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Search Results: keywords:"medical necessity criteria"

  • H.R. 9422, known as the "Recovery Act," proposes amendments to the Social Security Act to allow states to provide medical assistance to certain individuals in mental health institutions. Beginning in 2025, states can apply for a plan amendment to offer this support specifically for those with...

    Simple Explanation

    H.R. 9422 is a bill that wants to help states pay for special doctor visits and care in hospitals for people who need help with mental health and substance use issues. It also wants to give states more money to get everything ready, but it needs to make sure everyone plays fair and uses the money wisely.

  • H.R. 8821, known as the “Helping to Optimize Patients’ Experience with Fertility Services Act,” aims to ensure that group health plans and health insurance issuers provide coverage for treatments related to infertility and iatrogenic infertility (infertility resulting from medical treatment)....

    Simple Explanation

    H.R. 8821 is a law that wants health insurance plans to help pay for special doctor visits and treatments when someone can't have a baby, especially if another medical treatment might make them unable to have kids. It also wants to make sure health insurance companies follow the rules and explain their actions clearly.