Sec. 430. Provider network adequacy in communities of color
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Section 1311(c)(1)(B) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(1)(B) ), as amended by section 428(a), is further 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, including individuals with limited-English proficiency as defined in section 3400 of such Act; 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 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 not apply to plans beginning on or prior to the date that is 1 year after the date of the enactment of this Act. .
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Sec. 430
Provider network adequacy in communities of color
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