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

HEALTH maintenance organization laws; MANAGED care programs; CIRCUIT courts

ILLINOISReport Available; UNITED StatesReport Available

Presents opinion of the author who is an assistant attorney general for the State of Illinois on the provisions of act regulating health maintenance organizations in Illinois. Provision related to the coverage of microsurgery by a nonaffiliated doctor; Reversal of lower court's decision by the Seventh U.S. Circuit Court of Appeals; Exemption under Section 4-10 from preemption under the savings clause.