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Text of Agency Proposed Regs: Certain Provisions of the No Surprises Act Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement
U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL]; U.S. Treasury Department; and Office of Personnel Management [OPM]Link to more items from this source
[Official Guidance]
Sept. 13, 2021

163 pages. "These proposed rules would implement certain provisions of the No Surprises Act that would increase transparency by requiring group health plans and health insurance issuers in the group and individual markets, and FEHB carriers, to submit certain information about air ambulance services to [HHS, Treasury and OPM], as applicable, and by requiring providers of air ambulance services to submit certain information to the Secretaries of HHS and Transportation. These proposed rules also include HHS-only proposed rules that would increase transparency by requiring a health insurance issuer offering individual health insurance coverage or short-term, limited-duration insurance to disclose to policyholders and to report to HHS any direct or indirect compensation provided by the issuer to an agent or broker associated with enrolling individuals in such coverage. These proposed rules would also provide the process by which HHS would investigate complaints and potential violations ... and, if warranted, take enforcement action, including the imposition of civil money penalties, against providers and facilities, including providers of air ambulance services.... These proposed rules would also establish the process by which HHS would impose civil money penalties if a provider of air ambulance services fails to submit some or all required data to HHS." [Also see CMS Press Release and Fact Sheet]

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