Chapter 26:2J

Section 26:2J-1 - Short title
Section 26:2J-2 - Definitions
Section 26:2J-3 - Establishment of health maintenance organizations
Section 26:2J-4 - Issuance of certificate of authority
Section 26:2J-4.1 - Health maintenance organization to pay benefits for treatment of Wilm's tumor
Section 26:2J-4.2 - [Repealed]
Section 26:2J-4.3 - [Repealed]
Section 26:2J-4.4 - Health maintenance organization, mammogram examination benefits
Section 26:2J-4.5 - Health maintenance organization, benefits for "off-label" drugs required
Section 26:2J-4.6 - Health maintenance organization, benefits for health promotion
Section 26:2J-4.7 - Requirements for health maintenance organization providing benefits for pharmacy services
Section 26:2J-4.8 - Benefits for certain cancer treatments
Section 26:2J-4.9 - Coverage for birth and natal care; HMO
Section 26:2J-4.10 - Health maintenance organization, child screening, blood lead, hearing loss; immunizations
Section 26:2J-4.11 - Coverage, diabetes treatment by HMO contracts
Section 26:2J-4.12 - HMO contracts, Pap smear benefits
Section 26:2J-4.13 - HMO certificate of authority, prostate cancer testing
Section 26:2J-4.14 - HMO to provide benefits for reconstructive breast surgery
Section 26:2J-4.15 - Coverage for minimum inpatient care following mastectomy by HMO
Section 26:2J-4.16 - Applicability of Health Care Quality Act
Section 26:2J-4.17 - Coverage for treatment of inherited metabolic diseases by health maintenance organization
Section 26:2J-4.18 - Coverage for treatment of domestic violence injuries by health maintenance organization
Section 26:2J-4.19 - Coverage for certain dental procedures for the severely disabled or child age five or under by HMO
Section 26:2J-4.20 - HMO to provide coverage for mental health conditions, substance use disorders; collaborative care model
Section 26:2J-4.21 - HMO to provide continuing nursing home care, certain
Section 26:2J-4.22 - Coverage for hemophilia services by HMO
Section 26:2J-4.23 - Health maintenance organization to provide coverage for treatment of infertility
Section 26:2J-4.24 - HMO agreement to provide coverage for colorectal cancer screening
Section 26:2J-4.25 - Health maintenance organization prescription drug plans to cover certain infant formulas
Section 26:2J-4.26 - HMO required to cover certain out-of-network services
Section 26:2J-4.27 - HMO to offer coverage for domestic partner
Section 26:2J-4.28 - HMO, high deductible, coverage for preventive care
Section 26:2J-4.29 - Health service corporation, coverage for prescription female contraceptives
Section 26:2J-4.30 - Health maintenance organization, coverage for contraceptives
Section 26:2J-4.31 - HMOs to provide benefits for orthotic and prosthetic appliances
Section 26:2J-4.32 - Health maintenance organization to provide coverage for hearing aids, cochlear implant for enrollee
Section 26:2J-4.33 - Health maintenance organization to provide installment payments to obstetrical provider for maternity services
Section 26:2J-4.34 - Health maintenance organization to provide benefits for treatment of autism or other developmental disability
Section 26:2J-4.35 - HMO to provide coverage for oral anticancer medications
Section 26:2J-4.36 - HMO to provide coverage for sickle cell anemia
Section 26:2J-4.37 - Health maintenance organization to provide coverage for prescription eye drops
Section 26:2J-4.38 - Health maintenance organization, coverage for synchronization of prescribed medications
Section 26:2J-4.39 - Health maintenance organization contract to provide benefits for substance use disorder
Section 26:2J-4.40 - Health maintenance organization to provide coverage regardless of gender identity, expression
Section 26:2J-4.41 - HMO to cover digital tomosynthesis of the breast
Section 26:2J-4.42 - HMO to provide coverage for donated human breast milk
Section 26:2J-4.43 - Health maintenance organization to provide coverage for standard fertility preservation services
Section 26:2J-4.44 - Health maintenance organization to provide coverage for breastfeeding support
Section 26:2J-4.45 - Health maintenance organization to cover preventive services
Section 26:2J-4.46 - Health maintenance organization to provide certain coverage for prescription drugs
Section 26:2J-4.47 - Health maintenance organization to cover adolescent depression screenings
Section 26:2J-4.48 - HMO to cover newborn home nurse visitation
Section 26:2J-4.49 - Contract, health care services, coverage, epinephrine auto-injector device
Section 26:2J-4.50 - Contract, health care services, coverage, prescription asthma inhaler
Section 26:2J-5 - Powers of health maintenance organizations
Section 26:2J-6 - Governing body
Section 26:2J-7 - Protection against wrongful acts
Section 26:2J-8 - Evidence of coverage
Section 26:2J-8.1 - [Effective Until 1/1/2025] Health maintenance organization to receive, transmit transactions electronically; standards
Section 26:2J-8.1 - [Effective 1/1/2025] Health maintenance organization to receive, transmit transactions electronically; standards
Section 26:2J-9 - Annual report
Section 26:2J-10 - Information to enrollees
Section 26:2J-10.1 - Coverage provided by health maintenance organization for subscriber's child
Section 26:2J-10.2 - Requirements applicable to State Medicaid
Section 26:2J-10.3 - Coverage for certain dependents until age 31 by health maintenance organization
Section 26:2J-11 - Annual open enrollment period
Section 26:2J-11.1 - Failure to agree on terms; four-month extension; notification of options
Section 26:2J-12 - Complaint system
Section 26:2J-13 - Investments
Section 26:2J-14 - Protection against insolvency
Section 26:2J-15 - Prohibited practices for health maintenance organization
Section 26:2J-15.1 - Health care services contract, exclusion, rates, terms based on genetic information prohibited
Section 26:2J-16 - Regulation of agents
Section 26:2J-17 - Powers of insurers and hospital and medical service corporations
Section 26:2J-18 - Examinations
Section 26:2J-18.1 - Examination of HMO by Commissioner of Banking and Insurance
Section 26:2J-18.2 - Definitions relative to risk based capital requirements for HMOs
Section 26:2J-18.3 - Increase of capital, surplus; methods, procedures
Section 26:2J-18.4 - Factors in determining change in capital, surplus
Section 26:2J-18.5 - Noncompliance, penalties
Section 26:2J-18.6 - Regulations
Section 26:2J-19 - Suspension or revocation of certificate of authority
Section 26:2J-21 - Regulation
Section 26:2J-22 - Administrative procedures
Section 26:2J-23 - Fees
Section 26:2J-24 - Administrative penalty; enforcement
Section 26:2J-25 - Statutory construction and relationship to other laws
Section 26:2J-26 - Filings and reports as public documents
Section 26:2J-27 - Confidentiality of medical information
Section 26:2J-28 - Commissioner of health's authority to contract
Section 26:2J-29 - Enrollment of State employees
Section 26:2J-30 - Severability
Section 26:2J-31 - Definitions
Section 26:2J-32 - Applicability of act
Section 26:2J-33 - Avoidance of duplication of benefits, regulations
Section 26:2J-34 - Coverage for preexisting condition
Section 26:2J-35 - Regulations
Section 26:2J-36 - Authorization for health maintenance organization to offer, provide medicare supplement health care services
Section 26:2J-37 - Submission of underlying plan; rate filings
Section 26:2J-38 - Outline of coverage delivered to applicant
Section 26:2J-39 - 30-day return provision, refunds
Section 26:2J-40 - Filing of copy of advertising materials, regulations
Section 26:2J-41 - Additional remedies
Section 26:2J-42 - Health maintenance organization contract; compliance
Section 26:2J-43 - Filing of contract or related form
Section 26:2J-44 - Contract forms; certification memorandum
Section 26:2J-45 - [Repealed]
Section 26:2J-46 - [Repealed]
Section 26:2J-47 - Annual assessment on HMOs
Section 26:2J-48 - Health maintenance organization, aggregate benefits