§ 23-99-804 — Health insurer - Healthcare provider contracts

(a) A healthcare provider, including without limitation a physician, nurse, pharmacist, dentist, physical therapist, physician assistant, or any other healthcare provider licensed and in good standing with the state licensing board responsible for the licensing of the healthcare provider, shall not be excluded from contracting with a health insurer, third-party administrator, pharmacy benefits manager, or other entity that is subject to § 23-99-802 , if the healthcare provider is permitted to participate in Medicare, Medicaid, or any other federal health benefit plan. (b) This section does not preempt § 23-99-204 regarding the requirement that a healthcare provider accept a health benefit plan's operating terms and conditions, schedule of fees, covered expenses, and utilization regulations and quality standards to participate in that health benefit plan.

Legislative History

Added by Act 2019, No. 589,§ 1, eff. 3/29/2019.