America's Affordable Health Choices Act of 2009, October 14, 2009, 111-1 House Report 111-299, Part 1, *2009 |
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Страница 9
... health benefits or benefit structures for qualifying health benefits plans , building from sections 702 of Employee Retirement Income Security Act of 1974 , 2702 of the Public Health Service Act , and section 9802 of the Internal ...
... health benefits or benefit structures for qualifying health benefits plans , building from sections 702 of Employee Retirement Income Security Act of 1974 , 2702 of the Public Health Service Act , and section 9802 of the Internal ...
Страница 10
... health benefits plan may not impose any restriction ( other than cost- sharing ) unrelated to clinical appropriateness on the coverage of the health care items and services . SEC . 122. ESSENTIAL BENEFITS PACKAGE DEFINED . ( a ) IN ...
... health benefits plan may not impose any restriction ( other than cost- sharing ) unrelated to clinical appropriateness on the coverage of the health care items and services . SEC . 122. ESSENTIAL BENEFITS PACKAGE DEFINED . ( a ) IN ...
Страница 16
... health care service has been specifically pre - authorized or approved for an enrollee under such a program , the program shall not , pursuant to retro- spective review , revise or modify the specific standards , criteria , or proce ...
... health care service has been specifically pre - authorized or approved for an enrollee under such a program , the program shall not , pursuant to retro- spective review , revise or modify the specific standards , criteria , or proce ...
Страница 17
... health care provider as soon as possible in accordance with the medical ... health care items and services , the number of ongoing services approved , the new ... service under a qualified health benefits plan . ( 2 ) DENIAL OF CLAIM FOR ...
... health care provider as soon as possible in accordance with the medical ... health care items and services , the number of ongoing services approved , the new ... service under a qualified health benefits plan . ( 2 ) DENIAL OF CLAIM FOR ...
Страница 28
... health care entity to discrimination , on the basis that the health care entity does not provide , pay for , provide ... Service Act ( 42 U.S.C. 300gg - 42 ) is amended- ( 1 ) in its heading , by inserting " AND CONTINUATION IN FORCE ...
... health care entity to discrimination , on the basis that the health care entity does not provide , pay for , provide ... Service Act ( 42 U.S.C. 300gg - 42 ) is amended- ( 1 ) in its heading , by inserting " AND CONTINUATION IN FORCE ...
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111TH CONGRESS administrative Advisory agencies amount applicable appropriate areas assistance authorized Center clause clinical Commissioner Committee Congress contract coordination cost-sharing costs coverage Current Law dual eligibles durable medical equipment employers enactment end the following enrollee enrollment ensure establish evaluation federal fiscal funds GENERAL.-Section grant Health and Human health benefits plan health care Health Insurance Exchange health plan health workforce HIPAA hospital Human Services implement improve individual inserting items and services Law This provision Medicaid medical home Medicare Part D Medicare Prescription Drug ment mental health counselor nursing facility participate patient payment period PHSA sec PHSA section PHSA title physician pilot program premium prescription drug preventive services Proposed Law qualified health benefits quality measures rebate resident respect retary Security Act 42 Social Security Act specified standards striking submit subparagraph subsection Subtitle Task Force telehealth term tion United States Code