b with respect for such services
c in manner
1
2 1 non
contractual relationship
co
payment in network
b emerg sevices
screening
as required soc act hosp rutine eval em sit staff fac hosp `1867 stabil
1867 e3
pedi care enrollee in group indiv mkt prim car prov desg phys part if
construc
para cannot be construed
pt
gen rgts grp access
para
2 maynot req auth
para 2
gyne care obst shall agree to adhere to plan auth tx plan apprvd plan
grp plan para 2 shall tx obst svs undr para a speci gyn prim auth
2 appl para grp ins desc grp helt plan obstr cr req
noth para 1 shall be constr
sec 2794 amend sub para a para b semi
colin
reimb
organize such info make avail to gen pub
b funct added a dev fee sched med svs
rates stat meth data tool base
b
make cost thru intern reg publish meth data reser
conflct
d1
b free of conflct of int no corp relat
3 rule of constr hlth data to ctr
1102 a2 amend grp plan hlth benifts
agency
1103a para 1 insert sm bus or any res of
connect to afford cov internet rates option
other than reimburse single dx or cond
b title 19 soc
title 21 soc sec act
high risk pool
sm
gro
45r IR 46 afford opt
2701 amend 1204 this act
b 2708
12014 tit a 27 hlt sev act 2708 sect 2709 a cov in general
grp cov to qual indiv may not clinical
trial not limit or impose condit
part
not discrm in trial
rtn pt
costs sub para b provid in plan to qual indiv not enroll in clinic trial
does not include data coll or used in trial or std care
1 or more part shall not
be const para 1 if prov will acct ind in trial
outside plan sub a 1
indiv
appro wio canc or life
indiv
part trial approp para 1 cond prov scientific infor
c limit on cov group ins only prov pt svs outside plan unless prov plan
1sect clin phase 1 2 4 detect ca descry
a fed fund trial finded inkind contr
nation inst hlth
ctr dx
ctry med
coop dept def
dept
vt
nongov hlth support gran
any of fol met
vet aff
defen
energy
new drug
drug tril exmp from above
stdy approved sec detr invest natl hlth
highest no int in outcome
any
dx
f constr nothing constr
w resp to clin trial chap89 us code
h preempt
nothing
shall preempt policy in add to pol under this section
sect a amendend para 3
2added at end following
sect 23 a subtitle on a]\
e amended follow except 1251 shall take effect
1201 under 19 age 6 month after act enacted 1255 1253
annual on self ins plans
aggr annual report 5500 labor form partic
plan benefits info liabil expenses
1254 large group market study
1 comp charact of employees benefits sovlenty risks new cause adverse
b collect of information shall coll info on group plans
lower overhead denial plans
2 plan denial rate
911 am took break
abortion 914
b coverage of abortion
vol choice in general nthg in titl constr as qual hlth plan
parb1 2 sbst a plan svs b1 b2 as plan yr
plan approp hlth hum sevs 6mth plan yr
allowed EXP FED FUNDS PERMITTED 6 MTH PRIOR TO PLAN
FED FUNDS QUAL HLTH SHALL NOT USE ANY AMOUNT FOR ANY PURP
36B 1986 1412 PT AFFD ACT 1402 PT AFFD ACT SECT 1412 REDUCT
ALLOCATION ACCOUNT
ISSUE SHALL COLLECT NO REGD FOR PAYMT FOR FOLLOWING
OTHER THAN SVS IN 1B1 SUB A 2 ACTL 1B1
2 SHL DEP ALL PAYMTS
PD THRU EMP PAYROLL SHALL EACH PD THRU
SEP DEPOS
SHALL A EST
2 ENROLLEE
SHALL DEP ALL DEPST SEP EXCLUS SEVS
PYMTS B12 SOLELY SVS FOR 1 B 1
1 ISSUE OF QUAL HLTH COV UNDR QUAL HLTH 1B1
2 ESTIMA IMPACT OF INCLUSION COST REDUC
PRENAT DEL POSTNAT
SHALL
EST COST IF INCL TOTAL POP COV
SHALL
STATE HLTH INS COMPLY WITH SEGR ACCTG REQU MGM BUDGTS
GOV ACCT OFFICS
2 SHALL NOT PROHIBIT COMPTET
1B1 NOTICE WITH SUMMARY TIME OF ENROLL OF COV
RULES OF
ADVS
INSURERS PROV INFOR COMBINED PYMT 1B1
4 NO DISCRM ABORTION ANY INDIV OR FACILITY OR UNWILLINGNESS FOR ABORTIONWILLINGNESS TO PROVIDE ABORTION OR TO PROVIDE
TRNG
OBLI
EMERG SVS NOTHG SHALL 1867 ACT EMTALA
D 1304 AMENDED ED HLTHCR CONSMRS BACKGROUND DECIS
1311 D AMENDED 2 STATE ASSUME COST MAKE
PYMT ENROL INDIV TO DEFRAY COST TO 1 EDUC BEFORE HLTHCAR
A STRIK SHALL 2 ADD TO END TRANSP IN COVERAGE
SHALL PROVIDE MAKE AVAIL ACCURATE TIMELY DISCLOSURE
PRACTICES DATA ENROL DATA DISENR DENIED CL COST SHARING MIS ONE
ENROLL RIGHTS INFO AS DET BY SEC
PLAIN LANGUAGE THAT INTENDED AUDIENCE
LIMITED ENGL PROFIC WELL ORGAN BEST PRACTICES LABOR SEC SHALL MAKE
COST PERMIT INDIV TO LEARN COST RESPONS TO PAY TIMELY MANNER MIN SHALL THRU INT AND OTHER
D SEC LABOR SHALL HARMONIZE GRP PLAN DISCLO
PERIOD DISCL SECT A GSECTG1 AMENDED INSERT :
3 ACTIVITIES THRU LANG SVS OUTREACH COMP TRANG
INSERTING RES PARTN SMA BSU
A1 INDIV ELE BEFOR E
A PARA 1
E
F1A2
B1313A6 NULL VOID
SECT
PARA 4 AMEND 4A SHALL DISMISS UNLESS IMPOSED BY
GOV
1 FED CRIM HRG
AGENT A PARTY
2 FED INVEST
3 MEDIA AG ORIGN SOURCE UNLESS
ORIG SOURCE
1 VOL DISC INFORM ALLEGATIONS IN CLAIM BASED
2 INDEPENDENT ALLEGATIONS VOLUNTARY BEFR
ACTION
13B AMEND STK AND
PARA 5
PARA 3 STRIK 928AM BREAK
MULTI ST PLANS
CONTRA
INS ISSUERS COMMON USE OF NATIONAL SEVC MARK COMPT BIDDING TWO PLANS PERS TATE GRP COV 1 YR AUTO RENEW BY EATHR PTY TPES 2701
NON\
NON PROFT ENTITIES
DIRECTOR AT LEAST ONE NON PROFIT
NEGO PLAN PRFT MG PRM ENRL SUCH PLAN
DIRECTOR MAY REJECT
PARA 4 6
SUBSET ONE PLAN NO SVS 31B1HRG ISSUR
TIT 5 US CODE A1 ISSR
1 MEETS REQ
LIC
TO EACH STATE REQ TO EACH LAW
PREV
TIT A
3 COMPLIES WHT MIN
STAND DO NOT CONFL
CONSL
WI SECTR
MULTI MEETS REQ
IF
A UNIFORM PR STE
B MEETS REQ OF BRONZE SILVE GOLD COV
C PUB SVS ACT
D REGIONS AND STS BEFORE ENACT
2NOTH SHALL PREV STAT TO BE PROV TO ENROL
A 35B INT REV CODE 36
B NO ADD TO COSTS PARA 1A PROV 36B
4
B PARA A INDIV ENROL PARA 2
5 MULTI ST LOW 3-1 SHALL PERMIT IF STS COMPLY WIT
D SUBST 1311E14A D SHALL ENTR CONR IF A1
IF OFFERS 60PCT STS
3 WITH RESPECT 3D
4 ALL STS OFFD
89 TIT 5 SHALL APPY ALL W EX
1MAINT OF EFFOT PS MGMT
2 SEP RISK POOL SHALL BE TD AS SEP
3 SEP ENTITIES WITHIN PERSONNEL
89 DIRCT OVSGT
5 SEP PROGR ASSURANCE
PREMIOUMS PAID NOT COSND FED FUNDS
6 NOTHG SHALL BE CONSTR
H ADVISORY BOARD ESTABL SHALL
ENROLLEES REP OF ENRO
1 APPROP SUCH SUMS TO CARRY OUT SUCH SECTIONS
R
2 STRIKY 1PARA A
10105
SECT 36E2 AMEND 1401
BAMEND
BY INSERT =
1401A OF THIS
ACT INSERT
1401AOF THIS
ACT INSERT 36B AFTER 36A
B
DOLLAR AMT
1 2010 2011 2012
2013 25,000 MULT BY COST OF LIVG ADJ
92 THEREOF
3 SECT
1401 INSERT YEARS
STRIK 2011 INSERT 2009
E OF THIS ACT ADDING AT END
SECT 1416 A IN GENERAL ADJ FED POV LEVEL SUBTITL
COST IN AREAS IN US STUDY TO MAKE ADG
STUDY 2013 STUDY
IFO AVAIL
TERRITORIES TO US AND DIS PAR OF POV LEVEL
IN AREAS
SUBSECT TERRIT
PUERTO GUAM
10106
READ AS FOLLOWS AFFECT ON COMMERCE
COMMERCIAL IN NATURE AS HLT CAR
RISKS PROV
SVS NATL ECON INVR TO 2TRILL 2009 TO 4K TRLL
INS SOLD IN NATIONAL INTERSTATE COMMERCE
NEW CUSTOMERS SHALL BE ADDED AND INCR
AMER INSURED
SHALL 176 MIL
NATIONWIDE
NUMBER INCR
E ECOM LOOSES DUE TO SHORTER LIFE
F COST TO UNCOMP 43BIL 2008 PASSES ON
COST TO FAMILEIS
1000 PER
YR
G 52PCT BANKRUP CAUSED
BY MED
29CODE 2001 FED GOV
SIG ROLE IN REG HLT INS
ABS
UNDERCUTS FED
BY SIG INCR
HLTH INS COV ADDS
EFFECT
HLTH INS PRE EXIST INS CAN BE SOLD
INCR HLTH INS COV WILL INC REDUCE
DO NOT REQ UNDERRIGHTING
AMED TO READ AS FOL
PARA 3 FAILS TO MEET FOR ONE OR MORE MONTHS PENALTY
IRA CODE 86 AMENDED PENALTY PER YEAR SUBB1
PARA 2 FAILURE PER YR EQ TO COV OFFD PLAN YRS
2 MTHLY AMTS
ANY TAX PAYER =1/12 DOLLAR AMT FOR ALL INDIV
300 PERCENT
B INCOME HSLD 1
2 1%
3
4 STRIKE 495 DOLLARS
AMENDED RELIGIOUS EXEMPTION 1311D EXEMPTION 1402G1 SUCH
TEACHINGS DESCRIBED IN SUCH SECTION 1501B AS
RULES TO EMPLOYEES
APPLICABLE FOR COVERAGE REF TO REQ CONTR OF EMPLOYEE
AS ADDED AMENDED WATG PERIOD 60 DAYS
5000A
WAITING PERIODS
2
ANY DEF HLT XCEEDS 60 DAYS
1513
OF ACT ANYMONTH
INT REV CODE
APPLIC CONST EMPLOY
1 SUB PARA SUBST PRE CAL YR 50 EMPL PRECAL YR
2 2013 AFTR
SEC SHALL HAVE AUTH 2C4 SECT
1652AMEND
SUB PART 1 SUST
2 INSERT THE FOLLOWING
RATE OF DENIAL OF ISSUERS
CONTROLLER GENERAL..
DENIALS TO ENROLL IN PLANS
1 COND STUDY SHALL CONSIDER DENIAL
1 REASON
B1
B2 REASON DENIED
PARA 1 DENIAL MED SVS ENRO PLAN
GR ISSUER
B ALL HLTH
PLANS
954BREAK
955 AM FREE CHOICE VOUCHERS
COV PAYS ANY PORTION OF PLAN
1 QUAL EMPL
A CONTR
MIN COV EXCEEDS 8% OF HSLD INC
NOT
EXCEED 9% OF
DOES NOT PART
BY EMPLOY
2014 SHALL ADGUST
RATE OF PRM GRTH 1YR
A
INGENERAL
SUBSECT A
PAID BY EMPL IF EMP PAYS LARGEST PORTION
ELECT FAM COV
B DET OF COST
object to the bill being voted on until the billis posted online
so the public can acess and a date
certain is established for the
vote.
STATE MEDICAID PROGRAM 1040AM RESTART
ANNUAL REPORT TO SECRETRAY
CHLDN ACT 1113
SOC ACT
INSERT
2105
SOC ACT 1396
AMEND
2105
PARA A
PARA A
NULL VOID
2105 EC10PARAA
SUBSIDY 3A PARAN M
SECT 2105 1396ECCA
B INSERT :
2105 420C
2015
2013
COND RECV PYMT
INST FLLG
LOW INC CHILR SUB PARAC
B STK COV FREE ELEG
DET NOT ELIG UNDER WAIVER INSURE ENROLLED
PARA C C ADD FOLLOW PED COV OFFD BY QUAL HLT
PLANS EST BY ST PT AFFD CAR ACT
SECT 21 4
AMEND AND AT END
NSERT
FOLL
16 2013
17 19BIL
18 2BIL 850MIL
2A SECT 2104
AMEND SUBSCT
PARA 2 2012 2014
FISCAL YR
16
17 2016 14
FISCAL YR AS FOL
2013 ALLOT TO ST=TOT ALLT 2012 FISC 2012
MULT ALLOT 2013 GR FIS 2014=2013
AMTPYMT
MULT INCR FACT 2014
STRIK 2015 2016
ASK BILL
CONSIDERED AS READ
OBJECTION
1047
AA 11 STRIK 15AA INSERT 18A INST18B
PARA 6 STRIK
BREAK 1047AM
11O7 ABORTION
SECT 1890 SOC ACT 42 SECT 189A OF SUCH ACT 3014
QUALITY EFF AMB SURG CENTRS
QUALITY DATA
PAYMT ADJ
THRESHOLDS PAYMT ADJ SOURCES OF PAYM
MTHDS PUBLI DISCL AMB CTRS ANY DET BY SEC
PARA 1 CONSULT WITH REL PARTIES DET REL DESC
PARA 1 NOT LATER THAN JAN 2011 TECH 2A AMEND
3012 IMPR HLTH CR 399 H ADDED INSERT
TAKING CONSD SECT C AND D1182 AFT INFO
SECT 10 203 OUTCOME MEAS PUBL SEV ACT
AMENDED F OUTCOME MS
SEC UPDAT DEV NOT LESS THAN 3 YRS APPROP BY SEC
MEASURES INCL EXT OUTCOME ACUTE DX 5 MOST
CHRONIC
1110AM BREAK
FRAMEWORK PUBL REPORTING OF INFOR 399JJSECT
IMPL NAT DATA
COLLECT OF DATA
CONSISTANT
QUALITY FROM INFO SYSTEMS MAY ALLOW
GRANTS W REQ OF INFO TECH SYSTEMS
PAT PROT AFFORD CAR ACT DATE
PT POP GEO SECT 10306 MEDICAID INTERV
1115A INSERT
5 TESTING GEO AREAS SVS MAY ELECT TESTING MOD
GEO AREAS
IN SEC SENT INCLU MAY NOT LIMIT NEW SENT
SHALL FOCUS ON MODEL ON APPLIC TITLE QUAL CAR
UNDER SUCH TITLE BY INCL FOL CLAUSES
UNDERSERV INDIAN TRIBE ORG SECT IND TEL HLTH SEV
BEHAVIOR PTSD STROKE CHRONIC COMPLEX
20 PROVID SVS AND PROVD SECT A 4A1 W 2 OR MORE
MEDICR 4016 BAL ACT
13195G C SUB PARA C FOL CLAUSE
PUBL SECT PLAYORS
C SELECTION
SEC SEL MSRS NTL QUAL IMPR 18907B 4 SECT A
INCR PT CAR NO INCR SPEND
REDUCE NOT RES IN INCR SPED
ADD NOT LIMIT COV BENE APPLIC INDV
SEC SHAL FOCUS ON PT CR RED SP
SEC1899 ADDED 3022 AMEND FOLL
PYM MODELS ADDED PARA 2 3 RATHER THAN SUBSECTD
SUB TO SUBPAR D ACO FIN RSK FOR SOME NOT ALL
RISK SVS ALL ITEM PT B LIM TO ACO CAP BEAR RISK
DET BY SEC
NO ADDL EXP ONE YEAR EST
ACO BENEF OTHEWS IF MODEL NOT IMPL AS EST
BY SEC
SUB PARA B ANY PYMT DET BY SEC IMPR QUAL
B OF 2 PAM MODEL UNDER
J INVOLV PRIVA PAYR PREF TO ACO PART W OTHER P
AYERS
DET DATE OF ENACT
MAY ENTER INTO AN ACO UNDER DEMONSTR
DEEMED 103008
GENERAL 1866B ADDED 2066B AMENDED
STR 8 COND 1631B SUB
IF A DET BY SEC EXP TO RED SPND TIT 18 WO RED CARE QUAL
2 CTRS CERTIF EXP RED SPEND
3 SEC WOULD DET NOT DENY COV
3 SUBSECT G PILOT CARE TO CONT CAR HOSP
BREAK 1123AM
CONT CARE HOSP DEFINED PROVIDES MGMT REHAB
AS DEF 19886B 1886B41
SKILLED 18991A
AMENDED
2 TITLE 2 SOC SEC ACT AMENDED
10309 RE ADMIN PROGRAMS
BREAK 1125AM
3101 PHYS PYMT REPEALED
AMBULANCE SOC ACT 42USC 1L
PROC AMEND 2004 2010 2011
A STRIK ON AND AVTER EACH PL APPEARS
JAN 1 INSERT
B 146B1 PUB LAW 110275 AMEND DEC 312009 STRIK
INSERT NEXT 2 YERS
BREAK
1127AM