,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #dbgf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #af1 #bjae   
,mr4 ,k5n$y 7= himself1 ,mr4 ,tonko1    
,ms4 ,matsui1 ,ms4 ,cl>ke ( ,new ,york1 
& ,ms4 ,ca/or ( ,florida7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,education 
& ! ,work=ce & ,ways & ,means1 = a p]iod
 to be subsequ5tly det]m9$ by ! ,speak]1
 9 ea* case = consid]ation ( su*        
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to /r5g!n
 p>ity 9 m5tal heal? & sub/ance use     
disord] b5efits4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,behavioral ,heal? 
,cov]age ,transp>5cy ,act ( #bjae4  #b4 
,/r5g!n+ p>ity 9 m5tal heal? & sub/ance 
use disord] b5efits  7a7 ,public ,heal? 
,s]vice ,act ,section #bgbf7;a7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#bf7;a77 is am5d$ by  
add+ at ! end ! foll[+ new p>agraphs3   
7#f7 ,disclosure & en=cem5t requirem5ts 

7,a7 ,disclosure requirem5ts  7i7       
,regulations ,n lat] ?an ,june #cj1     
#bjaf1 ! ,secret>y1 9 coop]ation ) !    
,secret>ies ( ,labor & ! ,treasury1 z   
appropriate1 %all issue additional      
regulations = c>ry+ out ?is section1    
includ+ an explanation ( docum5ts t mu/ 
be disclos$ by plans & issu]s1 ! process
 gov]n+ su* disclosures by plans &      
issu]s1 & analyses t mu/ be conduct$ by 
plans & issu]s by a gr\p heal? plan or  
heal? insurance issu] (f]+ heal?        
insurance cov]age 9 ! gr\p or individual
 m>ket 9 ord] = su* plan or issu] to    
demon/rate compliance ) ! provisions (  
?is section4  7ii7 ,disclosure          
requirem5ts ,docum5ts requir$ to be     
disclos$ by a gr\p heal? plan or heal?  
insurance issu] (f]+ heal? insurance    
cov]age 9 ! gr\p or individual m>ket "u 
clause 7i7 %all include an annual report
 t details ! specific analyses p]=m$ to 
ensure compliance ( su* plan or cov]age 
) ! law & regulations4 ,at a m9imum1 )  
respect to ! application (              

non-quantitative treatm5t limitations 79
 ?is p>agraph ref]r$ to z ,n,q,t,ls7 to 
b5efits "u ! plan or cov]age1 su* report
 %all--  7,i7 id5tify ! specific factors
 ! plan or cov]age us$ 9 p]=m+ its      
,,nqtl analysis2  7,,ii7 id5tify & def9e
 ! specific evid5ti>y /&>ds reli$ on to 
evaluate ! factors2  7,,iii7 describe h[
 ! evid5ti>y /&>ds are appli$ to ea*    
s]vice category = m5tal heal?1 sub/ance 
use disord]s1 m$ical b5efits1 & surgical
 b5efits2  7,,iv7 disclose ! results ( !
 analyses ( ! specific evid5ti>y /&>ds 9
 ea* s]vice category2 &  7,v7 disclose !
 specific f9d+s ( ! plan or cov]age 9   
ea* s]vice category & ! conclusions     
rea*$ ) respect to :e!r ! processes1    
/rategies1 evid5ti>y /&>ds1 or o!r      
factors us$ 9 apply+ ! ,,nqtl to m5tal  
heal? or sub/ance use disord] b5efits   
are comp>able to1 & appli$ no m /r+5tly 
?an1 ! processes1 /rategies1 evid5ti>y  
/&>ds1 or o!r factors us$ 9 apply+ !    
limitation ) respect to m$ical &        
surgical b5efits 9 ! same               

classification4  7iii7 ,guidance ,!     
,secret>y1 9 coop]ation ) ! ,secret>ies 
( ,labor & ! ,treasury1 z appropriate1  
%all issue guidance to gr\p heal? plans 
& heal? insurance issu]s (f]+ heal?     
insurance cov]age 9 ! gr\p or individual
 m>kets on h[ to satisfy ! requirem5ts (
 ?is section ) respect to mak+ in=mation
 available to curr5t & pot5tial         
p>ticipants & b5efici>ies4 ,su*         
in=mation %all include c]tificate (     
cov]age docum5ts & in/rum5ts "u :i* !   
plan or cov]age involv$ is adm9i/]$ &   
op]at$ t specify1 include1 or ref] to   
proc$ures1 =mulas1 & me?odologies appli$
 to det]m9e a p>ticipant or b5efici>y's 
b5efit "u ! plan or cov]age1 reg>dless (
 :e!r su* in=mation is conta9$ 9 a      
docum5t designat$ z ! plan docum5t4 ,su*
 guidance %all include a disclosure ( h[
 ! plan or cov]age involv$ has provid$ t
 processes1 /rategies1 evid5ti>y /&>ds1 
& o!r factors us$ 9 apply+ ! ,,nqtl to  
m5tal heal? or sub/ance use disord]     
b5efits are comp>able to1 & appli$ no m 

/r+5tly ?an1 ! processes1 /rategies1    
evid5ti>y /&>ds1 or o!r factors us$ 9   
apply+ ! limitation ) respect to m$ical 
& surgical b5efits 9 ! same             
classification4  7iv7 ,def9itions ,9 ?is
 p>agraph & p>agraph 7#g71 ! t]ms       
non-quantitative treatm5t limitations1  
comp>able to1 & appli$ no m /r+5tly ?an 
h ! mean+s giv5 su* t]ms 9 sections #adf
 & #adg ( title #de1 ,code ( ,f$]al     
,regulations 7or any successor          
regulation74  7,b7 ,en=cem5t  7i7       
,process = compla9ts ,! ,secret>y1 9    
coop]ation ) ! ,secret>ies ( ,labor & ! 
,treasury1 z appropriate1 %all1 )       
respect to gr\p heal? plans & heal?     
insurance issu]s (f]+ heal? insurance   
cov]age 9 ! gr\p or individual m>ket1   
issue guidance to cl>ify ! process &    
timel9e = curr5t & pot5tial p>ticipants 
& b5efici>ies 7& au?oriz$ repres5tatives
 & heal? c>e provid]s ( su* p>ticipants 
& b5efici>ies7 ) respect to su* plans & 
cov]age to file =mal compla9ts ( su*    
plans or issu]s be+ 9 violation ( ?is   

section1 includ+ guidance1 by plan type1
 on ! relevant ,/ate1 regional1 &       
national (fices ) :i* su* compla9ts %\ld
 be fil$4  7ii7 ,au?ority = public      
en=cem5t ,! ,secret>y1 9 consultation ) 
! ,secret>ies ( ,labor & ! ,treasury1   
%all make available to ! public on !    
,consum] ,p>ity ,portal website e/abli%$
 "u p>agraph 7#g7 de-id5tifi$ in=mation 
on audits & inve/igations ( gr\p heal?  
plans & heal? insurance issu]s conduct$ 
"u ?is section4  7iii7 ,audits  7,i7    
,r&omiz$ audits ,! ,secret>y 9          
coop]ation ) ! ,secret>ies ( ,labor & ! 
,treasury1 is au?oriz$ to conduct       
r&omiz$ audits ( gr\p heal? plans &     
heal? insurance issu]s (f]+ heal?       
insurance cov]age 9 ! gr\p or individual
 m>ket to det]m9e compliance ) ?is      
section4 ,su* audits %all be conduct$ on
 no few] ?an twelve plans & issu]s p]   
plan ye>4 ,in=mation f su* audits %all  
be made pla9ly available on ! ,consum]  
,p>ity ,portal website e/abli%$ "u      
p>agraph 7#g74  7,,ii7 ,additional      

audits ,9 ! case ( a gr\p heal? plan or 
heal? insurance issu] (f]+ heal?        
insurance cov]age 9 ! gr\p or individual
 m>ket ) respect to :i* any claim has   
be5 fil$ dur+ a plan ye>1 ! ,secret>y   
may audit ! books & records ( su* plan  
or issu] to det]m9e compliance ) ?is    
section4 ,in=mation detail+ ! results ( 
! audit %all be made available on !     
,consum] ,p>ity ,portal website e/abli%$
 "u p>agraph 7#g74  7iv7 ,d5ial rates ,!
 ,secret>y %all collect in=mation on !  
rates ( & reasons = d5ial by gr\p heal? 
plans & heal? insurance issu]s (f]+     
heal? insurance cov]age 9 ! gr\p or     
individual m>ket ( claims = outpati5t & 
inpati5t m5tal heal? & sub/ance use     
disord] s]vices comp>$ to ! rates ( &   
reasons = d5ial ( claims = m$ical &     
surgical s]vices4 ,= ! fir/ plan ye>    
beg9n+ at lea/ two ye>s aft] ! date ( ! 
enactm5t ( ?is p>agraph & ea* subsequ5t 
plan ye>1 ! ,secret>y %all submit to !  
,en]gy & ,comm]ce ,committee ( ! ,h\se (
 ,repres5tatives & ! ,committee on      

,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate1 & make pla9ly available on ! 
,consum] ,p>ity ,portal website "u      
p>agraph 7#g71 ! in=mation collect$ "u !
 previ\s s5t5ce ) respect to ! previ\s  
plan ye>4  7#g7 ,consum] ,p>ity ,portal 
website ,! ,secret>y1 9 consultation ) !
 ,secret>ies ( ,labor & ! ,treasury1    
%all e/abli% a "o-/op ,int]net website  
portal =--  7,a7 submitt+ compla9ts &   
violations relat+ to ?is section1       
section #gab ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd1 &       
section #ihab ( ! ,int]nal ,rev5ue ,code
 ( #aihf2 &  7,b7 = ea* ( su*           
,secret>ies to submit in=mation 9 ord]  
to provide su* in=mation to heal? c>e   
consum]s pursuant to p>agraph 7#f71     
section #gab7;a77#f7 ( ! ,employee      
,retirem5t ,income ,security ,act (     
#aigd1 & section #ihab7;a77#f7 ( !      
,int]nal ,rev5ue ,code ( #aihf4  ,su*   
portal %all h ! ability to take basic   
in=mation relat$ to ! compla9t1 includ+ 
"n1 contact in=mation1 & brief n>rative1

 & transmit su* in=mation 9 a timely    
fa%ion to ! appropriate ,/ate or ,f$]al 
en=cem5t ag5cy4 ,once ! consum]         
in=mation is submitt$1 su* portal %all  
provide ! consum] ) contact in=mation = 
! appropriate en=cem5t ag5cy to foll[-up
 on ! compla9t4  4  7b7 ,employee       
,retirem5t ,income ,security ,act (     
#aigd ,section #gab7;a7 ( ! ,employee   
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aahe;a7a77 is     
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#f7 ,disclosure & en=cem5t  
requirem5ts  7,a7 ,disclosure           
requirem5ts  7i7 ,regulations ,n lat]   
?an ,june #cj1 #bjaf1 ! ,secret>y1 9    
coop]ation ) ! ,secret>ies ( ,heal? &   
,human ,s]vices & ! ,treasury1 z        
appropriate1 %all issue additional      
regulations = c>ry+ out ?is section1    
includ+ an explanation ( docum5ts t mu/ 
be disclos$ by plans & issu]s1 ! process
 gov]n+ su* disclosures by plans &      
issu]s1 & analyses t mu/ be conduct$ by 
plans & issu]s by a gr\p heal? plan 7&  

heal? insurance cov]age (f]$ 9          
connection ) su* a plan7 9 ord] = su*   
plan or issu] to demon/rate compliance )
 ! provisions ( ?is section4  7ii7      
,disclosure requirem5ts ,docum5ts       
requir$ to be disclos$ by a gr\p heal?  
plan 7& heal? insurance cov]age (f]$ 9  
connection ) su* a plan7 "u clause 7i7  
%all include an annual report t details 
! specific analyses p]=m$ to ensure     
compliance ( su* plan or cov]age ) ! law
 & regulations4 ,at a m9imum1 ) respect 
to ! application ( non-quantitative     
treatm5t limitations 79 ?is p>agraph    
ref]r$ to z ,n,q,t,ls7 to b5efits "u !  
plan or cov]age1 su* report %all--  7,i7
 id5tify ! specific factors ! plan or   
cov]age us$ 9 p]=m+ its ,,nqtl analysis2
  7,,ii7 id5tify & def9e ! specific     
evid5ti>y /&>ds reli$ on to evaluate !  
factors2  7,,iii7 describe h[ !         
evid5ti>y /&>ds are appli$ to ea* s]vice
 category = m5tal heal?1 sub/ance use   
disord]s1 m$ical b5efits1 & surgical    
b5efits2  7,,iv7 disclose ! results ( ! 

analyses ( ! specific evid5ti>y /&>ds 9 
ea* s]vice category2 &  7,v7 disclose ! 
specific f9d+s ( ! plan or cov]age 9 ea*
 s]vice category & ! conclusions rea*$ )
 respect to :e!r ! processes1 /rategies1
 evid5ti>y /&>ds1 or o!r factors us$ 9  
apply+ ! ,,nqtl to m5tal heal? or       
sub/ance use disord] b5efits are        
comp>able to1 & appli$ no m /r+5tly ?an1
 ! processes1 /rategies1 evid5ti>y      
/&>ds1 or o!r factors us$ 9 apply+ !    
limitation ) respect to m$ical &        
surgical b5efits 9 ! same               
classification4  7iii7 ,guidance ,!     
,secret>y1 9 coop]ation ) ! ,secret>ies 
( ,heal? & ,human ,s]vices & !          
,treasury1 z appropriate1 %all issue    
guidance to gr\p heal? plans 7& heal?   
insurance cov]age (f]$ 9 connection )   
su* a plan7 on h[ to satisfy !          
requirem5ts ( ?is section ) respect to  
mak+ in=mation available to curr5t &    
pot5tial p>ticipants & b5efici>ies4 ,su*
 in=mation %all include c]tificate (    
cov]age docum5ts & in/rum5ts "u :i* !   

plan or cov]age involv$ is adm9i/]$ &   
op]at$ t specify1 include1 or ref] to   
proc$ures1 =mulas1 & me?odologies appli$
 to det]m9e a p>ticipant or b5efici>y's 
b5efit "u ! plan or cov]age1 reg>dless (
 :e!r su* in=mation is conta9$ 9 a      
docum5t designat$ z ! plan docum5t4 ,su*
 guidance %all include a disclosure ( h[
 ! plan or cov]age involv$ has provid$ t
 processes1 /rategies1 evid5ti>y /&>ds1 
& o!r factors us$ 9 apply+ ! ,,nqtl to  
m5tal heal? or sub/ance use disord]     
b5efits are comp>able to1 & appli$ no m 
/r+5tly ?an1 ! processes1 /rategies1    
evid5ti>y /&>ds1 or o!r factors us$ 9   
apply+ ! limitation ) respect to m$ical 
& surgical b5efits 9 ! same             
classification4  7iv7 ,def9itions ,9 ?is
 p>agraph1 ! t]ms non-quantitative      
treatm5t limitations1 comp>able to1 &   
appli$ no m /r+5tly ?an h ! mean+s giv5 
su* t]ms 9 sections #adf & #adg ( title 
#de1 ,code ( ,f$]al ,regulations 7or any
 successor regulation74  7,b7 ,en=cem5t 
7i7 ,process = compla9ts ,! ,secret>y1 9

 coop]ation ) ! ,secret>ies ( ,heal? &  
,human ,s]vices & ! ,treasury1 z        
appropriate1 %all1 ) respect to gr\p    
heal? plans 7& heal? insurance cov]age  
(f]$ 9 connection ) su* a plan71 issue  
guidance to cl>ify ! process & timel9e =
 curr5t & pot5tial p>ticipants &        
b5efici>ies 7& au?oriz$ repres5tatives &
 heal? c>e provid]s ( su* p>ticipants & 
b5efici>ies7 ) respect to su* plans 7&  
cov]age7 to file =mal compla9ts ( su*   
plans 7or cov]age7 be+ 9 violation ( ?is
 section1 includ+ guidance1 by plan     
type1 on ! relevant ,/ate1 regional1 &  
national (fices ) :i* su* compla9ts %\ld
 be fil$4  7ii7 ,au?ority = public      
en=cem5t ,! ,secret>y1 9 consultation ) 
! ,secret>ies ( ,labor & ! ,treasury1   
%all make available to ! public on !    
,consum] ,p>ity ,portal website e/abli%$
 "u section #bgbf7;a77#g7 ( ! ,public   
,heal? ,s]vice ,act de-id5tifi$         
in=mation on audits & inve/igations (   
gr\p heal? plans 7& heal? insurance     
cov]age (f]$ 9 connection ) su* a plan7 

conduct$ "u ?is section4  7iii7 ,audits 
7,i7 ,r&omiz$ audits ,! ,secret>y 9     
coop]ation ) ! ,secret>ies ( ,heal? &   
,human ,s]vices & ! ,treasury1 is       
au?oriz$ to conduct r&omiz$ audits (    
gr\p heal? plans 7& heal? insurance     
cov]age (f]$ 9 connection ) su* a plan7 
to det]m9e compliance ) ?is section4    
,su* audits %all be conduct$ on no few] 
?an twelve plans & cov]age p] plan ye>4 
,in=mation f su* audits %all be made    
pla9ly available on ! ,consum] ,p>ity   
,portal website e/abli%$ "u section     
#bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice
 ,act4  7,,ii7 ,additional audits ,9 !  
case ( a gr\p heal? plan 7& heal?       
insurance cov]age (f]$ 9 connection )   
su* a plan7 ) respect to :i* any claim  
has be5 fil$ dur+ a plan ye>1 !         
,secret>y may audit ! books & records ( 
su* plan 7or cov]age7 to det]m9e        
compliance ) ?is section4 ,in=mation    
detail+ ! results ( ! audit %all be made
 available on ! ,consum] ,p>ity ,portal 
website e/abli%$ "u section             

#bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice
 ,act4  7iv7 ,d5ial rates ,! ,secret>y  
%all collect in=mation on ! rates ( &   
reasons = d5ial by gr\p heal? plans 7&  
heal? insurance cov]age (f]$ 9          
connection ) su* a plan7 ( claims =     
outpati5t & inpati5t m5tal heal? &      
sub/ance use disord] s]vices comp>$ to !
 rates ( & reasons = d5ial ( claims =   
m$ical & surgical s]vices4 ,= ! fir/    
plan ye> beg9n+ at lea/ two ye>s aft] ! 
date ( ! enactm5t ( ?is p>agraph & ea*  
subsequ5t plan ye>1 ! ,secret>y %all    
submit to ! ,en]gy & ,comm]ce ,committee
 ( ! ,h\se ( ,repres5tatives & !        
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate1 & make   
pla9ly available on ! ,consum] ,p>ity   
,portal website "u section #bgbf7;a77#g7
 ( ! ,public ,heal? ,s]vice ,act1 !     
in=mation collect$ "u ! previ\s s5t5ce )
 respect to ! previ\s plan ye>4  4  7c7 
,int]nal ,rev5ue ,code ( #aihf ,section 
#ihab7;a7 ( ! ,int]nal ,rev5ue ,code (  
#aihf is am5d$ by add+ at ! end ! foll[+

 new p>agraph3  7#f7 ,disclosure &      
en=cem5t requirem5ts  7,a7 ,disclosure  
requirem5ts  7i7 ,regulations ,n lat]   
?an ,june #cj1 #bjaf1 ! ,secret>y1 9    
coop]ation ) ! ,secret>ies ( ,heal? &   
,human ,s]vices & ,labor1 z appropriate1
 %all issue additional regulations =    
c>ry+ out ?is section1 includ+ an       
explanation ( docum5ts t mu/ be disclos$
 by plans & issu]s1 ! process gov]n+ su*
 disclosures by plans & issu]s1 &       
analyses t mu/ be conduct$ by plans &   
issu]s by a gr\p heal? plan 9 ord] = su*
 plan to demon/rate compliance ) !      
provisions ( ?is section4  7ii7         
,disclosure requirem5ts ,docum5ts       
requir$ to be disclos$ by a gr\p heal?  
plan "u clause 7i7 %all include an      
annual report t details ! specific      
analyses p]=m$ to ensure compliance (   
su* plan ) ! law & regulations4 ,at a   
m9imum1 ) respect to ! application (    
non-quantitative treatm5t limitations 79
 ?is p>agraph ref]r$ to z ,n,q,t,ls7 to 
b5efits "u ! plan1 su* report %all--    

7,i7 id5tify ! specific factors ! plan  
us$ 9 p]=m+ its ,,nqtl analysis2  7,,ii7
 id5tify & def9e ! specific evid5ti>y   
/&>ds reli$ on to evaluate ! factors2   
7,,iii7 describe h[ ! evid5ti>y /&>ds   
are appli$ to ea* s]vice category =     
m5tal heal?1 sub/ance use disord]s1     
m$ical b5efits1 & surgical b5efits2     
7,,iv7 disclose ! results ( ! analyses (
 ! specific evid5ti>y /&>ds 9 ea* s]vice
 category2 &  7,v7 disclose ! specific  
f9d+s ( ! plan 9 ea* s]vice category & !
 conclusions rea*$ ) respect to :e!r !  
processes1 /rategies1 evid5ti>y /&>ds1  
or o!r factors us$ 9 apply+ ! ,,nqtl to 
m5tal heal? or sub/ance use disord]     
b5efits are comp>able to1 & appli$ no m 
/r+5tly ?an1 ! processes1 /rategies1    
evid5ti>y /&>ds1 or o!r factors us$ 9   
apply+ ! limitation ) respect to m$ical 
& surgical b5efits 9 ! same             
classification4  7iii7 ,guidance ,!     
,secret>y1 9 coop]ation ) ! ,secret>ies 
( ,heal? & ,human ,s]vices & ,labor1 z  
appropriate1 %all issue guidance to gr\p

 heal? plans on h[ to satisfy !         
requirem5ts ( ?is section ) respect to  
mak+ in=mation available to curr5t &    
pot5tial p>ticipants & b5efici>ies4 ,su*
 in=mation %all include c]tificate (    
cov]age docum5ts & in/rum5ts "u :i* !   
plan involv$ is adm9i/]$ & op]at$ t     
specify1 include1 or ref] to proc$ures1 
=mulas1 & me?odologies appli$ to det]m9e
 a p>ticipant or b5efici>y's b5efit "u !
 plan1 reg>dless ( :e!r su* in=mation is
 conta9$ 9 a docum5t designat$ z ! plan 
docum5t4 ,su* guidance %all include a   
disclosure ( h[ ! plan involv$ has      
provid$ t processes1 /rategies1         
evid5ti>y /&>ds1 & o!r factors us$ 9    
apply+ ! ,,nqtl to m5tal heal? or       
sub/ance use disord] b5efits are        
comp>able to1 & appli$ no m /r+5tly ?an1
 ! processes1 /rategies1 evid5ti>y      
/&>ds1 or o!r factors us$ 9 apply+ !    
limitation ) respect to m$ical &        
surgical b5efits 9 ! same               
classification4  7iv7 ,def9itions ,9 ?is
 p>agraph1 ! t]ms non-quantitative      

treatm5t limitations1 comp>able to1 &   
appli$ no m /r+5tly ?an h ! mean+s giv5 
su* t]ms 9 sections #adf & #adg ( title 
#de1 ,code ( ,f$]al ,regulations 7or any
 successor regulation74  7,b7 ,en=cem5t 
7i7 ,process = compla9ts ,! ,secret>y1 9
 coop]ation ) ! ,secret>ies ( ,heal? &  
,human ,s]vices & ,labor1 z appropriate1
 %all1 ) respect to gr\p heal? plans1   
issue guidance to cl>ify ! process &    
timel9e = curr5t & pot5tial p>ticipants 
& b5efici>ies 7& au?oriz$ repres5tatives
 & heal? c>e provid]s ( su* p>ticipants 
& b5efici>ies7 ) respect to su* plans to
 file =mal compla9ts ( su* plans be+ 9  
violation ( ?is section1 includ+        
guidance1 by plan type1 on ! relevant   
,/ate1 regional1 & national (fices ) :i*
 su* compla9ts %\ld be fil$4  7ii7      
,au?ority = public en=cem5t ,!          
,secret>y1 9 consultation ) !           
,secret>ies ( ,labor & ! ,treasury1 %all
 make available to ! public on !        
,consum] ,p>ity ,portal website e/abli%$
 "u section #bgbf7;a77#g7 ( ! ,public   

,heal? ,s]vice ,act de-id5tifi$         
in=mation on audits & inve/igations (   
gr\p heal? plans conduct$ "u ?is        
section4  7iii7 ,audits  7,i7 ,r&omiz$  
audits ,! ,secret>y 9 coop]ation ) !    
,secret>ies ( ,heal? & ,human ,s]vices &
 ,labor1 is au?oriz$ to conduct r&omiz$ 
audits ( gr\p heal? plans to det]m9e    
compliance ) ?is section4 ,su* audits   
%all be conduct$ on no few] ?an twelve  
plans p] plan ye>4 ,in=mation f su*     
audits %all be made pla9ly available on 
! ,consum] ,p>ity ,portal website       
e/abli%$ "u section #bgbf7;a77#g7 ( !   
,public ,heal? ,s]vice ,act4  7,,ii7    
,additional audits ,9 ! case ( a gr\p   
heal? plan ) respect to :i* any claim   
has be5 fil$ dur+ a plan ye>1 !         
,secret>y may audit ! books & records ( 
su* plan to det]m9e compliance ) ?is    
section4 ,in=mation detail+ ! results ( 
! audit %all be made available on !     
,consum] ,p>ity ,portal website e/abli%$
 "u section #bgbf7;a77#g7 ( ! ,public   
,heal? ,s]vice ,act4  7iv7 ,d5ial rates 

,! ,secret>y %all collect in=mation on !
 rates ( & reasons = d5ial by gr\p heal?
 plans ( claims = outpati5t & inpati5t  
m5tal heal? & sub/ance use disord]      
s]vices comp>$ to ! rates ( & reasons = 
d5ial ( claims = m$ical & surgical      
s]vices4 ,= ! fir/ plan ye> beg9n+ at   
lea/ two ye>s aft] ! date ( ! enactm5t (
 ?is p>agraph & ea* subsequ5t plan ye>1 
! ,secret>y %all submit to ! ,en]gy &   
,comm]ce ,committee ( ! ,h\se (         
,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate1 & make pla9ly available on ! 
,consum] ,p>ity ,portal website "u      
section #bgbf7;a77#g7 ( ! ,public ,heal?
 ,s]vice ,act1 ! in=mation collect$ "u !
 previ\s s5t5ce ) respect to ! previ\s  
plan ye>4  4  7d7 ,,gao ,/udy on ,m5tal 
,heal? & ,sub/ance ,use ,p>ity ,en=cem5t
 ,ef=ts ,n lat] ?an "o ye> aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates1 9 consultation
 ) ! ,secret>y ( ,heal? & ,human        
,s]vices1 ! ,secret>y ( ,labor1 & !     

,secret>y ( ! ,treasury1 %all submit to 
,congress1 & make pla9ly available on ! 
,consum] ,p>ity ,portal website "u      
p>agraph 7#g7 ( section #bgbf7;a7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#bf7;a771 z add$ by   
subsection 7a71 a report detail+ !      
en=cem5t ef=ts ( ! responsible dep>tm5ts
 & ag5cies 9 implem5t+ sections #bgbf ( 
! ,public ,heal? ,s]vice ,act #db       
,u4,s4,c4 #cjj;gg-#bf71 #gab ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahe;a71 & 
#ihab ( ! ,int]nal ,rev5ue ,code (      
#aihf1 includ+--  7#a7 ! numb] (        
inve/igations & audits t h be5 conduct$ 
into pot5tial p>ity violations2 &  7#b7 
details on ! inve/igation1 audits1 or   
en=cem5t action t 0 c>ri$ out z a result
 ( su* inve/igations t w\ld n id5tify ! 
subject ( su* inve/igation or en=cem5t4 
7e7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ #b1jjj1jjj
 = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj  
to c>ry out ?is section1 includ+ !      

am5dm5ts made by ?is section4