Sec. 901. Providing information on health coverage options and health care providers

269 words·~1 min read·/bill/113/s/1851/is/section-901

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A State (by itself or jointly with other States) may contract with a private entity to establish a Health Plan and Provider Portal Web site (referred to in this section as a plan portal ) for the purposes of providing standardized information— on health insurance plans that have been certified to be available for purchase in that State; and on price and quality information on health care providers (including physicians, hospitals, and other health care institutions). A plan portal may not directly enroll individuals in health insurance plans or under a State Medicaid plan or a State children’s health insurance plan.

A health insurance issuer offering a health insurance plan through a plan portal may not— be the private entity developing and maintaining a plan portal under this section; or have an ownership interest in such private entity or in the plan portal. An individual employed by a health insurance issuer offering a health insurance plan through a plan portal may not serve as a director or officer for— the private entity developing and maintaining a plan portal under this section; or the plan portal.

Nothing in this section shall be construed to prohibit health insurance brokers and agents from— utilizing the plan portal for any purpose; or marketing or offering health insurance products. In this section, the term State has the meaning given such term for purposes of title XIX of the Social Security Act. For purposes of this section, the term health insurance plan does not include coverage of excepted benefits, as defined in section 2791(c) of the Public Health Service Act ( 42 U.S.C. 300gg–91(c) ).

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42 USC 300gg–91(c)

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Sec. 901

Providing information on health coverage options and health care providers

Cite42 USC 300gg–91(c)

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