,,iii #aaf? ,,congress #a/ ,session ,s4 ,,res4 #bgc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #i1 #bjai ,mr4 ,m]kley 7= himself1 ,mr4 ,m55dez1 ,mr4 ,s*atz1 ,ms4 ,baldw91 ,mrs4 ,%ahe51 ,mr4 ,murphy1 ,mr4 ,s&]s1 ,ms4 ,hassan1 ,mr4 ,c>d91 ,mr4 ,durb91 ,mr4 ,blum5?al1 ,mrs4 ,gillibr&1 ,ms4 ,duckwor?1 ,mr4 ,br[n1 ,ms4 ,klobu*>1 ,ms4 ,w>r51 ,mr4 ,m>key1 & ,mrs4 ,fe9/e97 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,,resolution ,express+ ! s5se ( ! ,s5ate ) respect to heal? c>e rights4 ,t x is ! s5se ( ! ,s5ate t all p ( ! ,unit$ ,/ates h ! "r-- 7#a7 to af=dable heal? insurance cov]age1 includ+-- 7,a7 ! "r ( individuals ) pre-exi/+ conditions to secure heal? insurance ) ! same t]ms1 b5efits1 & price z individuals :o d n h pre-exi/+ conditions2 7,b7 ! "r to a compreh5sive set ( ess5tial heal? b5efits 9 ! individual & small gr\p m>kets2 7,c7 ! "r to /ay on a p>5t's policy until age #bf = "y adults :o meet c]ta9 requirem5ts2 7,d7 ! "r to keep heal? cov]age aft] gett+ sick1 ev5 if ! individual made an hone/ mi/ake on 8 or h] insurance application2 7,e7 ! "r to use an individual's own res\rces to pur*ase & pay = treatm5t or s]vices2 & 7,f7 ! "r to a cap on ! ye>ly d$uctibles & o!r out-(-pocket co/s an individual is requir$ to pay = cov]$ s]vices "u a heal? insurance plan2 7#b7 to cov]age & access to heal? c>e s]vices1 includ+-- 7,a7 ! "r to heal? insurance cov]age reg>dless ( an individual's pre-exi/+ m$ical conditions or heal? /atus2 7,b7 ! "r to c]ta9 prev5tive scre5+s )\t pay+ out-(-pocket fees or copaym5ts2 7,c7 ! "r to heal? insurance t provides value relative to ! premium co/2 7,d7 ! "r to be held h>mless f surprise m$ical bills2 7,e7 ! "r to cov]age ( m5tal heal? & sub/ance abuse s]vices ) no annual or lifetime limits 7includ+ behavioral heal? treatm5t1 m5tal & behavioral heal? inpati5t s]vices1 sub/ance use disord] treatm5t72 7,f7 ! "r to m5tal heal? & sub/ance abuse b5efits )\t f9ancial1 treatm5t1 or c>e managem5t limitations t only apply to su* b5efits2 7,g7 ! "r to access all smok+ cessation m$ications t are approv$ by ! ,food & ,drug ,adm9i/ration2 7,h7 ! "r to *oose a provid]1 & to receive an accurate li/ ( all p>ticipat+ provid]s2 7,i7 ! "r to access doctors1 speciali/s1 & hospitals2 7,j7 ! "r to em]g5cy m$ical s]vices )\t-- 7i7 preau?orization = em]g5cy s]vices2 7ii7 extra adm9i/rative hurdles = out-(-network em]g5cy s]vices2 or 7iii7 high] co/-%>+ = out-(-network em]g5cy s]vices ?an 9-network em]g5cy s]vices2 7,k7 ! "r to af=dable m$ications2 7,l7 ! "r to physical1 m5tal1 & oral c>e2 7,m7 ! "r to a treatm5t plan f provid] = a complex or s]i\s m$ical condition2 7,n7 ! "r to g directly to a wom5's heal? c>e speciali/ 7includ+ ob/etricians & gynecologi/s7 )\t a ref]ral = r\t9e & prev5tive heal? c>e s]vices2 7,o7 ! "r to a full scope ( reproductive heal? s]vices1 includ+ contraceptive c>e1 pregnancy-relat$ c>e1 pr5atal c>e1 misc>riage managem5t1 family plann+ s]vices1 abortion c>e1 labor & deliv]y s]vices1 & po/natal c>e2 7,p7 ! "r to brea/fe$+ support1 c\nsel+1 & equipm5t 7includ+ manual & electric pump+ equipm5t72 7,q7 ! "r to prescription m$ications & m$ical & surgical s]vices relat$ to g5d] transition2 7,r7 ! "r to try inve/igational drugs2 7,s7 ! "r to a second m$ical op9ion2 7,t7 ! "r to home c>e s]vices2 7,u7 ! "r to a full scope ( hospice & palliative c>e1 & end-(-life options2 & 7,v7 ! "r ( p$iatric pati5ts to a full scope ( s]vices (f]$ to adult pati5ts2 7#c7 to heal? in=mation & records privacy2 7#d7 to explanations ( cov]age decisions1 includ+-- 7,a7 ! "r to an explanation & appeal if a plan d5ies paym5t = a m$ical treatm5t or s]vice2 7,b7 ! "r to an int]nal appeal ( paym5t decisions ( private heal? plans if ! heal? plan refuses to make a paym5t2 7,c7 ! "r to a review by an outside review1 by an indep5d5t organization2 & 7,d7 ! "r to compla91 ?r\gh grievances processes2 7#e7 to transp>5cy1 includ+-- 7,a7 ! "r to an easy-to-und]/& summ>y ( b5efits & cov]age2 7,b7 ! "r to at lea/ #cj days' notice if an insur] cancels cov]age2 7,c7 ! "r to cle> ju/ification & explanation = premium increases t are unreasonable2 7,d7 ! "r to "k h[ an enrollee's plan pays its provid]s2 7,e7 ! "r to give in=m$ cons5t & und]/&+ ab\t m$ical conditions1 risks & b5efits ( treatm5t1 & appropriate alt]natives2 7,f7 ! "r to "k h[ drug companies set drug prices2 & 7,g7 ! "r to "k ! am\nt ( money ph>macy b5efit manag]s keep & ! am\nt ( sav+s f ph>macy b5efits manag]s t rea* pati5ts & consum]s2 7#f7 to protection f discrim9ation1 includ+ on ! basis ( race1 color1 national orig91 sex 7includ+ sexual ori5tation & g5d] id5tity71 age1 disability1 or docum5tation /atus2 & 7#g7 to culturally appropriate c>e1 includ+ heal? c>e s]vices 9 a language t ! pati5t und]/&s & t is culturally s5sitive4