To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.

Bill: 117-hr-3969
Sponsor: full_name: Rep. Curtis, John R. [R-UT-3]
Introduced: 2021-06-17
Policy area: Health
Latest action: action_date: 2021-06-18
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-06-17
action_desc: Introduced in House
text: <p>This bill requires health insurers to include expenditures for activities that address social determinants of health when calculating the proportion of premium revenues spent on clinical services and quality improvement (i.e., medical loss ratio).</p>

tv_txt: I 117th CONGRESS 1st Session H. R. 3969 IN THE HOUSE OF REPRESENTATIVES June 17, 2021 Mr. Curtis (for himself and Mr. Cárdenas ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.

1. Including activities to address social determinants of health in the calculation of medical loss ratios (a) In general Section 2718 of the Public Health Service Act ( 42 U.S.C. 300gg–18 ) is amended— (1) in subsection (a)— (A) in paragraph (2), by striking and at the end; (B) by redesignating paragraph (3) as paragraph (4); and (C) by inserting after paragraph (2) the following new paragraph: (3) for activities that address social determinants of health; and ; (2) in subsection (b)(1)(A), in the matter preceding clause (i), by striking paragraphs (1) and (2) and inserting paragraphs (1) through (3) ; and (3) in subsection (c)— (A) by inserting and, with respect to the activities reported under subsection (a)(3), not later December 31, 2023, after December 31, 2010, ; and (B) by striking subsection (a)(2) and inserting paragraph (2) or (3) of such subsection . (b) Effective date The amendments made by paragraphs (1) and (2) of subsection (a) shall apply with respect to plan years beginning on or after January 1, 2024.