H.R.3590 PATIENT PROTECTION AND AFFORDABLE CARE ACT PDF

Otherwise, there will be no subsidy, and the SLCSP premium will of course be no more than usually less than the amount in this column. Note: The numbers in the table do not apply for Alaska and Hawaii. The exchanges are regulated, largely online marketplaces, administered by either federal or state governments, where individuals, families and small businesses can purchase private insurance plans. Some exchanges also provide access to Medicaid.

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The Secretary shall make reports received under this section available to the public on the Internet website of the Department of Health and Human Services.

The Secretary shall utilize such data to identify areas where more enforcement action is necessary and shall share such information with State insurance regulators, the Secretary of Labor, and the Secretary of the Treasury for use in the enforcement activities of such agencies. Such amount shall remain available without fiscal year limitation. Such issuers shall prominently post such information on their Internet websites.

The Secretary shall ensure the public disclosure of information on such increases and justifications for all health insurance issuers. The criteria shall include at least the following circumstances: A In the case of prior coverage obtained through an employer, the provision by the employer, group health plan, or the issuer of money or other financial consideration for disenrolling from the coverage.

B In the case of prior coverage obtained directly from an issuer or under an employment-based health plan-- i the provision by the issuer or plan of money or other financial consideration for disenrolling from the coverage; or ii in the case of an individual whose premium for the prior coverage exceeded the premium required by the program adjusted based on the age factors applied to the prior coverage -- I the prior coverage is a policy that is no longer being actively marketed as defined by the Secretary by the issuer; or II the prior coverage is a policy for which duration of coverage form issue or health status are factors that can be considered in determining premiums at renewal.

Such funds shall be available without fiscal year limitation. Such procedures shall ensure that there is no lapse in coverage with respect to the individual and may extend coverage after the termination of the risk pool involved, if the Secretary determines necessary to avoid such a lapse. B BASIS FOR CLAIMS- Claims submitted under subparagraph A shall be based on the actual amount expended by the participating employment-based plan involved within the plan year for the health benefits provided to an early retiree or the spouse, surviving spouse, or dependent of such retiree.

In determining the amount of a claim for purposes of this subsection, the participating employment-based plan shall take into account any negotiated price concessions such as discounts, direct or indirect subsidies, rebates, and direct or indirect remunerations obtained by such plan with respect to such health benefit.

Such payments may be used to reduce premium costs for an entity described in subsection a 2 B i or to reduce premium contributions, co-payments, deductibles, co-insurance, or other out-of-pocket costs for plan participants. Such payments shall not be used as general revenues for an entity described in subsection a 2 B i.

The Secretary shall develop a mechanism to monitor the appropriate use of such payments by such entities. D A State health benefits high risk pool, to the extent that such high risk pool is offered in such State; and E Coverage under a high risk pool under section Such format shall, at a minimum, require the inclusion of information on the percentage of total premium revenue expended on nonclinical costs as reported under section a of the Public Health Service Act , eligibility, availability, premium rates, and cost sharing with respect to such coverage options and be consistent with the standards adopted for the uniform explanation of coverage as provided for in section of the Public Health Service Act.

Such operating rules shall be consensus-based and reflect the necessary business rules affecting health plans and health care providers and the manner in which they operate pursuant to standards issued under Health Insurance Portability and Accountability Act of The Secretary shall accept and consider public comments on any interim final rule published under this subparagraph for 60 days after the date of such publication.

HADOOP ESSENTIALS A QUANTITATIVE APPROACH PDF

Patient Protection and Affordable Care Act

The Secretary shall make reports received under this section available to the public on the Internet website of the Department of Health and Human Services. The Secretary shall utilize such data to identify areas where more enforcement action is necessary and shall share such information with State insurance regulators, the Secretary of Labor, and the Secretary of the Treasury for use in the enforcement activities of such agencies. Such amount shall remain available without fiscal year limitation. Such issuers shall prominently post such information on their Internet websites. The Secretary shall ensure the public disclosure of information on such increases and justifications for all health insurance issuers. The criteria shall include at least the following circumstances: A In the case of prior coverage obtained through an employer, the provision by the employer, group health plan, or the issuer of money or other financial consideration for disenrolling from the coverage. B In the case of prior coverage obtained directly from an issuer or under an employment-based health plan-- i the provision by the issuer or plan of money or other financial consideration for disenrolling from the coverage; or ii in the case of an individual whose premium for the prior coverage exceeded the premium required by the program adjusted based on the age factors applied to the prior coverage -- I the prior coverage is a policy that is no longer being actively marketed as defined by the Secretary by the issuer; or II the prior coverage is a policy for which duration of coverage form issue or health status are factors that can be considered in determining premiums at renewal.

DUSANOV ZAKONIK PDF

H.R. 3590 (111th): Patient Protection and Affordable Care Act

The Senate Passes H. The House previously passed related legislation, H. Because there are some differences between the two versions of the bill, H. The House may either adopt the Senate bill or request a conference committee be established to reconcile the differences. The bill includes the following provisions of interest to SSA. Such applications may be filed online, in person, by mail, or over the phone.

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