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    "label": "[Tobacco][S. 1415 Further Modification of Commerce Committee Amendment] [5]",
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    "ocrText": "``(c) Notice ._A group health plan, and a health insurance issuer providing health insurance\ncoverage in connection with a group health plan shall provide notice to each participant and\nbeneficiary under such plan regarding the coverage required by this section in accordance with\nregulations promulgated by the Secretary. Such notice shall be in writing and prominently\npositioned in any literature or correspondence made available or distributed by the plan or issuer\nand shall be transmitted\n``(1) in the next mailing made by the plan or issuer to the participant or beneficiary;\n``(2) as part of any yearly informational packet sent to the participant or beneficiary; or\n``(3) not later than January 1, 1998;\nwhichever is earlier.\n``(d) No Authorization Required\n-\n``(1) In general An attending physician shall not be required to obtain authorization from the\nplan or issuer for prescribing any length of stay in connection with a mastectomy, a lumpectomy,\nor a lymph node dissection for the treatment of breast cancer.\n``(2) Prenotification Nothing in this section shall be construed as preventing a group health\nplan from requiring prenotification of an inpatient stay referred to in this section if such\nrequirement is consistent with terms and conditions applicable to other inpatient benefits under\nthe plan, except that the provision of such inpatient stay benefits shall not be contingent upon\nsuch notification.\n``(e) Prohibitions .A group health plan, and a health insurance issuer offering group health\ninsurance coverage in connection with a group health plan, may not\n``(1) deny to a patient eligibility, or continued eligibility, to enroll or to renew coverage under\nthe terms of the plan, solely for the purpose of avoiding the requirements of this section;\n`(2) provide monetary payments or rebates to individuals to encourage such individuals to\naccept less than the minimum protections available under this section;\n``(3) penalize or otherwise reduce or limit the reimbursement of an attending provider because\nsuch provider provided care to an individual participant or beneficiary in accordance with this\nsection;\n'`(4) provide incentives (monetary or otherwise) to an attending provider to induce such\nprovider to provide care to an individual participant or beneficiary in a manner inconsistent with\nthis section; and\n``(5) subject to subsection (f)(3), restrict benefits for any portion of a period within a hospital"
}