Details of Public Law 116-260, section 111 , Consumer Protections through Health Plan Requirement for Fair and Honest Advance Cost Estimate

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).

This provision establishes requirements for group health plans to provide advance explanations of benefits and a good faith estimate of amounts the plan and the participant or beneficiary must pay relating to costs for medical items and services.