A bill to assure fairness and choice to patients and providers under managed care health benefit plans, and for other purposes.
TABLE OF CONTENTS:
Title I: Protection of Consumer Choice
Title II: Certification of Managed Care Plans and Utilization
Review Programs
Title III: Choice of Health Plans for Enrollment
Patient Protection Act of 1994 - Title I: Protection of Consumer Choice - Declares that this Act shall not be construed as prohibiting either: (1) an individual from purchasing health care services with his own funds, whether such services are covered within any benefits package otherwise available; or (2) an employer from providing benefit coverage in addition to any benefits package otherwise available.
Title II: Certification of Managed Care Plans and Utilization Review Programs - Sets forth a certification scheme for managed care plans and for qualified utilization review programs.
Title III: Choice of Health Plans for Enrollment - Requires each health benefit plan sponsor, including a self-insured sponsor, to provide a choice among the health plans offered.
Sets forth choice and payment disclosure requirements for point of service plans.
Introduced in Senate
Sponsor introductory remarks on measure. (CR S6945-6946)
Read twice and referred to the Committee on Labor and Human Resources.
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