,,ii  #aac? ,,congress  #a/ ,session    
,s4 #gfd  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,april #ah1 #bjac ,mr4 
,cornyn introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d title ,,xxvii ( !   
,public ,heal? ,s]vice ,act to require !
 disclosure ( in=mation reg>d+ h[ c]ta9 
taxes & fees impact ! am\nt ( premiums1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,pati5ts' ,"r to   
,"k ,act ( #bjac4  #b4 ,disclosure (    
heal? insurance in=mation to consum]s   
7a7 ,9 g5]al ,section #bgae ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ae7 is am5d$ by add+ at ! end !
 foll[+ new subsection3  7h7 ,disclosure
 ( heal? insurance in=mation to consum]s
  7#a7 ,9 g5]al ,a heal? insurance issu]
 or sponsor ( a gr\p heal? plan1 ?r\gh  
its annual summ>y ( b5efits & cov]age   
explanation provid$ "u subsection 7d71  
?r\gh an ,int]net website1 or ?r\gh "s  
o!r writt5 means ( communication ) !    

consum] su* z a pr9t$ mail+--  7,a7 %all
 include ! disclosure 7effective = plan 
ye>s beg9n+ on or aft] ,janu>y #a1      
#bjaf1 & 9 addition to ! in=mation      
requir$ to be disclos$ "u ?is section7  
(--  7i7 ! applicable additional        
in=mation relat+ to fees describ$ 9     
p>agraph 7#b72 &  7ii7 ! applicable     
additional in=mation includ$ "u p>agraph
 7#c77;,d72 &  7,b7 %all n be subject to
 any adm9i/rative action by ! ,secret>y 
or by a ,/ate au?ority ) respect to any 
disclosure made on or aft] ! date ( !   
enactm5t ( ?is subsection ( su*         
applicable additional in=mation if !    
disclosure is made bas$ ^u a good fai?  
e/imates ( su* in=mation & is 9         
accordance ) su* /&>ds z ! ,secret>y may
 e/abli% to c>ry out ?is subsection4    
7#b7 ,fee in=mation ,! additional       
in=mation describ$ 9 ?is p>agraph1 )    
respect to a heal? insurance issu] issu+
 heal? insurance cov]age 9 ! individual1
 small1 or l>ge gr\p m>ket & ) respect  
to ! sponsor ( a gr\p heal? plan1 is z  

foll[s3  7,a7 ,fee on heal? insurance   
provid]s ,! annual fee on heal?         
insurance provid]s "u section #ijaj ( ! 
,pati5t ,protection & ,af=dable ,c>e    
,act 7#bf ,u4,s4,c4 #djja note74  7,b7  
,,pcori ,tax ,fees impos$ "u sub*apt] ,b
 ( *apt] #cd ( ! ,int]nal ,rev5ue ,code 
( #aihf 7relat+ to fund+ !              
,pati5t-,c5t]$ ,outcome ,rese>*         
,in/itute74  7,c7 ,re9surance           
contributions ,re9surance contributions 
requir$ "u section #acda7;b7 ( ! ,pati5t
 ,protection & ,af=dable ,c>e ,act 7#db 
,u4,s4,c4 #ahjfa7;b774  7,d7 ,propos$   
heal? insurance ex*ange us] fee ,fees   
impos$ on heal? plans relat+ to         
p>ticipation 9 an ,ex*ange "u subtitle  
,d ( title ,i ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahjba et seq474  7,e7 ,risk corridor   
paym5ts ,risk corridor paym5ts requir$  
"u section #acdb7;b77#b7 ( ! ,pati5t    
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjfb7;b77#b774  7,f7 ,risk  
adju/m5t *>ges ,risk adju/m5t *>ges     

impos$ "u section #acdc7;a77#a7 ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjfc7;a77#a774  ,9
 ! case ( heal? insurance cov]age1 su*  
co/s may be calculat$ sep>ately = su*   
cov]age 9 ! individual m>ket1 9 ! small 
gr\p m>ket1 & 9 ! l>ge gr\p m>ket = !   
heal? insurance issu] involv$4  7#c7    
,o!r in=mation  7,a7 ,/udy ,!           
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all conduct a /udy ( me?ods ( calculat+
 ! impact on av]age premium co/s        
associat$ ) ea* ( ! foll[+3  7i7 ,m>ket 
impact ( gu>ante$ issue & community rat+
 ,! requirem5t = gu>ante$ issuance (    
cov]age "u section #bgjb & community    
rat$ premiums "u section #bgja4  7ii7   
,age rat+ impact ,! requirem5t ( section
 #bgja7;a77#a77;,a77iii7 7relat+ to     
limitations on age rat+74  7iii7        
,prev5tive s]vices ,! requirem5t =      
cov]age ( prev5tive s]vices "u section  
#bgac4  7iv7 ,m9imum ess5tial heal?     
b5efits cov]age ,! requirem5t t cov]age 
provide = at lea/ #fj p]c5t ( ! actu>ial

 value ( ess5tial heal? b5efits "u      
section #acjb7;d7 ( ! ,pati5t           
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjbb7;d774  7,b7            
,consultation ,9 conduct+ su* /udy1 !   
,comptroll] ,g5]al %all consult ) heal? 
insurance issu]s & ,/ate heal? insurance
 commission]s4  7,c7 ,report ,n lat] ?an
 ,octob] #a1 #bjad1 ! ,comptroll] ,g5]al
 %all submit to ea* ,h\se ( ,congress & 
! ,secret>y a report on ! /udy conduct$ 
"u subp>agraph 7,a74  7,d7 ,inclusion ( 
additional in=mation ,aft] submission ( 
su* report1 ! ,secret>y may also include
 9 ! in=mation requir$ to be disclos$ "u
 p>agraph 7#a77;,a77ii7 in=mation on !  
impact on premiums ( ea* ( ! requirem5ts
 describ$ 9 subp>agraph 7,a74  7#d7     
,ret5tion ( ,/ate rate sett+ au?ority   
,no?+ 9 ?is subsection %all be con/ru$  
to preempt ,/ate au?ority to regulate1  
reject1 alt]1 or require additional     
in=mation 9 support ( rates = heal?     
insurance cov]age or ov]sight au?ority (
 ! ,secret>y4  7#e7 ,disclosure to !    

g5]al public ,! ,secret>y %all make !   
in=mation provid$ by a heal? insurance  
issu] or sponsor ( a gr\p heal? plan z  
specifi$ 9 p>agraph 7#b7 & additional   
in=mation includ$ "u p>agraph 7#c77;,d7 
available to ! g5]al public ?r\gh an    
,int]net website4 ,9 addition1 su*      
website %all include in=mation provid$ 9
 ! report submitt$ "u p>agraph          
7#c77;,a74  4