PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Employer-Employee Relations.
Congressional Research Service
Version 00 · Introduced in House · Mar 21, 1997
Quality Health Care and Consumer Protection Act - Amends the Employee Retirement Income Security Act of 1974 and the Public Health Service Act (PHSA) to require managed care group health plans and managed care health insurance coverage to meet certain consumer protection requirements, including: (1) access to personnel and facilities; (2) assurance of adequate choice of health care professionals; (3) prohibition of gag rules; (4) coverage of drugs and devices; (5) coverage of experimental treatments; (6) quality assurance programs; (7) dissemination of certain plan information to all potential enrollees, as well as reporting of specified plan data to the Secretary and the public, subject to enrollee confidentiality; (8) disclosure of the plan medical director's financial arrangements; and (9) notice to enrollees of grievance procedures, reviews, and appeals. Amends PHSA to apply such managed care consumer protections to health insurance coverage offered by a health insurance issuer in the individual market in the same manner as it applies to health insurance coverage offered in connection with a group health plan.
People & committees
Rep. Roukema, Marge [R-NJ-5] · R–NJ
Legislative record
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Referred to the Subcommittee on Employer-Employee Relations.
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Referred to House Commerce
Referred to the Committee on Education and the Workforce, 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.
Referred to House Education and the Workforce
Sponsor introductory remarks on measure. (CR E564)
Introduced in House
Introduced in House
Primary sources
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Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.
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