Due Process Continuity of Care Act

2/1/2024, 8:30 AM

Due Process Continuity of Care Act

This bill allows an otherwise eligible individual who is in custody pending disposition of charges (i.e., pretrial detainees) to receive Medicaid benefits at the option of the state. The bill also provides for state planning grants to support the provision of such benefits.

Bill 118 hr 3074, also known as the Due Process Continuity of Care Act, is a piece of legislation currently being considered by the US Congress. The main goal of this bill is to ensure that individuals who are receiving mental health treatment are able to continue receiving care without interruption, even if their insurance coverage changes.

The bill specifically addresses the issue of "step therapy," which is a practice used by insurance companies to require patients to try less expensive medications before they can access more expensive treatments. This can often result in delays in care and can be harmful to individuals with mental health conditions.

The Due Process Continuity of Care Act would require insurance companies to provide a clear and transparent process for patients to appeal step therapy requirements. It would also ensure that patients who are stable on their current medication are able to continue receiving that medication without interruption, even if their insurance coverage changes. Overall, this bill aims to protect the rights of individuals with mental health conditions and ensure that they are able to access the care they need without unnecessary barriers. It has received bipartisan support in Congress and is currently being reviewed by the relevant committees.
Congress
118

Number
HR - 3074

Introduced on
2023-05-02

# Amendments
0

Sponsors
+5

Cosponsors
+5

Variations and Revisions

5/2/2023

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

Due Process Continuity of Care Act

This bill allows an otherwise eligible individual who is in custody pending disposition of charges (i.e., pretrial detainees) to receive Medicaid benefits at the option of the state. The bill also provides for state planning grants to support the provision of such benefits.

Bill 118 hr 3074, also known as the Due Process Continuity of Care Act, is a piece of legislation currently being considered by the US Congress. The main goal of this bill is to ensure that individuals who are receiving mental health treatment are able to continue receiving care without interruption, even if their insurance coverage changes.

The bill specifically addresses the issue of "step therapy," which is a practice used by insurance companies to require patients to try less expensive medications before they can access more expensive treatments. This can often result in delays in care and can be harmful to individuals with mental health conditions.

The Due Process Continuity of Care Act would require insurance companies to provide a clear and transparent process for patients to appeal step therapy requirements. It would also ensure that patients who are stable on their current medication are able to continue receiving that medication without interruption, even if their insurance coverage changes. Overall, this bill aims to protect the rights of individuals with mental health conditions and ensure that they are able to access the care they need without unnecessary barriers. It has received bipartisan support in Congress and is currently being reviewed by the relevant committees.
Alternative Names
Official Title as IntroducedTo amend title XIX of the Social Security Act to remove the Medicaid coverage exclusion for inmates in custody pending disposition of charges, and for other purposes.

Policy Areas
Health

Potential Impact
Correctional facilities and imprisonment
Health care coverage and access
Intergovernmental relations
Medicaid
Performance measurement
State and local government operations

Comments

Recent Activity

Latest Summary1/5/2024

Due Process Continuity of Care Act

This bill allows an otherwise eligible individual who is in custody pending disposition of charges (i.e., pretrial detainees) to receive Medicaid benefits at the option of the state. The bill ...


Latest Action5/5/2023
Referred to the Subcommittee on Health.