Independent Medical Review Act of 1999
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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.
Referred to the Subcommittee on Employer-Employee Relations.
- Introduced in House Formatted Text PDF
Cite this page
U.S. Congress. (2026). H.R. 2309: Independent Medical Review Act of 1999. 106th Congress. Open America. https://openamerica.io/bill/106-HR-2309/
"H.R. 2309: Independent Medical Review Act of 1999." 106th Congress, 2026, Open America, https://openamerica.io/bill/106-HR-2309/.
H.R. 2309, 106th Cong. (2026), https://openamerica.io/bill/106-HR-2309/.
[H.R. 2309: Independent Medical Review Act of 1999](https://openamerica.io/bill/106-HR-2309/)