Bill > S4469

This bill proposes several key provisions: 1. It requires Medicaid, CHIP, Medicare, Medicare Advantage, Medicare prescription drug plans, private health insurance, TRICARE, the Veterans Health Administration, the Federal Employees Health Benefits Program, and the Indian Health Service to cover COVID-19 vaccines and treatments without any cost-sharing for beneficiaries during the COVID-19 public health emergency period. 2. It establishes a special enrollment period for the Affordable Care Act Exchanges and provides funding for outreach and educational activities to inform potential enrollees about available coverage options and financial assistance. 3. It directs the Secretary of Health and Human Services to issue guidance on applicable diagnoses and medically necessary items and services related to COVID-19 for purposes of the private health insurance coverage requirements. 4. It allows the government to recover any amounts it pays for COVID-19 treatment costs that would have otherwise been covered by other payers like group health plans, Medicare supplemental policies, or TRICARE. The bill aims to ensure comprehensive coverage and access to COVID-19 vaccines and treatments for individuals across various public and private health insurance programs during the ongoing public health emergency.

Health and Social Services

https://www.congress.gov/bill/116th-congress/senate-bill/4469/all-info