This comprehensive webinar led by Lisa Campbell, Principal at Groom Law Group, explores what steps you need to take now to ensure compliance.
Specifically, the final rules:
- Require that women be treated equally with men in the healthcare services that they receive, including that women cannot be charged more for healthcare coverage or services than men.
- Prohibit denying healthcare or coverage based on an individual’s sex, including gender identity.
- Prohibit a covered entity from denying or limiting coverage or benefits for a claim, or impose additional cost-sharing or other limits on coverage, for sex-specific services provided to a transgender individual just because the individual requesting such services identifies as belonging to another gender
- Prohibit any categorical exclusion of coverage for all health services related to gender transition, as well as limiting coverage or imposing additional cost-sharing or other limits or restrictions on such coverage if they result in discrimination against a transgender individual.
- Require reasonable steps to provide meaningful access to individuals with limited English proficiency and disabilities, including notice requirements.
- Provide a private right of action and damages for violations.
Since section 1557 has such a broad reach, it’s critical to be aware of not only what activities are prohibited, but also to what entities the rule applies.
- Overview of ACA Section 1557 Nondiscrimination Final Rule, including a discussion of the four civil rights laws incorporated in ACA Section 1557.
- To what entities does it apply? What does it do? Why is it important? When is it effective?
- Scope of Section 1557; key definitions, such as, “federal financial assistance,” and “health program or activity;” requirements; important limitations of Section 1557; and the effective date and applicability date.
- Section 1557 Implementation and Enforcement, including HHS OCR’s plans for posting additional guidance and the enforcement mechanisms under Section 1557.
- Top Issues and Stakeholder Concerns and Compliance Challenges.
The final rules are effective on the first day of the plan year beginning on or after January 1, 2017. Now’s the time to review your benefit plan designs to make sure your plan will be ready to comply.
Product ID: 5363
Learn the Steps You Need to Take NOW to Ensure You're in Compliance!Order my recording now
Lisa M. Campbell
Principal, Groom Law Group
Lisa M. Campbell is a principal at Groom Law Group, Chartered. Ms. Campbell works with health insurers, service providers, employers, consultants and trade associations on federal laws regulating health insurance programs. Her practice includes all aspects of the Affordable Care Act (ACA), including insurance market reforms, qualified health plan standards, Exchange rules and consumer assistance programs for the Federal Marketplace.
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