POLISCOPE
Topic9 documents tagged

Health Maintenance Organizations

What This Page Covers

This page collects the 9 public records POLISCOPE has tagged with “Health Maintenance Organizations”. Coverage spans bills - each decoded into plain English and linked to its primary source. It most often overlaps with Insurance, Healthcare, and Insurance Health & Accident (I0422).

Active Bills

State BillSOUTH DAKOTAMar 30, 2026South Dakota requires health insurers to report prior authorization metrics and drop low-value requirementsHealth carriers and utilization review organizations must submit annual prior authorization performance reports to the Division of Insurance and eliminate prior authorization requirements for health cState BillSOUTH DAKOTAMar 30, 2026South Dakota sets 18-month deadline for health insurers to recoup or retroactively deny paid claimsState BillSOUTH DAKOTAJan 29, 2026South Dakota prohibits health insurers from favoring opioid drugs over prescribed nonopioid alternativesState BillNEW MEXICOJan 22, 2026New Mexico Requires Health Insurers to Include All Licensed Providers Within Scope of PracticeState BillWEST VIRGINIAJan 14, 2026West Virginia requires health insurers to cover bioidentical hormones starting January 1, 2026State BillINDIANAJan 8, 2026Indiana Requires Health Insurance and HMOs to Cover Medically Necessary Acquired Brain Injury TreatmentsState BillTEXASMar 26, 2025Texas requires annual preauthorization compliance exams for health maintenance organizations and insurersState BillTEXASMar 26, 2025Texas Bill Establishes Fiduciary Duty for Health Plans Using Provider Incentives and Restricts Physician Rankings

Recent Activity

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Finance Signals

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Key Actors

  1. 01Division of Insuranceorganization2 mentions
  2. 02Indianalocation1 mentions
  3. 03Pamelya Herndonperson1 mentions
  4. 04General Assemblyorganization1 mentions
  5. 05Crouseperson1 mentions
  6. 06South Dakota Legislatureorganization1 mentions
  7. 07West Virginia Legislatureorganization1 mentions
  8. 08Government Codeother1 mentions
  9. 09State of New Mexicolocation1 mentions
  10. 10Frankperson1 mentions

Connections Preview

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  • Topic to billsSouth Dakota requires health insurers to report prior authorization metrics and drop low-value requirements, South Dakota sets 18-month deadline for health insurers to recoup or retroactively deny paid claims, South Dakota prohibits health insurers from favoring opioid drugs over prescribed nonopioid alternatives (+5 more)
  • Topic to peoplePamelya Herndon, Crouse, Frank
  • Topic to orgsDivision of Insurance, General Assembly, South Dakota Legislature (+1 more)
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Source Trail

Documents whose extracted record lists this topic. Each item opens the Bill Dossier, which includes the official source URL when available.

  1. Mar 30, 2026State BillSouth Dakota requires health insurers to report prior authorization metrics and drop low-value requirements
  2. Mar 30, 2026State BillSouth Dakota sets 18-month deadline for health insurers to recoup or retroactively deny paid claims
  3. Jan 29, 2026State BillSouth Dakota prohibits health insurers from favoring opioid drugs over prescribed nonopioid alternatives
  4. Jan 22, 2026State BillNew Mexico Requires Health Insurers to Include All Licensed Providers Within Scope of Practice
  5. Jan 14, 2026State BillWest Virginia requires health insurers to cover bioidentical hormones starting January 1, 2026
  6. Jan 8, 2026State BillIndiana Requires Health Insurance and HMOs to Cover Medically Necessary Acquired Brain Injury Treatments
  7. Mar 26, 2025State BillTexas requires annual preauthorization compliance exams for health maintenance organizations and insurers
  8. Mar 26, 2025State BillTexas Bill Establishes Fiduciary Duty for Health Plans Using Provider Incentives and Restricts Physician Rankings

Showing 8 of 9 source records.