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Proud to bring you information via The Web since 1996

DONALD J. CAPUANO, M.D.
Plastic Surgeon


The Health Care Bill of Rights is the first major legislation in New York State to protect patients in their dealings with HMOs and other managed care organizations, Its focus is to assure that patients cannot be denied proper medical treatment for their illness or access to physicians of their choice, The legislation has passed the State Assembly and is now before the State Senate.


Key Elements of the Health Care Bill of Rights


Disclosure About Benefits and Limitations


. Managed care plans would be forced to fully disclose which services are covered and which are denied. They would also have to disclose any requirements for patients to get plan approval for visiting specialists or receiving treatment.

Financial Arrangements Must Be Revealed


. Managed care plans would have to reveal any financial arrangements which might induce a health care provider to hold back on giving tests, treatments or referrals to other providers, In addition, plans would have to disclose how much money is actually spent on medical care as compared to administration, advertising, promotion and salaries.

Patients Must Be Told the Truth


. Managed care plans would be prohibited from attempting to stop physicians and other providers from giving patients any information they feel is necessary regarding treatment options, In addition, plans would be required to allow patients and physicians to appeal any decisions made by the plan.

Patients Must Receive Quality Medical Service


. Managed care plans must use quality standards developed by licensed physicians. Plan decisions must be made by physicians with expertise in the specific medical condition.

Patients and Health Care Providers Must Be Treated Fairly


. Managed care plans would be prohibited from terminating a physician or other provider just because the tests or services given are extensive or unusually expensive,

Who Supports The Health Care Bill of Rights?


The Health Care Bill of Rights is supported by The Campaign for Quality and Choice in Managed Health Care, a broad based coalition of patients, consumer groups, nurses, physicians, dentists, health care providers and others concerned with the health care delivery in New York State. Call your Senator today .

Help pass the Health Care Bill of Rights by urging your State Senator to support this critical legislation.

Email address can be found at gopher://gopher.senate.state.ny.us:70/00/.text/.email.doc

The Health Care Bill of Rights


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