{"identifier":"/us/usc/t42/s18003","title_num":"42","num":"§ 18003.","heading":"Immediate information that allows consumers to identify affordable coverage options","status":null,"guid":"id7bd607c5-4aa7-11eb-94f5-9ff2c44f6f3c","source_credit":"(Pub. L. 111–148, title I, § 1103, title X, § 10102(b), Mar. 23, 2010, 124 Stat. 146, 892.)","seq_in_title":7948,"parent_identifier":"/us/usc/t42/ch157/schI","ancestors":[{"identifier":"/us/usc/t42","level":"title","num":"Title 42—","heading":"THE PUBLIC HEALTH AND WELFARE","status":null,"is_section":false},{"identifier":"/us/usc/t42/ch157","level":"chapter","num":"CHAPTER 157—","heading":"QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS","status":null,"is_section":false},{"identifier":"/us/usc/t42/ch157/schI","level":"subchapter","num":"SUBCHAPTER I—","heading":"IMMEDIATE ACTIONS TO PRESERVE AND EXPAND COVERAGE","status":null,"is_section":false}],"xml":"<section xmlns=\"http://xml.house.gov/schemas/uslm/1.0\" xmlns:xsi=\"http://www.w3.org/2001/XMLSchema-instance\" xmlns:dc=\"http://purl.org/dc/elements/1.1/\" xmlns:dcterms=\"http://purl.org/dc/terms/\" style=\"-uslm-lc:I80\" id=\"idada60d11-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003\"><num value=\"18003\">§ 18003.</num><heading> Immediate information that allows consumers to identify affordable coverage options</heading><subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idada60d12-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a\"><num value=\"a\" class=\"bold\">(a)</num><heading class=\"bold\"> Internet portal to affordable coverage options</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idada60d13-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> Immediate establishment</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Not later than <date date=\"2010-07-01\">July 1, 2010</date>, the Secretary, in consultation with the States, shall establish a mechanism, including an Internet website, through which a resident of, or small business in, any State may identify affordable health insurance coverage options in that State.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idada60d14-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> Connecting to affordable coverage</heading><chapeau style=\"-uslm-lc:I12\" class=\"indent1\">An Internet website established under paragraph (1) shall, to the extent practicable, provide ways for residents of, and small businesses in, any State to receive information on at least the following coverage options:</chapeau><subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idada60d15-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/A\"><num value=\"A\">(A)</num><chapeau> Health insurance coverage offered by health insurance issuers, other than coverage that provides reimbursement only for the treatment or mitigation of—</chapeau><clause style=\"-uslm-lc:I14\" class=\"indent3\" id=\"idada60d16-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/A/i\"><num value=\"i\">(i)</num><content> a single disease or condition; or</content>\n</clause>\n<clause style=\"-uslm-lc:I14\" class=\"indent3\" id=\"idada60d17-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/A/ii\"><num value=\"ii\">(ii)</num><content> an unreasonably limited set of diseases or conditions (as determined by the Secretary).</content>\n</clause>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idada60d18-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/B\"><num value=\"B\">(B)</num><content> Medicaid coverage under title XIX of the Social Security Act [<ref href=\"/us/usc/t42/s1396\">42 U.S.C. 1396</ref> et seq.].</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idada60d19-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/C\"><num value=\"C\">(C)</num><content> Coverage under title XXI of the Social Security Act [<ref href=\"/us/usc/t42/s1397aa\">42 U.S.C. 1397aa</ref> et seq.].</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idada60d1a-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/D\"><num value=\"D\">(D)</num><content> A State health benefits high risk pool, to the extent that such high risk pool is offered in such State; and</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idada60d1b-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/E\"><num value=\"E\">(E)</num><content> Coverage under a high risk pool under <ref href=\"/us/usc/t42/s18001\">section 18001 of this title</ref>.</content>\n</subparagraph>\n<subparagraph style=\"-uslm-lc:I13\" class=\"indent2\" id=\"idada60d1c-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/a/2/F\"><num value=\"F\">(F)</num><content> Coverage within the small group market for small businesses and their employees, including reinsurance for early retirees under <ref href=\"/us/usc/t42/s18002\">section 18002 of this title</ref>, tax credits available under <ref href=\"/us/usc/t26/s45R\">section 45R of title 26</ref> (as added by section 1421), and other information specifically for small businesses regarding affordable health care options.</content>\n</subparagraph>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idada60d1d-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/b\"><num value=\"b\" class=\"bold\">(b)</num><heading class=\"bold\"> Enhancing comparative purchasing options</heading><paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idada60d1e-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/b/1\"><num value=\"1\" class=\"bold\">(1)</num><heading class=\"bold\"> In general</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">Not later than 60 days after <date date=\"2010-03-23\">March 23, 2010</date>, the Secretary shall develop a standardized format to be used for the presentation of information relating to the coverage options described in subsection (a)(2). Such format shall, at a minimum, require the inclusion of information on the percentage of total premium revenue expended on nonclinical costs (as reported under <ref href=\"/us/usc/t42/s300gg–18/a\">section 300gg–18(a) of this title</ref>), eligibility, availability, premium rates, and cost sharing with respect to such coverage options and be consistent with the standards adopted for the uniform explanation of coverage as provided for in <ref href=\"/us/usc/t42/s300gg–15\">section 300gg–15 of this title</ref>.</p>\n</content>\n</paragraph>\n<paragraph style=\"-uslm-lc:I79\" class=\"indent3 firstIndent-2\" id=\"idada60d1f-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/b/2\"><num value=\"2\" class=\"bold\">(2)</num><heading class=\"bold\"> Use of format</heading><content><p style=\"-uslm-lc:I12\" class=\"indent1\">The Secretary shall utilize the format developed under paragraph (1) in compiling information concerning coverage options on the Internet website established under subsection (a).</p>\n</content>\n</paragraph>\n</subsection>\n<subsection style=\"-uslm-lc:I19\" class=\"indent2 firstIndent-2\" id=\"idada60d20-09a0-11eb-a85b-f5cef3d06f4d\" identifier=\"/us/usc/t42/s18003/c\"><num value=\"c\" class=\"bold\">(c)</num><heading class=\"bold\"> Authority to contract</heading><content><p style=\"-uslm-lc:I11\" class=\"indent0\">The Secretary may carry out this section through contracts entered into with qualified entities.</p>\n</content>\n</subsection>\n<sourceCredit id=\"idada60d21-09a0-11eb-a85b-f5cef3d06f4d\">(<ref href=\"/us/pl/111/148/tI/s1103\">Pub. L. 111–148, title I, § 1103</ref>, title X, § 10102(b), <date date=\"2010-03-23\">Mar. 23, 2010</date>, <ref href=\"/us/stat/124/146\">124 Stat. 146</ref>, 892.)</sourceCredit>\n<notes type=\"uscNote\" id=\"idada60d22-09a0-11eb-a85b-f5cef3d06f4d\">\n<note style=\"-uslm-lc:I75\" topic=\"referencesInText\" id=\"idada60d23-09a0-11eb-a85b-f5cef3d06f4d\">\n<heading class=\"centered smallCaps\">References in Text</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">The Social Security Act, referred to in subsec. (a)(2)(B), (C), is <ref href=\"/us/act/1935-08-14/ch531\">act Aug. 14, 1935, ch. 531</ref>, <ref href=\"/us/stat/49/620\">49 Stat. 620</ref>. Titles XIX and XXI of the Act are classified generally to subchapters XIX (§ 1396 et seq.) and XXI (§ 1397aa et seq.), respectively, of chapter 7 of this title. For complete classification of this Act to the Code, see <ref href=\"/us/usc/t42/s1305\">section 1305 of this title</ref> and Tables.</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">Section 1421, referred to in subsec. (a)(2)(F), means <ref href=\"/us/pl/111/148/s1421\">section 1421 of Pub. L. 111–148</ref>.</p>\n</note>\n<note style=\"-uslm-lc:I74\" topic=\"amendments\" id=\"idada60d24-09a0-11eb-a85b-f5cef3d06f4d\"><heading class=\"centered smallCaps\">Amendments</heading><p style=\"-uslm-lc:I21\" class=\"indent0\">2010—Subsec. (a)(1). <ref href=\"/us/pl/111/148/s10102/b/1\">Pub. L. 111–148, § 10102(b)(1)</ref>, which directed insertion of “, or small business in,” after “residents of any”, was executed by making the insertion after “resident of” to reflect the probable intent of Congress.</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">Subsec. (a)(2). <ref href=\"/us/pl/111/148/s10102/b/2\">Pub. L. 111–148, § 10102(b)(2)</ref>, added par. (2) and struck out former par. (2). Prior to amendment, text read as follows:</p>\n<p style=\"-uslm-lc:I21\" class=\"indent0\">“An Internet website established under paragraph (1) shall, to the extent practicable, provide ways for residents of any State to receive information on at least the following coverage options:</p>\n<p style=\"-uslm-lc:I22\" class=\"indent1\">“(A) Health insurance coverage offered by health insurance issuers, other than coverage that provides reimbursement only for the treatment or mitigation of—</p>\n<p style=\"-uslm-lc:I23\" class=\"indent2\">“(i) a single disease or condition; or</p>\n<p style=\"-uslm-lc:I23\" class=\"indent2\">“(ii) an unreasonably limited set of diseases or conditions (as determined by the Secretary);</p>\n<p style=\"-uslm-lc:I22\" class=\"indent1\">“(B) Medicaid coverage under title XIX of the Social Security Act.</p>\n<p style=\"-uslm-lc:I22\" class=\"indent1\">“(C) Coverage under title XXI of the Social Security Act.</p>\n<p style=\"-uslm-lc:I22\" class=\"indent1\">“(D) A State health benefits high risk pool, to the extent that such high risk pool is offered in such State; and</p>\n<p style=\"-uslm-lc:I22\" class=\"indent1\">“(E) Coverage under a high risk pool under <ref href=\"/us/usc/t42/s18001\">section 18001 of this title</ref>.”</p>\n</note>\n</notes>\n</section>","provision":null,"duplicates":[],"release":{"label":"116-252","currency_date":"2020-12-22","congress":116,"law_num":252,"excluded_laws":[],"update_num":null,"seq":222,"is_partial":false,"caveat":null,"titles_affected":["18","20","31","34","40","42"],"ingested_titles":[]},"served_from":{"label":"116-252","currency_date":"2020-12-22","congress":116,"law_num":252,"excluded_laws":[],"update_num":null,"seq":222,"is_partial":false,"caveat":null,"titles_affected":["18","20","31","34","40","42"],"ingested_titles":[]},"content_first_seen":{"label":"116-163","currency_date":"2020-10-02","congress":116,"law_num":163,"excluded_laws":[],"update_num":null,"seq":214,"is_partial":false,"caveat":null,"titles_affected":["01","02","03","06","07","08","10","15","17","18","21","22","23","26","28","31","35","36","38","40","42","45","49","50"],"ingested_titles":[]},"is_exact":true,"note":null}