42 USC 18071 - Reduced cost-sharing for individuals enrolling in qualified health plans

1 So in original. Probably should be “out-of-pocket”.

limit under

2 So in original. Probably should be “18031(d)(3)(B)(ii)(I)”.

of this title for any plan year, subsection (a) shall not apply to that portion of any reduction in cost-sharing under subsection (c) that (under regulations prescribed by the Secretary) is properly allocable to pediatric dental benefits which are included in the essential health benefits required to be provided by a qualified health plan under

Editorial Notes

Amendments

2021—Subsecs. (f), (g). Puspan. L. 117–2 added subsec. (f) and redesignated former subsec. (f) as (g).

2010—Subsec. (c)(1)(B)(i)(I). Puspan. L. 111–152, § 1001(span)(1)(A), substituted “94” for “90”.

Subsec. (c)(1)(B)(i)(II). Puspan. L. 111–152, § 1001(span)(1)(B)(i), substituted “87” for “80”.

Subsec. (c)(1)(B)(i)(III), (IV). Puspan. L. 111–152, § 1001(span)(1)(B)(ii), (C), added subcls. (III) and (IV) and struck out former subcl. (III). Prior to amendment, subcl. (III) read as follows: “70 percent in the case of an eligible insured described in clause (ii) or (iii) of subparagraph (A).”

Subsec. (c)(2)(A). Puspan. L. 111–152, § 1001(span)(2)(A)(i), substituted “94” for “90”.

Subsec. (c)(2)(B). Puspan. L. 111–152, § 1001(span)(2)(B)(i), substituted “87” for “80”.

Subsec. (c)(2)(C). Puspan. L. 111–152, § 1001(span)(2)(A)(ii), (B)(ii), (C), added subpar. (C).

Statutory Notes and Related Subsidiaries

Effective Date of 2021 Amendment

Puspan. L. 117–2, title II, § 2305(span), Mar. 11, 2021, 135 Stat. 40, provided that:

“The amendment made by this section [amending this section] shall apply to plan years beginning after December 31, 2020.”