[Weekly Compilation of Presidential Documents Volume 33, Number 47 (Monday, November 24, 1997)]
[Page 1872]
[Online from the Government Publishing Office, www.gpo.gov]

<R04>
Memorandum on the Health Care ``Consumer Bill of Rights and 
Responsibilities''

November 20, 1997

Memorandum for the Secretary of Defense, the Secretary of Labor, the 
Secretary of Health and Human Services, the Secretary of Veterans 
Affairs, the Director of the Office of Management and Budget

Subject: The Health Care Consumer Bill of Rights and Responsibilities

    Last spring, when I appointed the members of the Advisory Commission 
on Consumer Protection and Quality in the Health Care Industry, I 
specifically charged them to develop a consumer bill of rights. This 
period of rapid change and experimentation in the way Americans receive 
and pay for their medical care holds the promise for improved quality, 
greater choice, and lower expense. At the same time, we must identify 
and protect certain fundamental rights of patients and their families so 
that, whatever health care delivery system they choose, they can obtain 
the information and care they need when necessary.
    Health care consumers also need to understand their responsibilities 
in a changing health care environment to ensure that they get the best 
possible care. Confirming such rights and responsibilities is critical 
to ensuring that the quality of medical care does not suffer as we seek 
to expand access and improve efficiency of delivery.
    The Consumer Bill of Rights and Responsibilities in Health Care, 
issued today by the Commission, fully lives up to my high expectations. 
The members of the Commission have brought to bear their own 
considerable abilities and have obtained information from a wide range 
of sources. This Bill of Rights and Responsibilities is a comprehensive 
and thoughtful document that will be an excellent guide as we move 
through this transition in health care delivery. We must take steps to 
see that the rights contained in this document become a reality for all 
Americans.
    Therefore, I hereby direct you to take the following actions 
consistent with the mission of your agency.
    First, I direct you to determine the extent of your current 
compliance with the recommendations of the Commission.
    Second, I direct you to use your administrative authorities, 
including existing regulations, advisories, and other guidance regarding 
health plans under their respective jurisdictions to initiate 
appropriate administrative actions consistent with the recommendations 
of the Commission.
    Third, I direct you to identify the statutory impediments to 
compliance with the recommendations of the Commission.
    Finally, I direct you to report back to me, through the Vice 
President, by February 19, 1998, with your findings and the 
administrative actions you have already undertaken and will undertake to 
effect the Commission's recommendations.
                                            William J. Clinton