H.R. 979 · 110th Congress
Bipartisan Consensus Managed Care Improvement 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.
R
NorwoodSponsor1 cosponsor · 1 D
1 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
Bipartisan Consensus Managed Care Improvement Act of 2007 - Sets forth standards for group health plans, including: (1) requiring plans to conduct utilization review activities in accordance with this Act; (2) establishing internal and external appeals processes; (3) requiring a grievance system; (4) requiring the plans to offer out-of network coverage; (5)…
What it does: CRS summary · Introduced in House · Feb 12, 2007
Bipartisan Consensus Managed Care Improvement Act of 2007 - Sets forth standards for group health plans, including: (1) requiring plans to conduct utilization review activities in accordance with this Act; (2) establishing internal and external appeals processes; (3) requiring a grievance system; (4) requiring the plans to offer out-of network coverage; (5) prohibiting plans from requiring prior authorization for emergency services; (6) prohibiting prior authorization requirements for access to obstetrical or gynecological care; (7) requiring plans to provide for continuity of care during a transition period; (8) requiring plans to provide exceptions to formulary limitations; (9) prohibiting plans from restricting a health care professional from advising patients about health status or medical care; and (10) requiring prompt payment of claims.
Amends the Public Health Service Act, the Employee Retirement Income Security Act (ERISA), and the Internal Revenue Code to require group health plans to comply with the patient protection requirements of this Act. Requires health insurance issuers offering individual health insurance coverage to comply with such requirements.
Sets forth effective dates and provisions regarding application of this Act to collective bargaining agreements.
Requires the Secretaries of Labor, Health and Human Services, and Treasury to ensure coordination of the administration of this Act.
Establishes the Health Care Panel to Devise a Uniform Explanation of Benefits to devise a single form for use by third-party health care payers for the remittance of claims to providers.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
About this bill and sources
Official title: Bipartisan Consensus Managed Care Improvement Act of 2007
Latest action (Jun 5, 2007): Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
Policy area: Health · Origin: House · Introduced: Feb 12, 2007
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)
No recorded floor vote found.