reglab/housing_qa huggingface dataset:
NM Stat § 59A-55-24 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 55 - Risk Retention and Purchasing Groups|Section 59A-55-24 - Duty of insurance producers to obtain license.

A. No person, firm, association or corporation shall act or aid in any manner in soliciting, negotiating or procuring liability insurance in New Mexico from a risk retention group unless such person, firm, association or corporation is licensed as an insurance producer pursuant to the provisions of the New Mexico Insurance Code. B. No person, firm, association or corporation shall act or aid in any manner in soliciting, negotiating or procuring liability insurance: (1) in New Mexico for a purchasing group from an authorized insurer or a risk retention group chartered in a state, unless such person, firm, association or corporation is licensed as an insurance producer pursuant to the provisions of the New Mexico Insurance Code; (2) in New Mexico for any members of a purchasing group under a purchasing group's policy, unless such person, firm, association or corporation is licensed as an insurance producer pursuant to the provisions of the New Mexico Insurance Code; or (3) from an insurer not authorized to do business in New Mexico on behalf of a purchasing group located in this state, unless such person, firm, association or corporation is licensed as a surplus lines agent or excess line broker pursuant to the provisions of the New Mexico Insurance Code. C. Every person, firm, association or corporation licensed pursuant to the provisions of the New Mexico Insurance Code on business placed with risk retention groups or written through a purchasing group shall inform each prospective insured of the provisions of the notice required by Section 59A-55-10 NMSA 1978 in the case of a purchasing group. History: Laws 1988, ch. 125, § 24; 1999, ch. 272, § 27; 1999, ch. 289, § 41; 2016, ch. 89, § 69. ANNOTATIONSCross references. — For the Insurance Code, see 59A-1-1 NMSA 1978 and notes thereto. The 2016 amendment, effective July 1, 2017, replaced "agent" and "broker" with "insurance producer" throughout the section. Severability. — Laws 2016, ch. 89, § 71 provided that if any part or application of Laws 2016, ch. 89 is held invalid, the remainder or its application to other situations or persons shall not be affected. The 1999 amendment, effective June 18, 1999, deleted former Subsection C, which stated that any requirement of residence in the state shall not apply for the purposes of acting as an agent or broker for a risk retention group or purchasing group pursuant to Subsections A and B; redesignated former Subsection D as Subsection C; and updated the statutory reference in that subsection.
NM Stat § 59A-55-25 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 55 - Risk Retention and Purchasing Groups|Section 59A-55-25 - Binding effect of orders issued in United States district court.

An order issued by any district court of the United States enjoining a risk retention group from soliciting or selling insurance or operating in any state upon a finding that such a group is in hazardous financial or financially impaired condition shall be enforceable in the state courts of New Mexico. History: Laws 1988, ch. 125, § 25.
NM Stat § 59A-55-26 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 55 - Risk Retention and Purchasing Groups|Section 59A-55-26 - Rules and regulations.

The superintendent may establish and from time to time amend such regulations relating to risk retention groups and purchasing groups as may be necessary or desirable to carry out the provisions of the Risk Retention and Purchasing Group Act. History: Laws 1988, ch. 125, § 26. ANNOTATIONSSeverability. — Laws 1988, ch. 125, § 27 provided for the severability of the act if any part or application thereof is held invalid.
NM Stat § 59A-56-1 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-1 - Repealed.

History: Laws 1994, ch. 75, § 1; 1997, ch. 243, § 34; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-1 NMSA 1978, as enacted by Laws 1994, ch. 75, § 1, relating to the short title of the Health Insurance Alliance Act, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-2 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-2 - Repealed.

History: Laws 1994, ch. 75, § 2; 1997, ch. 243, § 35; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-2 NMSA 1978, as enacted by Laws 1994, ch. 75, § 2, relating to the purpose of the Health Insurance Alliance Act, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-3 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-3 - Repealed.

History: Laws 1994, ch. 75, § 3; 1997, ch. 243, § 36; 1998, ch. 41, § 27; 2003, ch. 391, § 8; 2013, ch. 74, § 35; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-3 NMSA 1978, as enacted by Laws 1994, ch. 75, § 3, relating to definitions of the Health Insurance Alliance Act, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-4 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-4 - Repealed.

History: Laws 1994, ch. 75, § 4; 1997, ch. 243, § 37; 2005, ch. 21, § 1; 2013, ch. 54, § 12; repealed by Laws 2013, ch. 54, § 15.ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-4 NMSA 1978, as enacted by Laws 1994, ch. 75, § 4, relating to creation of alliance and board, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-5 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-5 - Repealed.

History: Laws 1994, ch. 75, § 5; 1997, ch. 243, § 38; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-5 NMSA 1978, as enacted by Laws 1994, ch. 75, § 5, relating to plan of operation, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-6 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-6 - Repealed.

History: Laws 1994, ch. 75, § 6; 1997, ch. 243, § 39; 2010, ch. 95, § 5; repealed by Laws 2013, ch. 54, § 15.ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-6 NMSA 1978, as enacted by Laws 1994, ch. 75, § 6, relating to powers and duties of the board, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-7 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-7 - Repealed.

History: Laws 1994, ch. 75, § 7; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-7 NMSA 1978, as enacted by Laws 1994, ch. 75, § 7, relating to policy forms, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-8 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-8 - Repealed.

History: Laws 1994, ch. 75, § 8; 1997, ch. 243, § 40; 2005, ch. 21, § 2; repealed by Laws 2013, ch. 54, § 15.ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-8 NMSA 1978, as enacted by Laws 1994, ch. 75, § 8, relating to approved health plan, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-9 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-9 - Repealed.

History: Laws 1994, ch. 75, § 9; 1997, ch. 243, § 41; 2001, ch. 310, § 1; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-9 NMSA 1978, as enacted by Laws 1994, ch. 75, § 9, relating to reinsurance, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-10 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-10 - Repealed.

History: Laws 1994, ch. 75, § 10; 1997, ch. 243, § 42; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-10 NMSA 1978, as enacted by Laws 1994, ch. 75, § 10, relating to administration, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-11 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-11 - Repealed.

History: Laws 1994, ch. 75, § 11; 1997, ch. 243, § 43; 1999, ch. 289, § 42; 2001, ch. 310, § 2; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-11 NMSA 1978, as enacted by Laws 1994, ch. 75, § 11, relating to assessments, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-12 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-12 - Repealed.

History: Laws 1994, ch. 75, § 12; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-12 NMSA 1978, as enacted by Laws 1994, ch. 75, § 12, relating to initial administrative assessment, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-13 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-13 - Repealed.

History: Laws 1994, ch. 75, § 13; 1997, ch. 243, § 44; 2001, ch. 310, § 3; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-13 NMSA 1978, as enacted by Laws 1994, ch. 75, § 13, relating to alliance administrator, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-14 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-14 - Repealed.

History: Laws 1994, ch. 75, § 14; 1997, ch. 243, § 45; 2006, ch. 3, § 1; repealed by Laws 2013, ch. 54, § 15.ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-14 NMSA 1978, as enacted by Laws 1994, ch. 75, § 14, relating to eligibility, guaranteed issue and plan provisions, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-15 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-15 - Repealed.

History: Laws 1994, ch. 75, § 15; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-15 NMSA 1978, as enacted by Laws 1994, ch. 75, § 15, relating to notice of alliance by members, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-16 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-16 - Repealed.

History: Laws 1994, ch. 75, § 16; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-16 NMSA 1978, as enacted by Laws 1994, ch. 75, § 16, relating to enrollment, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-17 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-17 - Repealed.

History: Laws 1994, ch. 75, § 17; 1997, ch. 243, § 46; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-17 NMSA 1978, as enacted by Laws 1994, ch. 75, § 17, relating to benefits, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-18 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-18 - Repealed.

History: Laws 1994, ch. 75, § 18; 1997, ch. 243, § 47; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-18 NMSA 1978, as enacted by Laws 1994, ch. 75, § 18, relating to deductibles, co-insurance and maximum out-of-pocket payments, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-19 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-19 - Repealed.

History: Laws 1994, ch. 75, § 19; 1997, ch. 243, § 48; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-19 NMSA 1978, as enacted by Laws 1994, ch. 75, § 19, relating to dependent family member required coverage and small employer responsibility, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-20 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-20 - Repealed.

History: Laws 1994, ch. 75, § 20; 1997, ch. 243, § 49; 1998, ch. 41, § 28; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-20 NMSA 1978, as enacted by Laws 1994, ch. 75, § 20, relating to renewability, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-21 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-21 - Repealed.

History: Laws 1994, ch. 75, § 21; 1997, ch. 243, § 50; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-21 NMSA 1978, as enacted by Laws 1994, ch. 75, § 21, relating to regulations, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-22 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-22 - Repealed.

History: Laws 1994, ch. 75, § 22; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-22 NMSA 1978, as enacted by Laws 1994, ch. 75, § 22, relating to collective action, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-23 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-23 - Repealed.

History: Laws 1994, ch. 75, § 23; 1997, ch. 243, § 51; 2005, ch. 21, § 3; repealed by Laws 2013, ch. 54, § 15.ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-23 NMSA 1978, as enacted by Laws 1994, ch. 75, § 23, relating to rates and standard risk rate, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-24 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-24 - Repealed.

History: Laws 1994, ch. 75, § 24; 1997, ch. 243, § 52; repealed by Laws 2013, ch. 54, § 15. ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-24 NMSA 1978, as enacted by Laws 1994, ch. 75, § 24, relating to benefit payments reduction, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-56-25 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 56 - Health Insurance Alliances (Repealed.)|Section 59A-56-25 - Repealed.

History: Laws 1994, ch. 75, § 25; 2005, ch. 21, § 4; 2013, ch. 74, § 36; repealed by Laws 2013, ch. 54, § 15.ANNOTATIONSRepeals. — Laws 2013, ch. 54, § 15 repealed 59A-56-25 NMSA 1978, as enacted by Laws 1994, ch. 75, § 25, relating to expanded service development, effective January 1, 2015. For provisions of former section, see the 2014 NMSA 1978 on NMOneSource.com.
NM Stat § 59A-57-1 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 57 - Patient Protection|Section 59A-57-1 - Short title.

Chapter 59A, Article 57 NMSA 1978 may be cited as the "Patient Protection Act". History: Laws 1998, ch. 107, § 1; 2003, ch. 327, § 1. ANNOTATIONSThe 2003 amendment, effective June 20, 2003, substituted "Chapter 59A, Article 57 NMSA 1978" for "Sections 1 through 11 of this act". Am. Jur. 2d, A.L.R. and C.J.S. references. — Construction and application of state patient bill of rights statutes, 87 A.L.R.5th 277.
NM Stat § 59A-57-2 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 57 - Patient Protection|Section 59A-57-2 - Purpose of act.

The purpose of the Patient Protection Act is to regulate aspects of health insurance by specifying patient and provider rights and confirming and clarifying the authority of the department to adopt regulations to provide protections to persons enrolled in managed health care plans. The insurance protections should ensure that managed health care plans treat patients fairly and arrange for the delivery of good quality services. History: Laws 1998, ch. 107, § 2.
NM Stat § 59A-57-4.1 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 57 - Patient Protection|Section 59A-57-4.1 - External grievance appeals; appointment; compensation.

A. The superintendent may appoint one or more qualified individuals to review external grievance appeals. B. The superintendent shall fix the reasonable compensation of each appointee based upon, but not limited to, compensation amounts suggested by national or state legal or medical professional societies, organizations or associations. C. Upon completion of the external grievance appeal review, the superintendent shall prepare a detailed statement of compensation due each appointee and shall present the statement to the enrollee's health insurer. D. The enrollee's health insurer shall pay the compensation directly to each appointee who participated in the external grievance appeal review. E. The superintendent shall promulgate rules to implement this section. History: Laws 2003, ch. 327, § 2. ANNOTATIONSEffective dates. — Laws 2003, ch. 327 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 20, 2003, 90 days after adjournment of the legislature.
NM Stat § 59A-57-5 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 57 - Patient Protection|Section 59A-57-5 - Consumer assistance; consumer advisory boards; ombudsman office; reports to consumers; superintendent's orders to protect consumers.

A. Each managed health care plan shall establish and adequately staff a consumer assistance office. The purpose of the consumer assistance office is to respond to consumer questions and concerns and assist patients in exercising their rights and protecting their interests as consumers of health care. B. Each managed health care plan shall establish a consumer advisory board. The board shall meet at least quarterly and shall advise the plan about the plan's general operations from the perspective of the enrollee as a consumer of health care. The board shall also review the operations of and be advisory to the plan's consumer assistance office. D.[C.] The department shall prepare an annual report assessing the operations of managed health care plans subject to the department's oversight, including information about consumer complaints. E.[D.] A person adversely affected may file a complaint with the superintendent regarding a violation of the Patient Protection Act. Prior to issuing any remedial order regarding violations of the Patient Protection Act or its regulations, the superintendent shall hold a hearing in accordance with the provisions of Chapter 59A, Article 4 NMSA 1978. The superintendent may issue any order he deems necessary or appropriate, including ordering the delivery of appropriate care, to protect consumers and enforce the provisions of the Patient Protection Act. The superintendent shall adopt special procedures to govern the submission of emergency appeals to him in health emergencies. History: Laws 1998, ch. 107, § 5. ANNOTATIONSCompiler's notes. — Laws 1998, ch. 107, § 5, as enacted by the legislature, included the provisions of Subsection C, which read: "The department shall establish and adequately staff a managed care ombudsman office, either within the department or by contract. The purpose of the managed care ombudsman office shall be to assist patients in exercising their rights and help advocate for and protect patient interests. The department's managed care ombudsman office shall work in conjunction with each plan's consumer assistance office and shall independently evaluate the effectiveness of the plan's consumer assistance office. The department's managed care ombudsman office may require a plan's consumer assistance office to adopt measures to ensure that the plan operates effectively to protect patient rights and inform consumers of the information to which they are entitled." Subsection C was vetoed by the governor on March 10, 1998.
NM Stat § 59A-57-6 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 57 - Patient Protection|Section 59A-57-6 - Fairness to health care providers; gag rules prohibited; grievance procedure for providers.

A. No managed health care plan may: (1) adopt a gag rule or practice that prohibits a health care provider from discussing a treatment option with an enrollee even if the plan does not approve of the option; (2) include in any of its contracts with health care providers any provisions that offer an inducement, financial or otherwise, to provide less than medically necessary services to an enrollee; or (3) require a health care provider to violate any recognized fiduciary duty of his profession or place his license in jeopardy. B. A plan that proposes to terminate a health care provider from the managed health care plan shall explain in writing the rationale for its proposed termination and deliver reasonable advance written notice to the provider prior to the proposed effective date of the termination. C. A managed health care plan shall adopt and implement a process pursuant to which providers may raise with the plan concerns that they may have regarding operation of the plan, including concerns regarding quality of and access to health care services, the choice of health care providers and the adequacy of the plan's provider network. The process shall include, at a minimum, the right of the provider to present the provider's concerns to a plan committee responsible for the substantive area addressed by the concern, and the assurance that the concern will be conveyed to the plan's governing body. In addition, a managed health care plan shall adopt and implement a fair hearing plan that permits a health care provider to dispute the existence of adequate cause to terminate the provider's participation with the plan to the extent that the relationship is terminated for cause and shall include in each provider contract a dispute resolution mechanism. History: Laws 1998, ch. 107, § 6.