ALLcrimesfood&drugstaxestelecomcommercehealthconservationtransportationagricultureveteransbrowse all titles »
0

29 U.S.C. § 1152Coordination of enforcement regarding violations of certain health care provider requirements; complaint process

submitted 6 years ago by Pub. L. 93-406 to r/title-29-LABOR · 237 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Secretary of Labor must identify patterns of certain health-care violations and investigate when appropriate, coordinating with States and the Health and Human Services Secretary. The Secretary must also provide a complaint process and transmit complaints for possible enforcement.

(a) Investigating violations Upon receiving a notice from a State or the Secretary of Health and Human Services of violations of sections 300gg–131, 300gg–132, or 300gg–135 of title 42, the Secretary of Labor must identify patterns of such violations about participants or beneficiaries under a group health plan or group health insurance coverage offered by a health insurance issuer and conduct an investigation under section 1134 of this title where appropriate, as determined by the Secretary. The Secretary must coordinate with States and the Secretary of Health and Human Services, under section 1136 of this title and with section 104 of Health Insurance Portability and Accountability Act of 1996, where appropriate, as determined by the Secretary, to ensure that appropriate measures have been taken to correct such violations retrospectively and prospectively about participants or beneficiaries under a group health plan or group health insurance coverage offered by a health insurance issuer. (b) Complaint process Not later than January 1, 2022 , the Secretary must ensure a process under which the Secretary — (1) may receive complaints from participants and beneficiaries of group health plans or group health insurance coverage offered by a health insurance issuer relating to alleged violations of the sections specified in subsection (a); and (2) transmits such complaints to States or the Secretary of Health and Human Services (as determined appropriate by the Secretary) for potential enforcement actions.
the actual law source: uscode.house.gov ↗public domain
(a) Investigating violations

Upon receiving a notice from a State or the Secretary of Health and Human Services of violations of sections 300gg–131, 300gg–132, or 300gg–135 of title 42, the Secretary of Labor shall identify patterns of such violations with respect to participants or beneficiaries under a group health plan or group health insurance coverage offered by a health insurance issuer and conduct an investigation pursuant to section 1134 of this title where appropriate, as determined by the Secretary. The Secretary shall coordinate with States and the Secretary of Health and Human Services, in accordance with section 1136 of this title and with section 104 of Health Insurance Portability and Accountability Act of 1996, where appropriate, as determined by the Secretary, to ensure that appropriate measures have been taken to correct such violations retrospectively and prospectively with respect to participants or beneficiaries under a group health plan or group health insurance coverage offered by a health insurance issuer.

(b) Complaint process

Not later than January 1, 2022, the Secretary shall ensure a process under which the Secretary—

(1)

may receive complaints from participants and beneficiaries of group health plans or group health insurance coverage offered by a health insurance issuer relating to alleged violations of the sections specified in subsection (a); and

(2)

transmits such complaints to States or the Secretary of Health and Human Services (as determined appropriate by the Secretary) for potential enforcement actions.

Source credit: (Pub. L. 93–406, title I, § 522, as added Pub. L. 116–260, div. BB, title I, § 104(b)(1), Dec. 27, 2020, 134 Stat. 2830.)

history & why it existsrecord from the source credit
  • 2020Enacted · Pub. L. 93-406 · 134 Stat. 2830

A history note hasn’t been published yet. The record shows enactment by Pub. L. 93-406 on 2020-12-27.

all 0 arguments · sorted by: best

0/280

no arguments yet — make the first case