Number: RS20845
Title: Managed Care and State External Review Statutes
Authors: Angie A. Welborn, American Law Division 
Abstract: This report discusses ERISA's existing procedure for reviewing the adverse coverage determinations of participants in employer-sponsored group health plans. The report also reviews decisions of the U.S. Courts of Appeals for the Fifth and Seventh Circuits involving the preemption of state external review statutes and legislative proposals in the 107th Congress to amend ERISA to require external review.
Pages: 6
Date: June 27, 2002