FEDERAL HMO ACT definition

FEDERAL HMO ACT means the federal Health Maintenance Organization Act, 42 U.S.C. ' 300e et seq., as amended, and the published rules and regulations thereunder.
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FEDERAL HMO ACT means the federal Health Maintenance Organization Act of 1973, codified at 42 U.S.C. § 300e.
Sample 1

Examples of FEDERAL HMO ACT in a sentence

  • Under the Federal HMO Act, the federal government approved loans and grants to entrepreneurs interested in creating HMOs that met federal requirements.

  • Nixon’s endorsement of HMOs as a way of controlling health care costs in a message to Congress on February 18, 1971, led to the Federal HMO Act of 1973.

  • With the passage of the Federal HMO Act in 1973, managed care plans are responsible for a set of quality standards through the process of Qualification or Certification in order to contract with the Federal Government to enroll people covered by Medicaid and Medicare.

  • Exceptions include “1) professional medical corporations, partnerships, and group practices owned and operated by licensed professionals; 2) HMOs; 3) non-profit corporations such as medical foundations; and 4) fraternal, religious, hospital, labor, educational, and similar organizations.” Id. Most significant is the Federal HMO Act, which “incorporates many of the characteristics that the corporate practice of medicine doctrine was designed to protect against.” Id. at 371.

  • An entity that provides, offers or arranges for coverage of designated health services needed by plan members for a fixed, prepaid premium Under the Federal HMO Act, an entity must havethree characteristics to call itself an HMO: • An organized system for providing health care or otherwise assuring health care delivery in a geographic area• An agreed upon set of basic and supplemental health maintenance and treatment services• A voluntary enrolled group of people (United HealthCare Corporation, p.

  • Analysis of the Federal HMO Act including its 1973, 1976, 1978, and 1988 amendments and legislative history shows there is no support for the proposition that Congress meant to encourage the adoption of physician-oriented financial incentives by HMOs, especially those tied to treatment decisions by the physician.

  • Support the ethnic route for peace During the 5th year of the program, support to the Truth Commission will continue to promote strategies for the installation of the capacities and promotion of the production of contents of ethnic people.

  • Further, the Federal HMO Act, 42 U.S.C. § 300e et seq., enacted just a year before ERISA and during the same congressional term, shows that Congress intended the states to regulate HMO quality and never contemplated that HMOs would be able to commandeer the practice of medicine through a statute (ERISA) requiring almost unquestioning deference to a (putative) plan administrator’s “benefit” decision.

  • Defendant Richard Wolfson would have testified that Criterion 25, as it was known in Pennsylvania, was motivated and inspired by the Federal HMO Act, 42 U.S.C. § 300(e), et seq., which expresses a congressional policy that employers with 25 or more employees “shall include in any health benefits plan * * * offered to their employees * * * the option of membership in qualified [HMOs].” Id. § 300(e)(9); see also JA 801-803.

  • Conversely, the Federal HMO Act of 1973 was expressly designed to encourage new types of business structures (in the name of cost containment).

Related to FEDERAL HMO ACT

  • Federal Power Act means the Federal Power Act, as amended, 16 U.S.C. §§ 791a, et seq.

  • Federal act means the federal laws and regulations that

  • Federal Aviation Act means the sections of Title 49 of the United States Code relating to aviation, as amended and in effect from time to time, or any similar legislation of the United States of America enacted in substitution or replacement thereof.

  • Federal Reserve Act means the Federal Reserve Act, as amended.

  • Federal agency means any department, agency, or other instrumentality of the Federal Government, any independent agency or establishment of the Federal Government including any Government corporation, and the Government Printing Office.

  • Federal Reserve Board means the Board of Governors of the Federal Reserve System.

  • Federal Regulations means those federal regulations relating to cable television services, 47 C.F.R. Section 76.1 et seq. (and, to the extent applicable, any other federal rules and regulations relating to cable television, including but not limited to, those described in 47 C.F.R. Section 76.3), or as such regulations may be amended.

  • Investment Company Act of 1940 means the Investment Company Act of 1940, as amended, and the rules and regulations thereunder.

  • Federal home loan bank means a federal home loan bank established under the federal Home Loan Bank Act, 12 U.S.C. §1421 et seq.

  • POPI Act means the Protection of Personal Information Act, 4 of 2013;

  • Social Security Act means the Social Security Act of 1965 as set forth in Title 42 of the United States Code, as amended, and any successor statute thereto, as interpreted by the rules and regulations issued thereunder, in each case as in effect from time to time. References to sections of the Social Security Act shall be construed to refer to any successor sections.

  • Federal Cannabis Laws means any U.S. federal laws, civil, criminal or otherwise, as such relate, either directly or indirectly, to the cultivation, harvesting, production, distribution, sale and possession of cannabis, marijuana or related substances or products containing or relating to the same, including, without limitation, the prohibition on drug trafficking under 21 U.S.C. § 841(a), et seq., the conspiracy statute under 18 U.S.C. § 846, the bar against aiding and abetting the conduct of an offense under 18 U.S.C. § 2, the bar against misprision of a felony (concealing another’s felonious conduct) under 18 U.S.C. § 4, the bar against being an accessory after the fact to criminal conduct under 18 U.S.C. § 3, and federal money laundering statutes under 18 U.S.C. §§ 1956, 1957, and 1960 and the regulations and rules promulgated under any of the foregoing.

  • Federal Health Care Program means a Federal health care program as defined in section 1128B(f) of the Social Security Act, and includes Medicare, Medicaid, and CHIP.

  • the 1993 Act means the Pension Schemes Act 1993; “the 1995 Act” means the Pensions Act 1995;