Which of the following statements best describes the scope of operations subject to Section 1557 under the 2020 Final Rule? a. The scope of operations subject to Section 1557 under the Trump Administration’s 2020 Final Rule remains the same as the scope of operations covered by the Obama Administration’s 2016 Final Rule.
b. Entities principally engaged in health care, which includes health insurers, must comply with Section 1557 for all programs they offer.
c. Health insurers under the 2020 Final Rule are completely exempt from the scope of 1557because they are not considered to be principally engaged in delivering health care.
d. Health insurers under the 2020 Final Rule are not considered to be principally engaged in delivering health care, and thus lines of business that do not receive federal funding or administered under Title I of the ACA, such as life insurance, do not fall under the scope of 1557.

d. Health insurers under the 2020 Final Rule are not considered to be principally engaged in delivering health care, and thus lines of business that do not receive federal funding or administered under Title I of the ACA, such as life insurance, do not fall under the scope of 1557.

Explanation:

The scope of operations subject to Section 1557 under the 2020 Final Rule provided some modifications to the 2016 Final Rule under the Obama administration. Under this rule, discrimination on the basis of sex and gender identity was returned to what it was known as before the 2016 final rule(which classified discrimination on the basis of sex to include, gender, false pregnancy, aborted pregnancy, pregnancy, and childbirth conditions). The 2020 final rule defines gender identity as the status quo recognized by science and genetics.

Health Insurers are not principally engaged in delivering healthcare. But when any of their services include a benefit that involves the government's financial assistance, then they may comply with the 2020 final rule under section 1557.  

ACA section 1557 differs from earlier legislation to protect against discrimination based on sex. This section is also concerned with disability of a person, this ensures that a person should be provided physical access.

The statement which best describes the scope of operation to section 1557 under 2020 final rule is statement D.

Health insurers under the 2020 final rule are not considered to be principally engaged in delivering health care, and thus lines of business that do not receive federal funding or administered under Title I of the ACA, such as life insurance, do not fall under the scope of 1557.

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that is correct.