Sec. 801. Prohibition of employee benefits duplicative of benefits under the Universal Medicare Program; coordination in case of workers’ compensation
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Part 5 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1131 et seq.) is amended by adding at the end the following new section: Subject to subsection (b), no employee benefit plan may provide benefits that duplicate payment for any items or services for which payment may be made under the Medicare for All Act of 2019 . Each workers compensation carrier that is liable for payment for workers compensation services furnished in a State shall reimburse the Universal Medicare Program for the cost of such services.
In this subsection— the term workers compensation carrier means an insurance company that underwrite workers compensation medical benefits with respect to one or more employers and includes an employer or fund that is financially at risk for the provision of workers compensation medical benefits; the term workers compensation medical benefits means, with respect to an enrollee who is an employee subject to the workers compensation laws of a State, the comprehensive medical benefits for work-related injuries and illnesses provided for under such laws with respect to such an employee; and the term workers compensation services means items and services included in workers compensation medical benefits and includes items and services (including rehabilitation services and long-term-care services) commonly used for treatment of work-related injuries and illnesses. .
Section 4(b) of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1003(b) ) is amended by adding at the end the following: Paragraph
(3)shall apply subject to section 522(b) (relating to reimbursement of the Universal Medicare Program by workers compensation carriers). . The table of contents in section 1 of such Act is amended by inserting after the item relating to section 521 the following new item: Sec 522. Prohibition of employee benefits duplicative of Universal Medicare Program benefits; coordination in case of workers’ compensation. .
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Sec. 801
Prohibition of employee benefits duplicative of benefits under the Universal Medicare Program; coordination in case of workers’ compensation
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