Federal Laws

Find out what rights you and your patients have under current federal statutes and regulations, such as the Employee Retirement Income Security Act and the Medicare Advantage program.

Federal Law

Title 29-Labor-Chapter 18-Subchapter I-Part 7-Subpart B. Other requirements

11/21/2024 29 USC Sections 1185e and 1185f

Preventing surprise medical bills; Ending surprise air ambulance bills

OON-Payment Issues, Prompt Payment Deadlines
Federal Law

Title 29-Labor-Chapter 18-Subchapter I-Part 7-Subpart B. Other requirements

11/25/2024 29 USC Section 1185g

Continuity of care

Continuity of Care Post-Contract
Federal Law

Title 29-Labor-Chapter 18-Subchapter I-Part 7-Subpart B. Other requirements

11/25/2024 29 USC Section 1185i

Protecting patients and improving the accuracy of provider directory information

Directories
Federal Law

Title 29. Labor-Subtitle B-Chapter XXV-Subchapter G-Part 2560-Rules And Regulations For Administration And Enforcement

11/21/2024 29 CFR Section 2560.503-1

Claims Procedure

ERISA-Med. Nec. Appeals-Deadlines, ERISA-Med. Nec. Decisions-Deadlines, Preemption-ERISA
Federal Law

Title 42-The Public Health And Welfare-Chapter 6A-Subchapter XXV-Part E. Health Care Provider Requirements

11/20/2024 42 USC Section 300gg-113

Continuity of care

Continuity of Care Post-Contract
Federal Law

Title 42-The Public Health And Welfare-Chapter 6A-Subchapter XXV-Part D. Additional Coverage Requirements

11/20/2024 42 USC Sections 300gg-111 and 300gg-112

Preventing surprise medical bills; Ending surprise air ambulance bills

OON-Payment Issues, Prompt Payment Deadlines
Federal Law

Title 42-The Public Health And Welfare-Chapter 6A-Subchapter XXV-Part D. Additional Coverage Requirements

08/30/2023 42 USC Section 300gg-113

Continuity of care

Continuity of Care Post-Contract
Federal Law

Title 42-The Public Health And Welfare-Chapter 6A-Subchapter XXV-Part D. Additional Coverage Requirements

11/20/2024 42 USC Section 300gg-115

Protecting patients and improving the accuracy of provider directory information

Directories
Federal Law

Title 26-Internal Revenue-Chapter I-Subchapter D-Part 54. Pension Excise Taxes

11/12/2024 26 CFR Sections 54.9816-1T, 54.9816-2T, 54.9816-3T, 54.9816-4T, 54.9816-5T, 54.9816-6, 54.9816-6T, 54.9816-7T, 54.9816-8, 54.9816-8T, 54.9817-1T, 54.9817-2, 54.9817-2T

Basis and scope (temporary); Applicability (temporary); Definitions (temporary); Preventing surprise medical bills for emergency services (temporary); Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities (temporary); Methodology for calculating qualifying payment amount; Methodology for calculating qualifying payment amount (temporary); Complaints process for surprise medical bills regarding group health plans (temporary); Independent dispute resolution process, Independent dispute resolution process (temporary); Preventing surprise medical bills for air ambulance services (temporary); Independent dispute resolution process for air ambulance services (temporary); Independent dispute resolution process for air ambulance services 

OON-Payment Issues, Prompt Payment Deadlines
Federal Law

Title 29-Labor-Subtitle B-Chapter XXV-Subchapter L-Part 2590-Subpart D. Surprise Billing and Transparency Requirements

11/18/2024 29 CFR Sections 2590.716-1, 2590.716-2, 2590.716-3, 2590.716-4, 2590.716-5, 2590.716-6, 2590.716-7, 2590.716-8, 2590.717-1, and 2590.717-2

Basis and scope; Applicability; Definitions; Preventing surprise medical bills for emergency services; Preventing surprise medical bills for non-emergency services performed by nonparticipating providers at certain participating facilities; Methodology for calculating qualifying payment amount; Complaints process for surprise medical bills regarding group health plans and group health insurance coverage; Independent dispute resolution process; Preventing surprise medical bills for air ambulance services; Independent dispute resolution process for air ambulance services

OON-Payment Issues, Prompt Payment Deadlines