HR 979 · 110th Congress · Health
Bipartisan Consensus Managed Care Improvement Act of 2007
Bill Progress
✓
Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Referred to the Subcommittee on Health, Employment, Labor, and Pensions.(2007-06-05)
Plain Language Summary
[AI summary unavailable — showing source text]
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 effe…
Summarized by Claude AI · Non-partisan · For informational purposes only