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United States · Bill · HR

H.R. 1749 (105th)

Managed Care Plan Accountability Act of 1997

referredUnited States· United States Congress· EN

Introduced

22 May 1997

Last action

17 June 1997 · Referred

Status

Referred to the Subcommittee on Employer-Employee Relations.

Sponsors

Rep. Stark, Fortney Pete [D-CA-13], Rep. Kildee, Dale E. [D-MI-5], Rep. Lowey, Nita M. [D-NY-17], Rep. Miller, George [D-CA-11], Rep. Frank, Barney [D-MA-4], Rep. Pelosi, Nancy [D-CA-11], Sen. Sanders, Bernard [I-VT], Rep. Tierney, John F. [D-MA-6], Rep. Frost, Martin [D-TX-24], Rep. Dellums, Ronald V. [D-CA-9], Del. Christensen, Donna M. [D-VI-At Large], Rep. Lewis, John [D-GA-5], Rep. DeFazio, Peter A. [D-OR-4], Rep. Waxman, Henry A. [D-CA-33], Rep. Rangel, Charles B. [D-NY-15], Rep. Kucinich, Dennis J. [D-OH-10], Rep. Kleczka, Gerald D. [D-WI-4], Rep. Kennedy, Patrick J. [D-RI-1], Rep. Rivers, Lynn N. [D-MI-13], Rep. McGovern, James P. [D-MA-2], Rep. Berman, Howard L. [D-CA-28], Rep. Tauscher, Ellen O. [D-CA-10], Rep. Bonior, David E. [D-MI-10], Rep. Foglietta, Thomas M. [D-PA-1], Rep. Woolsey, Lynn C. [D-CA-6], Rep. Pallone, Frank [D-NJ-6], Rep. Johnson, Eddie Bernice [D-TX-30], Rep. Nadler, Jerrold [D-NY-12], Rep. Yates, Sidney R. [D-IL-9], Rep. Evans, Lane [D-IL-17], Rep. Weygand, Robert A. [D-RI-2], Rep. Kaptur, Marcy [D-OH-9]

Subjects

Healthcare, Taxation

Source updated

23 March 2026

Healthcare · Taxation

Official sourceDownload fileView documentsShare

Summary

Managed Care Plan Accountability Act of 1997 - Amends the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code (IRC) with respect to accountability for violations of requirements for managed care group health plans, especially failure to provide health benefits due to improper cost-driven delivery policy decisions. Imposes joint and several liability for actual (including compensatory and consequential) damages, and, in the court's discretion, for punitive damages, on a group health plan, or a plan health insurance issuer, for failure to provide a benefit in accordance with plan terms, insofar as such failure occurs pursuant to a clinically or medically inappropriate decision or determination resulting from application of any cost containment technique, related utilization review, or any other medical care delivery policy decision which restricts the ability of medical care providers to use their full discretion for treatment of patients. Provides for an action for damages in either a State or Federal court. Requires managed care group health plans to provide for full indemnification of medical care providers bound by plan restrictions for any liability incurred for such a failure if it is the direct result of a plan restriction on medical communications. Amends the IRC to establish an excise tax for such cost-driven violations of plan terms.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 22 May 1997

    Introduced

    Referred to House Education and the Workforce

    Source: IntroReferral

  2. 22 May 1997

    Introduced

    Referred to the Committee on Education and the Workforce, and in addition to the Committee on 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.

    Source: IntroReferral

  3. 22 May 1997

    Introduced

    Sponsor introductory remarks on measure. (CR E1036)

    Source: IntroReferral

  4. 22 May 1997

    Introduced

    Introduced in House

    Source: IntroReferral

  5. 22 May 1997

    Introduced

    Introduced in House

    Source: IntroReferral

  6. 17 June 1997

    Referred

    Referred to the Subcommittee on Employer-Employee Relations.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in House (text)

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  • Introduced in House (text)

    Introduced in House · EN · 22 May 1997

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  • Introduced in House (PDF)

    Introduced in House · EN · 22 May 1997

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  • Introduced in House

    summary · EN · 22 May 1997

    Open at official source

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Sponsors

Related records

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Sources

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