The latest compliance deadline for the anti-discrimination provision of the Affordable Care Act outlawing gender and pregnancy-related bias goes into effect Sunday, and health care providers and insurers, as well as some other companies, will face legal and compliance challenges because of them, benefits attorneys said.

The U.S. Department of Health and Human Services released final rules on Section 1557 in May, and the rollout of the rules began in July. Section 1557 protects patients from discrimination in health care practices and insurance plans based on race, sex, color, age, disability and national origin. It is the first health care law to outlaw sex-based discrimination and protects gender identity, pregnancy and transgender status in health care. The provision applies to any health care entity receiving U.S. government funding from Health and Human Services including Medicaid and Medicare, meaning that many hospitals, clinics and health insurance companies are covered.

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