on annual and lifetime limits
- Section 27-19-64 - Coverage for individuals participating in approved clinical trials
- Section 27-19-65 - Medical loss ratio reporting and rebates
- Section 27-19-66 - Emergency services
- Section 27-19-67 - Internal and external appeal of adverse benefit determinations
- Section 27-19-68 - Prohibition on preexisting condition exclusions
- Section 27-19-69 - Primary care provider designation requirement
- Section 27-19-70 - Discretionary clauses
- Section 27-19-71 - Orally administered anticancer medication - Cost-sharing requirement
- Section 27-19-72 - Consumer notification
- Section 27-19-73 - Opioid antagonists
- Section 27-19-74 - Unfair discrimination prohibited
- Section 27-19-75 - Health care provider credentialing
- Section 27-19-76 - Health insurance contracts - full year coverage for contraception
- Section 27-19-77 - Gender rating
- Section 27-19-78 - Prohibition on discrimination in organ transplants
- Section 27-19-79 - Health insurance contracts - copayments exemption for covid-19 vaccinations
- Section 27-19-80 - Perinatal doulas
- Section 27-19-81 - Coverage for biomarker testing
- Section 27-19-82 - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome
- Section 27-19-83 - Epinephrine injectors
- Section 27-19-84 - Coverage for treatment of pre-exposure prophylaxis (PREP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection
- Section 27-19-85 - Expedited prior authorization
- Section 27-19-86 - Dispensing and administration of HIV PREP or PEP drugs