Sec. 521. GAO study and report
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/bill/113/s/2461/is/section-521·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
The Comptroller General of the United States shall conduct a study of each State in which individuals eligible for medical assistance under a State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ) or for child health assistance under a State child health plan under title XXI of the Social Security Act ( 42 U.S.C. 1397aa et seq. ) are provided such assistance through enrollment in a qualified health plan or employer-sponsored insurance. Such study shall determine, for each such State— the number of such individuals enrolled in an employer-sponsored health plan to whom wraparound services are offered; the number of such individuals enrolled in an employer-sponsored health plan who use wraparound services for any purpose during the plan year; the average cost of wraparound services per individual enrolled in an employer-sponsored health plan who uses such services; the number of such individuals with developmental disabilities (as defined in section 102(8) of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 ( 42 U.S.C. 15002(8) )), enrolled in an employer-sponsored health plan who used wrap-around benefits; the number of disabled individuals enrolled in an employer-sponsored health plan who use wraparound benefits for habilitative services, rehabilitative services, or home health services; the number of such individuals enrolled in qualified health plans; average premiums and cost-sharing per such individual enrolled in a qualified health plan; and comparative data with respect to the benefits offered to such individuals under qualified health plans as compared to the benefits offered to such individuals under State plans under title XIX or XXI of the Social Security Act.
Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report on the findings of the study conducted under subsection
(a)that includes any recommendations or proposed legislation. Not later than 4 years after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate an updated report on the findings of the study conducted under subsection
(a)that includes any recommendations or proposed legislation. For purposes of this section: The term qualified health plan means a health plan that is offered through an American Health Benefits Exchange established under the Patient Protection and Affordable Care Act ( Public Law 111–148 ). The term wraparound services means services provided by a State plan under title XIX or XXI of the Social Security Act that are provided as a supplement to items or services for which coverage is not offered or is limited under a qualified health plan or an employer-sponsored health plan.
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- Pub. L. 111-148
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