42 U.S.C. § 18023 — Special rules
submitted 16 years ago by Pub. L. 111-148 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 1,253 words · no verdicts yet
States can pass a law banning abortion coverage in Exchange plans, or later repeal that ban. Where abortion coverage is allowed, insurers decide for themselves whether to include it, but federal subsidy money can never pay for abortions except where federal funding is already legally allowed. Insurers offering broader abortion coverage must collect a separate premium payment, at least $1 a month, and keep it in a segregated account just for that coverage. Plans can't discriminate against providers who refuse to perform abortions, and none of this overrides existing state or federal abortion laws, conscience protections, civil rights law, or emergency-care requirements like EMTALA.
A State may elect to prohibit abortion coverage in qualified health plans offered through an Exchange in such State if such State enacts a law to provide for such prohibition.
A State may repeal a law described in paragraph (1) and provide for the offering of such services through the Exchange.
Notwithstanding any other provision of this title 1 (or any amendment made by this title)— 1
nothing in this title 1 (or any amendment made by this title),1 shall be construed to require a qualified health plan* to provide coverage of services described in subparagraph (B)(i) or (B)(ii) as part of its essential health benefits for any plan year; and
subject to subsection (a), the issuer of a qualified health plan* shall determine whether or not the plan provides coverage of services described in subparagraph (B)(i) or (B)(ii) as part of such benefits for the plan year.
The services described in this clause are abortions for which the expenditure of Federal funds appropriated for the Department of Health and Human Services is not permitted, based on the law as in effect as of the date that is 6 months before the beginning of the plan year involved.
The services described in this clause are abortions for which the expenditure of Federal funds appropriated for the Department of Health and Human Services is permitted, based on the law as in effect as of the date that is 6 months before the beginning of the plan year involved.
If a qualified health plan provides coverage of services described in paragraph (1)(B)(i), the issuer of the plan shall not use any amount attributable to any of the following for purposes of paying for such services:
The credit under section 36B of title 26 (and the amount (if any) of the advance payment of the credit under section 18082 of this title).
Any cost-sharing* reduction under section 18071 of this title (and the amount (if any) of the advance payment of the reduction under section 18082 of this title).
In the case of a plan to which subparagraph (A) applies, the issuer of the plan shall—
collect from each enrollee in the plan (without regard to the enrollee’s age, sex, or family status) a separate payment for each of the following:
an amount equal to the portion of the premium to be paid directly by the enrollee for coverage under the plan of services other than services described in paragraph (1)(B)(i) (after reduction for credits and cost-sharing reductions described in subparagraph (A)); and
an amount equal to the actuarial value of the coverage of services described in paragraph (1)(B)(i), and
shall 2 deposit all such separate payments into separate allocation accounts as provided in subparagraph (C).
In the case of an enrollee whose premium for coverage under the plan is paid through employee payroll deposit, the separate payments required under this subparagraph shall each be paid by a separate deposit.
The issuer of a plan to which subparagraph (A) applies shall establish allocation accounts described in clause (ii) for enrollees receiving amounts described in subparagraph (A).
The issuer of a plan to which subparagraph (A) applies shall deposit—
all payments described in subparagraph (B)(i)(I) into a separate account that consists solely of such payments and that is used exclusively to pay for services other than services described in paragraph (1)(B)(i); and
all payments described in subparagraph (B)(i)(II) into a separate account that consists solely of such payments and that is used exclusively to pay for services described in paragraph (1)(B)(i).
The issuer of a qualified health plan shall estimate the basic per enrollee, per month cost, determined on an average actuarial basis, for including coverage under the qualified health plan of the services described in paragraph (1)(B)(i).
In making such estimate, the issuer—
may take into account the impact on overall costs of the inclusion of such coverage, but may not take into account any cost reduction estimated to result from such services, including prenatal care, delivery, or postnatal care;
shall estimate such costs as if such coverage were included for the entire population covered; and
may not estimate such a cost at less than $1 per enrollee, per month.
Subject to clause (ii), State health insurance commissioners shall ensure that health plans comply with the segregation requirements in this subsection through the segregation of plan funds in accordance with applicable provisions of generally accepted accounting requirements, circulars on funds management of the Office of Management and Budget, and guidance on accounting of the Government Accountability Office.
Nothing in clause (i) shall prohibit the right of an individual or health plan to appeal such action in courts of competent jurisdiction.
A qualified health plan that provides for coverage of the services described in paragraph (1)(B)(i) shall provide a notice to enrollees, only as part of the summary of benefits and coverage explanation, at the time of enrollment, of such coverage.
The notice described in subparagraph (A), any advertising used by the issuer with respect to the plan, any information provided by the Exchange, and any other information specified by the Secretary* shall provide information only with respect to the total amount of the combined payments for services described in paragraph (1)(B)(i) and other services covered by the plan.
No qualified health plan offered through an Exchange may discriminate against any individual health care provider or health care facility because of its unwillingness to provide, pay for, provide coverage of, or refer for abortions 3
Nothing in this Act shall be construed to preempt or otherwise have any effect on State laws regarding the prohibition of (or requirement of) coverage, funding, or procedural requirements on abortions, including parental notification or consent for the performance of an abortion on a minor.
Nothing in this Act shall be construed to have any effect on Federal laws regarding—
conscience protection;
willingness or refusal to provide abortion; and
discrimination on the basis of the willingness or refusal to provide, pay for, cover, or refer for abortion or to provide or participate in training to provide abortion.
Nothing in this subsection shall alter the rights and obligations of employees and employers under title VII of the Civil Rights Act of 1964 [42 U.S.C. 2000e et seq.].
Nothing in this Act shall be construed to relieve any health care provider from providing emergency services as required by State or Federal law, including section 1395dd of this title (popularly known as “EMTALA”).
Source credit: (Pub. L. 111–148, title I, § 1303, title X, § 10104(c), Mar. 23, 2010, 124 Stat. 168, 896.)
- 2010Enacted · Pub. L. 111-148 · 124 Stat. 168, 896
A history note hasn’t been published yet. The record shows enactment by Pub. L. 111-148 on 2010-03-23.
all 0 arguments · sorted by: best
no arguments yet — make the first case