Table of Contents

• T.D. 9491
  • AGENCIES:
  • ACTION:
  • SUMMARY:
  • DATES:
  • ADDRESSES:
  • FOR FURTHER INFORMATION CONTACT:
  • SUPPLEMENTARY INFORMATION:
    • I. Background
    • II. Overview of the Regulations
    • A. PHS Act Section 2704, Prohibition of Preexisting Condition Exclusions (26 CFR 54.9815-2704T, 29 CFR 2590.715-2704, 45 CFR 147.108)
    • B. PHS Act Section 2711, Lifetime and Annual Limits (26 CFR 54.9815-2711T, 29 CFR 2590.715-2711, 45 CFR 147.126)
    • C. PHS Act Section 2712, Prohibition on Rescissions (26 CFR 54.9815-2712T, 29 CFR 2590.715-2712, 45 CFR 147.128)
    • D. PHS Act Section 2719A, Patient Protections (26 CFR 54.9815-2719AT, 29 CFR 2590.715-2719A, 45 CFR 147.138)
    • 1. Choice of Health Care Professional
    • 2. Emergency Services
    • III. Interim Final Regulations and Request for Comments
    • IV. Economic Impact and Paperwork Burden
    • A. Summary—Department of Labor and Department of Health and Human Services
    • B. Executive Order 12866—Department of Labor and Department of Health and Human Services
    • 1. Need for Regulatory Action
    • a. Preexisting condition exclusions
    • b. Lifetime and annual limits
    • c. Rescission
    • d. Patient Protections
    • 2. PHS Act Section 2704, Prohibition of Preexisting Condition Exclusions (26 CFR 54.9815-2704T, 29 CFR 2590.715-2704, 45 CFR 147.108)
    • a. Summary
    • b. Estimated Number of Affected Individuals
    • c. Benefits
    • d. Costs and Transfers
    • 3. PHS Act Section 2711, No Lifetime or Annual Limits (26 CFR 54.9815-2711T, 29 CFR 2590.715-2711, 45 CFR 147.126)
    • a. Summary
    • b. Estimated Number of Affected Entities
    • c. Benefits
    • d. Costs and Transfers
    • e. Enrollment Opportunity
    • f. Alternatives
    • 4. PHS Act Section 2712, Rescissions (26 CFR 54.9815-2712T, 29 CFR 2590.715-2712, 45 CFR 147.128)
    • a. Summary
    • b. Estimated Number of Affected Entities
    • c. Benefits
    • d. Costs and Transfers
    • 5. PHS Act Section 2719A, Patient Protections (26 CFR 54.9815-2719AT, 29 CFR 2590.715-2719A, 45 CFR 147.138)
    • a. Choice of Health Care Professional
    • i. Designation of Primary Care Provider
    • ii. Designation of Pediatrician as Primary Care Provider
    • iii. Patient Access to Obstetrical and Gynecological Care
    • b. Coverage of Emergency Services
    • i. Summary
    • ii. Estimated Number of Affected Entities
    • iii. Benefits
    • iv. Costs and Transfers
    • c. Application to Grandfathered Health Plans
    • d. Patient Protection Disclosure Requirement
    • 6. Combined Effects of the Insurance Market Reforms
    • a. Summary
    • b. Benefits
    • c. Costs and Transfers
    • D. Regulatory Flexibility Act—Department of Labor and Department of Health and Human Services
    • E. Special Analyses-Department of the Treasury
    • F. Paperwork Reduction Act
    • 1. Department of Labor and Department of Treasury
    • a. ICR Regarding Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits
    • b. ICR Regarding Affordable Care Act Notice Relating to Rescission
    • c. ICR Regarding Affordable Care Act Patient Protection Disclosure Requirement
    • 2. Department of Health and Human Services
    • a. ICR Regarding Affordable Care Act Enrollment Opportunity Notice Regarding Lifetime Limits
    • b. ICR Regarding Affordable Care Act Notice Relating to Rescission
    • c. ICR Relating to Affordable Care Act Patient Protections Disclosure Requirement
    • G. Congressional Review Act
    • H. Unfunded Mandates Reform Act
    • I. Federalism Statement—Department of Labor and Department of Health and Human Services
    • V. Statutory Authority
    • OCIIO-9994-IFC
  • DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Chapter 1
    • PART 54—PENSION EXCISE TAXES