Treasury Regulations (26 C.F.R.)
26 CFR § 54.9816-1T
Basis and scope (temporary).
Official textecfr.govlast amended
# (a) Basis.
This section and §§ 54.9816-2T through 54.9816-8T, 54.9817-1T, 54.9817-2T, and 54.9822-1T implement subchapter B of chapter 100 of the Internal Revenue Code of 1986.
# (b) Scope.
This part establishes standards for group health plans with respect to surprise medical bills, transparency in health care coverage, and additional patient protections. This part also establishes an independent dispute resolution process and standards for certifying independent dispute resolution entities.
[T.D. 9955, 86 FR 56099, Oct. 7, 2021]
Source: view the official text
In this part (40 sections)
- 54.9812-1 · Parity in mental health and substance use disorder benefits.
- 54.9812-2 · Nonquantitative treatment limitation comparative analysis…
- 54.9815-1251 · Preservation of right to maintain existing coverage.
- 54.9815-2704 · Prohibition of preexisting condition exclusions.
- 54.9815-2705 · Prohibiting discrimination against participants and…
- 54.9815-2708 · Prohibition on waiting periods that exceed 90 days.
- 54.9815-2711 · No lifetime or annual limits.
- 54.9815-2712 · Rules regarding rescissions.
- 54.9815-2713 · Coverage of preventive health services.
- 54.9815-2713T · Coverage of preventive health services (temporary).
- 54.9815-2713A · Accommodations in connection with coverage of…
- 54.9815-2714 · Eligibility of children until at least age 26.
- 54.9815-2715 · Summary of benefits and coverage and uniform glossary.
- 54.9815-2715A1 · Transparency in coverage—definitions.
- 54.9815-2715A2 · Transparency in coverage—required disclosures to…
- 54.9815-2715A3 · Transparency in coverage—requirements for public…
- 54.9815-2719 · Internal claims and appeals and external review…
- 54.9815-2719T · Internal claims and appeals and external review…
- 54.9815-2719A · Patient protections.
- 54.9815-2719AT · Patient protections (temporary).
- 54.9816-1T · Basis and scope (temporary).
- 54.9816-2T · Applicability (temporary).
- 54.9816-3 · xxx
- 54.9816-3T · Definitions (temporary).
- 54.9816-4T · Preventing surprise medical bills for emergency services…
- 54.9816-5T · Preventing surprise medical bills for non-emergency…
- 54.9816-6 · Methodology for calculating qualifying payment amount.
- 54.9816-6T · Methodology for calculating qualifying payment amount…
- 54.9816-6A · xxx
- 54.9816-7T · Complaints process for surprise medical bills regarding…
- 54.9816-8 · Independent dispute resolution process.
- 54.9816-8T · Independent dispute resolution process (temporary).
- 54.9816-9 · xxx
- 54.9817-1T · Preventing surprise medical bills for air ambulance…
- 54.9817-2 · Independent dispute resolution process for air ambulance…
- 54.9817-2T · Independent dispute resolution process for air ambulance…
- 54.9822-1T · Choice of health care professional (temporary).
- 54.9825-1T · Basis and scope (temporary).
- 54.9825-2T · Applicability (temporary).
- 54.9825-3T · Definitions (temporary).