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Managed Care Plan Accountability Act of 1997

Introduced: May 22, 1997 See on congress.gov
 Everywhere this bill has been 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 17, 1997
Referred to the Subcommittee on Employer-Employee Relations.
May 22, 1997
Referred to House Ways and Means
May 22, 1997
Referred to the Committee on Education and the Workforce, and in addition to the Committee on Ways and Means, 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.
May 22, 1997
Referred to House Education and the Workforce
May 22, 1997
Sponsor introductory remarks on measure. (CR E1036)
May 22, 1997
Introduced in House
 Plain-English summary Congressional Research Service

Managed Care Plan Accountability Act of 1997 - Amends the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code (IRC) with respect to accountability for violations of requirements for managed care group health plans, especially failure to provide health benefits due to improper cost-driven delivery policy decisions.

Imposes joint and several liability for actual (including compensatory and consequential) damages, and, in the court's discretion, for punitive damages, on a group health plan, or a plan health insurance issuer, for failure to provide a benefit in accordance with plan terms, insofar as such failure occurs pursuant to a clinically or medically inappropriate decision or determination resulting from application of any cost containment technique, related utilization review, or any other medical care delivery policy decision which restricts the ability of medical care providers to use their full discretion for treatment of patients. Provides for an action for damages in either a State or Federal court.

Requires managed care group health plans to provide for full indemnification of medical care providers bound by plan restrictions for any liability incurred for such a failure if it is the direct result of a plan restriction on medical communications.

Amends the IRC to establish an excise tax for such cost-driven violations of plan terms.

What's happening now June 17, 1997

Referred to the Subcommittee on Employer-Employee Relations.

 Committees of jurisdiction 3