I.R.C. § 9823(a) In General —
Each group health plan shall submit to the Secretary,
jointly with the Secretary of Labor and the Secretary of Health and
Human Services—
I.R.C. § 9823(a)(1) —
not later than the date that is 90
days after the last day of the first calendar year beginning on or
after the date on which a final rule is promulgated pursuant to the
rulemaking described in section 106(d) of the No Surprises Act, the
information described in subsection (b) with respect to such plan
year; and
I.R.C. § 9823(a)(2) —
not later than the date that is 90
days after the last day of the calendar year immediately succeeding
the plan year described in paragraph (1), such information with respect
to such immediately succeeding plan year.
I.R.C. § 9823(b) Information Described —
For purposes of subsection (a), information described
in this subsection, with respect to a group health plan is each of
the following:
I.R.C. § 9823(b)(1) —
Claims data for air ambulance services
furnished by providers of such services, disaggregated by each of
the following factors:
I.R.C. § 9823(b)(1)(A) —
Whether such services were furnished
on an emergent or nonemergent basis.
I.R.C. § 9823(b)(1)(B) —
Whether the provider of such services
is part of a hospital-owned or sponsored program, municipality-sponsored
program, hospital independent partnership (hybrid) program, independent
program, or tribally operated program in Alaska.
I.R.C. § 9823(b)(1)(C) —
Whether the transport in which the services
were furnished originated in a rural or urban area.
I.R.C. § 9823(b)(1)(D) —
The type of aircraft (such as rotor transport
or fixed wing transport) used to furnish such services.
I.R.C. § 9823(b)(1)(E) —
Whether the provider of such services
has a contract with the plan or issuer, as applicable, to furnish
such services under the plan or coverage, respectively.
I.R.C. § 9823(b)(2) —
Such other information regarding providers
of air ambulance services as the Secretary may specify.
(Added by Pub.
L. 116-260, Div. BB, title I, Sec. 106(b)(3)(A), Dec. 27,
2020, 134 Stat. 1182.)
BACKGROUND NOTES
EFFECTIVE DATE
Effective December 27, 2020.
