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HR 2309 106th Congress House

Independent Medical Review Act of 1999

Official title: To require group health plans and health insurance issuers to provide independent review of adverse coverage determinations.

Introduced: June 22, 1999 Introduced by: Sessions, Pete Republican · Texas See on congress.gov
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This bill died when the 106th Congress ended
It never became law before the 106th Congress (1999–2000) 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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 9, 1999
Referred to the Subcommittee on Employer-Employee Relations.
Jun 22, 1999
Referred to the House Committee on Education and the Workforce.
Jun 22, 1999
Introduced in House
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 Latest action July 9, 1999

Referred to the Subcommittee on Employer-Employee Relations.

 Plain-English summary Congressional Research Service
Independent Medical Review Act of 1999 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require group health plans and health insurance issuers to provide for independent review of adverse coverage determinations.

Requires group health plan claims procedures to include procedures for a fair, de novo determination of medical necessity by the independent review organization without regard to the definition used by the plan, as well as notifications to participants or beneficiaries of their rights to: (1) appeal adverse determinations to utilization review agents of the plan; (2) appeal adverse determinations of such utilization review agents to independent review organizations (with procedures for such appeal); and (3) obtain immediate review by an independent review organization in cases of life-threatening conditions (with procedures for obtaining such review).

Sets forth requirements for: (1) procedures for appeals of adverse decisions to the plan's utilization review agent; (2) the independent review process; and (3) certification of independent review organizations by the Secretary of Labor.

Treats the independent review organization's determination as the final decision of the plan, but allows a court to vacate or modify such determination under certain circumstances.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
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APA
U.S. Congress. (2026). H.R. 2309: Independent Medical Review Act of 1999. 106th Congress. Open America. https://openamerica.io/bill/106-HR-2309/
MLA
"H.R. 2309: Independent Medical Review Act of 1999." 106th Congress, 2026, Open America, https://openamerica.io/bill/106-HR-2309/.
Bluebook (legal)
H.R. 2309, 106th Cong. (2026), https://openamerica.io/bill/106-HR-2309/.
Markdown link
[H.R. 2309: Independent Medical Review Act of 1999](https://openamerica.io/bill/106-HR-2309/)
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