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2016 SESSION

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HB 87 Health Insurance Reform Commission; assessments of legislation.

Introduced by: Kathy J. Byron | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED HOUSE: (all summaries)

Health Insurance Reform Commission. Clarifies the applicable governmental agency that is tasked with determining whether a proposed mandated health insurance benefit exceeds the scope of the essential health benefits. The existing provision that gives this task to the Exchange is misplaced because the Exchange is a program, administered by the Centers for Medicare and Medicaid Services, through which health insurance is offered. If applicable federal rules require an agency of the Commonwealth to identify the state-mandated benefits that are in addition to the essential health benefits but do not identify a specific agency that is responsible for making such identification, the Bureau of Insurance shall be the applicable agency.


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