Bolsonaro overturned the tax record, and would require health plans to cover treatments from the ANS record.

President Jair Bolsonaro (PL) permitted this Wednesday (21), Bill n° 2033/22 which ends the full character of the record of procedures of the National Agency of Supplementary Health (ANS). This measure, in apply, expands the protection of health plans in relation to examinations, medication, remedy and hospitals.

The deadline for approval would be subsequent Monday (26), however Bolsonaro was too early to decide on the matter, which sparked heated debates in the National Congress and reached the STF (Supreme Federal Court).

The STF itself postponed the public listening to on the fifteenth due to uncertainty in the guidelines outlined in the PL, which was identified in the present day after the President’s approval.

PL 2033/22 stipulates that health plans should cover treatments prescribed by docs or dentists, so long as they meet not less than certainly one of the necessities: to be efficient, the advice of the National Commission for the Incorporation of Technology (CONITECH) with. by Unified Health System Health (SUS) or one other internationally famend health expertise evaluation group.

Henceforth, beneficiaries shall be in a position to request protection for treatments not in the ANS record.

The invoice was symbolically and unanimously permitted by the Federal Senate in late August. As a legislation, this measure may have an effect on publicly traded healthcare corporations, comparable to Hapvida and NotreDame Intermédica (HAPV3), Rede D’Or (RDOR3) and SulAmérica (SULA11), amongst others.

The PL was fashioned to overturn the choice of the Superior Court of Justice (STJ) in opposition to the Exemplary List. Until the STJ’s choice, many customers of health plans sought (and had been in a position to) go to court docket to compel operators to pay for procedures or treatments not but offered in the ANS record.

The ANS, in flip, opposed the PL and argued that increasing the vary of obligatory medical procedures may make health plans costlier for the finish client. In a session of the Senate, the Minister of Health, Marcelo Queroga, additionally criticized the venture, justifying the affect the transfer would have on the sector.

ANS record

The ANS record establishes the minimal protection that personal plans are required to supply to shoppers. Officially, the title is “Role of Processes and Events in Health”.

The record accommodates greater than 3 thousand procedures as well as to the illnesses listed in ICD (International Statistical Classification of Diseases and Related Health Problems) of WHO (World Health Organization).

Since it was created in 1998, the record of procedures that require health insurance coverage protection has been up to date.

Anyone who criticizes the function of the taxing mannequin defends the exemplary format. In it, the record of procedures is open and permits interpretation on a case-by-case foundation, enabling protection past that outlined in the ANS record.

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