HR 2259 · 109th Congress · Health
Patients' Bill of Rights Act of 2005
Bill Progress
✓
Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Referred to the Subcommittee on Employer-Employee Relations.(2005-05-31)
Plain Language Summary
[AI summary unavailable — showing source text]
Patients' Bill of Rights Act of 2005 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to set forth requirements for health plans or issuers of health insurance coverage, including requirements for: (1) utilization review activities; (2) procedures for claims benefits processing, prior authorization determinations, appeals, and internal reviews; and (3) access for an independent, external review. Requires the Secretary of Health and Human Services to establish the Health Care Consumer Assistance Fund to award grants to States for consumer assistance activities designed to provide information, assistance, and referrals to consumers of health insurance products. Sets forth requirements for managed care programs and their access to care, including requiring such programs to: (1) offer coverage that allows for non-network coverage through another plan or issuer; (2) provide access to out-of-network emergency care without prior authorization; and (3) provide timely access to specialists. Requires certain annual disclosures from health plans or issuers, including disclosures of covered benefits, cost-sharing…
Summarized by Claude AI · Non-partisan · For informational purposes only
Cosponsors (20)
20 Democrats