CMS-10320.Appendix_B_Section1103

Appendix B: Section 1103

SEC. 1103. IMMEDIATE INFORMATION THAT ALLOWS CON8

SUMERS TO IDENTIFY AFFORDABLE COV9

ERAGE OPTIONS.

10 (a) INTERNET PORTAL TO AFFORDABLE COVERAGE

11 OPTIONS.—

12 (1) IMMEDIATE ESTABLISHMENT.—Not later

13 than July 1, 2010, the Secretary, in consultation with

14 the States, shall establish a mechanism, including an

15 Internet website, through which a resident of any

16 State may identify affordable health insurance cov17

erage options in that State.

18 (2) CONNECTING TO AFFORDABLE COVERAGE.—

19 An Internet website established under paragraph (1)

20 shall, to the extent practicable, provide ways for resi21

dents of any State to receive information on at least

22 the following coverage options:

23 (A) Health insurance coverage offered by

24 health insurance issuers, other than coverage that

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1 provides reimbursement only for the treatment or

2 mitigation of—

3 (i) a single disease or condition; or

4 (ii) an unreasonably limited set of dis5

eases or conditions (as determined by the

6 Secretary);

7 (B) Medicaid coverage under title XIX of

8 the Social Security Act.

9 (C) Coverage under title XXI of the Social

10 Security Act.

11 (D) A State health benefits high risk pool,

12 to the extent that such high risk pool is offered

13 in such State; and

14 (E) Coverage under a high risk pool under

15 section 1101.

16 (b) ENHANCING COMPARATIVE PURCHASING OP17

TIONS.—

18 (1) IN GENERAL.—Not later than 60 days after

19 the date of enactment of this Act, the Secretary shall

20 develop a standardized format to be used for the pres21

entation of information relating to the coverage op22

tions described in subsection (a)(2). Such format

23 shall, at a minimum, require the inclusion of infor24

mation on the percentage of total premium revenue

25 expended on nonclinical costs (as reported under sec-

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1 tion 2718(a) of the Public Health Service Act), eligi2

bility, availability, premium rates, and cost sharing

3 with respect to such coverage options and be con4

sistent with the standards adopted for the uniform ex5

planation of coverage as provided for in section 2715

6 of the Public Health Service Act.

7 (2) USE OF FORMAT.—The Secretary shall uti8

lize the format developed under paragraph (1) in

9 compiling information concerning coverage options on

10 the Internet website established under subsection (a).

11 (c) AUTHORITY TO CONTRACT.—The Secretary may

12 carry out this section through contracts entered into with

13 qualified entities.

SEC. 10102. AMENDMENTS TO SUBTITLE B.

(b) Section 1103(a) of this Act is amended—

5 (1) in paragraph (1), by inserting ‘‘, or small

6 business in,’’ after ‘‘residents of any’’; and

7 (2) by striking paragraph (2) and inserting the

8 following:

9 ‘‘(2) CONNECTING TO AFFORDABLE COVERAGE.—

10 An Internet website established under paragraph (1)

11 shall, to the extent practicable, provide ways for resi12

dents of, and small businesses in, any State to receive

13 information on at least the following coverage options:

14 ‘‘(A) Health insurance coverage offered by

15 health insurance issuers, other than coverage that

16 provides reimbursement only for the treatment or

17 mitigation of—

18 ‘‘(i) a single disease or condition; or

19 ‘‘(ii) an unreasonably limited set of

20 diseases or conditions (as determined by the

21 Secretary).

22 ‘‘(B) Medicaid coverage under title XIX of

23 the Social Security Act.

24 ‘‘(C) Coverage under title XXI of the Social

25 Security Act.

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1 ‘‘(D) A State health benefits high risk pool,

2 to the extent that such high risk pool is offered

3 in such State; and

4 ‘‘(E) Coverage under a high risk pool under

5 section 1101.

6 ‘‘(F) Coverage within the small group mar7

ket for small businesses and their employees, in8

cluding reinsurance for early retirees under sec9

tion 1102, tax credits available under section

10 45R of the Internal Revenue Code of 1986 (as

11 added by section 1421), and other information

12 specifically for small businesses regarding afford13

able health care options.’’.