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H Amdt 514 - Patient Protection Substitute Amendment - National Key Vote

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Title: Patient Protection Substitute Amendment

Vote Smart's Synopsis:

Vote to adopt a substitute amendment that would provide guidelines for patients and insurers regarding the conditions of service for managed care plans.

Highlights:

  • Allows patients to sue their insurers in federal court if external and internal reviews have been conducted.
  • Requires that patients be granted access to specialists if their condition warrants it.
  • Stipulates that women do not need a referral from their insurer to receive care from obstetricians and gynecologists.
  • Requires health care plans to use laymen's terms to describe services and conditions.

Full Bill Text

NOTE: THIS IS A SUBSTITUTE AMENDMENT, WHICH REPLACES THE ENTIRE TEXT OF THE LEGISLATION WITH A NEW TEXT. THE DEGREE TO WHICH THE SUBSTITUTE BILL TEXT DIFFERS FROM THE PREVIOUS VERSION OF THE TEXT CAN VARY GREATLY.

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