,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #ehjg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #g1 #bjbj,mr4
 ,l>son ( ,connecticut 7= himself & ,mr4
 ,w5/rup7 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 title ,,xxvii ( !     
,public ,heal? ,s]vice ,act1 ! ,int]nal 
,rev5ue ,code ( #aihf1 ! ,employee      
,retirem5t ,income ,security ,act (     
#aigd1 & title ,,xi ( ! ,social         
,security ,act to improve ! availability
 & accuracy ( provid] directory         
in=mation made available by gr\p heal?  
plans & heal? insurance issu]s (f]+ gr\p
 or individuals heal? insurance cov]age4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,"k ,y\r ,provid] ,act ( #bjbj4  #b4
 ,improv+ ! availability & accuracy (   

provid] directory in=mation made        
available by gr\p heal? plans & heal?   
insurance issu]s (f]+ gr\p or           
individuals heal? insurance cov]age  7a7
 ,gr\p heal? plan & heal? insurance     
issu] requirem5ts  7#a7 ,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 ,provid] directory
 requirem5ts  7a7 ,9 g5]al ,beg9n+ n    
lat] ?an ,janu>y #a1 #bjbb1 ea* gr\p    
heal? plan & heal? insurance issu] (f]+ 
gr\p or individual heal? insurance      
cov]age %all--  7#a7 e/abli% !          
v]ification process describ$ 9          
subsection 7b72  7#b7 e/abli% ! response
 protocol describ$ 9 subsection 7c72    
7#c7 e/abli% ! database describ$ 9      
subsection 7d72 &  7#d7 include 9 any   
directory 7o!r ?an ! database describ$ 9
 p>agraph 7#c77 conta9+ provid]         
directory in=mation ) respect to su*    
plan or su* cov]age ! in=mation describ$

 9 subsection 7e74  7b7 ,v]ification    
process ,! v]ification process describ$ 
9 ?is subsection is1 ) respect to a gr\p
 heal? plan or a heal? insurance issu]  
(f]+ gr\p or individual heal? insurance 
cov]age1 a process--  7#a7 "u :i* su*   
plan or su* issu] 7z applicable7 v]ifies
 & updates ! provid] directory in=mation
 includ$ on ! database describ$ 9       
subsection 7d7 ( su* plan or issu] (--  
7,a7 n less frequ5tly ?an once e #ij    
days1 a r&om sample ( at lea/ #aj p]c5t 
( heal? c>e provid]s & heal? c>e        
facilities includ$ 9 su* database2 &    
7,b7 any su* provid] or su* facility    
includ$ 9 su* database t has n submitt$ 
any claim to su* plan or su* issu] 7z   
applicable7 dur+ a #ab-mon? p]iod2  7#b7
 t e/abli%es a proc$ure = ! removal f   
su* database ( su* a provid] or facility
 ) respect to :i* su* plan or issu] has 
be5 unable to v]ify su* in=mation dur+ a
 p]iod specifi$ by ! plan or issu]2 &   
7#c7 t provides = ! update ( su*        
database )9 #b bus9ess days ( su* plan  

or su* issu] 7z applicable7 receiv+ f   
su* a provid] or facility in=mation     
pursuant to section #aaej;,c ( ! ,social
 ,security ,act4  7c7 ,response protocol
 ,! response protocol describ$ 9 ?is    
subsection is1 9 ! case ( an individual 
enroll$ "u a gr\p heal? plan or gr\p or 
individual heal? insurance cov]age (f]$ 
by a heal? insurance issu] :o reque/s   
in=mation ?r\gh a telephone call or     
email on :e!r a heal? c>e provid] or    
heal? c>e facility has a contractual    
relation%ip to furni% items & s]vices "u
 su* plan or su* cov]age1 a protocol "u 
:i* su* plan or su* issu] 7z            
applicable7--  7#a7 responds to su*     
individual z soon z practicable1 & 9 no 
case lat] ?an #a bus9ess day aft] su*   
call or email is receiv$1 ?r\gh a writt5
 electronic communication2 &  7#b7      
reta9s su* communication 9 su*          
individual's file = at lea/ #b ye>s     
foll[+ su* response4  7d7 ,database ,!  
database describ$ 9 ?is subsection is1 )
 respect to a gr\p heal? plan or heal?  

insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age1 a database on !
 public website ( su* plan or issu] t   
conta9s--  7#a7 a li/ ( ea* heal? c>e   
provid] & heal? c>e facility ) :i* su*  
plan or su* issu] has a contractual     
relation%ip = furni%+ items & s]vices "u
 su* plan or su* cov]age2 &  7#b7       
provid] directory in=mation ) respect to
 ea* su* provid] & facility4  7e7       
,in=mation ,! in=mation describ$ 9 ?is  
subsection is1 ) respect to a directory 
conta9+ provid] directory in=mation )   
respect to a gr\p heal? plan or         
individual or gr\p heal? insurance      
cov]age (f]$ by a heal? insurance issu]1
 a notification t su* in=mation conta9$ 
9 su* directory 0 accurate z ( ! date ( 
publication ( su* directory & t an      
individual enroll$ "u su* plan or su*   
cov]age %\ld consult ! database describ$
 9 subsection 7d7 ) respect to su* plan 
or su* cov]age or contact su* plan or ! 
issu] ( su* cov]age to obta9 ! mo/      
curr5t provid] directory in=mation )    

respect to su* plan or su* cov]age4  7f7
 ,def9ition ,= purposes ( ?is section1 !
 t]m provid] directory in=mation        
includes1 ) respect to a gr\p heal? plan
 & a heal? insurance issu] (f]+ gr\p or 
individual heal? insurance cov]age1 !   
"n1 address1 specialty1 & telephone     
numb] ( ea* heal? c>e provid] or heal?  
c>e facility ) :i* su* plan or su* issu]
 has a contractual relation%ip = furni%+
 items & s]vices "u su* plan or su*     
cov]age4  4  7#b7 ,int]nal ,rev5ue ,code
 ( #aihf  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 ,provid] directory
 requirem5ts  7a7 ,9 g5]al ,beg9n+ n    
lat] ?an ,janu>y #a1 #bjbb1 ea* gr\p    
heal? plan %all-- 7#a7 e/abli% !        
v]ification process describ$ 9          
subsection 7b72  7#b7 e/abli% ! response
 protocol describ$ 9 subsection 7c72    
7#c7 e/abli% ! database describ$ 9      
subsection 7d72 &  7#d7 include 9 any   
directory 7o!r ?an ! database describ$ 9

 p>agraph 7#c77 conta9+ provid]         
directory in=mation ) respect to su*    
plan ! in=mation describ$ 9 subsection  
7e74  7b7 ,v]ification process ,!       
v]ification process describ$ 9 ?is      
subsection is1 ) respect to a gr\p heal?
 plan1 a process--  7#a7 "u :i* su* plan
 v]ifies & updates ! provid] directory  
in=mation includ$ on ! database describ$
 9 subsection 7d7 ( su* plan (--  7,a7 n
 less frequ5tly ?an once e #ij days1 a  
r&om sample ( at lea/ #aj p]c5t ( heal? 
c>e provid]s & heal? c>e facilities     
includ$ 9 su* database2 &  7,b7 any su* 
provid] or su* facility includ$ 9 su*   
database t has n submitt$ any claim to  
su* plan dur+ a #ab-mon? p]iod2  7#b7 t 
e/abli%es a proc$ure = ! removal f su*  
database ( su* a provid] or facility )  
respect to :i* su* plan has be5 unable  
to v]ify su* in=mation dur+ a p]iod     
specifi$ by ! plan2 &  7#c7 t provides =
 ! update ( su* database )9 #b bus9ess  
days ( su* plan receiv+ f su* a provid] 
or facility in=mation pursuant to       

section #aaej;,c ( ! ,social ,security  
,act4  7c7 ,response protocol ,!        
response protocol describ$ 9 ?is        
subsection is1 9 ! case ( an individual 
enroll$ "u a gr\p heal? plan :o reque/s 
in=mation ?r\gh a telephone call or     
email on :e!r a heal? c>e provid] or    
heal? c>e facility has a contractual    
relation%ip to furni% items & s]vices "u
 su* plan1 a protocol "u :i* su* plan-- 
7#a7 responds to su* individual z soon z
 practicable1 & 9 no case lat] ?an #a   
bus9ess day aft] su* call or email is   
receiv$1 ?r\gh a writt5 electronic      
communication2 &  7#b7 reta9s su*       
communication 9 su* individual's file = 
at lea/ #b ye>s foll[+ su* response4    
7d7 ,database ,! database describ$ 9 ?is
 subsection is1 ) respect to a gr\p     
heal? plan1 a database on ! public      
website ( su* plan t conta9s--  7#a7 a  
li/ ( ea* heal? c>e provid] & heal? c>e 
facility ) :i* su* plan has a           
contractual relation%ip = furni%+ items 
& s]vices "u su* plan2 &  7#b7 provid]  

directory in=mation ) respect to ea* su*
 provid] & facility4  7e7 ,in=mation ,! 
in=mation describ$ 9 ?is subsection is1 
) respect to a directory conta9+ provid]
 directory in=mation ) respect to a gr\p
 heal? plan1 a notification t su*       
in=mation conta9$ 9 su* directory 0     
accurate z ( ! date ( publication ( su* 
directory & t an individual enroll$ "u  
su* plan %\ld consult ! database        
describ$ 9 subsection 7d7 ) respect to  
su* plan or contact su* plan to obta9 ! 
mo/ curr5t provid] directory in=mation )
 respect to su* plan4  7f7 ,def9ition ,=
 purposes ( ?is section1 ! t]m provid]  
directory in=mation includes1 ) respect 
to a gr\p heal? plan1 ! "n1 address1    
specialty1 & telephone numb] ( ea* heal?
 c>e provid] or heal? c>e facility ) :i*
 su* plan has a contractual relation%ip 
= furni%+ items & s]vices "u su* plan or
 su* cov]age4  4  7,b7 ,con=m+ am5dm5t  
,section #ihae7;a7 ( ! ,int]nal ,rev5ue 
,code ( #aihf is am5d$-- 7i7 9 p>agraph 
7#a71 by /rik+ 7z am5d$ by ! ,pati5t    

,protection & ,af=dable ,c>e ,act7 &    
ins]t+ 7o!r ?an ! provisions ( section  
#bgcj ( su* ,act72 &  7ii7 9 p>agraph   
7#b71 by ins]t+ 7o!r ?an ! provisions ( 
section #bgcj ( su* ,act7 aft] ! fir/   
occurr5ce ( 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   
,provid] directory requirem5ts4  4  7#c7
 ,employee ,retirem5t ,income ,security 
,act ( #aigd  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 ,provid] directory 
requirem5ts  7a7 ,9 g5]al ,beg9n+ n lat]
 ?an ,janu>y #a1 #bjbb1 ea* gr\p heal?  
plan & heal? insurance issu] (f]+ gr\p  
heal? insurance cov]age %all--  7#a7    
e/abli% ! v]ification process describ$ 9
 subsection 7b72  7#b7 e/abli% !        
response protocol describ$ 9 subsection 

7c72  7#c7 e/abli% ! database describ$ 9
 subsection 7d72 &  7#d7 include 9 any  
directory 7o!r ?an ! database describ$ 9
 p>agraph 7#c77 conta9+ provid]         
directory in=mation ) respect to su*    
plan or su* cov]age ! in=mation describ$
 9 subsection 7e74  7b7 ,v]ification    
process ,! v]ification process describ$ 
9 ?is subsection is1 ) respect to a gr\p
 heal? plan or a heal? insurance issu]  
(f]+ gr\p heal? insurance cov]age1 a    
process--  7#a7 "u :i* su* plan or su*  
issu] 7z applicable7 v]ifies & updates !
 provid] directory in=mation includ$ on 
! database describ$ 9 subsection 7d7 (  
su* plan or issu] (--  7,a7 n less      
frequ5tly ?an once e #ij days1 a r&om   
sample ( at lea/ #aj p]c5t ( heal? c>e  
provid]s & heal? c>e facilities includ$ 
9 su* database2 &  7,b7 any su* provid] 
or su* facility includ$ 9 su* database t
 has n submitt$ any claim to su* plan or
 su* issu] 7z applicable7 dur+ a        
#ab-mon? p]iod2  7#b7 t e/abli%es a     
proc$ure = ! removal f su* database (   

su* a provid] or facility ) respect to  
:i* su* plan or issu] has be5 unable to 
v]ify su* in=mation dur+ a p]iod        
specifi$ by ! plan or issu]2 &  7#c7 t  
provides = ! update ( su* database )9 #b
 bus9ess days ( su* plan or su* issu] 7z
 applicable7 receiv+ f su* a provid] or 
facility in=mation pursuant to section  
#aaej;,c ( ! ,social ,security ,act4    
7c7 ,response protocol ,! response      
protocol describ$ 9 ?is subsection is1 9
 ! case ( an individual enroll$ "u a    
gr\p heal? plan or gr\p heal? insurance 
cov]age (f]$ by a heal? insurance issu] 
:o reque/s in=mation ?r\gh a telephone  
call or email on :e!r a heal? c>e       
provid] or heal? c>e facility has a     
contractual relation%ip to furni% items 
& s]vices "u su* plan or su* cov]age1 a 
protocol "u :i* su* plan or su* issu] 7z
 applicable7--  7#a7 responds to su*    
individual z soon z practicable1 & 9 no 
case lat] ?an #a bus9ess day aft] su*   
call or email is receiv$1 ?r\gh a writt5
 electronic communication2 &  7#b7      

reta9s su* communication 9 su*          
individual's file = at lea/ #b ye>s     
foll[+ su* response4  7d7 ,database ,!  
database describ$ 9 ?is subsection is1 )
 respect to a gr\p heal? plan or heal?  
insurance issu] (f]+ gr\p heal?         
insurance cov]age1 a database on !      
public website ( su* plan or issu] t    
conta9s--  7#a7 a li/ ( ea* heal? c>e   
provid] & heal? c>e facility ) :i* su*  
plan or su* issu] has a contractual     
relation%ip = furni%+ items & s]vices "u
 su* plan or su* cov]age2 &  7#b7       
provid] directory in=mation ) respect to
 ea* su* provid] & facility4  7e7       
,in=mation ,! in=mation describ$ 9 ?is  
subsection is1 ) respect to a directory 
conta9+ provid] directory in=mation )   
respect to a gr\p heal? plan or gr\p    
heal? insurance cov]age (f]$ by a heal? 
insurance issu]1 a notification t su*   
in=mation conta9$ 9 su* directory 0     
accurate z ( ! date ( publication ( su* 
directory & t an individual enroll$ "u  
su* plan or su* cov]age %\ld consult !  

database describ$ 9 subsection 7d7 )    
respect to su* plan or su* cov]age or   
contact su* plan or ! issu] ( su*       
cov]age to obta9 ! mo/ curr5t provid]   
directory in=mation ) respect to su*    
plan or su* cov]age4  7f7 ,def9ition ,= 
purposes ( ?is section1 ! t]m provid]   
directory in=mation includes1 ) respect 
to a gr\p heal? plan & a heal? insurance
 issu] (f]+ gr\p heal? insurance        
cov]age1 ! "n1 address1 specialty1 &    
telephone numb] ( ea* heal? c>e provid] 
or heal? c>e facility ) :i* su* plan or 
su* issu] has a contractual relation%ip 
= furni%+ items & s]vices "u su* plan or
 su* cov]age4  4  7,b7 ,con=m+ am5dm5t  
,section #gae7;a7 ( ! ,employee         
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aahe;d7a77 is     
am5d$--  7i7 9 p>agraph 7#a71 by /rik+  
7z am5d$ by ! ,pati5t ,protection &     
,af=dable ,c>e ,act7 & ins]t+ 7o!r ?an !
 provisions ( section #bgcj ( su* ,act72
 &  7ii7 9 p>agraph 7#b71 by ins]t+ 7o!r
 ?an ! provisions ( section #bgcj ( su* 

,act7 aft] ! fir/ occurr5ce ( 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 ,provid] directory   
requirem5ts4  4  7b7 ,heal? c>e provid]s
 ,"p ,a ( title ,,xi ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acjaj et 
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #aaej;,c4 ,submission (  
in=mation to heal? plans ( c]ta9 provid]
 in=mation  7a7 ,9 g5]al ,beg9n+ n lat] 
?an #a ye> aft] ! date ( ! enactm5t (   
?is section1 ea* heal? c>e provid] &    
heal? c>e facility %all e/abli% a       
process "u :i* su* provid] or facility  
transmits1 to ea* heal? insurance issu] 
(f]+ gr\p or individual heal? insurance 
cov]age & gr\p heal? plan ) :i* su*     
provid] or suppli] has 9 effect a       
contractual relation%ip = furni%+ items 
& s]vices "u su* cov]age or su* plan1   

provid] directory in=mation 7z def9$ 9  
section #bgcj7;e7 ( ! ,public ,heal?    
,s]vice ,act1 section #gaf7;e7 ( !      
,employee ,retirem5t ,income ,security  
,act ( #aigd1 or section #ihaf7;e7 ( !  
,int]nal ,rev5ue ,code ( #aihf1 z       
applicable7 ) respect to su* provid] or 
facility1 z applicable4 ,su* provid] or 
facility %all s transmit su* in=mation  
to su* issu] (f]+ su* cov]age or su*    
gr\p heal? plan--  7#a7 :5 !re are any  
mat]ial *anges 7includ+ a *ange 9       
address1 telephone numb]1 or o!r contact
 in=mation7 to su* provid] directory    
in=mation ( ! provid] or facility )     
respect to su* cov]age (f]$ by su* issu]
 or ) respect to su* plan2 &  7#b7 at   
any o!r "t 7includ+ ^u ! reque/ ( su*   
issu] or plan7 det]m9$ appropriate by ! 
provid]1 facility1 or ! ,secret>y4  7b7 
,p5alty  7#a7 ,9 g5]al ,ea* heal? c>e   
provid] or heal? c>e facility t fails to
 transmit in=mation z requir$ "u        
subsection 7a7 %all be subject to a     
civil monet>y p5alty ( #a1jjj = ea* day 

su* provid] or facility 7z applicable7  
fails to s transmit su* in=mation4  7#b7
 ,application ( provisions ,! provisions
 ( section #aabh;,a 7o!r ?an subsection 
7a71 subsection 7b71 ! fir/ s5t5ce (    
subsection 7c77#a71 subsection 7d71 &   
subsection 7o77 %all apply ) respect to 
a civil monet>y p5alty impos$ "u ?is    
subsection 9 ! same mann] z su*         
provisions apply ) respect to a p5alty  
or proce$+ "u subsection 7a7 ( su*      
section4  7c7 ,def9itions ,9 ?is        
section1 ! t]ms heal? insurance issu]1  
gr\p heal? plan1 gr\p heal? insurance   
cov]age1 & individual heal? insurance   
cov]age h ! mean+ giv5 su* t]ms1        
respectively1 9 section #bgia ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#ia et seq474  4