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General Laws

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Section 1Definitions
Section 2Application of laws
Section 3Organization; accounting; contracts
Section 4Required coverage for certain conditions and groups
Section 4AEmployees terminated due to plant closings; coverage
Section 4BConfidentiality of information; mental or nervous condition; exceptions
Section 4CHome care benefits
Section 4DNonprescription enteral formulas for home use
Section 4EOff-label drug use; cancer treatment
Section 4FGroup health maintenance contracts; coverage for bone marrow transplants
Section 4GOff-label use of prescription drugs for HIV/AIDS treatment
Section 4HItems medically necessary for diagnosis and treatment of diabetes
Section 4IPrenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care
Section 4JScalp hair prostheses necessary due to cancer or leukemia treatment
Section 4KNewborn hearing screening tests
Section 4LCoverage for hospice services
Section 4MMental health benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders of children and adolescents under age 19
Section 4NCoverage for speech, hearing and language disorders; hearing aids
Section 4OOutpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs or devices; exception
Section 4PPatient care services provided pursuant to qualified clinical trials
Section 4QCoverage for human leukocyte or histocompatibility locus antigen testing
Section 4RRepealed, 2008, 451, Sec. 140
Section 4SCoverage for prosthetic devices and repairs
Section 4TCoverage for persons under age 26 or for 2 years after end of calendar year in which persons last qualified as dependents
Section 4UCoverage for medically necessary hypodermic syringes or needles
Section 4VCoverage for diagnosis and treatment of autism spectrum disorder
Section 4WCoverage for children under age 18 for cleft lip and cleft palate
Section 5Emergency services provided to members for emergency medical conditions
Section 5ADivorced or separated spouses; coverage
Section 6Contracts
Section 6AGroup health maintenance contracts; contribution percentages
Section 7Repealed, 2000, 141, Sec. 21
Section 8Public dissemination of deceptive or misleading materials
Section 9Trade regulation practices; application of law
Section 10Reports; audits, examinations or inspections; confidentiality
Section 11Contracts with group insurance commission or local governments
Section 11AAlternative dental coverage option
Section 12Health regulations not limited
Section 13Name restriction
Section 14Licensure applicants; documents required; approval by commissioner
Section 15Bond; waiver
Section 16Contracts, rates, evidence of coverage; disapproval of commissioner
Section 16BDisapproval of certain health maintenance contracts for coverage of young adults
Section 17Rules and regulations; standardized claim form
Section 17AOpen enrollment for nongroup medicare beneficiaries; period, notice of termination
Section 18Repealed, 1993, 110, Sec. 214
Section 19Discrimination against abuse victims in terms of health maintenance contract
Section 20Insolvent health maintenance organization; administrative supervision, rehabilitation or liquidation; priority of claims
Section 20AAdministrative supervision, rehabilitation or liquidation of health maintenance organizations; revocation or suspension of license
Section 21Participating provider; contracts with health maintenance organizations; hold harmless clause; limitation on collection actions
Section 22Health care providers; liability of member of health maintenance organization; limitation on collection of amounts owed
Section 23Insolvency of health maintenance organization; replacement coverage
Section 24Health maintenance contracts; genetic tests; discrimination based on genetic information
Section 25Net worth of health maintenance organization
Section 26Deposit maintained with trustee acceptable to commissioner
Section 27Merger or acquisition of control
Section 28Registration with commissioner
Section 29Violations of Secs. 27 to 29; application for order enjoining violations of Secs. 27 to 29; penalties
Section 30Statement for individuals provided with creditable coverage; reporting
Section 31Attribution of members to a primary care provider
Section 32Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers