,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #dcgi  ,,in ,,the ,,house ,,of  
,,representatives  ,september #ah1      
#bjai,mrs4 ,axne 7for herself1 ,ms4     
,stevens1 ,ms4 ,mucarsel-,powell1 ,mrs4 
,lee of ,nevada1 ,ms4 ,wild1 ,ms4       
,finkenauer1 ,ms4 ,torres ,small of ,new
 ,mexico1 and ,ms4 ,houlahan7 introduced
 the following bill2 which was referred 
to the ,committee on ,energy and        
,commerce  ,a ,,bill  ,to amend the     
,patient ,protection and ,affordable    
,care ,act to require qualified health  
plans to have in place a process to     
remove from publicly accessible provider
 directories of such plans providers    
that are no longer within the network of
 such plans1 and for other purposes4    
#a4 ,short title ,this ,act may be cited
 as the ,under ,performing ,directories 
that ,affect ,treating ,emergencies ,act
 or the ,,update ,act4  #b4 ,requirement
 for qualified health plans to have in  
place a process to remove from publicly 
accessible provider directories of such 

plans providers that are no longer      
within the network of such plans  7a7   
,in general ,section #acaa7;c7 of the   
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjca7;c77 is
 amended--  7#a7 in paragraph           
7#a77;,b7-- 7,a7 by striking and provide
 and inserting 1 provide2 and  7,b7 by  
inserting before the semicolon at the   
end the following3 1 and have in place  
the process described in paragraph 7#g7 
to remove from any publicly accessible  
provider directory of such plan         
providers that are no longer within the 
network of such plan2 and  7#b7 by      
adding at the end the following new     
paragraph3  7#g7 ,process to remove from
 publicly accessible provider           
directories providers that are no longer
 in-,network ,for purposes of paragraph 
7#a77;,b71 the process described in this
 paragraph1 with respect to a qualified 
health plan1 is a process through which 
such plan does the following with       
respect to each provider listed in a    

publicly accessible provider directory  
of such plan that does not submit any   
claims to such plan for at least a      
six-month period in a calendar year3    
7,a7 ,sends an inquiry to such provider 
requiring such provider to verify1 not  
later than the date that is #cj days    
after such plan sends such inquiry1     
whether such provider is still a        
provider within the network of such     
plan4  7,b7 ,in the case that such      
plan-- 7i7 receives a response to such  
inquiry by the date described in        
subparagraph 7,a7 that such provider is 
no longer a provider within the network 
of such plan1 removes such provider from
 such publicly accessible provider      
directory2 or  7ii7 does not receive any
 response to such inquiry by such date--
 7,i7 sends a subsequent inquiry        
described in such subparagraph to such  
provider2 and  7,,ii7 removes such      
provider from such publicly accessible  
provider directory if such provider     
either submits to such plan1 not later  

than the date that is #cj days after    
such plan sends such subsequent inquiry1
 a response described in clause 7i71 or 
does not respond to such subsequent     
inquiry by such date4  4  7b7 ,effective
 date ,the amendments made by subsection
 7a7 shall apply with respect to plan   
years beginning on or after ,january #a1
 #bjba4