HR 1415 · 105th Congress · Health
Patient Access to Responsible Care Act of 1997
Bill Progress
✓
Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Sponsor introductory remarks on measure. (CR H10893)(1998-10-14)
Plain Language Summary
[AI summary unavailable — showing source text]
Patient Access to Responsible Care Act of 1997 - Amends the Public Health Service Act to require a health insurance issuer to: (1) assure that covered items and services are available and accessible to each enrollee; (2) assure the availability and accessibility of emergency services and urgent care 24 hours a day, 7 days a week; (3) not require prior authorization for emergency services; and (4) cover emergency and urgent (and related ancillary) services. Requires an issuer offering network coverage to show that enrollees have access to specialized treatment. Regulates network incentive plans. Requires an issuer to: (1) permit each network enrollee to select a personal health professional from participating professionals; (2) cover nonparticipating providers, regulating premiums and cost sharing; (3) avoid undue enrollee burden from care coordination and cost control processes; (4) ensure direct specialist access; (5) provide for continuity of care for those with special needs or a chronic condition; and (6) provide for continued coverage in certain circumstances. Prohibits issuer discrimination on the basis of specified factors against individuals or providers. Prohibits any issu…
Summarized by Claude AI · Non-partisan · For informational purposes only
Cosponsors (20)
7 Democrats13 Republicans