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Titles Actions Overview All Actions Cosponsors Committees Related Bills Subjects Latest Summary All Summaries

Titles (2)

Short Titles

Short Titles - House of Representatives

Short Titles as Introduced

Group Health Plan Prosthetics Parity Act of 2007

Official Titles

Official Titles - House of Representatives

Official Title as Introduced

To provide parity under group health plans and group health insurance coverage in the provision of benefits for prosthetic devices and components and benefits for other medical and surgical services.

Actions Overview (1)

03/13/2008 Introduced in House

All Actions (2)

03/13/2008 Referred to the House Committee on Education and Labor.
Action By: House of Representatives
03/13/2008 Introduced in House
Action By: House of Representatives

Committees (1)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Reports
House Education and Labor03/13/2008 Referred to

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Subjects (22)

  • Access to health care
  • Administrative remedies
  • Auditing
  • Coinsurance
  • Congressional investigations
  • Congressional reporting requirements
  • Department of Labor
  • Discrimination in insurance
  • Discrimination in medical care
  • Employee health benefits
  • Government publicity
  • Health insurance
  • Medical economics
  • Prosthesis
  • Quality of care

Latest Summary (1)

There is one summary for H.R.5615. View summaries

Shown Here:
Introduced in House (03/13/2008)

Group Health Plan Prosthetics Parity Act of 2007 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require a group health plan that provides both medical and surgical benefits and benefits for prosthetic devices and components to provide prosthetics coverage under terms and conditions that are no less favorable than those applicable to substantially all medical and surgical benefits provided under the plan.

Prohibits the prosthetics benefit from being subject to separate or more restrictive financial requirements or more restrictive treatment limitations.

Applies the requirements of this Act separately with respect to in-network and out-of-network benefits.

Requires a group health plan to apply the same prior authorization requirements to the prosthetics benefit as apply for all similar benefits under the plan.

Limits the required prosthetics benefit to the most appropriate model that adequately meets the medical requirements of the patient. Includes repair or replacement of prosthetic devices and components within such coverage.

Prohibits a group health plan from imposing any annual or lifetime dollar limitation on the prosthetics benefit that is not applied in the aggregate to all medical and surgical benefits provided under the plan.

Requires the Secretary of Labor to: (1) assist participants and beneficiaries with any questions or problems regarding compliance with the requirements of this Act; and (2) conduct random audits of group health plans to ensure compliance.

Requires the Comptroller General to evaluate the effects of this Act, including on the cost of and access to heath insurance coverage.