3.0.0 5615 2021-09-29T17:05:57Z 2021-09-29T17:05:57Z House H HR 2008-03-13 110 hsed00 Education and the Workforce Committee House Standing Referred to 2008-03-13T14:33:20Z Prosthetics Parity Act of 2008 110 3517 S 2008-09-18 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S9028-9030) Related bill CRS 2008-03-13 Referred to the House Committee on Education and Labor. IntroReferral H11100 2 House floor actions hsed00 Education and the Workforce Committee 2008-03-13 Introduced in House IntroReferral Intro-H 9 Library of Congress 2008-03-13 Introduced in House IntroReferral 1000 9 Library of Congress A000210 Rep. Andrews, Robert E. [D-NJ-1] ROBERT ANDREWS D NJ E. 1 N M000725 Rep. Miller, George [D-CA-7] GEORGE MILLER D CA 7 2008-03-13 True P000585 Rep. Platts, Todd Russell [R-PA-19] TODD PLATTS R PA RUSSELL 19 2008-03-13 True D000299 Rep. Diaz-Balart, Lincoln [R-FL-21] LINCOLN DIAZ-BALART R FL 21 2008-03-13 True D000600 Rep. Diaz-Balart, Mario [R-FL-25] Mario Diaz-Balart R FL 25 2008-03-13 True C001072 Rep. Carson, Andre [D-IN-7] Andre Carson D IN 7 2008-04-30 False K000210 Rep. King, Peter T. [R-NY-3] PETER KING R NY T. 3 2008-05-07 False B001259 Rep. Braley, Bruce L. [D-IA-1] Bruce Braley D IA L. 1 2008-05-13 False G000551 Rep. Grijalva, Raúl M. [D-AZ-7] Raúl Grijalva D AZ M. 7 2008-05-19 False F000116 Rep. Filner, Bob [D-CA-51] BOB FILNER D CA 51 2008-05-19 False P000149 Rep. Payne, Donald M. [D-NJ-10] DONALD PAYNE D NJ M. 10 2008-06-12 False W000119 Rep. Wamp, Zach [R-TN-3] ZACH WAMP R TN 3 2008-06-18 False W000187 Rep. Waters, Maxine [D-CA-35] MAXINE WATERS D CA 35 2008-06-18 False M000087 Rep. Maloney, Carolyn B. [D-NY-14] CAROLYN MALONEY D NY B. 14 2008-06-18 False C001049 Rep. Clay, Wm. Lacy [D-MO-1] WM. CLAY D MO LACY 1 2008-06-18 False D000482 Rep. Doyle, Michael F. [D-PA-14] MIKE DOYLE D PA 14 2008-06-18 False N000002 Rep. Nadler, Jerrold [D-NY-8] JERROLD NADLER D NY 8 2008-06-18 False W000800 Rep. Welch, Peter [D-VT-At Large] Peter Welch D VT 0 2008-06-18 False L000480 Rep. Lowey, Nita M. [D-NY-18] NITA LOWEY D NY M. 18 2008-07-10 False G000554 Rep. Giffords, Gabrielle [D-AZ-8] Gabrielle Giffords D AZ 8 2008-07-10 False C000556 Rep. Coble, Howard [R-NC-6] HOWARD COBLE R NC 6 2008-09-09 False T000266 Rep. Tierney, John F. [D-MA-6] JOHN TIERNEY D MA F. 6 2008-09-09 False F000452 Resident Commissioner Fortuno, Luis G. [R-PR-At Large] Luis Fortuno R PR G. 0 2008-09-15 False T000459 Rep. Terry, Lee [R-NE-2] LEE TERRY R NE 2 2008-09-16 False V000128 Rep. Van Hollen, Chris [D-MD-8] Chris Van Hollen D MD 8 2008-09-23 False C001069 Rep. Courtney, Joe [D-CT-2] Joe Courtney D CT 2 2008-09-23 False R000577 Rep. Ryan, Tim [D-OH-17] TIM RYAN D OH 17 2008-10-02 False H000712 Rep. Holden, Tim [D-PA-17] TIM HOLDEN D PA 17 2008-11-19 False P000265 Rep. Petri, Thomas E. [R-WI-6] TOM PETRI R WI 6 2008-12-09 False Health Access to health care Administrative remedies Auditing Civil Rights and Liberties, Minority Issues Coinsurance Congress Congressional investigations Congressional reporting requirements Department of Labor Discrimination in insurance Discrimination in medical care Employee health benefits Finance and Financial Sector Government Operations and Politics Government publicity Health insurance Labor and Employment Law Medical economics Prosthesis Quality of care Health 00 2008-03-13 Introduced in House 2008-05-21T19:17:34Z Group Health Plan Prosthetics Parity Act of 2007 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan that provides both medical and surgical benefits and benefits for prosthetic devices and components to provide prosthetics coverage under terms and conditions that are no less favorable than those applicable to substantially all medical and surgical benefits provided under the plan.

Prohibits the prosthetics benefit from being subject to separate or more restrictive financial requirements or more restrictive treatment limitations.

Applies the requirements of this Act separately with respect to in-network and out-of-network benefits.

Requires a group health plan to apply the same prior authorization requirements to the prosthetics benefit as apply for all similar benefits under the plan.

Limits the required prosthetics benefit to the most appropriate model that adequately meets the medical requirements of the patient. Includes repair or replacement of prosthetic devices and components within such coverage.

Prohibits a group health plan from imposing any annual or lifetime dollar limitation on the prosthetics benefit that is not applied in the aggregate to all medical and surgical benefits provided under the plan.

Requires the Secretary of Labor to: (1) assist participants and beneficiaries with any questions or problems regarding compliance with the requirements of this Act; and (2) conduct random audits of group health plans to ensure compliance.

Requires the Comptroller General to evaluate the effects of this Act, including on the cost of and access to heath insurance coverage.

]]> Group Health Plan Prosthetics Parity Act of 2007 Short Titles as Introduced Group Health Plan Prosthetics Parity Act of 2007 Display Title Group Health Plan Prosthetics Parity Act of 2007 Official Title as Introduced To provide parity under group health plans and group health insurance coverage in the provision of benefits for prosthetic devices and components and benefits for other medical and surgical services. Introduced in House 2008-03-13T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-110hr5615ih/xml/BILLS-110hr5615ih.xml 2008-03-13 Referred to the House Committee on Education and Labor. 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.