Bill No. 2033/2022 was approved by the Senate on Monday, 29, which amends the current legislation, as this lays down coverage of exams or even health treatments that are not included in the list of supplementary health procedures and events. Now, the proposal needs to receive the sanction of the president.
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Explaining in a practical way, now the law is able to force health plans to cover procedures as well as treatments that are outside the list established by the National Health Agency (ANS).
In short, this PL says that if a treatment is not part of the ANS list, the plan will need to cover it in cases where there is proof that the treatment is effective. It is also necessary to present the recommendation made by the National Commission for the Incorporation of Technologies in the SUS, or i.e. an indication of at least one body used to evaluate health technologies that is reputed International.
We can also point out that the STJ decided on June 8 that the list of procedures made available would only be exhaustive, that is, the plans would cover only the procedures foreseen in the list that had already been defined previously. The decision taken by the ministers meant that only the treatments that were listed in the ANS were obligatorily covered by health plans.
Patients who had their treatments, exams and also surgeries guaranteed through some court injunction could have this right questioned. Another point is that the future needs that an individual might have that were not on the list would also become increasingly difficult to be respected by any possible recurrence legal.
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