,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bhec  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #cj1 #bjac ,mr4 
,lip9ski 7= himself1 ,mr4 ,mull91 ,mr4  
,de,fazio1 ,mr4 ,mi*aud1 ,mr4 ,pet]son1 
& ,mr4 ,polis7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to provide = !     
public disclosure ( *>ges = c]ta9       
hospital & ambulatory surgical c5t]     
treatm5t episodes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,hospital ,price  
,transp>5cy & ,disclosure ,act ( #bjac4 
#b4 ,public disclosure ( hospital data  
,"p ,b ( title ,,ii ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bch et     
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #bdi4 ,data report+ by   
hospitals & ambulatory surgical c5t]s & 
public po/+  7a7 ,semiannual report+    
requirem5t ,n lat] ?an #hj days aft] !  
end ( ea* semiannual p]iod beg9n+       
,janu>y #a or ,july #a 7beg9n+ m ?an "o 
ye> aft] ! date ( ! enactm5t ( ?is      

section71 a hospital & an ambulatory    
surgical c5t] %all report to ! ,secret>y
 ! foll[+ data3  7#a7 ,9 ! case ( a     
hospital--  7,a7 ! frequ5cy ( occurr5ce 
= su* hospital dur+ su* p]iod ( ea*     
treatm5t episode id5tifi$ "u subsection 
7c77#a7 = a condition or disease select$
 "u subp>agraph 7,a7 or 7,b7 ( su*      
subsection 7or updat$ "u subsection     
7c77#c771 furni%$ 9 an inpati5t or      
outpati5t sett+1 respectively2 &  7,b7  
if c>e 0 furni%$ = su* a treatm5t       
episode by su* hospital dur+ su* p]iod--
  7i7 ! total numb] ( su* treatm5t      
episodes = :i* c>e 0 s furni%$ by !     
hospital dur+ su* p]iod2  7ii7 ! insur$ 
individual av]age *>ge 7z comput$ "u    
subsection 7e77#c77 by ! hospital = su* 
treatm5t episode dur+ su* p]iod2 &      
7iii7 ! un9sur$ individual av]age *>ge  
7z comput$ "u subsection 7e77#d77 by !  
hospital = su* treatm5t episode dur+ su*
 p]iod4  7#b7 ,9 ! case ( an ambulatory 
surgical c5t]--  7,a7 ! frequ5cy (      
occurr5ce = su* c5t] dur+ su* p]iod (   

ea* treatm5t episode id5tifi$ "u        
subsection 7c77#a7 = a condition or     
disease select$ "u subp>agraph 7,c7 (   
su* subsection 7or updat$ "u subsection 
7c77#c772 &  7,b7 if c>e 0 furni%$ = su*
 a treatm5t episode by su* c5t] dur+ su*
 p]iod--  7i7 ! total numb] ( su*       
treatm5t episodes = :i* c>e 0 s furni%$ 
by ! c5t] dur+ su* p]iod2  7ii7 ! insur$
 individual av]age *>ge 7z comput$ "u   
subsection 7e77#c77 by ! c5t] = su*     
episode dur+ su* p]iod2 &  7iii7 !      
un9sur$ individual av]age *>ge 7z       
comput$ "u subsection 7e77#d77 by ! c5t]
 = su* episode dur+ su* p]iod4  7b7     
,public availability ( data  7#a7       
,public po/+ ( data ,! ,secret>y %all   
promptly po/1 on ! (ficial public       
,int]net site ( ! ,dep>tm5t ( ,heal? &  
,human ,s]vices1 ! data report$ "u      
subsection 7a7 & an appropriate l9k1 )  
respect to a hospital or c5t] = :i* !   
data is report$1 to o!r consum] quality 
in=mation ma9ta9$ on su* site 7or a site
 ma9ta9$ by ! ,c5t]s = ,m$ic>e  ,m$icaid

 ,s]vices7 relat+ to ! hospital or c5t]4
 ,su* data %all be set =? 9 a mann] t   
promotes *>ge comp>ison among hospitals 
& among ambulatory surgical c5t]s4  7#b7
 ,notice ( availability ,a hospital & an
 ambulatory surgical c5t] %all prom95tly
 po/ at ea* admission site ( ! hospital 
or c5t] a notice ( ! availability ( !   
data report$ "u subsection 7a7 on !     
(ficial public ,int]net site "u p>agraph
 7#a74  7c7 ,specification ( treatm5t   
episodes ,= purposes ( ?is section3     
7#a7 ,9 g5]al ,! ,secret>y %all id5tify 
treatm5t episodes = ea* ( ! foll[+3     
7,a7 ,! #ajj conditions & diseases      
select$ by ! ,secret>y z be+ ! mo/      
frequ5tly treat$ conditions & diseases 9
 a hospital inpati5t sett+4  7,b7 ,!    
#ajj conditions & diseases select$ by ! 
,secret>y z be+ ! mo/ frequ5tly treat$  
conditions & diseases 9 a hospital      
outpati5t sett+4  7,c7 ,! #ajj          
conditions & diseases select$ by !      
,secret>y z be+ ! mo/ frequ5tly treat$  
conditions & diseases 9 an ambulatory   

surgical c5t] sett+4  7#b7 ,agreem5t )  
,,iom ,9 c>ry+ out p>agraph 7#a71 !     
,secret>y may ent] into an agreem5t ) ! 
,in/itute ( ,m$ic9e to def9e a treatm5t 
episode = any condition or disease      
select$ by ! ,secret>y "u ?is           
subsection4 ,su* a def9ition may take   
into acc\nt ! v>y+ complexity associat$ 
) respect to diff]5t treatm5ts4  7#c7   
,updat+ selection ,! ,secret>y %all     
p]iodically update ! conditions &       
diseases select$ "u p>agraph 7#a74  7d7 
,civil money p5alty ,! ,secret>y may    
impose a civil money p5alty ( n m ?an   
#aj1jjj = ea* kn[+ violation (          
subsection 7a7 or 7b77#b7 by a hospital 
or an ambulatory surgical c5t]4 ,!      
provisions ( subsection 7i77#b7 (       
section #cea;,a %all apply ) respect to 
civil money p5alties "u ?is subsection 9
 ! same mann] z su* provisions apply to 
civil money p5alties "u subsection      
7i77#a7 ( su* section4  7e7             
,adm9i/rative provisions  7#a7 ,9 g5]al 
,! ,secret>y %all prescribe su*         

regulations & issue su* guidel9es z may 
be requir$ to c>ry out ?is section4     
7#b7 ,classification ( s]vices ,!       
regulations & guidel9es "u p>agraph 7#a7
 %all include rules on ! classification 
( diff]5t treatm5t episodes & !         
assignm5t ( items & proc$ures to ^?     
episodes4  7#c7 ,computation ( insur$   
individual av]age *>ges  7,a7 ,9 g5]al  
,= purposes ( subsections               
7a77#a77;,b77ii7 & 7a77#b77;,b77ii71 an 
insur$ individual av]age *>ge = a       
treatm5t episode1 ) respect to a        
hospital or ambulatory surgical c5t]    
dur+ a p]iod1 %all be comput$ z ! av]age
 ( ! rates 7includ+ any applicable      
copaym5t1 co9surance1 o!r co/ %>+1 or   
o!r fees1 su* z facility fees1 associat$
 ) treatm5t 9 ! hospital or c5t]7 = su* 
episode t h be5 negotiat$ by ! hospital 
or ambulatory surgical c5t]1            
respectively1 ) ! #e mo/ us$ heal?      
insurance provid]s = su* hospital or    
c5t] dur+ su* p]iod4  7,b7 #e mo/ us$   
heal? insurance provid]s ,= purposes (  

subp>agraph 7,a71 ! #e mo/ us$ heal?    
insurance provid]s1 ) respect to a      
hospital or ambulatory surgical c5t]    
dur+ a p]iod1 are ! #e gr\p heal? plans 
or insurance issu]s (f]+ heal? insurance
 cov]age--  7i7 t h negotiat$ ) !       
hospital or c5t] a rate = ! treatm5t    
episode involv$2 &  7ii7 ! enrollees (  
:i* repres5t ! highe/ numb] ( pati5ts ( 
! hospital or c5t]1 respectively4  7#d7 
,computation ( un9sur$ individual av]age
 *>ges  7,a7 ,9 g5]al ,= purposes (     
subsections 7a77#a77;,b77iii7 &         
7a77#b77;,b77iii71 an un9sur$ individual
 av]age *>ge = a treatm5t episode1 )    
respect to a hospital or ambulatory     
surgical c5t] dur+ a p]iod1 %all be     
comput$ z ! av]age ( ! total am\nts *>g$
 = su* an episode = :i* c>e 0 furni%$ to
 an un9sur$ individual by su* hospital  
or ambulatory surgical c5t] dur+ su*    
p]iod4  7,b7 ,un9sur$ individual def9$  
,= purposes ( subp>agraph 7,a71 ! t]m   
un9sur$ individual means1 ) respect to  
c>e furni%$ to ! individual by a        

hospital or ambulatory surgical c5t]1 an
 individual :o does n h insurance or o!r
 ?ird-p>ty contractual b5efits t        
provides paym5t = co/s incurr$ = su*    
c>e4  7#e7 ,=m ( report & notice ,!     
regulations & guidel9es "u p>agraph 7#a7
 %all specify ! electronic =m & mann] by
 :i* a hospital or an ambulatory        
surgical c5t] %all report data "u       
subsection 7a7 & ! =m = po/+ ( notices  
"u subsection 7b77#b74  7f7 ,rules (    
,con/ruction  7#a7 ,non-preemption (    
,/ate laws ,no?+ 9 ?is section %all be  
con/ru$ z preempt+ or o!rwise affect+   
any provision ( ,/ate law relat+ to !   
disclosure ( *>ges or o!r in=mation = a 
hospital or an ambulatory surgical c5t]4
  7#b7 ,*>ges ,no?+ 9 ?is section %all  
be con/ru$ to regulate or set hospital  
or ambulatory surgical c5t] *>ges4  7g7 
,hospital & ambulatory surgical c5t]    
def9$ ,= purposes ( ?is section1 ! t]ms 
hospital & ambulatory surgical c5t] h ! 
mean+ giv5 su* t]ms by ! ,secret>y4  4