October 19, 1999,
WASHINGTON, D.C. – U.S. Rep. Bart Gordon is urging leadership in the U.S.
House of Representatives to appoint conference committee members soon so
lawmakers can work out a compromise on the Patients' Bill of
Rights.
Earlier this month the
House passed its version of a Patients' Bill of Rights designed to make
sweeping reforms in coverage provided by managed health-care plans. The
Senate approved a watered-down version of a Patients' Bill of Rights
earlier this summer.
A committee of House and
Senate members must now iron out differences between the two bills before
sending the legislation to the president for his signature into law. The
Senate leadership has named its committee members, but the House
leadership hasn't.
"The sooner we get the two
committees together, the sooner we can get this much-needed legislation
into law," Gordon said. "And contrary to what I'm hearing, I hope the
House leadership doesn't intentionally appoint members who are adamantly
opposed to such reforms because the Senate version would allow health
plans to overrule doctors when deciding whether treatment is medically
necessary.
"Giving patients and their
doctors more say in what kind of care should be given is the whole point
to the legislation approved by the House. Common sense will tell you that
a doctor and his patient should be the ones deciding what kind of medical
care should be followed, not a bookkeeper sitting in an office somewhere
making decisions based on a manual."
The House-approved bill
would allow a patient to appeal a health plan's denial of coverage by
taking it to an outside panel whose decisions are binding. The House's
version would also require health plans to pay for needed specialists and
to cover emergency treatment at the nearest hospital emergency room
without someone having to get prior approval.
Other provisions of the
House bill require health plans to cover necessary prescription drugs and
to give seriously ill patients access to clinical trials. The bill would
also give patients – or their estates – the right to sue their
managed-care providers in state court if negligent decisions lead to
injury or death.
"More accountability has to
be put into this process," Gordon said. "Provisions in the Patients' Bill
of Rights that I support would hold these health plans accountable for
their decisions. Denying someone a potentially life-saving treatment,
after all, is wrong, especially when that person has already paid premiums
on a health plan.
"Any compromise that
removes the teeth from this much-needed accountability would be
irresponsible. People have the right to expect such protections in their
health plans," he added.
Top
[001_Managed_Care_Reform/Congressional_Statements/House/addrs_include.htm]
|