Table Of Contents of the INDEX

 

Abnormal structures of body
Sec 163. -- Administrative Simplification.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (3) (A)
Automated Concept:

ABNORMAL structures of body causes by congenital defects, developmental abnormalities, trauma, infection, tumors or disease ;   Term treatment including reconstructive surgical procedures performed on

Index of Sec 163. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (3) (A)
Automated Concept:

ABNORMAL structures of body causes by congenital defects, developmental abnormalities, trauma, infection, tumors or disease ;   Treatment including reconstructive surgical procedures performed on

Index of Sec 163. ...

Abortion
Sec 156. -- Application Of State And Federal Laws Regarding Abortion.
SEC 156. -- APPLICATION OF STATE AND FEDERAL LAWS REGARDING ABORTION.
DIVISION A TITLE I SUBTITLE F SEC 156.
Automated Concept:

ABORTION ;   Sec 156, application of State and federal laws regarding

Index of Sec 156. ...
(a) NO PREEMPTION OF STATE LAWS REGARDING ABORTION.
DIVISION A TITLE I SUBTITLE F SEC 156. (a)
Automated Concept:

ABORTION ;   No preemption of State laws regarding

Index of Sec 156. ...
(b) COORDINATION WITH STATE LAW OF HAWAII.
DIVISION A TITLE I SUBTITLE F SEC 156. (b)
Automated Concept:

ABORTION ;   No Effect on federal laws regarding

Index of Sec 156. ...
(1) IN GENERAL. - paragraph (B)
DIVISION A TITLE I SUBTITLE F SEC 156. (b) (1) (B)
Automated Concept:

ABORTION ;   Willingness or refusal to provide

Index of Sec 156. ...
(1) IN GENERAL. - paragraph (C)
DIVISION A TITLE I SUBTITLE F SEC 156. (b) (1) (C)
Automated Concept:

ABORTION or providing or participating in training to provide abortion ;   Cover or referring for

Index of Sec 156. ...

Abortion: performance of
Sec 156. -- Application Of State And Federal Laws Regarding Abortion.
(a) NO PREEMPTION OF STATE LAWS REGARDING ABORTION.
DIVISION A TITLE I SUBTITLE F SEC 156. (a)
Automated Concept:

ABORTION on minor ;   Coverage or procedural requirements on abortions including parental notification or consent for performance of

Index of Sec 156. ...

Acceptable coverage
Sec 102. -- Protecting The Choice To Keep Current Coverage.
(a) GRANDFATHERED HEALTH INSURANCE COVERAGE DEFINED.
DIVISION A TITLE I SUBTITLE A SEC 102. (a)
Automated Concept:

ACCEPTABLE coverage under division ;   Subject to succeeding provisions of section for purposes of establishing

Index of Sec 102. ...
(a) GRANDFATHERED HEALTH INSURANCE COVERAGE DEFINED.
DIVISION A TITLE I SUBTITLE A SEC 102. (a)
Automated Concept:

ACCEPTABLE coverage under division ;   Subject to succeeding provisions of section for purposes of establishing

Index of Sec 102. ...
(a) GRANDFATHERED HEALTH INSURANCE COVERAGE DEFINED.
DIVISION A TITLE I SUBTITLE A SEC 102. (a)
Automated Concept:

ACCEPTABLE coverage under division ;   Subject to succeeding provisions of section for purposes of establishing

Index of Sec 102. ...
(2) TRANSITIONAL TREATMENT AS ACCEPTABLE COVERAGE.
DIVISION A TITLE I SUBTITLE A SEC 102. (b) (2)
Automated Concept:

ACCEPTABLE coverage under division ;   Employment-based health plan described in paragraph to be treated as

Index of Sec 102. ...
(2) TRANSITIONAL TREATMENT AS ACCEPTABLE COVERAGE.
DIVISION A TITLE I SUBTITLE A SEC 102. (b) (2)
Automated Concept:

ACCEPTABLE coverage under division ;   Employment-based health plan described in paragraph to be treated as

Index of Sec 102. ...
(2) TRANSITIONAL TREATMENT AS ACCEPTABLE COVERAGE.
DIVISION A TITLE I SUBTITLE A SEC 102. (b) (2)
Automated Concept:

ACCEPTABLE coverage under division ;   Employment-based health plan described in paragraph to be treated as

Index of Sec 102. ...
(3) EXCEPTION FOR CONSUMER-DIRECTED HEALTH PLANS AND ARRANGEMENTS.
DIVISION A TITLE I SUBTITLE A SEC 102. (b) (3)
Automated Concept:

ACCEPTABLE coverage under current group health plan for purposes of division ;   Group health plan to be treated as

Index of Sec 102. ...
0
(g) APPLICATION TO ALL ACCEPTABLE COVERAGE.
DIVISION A TITLE I SUBTITLE D SEC 139B. (g)
Automated Concept:

ACCEPTABLE coverage in same manner as provisions applying with respect to qualified health benefits planing under section ;   Provisions of section applying with respect to

Index of 0
Sec 156. -- Application Of State And Federal Laws Regarding Abortion.
(a) NO PREEMPTION OF STATE LAWS REGARDING ABORTION. - paragraph (2)
DIVISION A TITLE I SUBTITLE F SEC 156. (a) (2)
Automated Concept:

ACCEPTABLE coverage so long as Secretary of Labor determining that coverage for employees being substantially equivalent or greater than coverage provided for employees pursuant to essential benefits packaging ;   Coverage provided pursuant to Hawaii Prepaid Health Care Act to be treated as qualified health benefits planning providing

Index of Sec 156. ...
Sec 202. -- Exchange-Eligible Individuals And Employers.
(i) EXCEPTION FOR VETERANS AND MEMBERS OF ARMED FORCES.
DIVISION A TITLE II SUBTITLE A SEC 202. (i)
Automated Concept:

ACCEPTABLE coverage described in subparagraph or subsection being eligible to obtain coverage through enrollment in Exchange-participating health benefits planning offered through Health Insurance Exchange ;   Individual with

Index of Sec 202. ...
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (1) (A)
Automated Concept:

ACCEPTABLE coverage ;   Time of birth being not otherwise covered under

Index of Sec 205. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (1) (A)
Automated Concept:

ACCEPTABLE coverage ;   Time of birth being not otherwise covered under

Index of Sec 205. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (1) (A)
Automated Concept:

ACCEPTABLE coverage ;   Time of birth being not otherwise covered under

Index of Sec 205. ...
(B) EXTENDED TREATMENT AS TRADITIONAL MEDICAID ELIGIBLE INDIVIDUAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (1) (B)
Automated Concept:

ACCEPTABLE coverage ;   End of period referred in subparagraph being not otherwise covered under

Index of Sec 205. ...
(B) EXTENDED TREATMENT AS TRADITIONAL MEDICAID ELIGIBLE INDIVIDUAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (1) (B)
Automated Concept:

ACCEPTABLE coverage ;   End of period referred in subparagraph being not otherwise covered under

Index of Sec 205. ...
(B) EXTENDED TREATMENT AS TRADITIONAL MEDICAID ELIGIBLE INDIVIDUAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (1) (B)
Automated Concept:

ACCEPTABLE coverage ;   End of period referred in subparagraph being not otherwise covered under

Index of Sec 205. ...
Sec 301. -- Individual Responsibility.
SEC 301. -- INDIVIDUAL RESPONSIBILITY.
DIVISION A TITLE III SUBTITLE A SEC 301.
Automated Concept:

ACCEPTABLE coverage ;   Individual's responsibility to obtain

Index of Sec 301. ...
SEC 301. -- INDIVIDUAL RESPONSIBILITY.
DIVISION A TITLE III SUBTITLE A SEC 301.
Automated Concept:

ACCEPTABLE coverage ;   Individual's responsibility to obtain

Index of Sec 301. ...
SEC 301. -- INDIVIDUAL RESPONSIBILITY.
DIVISION A TITLE III SUBTITLE A SEC 301.
Automated Concept:

ACCEPTABLE coverage ;   Individual's responsibility to obtain

Index of Sec 301. ...
Sec 401. -- Tax On Individuals Without Acceptable Health Care Coverage.
(3) INDIVIDUALS RESIDING OUTSIDE UNITED STATES.
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (a) Quoted: PART VIII SUBPART A SEC 59B. (c) (3)
Automated Concept:

ACCEPTABLE coverage during period described in subparagraph or section 911(d)(1) ;   Qualified individual to be treated for purposes of section as covered by

Index of Sec 401. ...
(4) INDIVIDUALS RESIDING IN POSSESSIONS OF THE UNITED STATES.
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (a) Quoted: PART VIII SUBPART A SEC 59B. (c) (4)
Automated Concept:

ACCEPTABLE coverage during taxable year ;   Individual being bona fide resident of possession of United States for taxable year to be treated for purposes of section as covered by

Index of Sec 401. ...
(1) IN GENERAL.
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (a) Quoted: PART VIII SUBPART A SEC 59B. (d) (1)
Automated Concept:

ACCEPTABLE coverage at times during period ;   Requirements of subsection being met with respect to individual for perioding if individual covered by

Index of Sec 401. ...
(a) REQUIREMENT OF REPORTING.
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (b) (1) Quoted: SEC 6050X. (a)
Automated Concept:

ACCEPTABLE coverage to individual during calendar year making return described in subsection with respect to individual ;   Every person providing

Index of Sec 401. ...
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(2) QUALIFIED HEALTH COVERAGE.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (d) (2)
Automated Concept:

ACCEPTABLE coverage ;   Term qualified health coverage meaning

Index of Sec 421. ...

Acceptable coverage: cases of de minimis lapses of
Sec 401. -- Tax On Individuals Without Acceptable Health Care Coverage.
(f) REGULATIONS. - paragraph (1)
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (a) Quoted: PART VIII SUBPART A SEC 59B. (f) (1)
Automated Concept:

ACCEPTABLE coverage ;   Exemption from tax imposed under subsection in cases of de minimis lapses of

Index of Sec 401. ...

Acceptable coverage: other
Sec 202. -- Exchange-Eligible Individuals And Employers.
(a) ACCESS TO COVERAGE.
DIVISION A TITLE II SUBTITLE A SEC 202. (a)
Automated Concept:

ACCEPTABLE coverage ;   Individuals being eligible to obtain coverage through enrollment in Exchange-participating health benefits planning offered through Health Insurance Exchange unless individuals enrolled in another qualified health benefits planning or other

Index of Sec 202. ...
(a) ACCESS TO COVERAGE.
DIVISION A TITLE II SUBTITLE A SEC 202. (a)
Automated Concept:

ACCEPTABLE coverage ;   Individuals being eligible to obtain coverage through enrollment in Exchange-participating health benefits planning offered through Health Insurance Exchange unless individuals enrolled in another qualified health benefits planning or other

Index of Sec 202. ...
(a) ACCESS TO COVERAGE.
DIVISION A TITLE II SUBTITLE A SEC 202. (a)
Automated Concept:

ACCEPTABLE coverage ;   Individuals being eligible to obtain coverage through enrollment in Exchange-participating health benefits planning offered through Health Insurance Exchange unless individuals enrolled in another qualified health benefits planning or other

Index of Sec 202. ...

Acceptable coverage: term
Sec 100. -- Purpose; Table Of Contents Of Division; General Definitions.
(1) ACCEPTABLE COVERAGE.
DIVISION A SEC 100. (c) (1)
Automated Concept:

ACCEPTABLE coverage having meaning given term in section 202(d)(2) ;   Term

Index of Sec 100. ...
(1) ACCEPTABLE COVERAGE.
DIVISION A SEC 100. (c) (1)
Automated Concept:

ACCEPTABLE coverage having meaning given term in section 202(d)(2) ;   Term

Index of Sec 100. ...
(1) ACCEPTABLE COVERAGE.
DIVISION A SEC 100. (c) (1)
Automated Concept:

ACCEPTABLE coverage having meaning given term in section 202(d)(2) ;   Term

Index of Sec 100. ...

Accident benefits: sick and
Sec 461. -- Certain Health Related Benefits Applicable To Spouses And Dependents Extended To Eligible Beneficiaries.
(c) EXTENSION TO ELIGIBLE BENEFICIARIES OF SICK AND ACCIDENT BENEFITS PROVIDED TO MEMBERS OF A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION AND THEIR DEPENDENTS.
DIVISION A TITLE IV SUBTITLE D PART 3 SEC 461. (c)
Automated Concept:

ACCIDENT benefits to members association and dependents ;   Purposes of providing for payment of sick and

Index of Sec 461. ...

Accommodate payments
Sec 223. -- Payment Rates For Items And Services.
(3) FOR NEW SERVICES.
DIVISION A TITLE II SUBTITLE B SEC 223. (a) (3)
Automated Concept:

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

Index of Sec 223. ...
(3) FOR NEW SERVICES.
DIVISION A TITLE II SUBTITLE B SEC 223. (a) (3)
Automated Concept:

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

Index of Sec 223. ...

Account
Sec 116. -- Ensuring Value And Lower Premiums.
SEC 116. -- ENSURING VALUE AND LOWER PREMIUMS.
DIVISION A TITLE I SUBTITLE B SEC 116.
Automated Concept:

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

Index of Sec 116. ...
0
(B) STANDARD OF REVIEW.
DIVISION A TITLE I SUBTITLE D SEC 139B. (b) (2) (B)
Automated Concept:

ACCOUNT as of time of entity's determination ;   External appeal entity determining whether plan or issuer's decision in accordance with medical needs of patient involved taking into

Index of 0
Sec 161. -- Ensuring Value And Lower Premiums.
(b) UNIFORM DEFINITIONS.
DIVISION A TITLE I SUBTITLE G SEC 161. (a) Quoted: SEC 2714. (b)
Automated Concept:

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

Index of Sec 161. ...
(b) UNIFORM DEFINITIONS.
DIVISION A TITLE I SUBTITLE G SEC 161. (a) Quoted: SEC 2714. (b)
Automated Concept:

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

Index of Sec 161. ...
Sec 164. -- Reinsurance Program For Retirees.
(b) OPERATING RULES DEVELOPMENT.
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173B. (b)
Automated Concept:

ACCOUNT development of operating rules developed by nonprofit entity meeting following criteria ;   Secretary taking into

Index of Sec 164. ...
(c) IMPLEMENTATION.
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173B. (c)
Automated Concept:

ACCOUNT rules developed by entity under subsection and ensured consulations with providers ;   Taking into

Index of Sec 164. ...
(B) BASIS FOR CLAIMS.
DIVISION A TITLE I SUBTITLE G SEC 164. (c) (1) (B)
Automated Concept:

ACCOUNT ;   Participating employment-based plan taking into

Index of Sec 164. ...
(B) BASIS FOR CLAIMS.
DIVISION A TITLE I SUBTITLE G SEC 164. (c) (1) (B)
Automated Concept:

ACCOUNT ;   Participating employment-based plan taking into

Index of Sec 164. ...
(ii) BUDGETARY IMPLICATIONS.
DIVISION A TITLE I SUBTITLE G SEC 164. (d) (1) (C) (ii)
Automated Concept:

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 fiscal years during that appropriations being made from Trust Fund ;   Taken into

Index of Sec 164. ...
(ii) BUDGETARY IMPLICATIONS.
DIVISION A TITLE I SUBTITLE G SEC 164. (d) (1) (C) (ii)
Automated Concept:

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 fiscal years during that appropriations being made from Trust Fund ;   Taken into

Index of Sec 164. ...
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(B) BASIS FOR CLAIMS.
DIVISION A TITLE I SUBTITLE G SEC 166. (c) (1) (B)
Automated Concept:

ACCOUNT ;   Participating employment-based plan taking into

Index of Sec 166. ...
(ii) BUDGETARY IMPLICATIONS.
DIVISION A TITLE I SUBTITLE G SEC 166. (d) (1) (C) (ii)
Automated Concept:

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 fiscal years during that appropriations being made from Trust Fund ;   Taken into

Index of Sec 166. ...
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(B) SPECIAL ENROLLMENT.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (2) (B)
Automated Concept:

ACCOUNT special circumstances of individuals and employers ;   Commissioner providing for special enrollment periods to take into

Index of Sec 205. ...
(B) SPECIAL ENROLLMENT.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (2) (B)
Automated Concept:

ACCOUNT special circumstances of individuals and employers ;   Commissioner providing for special enrollment periods to take into

Index of Sec 205. ...
(B) SPECIAL ENROLLMENT.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (2) (B)
Automated Concept:

ACCOUNT special circumstances of individuals and employers ;   Commissioner providing for special enrollment periods to take into

Index of Sec 205. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (3) (A)
Automated Concept:

ACCOUNT health care providers used by individual involved or other relevant factors as Commissioner specifying ;   Process involving random assignment or other form of assignment taking into

Index of Sec 205. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (3) (A)
Automated Concept:

ACCOUNT health care providers used by individual involved or other relevant factors as Commissioner specifying ;   Process involving random assignment or other form of assignment taking into

Index of Sec 205. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (3) (A)
Automated Concept:

ACCOUNT health care providers used by individual involved or other relevant factors as Commissioner specifying ;   Process involving random assignment or other form of assignment taking into

Index of Sec 205. ...
Sec 206. -- Other Functions.
(b) COORDINATION OF RISK POOLING.
DIVISION A TITLE II SUBTITLE A SEC 206. (b)
Automated Concept:

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

Index of Sec 206. ...
(b) COORDINATION OF RISK POOLING.
DIVISION A TITLE II SUBTITLE A SEC 206. (b)
Automated Concept:

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

Index of Sec 206. ...
(b) COORDINATION OF RISK POOLING.
DIVISION A TITLE II SUBTITLE A SEC 206. (b)
Automated Concept:

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

Index of Sec 206. ...
Sec 209. -- Participation Of Small Employer Benefit Arrangements.
(b) SMALL EMPLOYER BENEFIT ARRANGEMENT DEFINED.
DIVISION A TITLE II SUBTITLE A SEC 209. (b)
Automated Concept:

ACCOUNT costs of additional benefits ;   Annual increase permitted under subsection with respect to first year to which benefits required to be increased to take into

Index of Sec 209. ...
Sec 223. -- Payment Rates For Items And Services.
(d) CONSTRUCTION.
DIVISION A TITLE II SUBTITLE B SEC 223. (d)
Automated Concept:

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

Index of Sec 223. ...
(d) CONSTRUCTION.
DIVISION A TITLE II SUBTITLE B SEC 223. (d)
Automated Concept:

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

Index of Sec 223. ...
Sec 412. -- Responsibilities Of Nonelecting Employers.
(4) SPECIAL RULE FOR SEPARATE ELECTIONS.
DIVISION A TITLE IV SUBTITLE A PART 2 SEC 412. (a) Quoted: (c) (4)
Automated Concept:

ACCOUNT only wages paid to employees being not subject to election ;   Paragraph to be applied for period by taking into

Index of Sec 412. ...
(4) SPECIAL RULE FOR SEPARATE ELECTIONS.
DIVISION A TITLE IV SUBTITLE A PART 2 SEC 412. (d) (1) Quoted: (c) (4)
Automated Concept:

ACCOUNT only wages paid to employees being not subject to election ;   Subsection to be applied for period by taking into

Index of Sec 412. ...
Sec 441. -- Surcharge On High Income Individuals.
(3) DETERMINATION OF FEDERAL HEALTH REFORM SAVINGS. - paragraph (B)
DIVISION A TITLE IV SUBTITLE D PART 1 SEC 441. (a) Quoted: SUBPART B SEC 59C. (c) (3) (B)
Automated Concept:

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

Index of Sec 441. ...
(1) NONRESIDENT ALIEN.
DIVISION A TITLE IV SUBTITLE D PART 1 SEC 441. (a) Quoted: SUBPART B SEC 59C. (f) (1)
Automated Concept:

ACCOUNT in connection with tax imposed under section 871(b) to be taken into account under section ;   Only amounts taking into

Index of Sec 441. ...
Sec 451. -- Limitation On Treaty Benefits For Certain Deductible Payments.
(5) REGULATIONS. - paragraph (B)
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 451. (a) Quoted: (d) (5) (B)
Automated Concept:

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

Index of Sec 451. ...
Sec 452. -- Codification Of Economic Substance Doctrine.
(A) IN GENERAL.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (2) (A)
Automated Concept:

ACCOUNT in determining whether requirements of subparagraphs and paragraph being met with respect to transaction only if present value of reasonably expected pre-tax profit from transaction being substantial in relation to present value of expected net tax benefits to be allowed if transaction respected ;   Potential for profit of transaction to be taken into

Index of Sec 452. ...
(B) TREATMENT OF FEES AND FOREIGN TAXES.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (2) (B)
Automated Concept:

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

Index of Sec 452. ...
(4) FINANCIAL ACCOUNTING BENEFITS.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (4)
Automated Concept:

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

Index of Sec 452. ...
Sec 453. -- Penalties For Underpayments.
(3) SPECIAL RULE FOR AMENDED RETURNS.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 453. (a) (2) Quoted: (i) (3)
Automated Concept:

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

Index of Sec 453. ...

Account innovation
Sec 123. -- Health Benefits Advisory Committee.
(1) RECOMMENDATIONS ON BENEFIT STANDARDS.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (1)
Automated Concept:

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

Index of Sec 123. ...
(1) RECOMMENDATIONS ON BENEFIT STANDARDS.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (1)
Automated Concept:

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

Index of Sec 123. ...

Accountability of QHBP
Sec 142. -- Duties And Authority Of Commissioner.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (1)
Automated Concept:

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

Index of Sec 142. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (1)
Automated Concept:

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

Index of Sec 142. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (1)
Automated Concept:

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

Index of Sec 142. ...

Actuarial basis
Sec 113. -- Insurance Rating Rules.
(1) STUDY.
DIVISION A TITLE I SUBTITLE B SEC 113. (b) (1)
Automated Concept:

ACTUARIAL basis for including coverage under basic plan of services described in section 122(d)(4)(a) ;   Commissioner estimating basic per enrollee determined on average

Index of Sec 113. ...

Actuarial value
Sec 203. -- Benefits Package Levels.
(2) SEGREGATION OF FUNDS. - paragraph (B)
DIVISION A TITLE II SUBTITLE A SEC 203. (e) (2) (B)
Automated Concept:

ACTUARIAL value described in section 113(b) used for purpose ;   Only premium amounting attributable to

Index of Sec 203. ...

Actuarial value of benefits
Sec 123. -- Health Benefits Advisory Committee.
(A) ENHANCED PLAN.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (5) (A)
Automated Concept:

ACTUARIAL value of benefits providing under reference benefiting package described in section 122(c)(3)(b) ;   Level of cost-sharing for enhanced plans to be designed so that plans having benefits being actuarially equivalent to approximately 85 percent of

Index of Sec 123. ...
(A) ENHANCED PLAN.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (5) (A)
Automated Concept:

ACTUARIAL value of benefits providing under reference benefiting package described in section 122(c)(3)(b) ;   Level of cost-sharing for enhanced plans to be designed so that plans having benefits being actuarially equivalent to approximately 85 percent of

Index of Sec 123. ...
(B) PREMIUM PLAN.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (5) (B)
Automated Concept:

ACTUARIAL value of benefits providing under reference benefiting package described in section 122(c)(3)(b) ;   Level of cost-sharing for premium plans to be designed so that plans having benefits being actuarially equivalent to approximately 95 percent of

Index of Sec 123. ...
(B) PREMIUM PLAN.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (5) (B)
Automated Concept:

ACTUARIAL value of benefits providing under reference benefiting package described in section 122(c)(3)(b) ;   Level of cost-sharing for premium plans to be designed so that plans having benefits being actuarially equivalent to approximately 95 percent of

Index of Sec 123. ...
(A) ENHANCED PLAN.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (6) (A)
Automated Concept:

ACTUARIAL value of benefits providing under reference benefiting package described in section 122(c)(3)(b) ;   Level of cost-sharing for enhanced plans to be designed so that plans having benefits being actuarially equivalent to approximately 85 percent of

Index of Sec 123. ...
(B) PREMIUM PLAN.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (6) (B)
Automated Concept:

ACTUARIAL value of benefits providing under reference benefiting package described in section 122(c)(3)(b) ;   Level of cost-sharing for premium plans to be designed so that plans having benefits being actuarially equivalent to approximately 95 percent of

Index of Sec 123. ...

Actuarial value: increased
Sec 244. -- Affordability Cost-Sharing Credit.
(c) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE II SUBTITLE C SEC 244. (c)
Automated Concept:

ACTUARIAL value of benefits under plan provided under section 203(c)(2)(b) resulting from reduction in cost-sharing described in subsection ;   Commissioner providing for payment to offering entity of amount equivalent to increased

Index of Sec 244. ...
(c) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE II SUBTITLE C SEC 244. (c)
Automated Concept:

ACTUARIAL value of benefits under plan provided under section 203(c)(2)(b) resulting from reduction in cost-sharing described in subsection ;   Commissioner providing for payment to offering entity of amount equivalent to increased

Index of Sec 244. ...
(c) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE II SUBTITLE C SEC 244. (c)
Automated Concept:

ACTUARIAL value of benefits under plan provided under section 203(c)(2)(b) resulting from reduction in cost-sharing described in subsection ;   Commissioner providing for payment to offering entity of amount equivalent to increased

Index of Sec 244. ...

Actuarial value percentages
Actuarial value percentages
Sec 243. -- Affordable Premium Credit.
(d) TABLE OF PREMIUM PERCENTAGE LIMITS AND ACTUARIAL VALUE PERCENTAGES BASED ON INCOME TIER.
DIVISION A TITLE II SUBTITLE C SEC 243. (d)
Automated Concept:

ACTUARIAL Value percentages based on income Tier ;   Table of premium percentage Limits and

Index of Sec 243. ...
(d) TABLE OF PREMIUM PERCENTAGE LIMITS AND ACTUARIAL VALUE PERCENTAGES BASED ON INCOME TIER.
DIVISION A TITLE II SUBTITLE C SEC 243. (d)
Automated Concept:

ACTUARIAL Value percentages based on income Tier ;   Table of premium percentage Limits and

Index of Sec 243. ...
(d) TABLE OF PREMIUM PERCENTAGE LIMITS AND ACTUARIAL VALUE PERCENTAGES BASED ON INCOME TIER.
DIVISION A TITLE II SUBTITLE C SEC 243. (d)
Automated Concept:

ACTUARIAL Value percentages based on income Tier ;   Table of premium percentage Limits and

Index of Sec 243. ...

Actuarial value percentages: two
Sec 243. -- Affordable Premium Credit.
(B) APPLICATION OF HIGHER ACTUARIAL VALUE PERCENTAGE AT TIER TRANSITION POINTS.
DIVISION A TITLE II SUBTITLE C SEC 243. (d) (2) (B)
Automated Concept:

ACTUARIAL value percentages to be determined with respect to individual ;   Two

Index of Sec 243. ...
(B) APPLICATION OF HIGHER ACTUARIAL VALUE PERCENTAGE AT TIER TRANSITION POINTS.
DIVISION A TITLE II SUBTITLE C SEC 243. (d) (2) (B)
Automated Concept:

ACTUARIAL value percentages to be determined with respect to individual ;   Two

Index of Sec 243. ...
(B) APPLICATION OF HIGHER ACTUARIAL VALUE PERCENTAGE AT TIER TRANSITION POINTS.
DIVISION A TITLE II SUBTITLE C SEC 243. (d) (2) (B)
Automated Concept:

ACTUARIAL value percentages to be determined with respect to individual ;   Two

Index of Sec 243. ...

Administrative and other payments
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL. - paragraph (C)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (C)
Automated Concept:

PAYMENTS and amount of payments shared with plan and description of percentage of prescriptions For which PBM receiving payments ;   Administrative and other payments from pharmaceutical manufacturers and description of types of

Index of Sec 133. ...

Administrative costs
Sec 222. -- Premiums And Financing.
(1) IN GENERAL. - paragraph (B) - paragraph (ii)
DIVISION A TITLE II SUBTITLE B SEC 222. (a) (1) (B) (ii)
Automated Concept:

ADMINISTRATIVE costs related to operating public health insurance option  ;  

Index of Sec 222. ...
(1) IN GENERAL. - paragraph (B) - paragraph (ii)
DIVISION A TITLE II SUBTITLE B SEC 222. (a) (1) (B) (ii)
Automated Concept:

ADMINISTRATIVE costs related to operating public health insurance option  ;  

Index of Sec 222. ...
(1) IN GENERAL. - paragraph (B) - paragraph (ii)
DIVISION A TITLE II SUBTITLE B SEC 222. (a) (1) (B) (ii)
Automated Concept:

ADMINISTRATIVE costs related to operating public health insurance option  ;  

Index of Sec 222. ...

Administrative functions of section 1874a
Sec 221. -- Establishment And Administration Of A Public Health Insurance Option As An Exchange-Qualified Health Benefits Plan.
(c) ADMINISTRATIVE CONTRACTING.
DIVISION A TITLE II SUBTITLE B SEC 221. (c)
Automated Concept:

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

Index of Sec 221. ...
(c) ADMINISTRATIVE CONTRACTING.
DIVISION A TITLE II SUBTITLE B SEC 221. (c)
Automated Concept:

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

Index of Sec 221. ...
(c) ADMINISTRATIVE CONTRACTING.
DIVISION A TITLE II SUBTITLE B SEC 221. (c)
Automated Concept:

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

Index of Sec 221. ...

Administrative or judicial review of payment rate or
Sec 223. -- Payment Rates For Items And Services.
(c) ADMINISTRATIVE PROCESS FOR SETTING RATES.
DIVISION A TITLE II SUBTITLE B SEC 223. (c)
Automated Concept:

PAYMENT rate or methodolology established under section or section 224 ;   No administrative or judicial review of

Index of Sec 223. ...
(f) LIMITATIONS ON REVIEW.
DIVISION A TITLE II SUBTITLE B SEC 223. (f)
Automated Concept:

PAYMENT rate or methodolology established under section or section 224 ;   No administrative or judicial review of

Index of Sec 223. ...
(f) LIMITATIONS ON REVIEW.
DIVISION A TITLE II SUBTITLE B SEC 223. (f)
Automated Concept:

PAYMENT rate or methodolology established under section or section 224 ;   No administrative or judicial review of

Index of Sec 223. ...

Administrative process
Sec 223. -- Payment Rates For Items And Services.
(2) SUBSEQUENT PERIODS.
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2)
Automated Concept:

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

Index of Sec 223. ...
(2) SUBSEQUENT PERIODS.
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2)
Automated Concept:

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

Index of Sec 223. ...

Administrative simplification
Sec 163. -- Administrative Simplification.
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (4) (F)
Automated Concept:

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

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (4) (F)
Automated Concept:

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

Index of Sec 164. ...
(b) OPERATING RULES DEVELOPMENT. - paragraph (1)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173B. (b) (1)
Automated Concept:

ADMINISTRATIVE simplification ;   Entity focusing mission on

Index of Sec 164. ...

Adoption
Sec 124. -- Process For Adoption Of Recommendations; Adoption Of Benefit Standards.
(2) DETERMINATION TO ADOPT STANDARDS. - paragraph (B)
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (2) (B)
Automated Concept:

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

Index of Sec 124. ...
(2) DETERMINATION TO ADOPT STANDARDS. - paragraph (B)
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (2) (B)
Automated Concept:

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

Index of Sec 124. ...
(2) DETERMINATION TO ADOPT STANDARDS. - paragraph (B)
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (2) (B)
Automated Concept:

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

Index of Sec 124. ...

Adoption of benefit standards
Sec 124. -- Process For Adoption Of Recommendations; Adoption Of Benefit Standards.
(2) DETERMINATION TO ADOPT STANDARDS. - paragraph (A)
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (2) (A)
Automated Concept:

ADOPTION of benefit standards so recommended as package ;   Proposing

Index of Sec 124. ...
(2) DETERMINATION TO ADOPT STANDARDS. - paragraph (A)
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (2) (A)
Automated Concept:

ADOPTION of benefit standards so recommended as package ;   Proposing

Index of Sec 124. ...
(2) DETERMINATION TO ADOPT STANDARDS. - paragraph (A)
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (2) (A)
Automated Concept:

ADOPTION of benefit standards so recommended as package ;   Proposing

Index of Sec 124. ...

Adoption: initial
Sec 124. -- Process For Adoption Of Recommendations; Adoption Of Benefit Standards.
(3) CONTINGENCY.
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (3)
Automated Concept:

ADOPTION of recommended standards by deadline specified in subsection ;   Secretary otherwise to be unable to propose initial

Index of Sec 124. ...
(3) CONTINGENCY.
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (3)
Automated Concept:

ADOPTION of recommended standards by deadline specified in subsection ;   Secretary otherwise to be unable to propose initial

Index of Sec 124. ...
(3) CONTINGENCY.
DIVISION A TITLE I SUBTITLE C SEC 124. (a) (3)
Automated Concept:

ADOPTION of recommended standards by deadline specified in subsection ;   Secretary otherwise to be unable to propose initial

Index of Sec 124. ...

Affirmative election
Sec 312. -- Employer Responsibility To Contribute Towards Employee And Dependent Coverage.
(2) OPT-OUT.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (2)
Automated Concept:

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

Index of Sec 312. ...
(2) OPT-OUT.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (2)
Automated Concept:

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

Index of Sec 312. ...
(2) OPT-OUT.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (2)
Automated Concept:

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

Index of Sec 312. ...

Affordability
Sec 223. -- Payment Rates For Items And Services.
(2) SUBSEQUENT PERIODS.
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2)
Automated Concept:

AFFORDABILITY 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

Index of Sec 223. ...

Affordability: aggregate
Sec 243. -- Affordable Premium Credit.
(A) IN GENERAL. - paragraph (ii)
DIVISION A TITLE II SUBTITLE C SEC 243. (d) (4) (A) (ii)
Automated Concept:

AFFORDABILITY crediting equivalent to amount so estimated ;   Commissioner providing for appropriate increase in initial and final premium percentages in table specified in paragraph in manner designed to result in increase in aggregate

Index of Sec 243. ...

Affordability: benefits and
Sec 202. -- Exchange-Eligible Individuals And Employers.
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 202. (h) (1)
Automated Concept:

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

Index of Sec 202. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 202. (h) (1)
Automated Concept:

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

Index of Sec 202. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 202. (h) (1)
Automated Concept:

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

Index of Sec 202. ...

Affordability cost
Sec 241. -- Availability Through Health Insurance Exchange.
(a) IN GENERAL. - paragraph (1) - paragraph (B)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (B)
Automated Concept:

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

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (1) - paragraph (B)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (B)
Automated Concept:

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

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (1) - paragraph (B)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (B)
Automated Concept:

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

Index of Sec 241. ...
Sec 244. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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  ;  

Index of Sec 244. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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  ;  

Index of Sec 244. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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  ;  

Index of Sec 244. ...

Affordability credits
Sec 202. -- Exchange-Eligible Individuals And Employers.
(1) REPORT.
DIVISION A TITLE II SUBTITLE A SEC 202. (k) (1)
Automated Concept:

AFFORDABILITY credits under subtitle C ;   Secretary of Health and Human Services submitting to Congress report comparing benefits packaging offered in 2011 to average State child health plan under title XXI of Social Security Act and benefit standards adopted under section 124 for essential benefits packaging and

Index of Sec 202. ...
Sec 203. -- Benefits Package Levels.
(2) SEGREGATION OF FUNDS. - paragraph (A)
DIVISION A TITLE II SUBTITLE A SEC 203. (e) (2) (A)
Automated Concept:

AFFORDABILITY credits provided under subtitle C of title II not used for purposes of paying for services  ;  

Index of Sec 203. ...
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(A) OPEN ENROLLMENT PERIOD.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (2) (A)
Automated Concept:

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

Index of Sec 205. ...
(A) OPEN ENROLLMENT PERIOD.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (2) (A)
Automated Concept:

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

Index of Sec 205. ...
(A) OPEN ENROLLMENT PERIOD.
DIVISION A TITLE II SUBTITLE A SEC 205. (b) (2) (A)
Automated Concept:

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

Index of Sec 205. ...
Sec 208. -- Optional Operation Of State-Based Health Insurance Exchanges.
(b) REQUIREMENTS FOR APPROVAL. - paragraph (1) - paragraph (A) - paragraph (iv)
DIVISION A TITLE II SUBTITLE A SEC 208. (b) (1) (A) (iv)
Automated Concept:

AFFORDABILITY credits under subtitle B using same methodologies ;   Administering

Index of Sec 208. ...
(b) REQUIREMENTS FOR APPROVAL. - paragraph (1) - paragraph (D)
DIVISION A TITLE II SUBTITLE A SEC 208. (b) (1) (D)
Automated Concept:

AFFORDABILITY credits under subtitle B using same methodologies ;   Administering

Index of Sec 208. ...
(b) REQUIREMENTS FOR APPROVAL. - paragraph (1) - paragraph (D)
DIVISION A TITLE II SUBTITLE A SEC 208. (b) (1) (D)
Automated Concept:

AFFORDABILITY credits under subtitle B using same methodologies ;   Administering

Index of Sec 208. ...
Sec 241. -- Availability Through Health Insurance Exchange.
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (1)
Automated Concept:

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

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (1)
Automated Concept:

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

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (1)
Automated Concept:

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

Index of Sec 241. ...
(2) USE OF STATE MEDICAID AGENCIES.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (2)
Automated Concept:

AFFORDABILITY credits under subtitle and same standards as used by Commissioner ;   Commissioner determining that State Medicaid agency having capacity to make determination of eligibility for

Index of Sec 241. ...
(2) USE OF STATE MEDICAID AGENCIES.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (2)
Automated Concept:

AFFORDABILITY credits under subtitle and same standards as used by Commissioner ;   Commissioner determining that State Medicaid agency having capacity to make determination of eligibility for

Index of Sec 241. ...
(2) USE OF STATE MEDICAID AGENCIES.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (2)
Automated Concept:

AFFORDABILITY credits under subtitle and same standards as used by Commissioner ;   Commissioner determining that State Medicaid agency having capacity to make determination of eligibility for

Index of Sec 241. ...
Sec 242. -- Affordable Credit Eligible Individual.
(d) CLARIFICATION OF TREATMENT OF AFFORDABILITY CREDITS.
DIVISION A TITLE II SUBTITLE C SEC 242. (d)
Automated Concept:

AFFORDABILITY credits under subtitle not to be treated to be benefit provided under section 403 of title  ;  

Index of Sec 242. ...
(d) CLARIFICATION OF TREATMENT OF AFFORDABILITY CREDITS.
DIVISION A TITLE II SUBTITLE C SEC 242. (d)
Automated Concept:

AFFORDABILITY credits under subtitle not to be treated to be benefit provided under section 403 of title  ;  

Index of Sec 242. ...
Sec 246. -- No Federal Payment For Undocumented Aliens.
SEC 246. -- NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.
DIVISION A TITLE II SUBTITLE C SEC 246.
Automated Concept:

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

Index of Sec 246. ...
SEC 246. -- NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.
DIVISION A TITLE II SUBTITLE C SEC 246.
Automated Concept:

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

Index of Sec 246. ...
SEC 246. -- NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS.
DIVISION A TITLE II SUBTITLE C SEC 246.
Automated Concept:

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

Index of Sec 246. ...

Affordability credits: aggregate amount of
Sec 241. -- Availability Through Health Insurance Exchange.
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (2)
Automated Concept:

AFFORDABILITY credits for affordable credit eligible individuals enrolled in plan ;   Commissioner paying QHBP offering entity offering plan from Health Insurance Exchange Trust Fund aggregate amount of

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (2)
Automated Concept:

AFFORDABILITY credits for affordable credit eligible individuals enrolled in plan ;   Commissioner paying QHBP offering entity offering plan from Health Insurance Exchange Trust Fund aggregate amount of

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (2)
Automated Concept:

AFFORDABILITY credits for affordable credit eligible individuals enrolled in plan ;   Commissioner paying QHBP offering entity offering plan from Health Insurance Exchange Trust Fund aggregate amount of

Index of Sec 241. ...

Affordability credits: individual
Sec 142. -- Duties And Authority Of Commissioner.
(3) INDIVIDUAL AFFORDABILITY CREDITS.
DIVISION A TITLE I SUBTITLE E SEC 142. (a) (3)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II including determination of eligibility for credits ;   Administration of individual

Index of Sec 142. ...
(3) INDIVIDUAL AFFORDABILITY CREDITS.
DIVISION A TITLE I SUBTITLE E SEC 142. (a) (3)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II including determination of eligibility for credits ;   Administration of individual

Index of Sec 142. ...
(3) INDIVIDUAL AFFORDABILITY CREDITS.
DIVISION A TITLE I SUBTITLE E SEC 142. (a) (3)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II including determination of eligibility for credits ;   Administration of individual

Index of Sec 142. ...

Affordability premium or cost
Sec 157. -- Increasing Meaningful Use Of Electronic Health Records.
(2) COST LIMITATION.
DIVISION A TITLE I SUBTITLE F SEC 157. (c) (2)
Automated Concept:

AFFORDABILITY premium or cost-sharing credits under subtitle C of title II of division ;   Increase in rates under paragraph not resulting in increase in

Index of Sec 157. ...

Affordability premium credits
Sec 203. -- Benefits Package Levels.
(d) TREATMENT OF STATE BENEFIT MANDATES.
DIVISION A TITLE II SUBTITLE A SEC 203. (d)
Automated Concept:

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

Index of Sec 203. ...
(d) TREATMENT OF STATE BENEFIT MANDATES.
DIVISION A TITLE II SUBTITLE A SEC 203. (d)
Automated Concept:

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

Index of Sec 203. ...
(d) TREATMENT OF STATE BENEFIT MANDATES.
DIVISION A TITLE II SUBTITLE A SEC 203. (d)
Automated Concept:

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

Index of Sec 203. ...

Affordablility
Sec 223. -- Payment Rates For Items And Services.
(2) SUBSEQUENT PERIODS.
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2)
Automated Concept:

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

Index of Sec 223. ...

Appointment
Appointment: date of
Sec 123. -- Health Benefits Advisory Committee.
(5) PARTICIPATION.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (5)
Automated Concept:

APPOINTMENT, practice in rural area and practicing in rural area for 5-year period preceding date ;   Date of

Index of Sec 123. ...

Appointment: staggered term of
Sec 123. -- Health Benefits Advisory Committee.
(4) TERMS.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (4)
Automated Concept:

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

Index of Sec 123. ...
(4) TERMS.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (4)
Automated Concept:

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

Index of Sec 123. ...
(4) TERMS.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (4)
Automated Concept:

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

Index of Sec 123. ...

Appointment: initial
Sec 123. -- Health Benefits Advisory Committee.
(3) MEMBERSHIP. - paragraph (C)
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (3) (C)
Automated Concept:

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

Index of Sec 123. ...
(3) MEMBERSHIP. - paragraph (C)
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (3) (C)
Automated Concept:

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

Index of Sec 123. ...
(3) MEMBERSHIP. - paragraph (C)
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (3) (C)
Automated Concept:

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

Index of Sec 123. ...

Assessment of penalties
Sec 321. -- Satisfaction Of Health Coverage Participation Requirements Under The Employee Retirement Income Security Act Of 1974.
(E) COORDINATION WITH EXCISE TAX.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 321. (b) (2) Quoted: (11) (E)
Automated Concept:

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

Index of Sec 321. ...
(E) COORDINATION WITH EXCISE TAX.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 321. (b) (2) Quoted: (11) (E)
Automated Concept:

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

Index of Sec 321. ...
Sec 323. -- Satisfaction Of Health Coverage Participation Requirements Under The Public Health Service Act.
(5) COORDINATION WITH EXCISE TAX.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (5)
Automated Concept:

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

Index of Sec 323. ...
(5) COORDINATION WITH EXCISE TAX.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (5)
Automated Concept:

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

Index of Sec 323. ...

At-risk populations: needs of
Sec 139. -- Utilization Review Activities.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139. (b) (2) (A)
Automated Concept:

AT-risk populations and covered individuals with chronic conditions or severe illnesses including gender-specific criteria and pediatric-specific criteria where available and appropriate ;   Criteria including written clinical review criteria based on valid clinical evidence where available and directed specifically at meeting needs of

Index of Sec 139. ...

Attorney
Sec 138. -- Records Relative To Prescription Information.
(c) CONSTRUCTION.
DIVISION A TITLE I SUBTITLE D SEC 138. (c)
Automated Concept:

HEALTH care ;   Term advanced directive including living or durable power of attorney for

Index of Sec 138. ...
Sec 153. -- Whistleblower Protection.
(a) RETALIATION PROHIBITED. - paragraph (1)
DIVISION A TITLE I SUBTITLE F SEC 153. (a) (1)
Automated Concept:

INFORMATION relating to violation ;   Attorney general of State

Index of Sec 153. ...
(a) RETALIATION PROHIBITED. - paragraph (1)
DIVISION A TITLE I SUBTITLE F SEC 153. (a) (1)
Automated Concept:

INFORMATION relating to violation ;   Attorney general of State

Index of Sec 153. ...
(a) RETALIATION PROHIBITED. - paragraph (1)
DIVISION A TITLE I SUBTITLE F SEC 153. (a) (1)
Automated Concept:

INFORMATION relating to violation ;   Attorney general of State

Index of Sec 153. ...

Attorney's fee: reasonable
0
(2) CEASE AND DESIST ORDER AND ORDER OF ATTORNEY"S FEES. - paragraph (B)
DIVISION A TITLE I SUBTITLE D SEC 139B. (e) (2) (B)
Automated Concept:

ATTORNEY'S fee and other reasonable costs relating to prosecution of action on charges on which plaintiff prevailing ;   Paying to plaintiff reasonable

Index of 0

Attorneys fees
Sec 208. -- Optional Operation Of State-Based Health Insurance Exchanges.
(1) PURPOSES. - paragraph (B)
DIVISION A TITLE II SUBTITLE A SEC 208. (g) (1) (B)
Automated Concept:

ATTORNEYS fees or imposing caps on damages ;   Without limiting

Index of Sec 208. ...

Authorization
Sec 139. -- Utilization Review Activities.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139. (d) (1) (A)
Automated Concept:

AUTHORIZATION and providing notice of determination to individual or individual's designee and individual's health care provider by telephone and printed form ;   Utilization review program making determination concerning

Index of Sec 139. ...
Sec 163. -- Administrative Simplification.
(2) REQUIREMENTS.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (2)
Automated Concept:

AUTHORIZATION or pre-certification as required by plan or issuer and coverage including surgical treatment in opinion of treating physician ;   Coverage provided under paragraph to be subject to pre-

Index of Sec 163. ...
(2) REQUIREMENTS.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (2)
Automated Concept:

AUTHORIZATION or pre-certification as required by insurance issuer offering coverage and coverage including surgical treatment in opinion of treating physician ;   Coverage provided under paragraph to be subject to pre-

Index of Sec 163. ...

Authorization: prior
Sec 139. -- Utilization Review Activities.
(i) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139. (d) (1) (B) (i)
Automated Concept:

AUTHORIZATION ;   Deadline specified in subparagraph being 14 days after date of receipt of request for prior

Index of Sec 139. ...
(iii) EXPEDITED CASES.
DIVISION A TITLE I SUBTITLE D SEC 139. (d) (1) (B) (iii)
Automated Concept:

AUTHORIZATION ;   Deadline specified in subparagraph being 72 hours after time of request for prior

Index of Sec 139. ...

Automatic enrollment
Sec 312. -- Employer Responsibility To Contribute Towards Employee And Dependent Coverage.
(c) AUTOMATIC ENROLLMENT FOR EMPLOYER SPONSORED HEALTH BENEFITS.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c)
Automated Concept:

AUTOMATIC enrollment for Employer sponsored health Benefits  ;  

Index of Sec 312. ...
(c) AUTOMATIC ENROLLMENT FOR EMPLOYER SPONSORED HEALTH BENEFITS.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c)
Automated Concept:

AUTOMATIC enrollment for Employer sponsored health Benefits  ;  

Index of Sec 312. ...
(c) AUTOMATIC ENROLLMENT FOR EMPLOYER SPONSORED HEALTH BENEFITS.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c)
Automated Concept:

AUTOMATIC enrollment for Employer sponsored health Benefits  ;  

Index of Sec 312. ...

Automatic enrollment requirement
Sec 312. -- Employer Responsibility To Contribute Towards Employee And Dependent Coverage.
(A) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (3) (A)
Automated Concept:

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

Index of Sec 312. ...
(A) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (3) (A)
Automated Concept:

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

Index of Sec 312. ...
(A) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (3) (A)
Automated Concept:

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

Index of Sec 312. ...

Back
Sec 223. -- Payment Rates For Items And Services.
(2) SUBSEQUENT PERIODS. - paragraph (C)
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2) (C)
Automated Concept:

BACK ;   Providers participating in Medicare choosing to opt out of participating in public health insurance option opting

Index of Sec 223. ...

Behavior: prescribing
Sec 138. -- Records Relative To Prescription Information.
(2) COMMERCIAL PURPOSE.
DIVISION A TITLE I SUBTITLE D SEC 138. (b) (2)
Automated Concept:

HEALTH care professional or evaluating effectiveness of professional pharmaceutical detailing sales forcing ;   Influencing or evaluating prescribing behavior of individual

Index of Sec 138. ...

Behavioral health treatments
Sec 122. -- Essential Benefits Package Defined.
(b) MINIMUM SERVICES TO BE COVERED. - paragraph (7)
DIVISION A TITLE I SUBTITLE C SEC 122. (b) (7)
Automated Concept:

BEHAVIORAL health treatments ;   Mental health and substance use disorder services including

Index of Sec 122. ...

Beneficiary
0
(1) IN GENERAL. - paragraph (A)
DIVISION A TITLE I SUBTITLE D SEC 139A. (c) (1) (A)
Automated Concept:

HEALTH care professional ;   Determining by plan or issuer or certified in writing by treating

Index of 0
(d) WAIVER OF PROCESS.
DIVISION A TITLE I SUBTITLE D SEC 139A. (d)
Automated Concept:

INTERNAL review under subsection ;   Plan or entity waiving rights for

Index of 0
(B) EXCEPTION FOR INDIGENCY.
DIVISION A TITLE I SUBTITLE D SEC 139B. (a) (4) (B)
Automated Concept:

PAYMENT of filing fee in case of individual participant, beneficiary or enrollee certifying that individual being indigent ;   Plan or issuer not requiring

Index of 0
(C) OTHER TERMS AND CONDITIONS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (b) (1) (C)
Automated Concept:

CONTRACT providing that costs of process to be paid by plan or entity and not by participant, beneficiary or enrollee  ;  

Index of 0
(1) MONETARY PENALTIES.
DIVISION A TITLE I SUBTITLE D SEC 139B. (e) (1)
Automated Concept:

CIVIL penalty in amount of up to $1,000 day from date on which determination transmitted to plan by external review entity until date refusal to provide benefit corrected ;   Refusal to be liable to aggrieved participant, beneficiary or enrollee for

Index of 0
(2) CEASE AND DESIST ORDER AND ORDER OF ATTORNEY"S FEES.
DIVISION A TITLE I SUBTITLE D SEC 139B. (e) (2)
Automated Concept:

HEALTH benefits planning ;   Action described in paragraph bringing by participant, beneficiary or enrollee with respect to qualified

Index of 0
Sec 158. -- Private Right Of Contract With Health Care Providers.
SEC 158. -- PRIVATE RIGHT OF CONTRACT WITH HEALTH CARE PROVIDERS.
DIVISION A TITLE I SUBTITLE F SEC 158.
Automated Concept:

CONTRACT or arrangement for health care with health care provider ;   Nothing in Act to be construed to preclude participant or beneficiary in group health plan from entering into

Index of Sec 158. ...
Sec 165. -- Expansion Of Electronic Transactions In Medicare.
(a) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 165. (a) Quoted: SEC 715. (a)
Automated Concept:

RETIREMENT unless reduction being made with respect to active participants ;   Reduction affecting benefits provided to participant or beneficiary as of date participant retired for purposes of plan and reduction occuring after participant's

Index of Sec 165. ...
Sec 167. -- Extension Of Cobra Continuation Coverage.
(c) ACCESS TO STATE HEALTH BENEFITS RISK POOLS.
DIVISION A TITLE I SUBTITLE G SEC 167. (c)
Automated Concept:

COBRA continations coverage extended under section to State health benefits risking pool recognized by Commissioner for purposes of section solely by reason of extension of coverage beyond date on which coverage otherwise to have expired ;   Provision having effect of limiting or precluding access by qualified beneficiary whose

Index of Sec 167. ...

Beneficiary: eligible
Sec 461. -- Certain Health Related Benefits Applicable To Spouses And Dependents Extended To Eligible Beneficiaries.
(2) ELIGIBLE BENEFICIARY.
DIVISION A TITLE IV SUBTITLE D PART 3 SEC 461. (a) (1) Quoted: (g) (2)
Automated Concept:

ACCIDENT or health plan ;   Term eligible beneficiary meaning individual being eligible to receive benefits or coverage under

Index of Sec 461. ...

Beneficiary access: adequate
Sec 223. -- Payment Rates For Items And Services.
(2) SUBSEQUENT PERIODS.
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2)
Automated Concept:

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

Index of Sec 223. ...
(2) SUBSEQUENT PERIODS.
DIVISION A TITLE II SUBTITLE B SEC 223. (b) (2)
Automated Concept:

AFFORDABILITY 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

Index of Sec 223. ...

Beneficiary association or committee or board of
Sec 164. -- Reinsurance Program For Retirees.
(2) DEFINITIONS. - paragraph (A) - paragraph (i)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (A) (i)
Automated Concept:

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

Index of Sec 164. ...
(2) DEFINITIONS. - paragraph (A) - paragraph (i)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (A) (i)
Automated Concept:

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

Index of Sec 164. ...
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(2) DEFINITIONS. - paragraph (A) - paragraph (i)
DIVISION A TITLE I SUBTITLE G SEC 166. (a) (2) (A) (i)
Automated Concept:

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

Index of Sec 166. ...

Beneficiary identification card
Sec 163. -- Administrative Simplification.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (D)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (2) (D)
Automated Concept:

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

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (D)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (2) (D)
Automated Concept:

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

Index of Sec 164. ...

Building
Sec 163. -- Administrative Simplification.
(6) IMPLEMENTATION AND ENFORCEMENT. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (6) (F)
Automated Concept:

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,

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(6) IMPLEMENTATION AND ENFORCEMENT. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (6) (F)
Automated Concept:

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,

Index of Sec 164. ...

Capitation: partial
Sec 224. -- Modernized Payment Initiatives And Delivery System Reform.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE B SEC 224. (a)
Automated Concept:

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

Index of Sec 224. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE B SEC 224. (a)
Automated Concept:

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

Index of Sec 224. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE B SEC 224. (a)
Automated Concept:

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

Index of Sec 224. ...

Certification
0
(i) FOR EXTERNAL REVIEWS OF GROUP HEALTH PLANS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (2) (C) (i)
Automated Concept:

CERTIFICATION of external review entities ;   Secretary of Labor providing for process for certification of qualified private standard-setting organizations providing for

Index of 0
(ii) FOR EXTERNAL REVIEWS OF HEALTH INSURANCE ISSUERS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (2) (C) (ii)
Automated Concept:

CERTIFICATION of external review entities ;   Secretary of Health and Human Services providing for process for certification of qualified private standard-setting organizations providing for

Index of 0

Certification criteria
Sec 163. -- Administrative Simplification.
(2) REQUIREMENTS.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (2)
Automated Concept:

CERTIFICATION as required by plan or issuer and coverage including surgical treatment in opinion of treating physician ;   Coverage provided under paragraph to be subject to pre-authorization or pre-

Index of Sec 163. ...
(2) REQUIREMENTS.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (2)
Automated Concept:

CERTIFICATION as required by insurance issuer offering coverage and coverage including surgical treatment in opinion of treating physician ;   Coverage provided under paragraph to be subject to pre-authorization or pre-

Index of Sec 163. ...
(2) DEFINITIONS. - paragraph (A)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (2) (A)
Automated Concept:

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

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(2) DEFINITIONS. - paragraph (A)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (A)
Automated Concept:

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

Index of Sec 164. ...

Certification entity
0
(i) FOR EXTERNAL REVIEWS OF GROUP HEALTH PLANS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (2) (C) (i)
Automated Concept:

CERTIFICATION entity by Secretary under subparagraph ;   Organization only to be certified if organization not certifying external review entity unless meeting standards required for

Index of 0
(ii) FOR EXTERNAL REVIEWS OF HEALTH INSURANCE ISSUERS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (2) (C) (ii)
Automated Concept:

CERTIFICATION entity by Secretary under subparagraph ;   Organization only to be certified if organization not certifying external review entity unless meeting standards required for

Index of 0

Child
Sec 202. -- Exchange-Eligible Individuals And Employers.
(2) CERTIFICATION OF SECRETARY.
DIVISION A TITLE II SUBTITLE A SEC 202. (k) (2)
Automated Concept:

HEALTH benefits planning until Secretary of Health and Human Services ;   No child to be eligible for coverage under title XXI of Social Security Act to be enrolled in Exchange participating

Index of Sec 202. ...
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(2) CHIP TRANSITION.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (2)
Automated Concept:

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

Index of Sec 205. ...
(2) CHIP TRANSITION.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (2)
Automated Concept:

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

Index of Sec 205. ...
(2) CHIP TRANSITION.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (2)
Automated Concept:

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

Index of Sec 205. ...

Child: minor
Sec 163. -- Administrative Simplification.
SEC 2708. -- STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708.
Automated Concept:

CHILD'S congenital or developmental deformity or disorder ;   Sec 2708, standards relating to Benefits for minor

Index of Sec 163. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (1)
Automated Concept:

CHILD'S congenital or developmental deformity, disease or injury ;   Group health plan and health insurance issuer offering group health insurance coverage providing coverage for surgical benefits providing coverage for outpatient and inpatient diagnosis and treatment of minor

Index of Sec 163. ...
SEC 2755. -- STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755.
Automated Concept:

CHILD'S congenital or developmental deformity or disorder ;   Sec 2755, standards relating to Benefits for minor

Index of Sec 163. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (1)
Automated Concept:

CHILD'S congenital or developmental deformity, disease or injury ;   Health insurance issuer offering health insurance coverage in individual market providing coverage for surgical benefits providing coverage for outpatient and inpatient diagnosis and treatment of minor

Index of Sec 163. ...

Child health assistance
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(2) CHIP TRANSITION.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (2)
Automated Concept:

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

Index of Sec 205. ...
(2) CHIP TRANSITION.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (2)
Automated Concept:

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

Index of Sec 205. ...
(2) CHIP TRANSITION.
DIVISION A TITLE II SUBTITLE A SEC 205. (d) (2)
Automated Concept:

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

Index of Sec 205. ...

Child health plan
Sec 202. -- Exchange-Eligible Individuals And Employers.
(1) REPORT.
DIVISION A TITLE II SUBTITLE A SEC 202. (k) (1)
Automated Concept:

AFFORDABILITY credits under subtitle C ;   Secretary of Health and Human Services submitting to Congress report comparing benefits packaging offered in 2011 to average State child health plan under title XXI of Social Security Act and benefit standards adopted under section 124 for essential benefits packaging and

Index of Sec 202. ...
(2) CERTIFICATION OF SECRETARY.
DIVISION A TITLE II SUBTITLE A SEC 202. (k) (2)
Automated Concept:

CHILD health plan under titling as in effect in 2011 ;   Basing on findings in report under paragraph and changes making pursuant to recommendations in report that coverage being comparable to coverage provided to children under average State

Index of Sec 202. ...

Child support
Sec 401. -- Tax On Individuals Without Acceptable Health Care Coverage.
(1) QUALIFYING CHILD.
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (a) Quoted: PART VIII SUBPART A SEC 59B. (e) (1)
Automated Concept:

CHILD support order ;   Respect to period during that health coverage for child to be provided by individual pursuant to

Index of Sec 401. ...

Chronic conditions
Sec 139. -- Utilization Review Activities.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139. (b) (2) (A)
Automated Concept:

CHRONIC conditions or severe illnesses including gender-specific criteria and pediatric-specific criteria where available and appropriate ;   Criteria including written clinical review criteria based on valid clinical evidence where available and directed specifically at meeting needs of at-risk populations and covered individuals with

Index of Sec 139. ...

Civil action
Sec 323. -- Satisfaction Of Health Coverage Participation Requirements Under The Public Health Service Act.
(4) ACTIONS TO ENFORCE ASSESSMENTS.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (4)
Automated Concept:

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

Index of Sec 323. ...
(4) ACTIONS TO ENFORCE ASSESSMENTS.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (4)
Automated Concept:

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

Index of Sec 323. ...

Civil penalty
0
(1) MONETARY PENALTIES.
DIVISION A TITLE I SUBTITLE D SEC 139B. (e) (1)
Automated Concept:

CIVIL penalty in amount of up to $1,000 day from date on which determination transmitted to plan by external review entity until date refusal to provide benefit corrected ;   Refusal to be liable to aggrieved participant, beneficiary or enrollee for

Index of 0
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139B. (e) (3) (A)
Automated Concept:

CIVIL penalty against person acting in capacity of authorizing benefit determined by external review entity for one or more qualified health benefits planing ;   Appropriate Secretary assessing

Index of 0
Sec 321. -- Satisfaction Of Health Coverage Participation Requirements Under The Employee Retirement Income Security Act Of 1974.
(A) CIVIL PENALTIES.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 321. (b) (2) Quoted: (11) (A)
Automated Concept:

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

Index of Sec 321. ...
(A) CIVIL PENALTIES.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 321. (b) (2) Quoted: (11) (A)
Automated Concept:

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

Index of Sec 321. ...
Sec 323. -- Satisfaction Of Health Coverage Participation Requirements Under The Public Health Service Act.
(1) CIVIL PENALTIES.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (1)
Automated Concept:

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

Index of Sec 323. ...
(1) CIVIL PENALTIES.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (1)
Automated Concept:

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

Index of Sec 323. ...
(4) ACTIONS TO ENFORCE ASSESSMENTS.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (4)
Automated Concept:

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

Index of Sec 323. ...
(4) ACTIONS TO ENFORCE ASSESSMENTS.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (f) (4)
Automated Concept:

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

Index of Sec 323. ...
Sec 411. -- Election To Satisfy Health Coverage Participation Requirements.
(D) COORDINATION WITH OTHER ENFORCEMENT PROVISIONS.
DIVISION A TITLE IV SUBTITLE A PART 2 SEC 411. (a) Quoted: SEC 4980H. (b) (2) (D)
Automated Concept:

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

Index of Sec 411. ...

Clinical appropriateness
Sec 121. -- Coverage Of Essential Benefits Package.
(c) NO RESTRICTIONS ON COVERAGE UNRELATED TO CLINICAL APPROPRIATENESS.
DIVISION A TITLE I SUBTITLE C SEC 121. (c)
Automated Concept:

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

Index of Sec 121. ...
(c) NO RESTRICTIONS ON COVERAGE UNRELATED TO CLINICAL APPROPRIATENESS.
DIVISION A TITLE I SUBTITLE C SEC 121. (c)
Automated Concept:

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

Index of Sec 121. ...
(c) NO RESTRICTIONS ON COVERAGE UNRELATED TO CLINICAL APPROPRIATENESS.
DIVISION A TITLE I SUBTITLE C SEC 121. (c)
Automated Concept:

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

Index of Sec 121. ...

Clinical appropriateness of sample of denials of claims
Sec 139. -- Utilization Review Activities.
(C) REVIEW OF SAMPLE OF CLAIMS DENIALS.
DIVISION A TITLE I SUBTITLE D SEC 139. (b) (2) (C)
Automated Concept:

CLINICAL appropriateness of sample of denials of claims for benefits ;   Program providing for evaluation of

Index of Sec 139. ...

Clinical evidence: valid
Sec 139. -- Utilization Review Activities.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139. (b) (2) (A)
Automated Concept:

AT-risk populations and covered individuals with chronic conditions or severe illnesses including gender-specific criteria and pediatric-specific criteria where available and appropriate ;   Criteria including written clinical review criteria based on valid clinical evidence where available and directed specifically at meeting needs of

Index of Sec 139. ...

Clinical necessity
Sec 139. -- Utilization Review Activities.
(3) UTILIZATION REVIEW DEFINED.
DIVISION A TITLE I SUBTITLE D SEC 139. (a) (3)
Automated Concept:

CLINICAL necessity, appropriateness, efficacy or efficiency of health care services, procedures or settings and including prospective review, concurrent review, second opinions ;   Terms utilization review and utilization review activities mean procedures used to monitor or evaluate use or coverage,

Index of Sec 139. ...

Clinical peer
0
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (3) (A)
Automated Concept:

CLINICAL peer or other entity meeting independence requirements of paragraph  ;  

Index of 0

Clinical peers
0
(1) IN GENERAL. - paragraph (B)
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (1) (B)
Automated Concept:

CLINICAL peers ;   Entity conducting external appeal activities through panel of not fewer than 3

Index of 0

Clinical practice
Sec 123. -- Health Benefits Advisory Committee.
(3) MEMBERSHIP. - paragraph (C)
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (3) (C)
Automated Concept:

CLINICAL practice of integrative health care services ;   Membership of Committee including one or more experts in scientific evidence and

Index of Sec 123. ...

Clinical review criteria
Sec 139. -- Utilization Review Activities.
(1) IN GENERAL. - paragraph (C)
DIVISION A TITLE I SUBTITLE D SEC 139. (e) (1) (C)
Automated Concept:

CLINICAL review criteria relied to make denial ;   Request of individual of

Index of Sec 139. ...

Clinical review criteria: written
Sec 139. -- Utilization Review Activities.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 139. (b) (2) (A)
Automated Concept:

CLINICAL review criteria developed with input from range of appropriate actively practicing health care professionals as determined by plan ;   Program utilizing written

Index of Sec 139. ...

Cobra continations coverage
Sec 167. -- Extension Of Cobra Continuation Coverage.
(1) REDUCTION IN LOOK-BACK PERIOD.
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (1)
Automated Concept:

COBRA continations coverage after date of enactment of Act ;   Cobra continations coverage provision covered under

Index of Sec 167. ...

Cobra continations coverage: continued availability of
Sec 167. -- Extension Of Cobra Continuation Coverage.
(2) NOTICE.
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (2)
Automated Concept:

COBRA continations coverage to individuals under paragraph ;   Secretary of Labor providing rules setting forth form and manner in which prompt notice to individuals of continued availability of

Index of Sec 167. ...

Cobra continations coverage: required period of
Sec 167. -- Extension Of Cobra Continuation Coverage.
(b) CONTINUED EFFECT OF OTHER TERMINATING EVENTS.
DIVISION A TITLE I SUBTITLE G SEC 167. (b)
Automated Concept:

COBRA continations coverage extended under subsection terminating upon occurrence of terminating event specified in applicable continations coverage provision other than expiration of period of specified number of months ;   Required period of

Index of Sec 167. ...

Cobra continations coverage: term
Sec 167. -- Extension Of Cobra Continuation Coverage.
(1) COBRA CONTINUATION COVERAGE.
DIVISION A TITLE I SUBTITLE G SEC 167. (d) (1)
Automated Concept:

COBRA continations coverage meaning continations coverage provided pursuant to part 6 of subtitle B of title I of Employee Retirement Income Security Act of 1974 ;   Term

Index of Sec 167. ...

Cobra continations coverage: whose
Sec 167. -- Extension Of Cobra Continuation Coverage.
(c) ACCESS TO STATE HEALTH BENEFITS RISK POOLS.
DIVISION A TITLE I SUBTITLE G SEC 167. (c)
Automated Concept:

COBRA continations coverage extended under section to State health benefits risking pool recognized by Commissioner for purposes of section solely by reason of extension of coverage beyond date on which coverage otherwise to have expired ;   Provision having effect of limiting or precluding access by qualified beneficiary whose

Index of Sec 167. ...

Cobra continations coverage provision
Sec 167. -- Extension Of Cobra Continuation Coverage.
(1) REDUCTION IN LOOK-BACK PERIOD.
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (1)
Automated Concept:

COBRA continations coverage after date of enactment of Act ;   Cobra continations coverage provision covered under

Index of Sec 167. ...

Cobra continations provision: term
Sec 167. -- Extension Of Cobra Continuation Coverage.
(2) COBRA CONTINUATION PROVISION.
DIVISION A TITLE I SUBTITLE G SEC 167. (d) (2)
Automated Concept:

COBRA continations provision meaning provisions of law described in paragraph ;   Term

Index of Sec 167. ...

Coercive practices
Sec 204. -- Contracts For The Offering Of Exchange-Participating Health Benefits Plans.
(8) ADDITIONAL REQUIREMENTS.
DIVISION A TITLE II SUBTITLE A SEC 204. (b) (8)
Automated Concept:

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

Index of Sec 204. ...
(8) ADDITIONAL REQUIREMENTS.
DIVISION A TITLE II SUBTITLE A SEC 204. (b) (8)
Automated Concept:

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

Index of Sec 204. ...
(8) ADDITIONAL REQUIREMENTS.
DIVISION A TITLE II SUBTITLE A SEC 204. (b) (8)
Automated Concept:

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

Index of Sec 204. ...

Coinsurance
Sec 100. -- Purpose; Table Of Contents Of Division; General Definitions.
(4) COST-SHARING.
DIVISION A SEC 100. (c) (4)
Automated Concept:

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,

Index of Sec 100. ...
(4) COST-SHARING.
DIVISION A SEC 100. (c) (4)
Automated Concept:

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,

Index of Sec 100. ...
(4) COST-SHARING.
DIVISION A SEC 100. (c) (4)
Automated Concept:

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,

Index of Sec 100. ...

Collective bargaining
Sec 154. -- Construction Regarding Collective Bargaining.
SEC 154. -- CONSTRUCTION REGARDING COLLECTIVE BARGAINING.
DIVISION A TITLE I SUBTITLE F SEC 154.
Automated Concept:

COLLECTIVE bargaining ;   Construction regarding

Index of Sec 154. ...
SEC 154. -- CONSTRUCTION REGARDING COLLECTIVE BARGAINING.
DIVISION A TITLE I SUBTITLE F SEC 154.
Automated Concept:

COLLECTIVE bargaining ;   Construction regarding

Index of Sec 154. ...
SEC 154. -- CONSTRUCTION REGARDING COLLECTIVE BARGAINING.
DIVISION A TITLE I SUBTITLE F SEC 154.
Automated Concept:

COLLECTIVE bargaining ;   Construction regarding

Index of Sec 154. ...

Collective bargaining agreement
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(2) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 166. (b) (2) (B)
Automated Concept:

COLLECTIVE bargaining agreement ;   Plan amendment making pursuant to collective bargaining agreement relating to plan amending plan solely to conform to requirement added by amendments making by paragraphs and subsection not to be treated as termination of

Index of Sec 166. ...
Sec 167. -- Extension Of Cobra Continuation Coverage.
(B) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS. - paragraph (ii)
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (3) (B) (ii)
Automated Concept:

COLLECTIVE bargaining agreement ;   Plan amendment making pursuant to collective bargaining agreement relating to plan amending plan solely to conform to requirement added by amendments making by section not to be treated as termination of

Index of Sec 167. ...

Collective bargaining agreement: last of
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(2) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS. - paragraph (A)
DIVISION A TITLE I SUBTITLE G SEC 166. (b) (2) (A)
Automated Concept:

COLLECTIVE bargaining agreements relating to plan terminating ;   Date on which last of

Index of Sec 166. ...
Sec 167. -- Extension Of Cobra Continuation Coverage.
(B) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS. - paragraph (i)
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (3) (B) (i)
Automated Concept:

COLLECTIVE bargaining agreements relating to plan terminating ;   Date on which last of

Index of Sec 167. ...

Collective bargaining agreement: one or more
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(2) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS.
DIVISION A TITLE I SUBTITLE G SEC 166. (b) (2)
Automated Concept:

COLLECTIVE bargaining agreements between employee representatives and one or more employers ratified before date of enactment of Act ;   Case of group health plan maintained pursuant to one or more

Index of Sec 166. ...
Sec 167. -- Extension Of Cobra Continuation Coverage.
(B) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS.
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (3) (B)
Automated Concept:

COLLECTIVE bargaining agreements between employee representatives and one or more employers ratified before date of enactment of Act ;   Case of group health plan maintained pursuant to one or more

Index of Sec 167. ...

Communications: further
Sec 163. -- Administrative Simplification.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (C)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (2) (C)
Automated Concept:

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

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (C)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (2) (C)
Automated Concept:

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

Index of Sec 164. ...

Comparative analysis
Sec 208. -- Optional Operation Of State-Based Health Insurance Exchanges.
(5) REPORTS.
DIVISION A TITLE II SUBTITLE A SEC 208. (g) (5)
Automated Concept:

COMPARATIVE analysis ;   Reports containing sufficient documentation regarding effectiveness of laws to enable objective

Index of Sec 208. ...

Comparative manner
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(1) COVERAGE INFORMATION.
DIVISION A TITLE II SUBTITLE A SEC 205. (c) (1)
Automated Concept:

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

Index of Sec 205. ...
(1) COVERAGE INFORMATION.
DIVISION A TITLE II SUBTITLE A SEC 205. (c) (1)
Automated Concept:

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

Index of Sec 205. ...
(1) COVERAGE INFORMATION.
DIVISION A TITLE II SUBTITLE A SEC 205. (c) (1)
Automated Concept:

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

Index of Sec 205. ...

Compensation
0
(A) IN GENERAL. - paragraph (ii)
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (3) (A) (ii)
Automated Concept:

COMPENSATION received by peer or entity in connection with external review being reasonable and not contingent on decision rendered by peer or entity  ;  

Index of 0
Sec 312. -- Employer Responsibility To Contribute Towards Employee And Dependent Coverage.
(4) SALARY REDUCTIONS NOT TREATED AS EMPLOYER CONTRIBUTIONS.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (b) (4)
Automated Concept:

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

Index of Sec 312. ...
(4) SALARY REDUCTIONS NOT TREATED AS EMPLOYER CONTRIBUTIONS.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (b) (4)
Automated Concept:

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

Index of Sec 312. ...
(4) SALARY REDUCTIONS NOT TREATED AS EMPLOYER CONTRIBUTIONS.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (b) (4)
Automated Concept:

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

Index of Sec 312. ...

Compensation: $5,000 of
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(2) QUALIFIED EMPLOYEE.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (e) (2)
Automated Concept:

COMPENSATION from employer for services performed in trade or business of employer during taxable year ;   Term qualified employee meaning employee of employer for taxable year of employer if employee received $5,000 of

Index of Sec 421. ...

Compensation: aggregate
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(2) CREDIT NOT ALLOWED WITH RESPECT TO CERTAIN HIGHLY COMPENSATED EMPLOYEES.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (c) (2)
Automated Concept:

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

Index of Sec 421. ...

Compensation: Average
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(2) PHASEOUT BASED ON AVERAGE COMPENSATION OF EMPLOYEES.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (b) (2)
Automated Concept:

COMPENSATION of Employees ;   Phaseout based on Average

Index of Sec 421. ...

Compensation: average amount of
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(3) AVERAGE ANNUAL EMPLOYEE COMPENSATION.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (e) (3)
Automated Concept:

COMPENSATION paid by employer to qualified employees of employer during taxable year ;   Average amount of

Index of Sec 421. ...

Compensation: term
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(4) COMPENSATION.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (e) (4)
Automated Concept:

COMPENSATION having meaning given term in section 408(p)(6)(a) ;   Term

Index of Sec 421. ...

Compensation or anything of value
Sec 139. -- Utilization Review Activities.
(B) PROHIBITION OF CONTINGENT COMPENSATION ARRANGEMENTS.
DIVISION A TITLE I SUBTITLE D SEC 139. (c) (2) (B)
Automated Concept:

COMPENSATION or anything of value to employees, agents or contractors in manner encouraging denials of claims for benefits ;   Program not permitting or providing

Index of Sec 139. ...

Competitive disadvantage
Sec 224. -- Modernized Payment Initiatives And Delivery System Reform.
(d) NON-UNIFORMITY PERMITTED. - paragraph (2)
DIVISION A TITLE II SUBTITLE B SEC 224. (d) (2)
Automated Concept:

COMPETITIVE disadvantage ;   Secretary delaying implementation reform in geographic areas in which implementation placing public health insurance option at

Index of Sec 224. ...

Compliance
Sec 142. -- Duties And Authority Of Commissioner.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (2) (A)
Automated Concept:

COMPLIANCE with Federal requirements ;   Commissioner conducting audits of qualified health benefits planning

Index of Sec 142. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (2) (A)
Automated Concept:

COMPLIANCE with Federal requirements ;   Commissioner conducting audits of qualified health benefits planning

Index of Sec 142. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (2) (A)
Automated Concept:

COMPLIANCE with Federal requirements ;   Commissioner conducting audits of qualified health benefits planning

Index of Sec 142. ...
Sec 163. -- Administrative Simplification.
(6) IMPLEMENTATION AND ENFORCEMENT. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (6) (F)
Automated Concept:

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,

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(6) IMPLEMENTATION AND ENFORCEMENT. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (6) (F)
Automated Concept:

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,

Index of Sec 164. ...
Sec 208. -- Optional Operation Of State-Based Health Insurance Exchanges.
(B) PROCESS.
DIVISION A TITLE II SUBTITLE A SEC 208. (b) (2) (B)
Automated Concept:

COMPLIANCE with standards for approval under section ;   Commissioner establishing process to work with State described in subparagraph to provide assistance necessary to assure that State's Exchange coming into

Index of Sec 208. ...
Sec 321. -- Satisfaction Of Health Coverage Participation Requirements Under The Employee Retirement Income Security Act Of 1974.
(b) PERIODIC INVESTIGATIONS TO DISCOVER NONCOMPLIANCE.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 321. (a) Quoted: PART 8 SEC 802. (b)
Automated Concept:

COMPLIANCE ;   Secretary taking timely enforcement action as appropriate to achieve

Index of Sec 321. ...
(b) PERIODIC INVESTIGATIONS TO DISCOVER NONCOMPLIANCE.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 321. (a) Quoted: PART 8 SEC 802. (b)
Automated Concept:

COMPLIANCE ;   Secretary taking timely enforcement action as appropriate to achieve

Index of Sec 321. ...
Sec 323. -- Satisfaction Of Health Coverage Participation Requirements Under The Public Health Service Act.
(2) PERIODIC INVESTIGATIONS TO DETERMINE COMPLIANCE WITH HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (b) (2)
Automated Concept:

COMPLIANCE with health coverage participation requirements ;   Periodic investigations to determine

Index of Sec 323. ...
(2) PERIODIC INVESTIGATIONS TO DETERMINE COMPLIANCE WITH HEALTH COVERAGE PARTICIPATION REQUIREMENTS.
DIVISION A TITLE III SUBTITLE B PART 2 SEC 323. (a) Quoted: SEC 2793. (b) (2)
Automated Concept:

COMPLIANCE with health coverage participation requirements ;   Periodic investigations to determine

Index of Sec 323. ...

Compliance audits: random
Sec 142. -- Duties And Authority Of Commissioner.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (2) (A)
Automated Concept:

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

Index of Sec 142. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (2) (A)
Automated Concept:

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

Index of Sec 142. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE E SEC 142. (b) (2) (A)
Automated Concept:

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

Index of Sec 142. ...

Compliance entity's determination and subparagraph
0
(I) COMPLIANCE WITH DETERMINATION. - paragraph (iii)
DIVISION A TITLE I SUBTITLE D SEC 139B. (b) (2) (I) (iii)
Automated Concept:

COMPLIANCE with entity's determination and subparagraph ;   Submitting information to entity documenting

Index of 0

Compliance procedures: formal investigation and
Sec 204. -- Contracts For The Offering Of Exchange-Participating Health Benefits Plans.
(i) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i)
Automated Concept:

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

Index of Sec 204. ...
(i) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i)
Automated Concept:

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

Index of Sec 204. ...
(i) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i)
Automated Concept:

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

Index of Sec 204. ...

Confirations
Sec 206. -- Other Functions.
(4) REPORTS.
DIVISION A TITLE II SUBTITLE A SEC 206. (c) (4)
Automated Concept:

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

Index of Sec 206. ...
(4) REPORTS.
DIVISION A TITLE II SUBTITLE A SEC 206. (c) (4)
Automated Concept:

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

Index of Sec 206. ...
(4) REPORTS.
DIVISION A TITLE II SUBTITLE A SEC 206. (c) (4)
Automated Concept:

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

Index of Sec 206. ...

Congenital
Congenital or developmental deformity
Sec 163. -- Administrative Simplification.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (1)
Automated Concept:

CHILD'S congenital or developmental deformity, disease or injury ;   Group health plan and health insurance issuer offering group health insurance coverage providing coverage for surgical benefits providing coverage for outpatient and inpatient diagnosis and treatment of minor

Index of Sec 163. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (1)
Automated Concept:

CHILD'S congenital or developmental deformity, disease or injury ;   Health insurance issuer offering health insurance coverage in individual market providing coverage for surgical benefits providing coverage for outpatient and inpatient diagnosis and treatment of minor

Index of Sec 163. ...

Congenital or developmental deformity or disorder
Sec 163. -- Administrative Simplification.
SEC 2708. -- STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708.
Automated Concept:

CHILD'S congenital or developmental deformity or disorder ;   Sec 2708, standards relating to Benefits for minor

Index of Sec 163. ...
SEC 2755. -- STANDARDS RELATING TO BENEFITS FOR MINOR CHILD'S CONGENITAL OR DEVELOPMENTAL DEFORMITY OR DISORDER.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755.
Automated Concept:

CHILD'S congenital or developmental deformity or disorder ;   Sec 2755, standards relating to Benefits for minor

Index of Sec 163. ...

Congenital defects
Sec 163. -- Administrative Simplification.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (3) (A)
Automated Concept:

CONGENITAL defects, developmental abnormalities, trauma, infection, tumors or disease ;   Term treatment including reconstructive surgical procedures performed on abnormal structures of body causes by

Index of Sec 163. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (3) (A)
Automated Concept:

CONGENITAL defects, developmental abnormalities, trauma, infection, tumors or disease ;   Treatment including reconstructive surgical procedures performed on abnormal structures of body causes by

Index of Sec 163. ...

Constraints: permitting no additions or
Sec 163. -- Administrative Simplification.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (2) (B)
Automated Concept:

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

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (2) (B)
Automated Concept:

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

Index of Sec 164. ...

Consumer
Sec 102. -- Protecting The Choice To Keep Current Coverage.
(3) EXCEPTION FOR CONSUMER-DIRECTED HEALTH PLANS AND ARRANGEMENTS.
DIVISION A TITLE I SUBTITLE A SEC 102. (b) (3)
Automated Concept:

HEALTH plan or arrangement ;   Case of group health plan consisting of consumer-directed

Index of Sec 102. ...
Sec 123. -- Health Benefits Advisory Committee.
(5) PARTICIPATION.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (5)
Automated Concept:

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

Index of Sec 123. ...
(5) PARTICIPATION.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (5)
Automated Concept:

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

Index of Sec 123. ...

Consumers
Sec 253. -- Definitions.
(a) STATE SINGLE PAYER SYSTEM. - paragraph (3)
DIVISION A TITLE II SUBTITLE D SEC 253. (a) (3)
Automated Concept:

HEALTH benefits to residents of State and providing measures to assure free choice of providers for covered services to promote quality and helping resolve complaints and disputes between consumers and providers ;   Providing comprehensive

Index of Sec 253. ...

Consumer focus: strong
Sec 252. -- Requirements.
(b) CONDITIONS. - paragraph (8)
DIVISION A TITLE II SUBTITLE D SEC 252. (b) (8)
Automated Concept:

CONSUMER focus including timeliness ;   Cooperative operating with strong

Index of Sec 252. ...

Consumer protections
Sec 101. -- Requirements Reforming Health Insurance Marketplace.
(a) PURPOSE.
DIVISION A TITLE I SUBTITLE A SEC 101. (a)
Automated Concept:

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

Index of Sec 101. ...
(a) PURPOSE.
DIVISION A TITLE I SUBTITLE A SEC 101. (a)
Automated Concept:

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

Index of Sec 101. ...
(a) PURPOSE.
DIVISION A TITLE I SUBTITLE A SEC 101. (a)
Automated Concept:

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

Index of Sec 101. ...
Sec 201. -- Establishment Of Health Insurance Exchange; Outline Of Duties; Definitions.
(b) OUTLINE OF DUTIES OF COMMISSIONER. - paragraph (3)
DIVISION A TITLE II SUBTITLE A SEC 201. (b) (3)
Automated Concept:

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

Index of Sec 201. ...
(b) OUTLINE OF DUTIES OF COMMISSIONER. - paragraph (3)
DIVISION A TITLE II SUBTITLE A SEC 201. (b) (3)
Automated Concept:

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

Index of Sec 201. ...
(b) OUTLINE OF DUTIES OF COMMISSIONER. - paragraph (3)
DIVISION A TITLE II SUBTITLE A SEC 201. (b) (3)
Automated Concept:

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

Index of Sec 201. ...

Consumer satisfaction
Sec 205. -- Outreach And Enrollment Of Exchange-Eligible Individuals And Employers In Exchange-Participating Health Benefits Plan.
(1) COVERAGE INFORMATION.
DIVISION A TITLE II SUBTITLE A SEC 205. (c) (1)
Automated Concept:

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

Index of Sec 205. ...
(1) COVERAGE INFORMATION.
DIVISION A TITLE II SUBTITLE A SEC 205. (c) (1)
Automated Concept:

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

Index of Sec 205. ...
(1) COVERAGE INFORMATION.
DIVISION A TITLE II SUBTITLE A SEC 205. (c) (1)
Automated Concept:

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

Index of Sec 205. ...

Contract
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1)
Automated Concept:

CONTRACT with pharmacy benefit managers to manage prescription drug coverage provided under plan or controlling costs of prescription drug coverage ;   Qualified health benefits planning entering into

Index of Sec 133. ...
(1) IN GENERAL. - paragraph (A)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (A)
Automated Concept:

CONTRACT filled via mail order and retail pharmacies ;   Information on volume of prescriptions under

Index of Sec 133. ...
(1) IN GENERAL. - paragraph (C)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (C)
Automated Concept:

CONTRACT received from pharmaceutical manufacturers including rebates ;   Estimate of aggregate average payment per prescription under

Index of Sec 133. ...
(1) IN GENERAL. - paragraph (D)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (D)
Automated Concept:

CONTRACT at retail and mail order pharmacies and percentage of cases in which generic drug dispensed when available ;   Information on overall percentage of generic drugs dispensed under

Index of Sec 133. ...
(1) IN GENERAL. - paragraph (E)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (E)
Automated Concept:

CONTRACT in which individuals switched from prescribed drug being less expensive to drug being more expensive ;   Information on percentage and number of cases under

Index of Sec 133. ...
Sec 139. -- Utilization Review Activities.
(2) USE OF OUTSIDE AGENTS.
DIVISION A TITLE I SUBTITLE D SEC 139. (a) (2)
Automated Concept:

CONTRACT or otherwise for persons or entities to conduct utilization review activities on behalf of plan entity ;   Nothing in section to be construed as preventing qualified health benefits planning or QHBP offering entity from arranging through

Index of Sec 139. ...
0
(A) CONTRACT REQUIREMENT.
DIVISION A TITLE I SUBTITLE D SEC 139B. (b) (1) (A)
Automated Concept:

CONTRACT between plan or issuer and one or more qualified external appeal entities ;   External appeal process under section of plan or entity to be conducted under

Index of 0
(C) OTHER TERMS AND CONDITIONS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (b) (1) (C)
Automated Concept:

CONTRACT providing that costs of process to be paid by plan or entity and not by participant, beneficiary or enrollee  ;  

Index of 0
(4) LIMITATION ON LIABILITY OF REVIEWERS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (4)
Automated Concept:

CONTRACT with qualified health benefits planning under part and no person employed entitying or furnishing professional services to entity ;   No qualified external appeal entity having

Index of 0
Sec 203. -- Benefits Package Levels.
(b) LIMITATION ON HEALTH BENEFITS PLANS OFFERED BY OFFERING ENTITIES.
DIVISION A TITLE II SUBTITLE A SEC 203. (b)
Automated Concept:

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

Index of Sec 203. ...
(b) LIMITATION ON HEALTH BENEFITS PLANS OFFERED BY OFFERING ENTITIES.
DIVISION A TITLE II SUBTITLE A SEC 203. (b)
Automated Concept:

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

Index of Sec 203. ...
(b) LIMITATION ON HEALTH BENEFITS PLANS OFFERED BY OFFERING ENTITIES.
DIVISION A TITLE II SUBTITLE A SEC 203. (b)
Automated Concept:

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

Index of Sec 203. ...
Sec 204. -- Contracts For The Offering Of Exchange-Participating Health Benefits Plans.
(2) TERM.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (2)
Automated Concept:

CONTRACT with QHBP offering entity under section for term of not less than one year  ;  

Index of Sec 204. ...
(2) TERM.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (2)
Automated Concept:

CONTRACT with QHBP offering entity under section for term of not less than one year  ;  

Index of Sec 204. ...
(2) TERM.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (2)
Automated Concept:

CONTRACT with QHBP offering entity under section for term of not less than one year  ;  

Index of Sec 204. ...
(i) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i)
Automated Concept:

CONTRACT with QHBP offering entity under section for offering of Exchange-participating health benefits planning if entity failing to comply with applicable requirements of title ;   Commissioner terminating

Index of Sec 204. ...
(i) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i)
Automated Concept:

CONTRACT with QHBP offering entity under section for offering of Exchange-participating health benefits planning if entity failing to comply with applicable requirements of title ;   Commissioner terminating

Index of Sec 204. ...
(i) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i)
Automated Concept:

CONTRACT with QHBP offering entity under section for offering of Exchange-participating health benefits planning if entity failing to comply with applicable requirements of title ;   Commissioner terminating

Index of Sec 204. ...
(i) IN GENERAL. - paragraph (II)
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i) (II)
Automated Concept:

CONTRACT ;   Commissioner providing entity with reasonable notice and opportunity for hearing before terminating

Index of Sec 204. ...
(i) IN GENERAL. - paragraph (II)
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i) (II)
Automated Concept:

CONTRACT ;   Commissioner providing entity with reasonable notice and opportunity for hearing before terminating

Index of Sec 204. ...
(i) IN GENERAL. - paragraph (II)
DIVISION A TITLE II SUBTITLE A SEC 204. (c) (4) (C) (i) (II)
Automated Concept:

CONTRACT ;   Commissioner providing entity with reasonable notice and opportunity for hearing before terminating

Index of Sec 204. ...

Contract or arrangement
Sec 158. -- Private Right Of Contract With Health Care Providers.
SEC 158. -- PRIVATE RIGHT OF CONTRACT WITH HEALTH CARE PROVIDERS.
DIVISION A TITLE I SUBTITLE F SEC 158.
Automated Concept:

CONTRACT or arrangement for health care with health care provider ;   Nothing in Act to be construed to preclude participant or beneficiary in group health plan from entering into

Index of Sec 158. ...

Contract: single
Sec 203. -- Benefits Package Levels.
(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS.
DIVISION A TITLE II SUBTITLE A SEC 203. (b) (4)
Automated Concept:

CONTRACT with Commissioner ;   Plans to be offered under single

Index of Sec 203. ...
(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS.
DIVISION A TITLE II SUBTITLE A SEC 203. (b) (4)
Automated Concept:

CONTRACT with Commissioner ;   Plans to be offered under single

Index of Sec 203. ...
(4) OPTIONAL OFFERING OF PREMIUM-PLUS PLANS.
DIVISION A TITLE II SUBTITLE A SEC 203. (b) (4)
Automated Concept:

CONTRACT with Commissioner ;   Plans to be offered under single

Index of Sec 203. ...

Contract: terms and conditions of
0
(C) OTHER TERMS AND CONDITIONS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (b) (1) (C)
Automated Concept:

CONTRACT under paragraph to be consistent with standards appropriate Secretary establishing to assure being no real or apparent conflict of interest in conduct of external appeal activities ;   Terms and conditions of

Index of 0

Contracts
Sec 204. -- Contracts For The Offering Of Exchange-Participating Health Benefits Plans.
(2) SOLICITING AND NEGOTIATING BIDS; CONTRACTS. - paragraph (C)
DIVISION A TITLE II SUBTITLE A SEC 204. (a) (2) (C)
Automated Concept:

CONTRACTS with entities for offering of plans through Health Insurance Exchange under terms negotiated between Commissioner and entities ;   Entering into

Index of Sec 204. ...
(2) SOLICITING AND NEGOTIATING BIDS; CONTRACTS. - paragraph (C)
DIVISION A TITLE II SUBTITLE A SEC 204. (a) (2) (C)
Automated Concept:

CONTRACTS with entities for offering of plans through Health Insurance Exchange under terms negotiated between Commissioner and entities ;   Entering into

Index of Sec 204. ...
(2) SOLICITING AND NEGOTIATING BIDS; CONTRACTS. - paragraph (C)
DIVISION A TITLE II SUBTITLE A SEC 204. (a) (2) (C)
Automated Concept:

CONTRACTS with entities for offering of plans through Health Insurance Exchange under terms negotiated between Commissioner and entities ;   Entering into

Index of Sec 204. ...
(3) FAR NOT APPLICABLE.
DIVISION A TITLE II SUBTITLE A SEC 204. (a) (3)
Automated Concept:

CONTRACTS between Commissioner and QHBP offering entities for offering of Exchange-participating health benefits planing under title ;   Provisions of Federal Acquisition Regulation not applying to

Index of Sec 204. ...
(3) FAR NOT APPLICABLE.
DIVISION A TITLE II SUBTITLE A SEC 204. (a) (3)
Automated Concept:

CONTRACTS between Commissioner and QHBP offering entities for offering of Exchange-participating health benefits planing under title ;   Provisions of Federal Acquisition Regulation not applying to

Index of Sec 204. ...
(3) FAR NOT APPLICABLE.
DIVISION A TITLE II SUBTITLE A SEC 204. (a) (3)
Automated Concept:

CONTRACTS between Commissioner and QHBP offering entities for offering of Exchange-participating health benefits planing under title ;   Provisions of Federal Acquisition Regulation not applying to

Index of Sec 204. ...
Sec 209. -- Participation Of Small Employer Benefit Arrangements.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE A SEC 209. (a)
Automated Concept:

CONSUMER information, outreach and assistance in enrollment of small employers being members arrangement under Exchange participating health benefits planing ;   Commissioner entering into contracts with small employer benefit arrangements to provide

Index of Sec 209. ...
Sec 221. -- Establishment And Administration Of A Public Health Insurance Option As An Exchange-Qualified Health Benefits Plan.
(c) ADMINISTRATIVE CONTRACTING.
DIVISION A TITLE II SUBTITLE B SEC 221. (c)
Automated Concept:

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

Index of Sec 221. ...
(c) ADMINISTRATIVE CONTRACTING.
DIVISION A TITLE II SUBTITLE B SEC 221. (c)
Automated Concept:

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

Index of Sec 221. ...
(c) ADMINISTRATIVE CONTRACTING.
DIVISION A TITLE II SUBTITLE B SEC 221. (c)
Automated Concept:

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

Index of Sec 221. ...

Contribution
Sec 242. -- Affordable Credit Eligible Individual.
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (3) (A)
Automated Concept:

CONTRIBUTION described in section 313(a) ;   Individual to be treated in same manner as employee of employer making

Index of Sec 242. ...
Sec 312. -- Employer Responsibility To Contribute Towards Employee And Dependent Coverage.
(2) EMPLOYER REQUIRED CONTRIBUTION.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (a) (2)
Automated Concept:

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

Index of Sec 312. ...
(2) EMPLOYER REQUIRED CONTRIBUTION.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (a) (2)
Automated Concept:

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

Index of Sec 312. ...
(2) EMPLOYER REQUIRED CONTRIBUTION.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (a) (2)
Automated Concept:

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

Index of Sec 312. ...
Sec 313. -- Employer Contributions In Lieu Of Coverage.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 313. (a)
Automated Concept:

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

Index of Sec 313. ...
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 313. (a)
Automated Concept:

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

Index of Sec 313. ...
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 313. (a)
Automated Concept:

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

Index of Sec 313. ...

Contribution: substantial
Sec 164. -- Reinsurance Program For Retirees.
(2) DEFINITIONS. - paragraph (D) - paragraph (iii)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (D) (iii)
Automated Concept:

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

Index of Sec 164. ...
(2) DEFINITIONS. - paragraph (D) - paragraph (iii)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (D) (iii)
Automated Concept:

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

Index of Sec 164. ...
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(2) DEFINITIONS. - paragraph (D) - paragraph (iii)
DIVISION A TITLE I SUBTITLE G SEC 166. (a) (2) (D) (iii)
Automated Concept:

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

Index of Sec 166. ...

Cooperative
Sec 100. -- Purpose; Table Of Contents Of Division; General Definitions.
(19) QHBP OFFERING ENTITY. - paragraph (B)
DIVISION A SEC 100. (c) (19) (B)
Automated Concept:

TITLE II ;   Health insurance coverage including cooperative under subtitle D of

Index of Sec 100. ...
Sec 209. -- Participation Of Small Employer Benefit Arrangements.
(b) SMALL EMPLOYER BENEFIT ARRANGEMENT DEFINED. - paragraph (3)
DIVISION A TITLE II SUBTITLE A SEC 209. (b) (3)
Automated Concept:

COOPERATIVE ;   No member having more than 5 percent voting interest in

Index of Sec 209. ...

Cooperative offers
Sec 252. -- Requirements.
(b) CONDITIONS.
DIVISION A TITLE II SUBTITLE D SEC 252. (b)
Automated Concept:

LOAN not to be awarded under section with respect to cooperative unless following conditions being met ;   Grant or

Index of Sec 252. ...
(b) CONDITIONS. - paragraph (1)
DIVISION A TITLE II SUBTITLE D SEC 252. (b) (1)
Automated Concept:

COOPERATIVE ;   Membership of cooperative to be making up entirely of beneficiaries of insurance coverage offered by

Index of Sec 252. ...
(b) CONDITIONS. - paragraph (3)
DIVISION A TITLE II SUBTITLE D SEC 252. (b) (3)
Automated Concept:

COOPERATIVE ;   Governing documents of cooperatives incorporating ethical and conflict of interest standards designed to protect against insurance industry involvement and interference in governance of

Index of Sec 252. ...
(b) CONDITIONS. - paragraph (5)
DIVISION A TITLE II SUBTITLE D SEC 252. (b) (5)
Automated Concept:

COOPERATIVE consisting of issuance of qualified health benefit plans through Health Insurance Exchange or State-based health insurance exchange ;   Activities of

Index of Sec 252. ...
(b) CONDITIONS. - paragraph (8)
DIVISION A TITLE II SUBTITLE D SEC 252. (b) (8)
Automated Concept:

CONSUMER focus including timeliness ;   Cooperative operating with strong

Index of Sec 252. ...
(b) CONDITIONS. - paragraph (9)
DIVISION A TITLE II SUBTITLE D SEC 252. (b) (9)
Automated Concept:

COOPERATIVE used to lowing premiums ;   Profits making by

Index of Sec 252. ...
(d) RULES OF CONSTRUCTION.
DIVISION A TITLE II SUBTITLE D SEC 252. (d)
Automated Concept:

COOPERATIVE established in another State administration, issuance of coverage or other activities related to acting as QHBP offering entity ;   Nothing in subtitle to be construed to prevent cooperative established in one State from integrating with

Index of Sec 252. ...
(e) REPAYMENT FOR VIOLATIONS OF TERMS OF PROGRAM.
DIVISION A TITLE II SUBTITLE D SEC 252. (e)
Automated Concept:

COOPERATIVE violating terms of co-op program and failing to correct violation within reasonable period of time, determined by Commissioner  ;  

Index of Sec 252. ...
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE D SEC 252. (a) (2)
Automated Concept:

COOPERATIVE offers or issuing insurance coverage ;   Grants to cooperatives to assist cooperatives in meeting State solvency requirements in States in which

Index of Sec 252. ...

Corporation: foreign parent
Sec 451. -- Limitation On Treaty Benefits For Certain Deductible Payments.
(1) IN GENERAL.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 451. (a) Quoted: (d) (1)
Automated Concept:

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

Index of Sec 451. ...

Cosmetic surgery
Sec 163. -- Administrative Simplification.
(B) EXCEPTION.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (3) (B)
Automated Concept:

COSMETIC surgery performed to reshape normal structures of body to improve appearance or self-esteem ;   Term not including

Index of Sec 163. ...
(B) EXCEPTION.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (3) (B)
Automated Concept:

COSMETIC surgery performed to reshape normal structures of body to improve appearance or self-esteem ;   Term not including

Index of Sec 163. ...

Credit
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(1) PHASEOUT BASED ON EMPLOYER SIZE.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (c) (1)
Automated Concept:

CREDIT determined under subsection to be reduced by amount  ;  

Index of Sec 421. ...

Credit: affordability
Sec 241. -- Availability Through Health Insurance Exchange.
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (1)
Automated Concept:

AFFORDABILITY credit only with respect to basic plan ;   Y1 and Y2 affordable credit eligible individual using

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (1)
Automated Concept:

AFFORDABILITY credit only with respect to basic plan ;   Y1 and Y2 affordable credit eligible individual using

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (1)
Automated Concept:

AFFORDABILITY credit only with respect to basic plan ;   Y1 and Y2 affordable credit eligible individual using

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

AFFORDABILITY credit to be used for enrollees in enhanced or premium plans ;   Commissioner establishing process to allow

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

AFFORDABILITY credit to be used for enrollees in enhanced or premium plans ;   Commissioner establishing process to allow

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

AFFORDABILITY credit to be used for enrollees in enhanced or premium plans ;   Commissioner establishing process to allow

Index of Sec 241. ...
(3) PROHIBITION OF USE OF PUBLIC FUNDS FOR ABORTION COVERAGE.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (3)
Automated Concept:

AFFORDABILITY credit not to be used for payment for services described in section 122(d)(4)(a)  ;  

Index of Sec 241. ...
Sec 245. -- Income Determinations.
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 245. (b) (2) (A)
Automated Concept:

AFFORDABILITY credit based upon significant change in family income described in subparagraph ;   Initial application of individual for affordability credit under subtitle or application for change in

Index of Sec 245. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 245. (b) (2) (A)
Automated Concept:

AFFORDABILITY credit based upon significant change in family income described in subparagraph ;   Initial application of individual for affordability credit under subtitle or application for change in

Index of Sec 245. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 245. (b) (2) (A)
Automated Concept:

AFFORDABILITY credit based upon significant change in family income described in subparagraph ;   Initial application of individual for affordability credit under subtitle or application for change in

Index of Sec 245. ...
Sec 431. -- Disclosures To Carry Out Health Insurance Exchange Subsidies.
(A) IN GENERAL.
DIVISION A TITLE IV SUBTITLE C SEC 431. (a) Quoted: (21) (A)
Automated Concept:

AFFORDABILITY credit described in subtitle C of title II of America's Affordable Health Choices acting of 2009 ;   Return information of taxpayer whose income being relevant in determining

Index of Sec 431. ...

Credit: affordability premium
Sec 241. -- Availability Through Health Insurance Exchange.
(a) IN GENERAL. - paragraph (1) - paragraph (A)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (A)
Automated Concept:

CREDIT under section 243 to be applied against premium for Exchange-participating health benefits planning in which individual enrolled ;   Affordability premium

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (1) - paragraph (A)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (A)
Automated Concept:

CREDIT under section 243 to be applied against premium for Exchange-participating health benefits planning in which individual enrolled ;   Affordability premium

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (1) - paragraph (A)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (A)
Automated Concept:

CREDIT under section 243 to be applied against premium for Exchange-participating health benefits planning in which individual enrolled ;   Affordability premium

Index of Sec 241. ...
Sec 243. -- Affordable Premium Credit.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 243. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning in amount equal to amount by which premium for plan if less ;   Affordability premium credit under section for affordable

Index of Sec 243. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 243. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning in amount equal to amount by which premium for plan if less ;   Affordability premium credit under section for affordable

Index of Sec 243. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 243. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning in amount equal to amount by which premium for plan if less ;   Affordability premium credit under section for affordable

Index of Sec 243. ...

Credit: affordable
Sec 241. -- Availability Through Health Insurance Exchange.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning ;   Case of affordable

Index of Sec 241. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning ;   Case of affordable

Index of Sec 241. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning ;   Case of affordable

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (2)
Automated Concept:

CREDIT eligible individuals enrolled in plan ;   Commissioner paying QHBP offering entity offering plan from Health Insurance Exchange Trust Fund aggregate amount of affordability credits for affordable

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (2)
Automated Concept:

CREDIT eligible individuals enrolled in plan ;   Commissioner paying QHBP offering entity offering plan from Health Insurance Exchange Trust Fund aggregate amount of affordability credits for affordable

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (2)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (2)
Automated Concept:

CREDIT eligible individuals enrolled in plan ;   Commissioner paying QHBP offering entity offering plan from Health Insurance Exchange Trust Fund aggregate amount of affordability credits for affordable

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (1)
Automated Concept:

AFFORDABILITY credit only with respect to basic plan ;   Y1 and Y2 affordable credit eligible individual using

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (1)
Automated Concept:

AFFORDABILITY credit only with respect to basic plan ;   Y1 and Y2 affordable credit eligible individual using

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (1)
Automated Concept:

AFFORDABILITY credit only with respect to basic plan ;   Y1 and Y2 affordable credit eligible individual using

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

CREDIT eligible individual enrolling in enhanced or premium plan ;   Case of affordable

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

CREDIT eligible individual enrolling in enhanced or premium plan ;   Case of affordable

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

CREDIT eligible individual enrolling in enhanced or premium plan ;   Case of affordable

Index of Sec 241. ...
(e) NO CASH REBATES.
DIVISION A TITLE II SUBTITLE C SEC 241. (e)
Automated Concept:

CREDIT eligible individual receiving cash payment as result of application of subtitle ;   No case affordable

Index of Sec 241. ...
(e) NO CASH REBATES.
DIVISION A TITLE II SUBTITLE C SEC 241. (e)
Automated Concept:

CREDIT eligible individual receiving cash payment as result of application of subtitle ;   No case affordable

Index of Sec 241. ...
(e) NO CASH REBATES.
DIVISION A TITLE II SUBTITLE C SEC 241. (e)
Automated Concept:

CREDIT eligible individual receiving cash payment as result of application of subtitle ;   No case affordable

Index of Sec 241. ...
Sec 242. -- Affordable Credit Eligible Individual.
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT eligible individuals to be treated as single affordable credit individual eligible for applicable credit family under subtitle ;   Members of same family being affordable

Index of Sec 242. ...
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT eligible individuals to be treated as single affordable credit individual eligible for applicable credit family under subtitle ;   Members of same family being affordable

Index of Sec 242. ...
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT eligible individuals to be treated as single affordable credit individual eligible for applicable credit family under subtitle ;   Members of same family being affordable

Index of Sec 242. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (b) (1)
Automated Concept:

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

Index of Sec 242. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (b) (1)
Automated Concept:

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

Index of Sec 242. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (b) (1)
Automated Concept:

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

Index of Sec 242. ...
Sec 243. -- Affordable Premium Credit.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 243. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning in amount equal to amount by which premium for plan if less ;   Affordability premium credit under section for affordable

Index of Sec 243. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 243. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning in amount equal to amount by which premium for plan if less ;   Affordability premium credit under section for affordable

Index of Sec 243. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 243. (a)
Automated Concept:

CREDIT eligible individual enrolled in Exchange-participating health benefits planning in amount equal to amount by which premium for plan if less ;   Affordability premium credit under section for affordable

Index of Sec 243. ...
Sec 244. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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 cost-sharing credit under section for affordable

Index of Sec 244. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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 cost-sharing credit under section for affordable

Index of Sec 244. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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 cost-sharing credit under section for affordable

Index of Sec 244. ...
(c) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE II SUBTITLE C SEC 244. (c)
Automated Concept:

CREDIT eligible individual in tier enrolled in Exchange-participating health benefits planning offered by QHBP offering entity ;   Case of affordable

Index of Sec 244. ...
(c) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE II SUBTITLE C SEC 244. (c)
Automated Concept:

CREDIT eligible individual in tier enrolled in Exchange-participating health benefits planning offered by QHBP offering entity ;   Case of affordable

Index of Sec 244. ...
(c) DETERMINATION AND PAYMENT OF COST-SHARING AFFORDABILITY CREDIT.
DIVISION A TITLE II SUBTITLE C SEC 244. (c)
Automated Concept:

CREDIT eligible individual in tier enrolled in Exchange-participating health benefits planning offered by QHBP offering entity ;   Case of affordable

Index of Sec 244. ...
Sec 245. -- Income Determinations.
(2) REPORTING OF SIGNIFICANT CHANGES IN INCOME.
DIVISION A TITLE II SUBTITLE C SEC 245. (c) (2)
Automated Concept:

CREDIT eligible individual to be required to inform Commissioner ;   Commissioner establishing rules under which individual determined to be affordable

Index of Sec 245. ...
(2) REPORTING OF SIGNIFICANT CHANGES IN INCOME.
DIVISION A TITLE II SUBTITLE C SEC 245. (c) (2)
Automated Concept:

CREDIT eligible individual to be required to inform Commissioner ;   Commissioner establishing rules under which individual determined to be affordable

Index of Sec 245. ...
(2) REPORTING OF SIGNIFICANT CHANGES IN INCOME.
DIVISION A TITLE II SUBTITLE C SEC 245. (c) (2)
Automated Concept:

CREDIT eligible individual to be required to inform Commissioner ;   Commissioner establishing rules under which individual determined to be affordable

Index of Sec 245. ...
(d) PENALTIES FOR MISREPRESENTATION.
DIVISION A TITLE II SUBTITLE C SEC 245. (d)
Automated Concept:

AFFORDABILITY credit exceeding correct amount ;   Case of individual intentionally misrepresenting family income or individual failing to disclose to Commissioner significant change in family income under subsection in manner resulting in individual becoming affordable credit eligible individual when individual being not or amount of

Index of Sec 245. ...
(d) PENALTIES FOR MISREPRESENTATION.
DIVISION A TITLE II SUBTITLE C SEC 245. (d)
Automated Concept:

AFFORDABILITY credit exceeding correct amount ;   Case of individual intentionally misrepresenting family income or individual failing to disclose to Commissioner significant change in family income under subsection in manner resulting in individual becoming affordable credit eligible individual when individual being not or amount of

Index of Sec 245. ...
(d) PENALTIES FOR MISREPRESENTATION.
DIVISION A TITLE II SUBTITLE C SEC 245. (d)
Automated Concept:

AFFORDABILITY credit exceeding correct amount ;   Case of individual intentionally misrepresenting family income or individual failing to disclose to Commissioner significant change in family income under subsection in manner resulting in individual becoming affordable credit eligible individual when individual being not or amount of

Index of Sec 245. ...

Credit: amount of
Sec 401. -- Tax On Individuals Without Acceptable Health Care Coverage.
(6) NOT TREATED AS TAX IMPOSED BY THIS CHAPTER FOR CERTAIN PURPOSES.
DIVISION A TITLE IV SUBTITLE A PART 1 SEC 401. (a) Quoted: PART VIII SUBPART A SEC 59B. (e) (6)
Automated Concept:

CREDIT under chapter or purposes of section 55 ;   Tax imposed under section not to be treated as tax imposed by chapter for purposes of determining amount of

Index of Sec 401. ...
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(3) DENIAL OF DOUBLE BENEFIT.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (f) (3)
Automated Concept:

CREDIT determined under section ;   Deduction otherwise allowable with respect to amounts paid or incurred for health insurance coverage to which subsection applying to be reduced by amount of

Index of Sec 421. ...
Sec 441. -- Surcharge On High Income Individuals.
(4) NOT TREATED AS TAX IMPOSED BY THIS CHAPTER FOR CERTAIN PURPOSES.
DIVISION A TITLE IV SUBTITLE D PART 1 SEC 441. (a) Quoted: SUBPART B SEC 59C. (f) (4)
Automated Concept:

CREDIT under chapter or purposes of section 55 ;   Tax imposed under section not to be treated as tax imposed by chapter for purposes of determining amount of

Index of Sec 441. ...

Credit: amount of affordability
Sec 245. -- Income Determinations.
(d) PENALTIES FOR MISREPRESENTATION.
DIVISION A TITLE II SUBTITLE C SEC 245. (d)
Automated Concept:

AFFORDABILITY credit exceeding correct amount ;   Case of individual intentionally misrepresenting family income or individual failing to disclose to Commissioner significant change in family income under subsection in manner resulting in individual becoming affordable credit eligible individual when individual being not or amount of

Index of Sec 245. ...
(d) PENALTIES FOR MISREPRESENTATION.
DIVISION A TITLE II SUBTITLE C SEC 245. (d)
Automated Concept:

AFFORDABILITY credit exceeding correct amount ;   Case of individual intentionally misrepresenting family income or individual failing to disclose to Commissioner significant change in family income under subsection in manner resulting in individual becoming affordable credit eligible individual when individual being not or amount of

Index of Sec 245. ...
(d) PENALTIES FOR MISREPRESENTATION.
DIVISION A TITLE II SUBTITLE C SEC 245. (d)
Automated Concept:

AFFORDABILITY credit exceeding correct amount ;   Case of individual intentionally misrepresenting family income or individual failing to disclose to Commissioner significant change in family income under subsection in manner resulting in individual becoming affordable credit eligible individual when individual being not or amount of

Index of Sec 245. ...

Credit: applicable
Sec 242. -- Affordable Credit Eligible Individual.
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT family under subtitle ;   Members of same family being affordable credit eligible individuals to be treated as single affordable credit individual eligible for applicable

Index of Sec 242. ...
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT family under subtitle ;   Members of same family being affordable credit eligible individuals to be treated as single affordable credit individual eligible for applicable

Index of Sec 242. ...
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT family under subtitle ;   Members of same family being affordable credit eligible individuals to be treated as single affordable credit individual eligible for applicable

Index of Sec 242. ...

Credit: appropriate amount of affordability
Sec 431. -- Disclosures To Carry Out Health Insurance Exchange Subsidies.
(B) RESTRICTION ON USE OF DISCLOSED INFORMATION.
DIVISION A TITLE IV SUBTITLE C SEC 431. (a) Quoted: (21) (B)
Automated Concept:

AFFORDABILITY credit described in subtitle C of title II of America's Affordable Health Choices acting of 2009 and providing for repayment credit in excess of appropriate amount ;   Establishing and verifying appropriate amount of

Index of Sec 431. ...

Credit: no
Sec 421. -- Credit For Small Business Employee Health Coverage Expenses.
(2) CREDIT NOT ALLOWED WITH RESPECT TO CERTAIN HIGHLY COMPENSATED EMPLOYEES.
DIVISION A TITLE IV SUBTITLE B SEC 421. (a) Quoted: SEC 45R. (c) (2)
Automated Concept:

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

Index of Sec 421. ...

Credit: repayment
Sec 431. -- Disclosures To Carry Out Health Insurance Exchange Subsidies.
(B) RESTRICTION ON USE OF DISCLOSED INFORMATION.
DIVISION A TITLE IV SUBTITLE C SEC 431. (a) Quoted: (21) (B)
Automated Concept:

CREDIT in excess of appropriate amount ;   Establishing and verifying appropriate amount of affordability credit described in subtitle C of title II of America's Affordable Health Choices acting of 2009 and providing for repayment

Index of Sec 431. ...

Credit: sharing
Sec 241. -- Availability Through Health Insurance Exchange.
(a) IN GENERAL. - paragraph (1) - paragraph (B)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (B)
Automated Concept:

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

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (1) - paragraph (B)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (B)
Automated Concept:

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

Index of Sec 241. ...
(a) IN GENERAL. - paragraph (1) - paragraph (B)
DIVISION A TITLE II SUBTITLE C SEC 241. (a) (1) (B)
Automated Concept:

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

Index of Sec 241. ...
Sec 244. -- Affordability Cost-Sharing Credit.
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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 cost-sharing credit under section for affordable

Index of Sec 244. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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 cost-sharing credit under section for affordable

Index of Sec 244. ...
(a) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 244. (a)
Automated Concept:

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 cost-sharing credit under section for affordable

Index of Sec 244. ...

Credit: single affordable
Sec 242. -- Affordable Credit Eligible Individual.
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT family under subtitle ;   Members of same family being affordable credit eligible individuals to be treated as single affordable credit individual eligible for applicable

Index of Sec 242. ...
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT family under subtitle ;   Members of same family being affordable credit eligible individuals to be treated as single affordable credit individual eligible for applicable

Index of Sec 242. ...
(2) TREATMENT OF FAMILY.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (2)
Automated Concept:

CREDIT family under subtitle ;   Members of same family being affordable credit eligible individuals to be treated as single affordable credit individual eligible for applicable

Index of Sec 242. ...

Credit amount
Credit amount: affordability
Sec 241. -- Availability Through Health Insurance Exchange.
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

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

Index of Sec 241. ...

Credit amount: affordable
Sec 241. -- Availability Through Health Insurance Exchange.
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

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

Index of Sec 241. ...
(2) FLEXIBILITY IN PLAN ENROLLMENT AUTHORIZED.
DIVISION A TITLE II SUBTITLE C SEC 241. (c) (2)
Automated Concept:

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

Index of Sec 241. ...

Criminal law
0
(4) LIMITATION ON LIABILITY OF REVIEWERS.
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (4)
Automated Concept:

CRIMINAL law being civilly liable under law of United States or State if due care exercised in performance of dutying, functioning or activity and no actual malice or gross misconduct in performance of dutying, functioning or activity ;   Violating

Index of 0

Dental
Sec 122. -- Essential Benefits Package Defined.
(1) NO APPLICATION TO ADULT COVERAGE.
DIVISION A TITLE I SUBTITLE C SEC 122. (e) (1)
Automated Concept:

DENTAL only or vision only coverage ;   Nothing in subtitle to be construed as requiring individual being 21 years of age or older to be provided stand alone

Index of Sec 122. ...

Dental: licensed
Sec 102. -- Protecting The Choice To Keep Current Coverage.
(3) STAND-ALONE DENTAL AND VISION COVERAGE PERMITTED. - paragraph (A)
DIVISION A TITLE I SUBTITLE A SEC 102. (c) (3) (A)
Automated Concept:

VISION carrier ;   Offer coverage of excepted benefits described in section 2791(c)(2)(a) of Public Health Service Act for individuals and families from State licensed dental and

Index of Sec 102. ...

Developmental abnormalities
Sec 163. -- Administrative Simplification.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (a) Quoted: SEC 2708. (a) (3) (A)
Automated Concept:

DEVELOPMENTAL abnormalities, trauma, infection, tumors or disease ;   Term treatment including reconstructive surgical procedures performed on abnormal structures of body causes by congenital defects,

Index of Sec 163. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 163. (b) Quoted: SEC 2755. (a) (3) (A)
Automated Concept:

DEVELOPMENTAL abnormalities, trauma, infection, tumors or disease ;   Treatment including reconstructive surgical procedures performed on abnormal structures of body causes by congenital defects,

Index of Sec 163. ...

Differential
Sec 100. -- Purpose; Table Of Contents Of Division; General Definitions.
(4) COST-SHARING.
DIVISION A SEC 100. (c) (4)
Automated Concept:

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,

Index of Sec 100. ...
(4) COST-SHARING.
DIVISION A SEC 100. (c) (4)
Automated Concept:

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,

Index of Sec 100. ...
(4) COST-SHARING.
DIVISION A SEC 100. (c) (4)
Automated Concept:

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,

Index of Sec 100. ...

Disability
Disabilityes
Sec 123. -- Health Benefits Advisory Committee.
(5) PARTICIPATION.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (5)
Automated Concept:

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  ;  

Index of Sec 123. ...
(5) PARTICIPATION.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (5)
Automated Concept:

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  ;  

Index of Sec 123. ...
(5) PARTICIPATION.
DIVISION A TITLE I SUBTITLE C SEC 123. (a) (5)
Automated Concept:

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  ;  

Index of Sec 123. ...

Sec 221. -- Establishment And Administration Of A Public Health Insurance Option As An Exchange-Qualified Health Benefits Plan.
(e) DATA COLLECTION.
DIVISION A TITLE II SUBTITLE B SEC 221. (e)
Automated Concept:

DISABILITY, socioeconomic status, rural, urban or other geographic setting and other population or subpopulation as determined appropriate by Secretary ;   Primary language, sex, sexual orientation, gender identity,

Index of Sec 221. ...

Disallowance
Sec 453. -- Penalties For Underpayments.
(1) IN GENERAL. - paragraph (6)
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 453. (a) (1) Quoted: (6)
Automated Concept:

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

Index of Sec 453. ...

Disclosure
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

DISCLOSURE to be provided in plain language ;   Commissioner requiring that

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

DISCLOSURE to be provided in plain language ;   Commissioner requiring that

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

DISCLOSURE to be provided in plain language ;   Commissioner requiring that

Index of Sec 133. ...
(d) PHARMACY BENEFIT MANAGERS TRANSPARENCY REQUIREMENTS.
DIVISION A TITLE I SUBTITLE D SEC 133. (d)
Automated Concept:

DISCLOSURE required under subsection identification to enrollees of providers of services under plan trained and accredited in integrative health medicine ;   Qualified health benefit plan including in

Index of Sec 133. ...

Disclosure of plan documents
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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 information as determined appropriate by Commissioner ;   Qualified health benefits planning complying with standards established by Commissioner for accurate and timely

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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 information as determined appropriate by Commissioner ;   Qualified health benefits planning complying with standards established by Commissioner for accurate and timely

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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 information as determined appropriate by Commissioner ;   Qualified health benefits planning complying with standards established by Commissioner for accurate and timely

Index of Sec 133. ...

Disclosure: periodic financial
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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 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

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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 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

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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 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

Index of Sec 133. ...

Disclosure: wrongful
Sec 228. -- Application Of Health Information Privacy, Security, And Electronic Transaction Requirements.
SEC 228. -- APPLICATION OF HEALTH INFORMATION PRIVACY, SECURITY, AND ELECTRONIC TRANSACTION REQUIREMENTS.
DIVISION A TITLE II SUBTITLE B SEC 228.
Automated Concept:

DISCLOSURE of individually identifiable health information ;   Part C of title XI of Social Security Act relating to standards for protections against wrongful

Index of Sec 228. ...

Disclosures
Sec 431. -- Disclosures To Carry Out Health Insurance Exchange Subsidies.
(b) PROCEDURES AND RECORDKEEPING RELATED TO DISCLOSURES.
DIVISION A TITLE IV SUBTITLE C SEC 431. (b)
Automated Concept:

DISCLOSURES ;   Procedures and recordkeeping related to

Index of Sec 431. ...

Discrimination
Sec 114. -- Nondiscrimination In Benefits; Parity In Mental Health And Substance Abuse Disorder Benefits.
(a) NONDISCRIMINATION IN BENEFITS.
DIVISION A TITLE I SUBTITLE B SEC 114. (a)
Automated Concept:

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

Index of Sec 114. ...
(a) NONDISCRIMINATION IN BENEFITS.
DIVISION A TITLE I SUBTITLE B SEC 114. (a)
Automated Concept:

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

Index of Sec 114. ...
(a) NONDISCRIMINATION IN BENEFITS.
DIVISION A TITLE I SUBTITLE B SEC 114. (a)
Automated Concept:

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

Index of Sec 114. ...
Sec 152. -- Prohibiting Discrimination In Health Care.
SEC 152. -- PROHIBITING DISCRIMINATION IN HEALTH CARE.
DIVISION A TITLE I SUBTITLE F SEC 152.
Automated Concept:

DISCRIMINATION in health Care ;   Sec 152 prohibiting

Index of Sec 152. ...
SEC 152. -- PROHIBITING DISCRIMINATION IN HEALTH CARE.
DIVISION A TITLE I SUBTITLE F SEC 152.
Automated Concept:

DISCRIMINATION in health Care ;   Sec 152 prohibiting

Index of Sec 152. ...
SEC 152. -- PROHIBITING DISCRIMINATION IN HEALTH CARE.
DIVISION A TITLE I SUBTITLE F SEC 152.
Automated Concept:

DISCRIMINATION in health Care ;   Sec 152 prohibiting

Index of Sec 152. ...
Sec 153. -- Whistleblower Protection.
(b) ENFORCEMENT ACTION.
DIVISION A TITLE I SUBTITLE F SEC 153. (b)
Automated Concept:

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

Index of Sec 153. ...
(b) ENFORCEMENT ACTION.
DIVISION A TITLE I SUBTITLE F SEC 153. (b)
Automated Concept:

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

Index of Sec 153. ...
(b) ENFORCEMENT ACTION.
DIVISION A TITLE I SUBTITLE F SEC 153. (b)
Automated Concept:

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

Index of Sec 153. ...

Discrimination: complaints of
Sec 157. -- Increasing Meaningful Use Of Electronic Health Records.
(c) REQUIREMENTS.
DIVISION A TITLE I SUBTITLE F SEC 157. (c)
Automated Concept:

DISCRIMINATION based on section and coordinating investigation of complaints ;   Office for Civil Rights of Department of Health and Human Services designated to receive complaints of

Index of Sec 157. ...

Discrimination: prohibition of
Sec 125. -- Prohibition Of Discrimination In Health Care Services Based On Religious Or Spiritual Content.
SEC 125. -- PROHIBITION OF DISCRIMINATION IN HEALTH CARE SERVICES BASED ON RELIGIOUS OR SPIRITUAL CONTENT.
DIVISION A TITLE I SUBTITLE C SEC 125.
Automated Concept:

DISCRIMINATION in health Care Services based on religious or spiritual content ;   Sec 125, prohibition of

Index of Sec 125. ...
SEC 125. -- PROHIBITION OF DISCRIMINATION IN HEALTH CARE SERVICES BASED ON RELIGIOUS OR SPIRITUAL CONTENT.
DIVISION A TITLE I SUBTITLE C SEC 125.
Automated Concept:

DISCRIMINATION in health Care Services based on religious or spiritual content ;   Sec 125, prohibition of

Index of Sec 125. ...

Disenrollment
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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

Index of Sec 133. ...
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (a) (1)
Automated Concept:

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

Index of Sec 133. ...

Disenrollment plan
Sec 144. -- Health Insurance Ombudsman.
(b) DUTIES. - paragraph (2) - paragraph (B)
DIVISION A TITLE I SUBTITLE E SEC 144. (b) (2) (B)
Automated Concept:

DISENROLLMENT plan ;   Assistance to individuals with problems arising from

Index of Sec 144. ...
(b) DUTIES. - paragraph (2) - paragraph (B)
DIVISION A TITLE I SUBTITLE E SEC 144. (b) (2) (B)
Automated Concept:

DISENROLLMENT plan ;   Assistance to individuals with problems arising from

Index of Sec 144. ...
(b) DUTIES. - paragraph (2) - paragraph (B)
DIVISION A TITLE I SUBTITLE E SEC 144. (b) (2) (B)
Automated Concept:

DISENROLLMENT plan ;   Assistance to individuals with problems arising from

Index of Sec 144. ...

Distribution of affordability premium and cost
Sec 206. -- Other Functions.
(a) COORDINATION OF AFFORDABILITY CREDITS.
DIVISION A TITLE II SUBTITLE A SEC 206. (a)
Automated Concept:

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

Index of Sec 206. ...
(a) COORDINATION OF AFFORDABILITY CREDITS.
DIVISION A TITLE II SUBTITLE A SEC 206. (a)
Automated Concept:

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

Index of Sec 206. ...
(a) COORDINATION OF AFFORDABILITY CREDITS.
DIVISION A TITLE II SUBTITLE A SEC 206. (a)
Automated Concept:

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

Index of Sec 206. ...

Documentation
Sec 164. -- Reinsurance Program For Retirees.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 164. (c) (1) (A)
Automated Concept:

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

Index of Sec 164. ...
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 164. (c) (1) (A)
Automated Concept:

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

Index of Sec 164. ...
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(A) IN GENERAL.
DIVISION A TITLE I SUBTITLE G SEC 166. (c) (1) (A)
Automated Concept:

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

Index of Sec 166. ...

Documentation: sufficient
Sec 208. -- Optional Operation Of State-Based Health Insurance Exchanges.
(5) REPORTS.
DIVISION A TITLE II SUBTITLE A SEC 208. (g) (5)
Automated Concept:

COMPARATIVE analysis ;   Reports containing sufficient documentation regarding effectiveness of laws to enable objective

Index of Sec 208. ...

Drug
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL. - paragraph (E)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (E)
Automated Concept:

DRUG being more expensive ;   Information on percentage and number of cases under contract in which individuals switched from prescribed drug being less expensive to

Index of Sec 133. ...

Drug: prescribed
Sec 442. -- Delay In Application Of Worldwide Allocation Of Interest.
(a) IN GENERAL.
DIVISION A TITLE IV SUBTITLE D PART 1 SEC 442. (a)
Automated Concept:

DRUG or insulin ;   Term including amount paid for medicine or drug only if medicineing or drugging being prescribed

Index of Sec 442. ...
(b) TRANSITION.
DIVISION A TITLE IV SUBTITLE D PART 1 SEC 442. (b)
Automated Concept:

DRUG or insulin ;   Term including amount paid for medicine or drug only if medicineing or drugging being prescribed

Index of Sec 442. ...
(f) REIMBURSEMENTS FOR MEDICINE RESTRICTED TO PRESCRIBED DRUGS AND INSULIN.
DIVISION A TITLE IV SUBTITLE D PART 1 SEC 442. (c) Quoted: (f)
Automated Concept:

DRUG or insulin ;   Reimbursement for expenses incurred for medicine or drug to be treated as reimbursement for medical expenses only if medicineing or drugging being prescribed

Index of Sec 442. ...

Drug: generic
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL. - paragraph (D)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (D)
Automated Concept:

DRUG dispensed when available ;   Information on overall percentage of generic drugs dispensed under contract at retail and mail order pharmacies and percentage of cases in which generic

Index of Sec 133. ...

Drug: manufacturer of
0
(B) RELATED PARTY. - paragraph (iv)
DIVISION A TITLE I SUBTITLE D SEC 139B. (c) (3) (B) (iv)
Automated Concept:

DRUG or other item included in health care involved in coverage decision ;   Manufacturer of

Index of 0

Drug: prescribed
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL. - paragraph (E)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1) (E)
Automated Concept:

DRUG being less expensive to drug being more expensive ;   Information on percentage and number of cases under contract in which individuals switched from prescribed

Index of Sec 133. ...

Drug coverage
Drug coverage: costs of prescription
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1)
Automated Concept:

DRUG coverage ;   Qualified health benefits planning entering into contract with pharmacy benefit managers to manage prescription drug coverage provided under plan or controlling costs of prescription

Index of Sec 133. ...

Drug coverage: prescription
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (1)
Automated Concept:

DRUG coverage provided under plan or controlling costs of prescription drug coverage ;   Qualified health benefits planning entering into contract with pharmacy benefit managers to manage prescription

Index of Sec 133. ...

Drug prices: prescription
Sec 133. -- Requiring Information Transparency And Plan Disclosure.
(2) CONFIDENTIALITY OF INFORMATION. - paragraph (D)
DIVISION A TITLE I SUBTITLE D SEC 133. (d) (2) (D)
Automated Concept:

DRUG prices and spending ;   Permitting Commissioner to disclose industry-wide aggregate or average information to be used in assessing overall impact of PBMS on prescription

Index of Sec 133. ...

Duty of Task Force
Sec 123. -- Health Benefits Advisory Committee.
(B) ESTABLISHMENT OF TASK FORCE.
DIVISION A TITLE I SUBTITLE C SEC 123. (b) (7) (B)
Automated Concept:

DUTY of Task Force to make recommendations to Committee on evidence-based  ;  

Index of Sec 123. ...

Economic relationships
Sec 451. -- Limitation On Treaty Benefits For Certain Deductible Payments.
(5) REGULATIONS. - paragraph (B)
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 451. (a) Quoted: (d) (5) (B)
Automated Concept:

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

Index of Sec 451. ...

Economic substance
Sec 452. -- Codification Of Economic Substance Doctrine.
(1) APPLICATION OF DOCTRINE.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (1)
Automated Concept:

ECONOMIC substance only ;   Transaction to be treated as

Index of Sec 452. ...
(A) ECONOMIC SUBSTANCE DOCTRINE.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (5) (A)
Automated Concept:

ECONOMIC substance or lacking business purpose ;   Term economic substance doctrine meaning common law doctrine under which tax benefits under subtitle A with respect to transaction being not allowable if transaction not to have

Index of Sec 452. ...
Sec 453. -- Penalties For Underpayments.
(a) PENALTY FOR UNDERPAYMENTS ATTRIBUTABLE TO TRANSACTIONS LACKING ECONOMIC SUBSTANCE.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 453. (a)
Automated Concept:

ECONOMIC substance ;   Penalty for underpayments attributable to transactions lacking

Index of Sec 453. ...
(1) IN GENERAL. - paragraph (6)
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 453. (a) (1) Quoted: (6)
Automated Concept:

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

Index of Sec 453. ...

Economic substance doctrine
Sec 452. -- Codification Of Economic Substance Doctrine.
(A) ECONOMIC SUBSTANCE DOCTRINE.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (5) (A)
Automated Concept:

ECONOMIC substance doctrine meaning common law doctrine under which tax benefits under subtitle A with respect to transaction being not allowable if transaction not to have economic substance or lacking business purpose ;   Term

Index of Sec 452. ...
(D) DETERMINATION OF APPLICATION OF DOCTRINE NOT AFFECTED.
DIVISION A TITLE IV SUBTITLE D PART 2 SEC 452. (a) Quoted: (o) (5) (D)
Automated Concept:

ECONOMIC substance doctrine being relevant to transaction to be made in same manner ;   Determination whether

Index of Sec 452. ...

Educational activities
Sec 206. -- Other Functions.
(2) DUTIES. - paragraph (A)
DIVISION A TITLE II SUBTITLE A SEC 206. (d) (2) (A)
Automated Concept:

EDUCATIONAL activities to increase awareness of Health Insurance Exchange and available small employer health plan options  ;  

Index of Sec 206. ...

Educational communications
Sec 138. -- Records Relative To Prescription Information.
(1) PERMITTED PRACTICES. - paragraph (E)
DIVISION A TITLE I SUBTITLE D SEC 138. (c) (1) (E)
Automated Concept:

EDUCATIONAL communications provided to patient about patient's health condition ;   Care management

Index of Sec 138. ...

Electronic funds
Sec 165. -- Expansion Of Electronic Transactions In Medicare.
(a) IN GENERAL. - paragraph (3) - paragraph (25)
DIVISION A TITLE I SUBTITLE G SEC 165. (a) (3) Quoted: (25)
Automated Concept:

ELECTRONIC funds transferring or electronic remittance in form as specified in X12 835 Health Care Payment and Remittance Advice or subsequent standard ;   Payment being other than

Index of Sec 165. ...

Electronic transaction
Sec 163. -- Administrative Simplification.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (2) (F)
Automated Concept:

ELECTRONIC transaction deemed appropriate by Secretary ;   Response and status reporting applicable to

Index of Sec 163. ...
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (E)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (4) (E)
Automated Concept:

ELECTRONIC transaction with health care providers quickly and efficiently enrolling with health plan to conduct other electronic transactions provided in part ;   Requiring use of standard

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (F)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (2) (F)
Automated Concept:

ELECTRONIC transaction deemed appropriate by Secretary ;   Response and status reporting applicable to

Index of Sec 164. ...
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (E)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (4) (E)
Automated Concept:

ELECTRONIC transaction with health care providers quickly and efficiently enrolling with health plan to conduct other electronic transactions provided in part ;   Requiring use of standard

Index of Sec 164. ...

Electronic transaction: equivalent
Sec 163. -- Administrative Simplification.
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (4) (B)
Automated Concept:

ELECTRONIC transaction to be populated from data from paper version ;   Equivalent

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (4) (B)
Automated Concept:

ELECTRONIC transaction to be populated from data from paper version ;   Equivalent

Index of Sec 164. ...

Electronic transactions
Sec 163. -- Administrative Simplification.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (2) (B)
Automated Concept:

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

Index of Sec 163. ...
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (E)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (4) (E)
Automated Concept:

ELECTRONIC transactions provided in part ;   Requiring use of standard electronic transaction with health care providers quickly and efficiently enrolling with health plan to conduct other

Index of Sec 163. ...
(6) IMPLEMENTATION AND ENFORCEMENT. - paragraph (D)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (a) (6) (D)
Automated Concept:

ELECTRONIC transactions ;   Volunteer to participate in process of seting standards for

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS. - paragraph (B)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (2) (B)
Automated Concept:

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

Index of Sec 164. ...
(4) REQUIREMENTS FOR SPECIFIC STANDARDS. - paragraph (E)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (4) (E)
Automated Concept:

ELECTRONIC transactions provided in part ;   Requiring use of standard electronic transaction with health care providers quickly and efficiently enrolling with health plan to conduct other

Index of Sec 164. ...
(6) IMPLEMENTATION AND ENFORCEMENT. - paragraph (D)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (a) (6) (D)
Automated Concept:

ELECTRONIC transactions ;   Volunteer to participate in process of seting standards for

Index of Sec 164. ...

Electronic transmission
Sec 138. -- Records Relative To Prescription Information.
(1) IN GENERAL.
DIVISION A TITLE I SUBTITLE D SEC 138. (b) (1)
Automated Concept:

ELECTRONIC transmission intermediary, retail ;   Records described in subsection not to be licensed, transferred, used or sold by pharmacy benefits manager, insurance company,

Index of Sec 138. ...

Eligibility
Sec 164. -- Reinsurance Program For Retirees.
(c) IMPLEMENTATION.
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173B. (c)
Automated Concept:

ELIGIBILITY for health plan and health claiming status under section to be adopted not later than October 1, 2011 ;   First set of operating rules for transactions for

Index of Sec 164. ...
Sec 241. -- Availability Through Health Insurance Exchange.
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (1)
Automated Concept:

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

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (1)
Automated Concept:

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

Index of Sec 241. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (1)
Automated Concept:

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

Index of Sec 241. ...

Eligibility or payment
Sec 139. -- Utilization Review Activities.
(1) CLAIM FOR BENEFITS.
DIVISION A TITLE I SUBTITLE D SEC 139. (f) (1)
Automated Concept:

ELIGIBILITY or payment in whole or part for item or servicing under qualified health benefits planning  ;  

Index of Sec 139. ...

Eligibility: determination of
Sec 142. -- Duties And Authority Of Commissioner.
(3) INDIVIDUAL AFFORDABILITY CREDITS.
DIVISION A TITLE I SUBTITLE E SEC 142. (a) (3)
Automated Concept:

ELIGIBILITY for credits ;   Administration of individual affordability credits under subtitle C of title II including determination of

Index of Sec 142. ...
(3) INDIVIDUAL AFFORDABILITY CREDITS.
DIVISION A TITLE I SUBTITLE E SEC 142. (a) (3)
Automated Concept:

ELIGIBILITY for credits ;   Administration of individual affordability credits under subtitle C of title II including determination of

Index of Sec 142. ...
(3) INDIVIDUAL AFFORDABILITY CREDITS.
DIVISION A TITLE I SUBTITLE E SEC 142. (a) (3)
Automated Concept:

ELIGIBILITY for credits ;   Administration of individual affordability credits under subtitle C of title II including determination of

Index of Sec 142. ...
Sec 241. -- Availability Through Health Insurance Exchange.
(2) USE OF STATE MEDICAID AGENCIES.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (2)
Automated Concept:

AFFORDABILITY credits under subtitle and same standards as used by Commissioner ;   Commissioner determining that State Medicaid agency having capacity to make determination of eligibility for

Index of Sec 241. ...
(2) USE OF STATE MEDICAID AGENCIES.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (2)
Automated Concept:

AFFORDABILITY credits under subtitle and same standards as used by Commissioner ;   Commissioner determining that State Medicaid agency having capacity to make determination of eligibility for

Index of Sec 241. ...
(2) USE OF STATE MEDICAID AGENCIES.
DIVISION A TITLE II SUBTITLE C SEC 241. (b) (2)
Automated Concept:

AFFORDABILITY credits under subtitle and same standards as used by Commissioner ;   Commissioner determining that State Medicaid agency having capacity to make determination of eligibility for

Index of Sec 241. ...

Eligibility: determinations of
Sec 163. -- Administrative Simplification.
(c) PROTECTION OF DATA. - paragraph (2)
DIVISION A TITLE I SUBTITLE G SEC 163. (a) (1) Quoted: SEC 1173A. (c) (2)
Automated Concept:

ELIGIBILITY in health plans and other inapproations uses as defined by Secretary ;   Stores or receiving data including use of data in determinations of

Index of Sec 163. ...
Sec 164. -- Reinsurance Program For Retirees.
(c) PROTECTION OF DATA. - paragraph (2)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (1) Quoted: SEC 1173A. (c) (2)
Automated Concept:

ELIGIBILITY in health plans and other inapproations uses as defined by Secretary ;   Stores or receiving data including use of data in determinations of

Index of Sec 164. ...

Eligibility: Exchange
Sec 202. -- Exchange-Eligible Individuals And Employers.
(3) REPORT.
DIVISION A TITLE II SUBTITLE A SEC 202. (h) (3)
Automated Concept:

ELIGIBILITY for individuals and employers ;   Commissioner submitting to Congress on study conducted under subsection and including in report recommendations regarding changes in standards for Exchange

Index of Sec 202. ...
(3) REPORT.
DIVISION A TITLE II SUBTITLE A SEC 202. (h) (3)
Automated Concept:

ELIGIBILITY for individuals and employers ;   Commissioner submitting to Congress on study conducted under subsection and including in report recommendations regarding changes in standards for Exchange

Index of Sec 202. ...
(3) REPORT.
DIVISION A TITLE II SUBTITLE A SEC 202. (h) (3)
Automated Concept:

ELIGIBILITY for individuals and employers ;   Commissioner submitting to Congress on study conducted under subsection and including in report recommendations regarding changes in standards for Exchange

Index of Sec 202. ...

Employee
Sec 164. -- Reinsurance Program For Retirees.
(2) DEFINITIONS. - paragraph (D) - paragraph (iii)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (D) (iii)
Automated Concept:

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

Index of Sec 164. ...
(2) DEFINITIONS. - paragraph (D) - paragraph (iii)
DIVISION A TITLE I SUBTITLE G SEC 164. (a) (2) (D) (iii)
Automated Concept:

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

Index of Sec 164. ...
Sec 166. -- Limitations On Preexisting Condition Exclusions In Group Health Plans In Advance Of Applicability Of New Prohibition Of Preexisting Condition Exclusions.
(2) DEFINITIONS. - paragraph (D) - paragraph (iii)
DIVISION A TITLE I SUBTITLE G SEC 166. (a) (2) (D) (iii)
Automated Concept:

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

Index of Sec 166. ...
(2) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS.
DIVISION A TITLE I SUBTITLE G SEC 166. (b) (2)
Automated Concept:

COLLECTIVE bargaining agreements between employee representatives and one or more employers ratified before date of enactment of Act ;   Case of group health plan maintained pursuant to one or more

Index of Sec 166. ...
Sec 167. -- Extension Of Cobra Continuation Coverage.
(B) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREEMENTS.
DIVISION A TITLE I SUBTITLE G SEC 167. (a) (3) (B)
Automated Concept:

COLLECTIVE bargaining agreements between employee representatives and one or more employers ratified before date of enactment of Act ;   Case of group health plan maintained pursuant to one or more

Index of Sec 167. ...
Sec 202. -- Exchange-Eligible Individuals And Employers.
(B) EMPLOYEE CHOICE.
DIVISION A TITLE II SUBTITLE A SEC 202. (e) (5) (B)
Automated Concept:

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

Index of Sec 202. ...
(B) EMPLOYEE CHOICE.
DIVISION A TITLE II SUBTITLE A SEC 202. (e) (5) (B)
Automated Concept:

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

Index of Sec 202. ...
(B) EMPLOYEE CHOICE.
DIVISION A TITLE II SUBTITLE A SEC 202. (e) (6) (B)
Automated Concept:

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

Index of Sec 202. ...
Sec 242. -- Affordable Credit Eligible Individual.
(1) IN GENERAL. - paragraph (A)
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (1) (A)
Automated Concept:

HEALTH benefits planning that meeting requirements of section 312 ;   Enrolling under Exchange-participating health benefits planning and not enrolled under planning as employee through employer qualified

Index of Sec 242. ...
(1) IN GENERAL. - paragraph (A)
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (1) (A)
Automated Concept:

HEALTH benefits planning that meeting requirements of section 312 ;   Enrolling under Exchange-participating health benefits planning and not enrolled under planning as employee through employer qualified

Index of Sec 242. ...
(1) IN GENERAL. - paragraph (A)
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (1) (A)
Automated Concept:

HEALTH benefits planning that meeting requirements of section 312 ;   Enrolling under Exchange-participating health benefits planning and not enrolled under planning as employee through employer qualified

Index of Sec 242. ...
(A) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (a) (3) (A)
Automated Concept:

CONTRIBUTION described in section 313(a) ;   Individual to be treated in same manner as employee of employer making

Index of Sec 242. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (b) (1)
Automated Concept:

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

Index of Sec 242. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (b) (1)
Automated Concept:

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

Index of Sec 242. ...
(1) IN GENERAL.
DIVISION A TITLE II SUBTITLE C SEC 242. (b) (1)
Automated Concept:

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

Index of Sec 242. ...
Sec 311. -- Health Coverage Participation Requirements.
(1) OFFER OF COVERAGE.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 311. (1)
Automated Concept:

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

Index of Sec 311. ...
(1) OFFER OF COVERAGE.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 311. (1)
Automated Concept:

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

Index of Sec 311. ...
(1) OFFER OF COVERAGE.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 311. (a) (1)
Automated Concept:

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

Index of Sec 311. ...
Sec 312. -- Employer Responsibility To Contribute Towards Employee And Dependent Coverage.
(1) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (1)
Automated Concept:

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

Index of Sec 312. ...
(1) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (1)
Automated Concept:

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

Index of Sec 312. ...
(1) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (1)
Automated Concept:

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

Index of Sec 312. ...
(2) OPT-OUT.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (2)
Automated Concept:

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

Index of Sec 312. ...
(2) OPT-OUT.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (2)
Automated Concept:

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

Index of Sec 312. ...
(2) OPT-OUT.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (2)
Automated Concept:

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

Index of Sec 312. ...
(A) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (3) (A)
Automated Concept:

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

Index of Sec 312. ...
(A) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (3) (A)
Automated Concept:

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

Index of Sec 312. ...
(A) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 312. (c) (3) (A)
Automated Concept:

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

Index of Sec 312. ...
Sec 313. -- Employer Contributions In Lieu Of Coverage.
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 313. (a)
Automated Concept:

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

Index of Sec 313. ...
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 313. (a)
Automated Concept:

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

Index of Sec 313. ...
(a) IN GENERAL.
DIVISION A TITLE III SUBTITLE B PART 1 SEC 313. (a)
Automated Concept:

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

Index of Sec 313. ...