Sec. 30204. Coverage of treatments for COVID–19 at no cost sharing under the Medicare Advantage program

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Section 1852(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395w–22(a)(1)(B) ) is amended by adding at the end the following new clause: Notwithstanding clause (i), in the case of a specified COVID–19 treatment service (as defined in section 30201(b) of The Heroes Act) that is furnished during a plan year occurring during any portion of the emergency period defined in section 1135(g)(1)(B) beginning on or after the date of the enactment of this clause, a Medicare Advantage plan may not, with respect to such service, impose— any cost-sharing requirement (including a deductible, copayment, or coinsurance requirement); and in the case such service is a critical specified COVID–19 treatment service (including ventilator services and intensive care unit services), any prior authorization or other utilization management requirement.

A Medicare Advantage plan may not take the application of this clause into account for purposes of a bid amount submitted by such plan under section 1854(a)(6). . Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.

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42 USC 1395w–22(a)(1)(B)

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Sec. 30204

Coverage of treatments for COVID–19 at no cost sharing under the Medicare Advantage program

Cite42 USC 1395w–22(a)(1)(B)

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