(BETA) Advocacy: The HMO Patients' Rights Act


(BETA) Advocacy: The HMO Patients' Rights Act

Bulletin of Experimental Treatments for AIDS, No. 30; September, 1996
Ronald Baker, PhD


The San Francisco AIDS Foundation endorses Proposition 214 on the November 1996 ballot in California. Also known as the HMO Patient Rights Act, Proposition 214 protects consumers who rely on their physicians and managed care organizations for ethical and quality health care and services. As more people living with HIV infection enroll in managed care programs, it is increasingly important to enact legislation to protect the best interests of patients.

Proposition 214 does not impose new taxes, create new agencies or establish unnecessary regulations. The proposed measure ensures direct and open communication between doctors and patients, prohibits gag rules and bans financial incentives to providers for denying or delaying appropriate patient care. In addition, Proposition 214 would limit the rationing of care for those with chronic, expensive-to-treat illnesses such as HIV disease. The measure also would mandate written criteria for denial of care, quality standards, financial reports, staffing standards and complaints and arbitration. Finally, Proposition 214 requires health care insurers to disclose how much of consumers' premiums is spent for patient care and how much for salaries and overhead.

If you would like to receive more information on Propositions 214 and 215 as well as other November 1996 election recommendations from the San Francisco AIDS Foundation, please call the Foundation's Public Policy Department at 415-487-3080. Ronald Baker is Editor-in-Chief of BETA and Director of Treatment Education and Advocacy at the San Francisco AIDS Foundation.


960901
BE963004


Copyright © 1996 - San Francisco AIDS Foundation. Reproduced by permission. Reproduction of this article (other than one copy for personal reference) must be cleared through BETA: PO Box 426182, San Francisco, CA 94142-6182. Tel: 415 487 8060 Fax: 415 487 8069 URL: http://www.sfaf.org/beta E-mail: beta@sfaf.org

ÆGiS is made possible through unrestricted grants from Boehringer Ingelheim, iMetrikus, Inc., John M. Lloyd Foundation, the National Library of Medicine, and donations from users like you. Always watch for outdated information. This article first appeared in 1996. This material is designed to support, not replace, the relationship that exists between you and your doctor.

ÆGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

Copyright ©1990, 2001. ÆGiS & the Sisters of Saint Elizabeth of Hungary. All materials appearing on ÆGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of ÆGIS and the Sisters of Saint. Elizabeth of Hungary, or the party credited as the provider of the content.