HHS ikuwonetsa kuphatikizira mutu wachisanu ndi chinayi muzolemba za ACA

Pa Ogasiti 4, 2022, dipatimenti ya zaumoyo ndi ntchito za anthu (“HHS”) idatulutsa lamulo lokhudzana ndi Gawo 1557 la Affordable Care Act (“ACA”). Ndime 1557 imaletsa kusankhana motengera mtundu, mtundu, dziko, kugonana, zaka, kapena kulumala m’mapulogalamu kapena zochitika zinazaumoyo, ngati gawo lililonse la pulogalamuyi kapena ntchitoyo ilandila thandizo lazachuma ku federal. Ndime 1557 ikuphatikizapo Mutu IX wa Maphunziro Osinthidwa a 1972 (“Mutu IX”), womwe umati “[n]Aliyense ku United States ayenera, potengera jendasaloledwa kutenga nawo mbali, kukana mapindu, kapena kusalidwa pansi pa pulogalamu ya maphunziro kapena zochitika zomwe zimalandira thandizo lazachuma la Federal…, kapena pansi pa pulogalamu iliyonse kapena zochitika zoyendetsedwa ndi bungwe lalikulu kapena bungwe lililonse [Title I of the ACA]. Lamulo lomwe laperekedwa la 2022 likuwonetsa kuchoka ku tanthauzo lochepa la tsankho mu lamulo lomaliza la 2020. potengera jendandikukulitsa tanthauzo lalikulu la tsankho lomwe lili mu Lamulo Lomaliza la 2016 potengera jenda. Lamulo la 2022 lomwe laperekedwa limaphatikizanso malingaliro omwe amangotengera jenda, mawonekedwe ogonana, zomwe amakonda, zomwe zimazindikirika kuti ndi amuna kapena akazi, kukhala ndi pakati kapena zochitika zina zokhudzana ndi tsankho. HHS ikufuna kuti anthu azipereka ndemanga pa lamulo la 2022 lomwe akufuna kudzafika pa Okutobala 3, 2022. Malamulo a Gawo 1557 ayamba kugwira ntchito patatha masiku 60 HHS itatulutsa lamulo lomaliza.

Pansi pa lamulo la 2022 lomwe laperekedwa, pulogalamu yazaumoyo kapena zochitika zomwe zaperekedwa zimaphatikiza bizinesi iliyonse, bungwe, zomwe zikuchitika kapena zomwe akuchita (i) kupereka kapena kuyang’anira ntchito zokhudzana ndi zaumoyo, inshuwaransi yazaumoyo, kapena chithandizo china chilichonse chokhudza thanzi; (ii) kupereka chithandizo kwa anthu kuti apeze chithandizo chokhudzana ndi thanzi, inshuwaransi yaumoyo, kapena chithandizo china chokhudzana ndi thanzi, (iii) kupereka chithandizo chamankhwala, mankhwala, kapena chithandizo chamankhwala; (4) kuchita kafukufuku wa zaumoyo; kapena (v) kupereka maphunziro a zaumoyo kwa ogwira ntchito yazaumoyo kapena anthu ena. Lamulo loperekedwa la 2022 likugwira ntchito kwa Zonse Kuchokera pamachitidwe a bungwe lililonse lomwe limachita zomwe zafotokozedwa pamwambapa, ngati gawo lililonse lazochita kapena pulogalamuyo lilandila Federal Financial Assistance. Mabungwewa akuphatikizapo, koma sali malire, mabungwe azaumoyo m’boma kapena m’deralo, zipatala, zipatala, opereka inshuwaransi yazaumoyo, madotolo, ma pharmacies, ndi othandizira azaumoyo ammudzi, monga mabungwe azaumoyo, malo osamalira ana, ndi nyumba kapena dera- malo opangira chithandizo. , kapena mabungwe ena ofanana. Lamulo la 2022 lomwe likufunsidwa litha kugwiranso ntchito kwa omwe amapereka inshuwaransi yazaumoyo omwe amagwira ntchito ngati gulu lachitatu lomwe limapanga zikalata zamapulani azaumoyo wamagulu kapena mfundo za mapulani odzipangira inshuwaransi, mapulani azaumoyo amagulu omwe amalandira thandizo lazachuma ku federal, zipatala ndi machitidwe azipatala. Lamulo lomwe laperekedwa la 2022 limagwiranso ntchito kumisika ya inshuwaransi yazaumoyo komanso mapulogalamu azaumoyo oyendetsedwa ndi HHS, monga Medicare Parts AD.

Mabungwe omwe ali ndi antchito 15 kapena kuposerapo adzafunika kupanga, kukhazikitsa, kapena kukonza mfundo zosagwirizana ndi tsankho komanso njira zodandaulira za ufulu wachibadwidwe kuti athe kutsata malamulo a Gawo 1557, komanso kusankha kapena kusankha wogwirizira wa Gawo 1557 kuti aziyang’anira kutsatira. Mabungwe omwe akhudzidwa akuyeneranso kukhazikitsa njira zosunga zolembera za madandaulo okhudzana ndi tsankho, mapologalamu ophunzitsa anthu oyenerera pa mfundo ndi ndondomeko za Gawo 1557, komanso kupereka zidziwitso zosagwirizana ndi tsankho kwa anthu, mwa zina.

Ndime zotsatirazi zikufotokoza momwe HHS Rule ya Gawo 1557 yasinthira kuyambira 2016 ponena za kutanthauzira tsankho. potengera jenda.

Lamulo Lomaliza la 2016 limakhazikitsa tanthauzo lowonjezereka la tsankho la kugonana

Fotokozani lamulo lomaliza la 2016 potengera jenda Kuphatikizirapo “kusalana chifukwa cha mimba, mimba yabodza, kuchotsa, kapena kuchira, kutenga mimba, kubereka kapena matenda okhudzana ndi matenda, kuganiza mozama pakati pa amuna ndi akazi, komanso kudziwika kwa amuna ndi akazi.”

Lamulo lomaliza la 2016 lidatulutsa kutanthauzira kwake kowonjezereka potengera jenda Kuchokera ku maulamuliro angapo: (1) malamulo a HHS Title IX, omwe anaphatikizapo kutenga mimba monga mtundu wa tsankho la kugonana; (2) Price Waterhouse vs Hopkins490 US 228, 250-251 (1989), maganizo omwe Khothi Lalikulu la United States linasanthula tsankho la kugonana pansi pa Mutu VII wa Civil Rights Act ya 1964, ponena kuti poletsa tsankho la kugonana “Congress ikufuna kukhudza mitundu yonse ya kusiyana kwa chikhalidwe za amuna ndi akazi obwera chifukwa cha malingaliro olakwika a amuna ndi akazi”; ndi (3) mfundo yakuti pofika m’chaka cha 2016, makhoti angapo a m’dzikolo avomereza kusankhana pakati pa amuna ndi akazi ngati maziko ochitira tsankho.

Chitetezo cha kudziwika kwa amuna kapena akazi komanso kuthetsa mimba chinachotsedwa mu lamulo lomaliza la 2016

Mu December 2016, khoti lachigawo ku Malingaliro a kampani Franciscan Alliance, Inc. motsutsana ndi Burwell, 227 Zowonjezera F. 3d 660 (ND Tex 2016), inalangiza HHS kuti ikhazikitse lamulo lomaliza la 2016 loletsa tsankho chifukwa cha chidziwitso cha jenda kapena kuchotsa mimba. Khothi lachigawo lidazindikira kuti kudziwika kwa amuna ndi akazi komanso kuthetsa mimba kumatsutsana ndi Mutu IX chifukwa “Congress ikufuna kuletsa tsankho la kugonana chifukwa cha kusiyana kwachilengedwe pakati pa amuna ndi akazi.” Komanso, khoti lachigawo linapeza kuti HHS inalephera kuphatikizirapo kuti anthu asaloledwe m’chipembedzo ndi Gawo 1557 la Mutu IX.

Mu Okutobala 2019, Mgwirizano wa Franciscan Khotilo lidapereka chigamulo chake chomaliza ndipo lidatsimikiza kuti njira yoyenera ndikuchotsa lamulo lomaliza la 2016 lokhudza kudziwitsidwa kwa amuna kapena akazi komanso kuthetseratu pathupi pa tanthauzo la tsankho.

Lamulo lomaliza la 2020 limachepetsa tanthauzo la tsankho la kugonana

HHS idatulutsa Lamulo Lomaliza la 2020 la Gawo 1557 pa Juni 12, 2020. Kutengera dongosolo la Okutobala 2019 lochokera Mgwirizano wa FranciscanLamulo Lomaliza la 2020 linachotsa tanthauzo la Final Lamulo la 2016 la potengera jenda Sizinapereke tanthauzo latsopano la malamulo. Poyankha ndemanga za anthu, olemba lamulo lomaliza la 2020 adazindikira izi kugonana Kutengera “malingaliro oyambira komanso wamba” amatanthauza “kusiyana kwachilengedwe kwa amuna ndi akazi komwe anthu amagawana ndi nyama zina zoyamwitsa”. HHS inanena kuti mlandu wa Khoti Lalikulu pa Mutu IX “nthawi zonse umakhala ndi tanthauzo lachilengedwe komanso lachiwiri la [sex]. Udindowu udapangitsa kuti kuthetseratu kudziwika kwa amuna ndi akazi komanso malingaliro omwe si amuna kapena akazi okhaokha monga maziko a tsankho lokhudzana ndi kugonana pansi pa Gawo 1557. Mogwirizana ndi Mgwirizano wa Franciscan Lamulo la khothi, Lamulo Lomaliza la 2020 lidaphatikizanso zomwe zimapatsa othandizira azaumoyo kuti asaloledwe kuchotsa mimba komanso kutsutsa zachipembedzo kuchokera ku Gawo 1557 loletsa tsankho la kugonana.

Kukwaniritsa Lamulo Lomaliza la 2020 Kupitirizidwa

Pa Juni 15, 2020, patatha masiku angapo HHS itatulutsa Lamulo Lomaliza la 2020, Khothi Lalikulu ku United States linapereka chigamulo chake pa. Bostock vs Clayton County, 130 S. i. Resolution 1731 (2020) inanena kuti kusankhana chifukwa chokonda kugonana komanso kuzindikiridwa kuti ndi amuna kapena akazi ndi kusalana koletsedwa motengera jenda pansi pa Mutu VII wa Civil Rights Act ya 1964. HHS yalamula kuti malamulo ena omaliza a 2020 azitsatiridwa. zomwe zili mu Lamulo Lomaliza la 2016, kuphatikiza tanthauzo lokulitsidwa la potengera jenda.

Lamulo lomwe laperekedwa la 2022 likuwonjezera kutanthauzira kokulirapo kwa tsankho la kugonana

Monga tafotokozera HHS, lamulo loperekedwa la 2022 likufuna kuthana ndi tsankho potengera jendakuphatikizirapo kudziwika kuti ndi amuna kapena akazi komanso zokonda zogonana, zomwe zimagwirizana ndi kusunga Bostockndi malamulo oyenera amilandu ndi kutanthauzira kwa bungwe la federal. Mosiyana ndi lamulo lomaliza la 2016, lamulo loperekedwa la 2022 silinena potengera jenda Mu gawo la General Tariffs. M’malo mwake, kusankhana chifukwa cha kugonana kumatchulidwa momveka bwino m’magawo osagwirizana ndi lamulo la 2022. Lamulo loperekedwa la 2022 limati “[d]Kusankhana chifukwa cha kugonana kumaphatikizapo, koma osati, tsankho lotengera maganizo a amuna ndi akazi; makhalidwe a kugonana, kuphatikizapo makhalidwe a intersex; mimba kapena zina zokhudzana; zokhuza kugonana komanso kudziwika kwa amuna ndi akazi”.

Chifukwa chake, pomwe lamulo lomaliza la 2020 lidachotseratu tanthauzo lomaliza la tsankho la 2016. potengera jenda, lamulo la 2022 lomwe laperekedwa likukulitsa tanthauzo lake kuti liphatikizepo mwatsatanetsatane malingaliro omwe si amuna kapena akazi, mawonekedwe ogonana, komanso malingaliro ogonana ngati maziko a tsankho. HHS yafotokoza momveka bwino kuti kuphatikizidwa kwa malingaliro okhudzana ndi kugonana kumakhazikitsa chigamulo cha Khothi Lalikulu mu mtengo wa nyumba yamadzi. Kuphatikizidwa kwa machitidwe ogonana kumatengera malingaliro a HHS kuti tsankho lotengera momwe thupi limakhalira kapena momwe thupi limakhalira limatengera kugonana. Pomaliza, HHS imadalira BostockLingaliro lothandizira kuphatikizidwa kwa malingaliro okhudzana ndi kugonana ndi chidziwitso cha jenda. Pochita izi, HHS yawonetsa kusagwirizana kwake Mgwirizano wa Franciscan Khotilo linanena kuti kuphatikizika kwa chidziwitso cha jenda pa tanthauzo la jenda sikunali kogwirizana ndi Mutu IX, womwe udatengera tanthauzo lachiphamaso la jenda. HHS adazindikira kuti mu BostockKhothi Lalikulu laona kuti kusankhana pakati pa amuna ndi akazi pansi pa Mutu VII kumaphatikizapo kudziwika kuti ndi amuna kapena akazi komanso malingaliro ogonana ngakhale kuganiza kuti kugonana Zimatanthawuza kusiyana kwachilengedwe pakati pa amuna ndi akazi. Poganizira kufanana pakati pa malamulo oletsa kusankhana pakati pa amuna ndi akazi, Khoti Lalikulu Kwambiri ndi makhothi ena amilandu amalingalira matanthauzidwe a Mutu VII kuti adziwitse Mutu IX. Sipangakhale kukaikira kuti padzakhala zovuta zamalamulo pakutanthauzira kwakukulu kwa tsankho zomwe zili muulamuliro womwe waperekedwa wa 2022. potengera jenda. Zidzakhala zosangalatsa kuona momwe makhothi a federal akupitirizira kutanthauzira tanthauzo lalamulo la tsankho la kugonana ndi zotsatira za kusinthika kumeneku pakupereka chithandizo chamankhwala.

© Copyright 2022 Squire Patton Boggs (US) LLPNational Law Review, Volume XII, No. 250

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