,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #eaib  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bj1         
#bjai,mr4 ,bey] introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on ,en]gy 
& ,comm]ce1 & 9 addition to !           
,committees on ,ways & ,means1 &        
,education & ,labor1 = 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 ! ,int]nal 
,rev5ue ,code ( #aihf1 title ,,xxvii ( !
 ,public ,heal? ,s]vice ,act1 & !       
,employee ,retirem5t ,income ,security  
,act ( #aigd to require gr\p heal? plans
 & heal? insurance issu]s to include on 
any insurance c>d issu$ by su* plan or  
issu] in=mation on ! ne>e/ 9-network    
hospital or urg5t c>e facility4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,"k ,:]e to ,g 9 an ,em]g5cy ,act (     
#bjai4  #b4 ,requir+ gr\p heal? plans & 
heal? insurance issu]s to include on any
 insurance c>d issu$ by su* plan or     

issu] in=mation on ! ne>e/ 9-network    
hospital  7a7 ,int]nal ,rev5ue ,code    
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 ,in=mation on ne>e/    
9-network hospital or urg5t c>e facility
 ,9 ! case ( a gr\p heal? plan t        
provides a physical or electronic c>d   
indicat+ memb]%ip 9 su* plan to an      
individual enroll$ "u su* plan1 su* gr\p
 heal? plan %all id5tify on su* c>d !   
ne>e/ hospital or urg5t c>e facility to 
! prim>y resid5ce ( su* individual t has
 9 effect a contractual relation%ip )   
su* plan = furni%+ items & s]vices "u   
su* plan4  4  7#b7 ,nonapplication (    
incorporation provisions ,section       
#ihae7;a7 ( ! ,int]nal ,rev5ue ,code (  
#aihf is am5d$-- 7,a7 9 p>agraph 7#a71  
by /rik+ 7z am5d$ by ! ,pati5t          
,protection & ,af=dable ,c>e ,act7 &    
ins]t+ 7o!r ?an1 beg9n+ ) ! fir/ plan   
ye> beg9n+ on or aft] ! date ( !        
enactm5t ( ! ,"k ,:]e to ,g 9 an        

,em]g5cy ,act ( #bjai1 ! provisions (   
section #bgcj ( ! ,public ,heal? ,s]vice
 ,act72 &  7,b7 9 p>agraph 7#b71 by     
ins]t+ 7o!r ?an1 beg9n+ ) ! fir/ plan   
ye> beg9n+ on or aft] ! date ( !        
enactm5t ( ! ,"k ,:]e to ,g 9 an        
,em]g5cy ,act ( #bjai1 ! provisions (   
section #bgcj ( ! ,public ,heal? ,s]vice
 ,act7 aft] su* "p ,a4  7#c7 ,cl]ical   
am5dm5t ,! table ( sections = su*       
sub*apt] is am5d$ by add+ at ! end !    
foll[+ new items3  ,sec4 #ihae4         
,additional m>ket re=ms4 ,sec4 #ihaf4   
,in=mation on ne>e/ 9-network hospital  
or urg5t c>e facility4  7b7 ,public     
,heal? ,s]vice ,act ,subp>t ,,ii ( "p ,a
 ( title ,,xxvii ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa 
et seq47 is am5d$ by add+ at ! end !    
foll[+ new section3  #bgcj4 ,in=mation  
on ne>e/ 9-network hospital or urg5t c>e
 facility ,9 ! case ( a gr\p heal? plan 
or a heal? insurance issu] (f]+ gr\p or 
individual heal? insurance cov]age t    
provides a physical or electronic c>d   

indicat+ memb]%ip 9 su* plan or su*     
cov]age 7z applicable7 to an individual 
enroll$ "u su* plan or su* cov]age1 su* 
gr\p heal? plan or su* heal? insurance  
issu] 7z applicable7 %all id5tify on su*
 c>d ! ne>e/ hospital or urg5t c>e      
facility to ! prim>y resid5ce ( su*     
individual t has 9 effect a contractual 
relation%ip ) su* plan or su* issu] =   
furni%+ items & s]vices "u su* plan or  
su* cov]age4  4  7c7 ,employee          
,retirem5t ,income ,security ,act  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 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+ new section3     
#gaf4 ,in=mation on ne>e/ 9-network     
hospital or urg5t c>e facility ,9 ! case
 ( a gr\p heal? plan or a heal?         
insurance issu] (f]+ heal? insurance    
cov]age 9 connection ) a gr\p heal? plan
 t provides a physical or electronic c>d
 indicat+ memb]%ip 9 su* plan or su*    
cov]age 7z applicable7 to an individual 

enroll$ "u su* plan or su* cov]age1 su* 
gr\p heal? plan or su* heal? insurance  
issu] 7z applicable7 %all id5tify on su*
 c>d ! ne>e/ hospital or urg5t c>e      
facility to ! prim>y resid5ce ( su*     
individual t has 9 effect a contractual 
relation%ip ) su* plan or su* issu] =   
furni%+ items & s]vices "u su* plan or  
su* cov]age4  4  7#b7 ,nonapplication ( 
incorporation provisions ,section       
#gae7;a7 ( ! ,employee ,retirem5t       
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe;d7a77 is am5d$--  7,a7 9
 p>agraph 7#a71 by /rik+ 7z am5d$ by !  
,pati5t ,protection & ,af=dable ,c>e    
,act7 & ins]t+ 7o!r ?an1 beg9n+ ) ! fir/
 plan ye> beg9n+ on or aft] ! date ( !  
enactm5t ( ! ,"k ,:]e to ,g 9 an        
,em]g5cy ,act ( #bjai1 ! provisions (   
section #bgcj ( ! ,public ,heal? ,s]vice
 ,act72 &  7,b7 9 p>agraph 7#b71 by     
ins]t+ 7o!r ?an1 beg9n+ ) ! fir/ plan   
ye> beg9n+ on or aft] ! date ( !        
enactm5t ( ! ,"k ,:]e to ,g 9 an        
,em]g5cy ,act ( #bjai1 ! provisions (   

section #bgcj ( ! ,public ,heal? ,s]vice
 ,act7 aft] su* "p ,a4  7#c7 ,cl]ical   
am5dm5t ,! table ( cont5ts 9 section #a 
( ! ,employee ,retirem5t ,income        
,security ,act ( #aigd is am5d$ by      
ins]t+ aft] ! item relat+ to section    
#gad ! foll[+ new items3  ,sec4 #gae4   
,additional m>ket re=ms4 ,sec4 #gaf4    
,in=mation on ne>e/ 9-network hospital  
or urg5t c>e facility4  7d7 ,effective  
date ,! am5dm5ts made by ?is section    
%all apply ) respect to plan ye>s beg9n+
 on or aft] ! date ( ! enactm5t ( ?is   
,act4