Chapter 176A

Section 1 Corporations governed by chapter; services received in nonparticipating hospital; substitution of benefits in nursing homes
Section 1A Right to become subscriber; open enrollment periods
Section 1B Medicare supplemental group coverage; medical assistance recipients
Section 1C Retroactive premium rate increase
Section 1D Contracts of reinsurance
Section 2 Incorporators; directors; certificate of organization; commissioner's examination report
Section 3 Certificate of compliance; examination by commissioner
Section 3A Discrimination against abuse victims in terms of hospital service plans
Section 3B Medical service plans; genetic tests; discrimination based on genetic information
Section 4 Accounting system; accountant, claim manager, underwriter and actuary
Section 5 Joint administration with certain corporations
Section 6 Approval of nongroup contracts
Section 7 Information gathering authority of commissioner; confidentiality and privilege
Section 8 Conditions to issuance or delivery of contract
Section 8 1/2 Sale of group non-profit hospital service contracts
Section 8A Mental illness expenses; inclusion in contracts as benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders for children and adolescents under age 19
Section 8A 1/2 Repealed, 2000, 80, Sec. 5
Section 8A 3/4 Retroactive claims denials for behavioral health services
Section 8B Dependent coverage for newborn infants or adoptive children; inclusion in contracts
Section 8C Refusal to contract with blind or deaf persons; prohibition
Section 8D Limited extension of benefits
Section 8E Diethylstilbestrol exposure; discrimination
Section 8F Divorced or separated spouses; continuation of eligibility for benefits
Section 8G Cardiac rehabilitation expense benefits
Section 8H Abortion, abortion-related care, prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care
Section 8I Home care benefits
Section 8J Minimum requirements for cytologic screening and mammographic examination expense benefits
Section 8K Infertility diagnosis and treatment benefits
Section 8L Nonprescription enteral formulas for home use
Section 8M Standardized claim form
Section 8N Off-label drug use; cancer
Section 8O Hospital service plan benefits for bone marrow transplants
Section 8P Items medically necessary for diagnosis and treatment of diabetes
Section 8Q HIV/AIDS treatment; off-label prescription drug coverage
Section 8R Coverage of hospice services for terminally ill patients
Section 8S Nurse anesthetist and nurse practitioner services
Section 8T Scalp hair prostheses necessary due to cancer or leukemia treatment
Section 8U Emergency services provided to insureds for emergency medical conditions
Section 8V Coverage for human leukocyte or histocompatibility locus antigen testing
Section 8W Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs and devices; exception
Section 8X Coverage for patient care services under qualified clinical trials
Section 8Y Diagnosis and treatment of speech, hearing and language disorders
Section 8Z Repealed, 2008, 451, Sec. 136
Section 8AA Coverage of prosthetic devices and repairs
Section 8BB Coverage for eligible dependents under 26 years of age or dependents mentally or physically incapable of earning their own living due to disability
Section 8CC Coverage for medically necessary hypodermic syringes or needles
Section 8DD Coverage for diagnosis and treatment of autism spectrum disorder
Section 8EE Coverage for children under age 18 for cleft lip and cleft palate
Section 8FF Coverage for orally administered anticancer medications
Section 8GG Coverage for abuse deterrent opioid drug products
Section 8HH Preauthorization for substance abuse treatment not to be required
Section 8II Coverage for medically necessary acute treatment or clinical stabilization services
Section 8JJ Repealed, 2016, 133, Sec. 112
Section 8KK Coverage for medical or drug treatments to correct or repair disturbances of body composition caused by HIV associated lipodystrophy syndrome
Section 8LL Filling of remaining portion of prescription for covered drug that is a narcotic substance earlier filled in lesser quantity
Section 8MM Pain management access plans
Section 8NN Coverage for tobacco use cessation counseling and tobacco cessation products
Section 8OO Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
Section 8PP Repealed, 2021, 29, Sec. 23
Section 8QQ Coverage for prescription eye drops
Section 8RR Coverage for mental health or substance use disorder services delivered through psychiatric collaborative care model
Section 8SS Coverage for medically necessary mental health acute treatment, community-based acute treatment and intensive community-based acute treatment
Section 8TT Benefits for medically necessary emergency services programs
Section 8UU Coverage for annual mental health wellness examination
Section 8VV Coverage for federally-defined preventive services
Section 8WW Coverage for standard fertility preservation services
Section 8XX Coverage for postpartum depression and major depressive disorder screenings
Section 8YY Coverage for the provision of medically necessary pasteurized donor human milk and donor human milk-derived products
Section 8ZZ Coverage for universal postpartum home visiting services
Section 8AAA Coverage for diagnostic examinations for breast cancer; digital breast tomosynthesis screening, MRIs and ultrasounds
Section 8BBB Coverage for prescribed, ordered or dispensed opioid antagonists
Section 8CCC Coverage for the provision of services by a recovery coach
Section 8DD1/2 Coverage for treatment of Down syndrome through speech therapy, occupational therapy, physical therapy and applied behavior analysis services
Section 8DDD Coverage for identified generic and brand name drug used to treat diabetes, asthma, and certain heart conditions
Section 9 Repealed, 1996, 297, Sec. 11
Section 10 Group hospital service plan; approval or disapproval of contracts and rates; filing
Section 10A Preferred provider arrangements
Section 11 Officers; duties
Section 12 Publication of assets and liabilities
Section 13 Hospitalization and medical service for officers and employees of corporation
Section 14 Misrepresentation of terms of subscriber's contract
Section 14A [There is no 176A:14A.]
Section 14B Disclosure of information; mental or nervous conditions; exceptions
Section 15 Costs of solicitation of subscribers and administration
Section 16 Acquisition of real estate; leases; tax exemption; limit; approval of investments, sales, loans and places of deposit
Section 17 Submission of disputes and controversies
Section 18 Annual statement of condition; verification, filing, form, violations; applicability of chapters 176V and 176W
Section 18A Financial statements; inclusion of electronic data processing equipment as asset
Section 19 Tax exemption
Section 20 Filing of amendment of by-laws
Section 21 Submission of advertising matter to commissioner
Section 22 Filing of riders, endorsements and applications with commissioner
Section 23 Grounds for enjoining transaction of business; rehabilitation proceedings; duties of receiver; distribution of assets
Section 24 Special contingent reserve fund
Section 25 Licensing of agents
Section 26 Salaries, compensation or emoluments paid by corporation
Section 27 Payroll deductions for governmental employees
Section 27A Repealed, 1955, 628, Sec. 3
Section 28 Violations; penalties
Section 29 Application
Section 30 Savings clause
Section 31 Contracts for administrative or other services; loans and investments
Section 32 Payment of sums owed to subscriber's estate
Section 33 Insolvency of health maintenance organization; replacement coverage
Section 34 Report of individuals provided with creditable coverage
Section 35 [There is no 176A:35.]
Section 36 Attribution of members to a primary care provider
Section 37 Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers
Section 38 Coverage for health care services delivered via telehealth by a contracted health care provider

Chapter 176A

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Chapter 176A: NON-PROFIT HOSPITAL SERVICE CORPORATIONS