HR 11345 · 93th Congress · Health
National Comprehensive Health Benefits Act
Bill Progress
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Introduced2
Committee3
House Vote4
Senate5
EnactedLatest: Referred to House Committee on Interstate and Foreign Commerce.(1973-11-08)
Plain Language Summary
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National Comprehensive Health Benefits Act - Requires a health maintenance organization to have a fiscally sound operation or carry insurance which protects its members against the risk of its becoming insolvent. Requires a health maintenance organization to provide basic and supplemental health services to its members. Defines "basic health services" as: (1) physician services (including consultant and referral services by a physician); (2) in-patient and out-patient hospital services; (3) diagnostic laboratory and diagnostic and therapeutic radiologic services; (4) mental health services, up to forty-five ambulatory visits or sessions under a program for the treatment of mental illness, alcoholism, or problems of drug abuse and drug dependence, and twenty-one in-patient hospital days per year; (5) home health services; and (6) preventive health services (including preventive dental care for children and children's eye examinations conducted to determine the need for vision correction). Defines "supplemental health services" as: (1) services of facilities for long-term care; (2) vision care not included under basic health services; (3) dental services not included under basic heal…
Summarized by Claude AI · Non-partisan · For informational purposes only