to the provision of high quality care or related services.
Section 163: Administrative Simplification: Government will have real-time (or near real-time) determination of an individual's financial responsibility at the point of service and, to the extent possible, prior to service...may include using a machine-readable health plan beneficiary identification card.
Section 163: Enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice.
Section 164: Reinsurance Program for Retirees: - Is a subsidized plan to employers for retirees, eligible spouses and dependents. In order to be eligible, you must be at least 55 and not qualify for any other governmental insurance.
Section 201: Establishment of Health Insurance Exchange; Outline of Duties; Definitions: Creates a Health Care Exchange to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.
Section 203: Benefits Package Levels: Commissioner determines the standards for all benefit plans and will adhere to any state requirements.
Section 203: Specifications for benefit levels for plans
Section 204: Government requires that entities providing services shall provide for culturally and linguistically appropriate communication and health services.
Section 205: Outreach and Enrollment of Exchange-eligible individuals and employers in Exchange-participating health benefits plan: To facilitate outreach, the Commissioner may use other appropriate entities to get the word out about the program.
Section 205: Medicaid eligible individuals will request a determination if they are eligible. If they are, they will use Medicaid.
Sec. 312 (b)(3) - Employers must pay for health care for part time employees and their families.
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