H.R. 5615 · 110th Congress
Group Health Plan Prosthetics Parity Act of 2007
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Never voted on. It didn't reach a floor vote before the 110th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.
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AndrewsSponsor28 cosponsors · 19 D, 9 R
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Diaz-Balart
MD
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Diaz-Balart
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Miller
TP
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Platts
AC
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Carson
PK
R
King
BB
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Braley
BF
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Filner
RG
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Grijalva
DP
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Payne
WC
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Clay
MD
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Doyle
CM
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Maloney
JN
D
Nadler
ZW
R
Wamp
MW
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Waters
PW
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Welch
GG
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Giffords
NL
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Lowey
HC
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Coble
JT
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Tierney
LF
R
Fortuño
LT
R
Terry
JC
D
Courtney
CV
D
Van Hollen
TR
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Ryan
TH
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Holden
TP
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Petri4 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
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…
What it does: CRS summary · Introduced in House · Mar 13, 2008
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.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Group Health Plan Prosthetics Parity Act of 2007
Latest action (Mar 13, 2008): Referred to the House Committee on Education and Labor.
Policy area: Health · Origin: House · Introduced: Mar 13, 2008
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.