45 CFR 147.130 - Coverage of preventive health services

Cite as45 CFR 147.130
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144 cases
  • Conestoga Wood Specialties Corp. v. Sec'y of the U.S. Dep't of Health & Human Servs.
    • United States
    • United States Courts of Appeals. United States Court of Appeals (3rd Circuit)
    • July 26, 2013
    ...“grandfathered” plans, which are plans that were in existence on March 23, 2010, see45 C.F.R. § 147.140 and “religious employers,” see45 C.F.R. § 147.130(a)(1)(iv)(B). Additionally, the ACA requirement to provide employer sponsored health insurance to employees is entirely inapplicable to e......
  • Grace Sch. v. Sebelius, Case No. 3:12–CV–459 JD.
    • United States
    • United States District Courts. 7th Circuit. United States District Court of Northern District of Indiana
    • December 27, 2013
    ...77 Fed.Reg. 8725 (Feb. 15, 2012). The agency made the mandate effective in the first plan year on or after August 1, 2012, see45 C.F.R. § 147.130(b)(1), however, a temporary enforcement safe harbor for nonexempt nonprofit religious organizations that objected to covering contraceptive servi......
  • Eternal Word Television Network, Inc. v. Sebelius
    • United States
    • United States District Courts. 11th Circuit. United States District Court of Northern District of Alabama
    • March 25, 2013
    ...after the date the [new] recommendation or guideline is issued.” 26 C.F.R. § 54.9815–2713T(b)(1); 29 C.F.R. § 2590.715–2713(b)(1); 45 C.F.R. § 147.130(b)(1). In other words, plans must comply with the new recommendations for preventive services starting with the plan year that begins on or ......
  • Korte v. Sebelius
    • United States
    • United States Courts of Appeals. United States Court of Appeals (7th Circuit)
    • November 8, 2013
    ...77 Fed.Reg. 8725 (Feb. 15, 2012). The agency made the mandate effective in the first plan year on or after August 1, 2012.3See45 C.F.R. § 147.130(b)(1). Noncompliance with the contraception mandate is punished by steep financial penalties and other civil remedies. For example, failure to pr......
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3 firm's commentaries
  • ERISA Fiduciary Duties and the Tension Between the Affordable Care Act and the Religious Freedom Restoration Act
    • United States
    • JD Supra United States
    • January 30, 2014
    ...education counseling for all women with reproductive capacity."77 Fed. Reg. 8725 (Feb. 15, 2012); see 42 U.S.C. 300gg-13(a)(4), 45 C.F.R. § 147.130(a)(1)(iv). The ACA's mandate that women be provided contraceptives runs directly contrary to the religious principles of multiple religious ins......
  • Religious Institutions Update: January 2013
    • United States
    • JD Supra United States
    • January 4, 2013
    ...Health and Human Services' binding representation that it would not enforce the contraceptive coverage mandate in its current form, 45 C.F.R. §147.130(a)(1)(iv) against the appellants or those similarly situated, but would publish a new proposed rule in the first quarter of 2013 and a new f......
  • IRS Expands Preventive Care Benefits Under High Deductible Health Plans
    • United States
    • JD Supra United States
    • July 25, 2019
    ...insurance issuers offering group health insurance without any cost-sharing requirements. See 26 CFR 54.9815-2713T, 29 CFR 2590.715-2713, 45 CFR 147.130. Unfortunately, a summary of the preventive care regulations is outside the scope of this A limited comparison of the definitions of preven......
1 books & journal articles
  • For-Profit Crusaders: The Accommodation of For-Profit Entities in the Contraception Mandate
    • United States
    • Capital University Law Review No. 43-4, December 2015
    • December 1, 2015
    ...seems straightforward, but some non-profit 30See, e.g., Geneva Coll. v. Sebelius, 929 F. Supp. 2d 402, 415 (W.D. Pa. 2013). 31Id. 3245 C.F.R. § 147.130(a)(1)(iv)(A) (2013); § 147.131(a). 33Id. § 147.131(a). 34Id. § 147.131(b) (2013). 35Merica & Bohn, supra note 8 (stating that “[h]ouses of ......
8 provisions
  • Wa Register Issue 20-24
    • United States
    • Washington Register
    • January 1, 2020
    ...that are listed as A or B recommendations by the U.S. Preventive Services Task Force, consistent with 42 U.S.C. 300gg-13 (a)(1) and 45 C.F.R. 147.130 (a)(1)(i).(d) The base-benchmark plan does not establish visit limitations on services in this category. In accordance with Sec. 2713 of the ......
  • IL Register Vol. 44 Issue 45. Issue 45 - November 6, 2020 - Pages 17,524-17,838
    • United States
    • Illinois Register
    • January 1, 2020
    ...group health plan for the costs of, for example, prenatal care or well-baby visits. (Note that, with respect to non-grandfathered plans, 45 CFR 147.130 requires benefits for certain preventive health services without the imposition of cost sharing.); D) A program that reimburses employees f......
  • Chapter 314, SB 5122 – Affordable care act
    • United States
    • Washington Session Laws
    • January 1, 2011
    ...covered by the conversion agreement to pay reasonable deductibles and copayments, except for preventive service benefits as defined in 45 C.F.R. 147.130 (2010), implementing sections 2701 through 2763, 2791, and 2792 of the public health service act (42 U.S.C. 300gg through 300gg-63, 300gg-......
  • Chapter 553, AB 249 – Requires the State Plan for Medicaid and all health insurance plans to provide certain benefits relating to contraception
    • United States
    • Nevada Session Laws
    • January 1, 2017
    ...services to be covered by every health insurance plan without any copay, coinsurance or higher deductible. (42 U.S.C. 300gg-13(a)(4); 45 C.F.R. 147.130) The provisions of this bill do not require a public or private insurer to provide coverage for the purpose of terminating a pregnancy. Sec......
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