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《平价医疗法案》下某些预防性服务覆盖范围的道德豁免与便利措施。附征求意见的暂行最终规则。

Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act. Interim final rules with request for comments.

出版信息

Fed Regist. 2017 Oct 13;82(197):47838-62.

PMID:29027769
Abstract

The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also provide certain morally objecting entities access to the voluntary "accommodation" process regarding such coverage. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.

摘要

美国在医疗保健监管方面长期以来一直为基于宗教信仰或道德信念提出异议的实体和个人提供良心保护。这些暂行最终规则扩大了豁免范围,以保护某些实体和个人的道德信念,这些实体和个人的健康计划根据《患者保护与平价医疗法案》发布的指导意见,需遵守避孕保险的强制规定。这些规则并未改变美国卫生与公众服务部下属的卫生资源与服务管理局在不存在监管认可的异议时维持要求提供避孕保险的指导方针的自由裁量权。这些规则还为某些出于道德原因提出异议的实体提供了参与有关此类保险的自愿“变通”程序的机会。这些规则并未改变其他多个为有意外怀孕风险的女性提供免费或补贴避孕措施的联邦项目。

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