Chapter 26:2S

Section 26:2S-1 - Short title
Section 26:2S-2 - Definitions relative to health care quality
Section 26:2S-3 - Form to be filed by carrier; minimum information required
Section 26:2S-4 - Disclosure of terms and conditions in writing to subscriber
Section 26:2S-5 - Additional disclosure requirements
Section 26:2S-5.1 - Health insurance carriers to provide organ, tissue donation information to subscribers
Section 26:2S-6 - Designation of licensed physician as medical director for managed care
Section 26:2S-6.1 - Managed care plan to pay full contractual rate to out-of-network provider, direct payments, certain circumstances
Section 26:2S-6.2 - Waiver of health insurance copayments for certain active duty military and their families
Section 26:2S-7 - Review of application for participation
Section 26:2S-7.1 - Universal application for credentialing physicians for a carrier's provider network
Section 26:2S-7.2 - Acceptance of application by carriers
Section 26:2S-7.3 - Rules, regulations
Section 26:2S-8 - Establishment of policy governing removal of health care providers
Section 26:2S-9 - Contract terms concerning appropriate medical care
Section 26:2S-9.1 - Managed care plan, continuing treatment of certain patients by physician no longer employed by plan; required
Section 26:2S-9.2 - Written fee schedule information furnished to health care providers, proprietary information
Section 26:2S-9.3 - Violations, penalty
Section 26:2S-10 - Offer of point-of-service plan, terms
Section 26:2S-10.1 - Home treatment for bleeding episodes associated with hemophilia, required coverage
Section 26:2S-10.2 - Clinical laboratory services at outpatient regional hemophilia care center, required coverage
Section 26:2S-10.3 - Regulations by department
Section 26:2S-10.4 - Optometrist not required to participate in certain plans
Section 26:2S-10.5 - Contract between carrier and vision care provider, fees permissible
Section 26:2S-10.6 - Vision care provider, choice of sources, providers
Section 26:2S-10.7 - Definitions relative to optometrists, vision care plans
Section 26:2S-10.8 - Definitions relative to insurance coverage for mental health conditions and substance use disorders
Section 26:2S-10.9 - Regulations for benefits carrier relative to prescription drug benefits
Section 26:2S-11 - Independent Health Care Appeals Program
Section 26:2S-12 - Contract to conduct appeal reviews; procedures
Section 26:2S-13 - Immunity from civil liability for participants in Independent Health Care Appeals Program
Section 26:2S-14 - Report to Legislature, Governor
Section 26:2S-14.1 - General hospital to provide information concerning the Independent Health Care Appeals Program
Section 26:2S-14.2 - Size, content, format of notice
Section 26:2S-14.3 - Rules, regulations
Section 26:2S-15 - Compliance with department reporting requirements
Section 26:2S-15.1 - Annual report to carrier by managed behavioral health care organization
Section 26:2S-16 - Violations, penalties
Section 26:2S-17 - Recommendations for legislative action
Section 26:2S-18 - Enforcement; rules, regulations
Section 26:2S-18.1 - Publication of annual financial statements
Section 26:2S-19 - Findings, declarations relative to Managed Health Care Consumer Assistance Program
Section 26:2S-20 - Definitions relative to Managed Health Care Consumer Assistance Program
Section 26:2S-21 - Managed Health Care Consumer Assistance Program
Section 26:2S-22 - Report to Governor, Legislature
Section 26:2S-23 - Immunity from liability
Section 26:2S-24 - Appropriations; fees, use
Section 26:2S-25 - Rules, regulations
Section 26:2S-26 - Definitions relative to certain dental benefit plans
Section 26:2S-27 - Covered services
Section 26:2S-28 - Rules, regulations
Section 26:2S-29 - Carrier offering a health benefits plan to provide coverage, payment
Section 26:2S-30 - Definitions regarding dental plan application forms
Section 26:2S-31 - Adoption of dental plan application forms
Section 26:2S-32 - Acceptance of universal dentist application
Section 26:2S-33 - Adoption of regulations
Section 26:2S-33.1 - Carrier, participating dentist, agreement, collecting, covered procedures, services; refund, difference
Section 26:2S-34 - Preexisting condition provision prohibited in health benefits plan
Section 26:2S-35 - Imposition of limits prohibited
Section 26:2S-36 - Provision of emergency, urgent services
Section 26:2S-37 - Insurance plans to cover prescription refills during state of emergency
Section 26:2S-38 - Prescription drug benefit carrier contracts, opioid antidote coverage
Section 26:2S-39 - Health benefit plans, coverage for abortion, certain religious employers exempt
Section 26:2S-40 - Carrier to ensure provision of comprehensive behavioral health crisis intervention services coverage
Section 26:2SS-1 - Short title
Section 26:2SS-2 - Findings, declarations relative to out-of-network health care charges
Section 26:2SS-3 - Definitions relative to out-of-network health care charges
Section 26:2SS-4 - Disclosures by health care facility
Section 26:2SS-5 - Disclosures by health care professional relative to participation in health benefits plans
Section 26:2SS-6 - Website updates of addition, deletion of provider from carrier's network
Section 26:2SS-7 - Billing for emergency, urgent care
Section 26:2SS-8 - Coverage for inadvertent out-of-network emergency services
Section 26:2SS-9 - Responsibilities of carrier relative to inadvertent out-of-network services
Section 26:2SS-10 - Payment disputes, binding arbitration
Section 26:2SS-11 - Payment disputes for member of self-funded plan, binding arbitration
Section 26:2SS-12 - Listing of arbitrations on website
Section 26:2SS-13 - Notice of protections provided
Section 26:2SS-14 - Calculation of savings; reports
Section 26:2SS-15 - Violations, inducements
Section 26:2SS-16 - Annual audit of managed care plan
Section 26:2SS-17 - Violations; penalties
Section 26:2SS-18 - Rules, regulations
Section 26:2SS-19 - Severability
Section 26:2SS-20 - Construction of act