US Codex
Bill
Notes

To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.

H.R. 3969 · 117th Congress · Jun 17, 2021 · Lineage

A BILL

Section 1 Including activities to address social determinants of health in the calculation of medical loss ratios

(a)
In general— Section 2718 of the Public Health Service Act (42 U.S.C. 300gg–18) is amended—
(1)
in subsection (a)—
(A)
in paragraph (2), by striking “and” at the end;
(B)
by redesignating paragraph (3) as paragraph (4); and
(C)
by inserting after paragraph (2) the following new paragraph:

“(3) for activities that address social determinants of health; and”

(2)
in subsection (b)(1)(A), in the matter preceding clause (i), by striking “paragraphs (1) and (2)” and inserting “paragraphs (1) through (3)”; and
(3)
in subsection (c)—
(A)
by inserting “and, with respect to the activities reported under subsection (a)(3), not later December 31, 2023,” after “December 31, 2010,”; and
(B)
by striking “subsection (a)(2)” and inserting “paragraph (2) or (3) of such subsection”.
(b)
Effective date— The amendments made by paragraphs (1) and (2) of subsection (a) shall apply with respect to plan years beginning on or after January 1, 2024.