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26 U.S.C. § 9823 — Air ambulance report requirements
Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** Each group health plan shall submit to the Secretary, jointly with the Secretary of Labor and the Secretary of Health and Human Services—
(1) not later than the date that is 90 days after the last day of the first calendar year beginning on or after the date on which a final rule is promulgated pursuant to the rulemaking described in section 106(d) of the No Surprises Act, the information described in subsection (b) with respect to such plan year; and
(2) not later than the date that is 90 days after the last day of the calendar year immediately succeeding the plan year described in paragraph (1), such information with respect to such immediately succeeding plan year.
**(b) Information described** For purposes of subsection (a), information described in this subsection, with respect to a group health plan is each of the following:
(1) Claims data for air ambulance services furnished by providers of such services, disaggregated by each of the following factors:
(A) Whether such services were furnished on an emergent or nonemergent basis.
(B) Whether the provider of such services is part of a hospital-owned or sponsored program, municipality-sponsored program, hospital independent partnership (hybrid) program, independent program, or tribally operated program in Alaska.
(C) Whether the transport in which the services were furnished originated in a rural or urban area.
(D) The type of aircraft (such as rotor transport or fixed wing transport) used to furnish such services.
(E) Whether the provider of such services has a contract with the plan or issuer, as applicable, to furnish such services under the plan or coverage, respectively.
(2) Such other information regarding providers of air ambulance services as the Secretary may specify.
Source: Supplied U.S. Code snapshot — release unconfirmed · 26 U.S.C. § 9823
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Stable record: federal_law:legal_authorities:record_usc_3878e1399c8423e6647fbe6d
Source file: Laws/federal/codes/united-states-code/title-26/section-9823-air-ambulance-report-requirements--021935ec5e.md
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Source location: Title 26, Chapter 100, § 9823; chapter-100-group-health-plan-requirements.md
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**(a) In general** Each group health plan shall submit to the Secretary, jointly with the Secretary of Labor and the Secretary of Health and Human Services—
(1) not later than the date that is 90 days after the last day of the first calendar year beginning on or after the date on which a final rule is promulgated pursuant to the rulemaking described in section 106(d) of the No Surprises Act, the information described in subsection (b) with respect to such plan year; and
(2) not later than the date that is 90 days after the last day of the calendar year immediately succeeding the plan year described in paragraph (1), such information with respect to such immediately succeeding plan year.
**(b) Information described** For purposes of subsection (a), information described in this subsection, with respect to a group health plan is each of the following:
(1) Claims data for air ambulance services furnished by providers of such services, disaggregated by each of the following factors:
(A) Whether such services were furnished on an emergent or nonemergent basis.
(B) Whether the provider of such services is part of a hospital-owned or sponsored program, municipality-sponsored program, hospital independent partnership (hybrid) program, independent program, or tribally operated program in Alaska.
(C) Whether the transport in which the services were furnished originated in a rural or urban area.
(D) The type of aircraft (such as rotor transport or fixed wing transport) used to furnish such services.
(E) Whether the provider of such services has a contract with the plan or issuer, as applicable, to furnish such services under the plan or coverage, respectively.
(2) Such other information regarding providers of air ambulance services as the Secretary may specify.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** Each group health plan and health insurance issuer offering group or individual health insurance coverage shall submit to the Secretary, jointly with the Secretary of Labor and the Secretary of the Treasury—
(1) not later than the date that is 90 days after the last day of the first calendar year beginning on or after the date on which a final rule is promulgated pursuant to the rulemaking described in section 106(d) of the No Surprises Act, the information described in subsection (b) with respect to such plan year; and
(2) not later than the date that is 90 days after the last day of the calendar year immediately succeeding the plan year described in paragraph (1), such information with respect to such immediately succeeding plan year.
**(b) Information described** For purposes of subsection (a), information described in this subsection, with respect to a group health plan or a health insurance issuer offering group or individual health insurance coverage, is each of the following:
(1) Claims data for air ambulance services furnished by providers of such services, disaggregated by each of the following factors:
(A) Whether such services were furnished on an emergent or nonemergent basis.
(B) Whether the provider of such services is part of a hospital-owned or sponsored program, municipality-sponsored program, hospital independent partnership (hybrid) program, independent program, or tribally operated program in Alaska.
(C) Whether the transport in which the services were furnished originated in a rural or urban area.
(D) The type of aircraft (such as rotor transport or fixed wing transport) used to furnish such services.
(E) Whether the provider of such services has a contract with the plan or issuer, as applicable, to furnish such
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 300gg–118
Stored review status: release_metadata_unconfirmed. Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
Page 4207
TITLE 26—INTERNAL REVENUE CODE
§ 9823
1 So in original. No section 9821 has been enacted.
individual believes that such a provider or fa-
cility has violated any requirement described
in paragraph (1) with respect to such indi-
vidual.
(Added Pub. L. 116–260, div. BB, title I, § 116(c),
Dec. 27, 2020, 134 Stat. 2884.)
Editorial Notes
REFERENCES IN TEXT
Section 2799B–9 of the Public Health Service Act, re-
ferred to in subsec. (a)(2)(C), is classified to section
300gg–139 of Title 42, The Public Health and Welfare.
Sections 2799B–1 and 2799B–2 of the Public Health
Service Act, referred to in subsec. (c)(1)(A), are classi-
fied to sections 300gg–131 and 300gg–132, respectively, of
Title 42, The Public Health and Welfare.
§ 9822.1 Other patient protections
(a) Choice of health care professional
If a group health plan requires or provides for
designation by a participant or beneficiary of a
participating primary care provider, then the
plan shall permit each participant and bene-
ficiary to designate any participating primary
care provider who is available to accept such in-
dividual.
(b) Access to pediatric care
(1) Pediatric care
In the case of a person who has a child who
is a participant or beneficiary under a group
health plan if the plan requires or provides for
the designation of a participating primary
care provider for the child, the plan shall per-
mit such person to designate a physician
(allopathic or osteopathic) who specializes in
pediatrics as the child’s primary care provider
if such provider participates in the network of
the plan.
(2) Construction
Nothing in paragraph (1) shall be construed
to waive any exclusions of coverage under the
terms and conditions of the plan with respect
to coverage of pediatric care.
(
Source: Supplied 2024 U.S. Code historical extraction · 26 U.S.C. § 9823
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.