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H.R. 2350

Medicare Patient Choice and Access Act of 1995

Medicare Patient Choice Act of 1995 - Amends title XVIII (Medicare) of the Social Security Act to require health maintenance organizations and competitive medical plans, among other things, to: (1) have a minimum 85 percent loss-ratio of benefits-to-premiums; (2) assure Medicare enrollees timely access to in-network primary and specialty health care providers and out-of-network providers as well; (3) establish a cost-sharing schedule for out-of-network services; (4) establish a grievance process with board of appeals hearings within 30 days of the filing of a complaint; and (5) provide each enrollee with an explanation of the enrollee's rights and a copy of the most recent consumer report card for the organization. Prohibits provider incentive plans that fail to meet specified criteria.

Applies the same requirements to Medicare select policies.

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

Rep. Coburn, Tom [R-OK-2](R-OK)Sponsor
16 cosponsors5 D11 R
16cosponsors2committees8actions21subjects
  1. CommitteeH11000

    Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

    Health and Environment Subcommittee
  2. IntroReferralB00100

    Sponsor introductory remarks on measure. (CR H9646-9647)

  3. CommitteeH11000

    Referred to the Subcommittee on Health.

    Health Subcommittee
  4. IntroReferralH11100

    Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Ways and Means Committee
  5. IntroReferralH11100-A

    Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  6. IntroReferralH11100

    Referred to the Committee on Ways and Means, and in addition to the Committee on Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Energy and Commerce Committee
  7. IntroReferralIntro-H

    Introduced in House

  8. IntroReferral1000

    Introduced in House