规范遗传信息使用的州立法途径。

Health care law newsletter Pub Date : 1995-11-01
P G Neumann, G L Brown
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引用次数: 0

摘要

随着基因检测变得越来越普遍,对基因信息的使用成倍增加,我们很可能会看到更多的人要求制定综合性的州立法,以俄勒冈州的法律为基础,规范获取和使用基因信息的程序。此外,美国参议院也对这个问题表示了兴趣。据报道,参议院劳工和人力资源委员会于1995年8月2日同意在健康保险改革法案(S. 1028)中加入禁止健康计划在确定资格、延续、登记或缴费要求时使用遗传信息的语言。4 BNA的卫生法代表在1218(1995年8月10日)。保险公司继续坚持认为基因测试结果只是在承保过程中应该合理使用的另一个因素,就像今天的年龄、病史和身体检查一样。隐私权倡导者认为,基因检测为雇主和保险公司提供了太多信息,并有可能造成歧视。随着越来越多的州努力解决这个问题,这些相互竞争的利益可能会在全国各地的公共论坛上进行辩论。
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State legislative approaches to regulating the use of genetic information.

As genetic testing becomes more prevalent and the uses for genetic information multiply, we are likely to witness more demand for comprehensive state legislation on the order of the Oregon law regulating the procedures for obtaining and using genetic information. In addition, the United States Senate has expressed an interest in the subject. The Senate Labor and Human Resources Committee reportedly agreed on August 2, 1995 to include in a health insurance reform bill (S. 1028) language prohibiting health plans from using genetic information when determining eligibility, continuation, enrollment, or contribution requirements. 4 BNA's Health Law Rep. at 1218 (Aug. 10, 1995). Insurance companies continue to maintain that genetic test results are simply another factor that should rightfully be used during underwriting, much as age, medical history, and physical examinations are routinely used today. Right to privacy advocates argue that genetic testing provides employers and insurance companies with too much information and offers a great potential for discrimination. As more states wrestle with this issue, these competing interests are likely to be debated in public forums throughout the country.

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State legislative approaches to regulating the use of genetic information. State Medicaid reform under Section 1115 demonstration authority. Arnett v. Dal Cielo: peer review confidentiality threatened by medical board investigational subpoenas. Commissioner v. Schleier: back to the drawing board on the taxation of employment dispute recoveries. Managed care liability and the capitated provider.
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