Patient Protection Act of 2005
Latest action · Jul 11, 2005 Referred to the Subcommittee on Employer-Employee Relations.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedMay 26, 2005
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
Patient Protection Act of 2005 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to set forth requirements for health plans or issuers of health insurance coverage, including requirements for: (1) utilization review activities; (2) procedures for claims benefits processing, prior authorization determinations, appeals, and internal reviews; and (3) access for an independent, external review.
Requires the Secretary of Health and Human Services to establish the Health Care Consumer Assistance Fund to award grants to States for consumer assistance activities designed to provide information, assistance, and referrals to consumers of health insurance products.
Sets forth requirements for managed care programs and their access to care, including requiring such programs to: (1) offer coverage that allows for non-network coverage through another plan or issuer; (2) provide access to out-of-network emergency care without prior authorization; and (3) provide timely access to specialists.
Requires certain annual disclosures from health plans or issuers, including disclosures of covered benefits, cost-sharing requirements, and participating providers.
Prohibits a plan or issuer from: (1) restricting a health care professional's ability to advise a patient on the health of an individual or on medical care or treatment for the individual's condition or disease; and (2) operating any physician incentive plan.
Cosponsors 2
Members who signed on, in the order they did. All signed on Jun 13, 2005.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| R-NY | John M. McHugh | Jun 13, 2005 | |
| D-TX | Sheila Jackson Lee | Jun 13, 2005 |
Actions 5
Everything that happened, newest first.
- Jul 11, 2005Referred to the Subcommittee on Employer-Employee Relations.
- Jun 17, 2005Referred to the Subcommittee on Health.
- Jun 15, 2005Referred to the Subcommittee on Health.
- May 26, 2005Introduced in House
- May 26, 2005Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, 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.
Related bills 2
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 1012 | Patients' Bill of Rights Act of 2005 | Related bill | May 12, 2005 |
| HR 2259 | Patients' Bill of Rights Act of 2005 | Related bill | May 31, 2005 |
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Access to health care
- Administrative procedure
- Administrative remedies
- Armed Forces and National Security
- Breast cancer
- Cancer
- Child health
- Civil actions and liability
- Civil Rights and Liberties, Minority Issues
- Clinical trials
- Commerce
- Communication in medicine
- Confidential communications
- Congress
- Congressional investigations
- Congressional reporting requirements
- Consumer complaints
- Consumer education
- Consumer protection
- Delegation of powers
- Department of Health and Human Services
- Department of Labor
- Department of the Treasury
- Discrimination in insurance
- Discrimination in medical care
- Drugs
- Economics and Public Finance
- Emergency Management
- Emergency medicine
- Employee health benefits
- Families
- Federal preemption
- Federal-state relations
- Finance and Financial Sector
- Freedom of speech
- Government contractors
- Government employees' health insurance
- Government Operations and Politics
- Government publicity
- Government trust funds
- Grievance procedures
- Gynecology
- Health
- Health insurance
- Health insurance continuation
- Health maintenance organizations
- Indian medical care
- Insurance premiums
- Labor and Employment
- Law
- Legislation
- Liability (Law)
- Licenses
- Managed care
- Mastectomy
- Medicaid
- Medical economics
- Medical malpractice
- Medically uninsured
- Medicare
- Military medicine
- Minorities
- Native Americans
- Obstetrics
- Old age, survivors and disability insurance
- Ovarian cancer
- Patient satisfaction
- Patients' rights
- Physician-patient privilege
- Physicians
- Preventive medicine
- Quality of care
- Social Welfare
- Standards
- State laws
- Surgery
- Telephone
- Veterans' medical care
- Women
- Women's health
Text 1
Each version as it was printed, newest first.
- May 26, 2005Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov.