,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #dejf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #i1 #bjaf    
,mr4 ,=t5b]ry introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to help heal? c>e  
consum]s comp>ison %op = m$ical s]vices 
bas$ on quality & co/4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,"k ,be=e ,y  
,g ,act ( #bjaf4  #b4 ,exp5ditures =    
transp>5cy tools treat$ z activities t  
improve heal? c>e quality = ! purpose ( 
det]m9+ m$ical loss ratio ,section      
#bgah7;c7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjj;gg-#ah7;c77 is 
am5d$--  7#a7 by /rik+ ,n lat] ?an &    
ins]t+ ! foll[+3  7#a7 ,9 g5]al ,n lat] 
?an  2 &  7#b7 by add+ at ! end ! foll[+
 new p>agraph3  7#b7 ,sp5d+ on          
transp>5cy tools z activities t improve 
heal? c>e quality  7,a7 ,9 g5]al ,9 !   
case ( a heal? insurance issu] (f]+ gr\p
 or individual heal? insurance cov]age1 
9 apply+ ?is section to su* issu] )     

respect to a plan ye> beg9n+ aft] ! date
 ( ! enactm5t ( ?is p>agraph1 !         
activities describ$ 9 subsection 7a77#b7
 %all include implem5t+1 promot+1       
ma9ta9+1 or improv+ a transp>5cy tool ) 
respect to su* cov]age if su* issu] has1
 dur+ su* plan ye>--  7i7 significantly 
increas$ 7comp>$ to ! previ\s plan ye>7 
! p]c5tage ( enrollees "u su* cov]age :o
 are us+ su* transp>5cy tool by su*     
issu]2  7ii7 provid$ ! e/imates "u      
subp>agraph 7,b77iii7 ( co/-%>+         
obligations ( a simil>ly situat$        
enrollee "u su* cov]age to ea*          
individual t reque/s su* e/imate )      
respect to su* cov]age2 &  7iii7 made   
available to ea* individual seek+       
enrollm5t "u heal? insurance cov]age    
(f]$ by su* issu] a li/ ( cov]age       
options (f]$ by su* issu] t qualify z   
high d$uctible heal? plans 7z def9$ 9   
section #bbc7;c77#b7 ( ! ,int]nal       
,rev5ue ,code ( #aihf74  7,b7           
,transp>5cy tool ,= ! purposes (        
subp>agraph 7,a71 a transp>5cy tool1 )  

respect to a heal? insurance issu] (f]+ 
gr\p or individual heal? insurance      
cov]age1 includes a website & telephone 
support t makes available to ea*        
enrollee "u su* cov]age1 ) respect to   
common episodes ( c>e1 ! foll[+         
in=mation3  7i7 ,comp>isons among       
9-network provid]s ) respect to quality 
( c>e4  7ii7 ,comp>isons among diff]5t  
types ( 9-network provid]s ( ! e/imat$  
co/-%>+ obligation1 be=e application (  
any d$uctible1 ( an enrollee "u su*     
cov]age = ea* su* episode ( c>e4  7iii7 
,! e/imat$ co/-%>+ obligation1 aft]     
application ( any d$uctible1 ( an       
enrollee "u su* cov]age = ea* su*       
episode ( c>e at a specific 9-network   
provid]4  4