HOUSE PASSES BILL TO EXPAND RIGHTS ON MEDICAL CARE
House, by surprisingly lopsided vote, passes bill to give patients wide range of rights, including right to sue health insurance plans that cause injury by denying care or providing substandard treatment; vote, 275 to 151, is stunning rebuff to House Republican leaders; 68 Republicans defy their leadership and vote for bill, despite pleas from Speaker J Dennis Hastert, who says he vehemently opposes measure because it could lead to flood of lawsuits against health maintenance orgns; House's version of patients' bill of rights, strongly supported by Pres Clinton, would set uniform national standards for health insurance, which has been regulated mainly by states; bill was drafted by Reps Charlie Norwood, Georgia Republican, and John D Dingell, Michigan Democrat; in July, Senate passed bill providing patients with more limited set of rights; House-Senate conference must now reconcile two versions (M)
