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Patient Protection and Affordable Care Act as Amended by HCERA - Bookmarked Updated

Patient Protection and Affordable Care Act as Amended by HCERA - Bookmarked Updated

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Published by sharon2971
Fully incorporated Patient Protection and Affordable Care Act as Amended by HCERA and further updated with changes in the law since 3/23/2010. As of 6/28/2012
Fully incorporated Patient Protection and Affordable Care Act as Amended by HCERA and further updated with changes in the law since 3/23/2010. As of 6/28/2012

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Published by: sharon2971 on Jul 01, 2012
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03/24/2014

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LEGISLATIVE COUNSEL
 "
 
 !
 
111
TH
C
ONGRESS
 
 2d Session
P
RINT
111–1
COMPILATION OF PATIENT PROTECTION  AND AFFORDABLE CARE ACT
[As Amended Through May 1, 2010]
INCLUDING
P
 ATIENT
P
ROTECTION AND
 A 
FFORDABLE
C
 ARE
 A 
CT
 H
EALTH
-
RELATED PORTIONS OF THE
H
EALTH
C
 ARE AND
 E
DUCATION
R
ECONCILIATION
 A 
CT OF
2010
PREPARED BY THE
 
Office of the Legislative Counsel
FOR THE USE OF THE
U.S. HOUSE OF REPRESENTATIVES
MAY 2010
VerDate 0ct 09 2002 14:17 Jun 09, 2010Jkt 000000PO 00000Frm 00001Fmt 6012Sfmt 6012F:\P11\NHI\COMP\PPACFRN.001HOLCPC
June 9, 2010
       f     :       \     s     e     a       l     s       \     c     o     n     g     s     e     a       l .       0       0       4
 
iOFFICE OF THE LEGISLATIVE COUNSEL
SANDRA L. STROKOFF, Legislative Counsel EDWARD G. GROSSMAN, Deputy Legislative Counsel
 Prepared by
E
DWARD
G. G
ROSSMAN
,
 Deputy Legislative Counsel
with the assistance of C
RAIG
 A. S
TERKX 
,
 Publications Coordinator
E
LONDA 
C. B
LOUNT
,
Staff Assistant
E
MILY 
M.
OLBERDING
,
Staff Assistant
This document is of the Patient Protection and Affordable Care  Act (‘‘PPACA’’; Public Law 111–148) consolidating the amendments made by title X of the Act and the Health Care and Education Rec-onciliation Act of 2010 (‘‘HCERA’’; Public Law 111–152). The text of the Indian Health Care Improvement Reauthorization and Ex-tension Act of 2009 (S. 1790), as enacted (in amended form) by sec-tion 10221 of PPACA, is shown in a separate, accompanying docu-ment.
Preparation of document
.—This document was prepared by the attorneys and staff of the House Office of the Legislative Coun-sel (HOLC) for the use of its attorneys and clients. It is not an offi-cial document of the House of Representatives or its committees and may not be cited as ‘‘the law’’. At the request of the Leader-ship, it is being made available to the public through Congressional websites and may be downloaded at http://docs.house.gov/ energycommerce/ppacacon.pdf. Errors in this document are solely the responsibility of HOLC. Please email any corrections to ‘‘hlccomments@mail.house.gov’’. This document (originally dated May 24, 2010) may be updated to reflect corrections of errors or subsequent changes in law.
United States Code citations
.—United States Code section numbers assigned to sections in PPACA are specified in brackets after the section numbers in the heading of each section, viz., 2711
ø
42 U.S.C. 300gg–11
¿
.
VerDate 0ct 09 2002 14:18 Jun 09, 2010Jkt 000000PO 00000Frm 00001Fmt 0486Sfmt 6601F:\P11\NHI\COMP\PPACFRN.002HOLCPC
June 9, 2010
 
ii
C O N T E N T S
[For continuous pagination in electronic, PDF version, add 19 pages]
Page
Patient Protection and Affordable Care Act (Public Law 111–148)....................1Sec.1.Short title; table of contents..............................................................1TITLE I—QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS Subtitle A—Immediate Improvements in Health Care Coverage for All Americans Sec.1001.Amendments to the Public Health Service Act..........................13Sec.1002.Health insurance consumer information....................................27Sec.1003.Ensuring that consumers get value for their dollars.................28Sec.1004.Effective dates...............................................................................30Subtitle B—Immediate Actions to Preserve and Expand Coverage Sec.1101.Immediate access to insurance for uninsured individuals with a preexisting condition.................................................................................30Sec.1102.Reinsurance for early retirees.....................................................33Sec.1103.Immediate information that allows consumers to identify af-fordable coverage options.............................................................................36Sec.1104.Administrative simplification......................................................37Sec.1105.Effective date.................................................................................44Subtitle C—Quality Health Insurance Coverage for All Americans P
I
M
R
 Sec.1201.Amendment to the Public Health Service Act............................45P
P
 Sec.1251.Preservation of right to maintain existing coverage..................55Sec.1252.Rating reforms must apply uniformly to all health insurance issuers and group health plans....................................................................56Sec.1253.Annual report on self-insured plans............................................56Sec.1254.Study of large group market........................................................57Sec.1255.Effective dates...............................................................................57Subtitle D—Available Coverage Choices for All Americans P
 ART
1—E
STABLISHMENT OF
Q
UALIFIED
H
EALTH
P
LANS
 Sec.1301.Qualified health plan defined......................................................58Sec.1302.Essential health benefits requirements......................................59Sec.1303.Special rules..................................................................................64Sec.1304.Related definitions........................................................................68
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June 9, 2010
Sec. 1001. Amendments To The Public Health Service Act. G Sec. 2711.
 No lifetime or annual limits.
G Sec. 2712.
 Prohibition on rescissions.
Sec. 2713.
 Coverage of preventive health services.
G Sec. 2714.
Extension of dependent coverage.
G Sec. 2715
. Development and utilization of uniform explanation of coverage documents and standardized definitions.
Sec. 2715A.
 Provision of Additional Information
Sec. 2716.
Prohibition of discrimination based on salary.
Sec. 2717
. Ensuring the quality of care.
G Sec. 2718
. Bringing down the cost of health care coverage.
Sec. 2719
. Appeals process.
Sec. 2719A.
 Patient Protections.
Sec. 1002. Health Insurance Consumer Information. Sec. 2793
[42 U.S.C. 300gg -93].. Health Insurance Consumer Information.
Sec. 1003. Ensuring That Consumers Get Value For Their Dollars. Sec. 2794
 [42 U.S.C. 300gg -94.]. Ensuring That Consumers Get
Sec. 1004. Effective Dates. Sec. 1101. Immedate Access To Insurance For Uninsured Individuals With A Preexisting Condition. Sec. 1102. Reinsurance For Early Retirees. Sec. 1103. Immediate Information That Allows Consumers To Identify Affordable Coverage Options. Sec. 1104. Administrative Simplification. Sec. 1105. Effective Date. Sec. 1201. Amendment to the Public Health Service Act. Sec. 2704.
Prohibition of preexisting condition exclusions or other discrimination based on health status.
 Sec. 2701.
Fair health insurance premiums.
Sec. 2702.
Guaranteed availability of coverage.
Sec. 2703.
Guaranteed renewability of coverage.
Sec. 2705.
Prohibiting discrimination against individual participants and beneficiaries based on health status.
Sec. 2706.
Non-discrimination in health care.
Sec. 2707.
Comprehensive health insurance coverage.
Sec. 2708.
Prohibition on excessive waiting periods.
Sec. 2709.
Coverage for Individuals Participating in Approved clinical trials