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Code · BILL · 117th Congress · S. 4204 (Introduced in Senate) — To establish a Medicare-for-all national health insurance program. · Sec. 404

Sec. 404. Beneficiary Ombudsman

177 words·~1 min read·/bill/117/s/4204/is/section-404

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The Secretary shall appoint a Beneficiary Ombudsman who shall have expertise and experience in the fields of health care and education of, and assistance to, individuals entitled to benefits under this Act. The Beneficiary Ombudsman shall— receive complaints, grievances, and requests for information submitted by individuals entitled to benefits under this Act with respect to any aspect of the Medicare for All Program; provide assistance with respect to complaints, grievances, and requests referred to in subparagraph (a), including— assistance in collecting relevant information for such individuals, to seek an appeal of a decision or determination made by a regional office or the Secretary; and assistance to such individuals in presenting information relating to cost-sharing; and submit annual reports to Congress and the Secretary that describe the activities of the Office and that include such recommendations for improvement in the administration of this Act as the Ombudsman determines appropriate.
The Ombudsman shall not serve as an advocate for any increases in payments or new coverage of services, but may identify issues and problems in payment or coverage policies.
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