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 links below present: A the only individuals who are eligible to enroll in the plan are individuals described in paragraph 2 ; and. Register for a free account to start saving and receiving special member only perks. Includes links to key Congressional health care committees. Energycomerce Revenue Code of determined without regard to any salary reduction arrangement.

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Please email any corrections to hlccomments mail. 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 the Internal Revenue Code of by reason of—. A ensure that such essential health benefits reflect an appropriate balance among the categories described in such subsection, so that benefits are not unduly weighted toward any category.

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.

J Pediatric services, including oral and vision care. Includes links to major policy analysis and advocacy organizations.

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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. House Speaker Nancy Pelosi. Energycommedce a MyNAP member yet? 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.

The Affordable Care Act: Text and Summaries

Other provisions will go into effect duringincluding the requirement for all individuals to purchase health insurance. 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.

Majority Leader Steny Hoyer. Majority Leader Steny Hoyer http: Perspectives on Essential Health Benefits: A Ambulatory patient services.

A set of documents including bill text and summaries, and analysis of state-by-state impacts. Sign up for email notifications and we’ll let you know about new publications in your areas of interest when they’re released. The National Academies Press. Looking for other ways to read this?

Essential Health Benefits summarizes the presentations in this workshop. Affordable Care Act – Staff Summary. At the request of the Leadership, it is being made available to the public through Congressional websites and may be downloaded at http: 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.


The committee’s recommendations will be released in a subsequent report. 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.

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Appendix A Patient Protection and Affordable Care Act, Section The following excerpt from the law outlines the statutory requirements for the essential health benefits. 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. To inform this determination, the Secretary of Labor shall conduct a survey of employer-sponsored coverage to determine.

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.