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Electronic Code of Federal Regulations

e-CFR data is current as of June 1, 2020

Title 45Subtitle ASubchapter BPart 152


TITLE 45—Public Welfare

Subtitle A—DEPARTMENT OF HEALTH AND HUMAN SERVICES

SUBCHAPTER B—REQUIREMENTS RELATING TO HEALTH CARE ACCESS

PART 152—PRE-EXISTING CONDITION INSURANCE PLAN PROGRAM

rule

Subpart A—GENERAL PROVISIONS

§152.1
Statutory basis.
§152.2
Definitions.
rule

Subpart B—PCIP PROGRAM ADMINISTRATION

§152.6
Program administration.
§152.7
PCIP proposal process.
rule

Subpart C—ELIGIBILITY AND ENROLLMENT

§152.14
Eligibility.
§152.15
Enrollment and disenrollment process.
rule

Subpart D—BENEFITS

§152.19
Covered benefits.
§152.20
Prohibitions on pre-existing condition exclusions and waiting periods.
§152.21
Premiums and cost-sharing.
§152.22
Access to services.
rule

Subpart E—OVERSIGHT

§152.26
Appeals procedures.
§152.27
Fraud, waste, and abuse.
§152.28
Preventing insurer dumping.
rule

Subpart F—FUNDING

§152.32
Use of funds.
§152.33
Initial allocation of funds.
§152.34
Reallocation of funds.
§152.35
Insufficient funds.
rule

Subpart G—RELATIONSHIP TO EXISTING LAWS AND PROGRAMS

§152.39
Maintenance of effort.
§152.40
Relation to State laws.
rule

Subpart H—TRANSITION TO EXCHANGES

§152.44
End of PCIP program coverage.
§152.45
Transition to the exchanges.

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