,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cife  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #be1 #bjai,mr4  
,lip9ski 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 =        
enhancem5ts to requirem5ts = public     
disclosure ( hospital price data4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,hospital ,price ,transp>5cy &          
,disclosure ,act4  #b4 ,enhanc+ public  
disclosure ( hospital price data        
,section #bgah7;e7 ( ! ,public ,heal?   
,s]vice ,act is am5d$--  7#a7 by /rik+  
*>ges4--,ea* hospital & ins]t+ *>ges4-- 
7#a7 ,9 g5]al ,ea* hospital  2 &  7#b7  
by add+ at ! end ! foll[+ new p>agraphs3
  7#b7 ,=mat ,! guidel9es develop$ "u   
p>agraph 7#a7 %all provide t all /&>d   
*>ges describ$ 9 p>agraph 7#a7 are      
publi%$ 9 a uni=m1 ma*9e-readable =mat4 
7#c7 ,public po/+ ( data  7,a7 ,public  
po/+ ( data ,! guidel9es develop$ "u    
p>agraph 7#a7 %all provide t ! /&>d     

*>ges describ$ 9 p>agraph 7#a7 %all be  
made public by hospitals ?r\gh a process
 specifi$ by ! ,secret>y "u :i* ! /&>d  
*>ges are submitt$ by ! hospitals to !  
,secret>y & ! ,secret>y promptly po/s ! 
/&>d *>ges on ! (ficial public ,int]net 
site ( ! ,dep>tm5t ( ,heal? & ,human    
,s]vices4 ,su* data %all be set =? 9 a  
mann] t promotes *>ge comp>ison among   
hospitals & 9 a mann] t comp>es ! price 
data = an item or s]vice submitt$ by !  
hospital ) ! price payable = ! same item
 or s]vice "u title ,,xviii ( ! ,social 
,security ,act4  7,b7 ,access ,9 c>ry+  
out subp>agraph 7,a71 ! ,secret>y %all  
create application programm+ int]faces &
 take any o!r necess>y /eps to          
facilitate access to data submitt$      
pursuant to p>agraph 7#a7 to ?ird p>ties
 seek+ to pres5t su* data 9 a           
consum]-fri5dly =mat4  7,c7 ,notice (   
availability ,ea* hospital requir$ to   
submit data "u ?is subsection %all      
prom95tly po/ at ea* admission site ( ! 
hospital a notice ( ! availability ( !  

data s submitt$ on ! (ficial public     
,int]net site "u subp>agraph 7,a74  7#d7
 ,civil monet>y p5alty ,! ,secret>y may 
impose a civil monet>y p5alty ( n m ?an 
#aj1jjj = ea* kn[+ violation ( p>agraph 
7#a7 or 7#c77;,c7 by a hospital4 ,!     
provisions ( subsection 7i77#b7 (       
section #cea;,a %all apply ) respect to 
civil monet>y p5alties "u ?is p>agraph 9
 ! same mann] z su* provisions apply to 
civil monet>y p5alties "u subsection    
7i77#a7 ( su* section4  7#e7 ,me?od =   
det]m9+ actual *>ge ,n lat] ?an #ah     
mon?s aft] ! date ( ! enactm5t ( !      
,hospital ,price ,transp>5cy &          
,disclosure ,act1 ! ,secret>y %all      
pursuant to rulemak+ develop a me?od to 
det]m9e & make publicly available       
in=mation on total am\nts actually      
negotiat$ = & *>g$ by a hospital to     
pati5ts = ! items & s]vices appe>+ on   
its /&>d *>ge li/1 & accept$ by !       
hospital z paym5t 9 full4 ,9 det]m9+ !  
me?od = ! disclosure ( su* negotiat$    
*>ges1 ! ,secret>y may take /eps to     

r$uce ! risk ( ! anti-competitive use ( 
su* data or m>ket collusion1 su* z by   
us+ av]ages1 ranges1 rank+s1 tr5ds1 or  
o!r means z ! ,secret>y det]m9es        
reasonable4  7#f7 ,reports ,beg9n+ n    
lat] ?an #ah mon?s aft] ! date ( !      
enactm5t ( ! ,hospital ,price           
,transp>5cy & ,disclosure ,act1 &       
annually !reaft]1 ! ,secret>y %all make 
public on ! ,int]net site describ$ 9    
p>agraph 7#c77;,a7 a report analyz+     
tr5ds 9 /&>d & negotiat$ *>ges ov] "t1  
analyz+ tr5ds 9 /&>d & negotiat$ rates  
relative to ,m$ic>e paym5ts1 & provid+  
recomm5dations z ne$$ on /atutory *anges
 to increase m$ical price transp>5cy &  
public insight into heal? c>e pric+4  4