Treatment of Children's Deformities Act of 2005

Bill: 109-hr-1000
Sponsor: Rep. Kelly, Sue W. [R-NY-19]
Introduced: 2005-03-01 in the House
Policy area: Health
Subjects: Birth defects
Child health
Commerce
Consumer education
Employee health benefits
Families
Finance and Financial Sector
Health insurance
Labor and Employment
Plastic surgery
Standards
Surgery

Summary:
action_date: 2005-03-01
text: 
Treatment of Children's Deformities Act of 2005 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to require a group health plan, and a health issuer offering group health insurance coverage, that cover surgical benefits to also cover outpatient and inpatient diagnosis and treatment of a child's congenital or developmental deformity, disease, or injury. Requires that such coverage: (1) be subject to pre-authorization or pre-certification requirements of the plan or issuer; and (2) include any surgical treatment deemed by the treating physician to be medically necessary to approximate a normal appearance. Defines &quot;treatment&quot; to include reconstructive surgical procedures that are performed on abnormal structures of the body caused by congenital defects, abnormalities, trauma, infection, tumors, or disease, including: (1) procedures that do not materially affect the function of the body part being treated; and (2) procedures for secondary conditions and follow-up treatment. Excludes cosmetic surgery performed to reshape normal structures of the body to improve appearance or self-esteem. 


Legislative actions:
action_date: 2005-04-18
text: Referred to the Subcommittee on Employer-Employee Relations.
action_date: 2005-03-14
text: Referred to the Subcommittee on Health.
action_date: 2005-03-11
text: Referred to the Subcommittee on Health.
action_date: 2005-03-01
text: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
action_date: 2005-03-01
text: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
action_date: 2005-03-01
text: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
action_date: 2005-03-01
text: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, 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.
action_date: 2005-03-01
text: Introduced in House
action_date: 2005-03-01
text: Introduced in House