Sec. 4. Ensuring coverage of specific benefits
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An employer that establishes or maintains a group health plan for its employees (and any covered dependents of such employees) shall not deny coverage of a specific health care item or service with respect to such employees (or dependents) where the coverage of such item or service is required under any provision of Federal law or the regulations promulgated thereunder. A group health plan, as defined in section 733(a) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1191b(a)), sponsored by an employer, employee organization, or both, and any health insurance coverage, as defined in section 2791(b) of the Public Health Service Act ( 42 U.S.C. 300gg–91 ) is required to provide coverage required under the Public Health Service Act, including section 2713 of such Act ( 42 U.S.C. 300gg–13 ), in addition to other applicable requirements.
Subsection
(a)shall apply notwithstanding any other provision of Federal law, including Public Law 103–141 . The regulations contained in sections 54.9815-2713A of title 26, 2590.715-2713A of title 29, and 147.131 of title 45, Code of Federal Regulations, shall apply with respect to this section. The Departments of Labor, Health and Human Services, and the Treasury may modify such regulations consistent with the purpose and findings of this Act. The provisions of this Act shall apply to plan sponsors, group health plans, and health insurance issuers as if enacted in the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1001 et seq.), the Public Health Service Act (42 U.S.C. 201 et seq.), and the Internal Revenue Code of 1986. Any failure by a plan sponsor, group health plan, or health insurance issuer to comply with the provisions of this Act shall be subject to enforcement through part 5 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1131 et seq.), section 2723 of the Public Health Service Act (42 U.S.C. 300gg–22), and section 4980D of the Internal Revenue Code of 1986.
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- 42 USC 300gg–91
- 42 USC 300gg–13
- Pub. L. 103-141
- 42 USC 300gg–22
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Sec. 4
Ensuring coverage of specific benefits
Cite42 USC 300gg–91
Cite42 USC 300gg–13
Pub. L.Pub. L. 103-141
Cite42 USC 300gg–22
Cites 8Cited by 0 across 0 sources