Search Results: keywords:"private health plans"

  • H. R. 6860 — To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act.
    Status:Introduced in House
    Words:510

    H.R. 6860 aims to amend the Social Security Act to clarify protections under the Medicare Secondary Payer Act for patients with End Stage Renal Disease (ESRD). The bill seeks to prevent private health plans from discriminating against dialysis patients or classifying dialysis less favorably...

    Simple Explanation

    H.R. 6860 is a special rule that says private health insurance can't treat people who need kidney dialysis any worse than other patients, and it can't make Medicare pay for their treatments when the insurance should. It also talks about playing fair by letting companies pick which dialysis places they will work with, but not in a way that leaves smaller ones out or confuses people.

  • S. 4349 — To require private health plans to provide for secure electronic transmission of prior authorization requests for prescription drugs.
    Status:Introduced in Senate
    Words:1,365

    S. 4349 requires private health plans to electronically handle requests for prior authorization of prescription drugs through secure means. Starting in 2027, health plans must ensure these transactions meet specific technical standards set by authorities like the Secretary of Health and Human...

    Simple Explanation

    This bill wants to make sure that when doctors ask health insurance companies if it's okay to give someone certain medicine, they do it using computers in a safe way, not by sending paper or fax. Starting in 2027, they have to use special rules to keep everything secure and quick, so everyone works together smoothly.