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《可负担医疗法案》下某些预防性服务覆盖范围的宗教豁免与便利措施。最终规则。

Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act. Final rules.

出版信息

Fed Regist. 2018 Nov 15;83(221):57536-90.

Abstract

These rules finalize, with changes based on public comments, interim final rules concerning religious exemptions and accommodations regarding coverage of certain preventive services issued in the Federal Register on October 13, 2017. These rules expand exemptions to protect religious beliefs 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 U.S. Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also leave in place an "accommodation" process as an optional process for certain exempt entities that wish to use it voluntarily. These rules do not alter multiple other federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.

摘要

这些规则根据公众意见进行了修改,最终确定了2017年10月13日在《联邦公报》上发布的关于某些预防性服务覆盖范围的宗教豁免和便利措施的暂行最终规则。这些规则通过根据《患者保护与平价医疗法案》发布的指导意见,扩大了豁免范围,以保护某些实体和个人的宗教信仰,这些实体和个人的健康计划受制于避孕覆盖要求。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反对意见时维持避孕覆盖要求指南的自由裁量权。这些规则还保留了一个“便利措施”程序,作为某些希望自愿使用该程序的豁免实体的可选程序。这些规则并未改变多个其他为有意外怀孕风险的女性提供免费或补贴避孕药具的联邦项目。

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