Bolsonaro repeals the tax list and a health plan will be required to cover treatments outside the ANS list

President Jair Bolsonaro (PL) sanctioned this Wednesday (21) Bill No. 2033/22, which places an finish to the exhaustive nature of the list of procedures of the National Agency for Complementary Health (ANS). The measure successfully expands the protection of health plans when it comes to examinations, medication, treatments and hospitals.

The deadline for the sanction would have been subsequent Monday (26), however Bolsonaro was early to make a resolution on the matter, which has sparked heated debates in the National Congress and even reached the STF (Supreme Federal Court).

The STF itself adjourned on the fifteenth public listening to due to ambiguities in the guidelines laid down in the PL, which got here to mild at the moment after the President’s sanction.

PL 2033/22 stipulates that health plans will have to cover treatments prescribed by medical doctors or dentists so long as they meet not less than considered one of the necessities: to be confirmed efficient, to have a suggestion from the National Commission for the Implementation of Technologies (Conitec) in the United healthcare system (SUS) or by one other internationally acknowledged health expertise evaluation physique.

From now on, beneficiaries will be in a position to declare protection for treatments not on the ANS list.

The invoice was authorised by the Federal Senate symbolically and unanimously at the finish of August. As a legislation, the measure might have an effect on a number of publicly traded healthcare corporations, corresponding to Hapvida and NotreDame Intermédica (HAPV3), Rede D’Or (RDOR3) and SulAmérica (SULA11), amongst others.

The PL was created to overturn a Supreme Court (STJ) judgment towards the pattern list. Until the STJ resolution, many health plan customers sued (and succeeded) to power carriers to pay for procedures or treatments not but lined by the ANS list.

ANS, for its half, opposed PL and argued that increasing the vary of obligatory medical procedures might make health plans costlier for the finish person. In a Senate session, Marcelo Queiroga, Minister of Health, additionally criticized the undertaking, citing the influence the measure will have on the sector.

ANS list

The ANS list establishes the minimal protection that personal plans should provide prospects. The official identify is The Role of Procedures and Events in Health Care.

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

Since its inception in 1998, the list of procedures that require health insurance coverage protection has been up to date.

Anyone who criticizes the function in the tax mannequin defends the pattern format. In it, the list of procedures is open-ended and permits for case-by-case interpretation, permitting protection to be offered past that laid out in the ANS list.

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