The same antitrust andMonopolylaws that govern businesses and corporations apply to physicians, hospitals, and health care organizations. Sherman ActThesherman anti-trust act of 1890(15 U.S.C.A. § 1) prohibits conspiracies in restraint of trade that affect interstate commerce. Often, physicians ...
Mental Health Insurance Coverage : A Guide to State Parity Law Components of Parity LawsLaw, State ParityLaw, Federal Parity
Most mandates apply to employer-sponsored health insurance coverage, although nongroup mandates also exist. There were few statutes until the 1970s when the number of laws began to proliferate. Although they only consider provider and service mandates, Laugesen et al. (2006) reported that of nearl...
Currently,20 states mandate coveragefor fertility treatments, but even in those states, there are loopholes that allow employers of certain sizes to decline coverage. If covered by a fully insured plan, the company must follow the state insurance laws. Self-insured plans are exempt from the state...
As of June 2022, 20 states have passed fertility insurance coverage laws, 14 of those laws include IVF coverage, and 12 states have fertility preservation laws for iatrogenic (medically-induced) infertility. Learn more about Insurance by state. ...
People often overlook what happens to their health insurance coverage when they go on disability leave from work. The Family Medical Leave Act (FMLA) and several state-level laws govern the issue. However, these rules apply to only about half of the working population, and the legal protections...
LOS ANGELES - California will become the first state to allow undocumented individuals of all ages to be eligible for health insurance starting in the new year. The new guidelines, which take effect Jan. 1, 2024, provide low-income, undocumented residents eligibility under Medi-Cal coverage (the...
Additionally, many states have local laws similar to COBRA. These typically apply to health insurers of employers having fewer than 20 employees and can be called mini-COBRA plans.6 A COBRA-eligible employee must be enrolled in a company-sponsoredgroup health insurance planon the day before the...
But as to the new mandatory health insurance laws, coupled with IRS enforcement, I don’t quite see that succeeding, because the penalty for not having enough money to pay for it, is fines? What do they do when fines don’t work? More fines? How long before it turns into a farce?
This CLE course will guide healthcare counsel advising providers on complying with the Health Insurance Portability and Accountability Act (HIPAA) and other federal and state laws when asked to produce protected health information (PHI) as a part of pending litigation. Read More Global Telehealth:...