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Title: 26 - HEALTH AND VITAL STATISTICS
Chapter: 2J -
26:2J-1: Short title
26:2J-3: Establishment of health maintenance organizations
26:2J-4: Issuance of certificate of authority
26:2J-4.1: Health maintenance organization to pay benefits for treatment of Wilm's tumor
26:2J-4.2: Health maintenance organization to offer basic health services coverage
26:2J-4.3: Limitations on basic health care services
26:2J-4.4: Health maintenance organization, mammogram examination benefits.
26:2J-4.5: Health maintenance organization, benefits for "off-label" drugs required
26:2J-4.6: Health maintenance organization, benefits for health promotion.
26:2J-4.7: Requirements for health maintenance organization providing benefits for pharmacy services.
26:2J-4.8: Benefits for certain cancer treatments
26:2J-4.9: Coverage for birth and natal care; HMO
26:2J-4.10: Health maintenance organization, child screening, blood lead, hearing loss; immunizations.
26:2J-4.11: Coverage for diabetes treatment by HMO contracts
26:2J-4.12: HMO contracts, Pap smear benefits.
26:2J-4.13: HMO certificate of authority, prostate cancer testing
26:2J-4.14: HMO to provide benefits for reconstructive breast surgery.
26:2J-4.15: Coverage for minimum inpatient care following mastectomy by HMO.
26:2J-4.16: Applicability of Health Care Quality Act
26:2J-4.17: Coverage for treatment of inherited metabolic diseases by health maintenance organization.
26:2J-4.18: Coverage for treatment of domestic violence injuries by health maintenance organization.
26:2J-4.19: Coverage for certain dental procedures for the severely disabled or child age five or under by HMO.
26:2J-4.20: HMO to provide coverage for biologically based mental illness.
26:2J-4.21: HMO to provide continuing nursing home care, certain.
26:2J-4.22: Coverage for hemophilia services by HMO
26:2J-4.23: Health maintenance organization to provide coverage for treatment of infertility.
26:2J-4.24: HMO agreement to provide coverage for colorectal cancer screening.
26:2J-4.25: Health maintenance organization prescription drug plans to cover certain infant formulas.
26:2J-4.26: HMO required to cover certain out-of-network services.
26:2J-4.27: HMO to offer coverage for domestic partner.
26:2J-4.28: HMO, high deductible, coverage for preventive care.
26:2J-4.29: Health service corporation, coverage for prescription female contraceptives.
26:2J-4.30: Health maintenance organization, coverage for prescription female contraceptives.
26:2J-4.31: HMOs to provide benefits for orthotic and prosthetic appliances.
26:2J-4.32: Health maintenance organization to provide coverage for hearing aids for certain persons aged 15 or younger.
26:2J-4.33: Health maintenance organization to provide installment payments to obstetrical provider for maternity services.
26:2J-4.34: Health maintenance organization to provide benefits for treatment of autism or other developmental disability.
26:2J-4.35: HMO to provide coverage for oral anticancer medications.
26:2J-4.36: HMO to provide coverage for sickle cell anemia.
26:2J-4.37: Health maintenance organization to provide coverage for prescription eye drops.
26:2J-4.38: Health maintenance organization, coverage for synchronization of prescribed medications.
26:2J-4.39: Health maintenance organization contract to provide benefits for substance use disorder.
26:2J-4.40: Health maintenance organization to provide coverage regardless of gender identity, expression.
26:2J-4.41: HMO to cover digital tomosynthesis of the breast.
26:2J-4.42: HMO to provide coverage for donated human breast milk.
26:2J-5: Powers of health maintenance organizations
26:2J-6: Governing body
26:2J-7: Protection against wrongful acts
26:2J-8: Evidence of coverage
26:2J-8.1: Health maintenance organization to receive, transmit transactions electronically; standards.
26:2J-9: Annual report
26:2J-10: Information to enrollees
26:2J-10.1: Coverage provided by health maintenance organization for subscriber's child
26:2J-10.2: Requirements applicable to State Medicaid
26:2J-10.3: Coverage for certain dependents until age 31 by health maintenance organization.
26:2J-11: Annual open enrollment period
26:2J-11.1: Failure to agree on terms; four-month extension; notification of options
26:2J-12: Complaint system
26:2J-14: Protection against insolvency
26:2J-15: Prohibited practices for health maintenance organization
26:2J-15.1: Health care services contract, exclusion, rates, terms based on genetic information prohibited
26:2J-16: Regulation of agents
26:2J-17: Powers of insurers and hospital and medical service corporations
26:2J-18.1: Examination of HMO by Commissioner of Banking and Insurance.
26:2J-18.2: Definitions relative to risk based capital requirements for HMOs.
26:2J-18.3: Increase of capital, surplus; methods, procedures.
26:2J-18.4: Factors in determining change in capital, surplus.
26:2J-18.5: Noncompliance, penalties.
26:2J-19: Suspension or revocation of certificate of authority
26:2J-22: Administrative procedures
26:2J-24: Administrative penalty; enforcement
26:2J-25: Statutory construction and relationship to other laws.
26:2J-26: Filings and reports as public documents.
26:2J-27: Confidentiality of medical information
26:2J-28: Commissioner of health's authority to contract
26:2J-29: Enrollment of State employees
26:2J-32: Applicability of act
26:2J-33: Avoidance of duplication of benefits, regulations
26:2J-34: Coverage for preexisting condition
26:2J-36: Authorization for health maintenance organization to offer, provide medicare supplement health care services
26:2J-37: Submission of underlying plan; rate filings
26:2J-38: Outline of coverage delivered to applicant
26:2J-39: 30-day return provision, refunds
26:2J-40: Filing of copy of advertising materials, regulations
26:2J-41: Additional remedies
26:2J-42: Health maintenance organization contract; compliance
26:2J-43: Filing of contract or related form
26:2J-44: Contract forms; certification memorandum
26:2J-47: Special interim assessment on HMOs, annual assessment beginning in FY2007; rates.