S 1052 107th Congress Senate

Bipartisan Patient Protection Act

Official title: A bill to amend the Public Health Service Act and the Employee Retirement Income Security Act of 1974 to protect consumers in managed care plans and other health coverage.

Introduced: July 17, 2001 See on congress.gov

Health AbortionAbortion proceduresAccess to health careAdministrative procedure

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Administrative remediesBreast cancerCase managementCesarean sectionChild healthChildbirthCivil Rights and Liberties, Minority IssuesCivil actions and liabilityClass actions (Civil procedure)Clinical trialsCollective bargaining agreementsCommerceCommunication in medicineCongressCongressional reporting requirementsConsumer educationCustoms administrationDamagesDepartment of Health and Human ServicesDepartment of LaborDiscrimination in insuranceDiscrimination in medical careDrug approvalsDrug utilizationDrugsEconomics and Public FinanceEmergency ManagementEmergency medical servicesEmployee health benefitsEmployers' liabilityFamiliesFederal employeesFederal preemptionFederal-state relationsFinance and Financial SectorForeign Trade and International FinanceFreedom of speechGenetic counselingGenetic screeningGovernment Operations and PoliticsGovernment employees' health insuranceGovernment trust fundsGrievance proceduresGynecologyHealth insuranceHealth insurance continuationHealth insurance industryHealth maintenance organizationsHumansInfantsInsurance premiumsInsurance ratesLabelingLabor and EmploymentLawLegislationLiability (Law)LicensesLossesManaged careMarried peopleMastectomyMedical economicsMedical geneticsMedical malpracticeMedical recordsMedical suppliesMedical testsMedically uninsuredMedicareMedicare managed careObstetriciansObstetricsOld age, survivors and disability insuranceParentsPatient satisfactionPatients' rightsPediatriciansPersonsPharmacistsPhysician-patient privilegePhysiciansPreventive medicinePunitive damagesQuality of careSalariesSocial WelfareSocial security financeStandardsState lawsSurgeryUser chargesWomenWomen's health

Everywhere this bill has been 28 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Nov 19, 2002

Held at the desk.

Nov 19, 2002

Received in the House.

Nov 19, 2002

Message on Senate action sent to the House.

Jun 29, 2001

Senate ordered measure printed as passed.

Jun 29, 2001

Measure amended in Senate by unanimous consent after passage.

Jun 29, 2001

Passed Senate with amendments by Yea-Nay Vote. 59 - 36. Record Vote Number: 220. (text: CR 7/09/2001 S7338-7361)

Jun 29, 2001

Passed/agreed to in Senate: Passed Senate with amendments by Yea-Nay Vote. 59 - 36. Record Vote Number: 220.(text: CR 7/09/2001 S7338-7361)

Jun 29, 2001

By a decision of the Senate the point of order against the Smith (OR) Motion To Commit was sustained by Yea-Nay Vote. 57 - 41. Record Vote Number: 214.

Jun 29, 2001

Point of order that the Smith (OR) Motion To Commit violates the U.S. Constitution raised in the Senate.

Jun 29, 2001

Motion by Senator Smith, of OR to commit to Senate Committee on Finance, with instructions to report H.R. 3 back to the Senate with an amendment, made in Senate. (text: CR S7136; text as modified: CR S7138)

Jun 29, 2001

Considered by Senate. (consideration: CR S7127-7185)

Jun 28, 2001

Considered by Senate. (consideration: CR S7011-7076)

Jun 27, 2001

Considered by Senate. (consideration: CR S6937-6983)

Jun 26, 2001

Motion by Senator Frist to commit to Senate Committee on Finance; Health, Education, Labor, and Pensions; the Judiciary rejected in Senate by Yea-Nay Vote. 39 - 61. Record Vote Number: 196.

Jun 26, 2001

Motion by Senator Frist for Senator Grassley to commit considered by Senate. (text as modified: CR S6870)

Jun 26, 2001

Considered by Senate. (consideration: CR S6870-6885, S6887-6913)

Jun 25, 2001

Motion by Senator Frist for Senator Grassley to commit considered by Senate. (text: CR S6835)

Jun 25, 2001

Considered by Senate. (consideration: CR S6835-6844, S6845-6860)

Jun 22, 2001

Motion by Senator Frist to commit to Senate Committees on Finance; Health, Education, Labor, and Pensions; the Judiciary,with instructions to report the same back not later than 14 days after adoption of the motion, made in Senate. (consideration: CR S6634; text: CR S6634)

Jun 22, 2001

Considered by Senate. (consideration: CR S6627-6657)

Jun 21, 2001

Measure laid before Senate by motion. (consideration: CR S6535-6594)

Jun 21, 2001

Motion to proceed to consideration of measure agreed to in Senate by Yea-Nay Vote. 98 - 0. Record Vote Number: 193.

Jun 21, 2001

Motion to proceed to measure considered in Senate.

Jun 20, 2001

Motion to proceed to measure considered in Senate. (consideration: CR S6463-6506)

Jun 19, 2001

Motion to proceed to consideration of measure made in Senate. (consideration: CR S6403-6440)

Jun 18, 2001

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 75.

Jun 14, 2001

Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

Jun 14, 2001

Introduced in Senate

Amendments to this bill 52

Amendments propose changes to this bill. Members vote on amendments separately before the final bill vote. An agreed amendment becomes part of the bill; a failed amendment does not.

24 agreed to 5 failed 23 pending / other

Amendment	Sponsor	Purpose	Status	Latest action
SAMDT 860	–	To make technical and conforming amendments.	Agreed to	Jun 29, 2001
SAMDT 856	–	To provide for a complete substitute.	Failed	Jun 29, 2001
SAMDT 855	–	To disallow punitive damages.	Withdrawn	Jun 29, 2001
SAMDT 854	–	To permit choices in costs and damages.	Failed	Jun 29, 2001
SAMDT 853	–	To clarify the law which applies in a State cause of action.	Agreed to	Jun 29, 2001
SAMDT 852	–	To limit the amount of attorneys' fees in a cause of action brought under this Act.	Withdrawn	Jun 29, 2001
SAMDT 851	–	To express the sense of the Senate regarding making medical savings accounts available to all Americans.	Agreed to	Jun 29, 2001
SAMDT 850	–	To apply the patient protection standards to Federal health benefits programs.	Agreed to	Jun 29, 2001
SAMDT 849	–	To provide for genetic nondiscrimination.	Agreed to	Jun 29, 2001
SAMDT 848	–	To provide that health care professionals who provide pro bono medical services to medically underserved or i…	Agreed to	Jun 29, 2001
SAMDT 847	–	To prohibit human germline gene modification.	Withdrawn	Jun 29, 2001
SAMDT 846	–	To apply the bill to plans maintained pursuant to collective bargaining agreements beginning on the general e…	Agreed to	Jun 29, 2001
SAMDT 845	Grassley, Chuck	To strike provisions relating to customs user fees, and medicare payment delay.	Ruled out of order	Jun 29, 2001
SAMDT 842	–	To limit class actions to a single plan.	Agreed to	Jun 29, 2001
SAMDT 841	–	To dedicate 75 percent of any awards of civil monetary penalties allowed under this Act to a Federal trust fu…	Agreed to	Jun 29, 2001
SAMDT 833	–	To limit the amount of attorneys' fees in a cause of action brought under this Act.	Agreed to	Jun 29, 2001
SAMDT 821	–	To exempt small employers from causes of action under the Act.	Agreed to	Jun 29, 2001
SAMDT 819	–	To require exhaustion of remedies.	Agreed to	Jun 29, 2001
SAMDT 814	–	To protect infants who are born alive.	Agreed to	Jun 29, 2001
SAMDT 844	–	To require that causes of action under this Act be maintained in Federal Court.	Failed	Jun 28, 2001
SAMDT 843	–	To ensure the sanctity of the health plan contract.	Agreed to	Jun 28, 2001
SAMDT 840	–	To provide immunity to certain self-insured group health plans that provide health insurance options.	Withdrawn	Jun 28, 2001
SAMDT 839	–	To include information relating to disenrollment in the information provided to patients.	Agreed to	Jun 28, 2001
SAMDT 834	–	To modify provisions relating to causes of action against employers.	Agreed to	Jun 28, 2001
SAMDT 831	–	To ensure that patients receive a minimum share of any settlement or award in a cause of action under this Ac…	Agreed to	Jun 28, 2001
SAMDT 830	–	To modify provisions relating to the standard with respect to the continued applicability of State law.	Agreed to	Jun 28, 2001
SAMDT 826	Collins, Susan M.	To modify provisions relating to preemption and State flexibility.	Agreed to	Jun 28, 2001
SAMDT 820	–	To clarify that nothing in the bill permits independent medical reviewers to require that plans or issuers co…	Agreed to	Jun 27, 2001
SAMDT 818	–	To clarify that independent medical reviewers may not require coverage for excluded benefits and to clarify p…	Agreed to	Jun 27, 2001
SAMDT 817	–	To exempt small employers from causes of action under the Act.	Failed	Jun 27, 2001
SAMDT 816	–	To limit the application of the liability provisions of the Act if the General Accounting Office finds that t…	Agreed to	Jun 26, 2001
SAMDT 812	–	To express the sense of the Senate with regard to the selection of independent review organizations.	Agreed to	Jun 26, 2001
SAMDT 810	–	To exempt employers from causes of action under the Act.	Failed	Jun 26, 2001
SAMDT 809	–	To express the sense of the Senate with respect to the opportunity to participate in approved clinical trials…	Agreed to	Jun 22, 2001
SAMDT 807	–	To amend the Internal Revenue Code of 1986 to provide a deduction for 100 percent of health insurance costs o…	Pending	Jun 21, 2001
SAMDT 857	–	–	Pending	–
SAMDT 838	–	–	Pending	–
SAMDT 837	–	–	Pending	–
SAMDT 836	–	–	Pending	–
SAMDT 835	–	–	Pending	–
SAMDT 832	–	–	Pending	–
SAMDT 829	–	–	Pending	–
SAMDT 828	–	–	Pending	–
SAMDT 827	–	–	Pending	–
SAMDT 825	–	–	Pending	–
SAMDT 824	–	–	Pending	–
SAMDT 823	–	–	Pending	–
SAMDT 822	–	–	Pending	–
SAMDT 815	–	–	Pending	–
SAMDT 813	–	–	Pending	–

Showing the 50 most recent of 52 amendments.

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Latest action November 19, 2002

Held at the desk.

Plain-English summary Congressional Research Service

Bipartisan Patient Protection Act - Imposes utilization review requirements on group health plans and health insurance issuers. Establishes a claims denial right to internal and external appeal. Makes a claim eligible for independent medical review if it was denied because the item or service is not medically necessary and appropriate, is experimental or investigational, or is not covered based on other grounds that require evaluation of the medical facts by a health care professional.

Requires access to care, including non-network providers, timely access to specialty care, direct access to specialists in obstetrics and gynecology, investigational drug and device coverage, coverage for patients in clinical trials, and the inpatient period for breast cancer patients.

Prohibits restricting a health care professional's communications with a patient, discrimination against a provider solely because of the provider's license or certification, improper incentives, and retaliation for patient advocacy, including by providers. Requires prompt claims payment.

Requires issuers offering individual coverage, and plans and issuers under the Employee Retirement Income Security Act of 1974, to comply with this Act.

Makes a plan or issuer liable for economic and noneconomic damages for failing to exercise ordinary care in making a decision that is not eligible for independent medical review. Shields an employer or other plan sponsor from that liability unless it directly participated in the decision. Allows up to $5 million in penalties if the claimant demonstrates that the defendant's conduct demonstrated bad faith and flagrant disregard for the participant's or beneficiary's rights. Prohibits actions under specified provisions of this Act from being class actions.

Mandates transfer of Federal revenues to ensure that the income and balances of Social Security Act trust funds are not reduced as a result of this Act's enactment.

Extends the termination date of provisions imposing fees on certain customs services.

Delays the required submission date of a letter of credit by carriers administering Supplementary Medical Insurance.

Related & companion bills 2

Bill text 4 versions

Engrossed in Senate Formatted Text PDF
Introduced in Senate Formatted Text PDF
Placed on Calendar Senate Formatted Text PDF
Public Print Formatted Text PDF

Source documents hosted by congress.gov.

Cosponsors 1

Murray, Patty

Washington · Jul 17, 2001

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APA

U.S. Congress. (2026). S. 1052: Bipartisan Patient Protection Act. 107th Congress. Open America. https://openamerica.io/bill/107-S-1052/

MLA

"S. 1052: Bipartisan Patient Protection Act." 107th Congress, 2026, Open America, https://openamerica.io/bill/107-S-1052/.

Bluebook (legal)

S. 1052, 107th Cong. (2026), https://openamerica.io/bill/107-S-1052/.

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