H.R. 3962/Division A/Title II

TITLE II — PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS

SUBTITLE A—GENERAL STANDARDS

Sec. 201. Requirements Reforming Health Insurance Marketplace.

Sec. 202. Protecting the Choice to Keep Current Coverage.

SUBTITLE B—STANDARDS GUARANTEEING ACCESS TO AFFORDABLE COVERAGE

Sec. 211. Prohibiting Pre-existing Condition Exclusions.

Sec. 212. Guaranteed Issue and Renewal for Insured Plans and Prohibiting Rescissions.

Sec. 213. Insurance Rating Rules.

Sec. 214. Nondiscrimination in Benefits; Parity in Mental Health and Substance Abuse Disorder Benefits.

Sec. 215. Ensuring Adequacy of Provider Networks.

Sec. 216. Requiring the Option of Extension of Dependent Coverage for Uninsured Young Adults.

Sec. 217. Consistency of Costs and Coverage Under Qualified Health Benefits Plans During Plan Year.

SUBTITLE C—STANDARDS GUARANTEEING ACCESSS TO ESSENTIAL BENEFITS

Sec. 221. Coverage of Essential Benefits Package.

Sec. 222. Essential Benefits Package Defined.

Sec. 223. Health Benefits Advisory Committee.

Sec. 224. Process for Adoption of Recommendations; Adoption of Benefit Standards.

SUBTITLE D—ADDITIONAL CONSUMER PROTECTIONS

Sec. 231. Requiring Fair Marketing Practices by Health Insurers.

Sec. 232. Requiring Fair Grievance and Appeals Mechanisms.

Sec. 233. Requiring Information Transparency and Plan Disclosure.

Sec. 234. Application to Qualified Health Benefits Plans Not Offered Through the Health Insurance Exchange.

Sec. 235. Timely Payment of Claims.

Sec. 236. Standardized Rules for Coordination and Subrogation of Benefits.

Sec. 237. Application of Administrative Simplification.

Sec. 238. State Prohibitions on Discrimination Against Health Care Providers.

Sec. 239. Protection of Physician Prescriber Information.

Sec. 240. Dissemination of Advance Care Planning Information.

SUBTITLE E—GOVERNANCE

Sec. 241. Health Choices Administration; Health Choices Commissioner.

Sec. 242. Duties and Authority of Commissioner.

Sec. 243. Consultation and Coordination.

Sec. 244. Health Insurance Ombudsman.

SUBTITLE F—RELATION TO OTHER REQUIREMENTS; MISCELLANEOUS

Sec. 251. Relation to Other Requirements.

Sec. 252. Prohibiting Discrimination in Health Care.

Sec. 253. Whistleblower Protection.

Sec. 254. Construction Regarding Collective Bargaining.

Sec. 255. Severability.

Sec. 256. Treatment of Hawaii Prepaid Health Care Act.

Sec. 257. Actions by State Attorneys General.

Sec. 258. Application of State and Federal Laws Regarding Abortion.

Sec. 259. Nondiscrimination on Abortion and Respect for Rights of Conscience.

Sec. 260. Authority of Federal Trade Commission.

Sec. 261. Construction Regarding Standard of Care.

Sec. 262. Restoring Application of Antitrust Laws to Health Sector Insurers.

Sec. 263. Study and Report on Methods to Increase EHR use by Small Health Care Providers.

Sec. 264. Performance Assessment and Accountability: Application of GPRA.

Sec. 265. Limitation on Abortion Funding.