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H.R.4628 / 108th Congress

Patients' Bill of Rights Act of 2004

Referred to the Subcommittee on Employer-Employee Relations.

Official summary

Version 00 · Introduced in House · Jun 21, 2004

Patient Bill of Rights Act of 2004 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code to apply patient protection and quality care standards to group health plans and issuers of health insurance coverage. Applies such standards also to Federal health insurance programs.

Requires such plans and issuers to have approved utilization review programs, claims procedures, and appeal procedures concerning claims denials.

Requires patient access to health plan information and to care, including: (1) a consumer choice option and choice of health care professional; (2) emergency care; (3) timely access to specialists; (4) obstetrics, gynecology, and pediatrics; (5) care continuity; (6) prescription drugs; (7) participation in clinical trials; and (8) breast cancer treatment hospital stays and consultations.

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Restricts interference by a plan or insurer with the doctor-patient relationship. Prohibits discrimination against a licensed health care professional with respect to participation or indemnification. Sets forth requirements relating to payment of claims and protection of patient advocacy.

Provides a tax credit for the health insurance expenses of small businesses. Treats qualified health benefit purchasing distributions by private foundations as distributions for a charitable purpose.

Establishes demonstration grants programs to: (1) increase access to health insurance through alternative means; and (2) provide health insurance information to small employers.

Read the summary on Congress.gov
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Who introduced it

Rep. Dingell, John D. [D-MI-15] · D–MI

Committees

  • Education and Workforce Committee
  • Energy and Commerce Committee
  • Ways and Means Committee
104 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Referred to the Subcommittee on Employer-Employee Relations.

  2. Referred to the Subcommittee on Health.

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, 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.

  4. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, 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.

  5. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, 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. Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and the Workforce, and Ways and Means, 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.

  7. Introduced in House

  8. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

Source last updated: Mar 23, 2026. Consult Congress.gov for the current record.

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Analyze H.R.4628 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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