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1
J
I"".,.
2
1
TITLE
I-QUALITY,
AFFORDABLE
2
HEALTH
CARE
FOR
ALL
3
AMERICANS
4
Subtitle
A-Effective
Coverage
for
5
All
Americans
6 [Note:
Further
revisions are needed to complete the7 work of
int~grating
provisions into the existing
IDP
AA
,
8
structure]
,",
9
PART
I-PROVISIONS
APPLIC:,
'..LE
TO
THE
10 INDIVIDUAL
AND
GROUP
MARKETS
11
SEC.
101.
AMENDMENT TO
THEPUBLIC HEALTH SERVICE
12
ACT.
13
Part
A
of title
XXVII
of the Public Health Service
14
Act
(42
U.S.C. 300gg et seq.) is
amended-
15
(1) by striking the
part
heading and inserting16 the following:
17
''PART
A-INDIVIDUAL
AND
GROUP
MARKET
18
REFORMS";
19
(2)
in section 2701 (42 U.S.C.
300gg)-
20
(A)
by striking the section heading
and
21
subsection (a) and inserting the following:
1
SECTION
1.
SHORT TITLE;
TABLE
OF
CONTENTS.
2 (a)
SHORT
TITLE.-This
Act may be cited as the
3
"American
Health
Choices Act".4 (b)
TABLE
OF
CONTENTS.-The table
of
contents of5 this Act is as follows:
[to
be supplied]
6
SEC.
2.
DECURATION
OF
RIGHTS.
7 (a)
RIGHTS
OF
PATIENTS
TO
CHOOSE
THEIR
Doc-
8
TOR.-It
is
the
right of patients to select
the
doctor of
9
their
choice.
10
(b)
DOCTOR-PATIENT
RELATIONSHIP.-A
strong
11
doctor-patient relationship is essential to
the
practice of
12
medicine,
and
patients
have a right to
an
effective doctor-
13
patient
relationship.14
(c) HEALTH
PROFESSIONALS SHOULD
JUDGE
WHAT15
Is
BEST
FOR
THEIR P ATIENTS.-Doctors,
nur~es,
and
16
other health professionals have the right
to judge what
17
is best for
their
patients.
18
(d)
No
INTERFERENCE
WITH
THESE
RIGHTS.-
19
Nothing
in the
this Act or the amendments made by this
20
Act interferes
v.rith
the
rights described in
this
section.
31
"SEC.
2705.
PROHmITION OF
PREEXISTING CONDITION
EX-
2
CLUSIONS
OROTHER
DISCRIMINATION
3
BASED
ON HEALTH
STATUS.
4 "(a) IN GENERAL.-A group health plan and a health5 insurance issuer offering group or individual health insur-6 ance coverage may not impose any preexisting condition7 exclusion with respect to such plan or coverage."; and8
,\}
by
transferring such section
so
as
to9
appe'
after the section 2704 as added by para-10 graph (3);
11
(3) by redesignating existing sections
2704
12 through 2707 as sections 2715 through 2718;
and
13
(4)
by
amending
the
remainder of subpart
1
of14 such
part
to read as follows:
15
"Subpart
I-General
Reform
16
"SEC.
2701.
FAIR
INSURANCE COVERAGE.
17 "(a) IN GENERAL.-With respect to
the
premmm
18
rate
charged by a health insurance issuer for health insur-19 ance coverage offered in the individual or group
market-
20
21
22
23
24
25
"(1) such
rate
shall vary only
by-
"(A) family structure;
"(B)
community rating area;"(C)
the
actuarial value of the benefit;"(D) age,
except
that
such
rate
shall notvary by more
than
[2
to
1];
and
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