H.R. 2497 — Managed Care Bill of Rights for Consumers Act of 2001

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.

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Legislative Actions

2001-07-12
Introduced in House
2001-07-12
Introduced in House
2001-07-12
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.
2001-07-12
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.
2001-07-12
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.
2001-07-31
Referred to the Subcommittee on Health.
2001-11-02
Referred to the Subcommittee on Employer-Employee Relations.

Managed Care Bill of Rights for Consumers Act of 2001

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