State by State Analysis of the Patients' Bill of Rights

State by State Analysis of the Patients' Bill of Rights

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR ALABAMA

2,050,000 Americans in Alabama cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Alabama has enacted a number of patient protections, including information disclosure requirements and direct access for women's health services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR ALASKA

210,000 Americans in Alaska cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR ARIZONA

1,720,000 Americans in Arizona cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Arizona has enacted a number of patient protections, including anti-gag clauses, disclosure of physician incentive arrangements, and access to external appeals. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR ARKANSAS

1,000,000 Americans in Arkansas cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Arkansas has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, and continuity of care protections. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR CALIFORNIA

13,090,000 Americans in California cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

California has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, access to emergency room services, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR COLORADO

1,810,000 Americans in Colorado cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Colorado has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, continuity of care provisions, and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR CONNECTICUT

1,740,000 Americans in Connecticut cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Connecticut has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR DELAWARE

370,000 Americans in Delaware cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Delaware has enacted a number of patient protections, including direct access for women's health services and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR THE DISTRICT OF COLUMBIA

160,000 Americans in the District of Columbia cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR FLORIDA

5,470,000 Americans in Florida cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Florida has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, continuity of care provisions, and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR GEORGIA

3,440,000 Americans in Georgia cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Georgia has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, prohibiting "gag clauses, and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR HAWAII

500,000 Americans in Hawaii cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Hawaii has enacted a number of patient protections, including information disclosure requirements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR IDAHO

500,000 Americans in Idaho cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Idaho has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, access to emergency room services, prohibiting "gag clauses" and confidentiality of health information. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR ILLINOIS

6,220,000 Americans in Illinois cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Illinois has enacted a number of patient protections, including direct access for women's health services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR INDIANA

3,330,000 Americans in Indiana cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Indiana has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR IOWA

1,420,000 Americans in Iowa cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR KANSAS

1,250,000 Americans in Kansas cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Kansas has enacted a number of patient protections, including information disclosure requirements, continuity of care protections, access to emergency room services, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.
 

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR KENTUCKY

1,730,000 Americans in Kentucky cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR LOUISIANA

1,700,000 Americans in Louisiana cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Louisiana has enacted a number of patient protections, including information disclosure requirements, direct access for women's health care services, access to emergency room services, disclosure of physician incentive arrangements, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MAINE

630,000 Americans in Maine cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Maine has enacted a number of patient protections, including information disclosure requirements, access to specialists, continuity of care protections, access to emergency room services, prohibiting "gag clauses," confidentiality of health information, and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.
 

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MARYLAND

2,230,000 Americans in Maryland cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Maryland has enacted a number of patient protections, including continuity of care protections, access to emergency room services, prohibiting "gag clauses,"confidentiality of health information, and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.
 

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MASSACHUSETTS

3,300,000 Americans in Massachusetts cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Massachusetts has enacted a number of patient protections, including prohibiting "gag clauses" and confidentiality of health information. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MICHIGAN

5,320,000 Americans in Michigan cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Michigan has enacted a number of patient protections, including information disclosure requirements, access to emergency room services and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MINNESOTA

2,390,000 Americans in Minnesota cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Minnesota has enacted a number of patient protections, including information disclosure requirements, direct access for women's health specialists, continuity of care protections, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MISSOURI

2,360,000 Americans in Missouri cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Missouri has enacted a number of patient protections, including information disclosure requirements, access to specialists, access to emergency room services, disclosure of physician incentive arrangements and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MISSISSIPPI

1,130,000 Americans in Mississippi cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR MONTANA

340,000 Americans in Montana cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Montana has enacted a number of patient protections, including information disclosure requirements, access to specialists, continuity of care protections, access to emergency room services, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NEBRASKA

740,000 Americans in Nebraska cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Nebraska has enacted a number of patient protections, including information disclosure requirements, access to emergency room services, and prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NEVADA

860,000 Americans in Nevada cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Nevada has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NEW HAMPSHIRE

610,000 Americans in New Hampshire cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

New Hampshire has enacted a number of patient protections, including prohibiting "gag clauses", access to emergency room services, and confidentiality of health information. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NEW JERSEY

3,820,000 Americans in New Jersey cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

New Jersey has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", access to emergency room services, anti-discrimination provisions, and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NEW MEXICO

540,000 Americans in New Mexico cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

New Mexico has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, prohibiting "gag clauses", and confidentiality of health information. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NEW YORK

7,570,000 Americans in New York cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

New York has enacted a number of patient protections, including information disclosure requirements, direct access for women's health services, prohibiting "gag clauses", access to emergency room services, and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NORTH CAROLINA

3,470,000 Americans in North Carolina cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

North Carolina has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", access to emergency room services, anti-discrimination provisions, and external appeals entities. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR NORTH DAKOTA

280,000 Americans in North Dakota cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

North Dakota has enacted a number of patient protections, including prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR OHIO

5,960,000 Americans in Ohio cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Ohio has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", access to emergency room services, disclosure of physician incentive arrangements, and external appeals entities. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR OKLAHOMA

1,240,000 Americans in Oklahoma cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Oklahoma has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR OREGON

1,520,000 Americans in Oregon cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Oregon has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", access to emergency room services, and direct access for women's health services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR PENNSYLVANIA

6,160,000 Americans in Pennsylvania cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Pennsylvania has enacted a number of patient protections, including prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR RHODE ISLAND

460,000 Americans in Rhode Island cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Rhode Island has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses"and disclosure of physician incentive arrangements, and external appeals entities. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR SOUTH CAROLINA

1,690,000 Americans in South Carolina cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR SOUTH DAKOTA

300,000 Americans in South Dakota cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

States have enacted a number of patient protections. At least 30 states have enacted provisions to give patients access to needed specialists -- including giving women greater access to qualified health specialists for women's services. At least 28 states have enacted legislation to help ensure that patients have access to emergency room services when and where the need arises. However, states do not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR TENNESSEE

2,300,000 Americans in Tennessee cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Tennessee has enacted a number of patient protections, including prohibiting "gag clauses", and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR TEXAS

8,060,000 Americans in Texas cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Texas has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses", access to emergency room services, and external appeals entities. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR UTAH

950,000 Americans in Utah cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Utah has enacted a number of patient protections, including prohibiting "gag clauses" and direct access for women's health services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR VERMONT

290,000 Americans in Vermont cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Vermont has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses," disclosure of physician incentive arrangements, and external appeals entities. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR VIRGINIA

3,060,000 Americans in Virginia cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Virginia has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses," and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR WASHINGTON

2,550,000 Americans in Washington cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Washington has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses," access to emergency room services, and disclosure of physician incentive arrangements. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR WEST VIRGINIA

670,000 Americans in West Virginia cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self-insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

West Virginia has enacted a number of patient protections, including information disclosure requirements, prohibiting "gag clauses," and access to emergency room services. However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR WISCONSIN

2,900,000 Americans in Wisconsin cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Wisconsin has enacted a number of patient protections, including prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.

WHY PASSING A FEDERAL PATIENTS' BILL OF RIGHTS IS IMPORTANT

FOR WYOMING

190,000 Americans in Wyoming cannot be assured all of the patient protections recommended by the President's Advisory Commission on Consumer Protection and Quality, even if their state enacts all of these protections into law. This is because the Employee Retirement Income Security Act of 1974 (ERISA) is frequently used to preempt state-enacted protections. Because of ERISA, self- insured plans (plans directly underwritten by employers) are not covered under state law and are not required to abide by state-enacted protections. Moreover, ERISA can even preempt important patient protections for health plans directly regulated by states.

Wyoming has enacted a number of patient protections, including prohibiting "gag clauses." However, the state does not provide for the full range of patients' rights recommended by the Quality Commission. Also, as outlined above, these state-enacted protections do not fully apply to patients in ERISA plans.

Passing a patients' bill of rights is particularly important for women.

Congress must pass a Federally-enforceable patients' bill of rights to assure high quality care for all patients. The President has called on Congress to enact the Quality Commission's recommendations including: assuring patients access to easily understood information; access to the specialists, including specialists for women's health needs; continuity of care for those undergoing a course of treatment for a chronic or disabling condition; access to emergency services when and where the need arises; disclosure of financial incentives that could influence medical decisions; prohibition of "gag clauses"; anti-discrimination protections; and an internal and external appeals process to address grievances with health decisions.



What's New - May 1998

Access Native America Net Day

Delaware State Legislature

Transportation Bill

International Crime Control Strategy

The New Economy

Historic Budget Surplus Numbers

The People of Germany

Climate Change Event

Welfare to Work Successes

Chancellor Kohl

Ronald Reagan Building Dedication

Patients' Bill of Rights

Today's Economic News

Italian Prime Minister Prodi

Funding of New Community Police Officers

Tobacco Legislation

Press Conference

NATO Expansion Ratification

Education Issues with Mayors Conference

Naval Academy Commencement Address

Analysis, Patients' Bill of Rights


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