To provide for a COVID-19-related delay regarding annual limitation on cost-sharing for group health plans and individual and small group health insurance coverage.

Bill: 116-hr-7647
Sponsor: full_name: Rep. McEachin, A. Donald [D-VA-4]
Introduced: 2020-07-16
Policy area: Health
Subjects: Administrative law and regulatory procedures

Cardiovascular and respiratory health

Department of Health and Human Services

Department of Labor

Department of the Treasury

Emergency medical services and trauma care

Employee benefits and pensions

Health care costs and insurance

Health care coverage and access

Infectious and parasitic diseases

Prescription drugs
Latest action: action_date: 2020-07-16
text: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Summaries:
action_date: 2020-07-16
action_desc: Introduced in House
text: <p>This bill delays until the first calendar year that is 12 months after the end of the COVID-19 (i.e., coronavirus disease 2019) public health emergency the application of the Centers for Medicare &amp; Medicaid Services (CMS) rule dated May 14, 2020. That rule allows private health insurance plans to decide whether support provided by a prescription drug manufacturer to cover a patient's costs for a drug counts toward the patient's annual out-of-pocket limit. The bill requires enforcement of the previous rule, which allows plans to exclude drug manufacturer support from a patient's annual out-of-pocket limit only if a generic version of the drug is available. </p>

tv_txt: I 116th CONGRESS 2d Session H. R. 7647 IN THE HOUSE OF REPRESENTATIVES July 16, 2020 Mr. McEachin (for himself, Mr. Rodney Davis of Illinois , and Mrs. Watson Coleman ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committees on Education and Labor , and Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To provide for a COVID–19-related delay regarding annual limitation on cost-sharing for group health plans and individual and small group health insurance coverage.

1. COVID–19-Related Delay Regarding Annual Limitation on Cost-Sharing for Group Health Plans and Individual and Small Group Health Insurance Coverage For a plan or policy year that begins on or after January 1, 2020, and prior to the first calendar year that begins on or after the date that is twelve months after the end of the public health emergency first declared by the Secretary of Health and Human Services on January 27, 2020, with respect to the 2019 Novel Coronavirus— (1) section 156.130(h) of title 45, Code of Federal Regulations, as published in the Federal Register on May 14, 2020, shall not apply; and (2) with respect to a group health plan or an issuer of individual or small group health insurance coverage (as such terms are defined in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 )), the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health and Human Services shall enforce section 156.130(h) of title 45, Code of Federal Regulations, as published in the Federal Register on April 25, 2019, and in effect on October 1, 2019.