Subchapter 1 - HEALTH PLAN REQUIREMENTS
- Section 4301 - Definitions (REPEALED)
- Section 4301-A - [Effective Until ninety days following adjournment of the 2024 legislature] Definitions
- Section 4301-A - [Effective ninety days following adjournment of the 2024 legislature] Definitions
- Section 4302 - Reporting requirements
- Section 4303 - [Effective Until ninety days following adjournment of the 2024 legislature] Plan requirements
- Section 4303 - [Effective ninety days following adjournment of the 2024 legislature] Plan requirements
- Section 4303-A - Provider profiling programs
- Section 4303-B - Disclosure related to provider networks
- Section 4303-C - [Effective Until ninety days following adjournment of the 2024 legislature] Protection from surprise bills and bills for out-of-network emergency services
- Section 4303-C - [Effective ninety days following adjournment of the 2024 legislature] Protection from surprise bills and bills for out-of-network emergency services
- Section 4303-D - Provider directories
- Section 4303-E - Dispute resolution process for surprise bills and bills for out-of-network emergency services
- Section 4303-F - [Effective Until ninety days following adjournment of the 2024 legislature] Reimbursement for ambulance services and participation of ambulance service providers in carrier networks
- Section 4303-F - [Effective ninety days following adjournment of the 2024 legislature] Reimbursement for ambulance services and participation of ambulance service providers in carrier networks
- Section 4303-G - [Repealed Effective 4/1/2029] Provider maintenance of certification requirements
- Section 4304 - Utilization review
- Section 4304-A - Prior authorization for rehabilitative or habilitative services
- Section 4305 - Quality of care
- Section 4306 - Enrollee choice of primary care provider
- Section 4306-A - Patient access to obstetrical and gynecological care
- Section 4307 - Construction
- Section 4308 - Indemnification
- Section 4309 - Adoption of rules
- Section 4309-A - Compliance with the Affordable Care Act
- Section 4310 - Access to clinical trials
- Section 4311 - Access to prescription drugs
- Section 4311-A - [Effective ninety days following adjournment of the 2024 legislature] Access to pain management services
- Section 4312 - Independent external review
- Section 4313 - Carrier liability; cause of action
- Section 4314 - [Effective Until ninety days following adjournment of the 2024 legislature] Access to eye care providers
- Section 4314 - [Effective ninety days following adjournment of the 2024 legislature] Access to eye care providers
- Section 4314-A - Coverage for early refills of prescription eye drops
- Section 4315 - Coverage of prosthetic devices
- Section 4316 - Coverage for telehealth services
- Section 4317 - Pharmacy providers
- Section 4317-A - Prescription drug coverage; out-of-pocket expenses for coinsurance
- Section 4317-B - Orally administered cancer therapy
- Section 4317-C - Coverage for prescription insulin drugs; limit on out-of-pocket costs
- Section 4317-D - Coverage of HIV prevention drugs
- Section 4317-E - Coverage for emergency supply of chronic maintenance drugs
- Section 4318 - Prohibition against maximum aggregate benefit provisions (REPEALED)
- Section 4318-A - Comparable health care service incentive program
- Section 4318-B - Access to lower-priced services
- Section 4319 - Rebates
- Section 4319-A - Guaranteed issue
- Section 4319-B - Medical loss ratio reporting for dental insurance plans
- Section 4320 - No lifetime or annual limits on health plans
- Section 4320-A - Coverage of preventive and primary health services
- Section 4320-B - Extension of dependent coverage
- Section 4320-C - Emergency services
- Section 4320-D - Comprehensive health coverage
- Section 4320-E - Reinsurance, risk corridors and risk adjustment
- Section 4320-F - Oversight of plans offered on the American Health Benefit Exchange and the SHOP Exchange
- Section 4320-G - Applicability to health plans grandfathered under the Affordable Care Act
- Section 4320-H - Payment reform pilot projects
- Section 4320-I - Coverage for the cost of testing for bone marrow donation suitability
- Section 4320-J - Coverage for abuse-deterrent opioid analgesic drug products
- Section 4320-K - Coverage for services provided by a naturopathic doctor
- Section 4320-L - Nondiscrimination
- Section 4320-M - Coverage for abortion services
- Section 4320-N - Step therapy
- Section 4320-O - Coverage for services provided by a physician assistant
- Section 4320-P - Coverage for health care services for COVID-19
- Section 4320-Q - Coverage for services provided by a certified registered nurse anesthetist
- Section 4320-R - Mandatory offer of coverage for certain adults with disabilities
- Section 4320-S - Coverage for dental services for cancer patients
- Section 4320-T - Implementation of federal mental health parity laws
- Section 4320-U - Coverage for fertility services
- Section 4320-V - Coverage for donor breast milk