The federal Employee Retirement Income Security Act (ERISA)1is the federal law that governs employee-benefit plans offeredby private employers and unions. ERISA has long hindered stateefforts to expand access to health care, because it prohibitsstates from requiring all employers to offer benefits to theiremployees.2 States have shifted their attention from seekinguniversal insurance coverage for health care to regulating thebenefits of people who already have health insurance. Reportsdescribing how some managed-care organizations limit the careprovided to their enrollees have prompted a rash of legislativeefforts intended to protect patients from receiving substandardcare.3. . . [Full Text of this Article]
ERISA's Origins and the Regulatory Vacuum Affecting Health Plans
Limitation of State Laws by ERISA
Mandated-Benefits Laws and Differential Treatment of Health Plans
Any-Willing-Provider Laws
Disclosure Laws
Options for Regulating Managed Care
Conclusions
References
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