Sec. 3202. Pricing of diagnostic testing
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/bill/116/hr/748/eas/section-3202·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
A group health plan or a health insurance issuer providing coverage of items and services described in section 6001(a) of division F of the Families First Coronavirus Response Act ( Public Law 116–127 ) with respect to an enrollee shall reimburse the provider of the diagnostic testing as follows: If the health plan or issuer has a negotiated rate with such provider in effect before the public health emergency declared under section 319 of the Public Health Service Act ( 42 U.S.C. 247d ), such negotiated rate shall apply throughout the period of such declaration.
If the health plan or issuer does not have a negotiated rate with such provider, such plan or issuer shall reimburse the provider in an amount that equals the cash price for such service as listed by the provider on a public internet website, or such plan or issuer may negotiate a rate with such provider for less than such cash price. During the emergency period declared under section 319 of the Public Health Service Act ( 42 U.S.C. 247d ), each provider of a diagnostic test for COVID–19 shall make public the cash price for such test on a public internet website of such provider.
The Secretary of Health and Human Services may impose a civil monetary penalty on any provider of a diagnostic test for COVID–19 that is not in compliance with paragraph
(1)and has not completed a corrective action plan to comply with the requirements of such paragraph, in an amount not to exceed $300 per day that the violation is ongoing.
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