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H.R.2723
Bipartisan Consensus Managed Care Improvement Act of 1999 (Introduced in the House)
Table of Contents:
Beginning
August 5, 1999
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
Sec. 1. Short title; table of contents.
Subtitle A--Grievances and Appeals
TITLE I--IMPROVING MANAGED CARE
Subtitle A--Grievance and Appeals
SEC. 101. UTILIZATION REVIEW ACTIVITIES.
SEC. 102. INTERNAL APPEALS PROCEDURES.
SEC. 103. EXTERNAL APPEALS PROCEDURES.
SEC. 104. ESTABLISHMENT OF A GRIEVANCE PROCESS.
Subtitle B--Access to Care
SEC. 111. CONSUMER CHOICE OPTION.
SEC. 112. CHOICE OF HEALTH CARE PROFESSIONAL.
SEC. 113. ACCESS TO EMERGENCY CARE.
SEC. 114. ACCESS TO SPECIALTY CARE.
SEC. 115. ACCESS TO OBSTETRICAL AND GYNECOLOGICAL CARE.
SEC. 116. ACCESS TO PEDIATRIC CARE.
SEC. 117. CONTINUITY OF CARE.
SEC. 118. ACCESS TO NEEDED PRESCRIPTION DRUGS.
SEC. 119. COVERAGE FOR INDIVIDUALS PARTICIPATING IN APPROVED CLINICAL TRIALS.
Subtitle C--Access to Information
SEC. 121. PATIENT ACCESS TO INFORMATION.
Subtitle D--Protecting the Doctor-Patient Relationship
SEC. 131. PROHIBITION OF INTERFERENCE WITH CERTAIN MEDICAL COMMUNICATIONS.
SEC. 132. PROHIBITION OF DISCRIMINATION AGAINST PROVIDERS BASED ON LICENSURE.
SEC. 133. PROHIBITION AGAINST IMPROPER INCENTIVE ARRANGEMENTS.
SEC. 134. PAYMENT OF CLAIMS.
SEC. 135. PROTECTION FOR PATIENT ADVOCACY.
Subtitle E--Definitions
SEC. 151. DEFINITIONS.
SEC. 152. PREEMPTION; STATE FLEXIBILITY; CONSTRUCTION.
SEC. 153. EXCLUSIONS.
SEC. 154. COVERAGE OF LIMITED SCOPE PLANS.
SEC. 155. REGULATIONS.
SEC. 201. APPLICATION TO GROUP HEALTH PLANS AND GROUP HEALTH INSURANCE COVERAGE.
`SEC. 2707. PATIENT PROTECTION STANDARDS.
SEC. 202. APPLICATION TO INDIVIDUAL HEALTH INSURANCE COVERAGE.
`SEC. 2753. PATIENT PROTECTION STANDARDS.
TITLE III--AMENDMENTS TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974
`SEC. 714. PATIENT PROTECTION STANDARDS.
SEC. 302. ERISA PREEMPTION NOT TO APPLY TO CERTAIN ACTIONS INVOLVING HEALTH INSURANCE POLICYHOLDERS.
TITLE IV--APPLICATION TO GROUP HEALTH PLANS UNDER THE INTERNAL REVENUE CODE OF 1986
SEC. 401. AMENDMENTS TO THE INTERNAL REVENUE CODE OF 1986.
`SEC. 9813. STANDARD RELATING TO PATIENTS' BILL OF RIGHTS.
TITLE V--EFFECTIVE DATES; COORDINATION IN IMPLEMENTATION
SEC. 501. EFFECTIVE DATES.
SEC. 502. COORDINATION IN IMPLEMENTATION.
TITLE VI--HEALTH CARE PAPERWORK SIMPLIFICATION
SEC. 601. HEALTH CARE PAPERWORK SIMPLIFICATION.