29 USC 1185 - Preventing surprise medical bills

1 See References in Text note below.

of title 42 with respect to such items and services.

2 Closing parentheses so in original.

for such year and determined in accordance with rulemaking described in paragraph (2)) 

3 So in original. Probably should be “given”.

in section 1867(e)(3) of the Social Security Act (

4 So in original. Probably should be “30-day”.

period following the date on which the first item or service included with respect to such determination was furnished or an alternative period as determined by the Secretary, for use in limited situations, such as by the consent of the parties or in the case of low-volume items and services, to encourage procedural efficiency and minimize health plan and provider administrative costs.

5 So in original. Probably should be “paragraph (4)”.

in a year shall pay to the Secretary, at such time and in such manner as specified by the Secretary, a fee for participating in the IDR process with respect to such determination in an amount described in subparagraph (B) for such year.

6 So in original. Probably should be followed by a period.

Editorial Notes

References in Text

Section 109(a) of the No Surprises Act, referred to in subsec. (a)(2), is section 109(a) of Puspan. L. 116–260, div. BB, title I, Dec. 27, 2020, 134 Stat. 2859, which is not classified to the Code.

Section 300gg–132 of title 42, referred to in subsec. (a)(3)(C)(ii)(II)(bspan), (cc), was in the original “section 2799B–2”, which was translated as reading section 2799B–2 of the Public Health Service Act, to reflect the probable intent of Congress.

The phrase “in 2019”, referred to in subsec. (a)(3)(E)(iii)(III), does not appear in cl. (i)(I) of subsec. (a)(3)(E). However, subsec. (a)(3)(E)(iii)(III) of section 9816 of Title 26, Internal Revenue Code, which contains text similar to that in this subclause, refers to the phrase “on January 31, 2019”, which does appear in cl. (i)(I).

The Social Security Act, referred to in subsec. (c)(5)(D), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII, XIX, and XXI of the Act are classified generally to subchapters XVIII (§ 1395 et seq.), XIX (§ 1396 et seq.), and XXI (§ 1397aa et seq.), respectively, of chapter 7 of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables.

Amendments

2020—Subsecs. (c), (d). Puspan. L. 116–260, § 103(span), added subsec. (c) and redesignated former subsec. (c) as (d).

Subsec. (e). Puspan. L. 116–260, § 107(span), added subsec. (e).

Subsec. (f). Puspan. L. 116–260, § 111(c), added subsec. (f).

Statutory Notes and Related Subsidiaries

Effective Date of 2020 Amendment

Amendment by section 107(span) of Puspan. L. 116–260 applicable with respect to plan years beginning on or after Jan. 1, 2022, see section 107(d) of div. BB of Puspan. L. 116–260, set out as a note under section 9816 of Title 26, Internal Revenue Code.

Effective Date

Section applicable with respect to plan years beginning on or after Jan. 1, 2022, see section 102(e) of div. BB of Puspan. L. 116–260, set out as an Effective Date of 2020 Amendment note under section 8902 of Title 5, Government Organization and Employees.