Group Health Plan Prosthetics Parity Act of 2007
Latest action · Mar 13, 2008 Referred to the House Committee on Education and Labor.
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.
- IntroducedMar 13, 2008
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
Group Health Plan Prosthetics Parity Act of 2007 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan that provides both medical and surgical benefits and benefits for prosthetic devices and components to provide prosthetics coverage under terms and conditions that are no less favorable than those applicable to substantially all medical and surgical benefits provided under the plan.
Prohibits the prosthetics benefit from being subject to separate or more restrictive financial requirements or more restrictive treatment limitations.
Applies the requirements of this Act separately with respect to in-network and out-of-network benefits.
Requires a group health plan to apply the same prior authorization requirements to the prosthetics benefit as apply for all similar benefits under the plan.
Limits the required prosthetics benefit to the most appropriate model that adequately meets the medical requirements of the patient. Includes repair or replacement of prosthetic devices and components within such coverage.
Prohibits a group health plan from imposing any annual or lifetime dollar limitation on the prosthetics benefit that is not applied in the aggregate to all medical and surgical benefits provided under the plan.
Requires the Secretary of Labor to: (1) assist participants and beneficiaries with any questions or problems regarding compliance with the requirements of this Act; and (2) conduct random audits of group health plans to ensure compliance.
Requires the Comptroller General to evaluate the effects of this Act, including on the cost of and access to heath insurance coverage.
Cosponsors 28
Members who signed on, in the order they did. Signatures ran from Mar 13, 2008 to Dec 9, 2008, with 4 there on the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-CA | George Miller | Original | Mar 13, 2008 |
| R-FL | Lincoln Diaz-Balart | Original | Mar 13, 2008 |
| R-FL | Mario Diaz-Balart | Original | Mar 13, 2008 |
| R-PA | Todd Russell Platts | Original | Mar 13, 2008 |
| D-IN | André Carson | Apr 30, 2008 | |
| R-NY | Peter T. King | May 7, 2008 | |
| D-IA | Bruce L. Braley | May 13, 2008 | |
| D-CA | Bob Filner | May 19, 2008 | |
| D-AZ | Raúl M. Grijalva | May 19, 2008 | |
| D-NJ | Donald M. Payne | Jun 12, 2008 | |
| D-NY | Carolyn B. Maloney | Jun 18, 2008 | |
| D-NY | Jerrold Nadler | Jun 18, 2008 | |
| D-CA | Maxine Waters | Jun 18, 2008 | |
| D-PA | Michael F. Doyle | Jun 18, 2008 | |
| D-VT | Peter Welch | Jun 18, 2008 |
Actions 2
Everything that happened, newest first.
- Mar 13, 2008Introduced in House
- Mar 13, 2008Referred to the House Committee on Education and Labor.
Related bills 1
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 3517 | Prosthetics Parity Act of 2008 | Related bill | Sep 18, 2008 |
Subjects
Assigned by the Library of Congress. Policy area: Health.
- Access to health care
- Administrative remedies
- Auditing
- Civil Rights and Liberties, Minority Issues
- Coinsurance
- Congress
- Congressional investigations
- Congressional reporting requirements
- Department of Labor
- Discrimination in insurance
- Discrimination in medical care
- Employee health benefits
- Finance and Financial Sector
- Government Operations and Politics
- Government publicity
- Health
- Health insurance
- Labor and Employment
- Law
- Medical economics
- Prosthesis
- Quality of care
Text 1
Each version as it was printed, newest first.
- Mar 13, 2008Introduced 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.