Chapter 176B - MEDICAL SERVICE CORPORATIONS

Section 176B:1 - Definitions
Section 176B:2 - Medical service corporations; incorporators; formation; articles of organization; certification
Section 176B:3 - By-laws; joint service contracts; preferred provider arrangements
Section 176B:3A - Contracts of reinsurance
Section 176B:3B - Group medical service agreement
Section 176B:4 - Contracts for medical, chiropractic, visual, surgical, and other health services; approval, subscription certificates; classification of risks
Section 176B:4A - Coverage for annual mental health wellness examination
Section 176B:4A 1/2 - [Repealed]
Section 176B:4B - [Repealed]
Section 176B:4C - Dependent coverage for newborn infants or adoptive children; inclusion of medical expenses as benefits
Section 176B:4D - Refusal to contract with blind or deaf persons; prohibition
Section 176B:4E - Diethylstilbestrol exposure; discrimination
Section 176B:4F - Cardiac rehabilitation expense benefits
Section 176B:4G - Certified nurse midwife services benefits
Section 176B:4H - Prenatal, childbirth and post partum care benefits
Section 176B:4I - Cytologic screening and mammographic examination benefits
Section 176B:4J - Infertility diagnosis and treatment benefits
Section 176B:4K - Nonprescription enteral formulas for home use; modified low protein food products
Section 176B:4L - Chiropractic services benefits
Section 176B:4M - Standardized claim form
Section 176B:4N - Off-label use of prescription drugs for cancer treatment
Section 176B:4O - Bone marrow transplants; individual or group medical service agreement coverage for certain patients
Section 176B:4P - Off-label use of prescription drugs for HIV/AIDS treatment
Section 176B:4Q - Hospice services for terminally ill patients
Section 176B:4R - Scalp hair prostheses necessary due to cancer or leukemia treatment
Section 176B:4S - Items medically necessary for diagnosis and treatment of diabetes
Section 176B:4T - Subscription certificate benefits for services rendered by a nurse anesthetist or nurse practitioner
Section 176B:4U - Emergency services provided to insureds for emergency medical conditions
Section 176B:4V - Coverage for human leukocyte or histocompatibility locus antigen testing
Section 176B:4W - Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs or devises; exception
Section 176B:4X - Coverage for patient care services provided under qualified clinical trials
Section 176B:4Y - Coverage for speech, hearing and language disorders
Section 176B:4Z - [Repealed]
Section 176B:4AA - Coverage for prosthetic devices and repairs
Section 176B:4BB - Coverage for eligible dependents under age of 26 years
Section 176B:4CC - Restriction or discontinuance of coverage for medically necessary hypodermic syringes prohibited
Section 176B:4DD - Subscription certificate under an individual or group medical service agreement
Section 176B:4EE - [See also Version 2 as added by Acts 2012, c. 234,§5.] Coverage for hearing aids and related services for children age 21 or younger
Section 176B:4EE - [See also Version 1 as added by Acts 2012, c. 233,§4.] Coverage for treating cleft lip and cleft palate for children under age 18
Section 176B:4FF - Coverage for prescribed, orally administered anticancer medications
Section 176B:4GG - Coverage for abuse deterrent opioid drug products
Section 176B:4HH - When preauthorization for substance use disorder treatment not required
Section 176B:4II - Coverage for medically necessary acute treatment and clinical stabilization services
Section 176B:4JJ - [See also Version 2 as added by a different 2016 act] Coverage for long-term antibiotic therapy for patients with Lyme disease
Section 176B:4JJ - [See also Version 1 as added by a different 2016 act] Coverage for prescription eye drops; coverage for refills in accordance with Medicare Part D guidelines
Section 176B:4KK - Coverage for treatment for HIV associated lipodystrophy syndrome
Section 176B:4LL - Prescriptions filled in lesser quantity pursuant to sec. 18 of chapter 94C
Section 176B:4MM - Plan to provide adequate coverage and access to broad spectrum of pain management services
Section 176B:4NN - Coverage for tobacco use cessation counseling and approved products
Section 176B:4OO - Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome
Section 176B:4PP - [Repealed]
Section 176B:4QQ - Coverage for refills of prescription eye drops
Section 176B:4RR - Coverage for mental health or substance use disorder services delivered through psychiatric collaborative care model
Section 176B:4SS - Coverage for medically necessary mental health acute treatment, community-based acute treatment, etc.
Section 176B:4TT - Provision of benefits on nondiscriminatory basis for medically necessary emergency services programs
Section 176B:4UU - Coverage for an annual mental health wellness examination
Section 176B:4VV - Coverage for federally-defined preventive services
Section 176B:4WW - Coverage for standard fertility preservation services
Section 176B:4XX - [Effective 11/21/2024] Medical service agreement coverage for postpartum depression screenings
Section 176B:4YY - [Effective 11/21/2024] Medical service agreement coverage for donor human milk
Section 176B:4ZZ - [Effective 11/21/2024] Medical service agreement coverage for universal postpartum home visiting services
Section 176B:4AAA - [Effective 2/11/2025] Coverage for diagnostic examinations for breast cancer, digital breast tomosynthesis screening and medically necessary and appropriate screening with breast magnetic resonance imaging or screening breast ultrasound
Section 176B:5 - Subscribers; qualifications, misrepresentation; open enrollment periods
Section 176B:5A - Discrimination against abuse victims in terms of medical service plans
Section 176B:5B - Medical service plans; genetic tests; discrimination based on genetic information
Section 176B:6 - Subscription certificate; issuance; content
Section 176B:6A - Limited extension of benefits
Section 176B:6B - Divorced or separated spouses; continuation of eligibility for benefits
Section 176B:7 - Contracts between corporation and care providers
Section 176B:7A - Supplemental coverage to Medicare
Section 176B:7B - Medicare supplemental group coverage; medical assistance recipients
Section 176B:7C - Retroactive premium rate increase
Section 176B:7D - Retroactive claims denial for behavioral health services
Section 176B:8 - Annual statement; verification, form, violations
Section 176B:8A - Financial statements; inclusion of electronic data processing equipment as asset
Section 176B:8B - Applicability of chapter 176V
Section 176B:8C - Applicability of chapter 176W
Section 176B:9 - Inspection and examination of affairs of corporation; access to information; confidentiality of documents
Section 176B:10 - Investments, sales, loans and places of deposit; approval; acquisition of real estate; leases; tax exemption; limit; special contingent surplus
Section 176B:11 - Salaries, compensation or emoluments
Section 176B:12 - Submission of disputes or controversies to board; privacy of patient information
Section 176B:13 - Grounds for enjoining transaction of business; receivers
Section 176B:14 - Liability of corporation; exemption from insurance laws; tax exemption
Section 176B:16 - Operators of medical service plan
Section 176B:16A - Payroll deductions of governmental employees
Section 176B:17 - Enforcement
Section 176B:18 - Contracts for administrative or other services; loans and investments
Section 176B:19 - Payment of sums owed subscriber's estate
Section 176B:20 - Disclosure of information; mental or nervous condition
Section 176B:21 - Insolvency of health maintenance organization; replacement coverage
Section 176B:22 - Statements
Section 176B:23 - Attribution of members to primary care provider
Section 176B:24 - Disclosure of patient-level data and contracted prices of health care services by carriers to providers
Section 176B:25 - Coverage for health care services delivered via telehealth