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.
WASHINGTON--Managed care seems a topic certain to generate bipartisanattention during the 105th Congress, with several bills already introducedand others on the way.
Two separate bills aimed specifically against outpatient mastectomieswere introduced on the opening day of the new Congress. Three New YorkRepublicans, Sen. Alfonse D'Amato, Rep. Susan Molinari, and Rep. SusanKelly, introduced the Women's Health and Cancer Rights Act of 1997 in theHouse 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 minimumof 48 hours following a mastectomy. In addition, the D'Amato-Molinari-Kellybill would bar the discharge of mastec-tomy patients under any circumstances,and after any amount of time, without the consent of both the patient andher physician, so long as the stay "is medically appropriate."
The bill also guarantees coverage for reconstructive surgery for mastectomypatients and requires insurance coverage of second opinions for all cancers.
Rep. Fortney H. "Pete" Stark (D- Calif), the ranking minoritymember on the House Ways and Means health subcommittee, introduced a comprehensivebill called the Managed Care Consumer Protection Act of 1997.
Among the provisions of the bill: