Sec. 4. Ensuring parity in women's health coverage under Medicaid
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/bill/114/s/674/is/section-4A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1902(a) of the Social Security Act ( 42 U.S.C. 1396a(a) ) is amended by inserting after paragraph
(77)the following: provide that the State shall, at a minimum and in addition to any other preventive care and screenings required under this title, provide medical assistance for preventive care and screenings required under section 2713(a) of the Public Health Service Act, including evidence-based items or services required under section 2713(a)(1) of such Act, evidence-informed preventive care and screenings required under section 2713(a)(3) of such Act, and additional preventive care and screenings required for women under section 2713(a)(4) of such Act and as provided for in comprehensive guidelines supported by the Health Resources and Services Administration, and shall not impose any copayment, coinsurance, deductible, cost-sharing, or similar charge for such preventive care and screenings; . Section 1932(b) of such Act ( 42 U.S.C. 1396u–2(b) ) is amended by adding at the end the following: Each medicaid managed care organization shall at a minimum and in addition to any other preventive care and screenings required under a contract with the State under section 1903(m), provide medical assistance for preventive care and screenings required under section 2713(a) of the Public Health Service Act, including evidence-based items or services required under section 2713(a)(1) of such Act, evidence-informed preventive care and screenings required under section 2713(a)(3) of such Act, and additional preventive care and screenings required for women under section 2713(a)(4) of such Act and as provided for in comprehensive guidelines supported by the Health Resources and Services Administration, and shall not impose any copayment, coinsurance, deductible, cost-sharing, or similar charge for such preventive care and screenings. . Section 1937(b)(5) of such Act ( 42 U.S.C. 1396u–7(b)(5) ) is amended by inserting and, effective January 1, 2016, must provide, at a minimum and in addition to any other preventive care and screenings required under this section, preventive care and screenings, required under section 2713(a) of the Public Health Service Act, including evidence-based items or services required under section 2713(a)(1) of such Act, evidence-informed preventive care and screenings required under section 2713(a)(3) of such Act, and additional preventive care and screenings required for women under section 2713(a)(4) of such Act and as provided for in comprehensive guidelines supported by the Health Resources and Services Administration, and shall not impose any copayment, coinsurance, deductible, cost-sharing or similar charge for such preventive care and screenings before the period. Section 1905(a)(4)(C) of such Act ( 42 U.S.C. 1396d(a)(4)(C) ) is amended by inserting , including family planning services and supplies that are required under section 2713(a) of the Public Health Service Act and as provided for in comprehensive guidelines supported by the Health Resources and Services Administration for purposes of section 2713(a)(4) of such Act, before furnished . Subsections (a)(2)(D) and (b)(2)(D) of section 1916 of such Act ( 42 U.S.C. 1396o ) are each amended by inserting and items and services required under section 1902(a)(78), before or . Section 1916A(b)(3)(B) of such Act ( 42 U.S.C. 1396o–1(b)(3)(B) ) is amended by adding at the end the following: Items and services required under section 1902(a)(78). . Notwithstanding section 1115(a) of the Social Security Act ( 42 U.S.C. 1315(a) ), subject to paragraph (2), the Secretary of Health and Human Services may not grant a waiver under section 1115 of the Social Security Act ( 42 U.S.C. 1315 ) or otherwise of the requirements imposed under the amendments made by this section. The amendments made by this section shall not apply to any waiver granted to a State under section 1115 of the Social Security Act ( 42 U.S.C. 1315 ) or otherwise which relates to the provision of medical assistance under a State plan under title XIX of such Act ( 42 U.S.C. 1396 et seq. ) that is in effect as of the date of enactment of this Act before the expiration (determined without regard to any extensions) of the waiver to the extent such amendments are inconsistent with the waiver. Except as provided in paragraphs
(2)and (3), the amendments made by this section shall be effective with respect to items or services furnished on or after the date of enactment of this Act. The amendments made by subsections
(b)and
(c)shall apply to plan years beginning on or after January 1, 2016. In the case of a State plan under title XIX or XXI of the Social Security Act, which the Secretary of Health and Human Services determines requires State legislation in order for the respective plan to meet any requirement imposed by amendments made by this section, the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this section. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session shall be considered to be a separate regular session of the State legislature.
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- 42 USC 1396u–2(b)
- 42 USC 1396u–7(b)(5)
- 42 USC 1396o–1(b)(3)(B)
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Sec. 4
Ensuring parity in women's health coverage under Medicaid
Cite42 USC 1396u–2(b)
Cite42 USC 1396u–7(b)(5)
Cite42 USC 1396o–1(b)(3)(B)
Cites 8Cited by 0 across 0 sources