Subchapter XXV: REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE
Part A: Individual and Group Market Reforms
- Subpart I: General Reform
- Section 300gg: Fair health insurance premiums
- Section 300gg–1: Guaranteed availability of coverage
- Section 300gg–2: Guaranteed renewability of coverage
- Section 300gg–3: Prohibition of preexisting condition exclusions or other discrimination based on health status
- Section 300gg–4: Prohibiting discrimination against individual participants and beneficiaries based on health status
- Section 300gg–5: Non-discrimination in health care
- Section 300gg–6: Comprehensive health insurance coverage
- Section 300gg–7: Prohibition on excessive waiting periods
- Section 300gg–8: Coverage for individuals participating in approved clinical trials
- Section 300gg–9: Disclosure of information
- Subpart II: Improving Coverage
- Section 300gg–11: No lifetime or annual limits
- Section 300gg–12: Prohibition on rescissions
- Section 300gg–13: Coverage of preventive health services
- Section 300gg–14: Extension of dependent coverage
- Section 300gg–15: Development and utilization of uniform explanation of coverage documents and standardized definitions
- Section 300gg–15a: Provision of additional information
- Section 300gg–16: Prohibition on discrimination in favor of highly compensated individuals
- Section 300gg–17: Ensuring the quality of care
- Section 300gg–18: Bringing down the cost of health care coverage
- Section 300gg–19: Appeals process
- Section 300gg–19a: Patient protections
- Section 300gg–19b: Information on prescription drugs
- Subpart 2: Exclusion of Plans; Enforcement; Preemption
- Section 300gg–21: Exclusion of certain plans
- Section 300gg–22: Enforcement
- Section 300gg–23: Preemption; State flexibility; construction
- Section 300gg–25: Standards relating to benefits for mothers and newborns
- Section 300gg–26: Parity in mental health and substance use disorder benefits
- Section 300gg–27: Required coverage for reconstructive surgery following mastectomies
- Section 300gg–28: Coverage of dependent students on medically necessary leave of absence
Part B: Individual Market Rules
- Subpart 1: portability, access, and renewability requirements
- Section 300gg–41: Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage
- Section 300gg–42: Guaranteed renewability of individual health insurance coverage
- Section 300gg–43: Certification of coverage
- Section 300gg–44: State flexibility in individual market reforms
- Section 300gg–45: Relief for high risk pools
- Subpart 2: other requirements
- Section 300gg–51: Standards relating to benefits for mothers and newborns
- Section 300gg–52: Required coverage for reconstructive surgery following mastectomies
- Section 300gg–53: Prohibition of health discrimination on the basis of genetic information
- Section 300gg–54: Coverage of dependent students on medically necessary leave of absence
- Subpart 3: general provisions