reglab/housing_qa huggingface dataset:
TN Code § 56-7-2706 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 27 - Genetic Information Nondiscrimination in Health Insurance Act|§ 56-7-2706. Routine Examinations and Analysis

 Nothing in this part shall preclude a health insurer from obtaining a routine physical examination or chemical, blood or urine analysis, or from asking questions related to the health of an applicant or the applicant's family.
TN Code § 56-7-2707 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 27 - Genetic Information Nondiscrimination in Health Insurance Act|§ 56-7-2707. Coverage for Genetic Services Not Required

 Nothing in this part shall require an insurance provider to provide coverage of genetic services, unless the coverage of genetic services is already included within the scope of benefits of the provider's health insurance coverage.
TN Code § 56-7-2708 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 27 - Genetic Information Nondiscrimination in Health Insurance Act|§ 56-7-2708. Regulations

 The commissioner may promulgate regulations necessary or appropriate to carry out this part in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.
TN Code § 56-7-2801 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2801. Short Title

 This part shall be known and may be cited as the “Tennessee Health Insurance Portability, Availability and Renewability Act.”
TN Code § 56-7-2804 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2804. Rules for Eligibility — Factors Not to Be Considered

   Subject to subdivision (a)(2), a group health plan, and a health insurance issuer offering group health insurance coverage in connection with a group health plan, may not establish rules for eligibility, including continued eligibility, of any individual to enroll under the terms of the plan based on any of the following health status-related factors in relation to the individual or a dependent of the individual:  Health status;   Medical condition, including both physical and mental illnesses;   Claims experience;   Receipt of health care;   Medical history;   Genetic information;   Evidence of insurability, including conditions arising out of acts of domestic violence; or   Disability.     To the extent consistent with other sections of this part, subdivision (a)(1) shall not be construed to:  Require a group health plan, or group health insurance coverage, to provide particular benefits other than those provided under the terms of the plan or coverage; or   Prevent the plan or coverage from establishing limitations or restrictions on the amount, level, extent, or nature of the benefits or coverage for similarly situated individuals enrolled in the plan or coverage.     For purposes of subdivision (a)(1), rules for eligibility to enroll under a plan include rules defining any applicable waiting periods for enrollment.      A group health plan, and a health insurance issuer offering health insurance coverage in connection with a group health plan, may not require any individual, as a condition of enrollment or continued enrollment under the plan, to pay a premium or contribution that is greater than the premium or contribution for a similarly situated individual enrolled in the plan on the basis of any health status-related factor in relation to the individual or to an individual enrolled under the plan as a dependent of the individual.   Nothing in subdivision (b)(1) shall be construed to:  Restrict the amount that an employer may be charged for coverage under a group health plan; or   Prevent a group health plan, and a health insurance issuer offering group health insurance coverage, from establishing premium discounts or modifying otherwise applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention.
TN Code § 56-7-2808 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2808. Applicability — Determination of Creditable Service

  Except as modified in this section, this part shall apply with respect to group health plans, and health insurance coverage offered in connection with group health plans, for plan years beginning after June 30, 1997.   Determination of creditable coverage.  Period of coverage.  Subject to subdivision (b)(1)(B), no period before July 1, 1996, shall be taken into account in determining creditable coverage.   The commissioner shall provide for a process whereby individuals who need to establish creditable coverage for periods before July 1, 1996, and who would have coverage credited, but for subdivision (b)(1)(A) may be given credit for creditable coverage for the periods through the presentation of documents or other means.     Certifications.  Subject to subdivisions (b)(2)(B) and (C), the provisions regarding certification shall apply to events occurring after June 30, 1996.   In no case is a certification required to be provided under this subdivision (b)(2) before June 1, 1997.   In the case of an event occurring after June 30, 1996, and before October 1, 1996, a certification is not required to be provided unless an individual, with respect to whom the certification is otherwise required to be made, requests the certification in writing.     Transitional Rule.  In the case of an individual who seeks to establish creditable coverage for any period for which certification is not required because it relates to an event occurring before June 30, 1996:  The individual may present other credible evidence of coverage in order to establish the period of creditable coverage; and   A group health plan and a health insurance issuer shall not be subject to any penalty or enforcement action with respect to the plan's or issuer's crediting or not crediting coverage if the plan or issuer has sought to comply in good faith with the applicable requirements under this section.        Except as provided in subdivision (b)(2), in the case of a group health plan maintained pursuant to one (1) or more collective bargaining agreements between employee representatives and one (1) or more employers ratified before April 30, 1997, this part shall not apply to plan years beginning before the later of the date on which the last of the collective bargaining agreements relating to the plan terminates, determined without regard to any extension of the collective bargaining agreements agreed to after April 30, 1997, or July 1, 1997.   Any plan amendment made pursuant to a collective bargaining agreement relating to the plan that amends the plan solely to conform to any requirement of this part shall not be treated as a termination of the collective bargaining agreement.
TN Code § 56-7-2811 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2811. Provisions Applicable to Individual as Well as Group Markets

 The provisions for certification and disclosure of coverage shall apply to health insurance coverage offered by a health insurance issuer in the individual market in the same manner as it applies to health insurance coverage offered by a health insurance issuer in connection with a group health plan in the small or large group market.
TN Code § 56-7-2812 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2812. Applicability of Individual Market Requirements to Excepted Benefits Under § 56-7-2802(10)

 The individual market requirements of this part shall not apply to any health insurance coverage in relation to its provision of excepted benefits described in § 56-7-2802(10)(A) or to those described in § 56-7-2802(10)(B), (C), or (D) if the benefits are provided under a separate policy, certificate or contract of insurance. A health insurance issuer offering health insurance coverage in connection with group health plans shall not be deemed to be a health insurance issuer offering individual health insurance coverage solely because the issuer offers a conversion policy.
TN Code § 56-7-2813 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2813. Construction With Other Laws — Enforcement Actions

  This part is supplemental to any other laws of this state; however, to the extent that this part is in conflict with other insurance law, this part shall control.   No enforcement action shall be taken, pursuant to this part, against a group health plan or health insurance issuer with respect to a violation of a requirement imposed by this part before January 1, 1998, or, if later, the date of issuance of the federal regulations to be issued pursuant to the federal act if the plan or issuer has sought to comply in good faith with the requirements.
TN Code § 56-7-2814 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 28 - Health Insurance Portability, Availability and Renewability Act|§ 56-7-2814. Legislative Intent — Rules and Regulations

 It is the intent of this part to meet the minimum standards established by the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) (42 U.S.C. § 1320d et seq.), and the rules and regulations to be promulgated by federal authorities in connection with HIPAA. The commissioner is, therefore, authorized to promulgate rules and regulations according to the Uniform Administrative Procedures Act, compiled in title 4, chapter 5, as may be necessary to ensure compliance with the federal law as well as those rules necessary to carry out the proper administration of this part.
TN Code § 56-7-2901 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2901. Short Title. [Effective Until June 30, 2025. See the Compiler's notes.]

 This part shall be known and may be cited as the “Access Tennessee Act of 2006.”
TN Code § 56-7-2905 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2905. Annual Report. [Effective Until June 30, 2025. See the Compiler's notes.]

 Beginning by October 1, 2007, Access Tennessee shall make an annual report to the governor and comptroller of the treasury, to be submitted by October 1 of each year. The report shall be in a form approved by the commissioner and shall summarize the activities of Access Tennessee in the preceding calendar year, including the net written and earned premiums, enrollment, the expense of administration, and the paid and incurred losses. The report shall also include an evaluation of the ability of low income individuals to participate in the program.
TN Code § 56-7-2906 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2906. Additional Powers and Duties — Rules. [Effective Until June 30, 2025. See the Compiler's notes.]

 The commissioner may, by rule, establish additional powers and duties of Access Tennessee and may adopt rules necessary and proper to implement this part. The rules shall be promulgated as emergency rules pursuant to § 4-5-208. The rules shall be promulgated in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.
TN Code § 56-7-2907 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2907. Audit. [Effective Until June 30, 2025. See the Compiler's notes.]

 The commissioner and the comptroller of the treasury have the authority to review and audit the expenditure of funds made under this part. Nothing in this section shall limit the authority of the commissioner to ensure that program expenditures are maintained within legislative appropriations.
TN Code § 56-7-2912 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2912. Fraud and Abuse. [Effective Until June 30, 2025. See the Compiler's notes.]

 The office of inspector general, created pursuant to § 71-5-2502, shall have the authority to investigate civil and criminal fraud and abuse of Access Tennessee, or any other violations of state criminal law related to the operation of the program. The powers of the office of inspector general set forth in §§ 71-5-2501 — 72-5-2512 relating to the investigation of fraud and abuse in the TennCare program shall also be applicable to its investigation of fraud and abuse of Access Tennessee.
TN Code § 56-7-2913 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2913. Federal Funding. [Effective Until June 30, 2025. See the Compiler's notes.]

 Notwithstanding any law to the contrary, if the state determines not to apply for or accept federal funding for the purposes of this part, any provisions of this part, including any eligibility requirements regarding federally defined eligible individuals as set forth in § 56-7-2908 of this part, would not be subject to nor would the state or board have to comply with any federal requirements mandated as a result of the acceptance of the federal funds.
TN Code § 56-7-2914 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2914. Legislative Review. [Effective Until June 30, 2025. See the Compiler’s notes.]

 This part shall be reviewed annually by the commerce and labor committee of the senate, the insurance committee of the house of representatives, the finance, ways and means committee of the senate and the finance, ways and means committee of the house of representatives, and these committees shall recommend necessary changes to the governor and the general assembly.
TN Code § 56-7-2916 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 29 - Access Tennessee Act of 2006 [Effective Until June 30, 2025]|§ 56-7-2916. Repealer. [Effective Until June 30, 2025. See the Compiler’s notes.]

 This part shall be repealed on June 30, 2025.
TN Code § 56-7-3101 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3101. Compliance

 Pharmacy benefits managers shall, and contracts for pharmacy benefits management must, comply with the requirements of this part.
TN Code § 56-7-3102 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3102. Part Definitions

 As used in this part, unless the context otherwise requires:   “Covered entity” means a health insurance issuer, managed health insurance issuer as defined in § 56-32-128(a), nonprofit hospital, medication service organization, insurer, health coverage plan, health maintenance organization licensed to practice pursuant to this title, a health program administered by the state or its political subdivisions, including the TennCare programs administered pursuant to the waivers approved by the United States department of health and human services, nonprofit insurance companies, prepaid plans, self-insured entities, and all other corporations, entities or persons, or an employer, labor union, or other group of persons organized in the state that provides health coverage to covered individuals who are employed or reside in the state. “Covered entity” does not include a health plan that provides coverage only for accidental injury, specified disease, hospital indemnity, medicare supplement, disability income, or other long-term care;   “Maximum allowable cost” means the maximum amount that a pharmacy benefits manager or covered entity will reimburse a pharmacy for the cost of a drug or a medical product or device;   “Maximum allowable cost list” means a list of drugs, medical products or devices, or both medical products and devices, for which a maximum allowable cost has been established by a pharmacy benefits manager or covered entity;   “Pharmacist” and “pharmacy” have the same meanings as those terms are defined in § 63-10-204;   “Pharmacy benefits manager” means a person, business or other entity and any wholly or partially owned subsidiary of the entity, that administers the medication and/or device portion of pharmacy benefits coverage provided by a covered entity. “Pharmacy benefits manager” includes, but is not limited to, a health insurance issuer, managed health insurance issuer as defined in § 56-32-128(a), nonprofit hospital, medication service organization, insurer, health coverage plan, health maintenance organization licensed to practice pursuant to this title, a health program administered by the state or its political subdivisions, including the TennCare programs administered pursuant to the waivers approved by the United States department of health and human services, nonprofit insurance companies, prepaid plans, self-insured entities, and all other corporations, entities or persons acting for a pharmacy benefits manager in a contractual or employment relationship in the performance of pharmacy benefits management for a covered entity and includes, but is not limited to, a mail order pharmacy; and   “Pharmacy services administrative organization” means an entity that provides contracting and other administrative services to pharmacies to assist them in their interaction with third-party payers, pharmacy benefits managers, drug wholesalers, and other entities.
TN Code § 56-7-3104 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3104. Calculation of Reimbursement of Pharmacy Benefits Manager

  Reimbursement by a pharmacy benefits manager under a contract to a pharmacist or pharmacy for prescription drugs and other products and supplies that is calculated according to a formula that uses a nationally recognized reference in the pricing calculation shall use the most current nationally recognized reference price or amount in the actual or constructive possession of the pharmacy benefits manager or its agent.   For purposes of compliance with this section, pharmacy benefits managers shall be required to update the nationally recognized reference prices or amounts used for calculation of reimbursement for prescription drugs and other products and supplies no less than every three (3) business days.
TN Code § 56-7-3105 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3105. Contract Compliance

 No contract entered into or amended on or after July 1, 2007, shall contain provisions in violation of this part.
TN Code § 56-7-3106 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3106. Placement of Drug on Maximum Allowable Cost List

  Before a pharmacy benefits manager or covered entity may place a drug on a maximum allowable cost list, the pharmacy benefits manager or covered entity must find that the drug is generally available for purchase by pharmacies in this state from a national or regional wholesaler.   If a drug that has been placed on a maximum allowable cost list no longer meets the requirements of subsection (a), the drug shall be removed from the maximum allowable cost list by the pharmacy benefits manager or covered entity within five (5) business days after the date that the pharmacy benefits manager or covered entity becomes aware that the drug no longer meets the requirements of subsection (a).   Nothing in this part shall be construed as preventing a pharmacy benefits manager or covered entity from reimbursing claims for a generic drug at the previously determined maximum allowable cost even if the pharmacy benefits manager or covered entity reimburses for the equivalent brand name drug at the contracted brand rate after confirmation by a national or regional wholesaler and by the manufacturer that the generic drug is generally unavailable for purchase from a national or regional wholesaler.
TN Code § 56-7-3107 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3107. Information to Be Provided Regarding Maximum Allowable Cost Lists — Updating Maximum Allowable Cost Lists

  A pharmacy benefits manager or covered entity shall make available to each pharmacy with which the pharmacy benefits manager or covered entity has a contract and to each pharmacy included in a network of pharmacies served by a pharmacy services administrative organization with which the pharmacy benefits manager or covered entity has a contract, at the beginning of the term of a contract and upon renewal of a contract:  The sources used to determine the maximum allowable costs for the drugs and medical products and devices on each maximum allowable cost list;   Every maximum allowable cost for individual drugs used by that pharmacy benefits manager or covered entity for patients served by that contracted pharmacy; and   Upon request, every maximum allowable cost list used by that pharmacy benefits manager or covered entity for patients served by that contracted pharmacy.     A pharmacy benefits manager or covered entity shall:  Update each maximum allowable cost list at least every three (3) business days, as required by § 56-7-3104(b);   Make the updated lists available to every pharmacy with which the pharmacy benefits manager or covered entity has a contract and to every pharmacy included in a network of pharmacies served by a pharmacy services administrative organization with which the pharmacy benefits manager or covered entity has a contract, in a readily accessible, secure and usable web-based format or other comparable format or process; and   Utilize the updated maximum allowable costs to calculate the payments made to the contracted pharmacies within five (5) business days.
TN Code § 56-7-3109 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3109. Medical Products and Devices Subject to Requirements of Part

 The medical products and devices subject to the requirements of this part are limited to the medical products and devices included as a pharmacy benefit under the pharmacy benefits contract.
TN Code § 56-7-3110 (2021)
2021 Tennessee Code|Title 56 - Insurance|Chapter 7 - Policies and Policyholders|Part 31 - Pharmacy Benefits Managers|§ 56-7-3110. Sanctions for Violation of Part

 A violation of this part may subject the pharmacy benefits manager or covered entity to any of the sanctions described in § 56-2-305.