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Title: 26 - HEALTH AND VITAL STATISTICS

Chapter: 2S -

26:2s-1: Short title

26:2s-2: Definitions relative to health care quality.

26:2s-3: Form to be filed by carrier; minimum information required

26:2s-4: Disclosure of terms and conditions in writing to subscriber.

26:2s-5: Additional disclosure requirements.

26:2s-5.1: Health insurance carriers to provide organ, tissue donation information to subscribers.

26:2s-6: Designation of licensed physician as medical director for managed care

26:2s-6.1: Managed care plan to pay full contractual rate to out-of-network provider, direct payments, certain circumstances.

26:2s-6.2: Waiver of health insurance copayments for certain active duty military and their families.

26:2s-7: Review of application for participation

26:2s-7.1: Universal application for credentialing physicians for a carrier's provider network.

26:2s-7.2: Acceptance of application by carriers

26:2s-7.3: Rules, regulations.

26:2s-8: Establishment of policy governing removal of health care providers

26:2s-9: Contract terms concerning appropriate medical care

26:2s-9.1: Managed care plan, continuing treatment of certain patients by physician no longer employed by plan; required.

26:2s-9.2: Written fee schedule information furnished to health care providers, proprietary information.

26:2s-9.3: Violations, penalty.

26:2s-10: Offer of point-of-service plan, terms

26:2s-10.1: Home treatment for bleeding episodes associated with hemophilia, required coverage.

26:2s-10.2: Clinical laboratory services at outpatient regional hemophilia care center, required coverage

26:2s-10.3: Regulations by department.

26:2s-10.4: Optometrist not required to participate in certain plans.

26:2s-10.5: Contract between carrier and vision care provider, fees permissible.

26:2s-10.6: Vision care provider, choice of sources, providers.

26:2s-10.7: Definitions relative to optometrists, vision care plans.

26:2s-10.8: Definitions relative to insurance coverage for mental health conditions and substance use disorders.

26:2s-10.9: Regulations for benefits carrier relative to prescription drug benefits.

26:2s-11: Independent Health Care Appeals Program.

26:2s-12: Contract to conduct appeal reviews; procedures.

26:2s-13: Immunity from civil liability for participants in Independent Health Care Appeals Program

26:2s-14: Report to Legislature, Governor

26:2s-14.1: General hospital to provide information concerning the Independent Health Care Appeals Program.

26:2s-14.2: Size, content, format of notice.

26:2s-14.3: Rules, regulations.

26:2s-15: Compliance with department reporting requirements

26:2s-15.1: Annual report to carrier by managed behavioral health care organization.

26:2s-16: Violations, penalties

26:2s-17: Recommendations for legislative action

26:2s-18: Enforcement; rules, regulations

26:2s-18.1: Publication of annual financial statements.

26:2s-19: Findings, declarations relative to Managed Health Care Consumer Assistance Program

26:2s-20: Definitions relative to Managed Health Care Consumer Assistance Program.

26:2s-21: Managed Health Care Consumer Assistance Program.

26:2s-22: Report to Governor, Legislature

26:2s-23: Immunity from liability

26:2s-24: Appropriations; fees, use

26:2s-25: Rules, regulations.

26:2s-26: Definitions relative to certain dental benefit plans.

26:2s-27: Covered services.

26:2s-28: Rules, regulations.

26:2s-29: Carrier offering a health benefits plan to provide coverage, payment.

26:2s-30: Definitions regarding dental plan application forms

26:2s-31: Adoption of dental plan application forms

26:2s-32: Acceptance of universal dentist application

26:2s-33: Adoption of regulations

26:2s-33.1: Carrier, participating dentist, agreement, collecting, covered procedures, services; refund, difference.

26:2s-35: Imposition of limits prohibited.

26:2s-39: Health benefit plans, coverage for abortion, certain religious employers exempt.

26:2s-34: Preexisting condition provision prohibited in health benefits plan.

26:2s-38: Prescription drug benefit carrier contracts, opioid antidote coverage.

26:2s-37: Insurance plans to cover prescription refills during state of emergency.

26:2s-40: Carrier to ensure provision of comprehensive behavioral health crisis intervention services coverage.

26:2s-36: Provision of emergency, urgent services.