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Final version (Enrolled Bill) as passed by both Houses. There are 4 other versions of this bill.
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H.R.3103
Beginning
- SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
- Sec. 1. Short title; table of contents.
- Sec. 103. Reference to implementation through the Internal Revenue Code of 1986.
- Sec. 193. Allowing federally-qualified HMOs to offer high deductible plans.
- Sec. 194. Volunteer services provided by health professionals at free clinics.
- Sec. 204. Application of certain health antifraud and abuse sanctions to fraud and abuse against Federal health care programs.
- Sec. 205. Guidance regarding application of health care fraud and abuse sanctions.
- Sec. 211. Mandatory exclusion from participation in Medicare and State health care programs.
- Sec. 213. Permissive exclusion of individuals with ownership or control interest in sanctioned entities.
- Sec. 214. Sanctions against practitioners and persons for failure to comply with statutory obligations.
- Sec. 215. Intermediate sanctions for Medicare health maintenance organizations.
- Sec. 216. Additional exception to anti-kickback penalties for risk-sharing arrangements.
- Sec. 217. Criminal penalty for fraudulent disposition of assets in order to obtain medicaid benefits.
- Sec. 218. Effective date.
- Sec. 232. Penalty for false certification for home health services.
- Sec. 241. Definitions relating to Federal health care offense.
- Sec. 263. Changes in membership and duties of National Committee on Vital and Health Statistics.
- Sec. 264. Recommendations with respect to privacy of certain health information.
- Sec. 271. Duplication and coordination of Medicare-related plans.
- Sec. 311. Increase in deduction for health insurance costs of self-employed indi-viduals.
- Sec. 322. Qualified long-term care services treated as medical care.
- Sec. 326. Requirements for issuers of qualified long-term care insurance contracts.
- Sec. 331. Treatment of accelerated death benefits by recipient.
- Sec. 332. Tax treatment of companies issuing qualified accelerated death benefit riders.
- Sec. 341. Exemption from income tax for State-sponsored organizations providing health coverage for high-risk individuals.
- Sec. 342. Exemption from income tax for State-sponsored workmen's compensation reinsurance organizations.
- Sec. 361. Distributions from certain plans may be used without additional tax to pay financially devastating medical expenses.
- Sec. 401. Group health plan portability, access, and renewability requirements.
- Sec. 402. Penalty on failure to meet certain group health plan requirements.
- Sec. 501. Denial of deduction for interest on loans with respect to company-owned life insurance.
- Sec. 511. Revision of income, estate, and gift taxes on individuals who lose United States citizenship.
- Sec. 512. Information on individuals losing United States citizenship.
- Sec. 521. Repeal of financial institution transition rule to interest allocation rules.
Subtitle A--Group Market Rules
Part 1--Portability, Access, and Renewability Requirements
- SEC. 101. THROUGH THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.
- `SEC. 701. INCREASED PORTABILITY THROUGH LIMITATION ON PREEXISTING CONDITION EXCLUSIONS.
- `SEC. 704. PREEMPTION; STATE FLEXIBILITY; CONSTRUCTION.
- `SEC. 705. SPECIAL RULES RELATING TO GROUP HEALTH PLANS.
- `SEC. 706. DEFINITIONS.
- `SEC. 707. REGULATIONS.
`Part 7--Group Health Plan Portability, Access, and Renewability Requirements
- SEC. 102. THROUGH THE PUBLIC HEALTH SERVICE ACT.
`Part A--Group Market Reforms
`Subpart 1--Portability, Access, and Renewability Requirements
`Subpart 2--Provisions Applicable Only to Health Insurance Issuers
- `SEC. 2713. DISCLOSURE OF INFORMATION.
- `SEC. 2721. EXCLUSION OF CERTAIN PLANS.
- `SEC. 2722. ENFORCEMENT.
- `SEC. 2723. PREEMPTION; STATE FLEXIBILITY; CONSTRUCTION.
- `SEC. 2791. DEFINITIONS.
- `SEC. 2792. REGULATIONS.
- SEC. 104. ASSURING COORDINATION.
- SEC. 111. AMENDMENT TO PUBLIC HEALTH SERVICE ACT.
- `SEC. 2743. CERTIFICATION OF COVERAGE.
- `SEC. 2744. STATE FLEXIBILITY IN INDIVIDUAL MARKET REFORMS.
- `SEC. 2745. ENFORCEMENT.
- `SEC. 2746. PREEMPTION.
- `SEC. 2747. GENERAL EXCEPTIONS.
- SEC. 191. HEALTH COVERAGE AVAILABILITY STUDIES.
- SEC. 192. REPORT ON MEDICARE REIMBURSEMENT OF TELEMEDICINE.
- SEC. 195. FINDINGS; SEVERABILITY.
- SEC. 200. REFERENCES IN TITLE.
- SEC. 201. FRAUD AND ABUSE CONTROL PROGRAM.
- SEC. 202. MEDICARE INTEGRITY PROGRAM.
- SEC. 203. BENEFICIARY INCENTIVE PROGRAMS.
Subtitle B--Revisions to Current Sanctions for Fraud and Abuse
Subtitle C--Data Collection
- SEC. 221. ESTABLISHMENT OF THE HEALTH CARE FRAUD AND ABUSE DATA COLLECTION PROGRAM.
Subtitle D--Civil Monetary Penalties
- SEC. 231. SOCIAL SECURITY ACT CIVIL MONETARY PENALTIES.
- `Sec. 24. Definitions relating to Federal health care offense
- SEC. 242. HEALTH CARE FRAUD.
- `Sec. 1347. Health care fraud
- SEC. 243. THEFT OR EMBEZZLEMENT.
- `Sec. 669. Theft or embezzlement in connection with health care
- SEC. 244. FALSE STATEMENTS.
- `Sec. 1035. False statements relating to health care matters
- SEC. 245. OBSTRUCTION OF CRIMINAL INVESTIGATIONS OF HEALTH CARE OFFENSES.
- SEC. 246. LAUNDERING OF MONETARY INSTRUMENTS.
- SEC. 247. INJUNCTIVE RELIEF RELATING TO HEALTH CARE OFFENSES.
- SEC. 248. AUTHORIZED INVESTIGATIVE DEMAND PROCEDURES.
- `Sec. 3486. Authorized investigative demand procedures
- SEC. 249. FORFEITURES FOR FEDERAL HEALTH CARE OFFENSES.
- SEC. 250. RELATION TO ERISA AUTHORITY.
- SEC. 261. PURPOSE.
- SEC. 262. ADMINISTRATIVE SIMPLIFICATION.
`DEFINITIONS
`GENERAL REQUIREMENTS FOR ADOPTION OF STANDARDS
`STANDARDS FOR INFORMATION TRANSACTIONS AND DATA ELEMENTS
`TIMETABLES FOR ADOPTION OF STANDARDS
`REQUIREMENTS
`GENERAL PENALTY FOR FAILURE TO COMPLY WITH REQUIREMENTS AND STANDARDS
`WRONGFUL DISCLOSURE OF INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION
`PROCESSING PAYMENT TRANSACTIONS BY FINANCIAL INSTITUTIONS
`TITLE XI--GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION'.
Subtitle G--Duplication and Coordination of Medicare-Related Plans
`THIS IS NOT MEDICARE SUPPLEMENT INSURANCE'.
TITLE III--TAX-RELATED HEALTH PROVISIONS
- SEC. 300. AMENDMENT OF 1986 CODE.
- SEC. 301. MEDICAL SAVINGS ACCOUNTS.
- `SEC. 220. MEDICAL SAVINGS ACCOUNTS.
- `SEC. 4980E. FAILURE OF EMPLOYER TO MAKE COMPARABLE MEDICAL SAVINGS ACCOUNT CONTRIBUTIONS.
- SEC. 311. INCREASE IN DEDUCTION FOR HEALTH INSURANCE COSTS OF SELF-EMPLOYED INDIVIDUALS.
Subtitle C--Long-Term Care Services and Contracts
PART I--GENERAL PROVISIONS
- SEC. 321. TREATMENT OF LONG-TERM CARE INSURANCE.
- `SEC. 7702B. TREATMENT OF QUALIFIED LONG-TERM CARE INSURANCE.
- SEC. 323. REPORTING REQUIREMENTS.
- `SEC. 6050Q. CERTAIN LONG-TERM CARE BENEFITS.
- SEC. 325. POLICY REQUIREMENTS.
- SEC. 327. EFFECTIVE DATES.
Subtitle E--State Insurance Pools
- Subtitle F--Organizations Subject to Section 833
- SEC. 351. ORGANIZATIONS SUBJECT TO SECTION 833.
Subtitle H--Organ and Tissue Donation Information Included With Income Tax Refund Payments
- SEC. 371. ORGAN AND TISSUE DONATION INFORMATION INCLUDED WITH INCOME TAX REFUND PAYMENTS.
Subtitle A--Application and Enforcement of Group Health Plan Requirements
`Subtitle K--Group Health Plan Portability, Access, and Renewability Requirements
`Chapter 100. Group health plan portability, access, and renewability requirements.
`CHAPTER 100--GROUP HEALTH PLAN PORTABILITY, ACCESS, AND RENEWABILITY REQUIREMENTS
- `SEC. 4980D. FAILURE TO MEET CERTAIN GROUP HEALTH PLAN REQUIREMENTS.
- SEC. 421. COBRA CLARIFICATIONS.
- SEC. 500. AMENDMENT OF 1986 CODE.
Subtitle B--Treatment of Individuals Who Lose United States Citizenship
- `SEC. 6039F. INFORMATION ON INDIVIDUALS LOSING UNITED STATES CITIZENSHIP.
- SEC. 513. REPORT ON TAX COMPLIANCE BY UNITED STATES CITIZENS AND RESIDENTS LIVING ABROAD.
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