,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #eadd  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ah1       
#bjai,ms4 ,davids of ,kansas introduced 
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce1 and in addition to the       
,committees on ,education and ,labor1   
and ,ways and ,means1 for a period to be
 subsequently determined by the         
,speaker1 in each case for consideration
 of such provisions as fall within the  
jurisdiction of the committee concerned 
,a ,,bill  ,to amend the ,patient       
,protection and ,affordable ,care ,act  
to require group health plans and health
 insurance coverage to have in place a  
process to self-audit information listed
 in publicly accessible provider        
directories of such plans and coverage4 
#a4 ,short title ,this ,act may be cited
 as the ,insurance ,accountability and  
,transparency ,act4  #b4 ,requirement   
for group health plans and health       
insurance coverage to have in place a   

process to self-audit information listed
 in publicly accessible provider        
directories of such plans and coverage  
7a7 ,,phsa  7#a7 ,in general ,title     
,,xxvii of the ,public ,health ,service 
,act 7#db ,u4,s4,c4 #cjj;gg et seq47 is 
amended by adding at the end the        
following3  ,d ,other ,market ,reforms  
#bgif4 ,process to self-audit           
information listed in publicly          
accessible provider directories  7a7 ,in
 general ,an entity specified in        
subsection 7b71 with respect to a group 
health plan or health insurance coverage
 offered in the group or individual     
market1 shall have in place a process   
under which1 in order to self-audit the 
information listed in any publicly      
accessible provider directory for such  
plan or coverage1 such entity--  7#a7   
contacts1 not less than once every #f   
months during each plan year1 each      
provider listed in such directory to    
verify--  7,a7 contact information      
listed in such directory with respect to

 such provider2 and  7,b7 the status of 
whether such provider is a provider     
within the network of such plan or      
coverage2 and  7#b7 in the case that    
such entity determines that any of the  
information described in subparagraph   
7,a7 or 7,b7 of paragraph 7#a7 with     
respect to a provider listed in such    
directory of such plan or coverage is   
inaccurate1 not later than #cj days     
after making such determination1        
corrects and updates such information in
 such directory4  7b7 ,entity described 
,for purposes of subsection 7a71 an     
entity described in this subsection is--
 7#a7 in the case of health insurance   
coverage or a group health plan this is 
not a self-insured plan1 the health     
insurance issuer offering the health    
insurance coverage or the group health  
plan1 respectively2 and  7#b7 in the    
case of a self-insured group health     
plan1 the designated administrator of   
the plan 7as such term is defined in    
section #c7af7 of the ,employee         

,retirement ,income ,security ,act of   
#aigd74  4  7#b7 ,conforming amendments 
7,a7 ,section #bgbb of the ,public      
,health ,service ,act 7#db ,u4,s4,c4    
#cjj;gg-#ba7 is amended-- 7i7 in        
subsection 7a77#a71 by inserting and    
part ,d after subparts #a and #b2  7ii7 
in subsection 7b71 by inserting and part
 ,d after subparts #a and #b2  7iii7 in 
subsection 7c77#a71 by inserting and    
part ,d after subparts #a and #b2  7iv7 
in subsection 7c77#b71 by inserting and 
part ,d after subparts #a and #b2  7v7  
in subsection 7c77#c71 by inserting and 
part ,d after this part2 and  7vi7 in   
subsection 7d71 in the matter preceding 
paragraph 7#a71 by inserting and part ,d
 after this part4  7,b7 ,section #bgbc  
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #cjj;gg-#bb7 is amended--
  7i7 in subsection 7a77#a71 by         
inserting and part ,d after this part2  
7ii7 in subsection 7a77#b71 by inserting
 or part ,d after this part2  7iii7 in  
subsection 7b77#a71 by inserting or part

 ,d after this part2  7iv7 in subsection
 7b77#b77;,a71 by inserting or part ,d  
after this part2 and  7v7 in subsection 
7b77#b77;,c77ii71 by inserting and part 
,d after this part4  7,c7 ,section #bgbd
 of the ,public ,health ,service ,act   
7#db ,u4,s4,c4 #cjj;gg-#bc7 is amended--
  7i7 in subsection 7a77#a7-- 7,i7 by   
striking this part and part ,c insofar  
as it relates to this part and inserting
 this part1 part ,d1 and part ,c insofar
 as it relates to this part or part ,d2 
and  7,,ii7 by inserting or part ,d     
after requirement of this part2  7ii7 in
 subsection 7a77#b71 by inserting or    
part ,d after this part2 and  7iii7 in  
subsection 7c71 by inserting or part ,d 
after this part 7other than section     
#bgjd74  7b7 ,,erisa  7#a7 ,in general  
,subpart ,b of part #g of subtitle ,b of
 title ,i of the ,employee ,retirement  
,income ,security ,act of #aigd 7#bi    
,u4,s4,c4 #aaha et seq47 is amended by  
adding at the end the following new     
section3  #gaf4 ,process to self-audit  

information listed in publicly          
accessible provider directories  7a7 ,in
 general ,an entity specified in        
subsection 7b71 with respect to a group 
health plan or health insurance coverage
 offered in the group market1 shall have
 in place a process under which1 in     
order to self-audit the information     
listed in any publicly accessible       
provider directory for such plan or     
coverage1 such entity--  7#a7 contacts1 
not less than once every #f months      
during each plan year1 each provider    
listed in such directory to verify--    
7,a7 contact information listed in such 
directory with respect to such provider2
 and  7,b7 the status of whether such   
provider is a provider within the       
network of such plan or coverage2 and   
7#b7 in the case that such entity       
determines that any of the information  
described in subparagraph 7,a7 or 7,b7  
of paragraph 7#a7 with respect to a     
provider listed in such directory of    
such plan or coverage is inaccurate1 not

 later than #cj days after making such  
determination1 corrects and updates such
 information in such directory4  7b7    
,entity described ,for purposes of      
subsection 7a71 an entity described in  
this subsection is-- 7#a7 in the case of
 health insurance coverage or a group   
health plan this is not a self-insured  
plan1 the health insurance issuer       
offering the health insurance coverage  
or the group health plan1 respectively2 
and  7#b7 in the case of a self-insured 
group health plan1 the designated       
administrator of the plan 7as such term 
is defined in section #c7af774  4  7#b7 
,clerical amendment ,the table of       
sections for part #g of subtitle ,b of  
title ,i of the ,employee ,retirement   
,income ,security ,act of #aigd is      
amended by adding at the end the        
following3  ,sec4 #gaf4 ,process to     
self-audit information listed in        
publicly accessible provider            
directories4  4  7c7 ,,irc  7#a7 ,in    
general ,subchapter ,b of chapter #ajj  

of the ,internal ,revenue ,code of #aihf
 is amended by adding at the end the    
following new section3  #ihaf4 ,process 
to self-audit information listed in     
publicly accessible provider directories
  7a7 ,in general ,an entity specified  
in subsection 7b71 with respect to a    
group health plan1 shall have in place a
 process under which1 in order to       
self-audit the information listed in any
 publicly accessible provider directory 
for such plan1 such entity--  7#a7      
contacts1 not less than once every #f   
months during each plan year1 each      
provider listed in such directory to    
verify--  7,a7 contact information      
listed in such directory with respect to
 such provider2 and  7,b7 the status of 
whether such provider is a provider     
within the network of such plan2 and    
7#b7 in the case that such entity       
determines that any of the information  
described in subparagraph 7,a7 or 7,b7  
of paragraph 7#a7 with respect to a     
provider listed in such directory of    

such plan is inaccurate1 not later than 
#cj days after making such              
determination1 corrects and updates such
 information in such directory4  7b7    
,entity described ,for purposes of      
subsection 7a71 an entity described in  
this subsection is-- 7#a7 in the case of
 a group health plan this is not a      
self-insured plan1 the health insurance 
issuer offering the group health plan2  
and  7#b7 in the case of a self-insured 
group health plan1 the designated       
administrator of the plan 7as such term 
is defined in section #c7af7 of the     
,employee ,retirement ,income ,security 
,act of #aigd74  4  7#b7 ,clerical      
amendment ,the table of sections for    
subchapter ,b of chapter #ajj of such   
,code is amended by adding at the end   
the following new item3  ,sec4 #ihaf4   
,process to self-audit information      
listed in publicly accessible provider  
directories4  4  7d7 ,effective date    
,the amendments made by this section    
shall apply with respect to plan years  

beginning on or after ,january #a1      
#bjbj4