Expresses the sense of the Congress that the law should protect a patient's right to receive disclosure from providers, choose providers, receive disclosure from health plans, have access to medical records and limit the access of others to those records, choose courses of treatment, refuse interference from third party payers, and contract with providers.
[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H. Con. Res. 214 Introduced in House (IH)]
104th CONGRESS
2d Session
H. CON. RES. 214
Expressing the sense of the Congress that a patient has certain rights
regarding medical care that should be protected by law.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
September 12, 1996
Mrs. Smith of Washington submitted the following concurrent resolution;
which was referred to the Committee on Commerce
_______________________________________________________________________
CONCURRENT RESOLUTION
Expressing the sense of the Congress that a patient has certain rights
regarding medical care that should be protected by law.
Whereas a patient has the right to have access to all information relevant to
the care or course of treatment to make an appropriate health care
decision;
Whereas certain health plans contain contractual clauses that prevent a health
care provider from providing all the information relevant to the care or
course of treatment available to a patient, and such clauses interfere
with a patient's ability to make an appropriate health care decision;
Whereas a patient has the right to seek care from the health care provider of
the patient's choice;
Whereas a patient has the right to know all the benefits (including services,
terms, and costs) and patient rights and responsibilities under a health
plan, but certain health plans do not explain in plain English all those
benefits and patient rights and responsibilities under the plan;
Whereas a patient has the right to have access to the patient's medical records
as well as the right to control access to such records;
Whereas a patient has the right to choose a course of treatment even if it is
not a course of treatment recommended by the patient's health care
provider;
Whereas a patient has the right to medical care free from interference from a
third party payer (such as an insurer) and the right to make appropriate
health care decisions without fear of reprisal from a third party
against the patient or the health care provider;
Whereas a patient has the right to contract with a health care provider on
mutually agreeable terms, including the option to use a patient's own
resources to purchase the desired care or course of treatment;
Whereas while the number of managed care health plans has increased, patients
have experienced a corresponding erosion of these rights; and
Whereas knowledge of these rights and greater information about health plans
empowers patients: Now, therefore, be it
Resolved by the House of Representatives (the Senate concurring),
That it is the sense of the Congress that the law should protect a
patient's right to--
(1) receive full disclosure from the patient's health care
provider of information relevant to the patient's care or
course of treatment, including the risks and benefits of
treatment and appropriate alternatives;
(2) seek care from the health care provider of the
patient's choice;
(3) receive full disclosure in plain English of the terms
of a health plan before signing up for the plan, including a
copy of the contract, benefits (including services, terms, and
costs) and patient rights and responsibilities under a health
plan, approval procedures for services, a roster and
qualification of participating providers, referral procedures,
financial incentives offered to providers for restricting care,
and procedures for appeal of denials of claims;
(4) have access to the patient's medical records, and to
limit access of such records to the patient, to those directly
involved with the patient's care, and to others designated by
the patient;
(5) choose a course of treatment even if such treatment is
not recommended by the health care provider;
(6) refuse interference from a third party payer (such as
an insurer) in the patient's medical care, and to be confident
that a decision to seek or decline care will not result in
penalties imposed by the third party payer on the patient or
the health care provider; and
(7) contract with a health care provider on mutually
agreeable terms, including the option to use the patient's own
resources to purchase the desired care.
<all>
Introduced in House
Introduced in House
Sponsor introductory remarks on measure. (CR E1592-1593)
Referred to the House Committee on Commerce.
Referred to the Subcommittee on Health and Environment.
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