Regulations last checked for updates: May 01, 2025

Title 45 - Public Welfare last revised: Apr 23, 2025
§ 152.20 - Prohibitions on pre-existing condition exclusions and waiting periods.

(a) Pre-existing condition exclusions. A PCIP must provide all enrollees with health coverage that does not impose any pre-existing condition exclusions (as defined in § 152.2) with respect to such coverage.

(b) Waiting periods. A PCIP may not impose a waiting period with respect to the coverage of services after the effective date of enrollment.

authority: Sec. 1101 of the Patient Protection and Affordable Care Act (Pub. L. 111-148)
source: 75 FR 45029, July 30, 2010, unless otherwise noted.
cite as: 45 CFR 152.20