White House releases health law details

Includes specifics about covering children with pre-existing conditions and requirements for emergency care

Published June 22, 2010 2:08PM (EDT)

Most insurance plans will soon be prohibited from rejecting coverage of children because of pre-existing medical problems, under rules governing enforcement of the 'patients bill of rights' in the new health care law.

The White House later Tuesday will release details of how the patients' provision will be implemented.

The language involving coverage of children with pre-existing conditions will be enforced for most insurance plans renewing on or after Sept. 23.

Under the new federal rules, patients also can still pick their primary doctors or pediatricians, and prior approval requirements for emergency care will be prohibited.

The rules apply to most health plans, except in cases where they are "grandfathered" under the law.




THIS IS A BREAKING NEWS UPDATE. Check back soon for further information. AP's earlier story is below.

President Barack Obama is revealing details of how the government will enforce the health overhaul law, an announcement expected to focus on how insurance companies must treat consumers.

Administration officials were meeting privately Tuesday at the White House with insurance company CEOs and state insurance commissioners, the White House said in a written statement, with Obama expected to attend at least part of the session. The president was then expected to announce regulations for implementing consumer safeguards enacted by the law, according to administration allies who were briefed in advance and spoke on condition of anonymity.

The events mark 90 days since Obama signed the health revamp into law, one of his administration's chief victories so far.

The law's consumer safeguards, called the patients' bill of rights, are limited steps that take effect this year. The main provisions, including federal funding to help 32 million uninsured people get coverage, won't come until 2014. The administration worries that escalating premiums will force more people drop their policies before the law is fully implemented.

Consumers who buy their policies directly face increases averaging 20 percent this year, according to a survey released Monday by the private Kaiser Family Foundation. Although most Americans are covered on the job, about 14 million purchase insurance on the individual market and have the least bargaining power when it comes to costs.

Obama foreshadowed parts of his announcement last week, telling a nurses' group that the patients' bill of rights would include the elimination of lifetime dollar limits on coverage, a particular problem for people dealing with hard-to-treat types of cancer. Insurance companies would be prohibited from canceling the policies of people who get sick, he added. And health plans would be required to provide consumers with simple and clear information about their choices and rights.

The law also calls for other safeguards to be put in place this year, including allowing women to pick an ob-gyn specialist as their primary care doctor and prohibiting insurers from denying coverage to children on account of previous medical problems. Protection against insurance denials would extend to adults in 2014, when most Americans would be required to carry coverage.




By Ricardo Alonso-zaldivar

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Healthcare Reform