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H.R. 1222 105th Congress House

Quality Health Care and Consumer Protection Act

Official title: To amend the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to require managed care group health plans and managed care heal… Show full official titleShow less

Official title: To amend the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to require managed care group health plans and managed care health insurance coverage to meet certain consumer protection requirements.

Introduced: March 21, 1997 See on congress.gov
Health Administrative remediesAlternative medicineAmbulatory careAuditing
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Civil Rights and Liberties, Minority IssuesCommerceCommunication in medicineConsumer complaintsConsumer protectionContractsDisabledDisciplining of employeesDrug approvalsDrug therapyDrug utilizationDrugsEducationEmergency ManagementEmergency medical servicesEmployee health benefitsFamiliesFamily medicineFinance and Financial SectorFreedom of speechGovernment Operations and PoliticsGovernment paperworkGrievance proceduresHealth educationHealth insuranceHealth insurance continuationHealth insurance industryHospital careInsurance companiesLabor and EmploymentLabor contractsLawManaged careMedical malpracticeMedical recordsMedical statisticsMedical suppliesOccupational therapyPhysical therapyPhysician-patient privilegePhysiciansProduct safetyQuality of careRehabilitation of the disabledRight of privacyScience, Technology, CommunicationsStandardsTelephoneTerminal care
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This bill died when the 105th Congress ended
It never became law before the 105th Congress (1997–1998) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 7 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 21, 1997
Referred to the Subcommittee on Employer-Employee Relations.
Apr 4, 1997
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Mar 21, 1997
Referred to House Commerce
Mar 21, 1997
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.
Mar 21, 1997
Referred to House Education and the Workforce
Mar 21, 1997
Sponsor introductory remarks on measure. (CR E564)
Mar 21, 1997
Introduced in House
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 Latest action April 21, 1997

Referred to the Subcommittee on Employer-Employee Relations.

 Plain-English summary Congressional Research Service

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.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 1222: Quality Health Care and Consumer Protection Act. 105th Congress. Open America. https://openamerica.io/bill/105-HR-1222/
MLA
"H.R. 1222: Quality Health Care and Consumer Protection Act." 105th Congress, 2026, Open America, https://openamerica.io/bill/105-HR-1222/.
Bluebook (legal)
H.R. 1222, 105th Cong. (2026), https://openamerica.io/bill/105-HR-1222/.
Markdown link
[H.R. 1222: Quality Health Care and Consumer Protection Act](https://openamerica.io/bill/105-HR-1222/)
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