October 1997 Bulletin

States provide managed care options:
ban gag clauses, give access to specialists

State legislatures have been active in providing more options for enrollees of managed care plans. In 1997, 18 states approved bans on gag clauses, bringing the total to 38 states; nine states provided direct access to specialists, increasing the total to 33 states; and five states required point-of-service options, putting the total at 10 states. The following table indicates when the states passed the laws. Note: * denotes laws approved before 1996.


Ban gag clause Direct accessPoint-of-service
Alabama
1996
Alaska


Arizona1997

Arkansas1997 1997a
California1996 *
Colorado1996 1996
Connecticut1997 *
District of Columbia


Delaware1996

Florida1997 1997 b
Georgia1996 1996 c1996
Hawaii


Idaho1997 19971997
Iowa

1997
Illinois
1996
Indiana1996 1996
Kansas1997

Kentucky
1996
Louisiana1997 *
Maine1996 1996 d
Maryland1996 *1996
Massachusetts1996

Michigan1996

Minnesota1997 19971996
Missouri1997 1997
Mississippi
*
Montana1997 19971997
Nebraska1997 1996
Nevada1997

New Hampshire1996

New Jersey1997 1997
New Mexico1997 1997
New York1996 **
North Carolina1996 *
North Dakota1997

Ohio


Oklahoma1997
1997
Oregon
**
Pennsylvania1996

Rhode Island1996

South Carolina


South Dakota


Tennessee1996

Texas1996 19971997
Utah1997 *
Vermont1996

Virginia1996 1996
Washington1996 *
W. Virginia
1996
Wisconsin*

Wyoming1997

a, Arkansas approved direct access to OB/GYNs in 1997, to dermatologists in 1995;
b, Florida approved direct access to dermatologists in 1997, to OB/GYNs in 1995;
c, Georgia approved direct access to OB/GYNs in 1996, to dermatologists in 1995;
d, Maine approved direct access to OB/GYNs in 1996, to chiropractors in1995.

Source: State Health Notes, National Conference of State Legislatures


Home Previous Page