Breast Cancer Patient Protection Act of 2016

Bill: 114-hr-5195
Sponsor: Rep. DeLauro, Rosa L. [D-CT-3]
Introduced: 2016-05-11 in the House
Policy area: Health
Subjects: Cancer
Employee benefits and pensions
Health care costs and insurance
Health care coverage and access
Hospital care
Surgery and anesthesia
Women's health

Summary:
action_date: 2016-05-11
text: 

Breast Cancer Patient Protect Act of 2016

 
This bill amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group or individual health plan that provides medical and surgical benefits to ensure that inpatient (and in the case of a lumpectomy, outpatient) coverage and radiation therapy are provided for breast cancer treatment. Such a plan may not: (1) restrict benefits for any medically necessary hospital stay to less than 48 hours for a mastectomy or breast conserving surgery or less than 24 hours for a lymph node dissection, or (2) require that a provider obtain authorization from the plan for prescribing any such hospital stay.
 
Such a plan must: (1) provide notice to each participant and beneficiary regarding the coverage required under this bill, and (2) ensure that coverage is provided for secondary consultations.
 
Health plans are prohibited from taking specified actions to avoid the requirements of this bill. 
 
Health insurers that provide individual health insurance coverage may discontinue an individual's coverage based on the intentional concealment of material facts regarding a health condition related to a condition for which coverage is being claimed.


Legislative actions:
action_date: 2016-09-19
text: Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
action_date: 2016-05-17
text: Referred to the Subcommittee on Health.
action_date: 2016-05-13
text: Referred to the Subcommittee on Health.
action_date: 2016-05-11
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: 2016-05-11
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: 2016-05-11
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: 2016-05-11
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: 2016-05-11
text: Introduced in House
action_date: 2016-05-11
text: Introduced in House