Estimated effects on people, organizations, and industries in bills this legislator sponsored, cosponsored, or voted on. Includes bills they voted against.
These are assessments of legislative text, not measurements of realized outcomes or the legislator’s intent.
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10. Requirement for explanation of benefits Section 2799A–1(f) of the Public Health Service Act (42 U.S.C. 300gg–111(f)) is amended— in paragraph (1)— by striking subparagraph (C) and inserting the following: (C)A good faith estimate of the amount the plan or coverage is responsible for paying for items and services included in the estimate described in subparagraph (B), including a plain languag…
This clause tightens a reporting or study requirement and a compliance mandate: Requires health plans to provide itemized explanation of benefits within 45 days of receiving payment requests, including billing codes, cost-sharing amounts, and accumulator information. It is likely beneficial for Health plan participants and enrollees (cost down). It likely creates costs, burdens, barriers, or risks for Group health plans and health insurers (compliance burden up).
Potential benefits are effects assessed as favorable to the named group. Potential burdens impose costs, restrictions, risks, or lost opportunities on that group.
Mixed effects contain countervailing effects on the same group. Unclear effects have an undetermined direction. A group can have separate benefits and burdens; these are counted separately.
Counts describe the number of identified effects, not their size or public value. Bill and clause counts are distinct within each view. Shared evidence may appear under several groups or policy areas, so their counts should not be added together.
Historical bill versions are included. Clauses analyzed in different versions count separately. A bill’s current status does not establish that every analyzed provision was enacted.
Only direct effects with high or medium confidence in the policy-area assignment are included. Bills are connected through sponsorship, cosponsorship, or Yea/Nay votes; a vote against a bill does not reverse its assessed effects. Vote dates filter recorded votes and vote-linked bills; sponsorship remains included.
