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HCR bill lacks Third Party Review Procedure for Protecting Breast Cancer Patients:

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amborin Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Apr-22-10 05:57 PM
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HCR bill lacks Third Party Review Procedure for Protecting Breast Cancer Patients:
Edited on Thu Apr-22-10 06:01 PM by amborin
Senate Health Care Bill Does Not Have “Independent Third Party Review” That Would Protect Breast Cancer Patients

By: Jon Walker


Reuters reports that WellPoint is under federal investigation for singling out breast cancer patients and dropping their coverage “based on either erroneous or flimsy information.” They also report that language in the House bill would have protected these women, but it was removed in the Senate version of the bill because “lobbyists for WellPoint and other top insurance companies successfully fought proposed provisions of the legislation.”
Max Baucus, head of the Senate Finance Committee, credits former WellPoint VP Liz Fowler with writing the “blueuprint” of the bill, and her name appears as “author” on the bill PDF released by the committee.

Here is a look at the language in the House and Senate bills. The important thing to note that the House bill specifically providers for an “independent external third party review” before a policy can be cancelled.
From the House health care bill (HR 3200 PDF)

SEC. 162. ENDING HEALTH INSURANCE RESCISSION ABUSE.

(a) Clarification Regarding Application of Guaranteed Renewability of Individual Health Insurance Coverage- Section 2742 of the Public Health Service Act (42 U.S.C. 300gg-42) is amended–

(1) in its heading, by inserting `and continuation in force, including prohibition of rescission,’ after `guaranteed renewability’; and

(2) in subsection (a), by inserting `, including without rescission,’ after `continue in force’.

(b) Secretarial Guidance Regarding Rescissions- Section 2742 of such Act (42 U.S.C. 300gg-42) is amended by adding at the end the following:

`(f) Rescission- A health insurance issuer may rescind

snip

http://fdlaction.firedoglake.com/2010/04/22/senate-health-care-bill-does-not-have-independent-third-party-review-that-would-protect-breast-cancer-patients/
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