Congress 107 - HR 2497 - Managed Care Bill of Rights for Consumers Act of 2001

Sponsor

Cosponsors

Topics

Access to health care Administrative remedies Civil Rights and Liberties, Minority Issues Commerce Communication in medicine Contracts Discrimination in insurance Discrimination in medical care Drugs Emergency Management Emergency medical services Employee health benefits Federal advisory bodies Federal preemption Finance and Financial Sector Freedom of speech Government Operations and Politics Grievance procedures Gynecology Health Health insurance Health insurance continuation Health maintenance organizations Labor and Employment Labor contracts Language and languages Law Liability (Law) Managed care Medical malpractice Obstetricians Obstetrics Patients' rights Physician-patient privilege Physicians Quality of care Standards State laws Translating and interpreting Women Women's health Wrongful death

Full Text

View Full Bill Text

Votes

Summary

Managed Care Bill of Rights for Consumers Act of 2001 - Amends the Public Health Service Act to set forth requirements for managed care plans, including requirements concerning: (1) prohibiting limiting services (if covered) that are medically necessary and appropriate; (2) second opinions; (3) choice of providers and specialists; (4) continuation of coverage; (5) coverage of emergency services without regard to whether the provider has an arrangement with the plan and without prior authorization; (6) prohibiting financial incentives to reduce or limit medically necessary services; (7) prohibiting agreements between plans and health professionals restricting medical communications between health professionals and their patients; (8) grievance and appeals procedures; (9) prohibiting discrimination against enrollees or providers on the basis of health status, anticipated need for services, and other specified reasons; (10) confidentiality; and (11) prescription drugs.

Establishes a Managed Care Consumer Advisory Commission to assist consumers in assessing services, understanding and exercising their rights and responsibilities, and making an informed and appropriate plan choice.

Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan (and a health insurance issuer offering group coverage) to comply with the above amendments to the Public Health Service Act.

Actions

Nov 2, 2001

Referred to the Subcommittee on Employer-Employee Relations.
Jul 31, 2001

Referred to the Subcommittee on Health.
Jul 12, 2001

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Jul 12, 2001

Introduced in House

Amendments

Related Bills