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HR 2457 111th Congress House Health Employee benefits and pensions Health care costs and insurance Health care coverage and access Health information and medical records Medical tests and diagnostic methods

Right to a Second Medical Opinion Act of 2009

Introduced: May 18, 2009 See on congress.gov
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 Everywhere this bill has been 8 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Oct 22, 2009
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
May 19, 2009
Referred to the Subcommittee on Health.
May 18, 2009
Referred to House Ways and Means
May 18, 2009
Referred to House Education and Labor
May 18, 2009
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor, and 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 18, 2009
Referred to House Energy and Commerce
May 18, 2009
Sponsor introductory remarks on measure. (CR E1182)
May 18, 2009
Introduced in House
 Plain-English summary Congressional Research Service

Right to a Second Medical Opinion Act of 2009 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code of 1986 to require a group health plan to provide coverage for a second opinion requested by a participant or beneficiary or a health care practitioner if certain conditions are met, including that the medical condition threatens loss of life, quality of life, loss of limb, loss of bodily function, loss of cognitive function, or substantial impairment of the mind or body.

Directs that the financial responsibility of the participant or beneficiary for a second opinion shall be the same as that for comparable services furnished by a participating physician in connection with an initial opinion.

Sets forth provisions governing a health plan: (1) limiting coverage of a second opinion to a participating physician; (2) requiring preapproval for a second opinion; and (3) denying coverage or denying preapproval for a second opinion.

Allows a plan to condition payment for a second opinion on the physician providing a consultation report to the health care practitioner making the initial opinion.

Requires plans to provide the Secretary of Health and Human Services (HHS) a timeline for providing reimbursement of claims for second opinions and for responding to requests for preapproval of second opinions.

Applies the provisions of this Act to individual health insurance coverage.

What's happening now October 22, 2009

Referred to the Subcommittee on Health, Employment, Labor, and Pensions.

 Committees of jurisdiction 5
 Cosponsors 1
All 1 Republican 1