3.0.0 1012 2023-01-13T04:47:46Z 2023-01-13T04:47:46Z Senate S S 2005-05-12 109 ssfi00 Finance Committee Senate Standing Referred to 2005-05-12T18:51:55Z Patient Protection Act of 2005 109 2650 HR 2005-07-11 Referred to the Subcommittee on Employer-Employee Relations. Related bill CRS Patients' Bill of Rights Act of 2005 109 2259 HR 2005-05-31 Referred to the Subcommittee on Employer-Employee Relations. Identical bill CRS 2005-05-12 ssfi00 Finance Committee Senate Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S5075-5099) IntroReferral 2005-05-12 Sponsor introductory remarks on measure. (CR S5075) IntroReferral B00100 9 Library of Congress 2005-05-12 Introduced in Senate IntroReferral 10000 9 Library of Congress K000105 Sen. Kennedy, Edward M. [D-MA] EDWARD KENNEDY D MA MOORE N H000206 Sen. Harkin, Tom [D-IA] THOMAS HARKIN D IA RICHARD 2005-05-12 True M000702 Sen. Mikulski, Barbara A. [D-MD] BARBARA MIKULSKI D MD ANN 2005-05-12 True M001111 Sen. Murray, Patty [D-WA] Patty Murray D WA 2005-05-12 True R000122 Sen. Reed, Jack [D-RI] John Reed D RI F. 2005-05-12 True L000261 Sen. Levin, Carl [D-MI] CARL LEVIN D MI MILTON 2005-05-12 True L000123 Sen. Lautenberg, Frank R. [D-NJ] FRANK LAUTENBERG D NJ R. 2005-05-12 True B000711 Sen. Boxer, Barbara [D-CA] BARBARA BOXER D CA 2005-05-12 True D000432 Sen. Dorgan, Byron L. [D-ND] BYRON DORGAN D ND LESLIE 2005-05-12 True S000148 Sen. Schumer, Charles E. [D-NY] Charles Schumer D NY E. 2005-05-12 True C000127 Sen. Cantwell, Maria [D-WA] Maria Cantwell D WA 2005-05-12 True C001042 Sen. Corzine, Jon S. [D-NJ] JON CORZINE D NJ S. 2005-05-12 True D000596 Sen. Dayton, Mark [D-MN] MARK DAYTON D MN 2005-05-12 True S000770 Sen. Stabenow, Debbie [D-MI] Debbie Stabenow D MI 2005-05-12 True Health Abortion Access to health care Accreditation (Medical care) Administrative procedure Administrative remedies Ambulances Breast cancer Cancer Case management Charitable contributions Child health Civil Rights and Liberties, Minority Issues Civil actions and liability Clinical trials Coinsurance Collective bargaining Commerce Communication in medicine Confidential communications Conflict of interests Congress Congressional investigations Congressional reporting requirements Consumer complaints Consumer education Cooperative societies Corporation directors Damages Department of Health and Human Services Department of Labor Directories Discrimination in insurance Discrimination in medical care Donation of organs, tissues, etc. Drugs Economics and Public Finance Emergency Management Emergency medicine Employee health benefits Employers' liability Evaluation research (Social action programs) Evidence (Law) Excise tax Families Federal employees Federal preemption Federal-state relations Fees Finance and Financial Sector Fines (Penalties) Foundations Freedom of speech Government Operations and Politics Government contractors Government employees' health insurance Government paperwork Government publicity Government trust funds Governmental investigations Grants-in-aid Grievance procedures Gynecology Health insurance Health insurance continuation Health maintenance organizations Health planning Hospital care Housing and Community Development Humans Income tax Injunctions Insurance premiums Labeling Labor and Employment Labor contracts Law Legal fees Liability (Law) Licenses Limitation of actions Living wills Managed care Mastectomy Medicaid Medical economics Medical ethics Medical malpractice Medical records Medical screening Medical supplies Medical tests Medically uninsured Medicare Minorities Minority health Nonprofit organizations Obstetrics Old age, survivors and disability insurance Patient satisfaction Patients' rights Peer review organizations (Medicine) Performance measurement Pharmacists Physician-patient privilege Physicians Pregnant women Prescription pricing Preventive medicine Punitive damages Quality of care Reinsurance Restrictive trade practices Right of privacy Rural health Salaries Science, Technology, Communications Small business Social Welfare Social security finance Standards State laws Subsidies Surgery Tax credits Tax penalties Taxation Telephone Terminal care Terminally ill Translating and interpreting Transportation and Public Works Welfare recipients Whistle blowing Women Women's health Health 00 2005-05-12 Introduced in Senate 2005-08-03T12:58:01Z 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 requirements, and participating providers.

Prohibits a plan or issuer from: (1) restricting a health care professional's ability to advise a patient on the health of an individual or on medical care or treatment for the individual's condition or disease; and (2) operating any physician incentive plan.

Establishes a cause of action against a plan or issuer that fails to exercise ordinary care in making a decision that results in a personal injury or death to a participant or beneficiary.

Provides a tax credit to small businesses for expenses paid by the business for health insurance coverage of employees.

]]> Patients' Bill of Rights Act of 2005 Display Title Patients' Bill of Rights Act of 2005 Official Title as Introduced A bill to amend the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to protect consumers in managed care plans and other health coverage Introduced in Senate IS Short Titles as Introduced Patients' Bill of Rights Act of 2005 Introduced in Senate 2005-05-12T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-109s1012is/xml/BILLS-109s1012is.xml 2005-05-12 Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S5075-5099) text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.