Bill - HR3200
This Document was obtained from
The Library of Congress Thomas System as of July 14th, 2009
ESSENTIAL BENEFITS PACKAGE- The term essential benefits package is defined in section 122[a].
Section- 122[a]
IN GENERAL.—In this division, the term essential benefits package means health benefits coverage, consistent with standards adopted under section 124 to ensure the provision of quality health care and financial security, that—
- provides payment for the items and services described in subsection (b) in accordance with generally accepted standards of medical or other appropriate clinical or professional practice;
- limits cost-sharing for such covered health care items and services in accordance with such benefit standards, consistent with subsection (c);
- does not impose any annual or lifetime limit on the coverage of covered health care items and services;
- complies with section 115(a) (relating to network adequacy); and
- is equivalent, as certified by Office of the Actuary of the Centers for Medicare & Medicaid Services, to the average prevailing employer-sponsored coverage.
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