Sec. 202. Assuring care continuity during transitions among CHIP, Medicaid, and qualified health plans
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Section 5000A(f) of the Internal Revenue Code of 1986 is amended by adding at the end the following: With respect to a targeted low-income pregnant woman (as defined in section 2112(d)(2) of the Social Security Act ( 42 U.S.C. 1397ll(d)(2) )), notwithstanding paragraph (1)(A)(iii), the term minimum essential coverage , at the option of such a woman, shall not include pregnancy-related assistance (as defined in section 2112(d)(1) of the Social Security Act ( 42 U.S.C. 1397ll(d)(1) )). .
The amendment made by this subsection applies to taxable years beginning after December 31, 2014. The Secretary of Health and Human Services shall issue regulations for purposes of ensuring continuity of care for children who— are undergoing an active course of treatment; and involuntarily change coverage under health insurance, the State plan under the Medicaid program under title XIX of the Social Security Act, or the State child health plan under title XXI of such Act during such course of treatment for any reason, including a reason related to a change in income, health plan termination, or a material change or changes to the plan’s health benefits coverage.
Not later than 18 months after the date of the enactment of the CHIP Extension and Improvement Act of 2014 , the Secretary of Health and Human Services shall review, with respect to a State, the benefits (by each benefit class) offered for children and the cost-sharing imposed with respect to such benefits by qualified health plans offered through an Exchange established under title I of the Patient Protection and Affordable Care Act in the State. The Secretary shall make the findings of such review available on the public Internet site of the Department of Health and Human Services.
If, following such review, the Secretary determines that benefits and cost-sharing protections referred to in paragraph
(1)are not comparable to the benefits (by each benefit class) offered and cost-sharing protections provided under the State child health plan under title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) in the State, the Secretary, not later than January 1, 2017, shall issue a rule, to apply with respect to plan years beginning in 2019, establishing requirements designed to ensure that such qualified health plans offer benefits and cost-sharing protections that are comparable to the benefits and cost-sharing protections provided under such State child health plan for plan year 2019.
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Sec. 202
Assuring care continuity during transitions among CHIP, Medicaid, and qualified health plans
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