(a) General ruleExcept as provided in subsection (b)—(1) the provisions of part A of title XXVII of the Public Health Service Act (as amended by the Patient Protection and Affordable Care Act) shall apply to group health plans, and health insurance issuers providing health insurance coverage in connection with group health plans, as if included in this subchapter; and
(2) to the extent that any provision of this subchapter conflicts with a provision of such part A with respect to group health plans, or health insurance issuers providing health insurance coverage in connection with group health plans, the provisions of such part A shall apply.
(b) ExceptionNotwithstanding subsection (a), the provisions of sections 2716 and 2718 of title XXVII of the Public Health Service Act (as amended by the Patient Protection and Affordable Care Act) shall not apply with respect to self-insured group health plans, and the provisions of this subchapter shall continue to apply to such plans as if such sections of the Public Health Service Act (as so amended) had not been enacted.
Structure US Code
Title 26— INTERNAL REVENUE CODE
Subtitle K— Group Health Plan Requirements
CHAPTER 100— GROUP HEALTH PLAN REQUIREMENTS
Subchapter B— Other Requirements
§ 9811. Standards relating to benefits for mothers and newborns
§ 9812. Parity in mental health and substance use disorder benefits
§ 9813. Coverage of dependent students on medically necessary leave of absence
§ 9815. Additional market reforms
§ 9816. Preventing surprise medical bills
§ 9817. Ending surprise air ambulance bills
§ 9819. Maintenance of price comparison tool
§ 9820. Protecting patients and improving the accuracy of provider directory information
§ 9822. Other patient protections
§ 9823. Air ambulance report requirements
§ 9824. Increasing transparency by removing gag clauses on price and quality information