Text of Interim Final Regulations Under the Affordable Care Act's New Patient's Bill of Rights, Including Application of Preexisting Condition Exclusions, Annual/Lifetime Limits, and Rescissions (Federal Register Typeset Version) (PDF)
55 pages. Excerpt: "[For group health plans and group health insurance coverage, these] interim final regulations, except those under Public Health Service Act . . . generally apply to group health plans and group health insurance issuers for plan years beginning on or after September 23, 2010. These interim final regulations under PHS Act section 2704 . . . generally apply for plan years beginning on or after January 1, 2014, except that in the case of individuals who are under 19 years of age, these interim final regulations under PHS Act section 2704 apply for plan years beginning on or after September 23, 2010."
(Internal Revenue Service; Employee Benefits Security Administration; U.S. Department of Health & Human Services)
New Health Reform Rules Specify Minimum Annual Limits, Provide Model Language for Patient Protections
Excerpt: "The Affordable Care Act also requires that plans allow enrollees to select, when the plan requires it, any primary care provider that participates in the plan's network. The interim final rules note that plans must notify enrollees of this provision, and the rules provide the following model language that plans may use to comply with this requirement . . . ."
CMS Updates Creditable Coverage Disclosure to CMS Form
Excerpt: "EBIA Comment: Most of the changes in the Disclosure to CMS Form seem to be for clarification and are fairly minor. One wording change to be aware of - for those gathering data for completing the form - is that it now requests the date that the annual disclosure to eligible Part D individuals requirement was "provided" instead of the previous (and somewhat ambiguous) request for the date the disclosure was "completed.""
(Employee Benefits Institute of America)
Pittsburgh, Pennsylvania, Companies Become Proactive to Keep Health Care Costs Down
Excerpt: "Here's what's new: An increasing number of employees are choosing the Internet rather than the telephone for reminders about preventive health measures, and employers are making it easier for workers to comply with medical regimens by waiving copays associated with some prescription drugs and devices. The result overall is sweeter incentives for participating in wellness programs."
(Pittsburgh Business Times)
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