Sec. 221. Assuring care continuity during transitions among CHIP, Medicaid, and qualified health plans
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The Secretary of Health and Human Services shall issue regulations for purposes of ensuring continuity of care for children who— are undergoing an active course of treatment; and involuntarily change coverage under health insurance, the State plan under the Medicaid program under title XIX of the Social Security Act, or the State child health plan under title XXI of such Act during such course of treatment for any reason, including a reason related to a change in income, health plan termination, or a material change or changes to the plan’s health benefits coverage.
Not later than 18 months after the date of the enactment of the Saving Our Next Generation Act , the Secretary of Health and Human Services shall review, with respect to a State, the benefits (by each benefit class) offered for children and the cost-sharing imposed with respect to such benefits by qualified health plans offered through an Exchange established under title I of the Patient Protection and Affordable Care Act in the State. The Secretary shall make the findings of such review available on the public Internet site of the Department of Health and Human Services.
If, following such review, the Secretary determines that benefits and cost-sharing protections referred to in paragraph
(1)are not comparable to the benefits (by each benefit class) offered and cost-sharing protections provided under the State child health plan under title XXI of the Social Security Act ( 42 U.S.C. 1397aa et seq. ) in the State, the Secretary, not later than January 1, 2017, shall issue a rule, to apply with respect to plan years beginning in 2019, establishing requirements designed to ensure that such qualified health plans offer benefits and cost-sharing protections that are comparable to the benefits and cost-sharing protections provided under such State child health plan for plan year 2019.
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Sec. 221
Assuring care continuity during transitions among CHIP, Medicaid, and qualified health plans
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