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
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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.’’.