Article 7 - HEALTH CARE PURCHASING
- Section 13-7-1 - Short title
- Section 13-7-2 - Purpose of act
- Section 13-7-3 - Definitions
- Section 13-7-4 - Mandatory consolidated purchasing
- Section 13-7-5 - Consolidated purchasing for other persons
- Section 13-7-6 - Use of social security numbers
- Section 13-7-7 - Consolidated administrative functions; benefit
- Section 13-7-8 - Maximum age of dependent
- Section 13-7-9 - General anesthesia and hospitalization for dental surgery
- Section 13-7-10 - Hearing aid coverage for children required
- Section 13-7-11 - Required coverage of patient costs incurred in cancer clinical trials
- Section 13-7-12 - Coverage for orally administered anticancer medications; limits on patient costs
- Section 13-7-13 - Coverage of prescription eye drop refills
- Section 13-7-14 - Coverage for telemedicine services
- Section 13-7-15 - Prescription drugs; prohibited formulary changes; notice requirements
- Section 13-7-16 - Coverage for autism spectrum disorder diagnosis and treatment; permissible limitations
- Section 13-7-17 - Pharmacy benefits; prescription synchronization
- Section 13-7-18 - Prescription drug coverage-step therapy protocols-clinical review criteria-exceptions
- Section 13-7-19 - Prior authorization for gynecological or obstetrical ultrasounds prohibited
- Section 13-7-20 - Prior Authorization Act
- Section 13-7-21 - Physical rehabilitation services; limits on cost sharing
- Section 13-7-22 - Coverage for contraception
- Section 13-7-23 - Pharmacist prescriptive authority services; reimbursement parity
- Section 13-7-24 - Heart artery calcium scan coverage
- Section 13-7-25 - Coverage for individuals with diabetes; insulin for diabetes; cost-sharing cap
- Section 13-7-26 - Behavioral health services; elimination of cost sharing
- Section 13-7-27 - Diagnostic and supplemental breast examinations
- Section 13-7-28 - Chiropractic physician services; limits on cost sharing and coinsurance
- Section 13-7-29 - Sexually transmitted infection care; cost sharing eliminated
- Section 13-7-30 - Definitions
- Section 13-7-31 - Benefits required
- Section 13-7-32 - Parity for coverage of mental health and substance use disorder services
- Section 13-7-33 - Provider network adequacy
- Section 13-7-34 - Utilization review of mental health or substance use disorder services
- Section 13-7-35 - Prohibited exclusions of coverage for mental health or substance use disorder services
- Section 13-7-36 - Level of care determinations for the provision of mental health or substance use disorder services
- Section 13-7-37 - Coordination of care
- Section 13-7-38 - Confidentiality provisions
- Section 13-7-39 - Exceptions
- Section 13-7-40 - Biomarker testing insurer coverage
- Section 13-7-41 - Dental coverage; prior authorization
- Section 13-7-42 - Dental coverage; designation of payment
- Section 13-7-43 - Dental coverage; erroneously paid claims; restrictions on recovery
- Section 13-7-44 - Dental coverage; methods of payment
- Section 13-7-45 - Dental coverage; provider network leasing
- Section 13-7-46 - Prosthetic devices; custom orthotic devices; minimum coverage
- Section 13-7-47 - Calculating an enrollee's cost-sharing obligation for prescription drug coverage