Proyectos de ley › 90.ª Asamblea General
Relating to certain health care plan’s cost-sharing for essential health benefits
Temas:Health careInsurance
Dónde está ahora
- Hecho: Presentado7 de marzo de 2024
- Se detuvo: SubcomitéMurió al terminar la Asamblea General
- Sigue: Comité de la Cámara
- Sigue: Lo aprueba la Cámara
- Sigue: Comité del Senado
- Sigue: Lo aprueba el Senado
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Murió al terminar la sesión La sesión de 2024 terminó el 19 de abril de 2024, la última sesión ordinaria de la Asamblea General. Los proyectos que no pasaron por ambas cámaras murieron. ¿Qué es el embudo (funnel)?
Qué contiene
Resumen con IA Health insurance companies must count all essential health benefits toward a person's yearly limit on out-of-pocket costs. This rule applies to people with individual, small group, or group health insurance plans. Even if a company doesn't label a specific service as an essential benefit, they must still include those costs when calculating how much a person has paid toward their annual limit. (Todavía no está traducido al español.)1
Lea la explicación oficial (en inglés)
This bill relates to certain health care plan’s cost-sharing for essential health benefits. Under the bill, when calculating an enrollee’s contribution to the annual limitation on cost-sharing under federal law, a health care plan, or its subcontractors, that provides small group health coverage, individual health coverage, or group health insurance coverage shall include expenditures for any item or service covered under the health care plan if the item or service is included within a category of essential health benefits regardless of whether the health care plan, or its subcontractors, classifies the item or service as an essential health benefit. “Cost-sharing” is defined in the bill as any coverage limit, copayment, coinsurance, deductible, or other out-of-pocket cost obligation imposed by a health care plan, or the health care plan’s subcontractors, on an enrollee.