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<dc:title>116 HR 6135 IH: No More Narrow Networks Act of 2020</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2020-03-09</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">116th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 6135</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20200309">March 9, 2020</action-date><action-desc><sponsor name-id="S001145">Ms. Schakowsky</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend the Patient Protection and Affordable Care Act to require Exchanges to establish network adequacy standards for qualified health plans.</official-title></form><legis-body id="HE35F747B69A248EEA0C044ACCA1DCC2A" style="OLC"><section id="HD924DAAE41B540C48EFF8C9151839A3B" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>No More Narrow Networks Act of 2020</short-title></quote>.</text></section><section id="H7BA6D069D68D44E2B1E6F1C6D1006C34"><enum>2.</enum><header>Requiring Exchanges to establish network adequacy standards for qualified health plans</header><subsection id="HD727E2395C7F4BD3900D99F0D0023F5C"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Section 1311(d) of the Patient Protection and Affordable Care Act (<external-xref legal-doc="usc" parsable-cite="usc/42/18031">42 U.S.C. 18031(d)</external-xref>) is amended by adding at the end the following new paragraph:</text><quoted-block style="OLC" id="HCC29FAA158B9491490C7CC78C0E2413F" display-inline="no-display-inline"><paragraph id="H9F3F47E32E7F42548C836D1163A5D422"><enum>(8)</enum><header>Network adequacy standards</header><subparagraph id="HBF72941F8B2A4785A9043E1ACBF957D9"><enum>(A)</enum><header>Certain Exchanges</header><text display-inline="yes-display-inline">In the case of an Exchange operated by the Secretary pursuant section 1321(c)(1) or an Exchange described in section 155.200(f) of title 42, Code of Federal Regulations (or a successor regulation), the Exchange shall require each qualified health plan offered through such Exchange to meet such quantitative network adequacy standards as the Secretary may prescribe for purposes of this subparagraph.</text></subparagraph><subparagraph id="H98E6476C46094A5DB1741437BB280C87"><enum>(B)</enum><header>State Exchanges</header><text>In the case of an Exchange not described in subparagraph (A), the Exchange shall establish quantitative network adequacy standards with respect to qualified health plans offered through such Exchange and require such plans to meet such standards.</text></subparagraph><subparagraph id="H8FCE162290A24D6BB423008374361E92"><enum>(C)</enum><header>Preemption</header><text>Nothing in subparagraph (A) shall be construed to preempt any State law to the extent that such law provides for network adequacy standards applicable to a qualified health plan offered through an Exchange described in such subparagraph that are greater than such standards prescribed pursuant to such subparagraph.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection><subsection id="H502B2F80632C4BCDB82AFEFFE3EB68B7"><enum>(b)</enum><header>Effective date</header><text display-inline="yes-display-inline">The amendment made by this section shall apply with respect to plan years beginning on or after January 1, 2021. </text></subsection></section></legis-body></bill> 

