Chapter 27-19. Nonprofit Hospital Service Corporations
Section
27-19-1Definitions.27-19-2Organization as charitable corporation — Insurance laws inapplicable.27-19-2.1Investments and holdings in certain corporations authorized.27-19-3[Repealed.]27-19-4Certificate of public convenience and advantage.27-19-5Contracts with subscribers, hospitals, and other eligible entities.27-19-5.1Cancellation of coverage by employers.27-19-5.2Patient responsibility — Administrative requirements.27-19-5.3Additional powers.27-19-6Rates charged subscribers.27-19-7Rates charged by hospitals.27-19-7.1Uniform explanation of benefits and coverage.27-19-7.2Filing of policy forms.27-19-8Annual and quarterly statements.27-19-9Examination of affairs of corporations.27-19-10Commission plans for solicitors or insurance producers.27-19-11Investment standards.27-19-12Corporations deemed public charitable institutions.27-19-13Services rendered in certain institutions.27-19-14Repealed.27-19-15Repealed.27-19-16Repealed.27-19-17Additional benefits.27-19-18Coverage for adoptive children.27-19-19Changing coverage.27-19-20Mammograms and pap smears — Coverage mandated.27-19-21Mammograms — Quality assurance standards.27-19-22Pap smears — Quality assurance standards.27-19-23Coverage for infertility.27-19-23.1Insurance coverage for postpartum hospital stays.27-19-24Nonprofit hospital service corporations assessment.27-19-25Discontinuance of coverage — Chronic disabilities.27-19-26Drug coverage.27-19-26.1Medication synchronization.27-19-26.2Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.27-19-26.3Patient choice in dispensing of clinician-administered drugs.27-19-27Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.27-19-28Rehabilitation, liquidation, or conservation.27-19-29Holding company systems.27-19-29.1No derogation of attorney general.27-19-30Regulations.27-19-30.1Health insurance rates.27-19-31Certified counselors in mental health and therapists in marriage and family practice.27-19-32Repealed.27-19-32.1Repealed.27-19-32.2Repealed.27-19-32.3Repealed.27-19-33Repealed.27-19-34Mastectomy treatment.27-19-34.1Insurance coverage for mastectomy hospital stays.27-19-35Diabetes treatment.27-19-36Primary and preventive obstetric and gynecological care.27-19-36.1Hysterectomy or myomectomy treatment.27-19-37Whistleblowers protection.27-19-38Penalties and remedies.27-19-39Additional relief and damages — Reinstatement.27-19-40Third-party reimbursement for services of certain healthcare workers.27-19-40.1Third-party reimbursement for services of registered nurse first assistants.27-19-41Human leukocyte antigen testing.27-19-42Drug coverage.27-19-42.1Specialty drugs.27-19-43Restricted annual rate payments prohibited.27-19-44Genetic testing.27-19-44.1Genetic information.27-19-45Repealed.27-19-46Magnetic resonance imaging — Quality assurance standards.27-19-47Acupuncture services.27-19-48FDA approved prescription contraceptive drugs and devices.27-19-49Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act.27-19-50Eligibility for children’s benefits.27-19-51Hearing aids.27-19-52Prompt processing of claims.27-19-53Mandatory coverage for certain lyme disease treatments.27-19-54Dental insurance assignment of benefits.27-19-55Coverage for early intervention services.27-19-56Post-payment audits.27-19-57Tobacco cessation programs.27-19-58Reimbursement for orthotics and prosthetic services.27-19-59Mandatory coverage for scalp hair prosthesis.27-19-60Licensed ambulance service.27-19-61Enteral nutrition products.27-19-62Prohibition on rescission of coverage.27-19-63Prohibition on annual and lifetime limits.27-19-64Coverage for individuals participating in approved clinical trials.27-19-65Medical loss ratio reporting and rebates.27-19-66Emergency services.27-19-67Internal and external appeal of adverse benefit determinations.27-19-68Prohibition on preexisting condition exclusions.27-19-69Primary care provider designation requirement.27-19-70Discretionary clauses.27-19-71Orally administered anticancer medication — Cost-sharing requirement.27-19-72Consumer notification.27-19-73Opioid antagonists.27-19-74Healthcare provider credentialing.27-19-75Unfair discrimination prohibited.27-19-76Health insurance contracts — Full year coverage for contraception.27-19-77Prohibition on discrimination in organ transplants.27-19-78Health insurance contracts — Copayments exemption for COVID-19 vaccinations.27-19-79Perinatal doulas.27-19-80Gender rating.27-19-81Coverage for biomarker testing.27-19-82Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.27-19-83Coverage for treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection.27-19-84[Repealed.]27-19-85Dispensing and administration of HIV PrEP or PEP drugs.27-19-86Epinephrine injectors.27-19-87Acute mental health crisis mobile response and stabilization services. [Effective January 1, 2026.]