Title 42 — The Public Health and WelfareRelease 119-73

§300gg–138 Continuity of care

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER XXV— - REQUIREMENTS RELATING TO HEALTH INSURANCE COVERAGE › Part Part E— - Health Care Provider Requirements › § 300gg–138

Last updated Apr 6, 2026|Official source

Summary

Health care providers and facilities must accept payment from a group health plan or insurer for services covered under sections 300gg–113, 9818 (title 26), or 1185g (title 29), and may collect the patient’s cost-sharing under subsection (a)(2)(C). They must keep following the plan’s rules, procedures, and quality standards for that person and those services as if the plan had not been terminated.

Full Legal Text

Title 42, §300gg–138

The Public Health and Welfare — Source: USLM XML via OLRC

A health care provider or health care facility shall, in the case of an individual furnished items and services by such provider or facility for which coverage is provided under a group health plan or group or individual health insurance coverage pursuant to section 300gg–113 of this title, section 9818 of title 26, or section 1185g of title 29—

(1)accept payment from such plan or such issuer (as applicable) (and cost-sharing from such individual, if applicable, in accordance with subsection (a)(2)(C) of such section 300gg–113 of this title, 9818 of title 26, or 1185g of title 29) for such items and services as payment in full for such items and services; and

(2)continue to adhere to all policies, procedures, and quality standards imposed by such plan or issuer with respect to such individual and such items and services in the same manner as if such termination had not occurred.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300gg–138

Title 42 — The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73