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Benefits in General

[Official Guidance]

Text of HR 133: Consolidated Appropriations Act of 2021 (PDF)

5,593 pages. Full text of HR133, dated Dec. 21, 2020 (as expected to be passed by Congress). Provisions relevant to employee benefits include:

Division BB -- Private Health Insurance and Public Health Provisions (begins on page 4095)

Title I -- No Surprises Act

  • Section 102 -- Health insurance requirements regarding surprise medical billing
  • Section 103 -- Determination of out-of-network rates to be paid by health plans; Independent dispute resolution process
  • Section 104 -- Health care provider requirements regarding surprise medical billing
  • Section 105 -- Ending surprise air ambulance bills
  • Section 106 -- Reporting requirements regarding air ambulance services
  • Section 107 -- Transparency regarding in-network and out-of-network deductibles and out-of-pocket limitations
  • Section 108 -- Implementing protections against provider discrimination
  • Section 109 -- Reports
  • Section 110 -- Consumer protections through application of health plan external review in cases of certain surprise medical bills
  • Section 111 -- Consumer protections through health plan requirement for fair and honest advance cost estimate
  • Section 112 -- Patient protections through transparency and patient-provider dispute resolution
  • Section 113 -- Ensuring continuity of care
  • Section 114 -- Maintenance of price comparison tool
  • Section 115 -- State All Payer Claims Databases
  • Section 116 -- Protecting patients and improving the accuracy of provider directory information
  • Section 117 -- Advisory committee on ground ambulance and patient billing
  • Section 118 -- Implementation funding

Title II -- Transparency

  • Section 201 -- Increasing  transparency  by  removing  gag  clauses  on  price  and  quality  information
  • Section 202 -- Disclosure of direct and indirect compensation  for  brokers  and consultants to employer-sponsored health plans and enrollees  in  plans on the individual market
  • Section 203 -- Strengthening parity in mental health and substance use disorder benefits
  • Section 204 -- Reporting on pharmacy benefits and drug costs

Division EE -- Taxpayer Certainty and Disaster Tax Relief Act of 2020 (begins on page 4870)

Title I -- Extension of Certain Expiring Provisions

  • Subtitle B -- Extended through 2025:
    • Section 119 -- Employer credit for paid family and medical leave
    • Section 120 -- Exclusion for certain employer payments of student loans
  • Subtitle C -- Extension of certain other provisions
    • Section 134 -- Credit for health insurance costs of eligible individuals

Title II -- Other Provisions

  • Section 207 -- Extension and modification of employee retention and rehiring tax credit
  • Section 208 -- Minimum age for distributions during working retirement
  • Section 209 -- Temporary Rule preventing partial plan termination
  • Section 214 -- Temporary special rules for health and dependent care flexible spending arrangements

Title III -- Disaster Tax Relief

  • Section 302 -- Special disaster-related rules for use of retirement funds
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U.S. House of Representatives Committee on Rules, Inc.
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Lois Baker, J.D., President
David Rhett Baker, J.D., Editor and Publisher
Holly Horton, Business Manager

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