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29 U.S.C. § 1185l — Air ambulance report requirements
Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** Each group health plan and health insurance issuer offering group health insurance coverage shall submit to the Secretary, jointly with the Secretary of Health and Human Services 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 plan year immediately succeeding the calendar 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 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 service
Source: Supplied U.S. Code snapshot — release unconfirmed · 29 U.S.C. § 1185l
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Stable record: federal_law:legal_authorities:record_usc_807a72409d13e5d868b99b47
Source file: Laws/federal/codes/united-states-code/title-29/section-1185l-air-ambulance-report-requirements--86be6cf010.md
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Source location: Title 29, Chapter 18, § 1185l; chapter-018-employee-retirement-income-security-program.md
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**(a) In general** Each group health plan and health insurance issuer offering group health insurance coverage shall submit to the Secretary, jointly with the Secretary of Health and Human Services 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 plan year immediately succeeding the calendar 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 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 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
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Federal law — U.S. Code and appendices · legal_authorities
Page 609
TITLE 29—LABOR
§ 1185m
1 So in original. There is no subsec. (b).
erage, described in paragraph (2) may not re-
quire authorization or referral by the plan,
issuer, or any person (including a primary
care provider described in paragraph (2)(B))
in the case of a female participant or bene-
ficiary who seeks coverage for obstetrical or
gynecological care provided by a partici-
pating health care professional who special-
izes in obstetrics or gynecology. Such pro-
fessional shall agree to otherwise adhere to
such plan’s or issuer’s policies and proce-
dures, including procedures regarding refer-
rals and obtaining prior authorization and
providing services pursuant to a treatment
plan (if any) approved by the plan or issuer.
(B) Obstetrical and gynecological care
A group health plan or health insurance
issuer described in paragraph (2) shall treat
the provision of obstetrical and gyneco-
logical care, and the ordering of related ob-
stetrical and gynecological items and serv-
ices, pursuant to the direct access described
under subparagraph (A), by a participating
health care professional who specializes in
obstetrics or gynecology as the authoriza-
tion of the primary care provider.
(2) Application of paragraph
A group health plan, or health insurance
issuer offering group health insurance cov-
erage, described in this paragraph is a group
health plan or coverage that—
(A) provides coverage for obstetric or
gynecologic care; and
(B) requires the designation by a partici-
pant or beneficiary of a participating pri-
mary care provider.
(3) Construction
Nothing in paragraph (1) shall be construed
to—
(A) waive any exclusions of coverage under
the terms and conditions of the plan or
health insurance coverage with respect to
coverage of obs
Source: Supplied 2024 U.S. Code historical extraction · 29 U.S.C. § 1185l
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.