Sec. 104. Portability of benefits
273 words·~1 min read·
/bill/113/hr/1200/ih/section-104A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
To ensure continuous access to benefits for health care services covered under this Act, each State health security program— shall not impose any minimum period of residence in the State, or waiting period, in excess of 3 months before residents of the State are entitled to, or eligible for, such benefits under the program; shall provide continuation of payment for covered health care services to individuals who have terminated their residence in the State and established their residence in another State, for the duration of any waiting period imposed in the State of new residency for establishing entitlement to, or eligibility for, such services; and shall provide for the payment for health care services covered under this Act provided to individuals while temporarily absent from the State based on the following principles:
Payment for such health care services is at the rate that is approved by the State health security program in the State in which the services are provided, unless the States concerned agree to apportion the cost between them in a different manner. Payment for such health care services provided outside the United States is made on the basis of the amount that would have been paid by the State health security program for similar services rendered in the State, with due regard, in the case of hospital services, to the size of the hospital, standards of service, and other relevant factors.
A State health security program for a State may negotiate with such a program in an adjacent State a reciprocal arrangement for the coverage under such other program of health care services to enrollees residing in the border region.