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BAI09R08 S.L.C.
on the dollar value of benefits for any participant or
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beneficiary with respect to the scope of benefits that
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are essential health benefits under section 1302(b)
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of the Patient Protection and Affordable Care Act,
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as determined by the Secretary. In defining the term
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‘restricted annual limit’ for purposes of the pre-
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ceding sentence, the Secretary shall ensure that ac-
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cess to needed services is made available with a
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minimal impact on premiums.
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‘‘(b) P
ER
B
ENEFICIARY
L
IMITS
.—Subsection (a)
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shall not be construed to prevent a group health plan or
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health insurance coverage from placing annual or lifetime
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per beneficiary limits on specific covered benefits that are
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not essential health benefits under section 1302(b) of the
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Patient Protection and Affordable Care Act, to the extent
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that such limits are otherwise permitted under Federal or
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State law.’’.
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(b) Section 2715(a) of the Public Health Service Act,
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as added by section 1001(5) of this Act, is amended by
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striking ‘‘and providing to enrollees’’ and inserting ‘‘and
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providing to applicants, enrollees, and policyholders or cer-
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tificate holders’’.
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(c) Subpart II of part A of title XXVII of the Public
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Health Service Act, as added by section 1001(5), is
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amended by inserting after section 2715, the following:
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