Details of Public Law 116-260, section 103 , Determination of Out-Of-Network Rates to be Paid by Health Plans; Independent Dispute Resolution Process

Group health plans are subject to various requirements under Subtitle K of the IRC, which were enacted by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Affordable Care Act (ACA).

The provision determines certain of out-of-network rates to be paid by group health plans, and provides for an independent dispute resolution process.