HR 8792 — Helping Families Access Pediatric Care Act of 2022

Summary

Helping Families Access Pediatric Care Act of 2022 This bill prohibits deductibles for outpatient pediatric services under private health insurance, Medicaid, the Children's Health Insurance Program (CHIP), and TRICARE.

Bill Text

• Introduced Introduced in House Current html September 09, 2022

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill prohibits group health plans and health insurance issuers from imposing a deductible on outpatient pediatric services.

• 29 U.S.C. 1185

  SEC. 716. PROHIBITION ON APPLICATION OF DEDUCTIBLE TO OUTPATIENT PEDIATRIC SERVICES. (a) In General.--A group health plan and a health insurance issuer offering group health insurance coverage may not impose any deductible under such plan or coverage (as applicable) with respect to outpatient pediatric services (as defined in subsection (b)) for which benefits are provided under such plan or coverage. (b) Outpatient Pediatric Services Defined.--For purposes of subsection (a), the term `outpatient pediatric services' means any item or service furnished to an individual under the age of 18 as an outpatient by a health care provider acting within the scope of such provider's license, regardless of whether such service is furnished in-person or through use of a telecommunications system.

  This establishes a new rule that outpatient pediatric services cannot have a deductible applied to them.

• 42 U.S.C. 300gg

  SEC. 2730. PROHIBITION ON APPLICATION OF DEDUCTIBLE TO OUTPATIENT PEDIATRIC SERVICES. (a) In General.--A group health plan and a health insurance issuer offering group or individual health insurance coverage may not impose any deductible under such plan or coverage (as applicable) with respect to outpatient pediatric services (as defined in subsection (b)) for which benefits are provided under such plan or coverage. (b) Outpatient Pediatric Services Defined.--For purposes of subsection (a), the term `outpatient pediatric services' means any item or service furnished to an individual under the age of 18 as an outpatient by a health care provider acting within the scope of such provider's license, regardless of whether such service is furnished in-person or through use of a telecommunications system.

  This adds a requirement that group and individual health insurance cannot impose deductibles on outpatient pediatric services.

• 42 U.S.C. 1396o-1

  paragraph (2) → paragraphs (2) and (4)

  This modifies the existing statute to include a provision prohibiting deductibles for outpatient pediatric services.

• 42 U.S.C. 1396o-1

  Prohibition on application of deduction to outpatient pediatric services.--A State may not impose a deduction under the plan with respect to outpatient pediatric services (as defined in subsection (f)).

  This establishes that states cannot impose a deductible on outpatient pediatric services.

• 42 U.S.C. 1397cc

  Prohibition on application of deduction to outpatient pediatric services.--(A) In general.--The State child health plan may not impose a deductible with respect to outpatient pediatric services (as defined in subparagraph (B)).

  This ensures state child health plans cannot apply deductibles to outpatient pediatric services.

• 10 U.S.C. 1095d

  Prohibition on Application of Deductible to Outpatient Pediatric Services.--The Secretary of Defense may not impose any deductible under the TRICARE program for medical care provided to a covered beneficiary who is under the age of 18 as an outpatient, regardless of whether such care is furnished in-person or through use of a telecommunications system.

  This prohibits TRICARE from imposing deductibles on outpatient pediatric services.

Action History

1. September 09, 2022

   Introduced in House

2. September 09, 2022

   Introduced in House

3. September 09, 2022

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Armed Services, 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.

4. September 09, 2022

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Armed Services, 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.

5. September 09, 2022

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Armed Services, 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.

6. September 09, 2022

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, Ways and Means, and Armed Services, 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.

7. September 12, 2022

   Referred to the Subcommittee on Health.

Sponsors

• Kim Schrier · Primary

Subjects