Sec. 2. Provider directory improvements to enhance enrollee, participant, and beneficiary access
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Section 2799A–5(a)(6) of the Public Health Service Act ( 42 U.S.C. 300gg–115(a)(6) ) is amended by inserting before the period at the end the following: as well as information (which shall be updated at least annually) furnished to the plan by such provider or facility on whether such provider or facility is accepting new patients and, if so, if an in-person appointment or telehealth appointment (or either) is available for such patients . Section 9820(a)(6) of the Internal Revenue Code of 1986 is amended by inserting before the period at the end the following: as well as information (which shall be updated at least annually) furnished to the plan by such provider or facility on whether such provider or facility is accepting new patients and, if so, if an in-person appointment or telehealth appointment (or either) is available for such patients .
Section 720(a)(6) of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1185i(a)(6) ) is amended by inserting before the period at the end the following: as well as information (which shall be updated at least annually) furnished to the plan by such provider or facility on whether such provider or facility is accepting new patients and, if so, if an in-person appointment or telehealth appointment (or either) is available for such patients . Section 2799B–9(d) of the Public Health Service Act ( 42 U.S.C. 300gg–139(d) ) is amended by inserting before the period at the end the following: as well as information (which shall be updated at least annually) on whether such provider or facility is accepting new patients and, if so, if an in-person appointment or telehealth appointment (or either) is available for such patients .
The amendments made by this section shall apply for plan years beginning on or after January 1, 2025. Section 2799A–5(a) of the Public Health Service Act ( 42 U.S.C. 300gg–115(a) ) is amended— in paragraph (1)— in subparagraph (C), by striking at the end and ; in subparagraph (D), by striking at the end the period and adding ; and ; and by adding at the end the following new subparagraph: for plan years beginning on or after January 1, 2025, annually submit the provider directory information under paragraph (6), with respect to such plan or coverage, to the Secretary in a machine-readable file (as defined in section 147.210(a)(2)(xiv) of title 45, Code of Federal Regulations, or any successor regulation). ; and by adding at the end the following new paragraph:
Beginning not later than July 1, 2025, the Secretary, in coordination with the Secretary of Labor and the Secretary of the Treasury, shall make the information submitted pursuant to paragraph (1)(E) available on a public Federal Government website. . Section 9820(a) of the Internal Revenue Code of 1986 is amended— in paragraph (1)— in subparagraph (C), by striking at the end and ; in subparagraph (D), by striking at the end the period and adding ; and ; and by adding at the end the following new subparagraph: for plan years beginning on or after January 1, 2025, annually submit the provider directory information under paragraph (6), with respect to such plan, to the Secretary in a machine-readable file (as defined in section 54.9815–2715A1(a)(2)(xiv) of title 26, Code of Federal Regulations, or any successor regulation). ; and by adding at the end the following new paragraph:
Beginning not later than July 1, 2025, the Secretary, in coordination with the Secretary of Labor and the Secretary of Health and Human Services, shall make the information submitted pursuant to paragraph (1)(E) available on a public Federal Government website. . Section 720(a) of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1185i(a) ) is amended— in paragraph (1)— in subparagraph (C), by striking at the end and ; in subparagraph (D), by striking at the end the period and adding ; and ; and by adding at the end the following new subparagraph: for plan years beginning on or after January 1, 2025, annually submit the provider directory information under paragraph (6), with respect to such plan or coverage, to the Secretary in a machine-readable file (as defined in section 2590.715–2715A1(a)(2)(xiii) of title 29, Code of Federal Regulations, or any successor regulation). ; and by adding at the end the following new paragraph:
Beginning not later than July 1, 2025, the Secretary, in coordination with the Secretary of the Treasury and the Secretary of Health and Human Services, shall make the information submitted pursuant to paragraph (1)(E) available on a public Federal Government website. . The Secretaries of Labor, Health and Human Services, and the Treasury may implement the provisions of, including the amendments made by, this section through interim final rule, sub-regulatory guidance, program instruction, or otherwise.
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- 42 USC 300gg–115(a)(6)
- 42 USC 300gg–139(d)
- 42 USC 300gg–115(a)
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Sec. 2
Provider directory improvements to enhance enrollee, participant, and beneficiary access
Cite42 USC 300gg–115(a)(6)
Cite42 USC 300gg–139(d)
Cite42 USC 300gg–115(a)
Cites 4Cited by 0 across 0 sources