Search Results: keywords:"private health plans"

  • H. R. 2199 — 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:518

    H. R. 2199 aims to amend the Social Security Act to protect end-stage renal disease (ESRD) patients under the Medicare Secondary Payer Act. It seeks to ensure that private health plans do not discriminate against ESRD patients by treating dialysis services unfairly compared...

    Simple Explanation

    H. R. 2199 is a plan to make sure that people with serious kidney problems get fair treatment from their private health insurance for their dialysis care, and it also stops the insurance from making Medicare pay first.

  • S. 1173 — 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 Senate
    Words:477

    S. 1173 aims to amend the Social Security Act to restore and protect rights for individuals with end-stage renal disease under the Medicare Secondary Payer Act. The bill ensures that private health plans cannot discriminate against people needing dialysis by treating such...

    Simple Explanation

    S. 1173 is a plan to make sure people who need special kidney treatments aren't treated unfairly by their health insurance. It makes sure that insurance doesn't make Medicare pay instead of them and says it's okay if insurance doesn't work with every clinic, but they can't treat kidney treatment differently from other services.

  • 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.

  • 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.

  • H. R. 2636 — To provide for appropriate cost-sharing for individuals 26 years of age or younger for insulin products covered under private health plans.
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    Status:Introduced in House
    Words:2,421

    H.R. 2636, titled the "Making Insulin Affordable for All Children Act," seeks to reduce the financial burden of insulin for individuals aged 26 or younger. For insurance plan years starting on or after January 1, 2026, it requires private health plans to offer coverage for...

    Simple Explanation

    H.R. 2636 is a rule that wants to help people who need insulin and are 26 years old or younger by making sure it doesn't cost too much. It says that starting in 2026, insurance companies have to let these young people pay less for insulin, either just $35 or a small part of its cost, to make it easier for them to afford their medicine.