3.0.0 3517 2020-02-10T17:02:41Z 2020-02-10T17:02:41Z Senate S S 2008-09-18 110 sshr00 Health, Education, Labor, and Pensions Committee Senate Standing Referred to 2008-09-18T20:44:22Z Group Health Plan Prosthetics Parity Act of 2007 110 5615 HR 2008-03-13 Referred to the House Committee on Education and Labor. Related bill CRS 2008-09-18 sshr00 Health, Education, Labor, and Pensions Committee Senate Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S9028-9030) IntroReferral 2008-09-18 Sponsor introductory remarks on measure. (CR S9028) IntroReferral B00100 9 Library of Congress 2008-09-18 Introduced in Senate IntroReferral 10000 9 Library of Congress S000663 Sen. Snowe, Olympia J. [R-ME] Olympia Snowe R ME J. N H000206 Sen. Harkin, Tom [D-IA] THOMAS HARKIN D IA RICHARD 2008-09-18 True I000025 Sen. Inouye, Daniel K. [D-HI] DANIEL INOUYE D HI KEN 2008-09-18 True F000061 Sen. Feingold, Russell D. [D-WI] RUSSELL FEINGOLD D WI D. 2008-09-18 True C001070 Sen. Casey, Robert P., Jr. [D-PA] Bob Casey D PA 2008-09-25 False L000174 Sen. Leahy, Patrick J. [D-VT] Patrick Leahy D VT 2008-10-02 False S000033 Sen. Sanders, Bernard [I-VT] Bernard Sanders I VT 2008-12-11 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 2008-09-18 Introduced in Senate 2008-12-02T16:06:08Z Prosthetics Parity Act of 2008 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act 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 device or component 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 benefits for prosthetic devices and components required to be covered under this Act 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 enrollees 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.

]]> Prosthetics Parity Act of 2008 Short Titles as Introduced Prosthetics Parity Act of 2008 Display Title Prosthetics Parity Act of 2008 Official Title as Introduced A bill to amend the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to provide parity under group health plans and group health insurance coverage for the provision of benefits for prosthetic devices and components and benefits for other medical and surgical services. Introduced in Senate 2008-09-18T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-110s3517is/xml/BILLS-110s3517is.xml 2008-09-18 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S9028-9030) 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.