AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
Study online at https://quizlet.com/_hh0s77
1. Under ACA Section 1557, a health plan premium charge higher premiums.
sold through a state exchange may, based on an
individual's age and
2. As a result of violations of ACA Section 1557 a health plan may revoke an agent
nondiscrimination rules, or broker's appointment with the
health plan.
3. ACA Section 1557 rules for disability concern policies and procedures, physical ac-
cess, and communication.
4. Which Medicare programs are covered by ACA Parts A, C, and D, and Part B.
Section 1557 under the Biden Administration's
Final Rule (2024)?
5. Which of the following statements best de- Section 1557 incorporates earlier
scribes Section 1557 of the Affordable Care Act civil rights protections in regard to
(ACA)? race, color, national origin, disability,
age and sex.
6. Section 1557 of the Affordable Care Act applies all health programs and activities ad-
to ministered by or receiving federal fi-
nancial assistance from HHS.
7. Which of the following would be considered per- Broker Mary Jones has recruited a
missible under Section 1557? diverse workforce. She encourages
her agents to prospect through com-
munity-based marketing and within
their community of influence.
8. Which of these actions is most likely to be per- Allowing a child to interpret in an
mitted in dealing with a person with limited Eng- emergency.
lish proficiency?
1/8
, AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
Study online at https://quizlet.com/_hh0s77
9. Which of the following statements best de- Entities principally engaged in
scribes the scope of operations subject to Sec- health care, which includes health
tion 1557 under the Final Rule (2024) of the insurers, must comply with Section
Biden Administration? 1557 for all programs they offer.
10. For a health plan, what are the possible conse- Loss of federal business and com-
quences of violations of ACA Section 1557? pensatory damages.
11. Auxiliary aids and services must be provided to I, II, III, and IV
individuals with disabilities, such as those suf-
fering from vision or hearing impairments, free
of charge, and in a timely manner. Auxiliary aids
and services include which of the following:
I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software
12. Under ACA Section 1557, a health plan cannot deny coverage to LEP indi-
viduals and is required to provide
language assistance to them, free of
charge.
13. Under Section 1557, the 2020 Final Rule issued as biologic sex only, meaning
during the Trump Administration sex was initial- whether a person was determined to
ly defined____________ be male or female at birth.
14. Which entity enforces Section 1557 for pro- The Office of Civil Rights (OCR) of
grams that receive funding from and are admin- HHS.
istered by HHS?
15. You are performing a regular inventory of the Follow your pharmacy's procedures.
controlled substances in the pharmacy. You
2/8
AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
Study online at https://quizlet.com/_hh0s77
1. Under ACA Section 1557, a health plan premium charge higher premiums.
sold through a state exchange may, based on an
individual's age and
2. As a result of violations of ACA Section 1557 a health plan may revoke an agent
nondiscrimination rules, or broker's appointment with the
health plan.
3. ACA Section 1557 rules for disability concern policies and procedures, physical ac-
cess, and communication.
4. Which Medicare programs are covered by ACA Parts A, C, and D, and Part B.
Section 1557 under the Biden Administration's
Final Rule (2024)?
5. Which of the following statements best de- Section 1557 incorporates earlier
scribes Section 1557 of the Affordable Care Act civil rights protections in regard to
(ACA)? race, color, national origin, disability,
age and sex.
6. Section 1557 of the Affordable Care Act applies all health programs and activities ad-
to ministered by or receiving federal fi-
nancial assistance from HHS.
7. Which of the following would be considered per- Broker Mary Jones has recruited a
missible under Section 1557? diverse workforce. She encourages
her agents to prospect through com-
munity-based marketing and within
their community of influence.
8. Which of these actions is most likely to be per- Allowing a child to interpret in an
mitted in dealing with a person with limited Eng- emergency.
lish proficiency?
1/8
, AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
AHIP - Discrimination, Fraud, Waste, & Abuse - 2026
Study online at https://quizlet.com/_hh0s77
9. Which of the following statements best de- Entities principally engaged in
scribes the scope of operations subject to Sec- health care, which includes health
tion 1557 under the Final Rule (2024) of the insurers, must comply with Section
Biden Administration? 1557 for all programs they offer.
10. For a health plan, what are the possible conse- Loss of federal business and com-
quences of violations of ACA Section 1557? pensatory damages.
11. Auxiliary aids and services must be provided to I, II, III, and IV
individuals with disabilities, such as those suf-
fering from vision or hearing impairments, free
of charge, and in a timely manner. Auxiliary aids
and services include which of the following:
I. large print materials
II. qualified sign language interpreters
III. braille materials and displays
IV. screen reader software
12. Under ACA Section 1557, a health plan cannot deny coverage to LEP indi-
viduals and is required to provide
language assistance to them, free of
charge.
13. Under Section 1557, the 2020 Final Rule issued as biologic sex only, meaning
during the Trump Administration sex was initial- whether a person was determined to
ly defined____________ be male or female at birth.
14. Which entity enforces Section 1557 for pro- The Office of Civil Rights (OCR) of
grams that receive funding from and are admin- HHS.
istered by HHS?
15. You are performing a regular inventory of the Follow your pharmacy's procedures.
controlled substances in the pharmacy. You
2/8
