,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #abje  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ad1 #bjac    
,mr4 ,walden introduced the following   
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xxvii of the  
,public ,health ,service ,act to require
 health insurance issuers and group     
health plans to disclose information    
regarding how certain taxes and fees    
impact the amount of premiums1 and for  
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,patients      
,right to ,know ,act of #bjac4  #b4     
,protection of certain health insurance 
disclosures  7a7 ,in general ,section   
#bgae of the ,public ,health ,service   
,act 7#db ,u4,s4,c4 #cjj;gg-#ae7 is     
amended by adding at the end the        
following new subsection3  7h7          
,protection of disclosure of fee and    
other additional information  7#a7 ,in  
general ,a health insurance issuer or   
sponsor of a group health plan1 with    

respect to its annual summary of        
benefits and coverage explanation       
provided under subsection 7d7--  7,a7   
shall include 7effective for plan years 
beginning on or after ,january #a1      
#bjaf1 and in addition to the           
information required to be disclosed    
under this section7--  7i7 the          
applicable additional information       
relating to fees described in paragraph 
7#b72 and  7ii7 the applicable          
additional information included under   
paragraph 7#c77;,d72 and  7,b7 shall not
 be subject to any administrative action
 by the ,secretary or by a ,state       
authority with respect to any disclosure
 made on or after the date of the       
enactment of this subsection of such    
applicable additional information if the
 disclosure is made based upon a good   
faith estimate of such information and  
is in accordance with such standards as 
the ,secretary may establish to carry   
out this subsection4  7#b7 ,fee         
information ,the additional information 

described in this paragraph1 with       
respect to a health insurance issuer    
issuing health insurance coverage in the
 individual1 small1 or large group      
market and with respect to the sponsor  
of a group health plan1 is as follows3  
7,a7 ,fee on health insurance providers 
,the annual fee on health insurance     
providers under section #ijaj of the    
,patient ,protection and ,affordable    
,care ,act 7#bf ,u4,s4,c4 #djja note74  
7,b7 ,,pcori ,tax ,fees imposed under   
subchapter ,b of chapter #cd of the     
,internal ,revenue ,code of #aihf       
7relating to funding the                
,patient-,centers ,outcome ,research    
,institute74  7,c7 ,reinsurance         
contributions ,reinsurance contributions
 required under section #acda7;b7 of the
 ,patient ,protection and ,affordable   
,care ,act 7#db ,u4,s4,c4 #ahjfa7;b774  
7,d7 ,proposed health insurance exchange
 user fee ,fees imposed on health plans 
relating to participation in an         
,exchange under subtitle ,d of title ,i 

of the ,patient ,protection and         
,affordable ,care ,act 7#db ,u4,s4,c4   
#ahjba et seq474  7,e7 ,risk corridor   
payments ,risk corridor payments        
required under section #acdb7;b77#b7 of 
the ,patient ,protection and ,affordable
 ,care ,act 7#db ,u4,s4,c4              
#ahjfb7;b77#b774  7,f7 ,risk adjustment 
charges ,risk adjustment charges imposed
 under section #acdc7;a77#a7 of the     
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4               
#ahjfc7;a77#a774  ,in the case of health
 insurance coverage1 such costs may be  
calculated separately for such coverage 
in the individual market1 in the small  
group market1 and in the large group    
market for the health insurance issuer  
involved4  7#c7 ,other information  7,a7
 ,study ,the ,comptroller ,general of   
the ,united ,states shall conduct a     
study of methods of calculating the     
impact on average premium costs         
associated with each of the following3  
7i7 ,market impact of guaranteed issue  

and community rating ,the requirement   
for guaranteed issuance of coverage     
under section #bgjb and community rated 
premiums under section #bgja4  7ii7 ,age
 rating impact ,the requirement of      
section #bgja7;a77#a77;,a77iii7         
7relating to limitations on age rating74
  7iii7 ,women's preventive services    
,the requirement for coverage of women's
 preventive services under section      
#bgac4  7iv7 ,minimum essential health  
benefits coverage ,the requirement that 
coverage provide for at least #fj       
percent of the actuarial value of       
essential health benefits under section 
#acjb7;d7 of the ,patient ,protection   
and ,affordable ,care ,act4 7#db        
,u4,s4,c4 #ahjbb7;d774  7,b7            
,consultation ,in conducting such study1
 the ,comptroller ,general shall consult
 with health insurance issuers and      
,state health insurance commissioners4  
7,c7 ,report ,not later than ,october   
#a1 #bjad1 the ,comptroller ,general    
shall submit to each ,house of ,congress

 and the ,secretary a report on the     
study conducted under subparagraph 7,a74
  7,d7 ,inclusion of additional         
information ,after submission of such   
report1 the ,secretary may also include 
in the information required to be       
disclosed under paragraph 7#a77;,a77ii7 
information on the impact on premiums of
 each of the requirements described in  
subparagraph 7,a74  7#d7 ,retention of  
,state rate setting authority ,nothing  
in this subsection shall be construed to
 preempt ,state authority to regulate1  
reject1 alter1 or require additional    
information in support of rates for     
health insurance coverage or oversight  
authority of the ,secretary4  4