Sec. 304. Prohibition on first-dollar coverage under medigap policies and development of new standards for medigap policies
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Section 1882 of the Social Security Act ( 42 U.S.C. 1395ss ) is amended by adding at the end the following new subsection: The Secretary shall request the National Association of Insurance Commissioners to review and revise the standards for benefit packages under subsection (p)(1), taking into account the changes in benefits resulting from the enactment of the America First Act and to otherwise update standards to include the requirements for cost sharing described in paragraph (2).
Such revisions shall be made consistent with the rules applicable under subsection (p)(1)(E) with the reference to the 1991 NAIC Model Regulation deemed a reference to the NAIC Model Regulation as published in the Federal Register on December 4, 1998, and as subsequently updated by the National Association of Insurance Commissioners to reflect previous changes in law and the reference to date of enactment of this subsection deemed a reference to the date of enactment of the America First Act.
To the extent practicable, such revision shall provide for the implementation of revised standards for benefit packages as of January 1, 2018. The cost sharing requirements described in this paragraph are that, notwithstanding any other provision of law, no medicare supplemental policy may provide for coverage of— any portion of the unified deductible under section 1899B(b) for the year; and more than 50 percent of the cost-sharing (excluding premiums) otherwise applicable under parts A and B after the individual has met the unified deductible under section 1899B(b) for the year and before the individual has reached the annual out-of-pocket limit under section 1899D(b) for the year.
The renewability requirement under subsection (q)(1) shall be satisfied with the renewal of the revised package under paragraph
(1)that most closely matches the policy in which the individual was enrolled prior to such revision. .
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Sec. 304
Prohibition on first-dollar coverage under medigap policies and development of new standards for medigap policies
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