Sec. 3202. PRICING OF DIAGNOSTIC TESTING
295 words·~1 min read·
/statute-compilations/comps-15754/sec-3202A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
## SEC. 3202 PRICING OF DIAGNOSTIC TESTING **[**[42 U.S.C. 256b note](/us/usc/t42/s256b)**]** ###
(a)Reimbursement Rates 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: ####
(1)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. ####
(2)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. ###
(b)Requirement to Publicize Cash Price for Diagnostic Testing for COVID-19 ####
(1)In general 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. ####
(2)Civil monetary penalties 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.
Connectionstraces to 3
Traces to 3 documents
Citation graph
cites case law
Cites 3Cited by 0 across 0 sources