Sec. 449. Provider network adequacy in communities of color
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/bill/114/hr/5475/ih/section-449·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1311(c)(1)(B) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(1)(B) ) is amended— by inserting
(i)after
(B); and by adding at the end the following the following new clauses: meet such network adequacy standards as the Secretary may establish with regard to— appointment wait time; travel time and distance to health care provider facilities and providers by public and private transit; hours of operation to accommodate individuals who cannot come to provider appointments during standard business hours; and other network adequacy standards to ensure that care through these plans is accessible to diverse communities; and. provide coverage for services for enrollees through out-of-network providers at no additional cost to the enrollees in cases where in-network providers are unable to comply with the standards established under clause subclause
(III)or
(IV)of clause
(ii)for such services and the out-of-network providers can deliver such services in compliance with such standards.. The amendments made by subsection
(a)shall apply to plan years beginning more than 1 year after the date of the enactment of this Act.. .
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Sec. 449
Provider network adequacy in communities of color
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