Page:United States Statutes at Large Volume 124.djvu/161

 124 STAT. 135 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(3) MEDICAL TERMS.—The medical terms described in this paragraph are hospitalization, hospital outpatient care, emer- gency room care, physician services, prescription drug coverage, durable medical equipment, home health care, skilled nursing care, rehabilitation services, hospice services, emergency med- ical transportation, and such other terms as the Secretary determines are important to define so that consumers may compare the medical benefits offered by health insurance and understand the extent of those medical benefits (or exceptions to those benefits). ‘‘SEC. 2716. PROHIBITION OF DISCRIMINATION BASED ON SALARY. ‘‘(a) IN GENERAL.—The plan sponsor of a group health plan (other than a self-insured plan) may not establish rules relating to the health insurance coverage eligibility (including continued eligibility) of any full-time employee under the terms of the plan that are based on the total hourly or annual salary of the employee or otherwise establish eligibility rules that have the effect of discriminating in favor of higher wage employees. ‘‘(b) LIMITATION.—Subsection (a) shall not be construed to pro- hibit a plan sponsor from establishing contribution requirements for enrollment in the plan or coverage that provide for the payment by employees with lower hourly or annual compensation of a lower dollar or percentage contribution than the payment required of similarly situated employees with a higher hourly or annual com- pensation. ‘‘SEC. 2717. ENSURING THE QUALITY OF CARE. ‘‘(a) QUALITY REPORTING.— ‘‘(1) IN GENERAL.—Not later than 2 years after the date of enactment of the Patient Protection and Affordable Care Act, the Secretary, in consultation with experts in health care quality and stakeholders, shall develop reporting requirements for use by a group health plan, and a health insurance issuer offering group or individual health insurance coverage, with respect to plan or coverage benefits and health care provider reimbursement structures that— ‘‘(A) improve health outcomes through the implementa- tion of activities such as quality reporting, effective case management, care coordination, chronic disease manage- ment, and medication and care compliance initiatives, including through the use of the medical homes model as defined for purposes of section 3602 of the Patient Protection and Affordable Care Act, for treatment or serv- ices under the plan or coverage; ‘‘(B) implement activities to prevent hospital readmis- sions through a comprehensive program for hospital dis- charge that includes patient-centered education and coun- seling, comprehensive discharge planning, and post dis- charge reinforcement by an appropriate health care profes- sional; ‘‘(C) implement activities to improve patient safety and reduce medical errors through the appropriate use of best clinical practices, evidence based medicine, and health information technology under the plan or coverage; and ‘‘(D) implement wellness and health promotion activi- ties. ‘‘(2) REPORTING REQUIREMENTS.— 42 USC 300gg–17. 42 USC 300gg–16.