H.R.1849 - Breast Cancer Patient Protection Act of 2005109th Congress (2005-2006)
|Sponsor:||Rep. Kelly, Sue W. [R-NY-19] (Introduced 04/26/2005)|
|Committees:||House - Energy and Commerce; Education and the Workforce; Ways and Means|
|Latest Action:||07/27/2006 Sponsor introductory remarks on measure. (All Actions)|
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Summary: H.R.1849 — 109th Congress (2005-2006)All Bill Information (Except Text)
Introduced in House (04/26/2005)
Breast Cancer Patient Protect Action of 2005 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group health plan or a health issuer offering group health insurance coverage 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. Prohibits such a plan or issuer from: (1) restricting benefits for any hospital length of stay to less than 48 hours in connection with a mastectomy or breast conserving surgery or 24 hours in connection with a lymph node dissection; or (2) requiring that a provider obtain authorization from the plan or issuer for prescribing any such length of stay.
Requires such a plan or issuer to: (1) provide notice to each participant and beneficiary regarding the coverage required under this Act; and (2) ensure that full coverage is provided for secondary consultations by specialists in the appropriate medical fields to confirm or refute a diagnosis of cancer.
Applies such requirements to health insurance issuers offering coverage in the individual market.