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Summary of Amendments Made in Order Under the Rule to H.R. 2563,
Bipartisan Patient Protection Act

Thomas/Lipinski/Fletcher/Phelps/Johnson, Sam/Dooley/Cooksey/Lucas (KY)/Hunter Adds Association Health Plans to the bill and strikes section 511 (Limitations on Number of Medical Savings Accounts (MSAs)), replacing it with fully expanded MSAs. (40 minutes)

Norwood Provides patient protections and the right to independent medical review for denials of medical care by the health plan; guarantees patients new federal remedies to hold their health plans accountable when they have been injured by wrongful denial or delay of medical care; allows cases against employers to be removed to federal court by the defendant; allows cases against health insurers to be heard in state court; allows employers to designate decision makers who will have sole liability for benefit determinations; ensures that patients must exhaust the independent medical review process before seeking expanded damages in court; allows patients to seek injunctive relief at any time for irreparable harm; allows unlimited economic damages in both federal and state court; limits non-economic damages at $1.5 million; provides that punitive damages will be capped at $1.5 million and will be available only where the designated decision maker fails to comply with the independent medical reviewer's decision that the claim for benefits should be granted; and limits class action lawsuits under ERISA and RICO to participants in a group health plan established by a single plan sponsor. (60 minutes)

Thomas/Cox/Sensenbrenner/Tauzin/Boehner Reforms the medical malpractice laws for health care providers to place time limits on lawsuits, cap damages, establish the collateral source rule, provide for several liability, and protect against lawsuits for products that meet FDA standards. Grandfathers existing laws and allows future state laws to supercede federal standards. (40 minutes)

**summaries derived from information provided by amendment sponsors