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HR 5195 114th Congress House Health Cancer Employee benefits and pensions Health care costs and insurance Health care coverage and access Hospital care Surgery and anesthesia Women's health

Breast Cancer Patient Protection Act of 2016

Introduced: May 11, 2016 Introduced by: DeLauro, Rosa L. Democratic · Connecticut See on congress.gov
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 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 19, 2016
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
May 17, 2016
Referred to the Subcommittee on Health.
May 13, 2016
Referred to the Subcommittee on Health.
May 11, 2016
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.
May 11, 2016
Introduced in House
 Plain-English summary Congressional Research Service

Breast Cancer Patient Protect Act of 2016

This bill amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group or individual health plan that provides medical and surgical benefits to ensure that inpatient (and in the case of a lumpectomy, outpatient) coverage and radiation therapy are provided for breast cancer treatment. Such a plan may not: (1) restrict benefits for any medically necessary hospital stay to less than 48 hours for a mastectomy or breast conserving surgery or less than 24 hours for a lymph node dissection, or (2) require that a provider obtain authorization from the plan for prescribing any such hospital stay.

Such a plan must: (1) provide notice to each participant and beneficiary regarding the coverage required under this bill, and (2) ensure that coverage is provided for secondary consultations.

Health plans are prohibited from taking specified actions to avoid the requirements of this bill.

Health insurers that provide individual health insurance coverage may discontinue an individual's coverage based on the intentional concealment of material facts regarding a health condition related to a condition for which coverage is being claimed.

What's happening now September 19, 2016

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

 Committees of jurisdiction 6
 Cosponsors 18
All 18 Democratic 18