29 U.S.C. § 1185l — Air ambulance report requirements
submitted 6 years ago by Pub. L. 93-406 to r/title-29-LABOR · 305 words · no verdicts yet
Group health plans and issuers must report air-ambulance claims information to the Secretary and the Secretaries of Health and Human Services and the Treasury. The reports cover two specified plan years and must separate claims by the listed characteristics.
(a) In general. Each group health plan* and issuer offering group coverage must submit to the Secretary*, jointly with the Secretaries of Health and Human Services and the Treasury: (1) within 90 days after the first calendar year that begins on or after a final rule under section 106(d) of the No Surprises Act, the subsection (b) information for that plan year*; and (2) within 90 days after the next plan* year ends, the same information for that year. (b) Information described. The information is: (1) air-ambulance claims data separated by (A) emergency or nonemergency service; (B) hospital-owned or sponsored, municipality-sponsored, hospital-independent partnership (hybrid), independent, or Alaska tribally operated program; (C) rural or urban origin; (D) rotor or fixed-wing (or other) aircraft type; and (E) whether the provider has a plan or issuer contract; and (2) other provider information the Secretary specifies.
Each group health plan* and health insurance issuer* offering group health insurance coverage* shall submit to the Secretary*, jointly with the Secretary of Health and Human Services and the Secretary of the Treasury—
not later than the date that is 90 days after the last day of the first calendar year beginning on or after the date on which a final rule is promulgated pursuant to the rulemaking described in section 106(d) of the No Surprises Act, the information described in subsection (b) with respect to such plan year*; and
not later than the date that is 90 days after the last day of the plan* year immediately succeeding the calendar year described in paragraph (1), such information with respect to such immediately succeeding plan year.
For purposes of subsection (a), information described in this subsection, with respect to a group health plan or a health insurance issuer offering group health insurance coverage*, is each of the following:
Claims data for air ambulance services furnished by providers of such services, disaggregated by each of the following factors:
Whether such services were furnished on an emergent or nonemergent basis.
Whether the provider of such services is part of a hospital-owned or sponsored program, municipality-sponsored program, hospital independent partnership (hybrid) program, independent program, or tribally operated program in Alaska.
Whether the transport in which the services were furnished originated in a rural or urban area.
The type of aircraft (such as rotor transport or fixed wing transport) used to furnish such services.
Whether the provider of such services has a contract with the plan or issuer, as applicable, to furnish such services under the plan or coverage, respectively.
Such other information regarding providers of air ambulance services as the Secretary may specify.
Source credit: (Pub. L. 93–406, title I, § 723, as added Pub. L. 116–260, div. BB, title I, § 106(b)(2)(A), Dec. 27, 2020, 134 Stat. 2853.)
- 2020Enacted · Pub. L. 93-406 · 134 Stat. 2853
A history note hasn’t been published yet. The record shows enactment by Pub. L. 93-406 on 2020-12-27.
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