s 36004 1115870400 false 1115870400 1115870400 1012 731 109 300059

<br/>5/12/2005--Introduced.<br/>Patients' Bill of Rights Act of 2005 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to set forth requirements for health plans or issuers of health insurance coverage, including requirements for: (1) utilization review activities; (2) procedures for claims benefits processing, prior authorization determinations, appeals, and internal reviews; and (3) access for an independent, external review.<br/>Requires the Secretary of Health and Human Services to establish the Health Care Consumer Assistance Fund to award grants to States for consumer assistance activities designed to provide information, assistance, and referrals to consumers of health insurance products.<br/>Sets forth requirements for managed care programs and their access to care, including requiring such programs to: (1) offer coverage that allows for non-network coverage through another plan or issuer; (2) provide access to out-of-network emergency care without prior authorization; and (3) provide timely access to specialists.<br/>Requires certain annual disclosures from health plans or issuers, including disclosures of covered benefits, cost-sharing requirements, and participating providers.<br/>Prohibits a plan or issuer from: (1) restricting a health care professional's ability to advise a patient on the health of an individual or on medical care or treatment for the individual's condition or disease; and (2) operating any physician incentive plan.<br/>Establishes a cause of action against a plan or issuer that fails to exercise ordinary care in making a decision that results in a personal injury or death to a participant or beneficiary.<br/>Provides a tax credit to small businesses for expenses paid by the business for health insurance coverage of employees.<br/>

introduced 36004 'act':5 '2005':7 'bill':2 'right':4 'patient':1 33279 short introduced 36004 'act':9,15 '1974':17 '1986':24 'bill':2 'care':30 'code':22 'plan':31 'amend':4 'incom':13 'manag':29 'retir':12 'secur':14 'consum':27 'health':7,34 'intern':20 'public':6 'revenu':21 'servic':8 'coverag':35 'employe':11 'protect':26 33280 official introduced 36004 1115870400 Thu May 12 00:00:00 -0500 2005 72378 K000105 1932-02-22 12654 317 Russell Senate Office Building http://kennedy.senate.gov/senator/contact.cfm 202-224-2417 Edward 'd':4 'ma':5 'sen':1 'ted':8 'edward':2,6,9 'kennedi':3,7,10 M 300059 Kennedy Edward_Kennedy M. Sen. Edward Kennedy [D, MA] 7031 Ted N00000308 19714 Democrat 202-224-4543 Catholic MA Ted Edward Kennedy 3.52252252252252 http://kennedy.senate.gov/ B000711 1940-11-11 14879 112 Hart Senate Office Building http://boxer.senate.gov/contact/email/policy.cfm 202-224-0454 Barbara 'd':4 'ca':5 'sen':1 'boxer':3,7,9 'barbara':2,6,8 F 300011 Boxer Barbara_Boxer Sen. Barbara Boxer [D, CA] 7259 N00006692 29189 Democrat 202-224-3553 Jewish CA Barbara Boxer 2.48101265822785 http://boxer.senate.gov SenatorBoxer C000127 1958-10-13 5879 511 Dirksen Senate Office Building http://cantwell.senate.gov/contact/ 202-228-0514 Maria 'd':4 'wa':5 'sen':1 'maria':2,6,8 'cantwel':3,7,9 F 300018 Cantwell Maria_Cantwell Sen. Maria Cantwell [D, WA] 3238 N00007836 12513 Democrat 202-224-3441 Roman Catholic WA Maria Cantwell 4.41176470588235 http://cantwell.senate.gov SenatorCantwell C001042 1947-01-01 Jon 'jon':1,3,5 'corzin':2,4,6 M 300028 Corzine Jon_Corzine Stevens Jon Corzine N00009945 314 Democrat Non-Denominational Jon Corzine D000596 1947-01-26 Mark 'mark':1,3,5 'dayton':2,4,6 M 300032 Dayton Mark_Dayton Mark Dayton N00013291 316 Democrat Presbyterian Mark Dayton D000432 1942-05-14 7977 322 Hart Senate Office Building http://dorgan.senate.gov/contact/contact_form.cfm 202-224-1193 Byron 'd':4 'nd':5 'sen':1 'byron':2,6,8 'dorgan':3,7,9 M 300037 Dorgan Byron_Dorgan L. Sen. Byron Dorgan [D, ND] 4792 N00004615 8187 Democrat 202-224-2551 Lutheran ND Byron Dorgan 5.29411764705882 http://dorgan.senate.gov senatordorgan H000206 1939-11-19 3701 731 Hart Senate Office Building http://harkin.senate.gov/c/index.cfm 202-224-9369 Thomas 'd':4 'ia':5 'sen':1 'tom':8 'thoma':2,6,9 'harkin':3,7,10 M 300051 Harkin Tom_Harkin Sen. Thomas Harkin [D, IA] 1929 Tom N00004207 9561 Democrat 202-224-3254 Roman Catholic IA Tom Thomas Harkin 3.10714285714286 http://harkin.senate.gov/ SenatorTomHarkin L000123 1924-01-23 7323 324 Hart Senate Office Building http://lautenberg.senate.gov/contact/routing.cfm 202-228-4054 Frank 'd':4 'nj':5 'sen':1 'frank':2,6,8 'lautenberg':3,7,9 M 300064 Lautenberg Frank_Lautenberg R. Sen. Frank Lautenberg [D, NJ] 3941 N00000659 11683 Democrat 202-224-3224 Jewish NJ Frank Lautenberg 2.26190476190476 http://lautenberg.senate.gov/ franklautenberg L000261 1934-06-28 12591 269 Russell Senate Office Building http://levin.senate.gov/contact/ 202-224-1388 Carl 'd':4 'mi':5 'sen':1 'carl':2,6,8 'levin':3,7,9 M 300066 Levin Carl_Levin Sen. Carl Levin [D, MI] 7016 N00001691 25879 Democrat 202-224-6221 Jewish MI Carl Levin 2.01515151515152 http://levin.senate.gov/ M000702 1936-07-20 5501 503 Hart Senate Office Building http://mikulski.senate.gov/Contact/contact.cfm 202-224-8858 Barbara 'd':4 'md':5 'sen':1 'barbara':2,6,8 'mikulski':3,7,9 F 300073 Mikulski Barbara_Mikulski A. Sen. Barbara Mikulski [D, MD] 2606 N00001945 9901 Democrat 202-224-4654 Roman Catholic MD Barbara Mikulski 2.66666666666667 http://mikulski.senate.gov/ M001111 1950-10-11 7694 173 Russell Senate Office Building http://murray.senate.gov/email/index.cfm 202-224-0238 Patty 'd':4 'wa':5 'sen':1 'patti':2,6,8 'murray':3,7,9 F 300076 Murray Patty_Murray Sen. Patty Murray [D, WA] 3512 N00007876 11110 Democrat 202-224-2621 Roman Catholic WA Patty Murray 4.36764705882353 http://murray.senate.gov/ R000122 1949-11-12 3242 728 Hart Senate Office Building http://reed.senate.gov/contact/contact-share.cfm 202-224-4680 John 'd':4 'ri':5 'sen':1 'jack':8 'john':2,6,9 'reed':3,7,10 M 300081 Reed Jack_Reed F. Sen. John Reed [D, RI] 1063 Jack N00000362 8961 Democrat 202-224-4642 Roman Catholic RI Jack John Reed 2.875 http://reed.senate.gov/ S000148 1950-11-23 15008 313 Hart Senate Office Building http://schumer.senate.gov/new_website/contact.cfm 202-228-3027 Charles 'd':4 'ny':5 'sen':1 'charl':2,6,8 'schumer':3,7,9 M 300087 Schumer Charles_Schumer E. Sen. Charles Schumer [D, NY] 7782 N00001093 20739 Democrat 202-224-6542 Jewish NY Chuck Charles Schumer 2.2 http://schumer.senate.gov/ senatorschumer S000770 1950-04-29 527 133 Hart Senate Office Building http://stabenow.senate.gov/email.htm 202-228-0325 Debbie Ann 'd':5 'mi':6 'ann':3,8,11 'sen':1 'debbi':2,7,10 'stabenow':4,9,12 F 300093 Stabenow Debbie_Stabenow Sen. Debbie Ann Stabenow [D, MI] 29 N00004118 14743 Democrat 202-224-4822 United Methodist MI Debbie Ann Stabenow 2.69354838709677 http://stabenow.senate.gov/ SenatorStabenow introduced 36004 1115870400 Thu May 12 00:00:00 -0500 2005 72378 action 36004 1115870400 Thu May 12 00:00:00 -0500 2005 72379 Read twice and referred to the Committee on Finance.