This legislation, known as the Repair Abuses of MSP Payments (RAMP) Act , establishes a private cause of action for damages under the Social Security Act. This provision allows individuals to sue group health plans that fail to provide primary payment or appropriate reimbursement for healthcare services. The bill specifically amends Section 1862(b)(3)(A) of the Social Security Act to facilitate these actions. The amendment replaces the term "primary plan" with "group health plan (as defined in paragraph (1)(A)(v))" within the relevant statutory language. This change aims to clarify and potentially broaden the scope of health plans accountable for such failures, ensuring beneficiaries have a legal avenue for recourse when payment responsibilities are not met.
This legislation, known as the Repair Abuses of MSP Payments (RAMP) Act , establishes a private cause of action for damages under the Social Security Act. This provision allows individuals to sue group health plans that fail to provide primary payment or appropriate reimbursement for healthcare services. The bill specifically amends Section 1862(b)(3)(A) of the Social Security Act to facilitate these actions. The amendment replaces the term "primary plan" with "group health plan (as defined in paragraph (1)(A)(v))" within the relevant statutory language. This change aims to clarify and potentially broaden the scope of health plans accountable for such failures, ensuring beneficiaries have a legal avenue for recourse when payment responsibilities are not met.