Right to a Second Medical Opinion Act of 2009
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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.
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 2457: Right to a Second Medical Opinion Act of 2009. 111th Congress. Open America. https://openamerica.io/bill/111-HR-2457/
"H.R. 2457: Right to a Second Medical Opinion Act of 2009." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-HR-2457/.
H.R. 2457, 111th Cong. (2026), https://openamerica.io/bill/111-HR-2457/.
[H.R. 2457: Right to a Second Medical Opinion Act of 2009](https://openamerica.io/bill/111-HR-2457/)