Managed Care and State External Review Statutes
Publication Date: June 2002
Publisher: Library of Congress. Congressional Research Service
Author(s):
Research Area: Health
Type:
Abstract:
This report discusses ERISA's existing procedure for reviewing the adverse coverage determinations of participants in employer-sponsored group health plans. The report also reviews the recent decision by the Supreme Court involving the preemption of state external review statutes and legislative proposals in the 107th Congress to amend ERISA to require external review. This report will be updated in response to relevant legislative and judicial activity.
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