HR 287
107th Congress
House
Health
Commerce
Employee health benefits
Finance and Financial Sector
Health insurance
Health insurance industry
Health maintenance organizations
Labor and Employment
Managed care
Medicare
Medicare managed care
Patients' rights
Social Welfare
Standards
Prompt Payment of Health Benefit Claims Act of 2001
Introduced: January 30, 2001
See on congress.gov
Everywhere this bill has been
5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 15, 2001
Referred to the Subcommittee on Employer-Employee Relations.
Feb 14, 2001
Referred to the Subcommittee on Health.
Feb 9, 2001
Referred to the Subcommittee on Health.
Jan 30, 2001
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
Jan 30, 2001
Introduced in House
Plain-English summary
Prompt Payment of Health Benefit Claims Act of 2001 - Amends the Public Health Service Act (PHSA), the Employee Retirement Income Security Act, and the Internal Revenue Code to require group health plans, and health insurance issuers offering group health insurance coverage, to: (1) pay the claim to a participant or beneficiary, or make payment to a health care provider, within 15 business days of the date of the claim or bill for services rendered (for those transmitted electronically) or within 30 business days of such date for bills or claims submitted in writing; and (2) accept as a clean claim a claim submitted consistent with standards adopted under title XI of the Social Security Act (SSA), as added by the Health Insurance Portability and Accountability Act of 1996.
Amends the PHSA to apply such payment standards to health insurance coverage offered by issuers in the individual market in the same manner as applied to group coverage.
Provides for coordination between the Secretaries of Labor, the Treasury, and Health and Human Services with respect to the administration of this Act.
Amends title XVIII (Medicare) of the SSA to require Medicare+Choice organizations to provide prompt payment of claims submitted for services and supplies furnished to individuals enrolled with such organizations through other lines of business (including private health benefits coverage).
What's happening now
Referred to the Subcommittee on Employer-Employee Relations.