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42 U.S.C. § 18003Immediate information that allows consumers to identify affordable coverage options

submitted 16 years ago by Pub. L. 111-148 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 409 words · no verdicts yet

in plain englishAI-generated · not legal advice

By July 1, 2010, the Secretary had to build a website, made with the states, to help people and small businesses find affordable health coverage in their state. The site had to list options like private insurance, Medicaid, CHIP, state high-risk pools, and small-business tax credits, all shown in one standard, easy-to-compare format.

(a) An internet portal for finding coverage (1) By July 1, 2010, the Secretary — working with the states — had to create a way, including a website, for any resident or small business in a state to find affordable health insurance options in that state. (2) As much as practical, that website had to give residents and small businesses information about: (A) health insurance coverage from insurers, except coverage that only pays for one disease or condition, or an unreasonably narrow set of conditions, as the Secretary decides; (B) Medicaid coverage (Title XIX of the Social Security Act); (C) CHIP coverage (Title XXI of the Social Security Act); (D) a state's high-risk pool, if the state has one; (E) coverage through the federal high-risk pool created by section 18001; and (F) small-group-market coverage for small businesses and their employees — including the early-retiree reinsurance program under section 18002, the small-business tax credit under 26 U.S.C. § 45R, and other information aimed at small businesses looking for affordable coverage. (b) Making it easier to compare plans (1) By no later than 60 days after March 23, 2010, the Secretary had to create a standard format for presenting the coverage information described in (a)(2). At minimum, that format had to show the percentage of premiums spent on nonclinical costs (as reported under section 300gg–18(a)), plus eligibility, availability, premium rates, and cost-sharing — and it had to match the format used for the uniform "explanation of coverage" required under section 300gg–15. (2) The Secretary had to use this standard format when posting coverage information on the website. (c) Contracting out The Secretary could carry out this section by contracting with qualified outside organizations.
the actual law source: uscode.house.gov ↗public domain
(a) Internet portal to affordable coverage options
(1) Immediate establishment

Not later than July 1, 2010, the Secretary, in consultation with the States, shall establish a mechanism, including an Internet website, through which a resident of, or small business in, any State may identify affordable health insurance coverage options in that State.

(2) Connecting to affordable coverage

An Internet website established under paragraph (1) shall, to the extent practicable, provide ways for residents of, and small businesses in, any State to receive information on at least the following coverage options:

(A)

Health insurance coverage offered by health insurance issuers, other than coverage that provides reimbursement only for the treatment or mitigation of—

(i)

a single disease or condition; or

(ii)

an unreasonably limited set of diseases or conditions (as determined by the Secretary).

(B)

Medicaid coverage under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.].

(C)

Coverage under title XXI of the Social Security Act [42 U.S.C. 1397aa et seq.].

(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 18001 of this title.

(F)

Coverage within the small group market for small businesses and their employees, including reinsurance for early retirees under section 18002 of this title, tax credits available under section 45R of title 26 (as added by section 1421), and other information specifically for small businesses regarding affordable health care options.

(b) Enhancing comparative purchasing options
(1) In general

Not later than 60 days after March 23, 2010, the Secretary shall develop a standardized format to be used for the presentation of information relating to the coverage options described in subsection (a)(2). 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 300gg–18(a) of this title), 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 300gg–15 of this title.

(2) Use of format

The Secretary shall utilize the format developed under paragraph (1) in compiling information concerning coverage options on the Internet website established under subsection (a).

(c) Authority to contract

The Secretary may carry out this section through contracts entered into with qualified entities.

Source credit: (Pub. L. 111–148, title I, § 1103, title X, § 10102(b), Mar. 23, 2010, 124 Stat. 146, 892.)

history & why it existsrecord from the source credit
  • 2010Enacted · Pub. L. 111-148 · 124 Stat. 146, 892

A history note hasn’t been published yet. The record shows enactment by Pub. L. 111-148 on 2010-03-23.

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