Patient Protection and Affordable Care Act Patient Protection Notice

ICR 202108-1210-006

OMB: 1210-0142

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2021-08-24
Supplementary Document
2021-08-24
Supplementary Document
2021-07-13
IC Document Collections
ICR Details
1210-0142 202108-1210-006
Received in OIRA 202106-1210-002
DOL/EBSA
Patient Protection and Affordable Care Act Patient Protection Notice
Revision of a currently approved collection   No
Emergency 09/10/2021
08/24/2021
  Requested Previously Approved
6 Months From Approved 05/31/2022
128,133 734,800
3,534 6,546
1,602 4,005

The Patient Protection Notice is used by health plan sponsors and issuers to notify certain individuals of their right to (1) choose a primary care provider or a pediatrician when a plan or issuer requires participants or subscribers to designate a primary care physician; or (2) obtain obstetrical or gynecological care without prior authorization.
The No Surprises Act was enacted on December 27, 2020, as title I of Division BB of the Consolidated Appropriations Act, 2021. The cost-sharing and balance billing requirements on plans, issuers, health care providers, facilities, and providers of air ambulance services in the No Surprises Act apply for plan years (in the individual market, policy years) beginning on or after January 1, 2022. Although this effective date may have allowed for the regulations, if promulgated with the full notice and comment rulemaking process, to be applicable in time for the applicability date of the provisions in the No Surprises Act, this timeframe would not provide sufficient time for the regulated entities to implement the requirements.

PL: Pub.L. 111 - 148 10101(g) Name of Law: Affordable Care Act
  
PL: Pub.L. 116 - 260 No Surprises Act Name of Law: Consolidated Appropriations Act, 2021

1210-AB99 Final or interim final rulemaking 86 FR 36872 07/13/2021

No

1
IC Title Form No. Form Name
Patient Protection and Affordable Care Act Patient Protection Notice

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 128,133 734,800 -606,667 0 0 0
Annual Time Burden (Hours) 3,534 6,546 -3,012 0 0 0
Annual Cost Burden (Dollars) 1,602 4,005 -2,403 0 0 0
No
No
The No Surprises Act added section 2799A-7 of the PHS Act, which contains the patient protections regarding choice of health care professional from section 2719A of the PHS Act. The patient protections under the No Surprises Act apply generally to all group health plans and health insurance coverage, including grandfathered health plans. The Department believes that only plans that relinquish their grandfathered status in 2021 and plans that are still grandfathered in 2022 will become subject to this notice requirement for the first time and incur the one-time costs to prepare the notice. Burden numbers adjusted for the six-month emergency request.

$0
No
    No
    No
Yes
No
No
No
James Butikofer 202 693-8434 Butikofer.James@dol.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/24/2021


© 2024 OMB.report | Privacy Policy