Index for H.R. 3200

ACCEPTABLE coverage ;   Individual's responsibility to obtain

ACCEPTABLE coverage ;   Term qualified health coverage meaning

ACCOMMODATE payments for services ;   Secretary modifying payment rates described in paragraph in order to

ACCOUNT special circumstances of smaller plans, different types of plans and newer plans ;   Methodolology to be designed to take into

ACCOUNT differences in risk characteristics of individuals and employers enrolled under different Exchange-participating health benefits planing offered by entities so as to minimizing impact of adverse selection of enrollees among plans offered by entities ;   Commissioner establishing mechanism whereby being adjustment making of premium amounting payable among QHBP offering entities offering Exchange-participating health benefits planing of premiums collected for plans taking into

ACCOUNT provisions of section 221(a) and amounts paid for similar health care providers and services under other Exchange-participating health benefits planing ;   Taking into

ACCOUNT economic relationships among entities ;   Treatment of member of foreign controlled group of entities as common parent of group if treatment being appropriate taking into

ACCOUNT for purposes of subsection if amendment or supplement filed after earlier of date taxpayer being first contacted by Secretary regarding examination of return or other date as specified by Secretary ;   No event amending or supplementing to return of tax to be taken into

ACCOUNT innovation in health care and considering standards reducing health disparities ;   Committee taking into

ACCOUNTABILITY of QHBP offering entities in meeting Federal health insurance requirements ;   Commissioner undertaking activities in accordance with subtitle to promote

ADMINISTRATIVE costs related to operating public health insurance option  ;  

ADMINISTRATIVE functions of section 1874a of Social Security Act with respect to public health insurance option in same manner as Secretary entering into contracts under subsection of section ;   Secretary entering into contracts for purpose of performing

ADMINISTRATIVE process to set rates in order to promote payment accuracy to ensure adequate beneficiary access to providers and promoting affordablility and efficient delivery of medical care consistent with section 221(a) ;   Secretary continuing to use

ADMINISTRATIVE simplification as identified by Secretary in consulations with stakeholders ;   Providing for other requirements relating to

ADOPTION of recommending and providing Committee with further opportunity to modify previous recommendations and submitting new recommendations to Secretary on timely basis ;   Secretary notifying Health benefiting Advisory Committee in writing of determining and reasons for not proposing

AFFIRMATIVE election before employer automatically enrolling employee plan ;   Employer providing employee with 30-day period to make

AFFORDABILITY if making eligible for coverage in Exchange ;   Improving benefits and

AFFORDABILITY cost-sharing credit under section 244 to be applied as reduction of cost-sharing otherwise applicable to plan  ;  

AFFORDABILITY cost-sharing credit under section for affordable credit eligible individual enrolled in Exchange-participating health benefits planning in form of cost-sharing reduction described in subsection provided under section for income tier in which individual classified based on individual's family income  ;  

AFFORDABILITY credits under subtitle C periods to be during September through November of year or other time maximizing timeliness of income verification for purposes of subtitle ;   Commissioner establishing annual open enrollment period during that Exchange-eligible individual or employer electing to enroll in Exchange-participating health benefits planning for following plan year and enrollment period for

AFFORDABILITY credits under subtitle B using same methodologies ;   Administering

AFFORDABILITY credits on behalf of individuals being not lawfully present in United States ;   Nothing in subtitle allowing Federal payments for

AFFORDABILITY premium credits under subtitle C as result of increase in premium in basic plans as result of application of requirement ;   State entering into arrangement satisfactory to Commissioner to reimburse Commissioner for amount of net increase in

AFFORDABLILITY and efficient delivery of medical care consistent with section 221(a) ;   Secretary continuing to use administrative process to set rates in order to promote payment accuracy to ensure adequate beneficiary access to providers and promoting

APPOINTMENT members ;   Excepting that terms of initial members to be adjusted in order to provide for staggered term of

APPOINTMENTS to be made not later than 60 days after date of enactment of Act ;   Initial

ASSESSMENT of penalties under section in connection with failures to satisfy health coverage participation requirements with imposition of excise taxes on failures under section 4980h(b) of Internal Revenue Code of 1986 so as to avoiding duplication of penalties with respect to failures ;   Secretary and Secretary of Treasury coordinating

ASSESSMENT of penalties under paragraph in connection with failures to satisfy health coverage participation requirements with imposition of excise taxes on failures under section 4980h(b) of Internal Revenue Code of 1986 so as to avoiding duplication of penalties with respect to failures ;   Secretary and Secretary of Treasury coordinating

INFORMATION relating to violation ;   Attorney general of State

AUTOMATIC enrollment for Employer sponsored health Benefits  ;  

AUTOMATIC enrollment requirement under paragraph ;   Writing notice of employees' rights and obligations relating to

AFFORDABLILITY and efficient delivery of medical care consistent with section 221(a) ;   Secretary continuing to use administrative process to set rates in order to promote payment accuracy to ensure adequate beneficiary access to providers and promoting

EMPLOYEES' beneficiary association or committee or board of individuals appointed to administer plan ;   Maintaining by one or more employers, former employers or employee associations or voluntary

BENEFICIARY identification card ;   Including whether individual being eligible for specific service with specific physician at specific facility including utilization of machine-readable health plan

CIVIL monetary and programmatic penalties for non-compliance consistent with existing laws and regulations and fair and reasonable appeals processing building off of enforcement provisions under part ;   Enforcement process including timely investigation of complaints, random audits to ensure compliance,

CAPITATION and direct contracting with providers ;   Bundling of services, differential payment rates, performance or utilization based payments, partial

CERTIFICATION criteria messaging formating, coding and code sets adopted or established by Secretary for electronic exchange and use of information  ;  

CHILD health assistance under title XXI of Social Security Act deemed as of first day to be Exchange-eligible individual unless individual being traditional Medicaid eligible individual as of day ;   Child being eligible for

CHILD health assistance under title XXI of Social Security Act deemed as of first day to be Exchange-eligible individual unless individual being traditional Medicaid eligible individual as of day ;   Child being eligible for

CIVIL action in District Court of United States to collect civil penalty under subsection ;   Secretary bringing

CIVIL penalty against employer of $100 for day in period beginning on date ;   Secretary assessing

CIVIL penalty collected under section 502(c) of Employee Retirement Income Security Act of 1974 or sectioning 2793(g) of Public Health Service Act with respect to failure ;   Tax imposed under paragraph with respect to failure to be reduced by amount of

CLINICAL appropriateness on coverage of health care items and services ;   Qualified health benefits planning not imposing restriction unrelated to

COERCIVE practices to force providers not to contract with other entities offering coverage through Health Insurance Exchange ;   Entity complying with other applicable requirements of title that including standards regarding billing and collection practices for premiums and related grace periods and including standards to ensure that entity not using

COINSURANCE, copayments and similar charges but not including premiums or network payment differential for covered services or spending for non-covered services ;   Term cost-sharing including deductibles,

COLLECTIVE bargaining ;   Construction regarding

ROBUST requiring minimal augmentation by paper transactions or clarifiations by further communications ;   Efficient and

COMPARATIVE manner and including information on benefits premiums, cost-sharing, quality, provider networks and consumer satisfaction ;   Information to be provided in

COMPENSATION of employee not to be treated as amount paid by employer ;   Corresponding reduction in

COMPLIANCE ;   Audits including random compliance audits and targeted audits in response to complaints or other suspected non-

COMPLIANCE consistent with existing laws and regulations and fair and reasonable appeals processing building off of enforcement provisions under part ;   Enforcement process including timely investigation of complaints, random audits to ensure compliance, civil monetary and programmatic penalties for non-

COMPLIANCE ;   Secretary taking timely enforcement action as appropriate to achieve

COMPLIANCE with health coverage participation requirements ;   Periodic investigations to determine

COMPLIANCE audits and targeted audits in response to complaints or other suspected non-compliance ;   Audits including random

COMPLIANCE procedures established by Commissioner ;   Determination by Commissioner to terminate contract to be made in accordance with formal investigation and

CONFIRATIONS of Special Inspector General and annually Special Inspector General submitting to appropriate committees of Congress report summarizing activities of Special Inspector General during one year period ending on date ;   Not later than one year after

CONSTRAINTS for electronic transactions including companion guides ;   Permitting no additions or

ETHNIC disparities ;   Membership of Health benefiting Advisory Committee reflecting providers, consumer representatives, employers, labor, health insurance issuers, experts in health care financing and delivery, experts in racial and

CONSUMER protections ;   Purpose of title to establish standards to ensure that new health insurance coverage and employment-based health plans offered meet standards guaranteeing access to affordable coverage, essential benefits and other

CONSUMER protections under subtitle D of title I ;   Includ establishment of risk pooling mechanism under section 206 and

CONSUMER satisfaction ;   Information to be provided in comparative manner and including information on benefits premiums, cost-sharing, quality, provider networks and

CONTRACT with QHBP offering entity under section 204(c) for offering of Exchange-participating health benefits planning in service area unless following requirements being met ;   Commissioner not entering into

CONTRIBUTION specified in subsection for coverage ;   Employer timely paying to issuer of coverageing amount not less than employer required

CONTRIBUTION being equal to amount equal to 8 percent of average wages paid by employer during period of enrollment ;   Contribution being made in accordance with section with respect to employee if

FOREIGN parent corporation ;   Withholding tax imposed under chapter 3 with respect to payment not to be reduced under treaty of United States unless withholding tax to be reduced under treaty of United States if payment being made directly to

CREDIT determined under subsection to be reduced by amount  ;  

CREDIT amount otherwise applicable if individual enrolling in basic plan ;   Individual to be responsible for difference between premium for planning and affordable

COINSURANCE, copayments and similar charges but not including premiums or network payment differential for covered services or spending for non-covered services ;   Term cost-sharing including deductibles,

CAPITATION and direct contracting with providers ;   Bundling of services, differential payment rates, performance or utilization based payments, partial

DISABILITIES, representatives of relevant governmental agencies and one practicing physician or other health professional and expert on children's health and representing balance among various sectors of health care system so  ;  

DISALLOWANCE of claimed tax benefits by reason of transaction lacking economic substance or failing to meet requirements of similar rule of law  ;  

DISCLOSURE to be provided in plain language ;   Commissioner requiring that

DISCRIMINATION in health benefits or benefit structures for qualifing health benefits ;   Qualified health benefits planning complying with standards established by Commissioner to prohibit

DISCRIMINATION in health Care ;   Sec 152 prohibiting

DISCRIMINATION by employer in violation of subsection bringing action governed by rules, procedures, legal burdens of proof and remedies setting forth in section 40(b) of Consumer Product Safety Act 15 USC 2087(b) ;   Employee covered by section alleging

INFORMATION as determined appropriate by Commissioner ;   Qualified health benefits planning complying with standards established by Commissioner for accurate and timely disclosure of plan documents, plan terms and conditions, claims payment policies and practices, periodic financial disclosure, data on enrollment, data on disenrollment, data on number of claims denials, data on rating practices, information on cost-sharing and payments with respect out-of-network coverage and other

DISENROLLMENT plan ;   Assistance to individuals with problems arising from

AFFORDABILITY premium and cost-sharing credits under subtitle C to QHBP offering entities offering Exchange-participating health benefits planing ;   Commissioner coordinating distribution of

DOCUMENTATION of actual costs of items and services For which claim submitted ;   Participating employment-based plan submitting claims for reimbursement to Secretary containing

ECONOMIC relationships among entities ;   Treatment of member of foreign controlled group of entities as common parent of group if treatment being appropriate taking into account

AFFORDABILITY credits under subtitle ;   Commissioner through Health Insurance Exchange or another public entity under arrangement making with Commissioner making determination as to eligibility of individual for

CONTRIBUTIONS to fund plan ;   Active employee of employer maintaining plan or employer making making substantial

HEALTH benefits planing by employer of employee under subparagraph choosing coverage plan ;   Employee offered Exchange-participating

HEALTH benefits planning in accordance with section 312 ;   Employer offering employee individual and family coverage under qualified

CONTRIBUTION being equal to amount equal to 8 percent of average wages paid by employer during period of enrollment ;   Contribution being made in accordance with section with respect to employee if

TAX of $100 for day in period beginning on date ;   Imposing failure with respect employee

AFFIRMATIVE election before employer automatically enrolling employee plan ;   Employer providing employee with 30-day period to make

EMPLOYEES' beneficiary association or committee or board of individuals appointed to administer plan ;   Maintaining by one or more employers, former employers or employee associations or voluntary

COMPENSATION of employer for taxable year not exceeding sum of dollar amounts in effect under subsection ;   Average annual employee

CONTRIBUTION under plan meet requirements of section 312 ;   Term affordable credit eligible individual not including full-time employee of employer if employer offering employee coverage as full-time employee under group health plan if coverage and employer

EMPLOYMENT-based health benefits planning for individual coverage under plan option with lowest applicable employee premium ;   Requirement of subsection with respect to employer and employee being employer automatically enrolling employee into

HEALTH benefits planning being reference premium amount under section 243(c) for individual coverage ;   Amount of applicable premium of lowest cost plan with respect to coverage of employee under Exchange-participating

COMPENSATION paid by employer to employee during taxable year exceeding $80,000 ;   No credit to be allowed under subsection with respect to qualified employee health coverage expensing paid or incurred with respect to employee for taxable year if aggregate

FINANCING ;   Plan sponsor in relation to group health plan in case of plan maintained jointly by 1 or more employers and 1 or more employee organizations and respect to which employer being primary source of

AFFIRMATIVE election before employer automatically enrolling employee plan ;   Employer providing employee with 30-day period to make

HEALTH plan exceeding 11 percent of current family income ;   Case of full-time employees For which cost of employee premium for coverage under group

AUTOMATIC enrollment requirement under paragraph ;   Writing notice of employees' rights and obligations relating to

FINANCING ;   Plan sponsor in relation to group health plan in case of plan maintained jointly by 1 or more employers and 1 or more employee organizations and respect to which employer being primary source of

DISCRIMINATION by employer in violation of subsection bringing action governed by rules, procedures, legal burdens of proof and remedies setting forth in section 40(b) of Consumer Product Safety Act 15 USC 2087(b) ;   Employee covered by section alleging

CONTRIBUTION under plan meet requirements of section 312 ;   Term affordable credit eligible individual not including full-time employee of employer if employer offering employee coverage as full-time employee under group health plan if coverage and employer

HEALTH coverage participation requirements and referring determination to Secretary of Treasury as appropriate ;   Secretary terminating election of employer under section 801 if Secretary determining that employer in substantial noncompliance with

HEALTH coverage participation requirements and referring determination to Secretary of Treasury as appropriate ;   Secretary terminating election of employer under subsection if Secretary determining that employer in substantial noncompliance with

HEALTH coverage participation requirements ;   Secretary terminating election of employer under paragraph if Secretary determining that employer in substantial noncompliance with

CONTRIBUTION under plan meet requirements of section 312 ;   Term affordable credit eligible individual not including full-time employee of employer if employer offering employee coverage as full-time employee under group health plan if coverage and employer

HEALTH benefits planing ;   Term Exchange-eligible employer meaning employer being eligible under section to enroll through Health Insurance Exchange employees of employer in Exchange-eligible

HEALTH care markets ;   Commissioner conducting study of large group insured and self-insured employer

EMPLOYMENT-based health benefits planning offered by employer ;   No case employer automatically enrolling employee in plan under paragraph if employee making affirmative election to opt out of plan or electing coverage under

EMPLOYMENT tax on employers failing to elect or substantially complying  ;  

EMPLOYMENT Taxes on Employers not providing ACCEPTABLE coverage  ;  

ESTATE or trust adjusted gross income to be determined as provided in section 67(e) ;   Case of

EXCISE taxes on failures under section 4980h(b) of Internal Revenue Code of 1986 so as to avoiding duplication of penalties with respect to failures ;   Secretary and Secretary of Treasury coordinating assessment of penalties under section in connection with failures to satisfy health coverage participation requirements with imposition of

EXCISE taxes on failures under section 4980h(b) of Internal Revenue Code of 1986 so as to avoiding duplication of penalties with respect to failures ;   Secretary and Secretary of Treasury coordinating assessment of penalties under paragraph in connection with failures to satisfy health coverage participation requirements with imposition of

EXPENDITURES determined without Regard to Program investments ;   Reductions in federal

ADMINISTRATIVE transactions under section 1173a of Social Security Act added by section 163(a) ;   QHBP offering entity required to comply with standards for electronic financial and

ACCOUNTING benefit being reduction of Federal income tax ;   Achieving financial accounting benefit not to be taken into account as purpose for entering into transaction if origin of financial

FINANCIAL security ;   Term essential benefits packaging means health benefiting coverage, consistent with standards adopted under section 124 to ensure provision of quality health care and

FISCAL years during that appropriations being made from Trust Fund ;   Taken into account for purposes of budget enforcement procedures including allocations under section 302(a) and Balanced Budget and Emergency Deficit Control Act and budget resolutions for

ACCOUNT under subparagraph ;   Aggregate reductions in Federal expenditures to be achieved as result of provisions and amendments during so period beginning with fiscal year 2010 and ending with fiscal year 2019 as not taken into

ACCOUNT under subparagraph ;   Aggregate reductions in Federal expenditures to be achieved as result of provisions and amendments during so period beginning with fiscal year 2010 and ending with fiscal year 2019 as not taken into

FISCAL years 2010 through 2019 being attributable to provisions ;   Director of Office of Management and Budget conducting study of reductions in Federal expenditures during

ACCOUNT as expenses in determining pre-tax profit under subparagraph ;   Fees and other transaction expenses and foreign taxes to be taken into

FRAUD, waste and abuse under program ;   Procedures to protect against

GENERAL powers, rulemaking and delegation of section 702 of Social Security Act 42 USC 902 applying to Commissioner and Administration in same manner as provisions applying to Commissioner of Social Security and Social Security Administration ;   Terms,

GEOGRAPHIC areas ;   Nothing in subtitle preventing Secretary from varying payments based on different payment structure models under public health insurance option for different

GG of Social Security Act whether Health Insurance Exchange supporting enrollment of children described in paragraph in State in year ;   Commissioner notifying State in Y1 and purposes of section 1902(

GRIEVANCE and appealing mechanisms ;   QHBP offering entity providing for timely

HEALTH benefiting plan not to be qualified health benefits planning under division unless plan meeting applicable requirements of following subtitles for type of plan and plan year involved  ;  

HEALTH benefiting plan ;   Covering benefits, treatments and services being available under

HEALTH claiming attachments ;   Standard for

HEALTH benefiting Plans offered by offering entities ;   Limitation on

HEALTH benefits planning of QHBP offering entity ;   Clause not applying if Commissioner determining that delay in termination posing imminent and serious risk to health of individuals enrolled under qualified

HEALTH benefit plans ;   Complying with premium ruling established by Commissioner under section 113 for Exchange-participating