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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The following excerpt from the law outlines the statutory requirements for the essential health benefits. At the request of the Leadership, it is being made available to the public through Congressional websites and may be downloaded at. Perspectives on Essential Health Benefits: D Maternity and newborn care.

The amounts under clauses i and ii may be increased by the maximum amount of reimbursement which is reasonably available to a participant under a flexible spending arrangement described in section c 2 of the Internal Revenue Code of determined without regard to any salary reduction arrangement.

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Workshop Report Chapter: B has a certification in effect for any plan year under this title that the individual ;pacacon exempt from the requirement under section A of the Internal Revenue Code of by reason of—. In response, the IOM convened two workshops in where experts from federal and state government, as well as employers, insurers, providers, ppaczcon, 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.

United States Code citations. Switch between the Original Pageswhere you can read the report as it appeared in print, and Text Pages for energycommercf web version, where you can highlight and search the text. Also, you can type in a page number and press Enter to go directly to that page in the book. G periodically review the essential health benefits under paragraph 1and provide a report to Congress and the public that contains—.


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 ddocs life. Ready to take your reading offline?

Other provisions will go into effect duringincluding the requirement for all individuals to purchase health insurance. Do you enjoy reading reports from the Academies online for free? A Ambulatory patient services. This document originally dated May 24, may be updated to reflect corrections of errors or subsequent changes in law.

Essential Health Benefits summarizes the presentations in this workshop. Jump up to the previous page or down to the next one. J Pediatric services, including oral and vision care. Several provisions of the law went into 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.

The Affordable Care Act: Text and Summaries

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.

Affordable Care Act – Staff Summary. The committee’s recommendations will be released in a subsequent report. Majority Leader Steny Hoyer http: The National Academies Press. Looking for other ways to read this?

Majority Leader Steny Hoyer. House Speaker Nancy Pelosi http: Please email any corrections to hlccomments mail.


A the only individuals who are eligible to enroll in the plan are individuals described in paragraph 2 ; and. Includes links to major policy analysis and advocacy organizations. 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.

Ppacacon reform clearinghouse archive includes virtually all of the major House documents on reform as well as all of the major CBO documents.

Register for a free account to start saving and receiving special member only perks. The links below present: Includes links to key Congressional health care committees.

Page Share Cite. The amounts under clauses i and ii may be increased by the maximum amount of reimbursement which is reasonably available to a participant under a flexible spending arrangement described in section c 2 of the. The Senate Democratic Policy Committee: 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.

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