websites and may be downloaded at energycommerce/ Errors in this document are solely. U.S. House of Representatives () Compilation Patient Protection and Affordable Care Act, Part . (See full text of law as amended through May 1, at energycommerce/) SEC. ESSENTIAL HEALTH BENEFITS.
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Please email any corrections to hlccomments mail. G Rehabilitative and habilitative services and devices. J Pediatric services, including oral and vision care.
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C take into account the health care needs of diverse segments of the population, including women, children, persons with disabilities, and other groups. A the only individuals who are eligible to enroll in the plan are individuals described in paragraph 2 ; and. E provide that a qualified health plan shall energycommdrce be treated as providing coverage for the essential health benefits described in paragraph 1 unless the plan provides that—.
See full text of law as amended through May 1, at http: Switch between the Original Pageswhere you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.
F provide that if a plan described in section b 2 B ii relating to stand-alone dental benefits plans is offered through an Exchange, another health plan offered through such Exchange shall not fail to be treated as a qualified health plan solely because the plan does not offer coverage of benefits offered through the stand-alone plan that are otherwise required under paragraph 1 J ; and.
Several provisions of the law went gv effect in including requirements to cover children up to age 26 and to prohibit insurance companies from denying coverage based on preexisting conditions for children. A set of documents including bill text and summaries, and analysis of state-by-state impacts. Majority Leader Steny Hoyer.
United States Code citations. Majority Leader Steny Hoyer http: The Affordable Care Act: House Speaker Nancy Pelosi http: Do you enjoy reading reports from the Academies online for free? Looking for other ways to read this? At the request of the Leadership, it is being made available to the public through Congressional websites and may be downloaded at. Login or Register to save! Register for a free account to start saving and receiving special member only perks.
D Maternity and newborn care. House Speaker Nancy Pelosi. A Ambulatory patient services. H periodically update the essential health benefits under paragraph 1 to address any gaps in access to coverage or changes in the evidence base the Secretary identifies in the review conducted under subparagraph G.
G periodically review the essential health benefits under paragraph 1ensrgycommerce provide a report to Congress and the public that contains—. The following excerpt from the law outlines the statutory requirements for the essential health benefits. Ppacavon Care Act – Staff Summary.
The Affordable Care Act: Text and Summaries
The links below present: Includes links to major policy analysis and advocacy organizations. Health reform clearinghouse archive includes virtually all ppzcacon the major House documents on reform as well as all of the major CBO documents. Includes links to key Congressional health care committees. B has a certification in effect for any plan year under this title that the individual is exempt from the requirement under section A of houuse Internal Revenue Code of by reason of—.
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Essential Health Benefits summarizes the presentations in this workshop. Perspectives on Essential Health Benefits: The exchanges will offer a choice of private health plans, and all plans must include a standard core set of covered benefits, called essential health benefits EHBs.
Workshop Report Chapter: They include links to the legislative text, general and detailed summaries prepared by staff, summaries addressed to particular groups, states, or issues, and links to other sources of information. To search the entire text of this book, type in your search term here and press Enter.
B not make coverage decisions, determine reimbursement rates, establish incentive programs, or design benefits in ways that discriminate against individuals because of their age, disability, or expected length of life.
Appendix A Patient Protection and Affordable Care Act, Section The following excerpt from the law outlines the statutory requirements for the essential health benefits.
In response, the IOM convened two workshops in where experts from federal and state government, as well as employers, insurers, providers, consumers, and health care researchers were asked to identify current methods for determining medical necessity, and share decision-making approaches to determining which benefits would be covered and other benefit design practices.
Ininsurance purchasers will be allowed, but not obliged, to buy their coverage through newly established health insurance exchanges HIEs –marketplaces designed to make it easier for customers to comparison shop among plans and for low and moderate income individuals to obtain public subsidies to purchase private health insurance.
E Mental health and substance use disorder services, including behavioral health treatment. The amounts under clauses i and energycommercee may be increased by the maximum amount of reimbursement which is reasonably available to a participant energycommeece a flexible spending arrangement described in section c 2 of the Internal Revenue Code of determined without regard to any salary reduction arrangement.