2011 US Code
Title 42 - The Public Health and Welfare
Chapter 157 - QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS (§§ 18001 - 18121)
Front Matter

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Metadata
Publication TitleUnited States Code, 2006 Edition, Supplement 5, Title 42 - THE PUBLIC HEALTH AND WELFARE
CategoryBills and Statutes
CollectionUnited States Code
SuDoc Class NumberY 1.2/5:
Contained WithinTitle 42 - THE PUBLIC HEALTH AND WELFARE
CHAPTER 157 - QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
Front Matter
Date2011
Laws in Effect as of DateJanuary 3, 2012
Positive LawNo
Dispositionstandard

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Part A—Establishment of Qualified Health Plans
18021.Qualified health plan defined.
18022.Essential health benefits requirements.
18023.Special rules.
18024.Related definitions.

Part B—Consumer Choices and Insurance Competition Through Health Benefit Exchanges
18031.Affordable choices of health benefit plans.
18032.Consumer choice.
18033.Financial integrity.

Part C—State Flexibility Relating To Exchanges
18041.State flexibility in operation and enforcement of Exchanges and related requirements.
18042.Federal program to assist establishment and operation of nonprofit, member-run health insurance issuers.
18043.Funding for the territories.
18044.Level playing field.

Part D—State Flexibility To Establish Alternative Programs
18051.State flexibility to establish basic health programs for low-income individuals not eligible for medicaid.
18052.Waiver for State innovation.
18053.Provisions relating to offering of plans in more than one State.
18054.Multi-State plans.

Part E—Reinsurance and Risk Adjustment
18061.Transitional reinsurance program for individual market in each State.
18062.Establishment of risk corridors for plans in individual and small group markets.
18063.Risk adjustment.

SUBCHAPTER IV—AFFORDABLE COVERAGE CHOICES FOR ALL AMERICANS Part A—Premium Tax Credits and Cost-Sharing Reductions
18071.Reduced cost-sharing for individuals enrolling in qualified health plans.

Part B—Eligibility Determinations
18081.Procedures for determining eligibility for Exchange participation, premium tax credits and reduced cost-sharing, and individual responsibility exemptions.
18082.Advance determination and payment of premium tax credits and cost-sharing reductions.
18083.Streamlining of procedures for enrollment through an Exchange and State medicaid, CHIP, and health subsidy programs.
18084.Premium tax credit and cost-sharing reduction payments disregarded for Federal and federally-assisted programs.

SUBCHAPTER V—SHARED RESPONSIBILITY FOR HEALTH CARE Part A—Individual Responsibility
18091.Requirement to maintain minimum essential coverage; findings.
18092.Notification of nonenrollment.

Part B—Employer Responsibilities
18101.Repealed.

SUBCHAPTER VI—MISCELLANEOUS PROVISIONS
18111.Definitions.
18112.Transparency in Government.
18113.Prohibition against discrimination on assisted suicide.
18114.Access to therapies.
18115.Freedom not to participate in Federal health insurance programs.
18116.Nondiscrimination.
18117.Oversight.
18118.Rules of construction.
18119.Small business procurement.
18120.Application.
18121.Implementation funding.

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