A Chamber working group will analyze the new legislation on compulsory health insurance coverage – News

Plano de saúde, seguro saúde, convênio, médico

06/23/2022 – 11:28

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MEPs to discuss compulsory medical insurance cover

The Chamber of Deputies has created a working group to analyze the new legislation on the compulsory reimbursement of treatments by health schemes. Since the Superior Court of Justice (STJ) decided that operators are only required to comply with therapies listed on the Complementary National Health Agency (ANS) list, various MPs have presented proposals to reverse the effects of decision.

The working group will be coordinated by Deputy Cezinha de Madureira (PSD-SP) and reported by Deputy Hiran Gonçalves (PP-RR). There are a total of 15 members, who have 90 days, extendable for an equal period, to complete the work.

Hearings and public meetings can be organized with bodies and entities of organized civil society, as well as with professionals in the field.
health, lawyers and authorities.

The decision to create the group was announced by the President of the Chamber, Arthur Lira (PP-AL), in plenary session on Tuesday (21). On the occasion, he recalled that before the vote of the STJ, there had been a meeting of the deputies with representatives of the ANS and with the mothers of patients in continuous treatment, who defend the return of the exemplary list . According to him, the idea is to seek balance, with maximum attention to the subject.

One of the group’s participants, MP Túlio Gadelha (Rede-PE) called the STJ’s decision absurd. For him, the Chamber must legislate on the subject.

The list of SLAs is basic and does not cover, for example, treatments with recently approved drugs, certain types of oral chemotherapy and radiotherapy, and surgeries with robotic techniques. With the tax list, schemes are exempted from having to pay for treatments like this.

Report – Luiz Claudio Canuto
Editing – Rachel Librelon

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