There is a newer version of the Massachusetts General Laws
2010 Massachusetts Code
PART I ADMINISTRATION OF THE GOVERNMENT
TITLE XXII CORPORATIONS
CHAPTER 176G HEALTH MAINTENANCE ORGANIZATIONS
- Section 1 Definitions
- Section 2 Application of laws
- Section 3 Organization; accounting; contracts
- Section 4 Required coverage for certain conditions and groups
- Section 4A Employees terminated due to plant closings; coverage
- Section 4B Confidentiality of information; mental or nervous condition; exceptions
- Section 4C Home care benefits
- Section 4D Nonprescription enteral formulas for home use
- Section 4E Off-label drug use; cancer treatment
- Section 4F Group health maintenance contracts; coverage for bone marrow transplants
- Section 4G Off-label use of prescription drugs for HIV/AIDS treatment
- Section 4H Items medically necessary for diagnosis and treatment of diabetes
- Section 4I Prenatal, childbirth and postpartum care benefits; minimum coverage for in-patient care
- Section 4J Scalp hair prostheses necessary due to cancer or leukemia treatment
- Section 4K Newborn hearing screening tests
- Section 4L Coverage for hospice services
- Section 4M Mental health benefits; biologically-based mental disorders; rape-related mental disorders; non-biologically-based mental disorders of children and adolescents under age 19
- Section 4N Coverage for speech, hearing and language disorders
- Section 4O Outpatient services; hormone replacement therapy for peri and post menopausal women; contraceptive services; approved prescription contraceptive drugs or devices; exception
- Section 4P Patient care services provided pursuant to qualified clinical trials
- Section 4Q Coverage for human leukocyte or histocompatibility locus antigen testing
- Section 4R Repealed, 2008, 451, Sec. 140
- Section 4S Coverage for prosthetic devices and repairs
- Section 4T Coverage for persons under age 26 or for 2 years after end of calendar year in which persons last qualified as dependents
- Section 4U Coverage for medically necessary hypodermic syringes or needles
- Section 4V Coverage for diagnosis and treatment of autism spectrum disorder
- Section 5 Emergency services provided to members for emergency medical conditions
- Section 5A Divorced or separated spouses; coverage
- Section 6 Contracts
- Section 6A Group health maintenance contracts; contribution percentages
- Section 7 Repealed, 2000, 141, Sec. 21
- Section 8 Public dissemination of deceptive or misleading materials
- Section 9 Trade regulation practices; application of law
- Section 10 Reports; audits, examinations or inspections; confidentiality
- Section 11 Contracts with group insurance commission or local governments
- Section 11A Alternative dental coverage option
- Section 12 Health regulations not limited
- Section 13 Name restriction
- Section 14 Licensure applicants; documents required; approval by commissioner
- Section 15 Bond; waiver
- Section 16 Contracts, rates, evidence of coverage; disapproval of commissioner
- Section 16A Disapproval of certain health maintenance contracts based on high deductibles
- Section 16B Disapproval of certain health maintenance contracts for coverage of young adults
- Section 17 Rules and regulations; standardized claim form
- Section 17A Open enrollment for nongroup medicare beneficiaries; period, notice of termination
- Section 18 Repealed, 1993, 110, Sec. 214
- Section 19 Discrimination against abuse victims in terms of health maintenance contract
- Section 20 Insolvent health maintenance organization; administrative supervision, rehabilitation or liquidation; priority of claims
- Section 20A Administrative supervision, rehabilitation or liquidation of health maintenance organizations; revocation or suspension of license
- Section 21 Participating provider; contracts with health maintenance organizations; hold harmless clause; limitation on collection actions
- Section 22 Health care providers; liability of member of health maintenance organization; limitation on collection of amounts owed
- Section 23 Insolvency of health maintenance organization; replacement coverage
- Section 24 Health maintenance contracts; genetic tests; discrimination based on genetic information
- Section 25 Net worth of health maintenance organization
- Section 26 Deposit maintained with trustee acceptable to commissioner
- Section 27 Merger or acquisition of control
- Section 28 Registration with commissioner
- Section 29 Violations of Secs. 27 to 29; application for order enjoining violations of Secs. 27 to 29; penalties
- Section 30 Statement for individuals provided with creditable coverage; reporting
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