3.0.0 1045 2020-02-10T17:06:51Z 2020-02-10T17:06:51Z Senate S S 2011-05-23 112 sshr00 Health, Education, Labor, and Pensions Committee Senate Standing Referred to 2011-05-23T19:53:24Z Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 112 1955 HR 2011-09-08 Referred to the Subcommittee on Health, Employment, Labor, and Pensions. Identical bill CRS 2011-05-23 sshr00 Health, Education, Labor, and Pensions Committee Senate Read twice and referred to the Committee on Health, Education, Labor, and Pensions. IntroReferral 2011-05-23 Introduced in Senate IntroReferral 10000 9 Library of Congress L000550 Sen. Landrieu, Mary L. [D-LA] MARY LANDRIEU D LA N C000567 Sen. Cochran, Thad [R-MS] Thad Cochran R MS 2011-05-23 True B000575 Sen. Blunt, Roy [R-MO] Roy Blunt R MO 2011-06-06 False R000122 Sen. Reed, Jack [D-RI] John Reed D RI F. 2011-06-29 False S000148 Sen. Schumer, Charles E. [D-NY] Charles Schumer D NY E. 2011-09-06 False G000555 Sen. Gillibrand, Kirsten E. [D-NY] Kirsten Gillibrand D NY E. 2012-08-02 False Health Accidents Child health Emergency medical services and trauma care Employee benefits and pensions Health care costs and insurance Health care coverage and access Hereditary and development disorders Surgery and anesthesia Health 00 2011-05-23 Introduced in Senate 2011-08-01T13:52:06Z Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to require a group or individual health plan that covers surgical benefits to also cover outpatient and inpatient diagnosis and treatment of a congenital or developmental deformity, disease, or injury of a minor child (defined as child under the age of 22).

Requires that such coverage: (1) be subject to pre-authorization or pre-certification requirements of the plan or issuer, and (2) include any surgical treatment deemed by the treating physician to be medically necessary to approximate a normal appearance. Defines "treatment" to include reconstructive surgical procedures that are performed on abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, burns, infection, tumors, or disease, including: (1) procedures that do not materially affect the function of the body part being treated, and (2) procedures for secondary conditions and follow-up treatment. Excludes cosmetic surgery performed to reshape normal structures of the body to improve appearance or self-esteem.

Applies the provisions of this Act to grandfathered health plans under the Patient Protection and Affordable Care Act.

]]> Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 Short Titles as Introduced Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 Display Title Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2011 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 require that group and individual health insurance coverage and group health plans provide coverage for treatment of a minor child's congenital or developmental deformity or disorder due to trauma, burns, infection, tumor, or disease. Introduced in Senate 2011-05-23T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-112s1045is/xml/BILLS-112s1045is.xml 2011-05-23 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. 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.