Sec. 201. Definitions

592 words·~3 min read·/bill/117/s/1002/is/section-201

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

In this title: The term applicable health plan — means (except as provided in subparagraph (B))— health insurance coverage in the individual market providing excepted benefits, excluding— automobile liability insurance described in paragraph (1)(C) of section 2791(c) of the Public Health Service Act ( 42 U.S.C. 300gg–91(c) ); automobile medical payment insurance described in paragraph (1)(E) of such section; limited scope dental or vision benefits described in paragraph (2)(A) of such section; workers' compensation, or similar insurance, described in paragraph (1)(D) of such section; coverage for on-site medical clinics described in paragraph (1)(G) of such section; or medicare supplemental health insurance (as defined under section 1882(g)(1) of the Social Security Act) or coverage supplemental to the coverage provided under chapter 55 of title 10, United States Code; student health insurance coverage, as defined in section 147.145(a) of title 45, Code of Federal Regulations (or a successor regulation); short-term limited duration insurance, as defined in section 144.103 of title 45, Code of Federal Regulations (or a successor regulation); any health care arrangement for benefits or payments for medical care offered to individuals through an association; and any other health care arrangement for benefits or payments for medical care (other than under a Federal health care program) that is not health insurance coverage, or a group health plan, for purposes of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg et seq.), part 7 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1181 et seq.), or chapter 100 of the Internal Revenue Code of 1986, including such an arrangement offered by a State farm bureau or a health care sharing ministry; and does not include— any group health plan; any grandfathered health plan; and any health insurance coverage to which the transitional policy, described in the letter issued on November 14, 2013, by the Centers for Medicare & Medicaid Services to insurance commissioners, or an extension of such policy, applies.

The terms applicable State authority , excepted benefits , and Exchange have the meanings given such terms in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 ). The term Federal health care program has the meaning given such term under section 1128B(f) of the Social Security Act (42 U.S.C. 1320a–7b(f)), except that such term includes the health insurance program under chapter 89 of title 5, United States Code. The term grandfathered health plan has the meaning given such term in section 1251(e) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18011(e) ).

The term group health plan has the meaning given such term in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 ). The term health care sharing ministry has the meaning given such term in section 5000A(d)(2)(B)(ii) of the Internal Revenue Code of 1986. The terms health insurance coverage , health insurance issuer , and individual market have the meanings given such terms in section 2791 of the Public Health Service Act. The term non-ACA compliant health insurance coverage has the meaning given such term in paragraph

(3)of section 1321(c) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18041(c) ) (as added by section 302), except that such term shall not include any Federal health care program. The term plain language has the meaning given the term plain writing in section 3 of the Plain Writing Act of 2010 ( 5 U.S.C. 301 note). The term Secretary means the Secretary of Health and Human Services.

Connectionstraces to 5

Traces to 5 documents

U.S. Code

3 references not yet in our index