Ask AI
H.R. 1222

Quality Health Care and Consumer Protection Act

Quality Health Care and Consumer Protection Act - Amends the Employee Retirement Income Security Act of 1974 and the Public Health Service Act (PHSA) to require managed care group health plans and managed care health insurance coverage to meet certain consumer protection requirements, including: (1) access to personnel and facilities; (2) assurance of adequate choice of health care professionals; (3) prohibition of gag rules; (4) coverage of drugs and devices; (5) coverage of experimental treatments; (6) quality assurance programs; (7) dissemination of certain plan information to all potential enrollees, as well as reporting of specified plan data to the Secretary and the public, subject to enrollee confidentiality; (8) disclosure of the plan medical director's financial arrangements; and (9) notice to enrollees of grievance procedures, reviews, and appeals.

Amends PHSA to apply such managed care consumer protections to health insurance coverage offered by a health insurance issuer in the individual market in the same manner as it applies to health insurance coverage offered in connection with a group health plan.

Referred to the Subcommittee on Employer-Employee Relations.

Rep. Roukema, Marge [R-NJ-5](R-NJ)Sponsor
1 cosponsor1 D
1cosponsors2committees8actions54subjects
  1. CommitteeH11000

    Referred to the Subcommittee on Employer-Employee Relations.

    Health, Employment, Labor, and Pensions Subcommittee
  2. CommitteeH11000

    Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

    Health and Environment Subcommittee
  3. IntroReferralH11100

    Referred to House Commerce

    Energy and Commerce Committee
  4. IntroReferralH11100-A

    Referred to the Committee on Education and the Workforce, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  5. IntroReferralH11100

    Referred to House Education and the Workforce

    Education and Workforce Committee
  6. IntroReferralB00100

    Sponsor introductory remarks on measure. (CR E564)

  7. IntroReferralIntro-H

    Introduced in House

  8. IntroReferral1000

    Introduced in House