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- 45 CFR 146.119 · HMO affiliation period as an alternative to a preexisting condition exclusion.
- 45 CFR 146.120 · Interaction with the Family and Medical Leave Act. [Reserved]
- 45 CFR 146.121 · Prohibiting discrimination against participants and beneficiaries based on a health factor.
- 45 CFR 146.122 · Additional requirements prohibiting discrimination based on genetic information.
- 45 CFR 146.123 · Special rule allowing integration of Health Reimbursement Arrangements (HRAs) and other account-based group health plans with individual health insurance coverage and Medicare and prohibiting discrimination in HRAs and other account-based group health plans.
- 45 CFR 146.125 · Applicability dates.
- 45 CFR 146.130 · Standards relating to benefits for mothers and newborns.
- 45 CFR 146.136 · Parity in mental health and substance use disorder benefits.
- 45 CFR 146.137 · Nonquantitative treatment limitation comparative analysis requirements.
- 45 CFR 146.143 · Preemption; State flexibility; construction.
- 45 CFR 146.145 · Special rules relating to group health plans.
- 45 CFR 146.150 · Guaranteed availability of coverage for employers in the small group market.
- 45 CFR 146.152 · Guaranteed renewability of coverage for employers in the group market.
- 45 CFR 146.160 · Disclosure of information.
- 45 CFR 146.180 · Treatment of non-Federal governmental plans.
- 45 CFR 147.100 · Basis and scope.
- 45 CFR 147.102 · Fair health insurance premiums.
- 45 CFR 147.103 · State reporting.
- 45 CFR 147.104 · Guaranteed availability of coverage.
- 45 CFR 147.106 · Guaranteed renewability of coverage.
- 45 CFR 147.108 · Prohibition of preexisting condition exclusions.
- 45 CFR 147.110 · Prohibiting discrimination against participants, beneficiaries, and individuals based on a health factor.
- 45 CFR 147.116 · Prohibition on waiting periods that exceed 90 days.
- 45 CFR 147.120 · Eligibility of children until at least age 26.
- 45 CFR 147.126 · No lifetime or annual limits.
- 45 CFR 147.128 · Rules regarding rescissions.
- 45 CFR 147.130 · Coverage of preventive health services.
- 45 CFR 147.131 · Accommodations in connection with coverage of certain preventive health services.
- 45 CFR 147.132 · Religious exemptions in connection with coverage of certain preventive health services.
- 45 CFR 147.133 · Moral exemptions in connection with coverage of certain preventive health services.
- 45 CFR 147.136 · Internal claims and appeals and external review processes.
- 45 CFR 147.138 · Patient protections.
- 45 CFR 147.140 · Preservation of right to maintain existing coverage.
- 45 CFR 147.145 · Student health insurance coverage.
- 45 CFR 147.150 · Coverage of essential health benefits.
- 45 CFR 147.160 · Parity in mental health and substance use disorder benefits.
- 45 CFR 147.200 · Summary of benefits and coverage and uniform glossary.
- 45 CFR 147.210 · Transparency in coverage—definitions.
- 45 CFR 147.211 · Transparency in coverage—required disclosures to participants, beneficiaries, or enrollees.
- 45 CFR 147.212 · Transparency in coverage—requirements for public disclosure.
- 45 CFR 148.101 · Basis and purpose.
- 45 CFR 148.102 · Scope and applicability date.
- 45 CFR 148.120 · Guaranteed availability of individual health insurance coverage to certain individuals with prior group coverage.
- 45 CFR 148.122 · Guaranteed renewability of individual health insurance coverage.
- 45 CFR 148.124 · Certification and disclosure of coverage.
- 45 CFR 148.126 · Determination of an eligible individual.
- 45 CFR 148.128 · State flexibility in individual market reforms—alternative mechanisms.
- 45 CFR 148.170 · Standards relating to benefits for mothers and newborns.
- 45 CFR 148.180 · Prohibition of discrimination based on genetic information.
- 45 CFR 148.210 · Preemption.
- 45 CFR 148.220 · Excepted benefits.
- 45 CFR 148.306 · Basis and scope.
- 45 CFR 148.308 · Definitions.
- 45 CFR 148.310 · Eligibility requirements for a grant.
- 45 CFR 148.312 · Amount of grant payment.
- 45 CFR 148.314 · Periods during which eligible States may apply for a grant.
- 45 CFR 148.316 · Grant application instructions.
- 45 CFR 148.318 · Grant application review.
- 45 CFR 148.320 · Grant awards.
- 45 CFR 149.10 · Basis and scope.
- 45 CFR 149.20 · Applicability.
- 45 CFR 149.30 · Definitions.
- 45 CFR 149.100 · Use of claim adjustment reason codes and remittance advice remark codes.
- 45 CFR 149.110 · Preventing surprise medical bills for emergency services.
- 45 CFR 149.120 · Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities.
- 45 CFR 149.130 · Preventing surprise medical bills for air ambulance services.
- 45 CFR 149.140 · Methodology for calculating qualifying payment amount.
- 45 CFR 149.150 · Complaints process for surprise medical bills regarding group health plans and group and individual health insurance coverage.
- 45 CFR 149.310 · Choice of health care professional.
- 45 CFR 149.410 · Balance billing in cases of emergency services.
- 45 CFR 149.420 · Balance billing in cases of non-emergency services performed by nonparticipating providers at certain participating health care facilities.
- 45 CFR 149.430 · Provider and facility disclosure requirements regarding patient protections against balance billing.
- 45 CFR 149.440 · Balance billing in cases of air ambulance services.
- 45 CFR 149.450 · Complaint process for balance billing regarding providers and facilities.
- 45 CFR 149.510 · Independent dispute resolution process.
- 45 CFR 149.520 · Independent dispute resolution process for air ambulance services.
- 45 CFR 149.530 · Federal independent dispute resolution registry of group health plans, health insurance issuers, and Federal Employees Health Benefits Program Carriers.
- 45 CFR 149.610 · Requirements for provision of good faith estimates of expected charges for uninsured (or self-pay) individuals.
- 45 CFR 149.620 · Requirements for the patient-provider dispute resolution process.
- 45 CFR 149.710 · Definitions.
- 45 CFR 149.720 · Reporting requirements related to prescription drug and health care spending.
- 45 CFR 149.730 · Aggregate reporting.
- 45 CFR 149.740 · Required information.
- 45 CFR 150.101 · Basis and scope.
- 45 CFR 150.103 · Definitions.
- 45 CFR 150.201 · State enforcement.
- 45 CFR 150.203 · Circumstances requiring CMS enforcement.
- 45 CFR 150.205 · Sources of information triggering an investigation of State enforcement.
- 45 CFR 150.207 · Procedure for determining that a State fails to substantially enforce PHS Act requirements.
- 45 CFR 150.209 · Verification of exhaustion of remedies and contact with State officials.
- 45 CFR 150.211 · Notice to the State.
- 45 CFR 150.213 · Form and content of notice.
- 45 CFR 150.215 · Extension for good cause.
- 45 CFR 150.217 · Preliminary determination.
- 45 CFR 150.219 · Final determination.
- 45 CFR 150.221 · Transition to State enforcement.
- 45 CFR 150.301 · General rule regarding the imposition of civil money penalties.
- 45 CFR 150.303 · Basis for initiating an investigation of a potential violation.
- 45 CFR 150.305 · Determination of entity liable for civil money penalty.
- 45 CFR 150.307 · Notice to responsible entities.