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NAIC Panel to Review Individual, Small Group Drafts

by Allison Bell

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The Regulatory Framework Task Force is getting ready to go over drafts of two model acts that are supposed to help states implement the Patient Protection and Affordable Care Act of 2010 (PPACA).

The task force, an arn of the Health Insurance and Managed Care Committee at the National Association of Insurance Commissioners (NAIC), Kansas City, Mo., has posted the drafts, of the Small Group Health Insurance Coverage Model Act and the Individual Market Health Insurance Coverage Model Act, on its section of the NAIC’s website.

Comments on the model drafts are due June 20.

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The task force is planning to consider the drafts June 26, at a meeting in Washington.

The models reflect the effects of the PPACA provisions, including the provisions dealing with matters such as rate restrictions, guaranteed availability of coverage, access to dependent coverage, a ban on discrimination based on health status, a ban on lifetime and annual benefits limits, a ban on rescissions of coverage, and coverage for preventive services.

Other sections deal with coverage for participants in clinical trials, health care provider choice, certification of creditable coverage, and summaries of benefits and coverage.