45 CFR 156.125 : Public Welfare (Part 1 To Parts 2557-2599) — (Part 1 To Parts 171-199) — Department Of Health And Human Services (Part 1 To Parts 171-199) — Requirements Relating To Health Care Access (Parts 140-143 To § 159.120) — Health Insurance Issuer Standards Under The Affordable Care Act, Including Standards Related To Exchanges (§ 156.10 To § 156.1256) — Essential Health Benefits Package (§ 156.100 To § 156.155) — Prohibition on discrimination.

4 Aug 2016

(a) An issuer does not provide EHB if its benefit design, or the implementation of its benefit design, discriminates based on an individual's age, expected length of life, present or predicted disability, degree of medical dependency, quality of life, or other health conditions.

(b) An issuer providing EHB must comply with the requirements of § 156.200(e) of this subchapter; and

(c) Nothing in this section shall be construed to prevent an issuer from appropriately utilizing reasonable medical management techniques.

45 CFR 156.125