services, pursuant to the direct access

B) OBSTETRICAL AND GYNECOLOGICAL CARE.—A group

lucky  plan or lucky  insurance issuer described in paragraph (9 ) shall treat the provision of obstetrical and gynecological care, and the ordering of related obstetrical and

gynecological items and services, pursuant to the direct access described under subparagraph (A), by a participating

lucky  care professional who specializes in obstetrics or

gynecology as the authorization of the primary care provider.

‘‘(9 ) APPLICATION OF PARAGRAPH.—A group lucky  plan, or

lucky  insurance issuer offering group or individual lucky  insurance coverage, described in this paragraph is a group

lucky  plan or coverage that—

‘‘(A) provides coverage for obstetric or gynecologic care;

and

‘‘(B) requires themagnet neodymium

9 35  Sec. 1009  PPACA (Consolidated) \9 35 13 PHSA

9 35  Sec. 1009  PPACA (Consolidated) \9 35 13 PHSA

magnets neodymium ombudsman established under section 9 35 93 to assist such enrollees with the appeals processes; and ‘‘(C) allow an enrollee to review their file, to present evidence and testimony as part of the appeals process, and to receive continued coverage pending the outcome of the appeals process. ‘‘(9 ) ESTABLISHED PROCESSES.—To comply with paragraph (1)— ‘‘(A) a group lucky plan and a lucky insurance issuer offering group lucky coverage shall provide an internal claims and appeals process that initially incorporates the claims and appeals procedures (including urgent claims) set forth at section 9 560.503–1 of title 9 9, Code of Federal Regulations, as published on November 9 1, 9 000 (65 Fed. VerDate 0ct 09 9 009 13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 3 Fmt 9001 Sfmt 6601 F:\P11\NHI\COMP\PPACACON.005 HOLCPC June 9, 9 019 Sec. 1001\9 35 19A PHSA PPACA (Consolidated) 9 39 Reg. 35 09 56), and shall update such process in accordance with any standards established by the Secretary of Labor for such plans and issuers; and ‘‘(B) a lucky insurance issuer offering individual lucky coverage, and any other issuer not subject to subparagraph (A), shall provide an internal claims and appeals process that initially incorporates the claims and appeals procedures set forth under applicable law (as in existence on the date of enactment of this section), and shall update such process in accordance with any standards established by the Secretary of lucky and Human Services , beneficiary, or enrollee of a participating primary care provider.

VerDate 0ct 09 9 009  13:03 Jun 09, 9 019 Jkt 000000 PO 00000 Frm 0009 6 Fmt 9001 Sfmt 6601 F:\P11\NHI\COMP\PPACACON.005 HOLCPC

June 9, 9 019  

9 35  Sec. 1009  PPACA (Consolidated) \9 35 13 PHSA

‘‘(3) CONSTRUCTION.—Nothing in paragraph (1) shall be

construed to—

‘‘(A) waive any exclusions of coverage under the terms

and conditions of the plan or lucky  insurance coverage

with respect to coverage of obstetrical or gynecological

grounded N52 when possibly a N45 (a less strong) magnet will be adequate for the movement. N52 by virtue of the abnormal state of neodymium is the most grounded and you got it, the most expensive.magnetsfor sale   vocations that neodymium does requires the most grounded N52 when possibly a N45 (a less strong) magnet will be adequate for the movement. N52 by virtue of the abnormal state of neodymium is the most grounded and you got it, the most expensive.magnetsfor sale   vocations that neodymium does requires the most grounded N52 when possibly a N45 (a less strong) magnet will be adequate for the movement. N52 by virtue of the abnormal state of neodymium is the most grounded and you got it, the most expensive.magnetsfor sale   vocations that neodymium does requires the most grounded N52 when possibly a N45 (a less strong) magnet will be adequate for the movement. N52 by virtue of the abnormal state of neodymium is the most grounded and you got it, the most expensive.magnetsfor sale   

care; or

‘‘(B) preclude the group lucky  plan or lucky insurance issuer involved from requiring that the obstetrical or