H. R. 969
IN THE HOUSE OF REPRESENTATIVES
March 9, 2011
Mr. Price of Georgia (for himself, Mrs. Black, Mr. Roe of Tennessee, Mr. Bilbray, Mr. Thompson of Pennsylvania, Mr. Coffman of Colorado, Mr. Cassidy, Mr. Gingrey of Georgia, and Mr. Fleming) introduced the following bill; which was referred to the Committee on Energy and Commerce
To prohibit conditioning licensure of a health care provider upon participation in a health plan.
This Act may be cited as the
Medical Practice Freedom Act of
Health care provider licensure cannot be conditioned on participation in a health plan
The Secretary of Health and Human Services and any State (as a condition of receiving Federal financial participation under title XIX of the Social Security Act) may not require any health care provider to participate in any health plan as a condition of licensure of the provider in any State.
In this section:
The term health plan has the meaning given such term in section 1171(5) of the Social Security Act (42 U.S.C. 1320d(5)), and includes a basic health program established under section 1331 of the Patient Protection and Affordable Care Act (Public Law 111–148), a qualified health plan offered by a qualified nonprofit health insurance issuer under the Consumer Operated and Oriented Plan (CO–OP) program under section 1322 of such Act, a qualified health plan offered under a health care choice compact under section 1333 of such Act, a multi-state qualified health plan offered under section 1334 of such Act, or other health plan offered under title I of such Act.
Health care provider
The term health care provider means any person or entity that is required by State or Federal laws or regulations to be licensed, registered, or certified to provide health care services and is so licensed, registered, or certified, or exempted from such requirement by other statute or regulation.
The term State has the meaning given such term for purposes of title XIX of the Social Security Act.