We've noticed that you're using an ad blocker

Our content is brought to you free of charge because of the support of our advertisers. To continue enjoying our content, please turn off your ad blocker.

It's off now Dismiss How do I disable my ad blocker?
❌

How to disable your ad blocker for our site:

Adblock / Adblock Plus
  • Click on the AdBlock / AdBlock Plus icon on the top right of your browser.
  • Click “Don’t run on pages on this domain.” OR “Enabled on this site.”
  • Close this help box and click "It's off now".
Firefox Tracking Prevention
  • If you are Private Browsing in Firefox, "Tracking Protection" may casue the adblock notice to show. It can be temporarily disabled by clicking the "shield" icon in the address bar.
  • Close this help box and click "It's off now".
Ghostery
  • Click the Ghostery icon on your browser.
  • In Ghostery versions < 6.0 click “Whitelist site.” in version 6.0 click “Trust site.”
  • Close this help box and click "It's off now".
uBlock / uBlock Origin
  • Click the uBlock / uBlock Origin icon on your browser.
  • Click the “power” button in the menu that appears to whitelist the current website
  • Close this help box and click "It's off now".
  • ONCOLOGY
  • News
  • Blogs
  • Topics
  • Hematology
  • Image IQ
  • Podcasts
  • Videos
  • Slideshows
  • Conferences

Modern Medicine Network
  • Login
  • Register
Skip to main content
Modern Medicine Network
  • Login
  • Register
Menu
User
Home
  • ONCOLOGY
  • News
  • Blogs
  • Topics
  • Hematology
  • Image IQ
  • Podcasts
  • Videos
  • Slideshows
  • Conferences

SUBSCRIBE: Print / eNewsletter

Bills to Regulate Managed Care Are Introduced

Feb 1, 1997
Volume: 
6
Issue: 
2

WASHINGTON--Managed care seems a topic certain to generate bipartisan
attention during the 105th Congress, with several bills already introduced
and others on the way.

Two separate bills aimed specifically against outpatient mastectomies
were introduced on the opening day of the new Congress. Three New York
Republicans, Sen. Alfonse D'Amato, Rep. Susan Molinari, and Rep. Susan
Kelly, introduced the Women's Health and Cancer Rights Act of 1997 in the
House and Senate. Rep. Rosa DeLauro (D-Conn) and Rep. Marge Roukema (R-NJ)
co-sponsored similar legislation in the House.

Both bills would require health insurers to provide coverage for a minimum
of 48 hours following a mastectomy. In addition, the D'Amato-Molinari-Kelly
bill would bar the discharge of mastec-tomy patients under any circumstances,
and after any amount of time, without the consent of both the patient and
her physician, so long as the stay "is medically appropriate."

The bill also guarantees coverage for reconstructive surgery for mastectomy
patients and requires insurance coverage of second opinions for all cancers.

Rep. Fortney H. "Pete" Stark (D- Calif), the ranking minority
member on the House Ways and Means health subcommittee, introduced a comprehensive
bill called the Managed Care Consumer Protection Act of 1997.

Among the provisions of the bill:

  • Plans would have to provide patients and physicians with a written
    description of utilization review policies, clinical review criteria, and
    the process used to review medical services.
  • A sufficient number, distribution, and variety of qualified health
    care providers must be available, including in rural areas, to ensure that
    all enrollees receive all covered services on a timely basis.
  • A notice to a participating provider of termination or nonrenewal of
    a contract would have to include reasons for the action.
  • Plans could not use any contractual agreements or written or oral statements
    "to prohibit, restrict, or interfere with any medical communications
    between physicians, patients, plans, or state or federal authorities."

Resource Topics rightRail

  • Resource Topics
  • Partner Content
Breast Cancer
Lung Cancer
Prostate Cancer
Colorectal Cancer
Melanoma
Cutaneous T-Cell Lymphomas: Mycosis Fungoides and Sézary Syndrome
3 Keys to Success in the Oncology Care Model

Current Issue

Oncology Vol 32 No 4
Apr 15, 2018 Vol 32 No 4
Digital Edition
Subscribe
Connect with Us
  • Twitter
  • Facebook
  • LinkedIn
  • RSS
Modern Medicine Network
  • Home
  • About Us
  • Advertise
  • Advertiser Terms
  • Privacy statement
  • Terms & Conditions
  • Editorial & Advertising Policy
  • Editorial Board
  • Contact Us
Modern Medicine Network
© UBM 2018, All rights reserved.
Reproduction in whole or in part is prohibited.