A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage.
Sets forth standards relating to: (1) grievance and appeals procedures; (2) access to care; (3) access to information; and (4) protection of the doctor-patient relationship.
Applies such quality care and patient protection standards to group health plans, group health coverage, and individual health coverage under specified provisions of PHSA, ERISA, and IRC.
Directs the Secretaries of Labor, of Health and Human Services (HHS), and of the Treasury to ensure coordination in the implementation of this Act.
Establishes the Health Care Panel to Devise a Uniform Explanation of Benefits. Requires the Panel to devise a single form for use by third-party health care payers for remittance of claims to providers. Directs the Secretary of HHS to determine the composition of the Panel, including equal numbers of representatives from specified types of groups.
Prohibits this Act from having any effect upon the Social Security Act or its trust funds.
Introduced in Senate
Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S101-113)
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