A member of Evanston Pointers, read the entire Affordable Care Act (ACA), and singled out this for our special consideration:
- 59, Sec. 1302 – [42 U.S.c. 18022]. ESSENTIAL HEALTH BENEFITS REQUIREMENTS
(b) ESSENTIAL HEALTH BENEFITS —
(1) IN GENERAL. – Subject to paragraph (2), the Secretary shall define the
essential health benefits, except that such benefits shall include at least the
following general categories and the item and services covered within the
(A) Ambulatory patient services.
(B) Emergency services.
(D) Maternity and newborn care.
(E) Mental health and substance use disorder services, including
behavioral health treatment.
(F) Prescription drugs.
(G) Rehabilitative and habilitative services and devices.
(H) Laboratory services.
(I) Preventive and wellness services and chronic disease management.
(1) Pediatric services, including oral and vision care.
- 165, Sec. 1554 [42 U.S.c. 18114]. ACCESS TO THERAPIES.
Notwithstanding any other provision of this Act, the Secretary of Health and Human
Services shall not promulgate any regulation that-
(1) Creates any unreasonable barriers to the ability of individuals to obtain
appropriate medical care;
(2) Impedes timely access to health care services;
(3) Interferes with communications regarding a full range of treatment options
between the patient and the provider;
(4) Restricts the ability of health care providers to provide full disclosure of all
relevant information to patients making health care decisions;
(5) Violates the principles of informed consent and the ethical standards of health
care professionals; or
(6) Limits the availability of health care treatment for the full duration of a
patient’s medical needs.
If you are using the Affordable Care Act, are you getting all the services that you are paying for?
If the Republican congress gets rid of the ACA, what will you lose? What might you gain?
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