,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #eadd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ah1         
#bjai,ms4 ,davids ( ,kansas introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,education 
& ,labor1 & ,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 am5d ! ,pati5t  
,protection & ,af=dable ,c>e ,act to    
require gr\p heal? plans & heal?        
insurance cov]age to h 9 place a process
 to self-audit in=mation li/$ 9 publicly
 accessible provid] directories ( su*   
plans & cov]age4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,insurance         
,acc\ntability & ,transp>5cy ,act4  #b4 
,requirem5t = gr\p heal? plans & heal?  
insurance cov]age to h 9 place a process
 to self-audit in=mation li/$ 9 publicly
 accessible provid] directories ( su*   
plans & cov]age  7a7 ,,phsa  7#a7 ,9    

g5]al ,title ,,xxvii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg et  
seq47 is am5d$ by add+ at ! end !       
foll[+3  ,d ,o!r ,m>ket ,re=ms  #bgif4  
,process to self-audit in=mation li/$ 9 
publicly accessible provid] directories 
7a7 ,9 g5]al ,an entity specifi$ 9      
subsection 7b71 ) respect to a gr\p     
heal? plan or heal? insurance cov]age   
(f]$ 9 ! gr\p or individual m>ket1 %all 
h 9 place a process "u :i*1 9 ord] to   
self-audit ! in=mation li/$ 9 any       
publicly accessible provid] directory = 
su* plan or cov]age1 su* entity--  7#a7 
contacts1 n less ?an once e #f mon?s    
dur+ ea* plan ye>1 ea* provid] li/$ 9   
su* directory to v]ify--  7,a7 contact  
in=mation li/$ 9 su* directory ) respect
 to su* provid]2 &  7,b7 ! /atus ( :e!r 
su* provid] is a provid] )9 ! network ( 
su* plan or cov]age2 &  7#b7 9 ! case t 
su* entity det]m9es t any ( ! in=mation 
describ$ 9 subp>agraph 7,a7 or 7,b7 (   
p>agraph 7#a7 ) respect to a provid]    
li/$ 9 su* directory ( su* plan or      

cov]age is inaccurate1 n lat] ?an #cj   
days aft] mak+ su* det]m9ation1 corrects
 & updates su* in=mation 9 su*          
directory4  7b7 ,entity describ$ ,=     
purposes ( subsection 7a71 an entity    
describ$ 9 ?is subsection is-- 7#a7 9 ! 
case ( heal? insurance cov]age or a gr\p
 heal? plan ?is is n a self-insur$ plan1
 ! heal? insurance issu] (f]+ ! heal?   
insurance cov]age or ! gr\p heal? plan1 
respectively2 &  7#b7 9 ! case ( a      
self-insur$ gr\p heal? plan1 ! designat$
 adm9i/rator ( ! plan 7z su* t]m is     
def9$ 9 section #c7af7 ( ! ,employee    
,retirem5t ,income ,security ,act (     
#aigd74  4  7#b7 ,con=m+ am5dm5ts  7,a7 
,section #bgbb ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ba7
 is am5d$-- 7i7 9 subsection 7a77#a71 by
 ins]t+ & "p ,d aft] subp>ts #a & #b2   
7ii7 9 subsection 7b71 by ins]t+ & "p ,d
 aft] subp>ts #a & #b2  7iii7 9         
subsection 7c77#a71 by ins]t+ & "p ,d   
aft] subp>ts #a & #b2  7iv7 9 subsection
 7c77#b71 by ins]t+ & "p ,d aft] subp>ts

 #a & #b2  7v7 9 subsection 7c77#c71 by 
ins]t+ & "p ,d aft] ?is "p2 &  7vi7 9   
subsection 7d71 9 ! matt] prec$+        
p>agraph 7#a71 by ins]t+ & "p ,d aft]   
?is "p4  7,b7 ,section #bgbc ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;gg-#bb7 is am5d$--  7i7 9          
subsection 7a77#a71 by ins]t+ & "p ,d   
aft] ?is "p2  7ii7 9 subsection 7a77#b71
 by ins]t+ or "p ,d aft] ?is "p2  7iii7 
9 subsection 7b77#a71 by ins]t+ or "p ,d
 aft] ?is "p2  7iv7 9 subsection        
7b77#b77;,a71 by ins]t+ or "p ,d aft]   
?is "p2 &  7v7 9 subsection             
7b77#b77;,c77ii71 by ins]t+ & "p ,d aft]
 ?is "p4  7,c7 ,section #bgbd ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#bc7 is am5d$--  7i7 9
 subsection 7a77#a7-- 7,i7 by /rik+ ?is 
"p & "p ,c ins(> z x relates to ?is "p &
 ins]t+ ?is "p1 "p ,d1 & "p ,c ins(> z x
 relates to ?is "p or "p ,d2 &  7,,ii7  
by ins]t+ or "p ,d aft] requirem5t ( ?is
 "p2  7ii7 9 subsection 7a77#b71 by     
ins]t+ or "p ,d aft] ?is "p2 &  7iii7 9 

subsection 7c71 by ins]t+ or "p ,d aft] 
?is "p 7o!r ?an section #bgjd74  7b7    
,,erisa  7#a7 ,9 g5]al ,subp>t ,b ( "p  
#g ( subtitle ,b ( title ,i ( !         
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aaha et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #gaf4 ,process to        
self-audit in=mation li/$ 9 publicly    
accessible provid] directories  7a7 ,9  
g5]al ,an entity specifi$ 9 subsection  
7b71 ) respect to a gr\p heal? plan or  
heal? insurance cov]age (f]$ 9 ! gr\p   
m>ket1 %all h 9 place a process "u :i*1 
9 ord] to self-audit ! in=mation li/$ 9 
any publicly accessible provid]         
directory = su* plan or cov]age1 su*    
entity--  7#a7 contacts1 n less ?an once
 e #f mon?s dur+ ea* plan ye>1 ea*      
provid] li/$ 9 su* directory to v]ify-- 
7,a7 contact in=mation li/$ 9 su*       
directory ) respect to su* provid]2 &   
7,b7 ! /atus ( :e!r su* provid] is a    
provid] )9 ! network ( su* plan or      
cov]age2 &  7#b7 9 ! case t su* entity  

det]m9es t any ( ! in=mation describ$ 9 
subp>agraph 7,a7 or 7,b7 ( p>agraph 7#a7
 ) respect to a provid] li/$ 9 su*      
directory ( su* plan or cov]age is      
inaccurate1 n lat] ?an #cj days aft]    
mak+ su* det]m9ation1 corrects & updates
 su* in=mation 9 su* directory4  7b7    
,entity describ$ ,= purposes (          
subsection 7a71 an entity describ$ 9 ?is
 subsection is-- 7#a7 9 ! case ( heal?  
insurance cov]age or a gr\p heal? plan  
?is is n a self-insur$ plan1 ! heal?    
insurance issu] (f]+ ! heal? insurance  
cov]age or ! gr\p heal? plan1           
respectively2 &  7#b7 9 ! case ( a      
self-insur$ gr\p heal? plan1 ! designat$
 adm9i/rator ( ! plan 7z su* t]m is     
def9$ 9 section #c7af774  4  7#b7       
,cl]ical am5dm5t ,! table ( sections =  
"p #g ( subtitle ,b ( title ,i ( !      
,employee ,retirem5t ,income ,security  
,act ( #aigd is am5d$ by add+ at ! end !
 foll[+3  ,sec4 #gaf4 ,process to       
self-audit in=mation li/$ 9 publicly    
accessible provid] directories4  4  7c7 

,,irc  7#a7 ,9 g5]al ,sub*apt] ,b (     
*apt] #ajj ( ! ,int]nal ,rev5ue ,code ( 
#aihf is am5d$ by add+ at ! end ! foll[+
 new section3  #ihaf4 ,process to       
self-audit in=mation li/$ 9 publicly    
accessible provid] directories  7a7 ,9  
g5]al ,an entity specifi$ 9 subsection  
7b71 ) respect to a gr\p heal? plan1    
%all h 9 place a process "u :i*1 9 ord] 
to self-audit ! in=mation li/$ 9 any    
publicly accessible provid] directory = 
su* plan1 su* entity--  7#a7 contacts1 n
 less ?an once e #f mon?s dur+ ea* plan 
ye>1 ea* provid] li/$ 9 su* directory to
 v]ify--  7,a7 contact in=mation li/$ 9 
su* directory ) respect to su* provid]2 
&  7,b7 ! /atus ( :e!r su* provid] is a 
provid] )9 ! network ( su* plan2 &  7#b7
 9 ! case t su* entity det]m9es t any ( 
! in=mation describ$ 9 subp>agraph 7,a7 
or 7,b7 ( p>agraph 7#a7 ) respect to a  
provid] li/$ 9 su* directory ( su* plan 
is inaccurate1 n lat] ?an #cj days aft] 
mak+ su* det]m9ation1 corrects & updates
 su* in=mation 9 su* directory4  7b7    

,entity describ$ ,= purposes (          
subsection 7a71 an entity describ$ 9 ?is
 subsection is-- 7#a7 9 ! case ( a gr\p 
heal? plan ?is is n a self-insur$ plan1 
! heal? insurance issu] (f]+ ! gr\p     
heal? plan2 &  7#b7 9 ! case ( a        
self-insur$ gr\p heal? plan1 ! designat$
 adm9i/rator ( ! plan 7z su* t]m is     
def9$ 9 section #c7af7 ( ! ,employee    
,retirem5t ,income ,security ,act (     
#aigd74  4  7#b7 ,cl]ical am5dm5t ,!    
table ( sections = sub*apt] ,b ( *apt]  
#ajj ( su* ,code is am5d$ by add+ at !  
end ! foll[+ new item3  ,sec4 #ihaf4    
,process to self-audit in=mation li/$ 9 
publicly accessible provid] directories4
  4  7d7 ,effective date ,! am5dm5ts    
made by ?is section %all apply ) respect
 to plan ye>s beg9n+ on or aft] ,janu>y 
#a1 #bjbj4