Congressional Digest

Supreme Court Debates March 2002 No. 3 Vol. 5
HMO Coverage Decisions

HMO Coverage Decisions

Contesting "Medical Necessity" of Out-of-Network Treatments

Excerpt

The court will decide whether the Employee Retirement Income Security Act (ERISA) preempts state laws regulating HMOs. The outcome could determine whether states reform healthcare on their own.

In This Issue

Does ERISA Allow States to Regulate the Review of Health Maintenance Organizations' Medical Decisions?

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