,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fjje  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #bg1         
#bjbj,mr4 ,mal9[ski 7= himself & ,mr4   
,buc%on7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
to increase transp>5cy ( gr\p heal?     
plans & heal? insurance issu]s (f]+ gr\p
 or individual heal? insurance cov]age  
by remov+ gag clauses on price & quality
 in=mation1 & = o!r purposes4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,"k !  
,price ,act4  #b4 ,increas+ transp>5cy  
by remov+ gag clauses on price & quality
 in=mation ,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[+3        
#bgbi;,a4 ,increas+ transp>5cy by remov+
 gag clauses on price & quality         
in=mation  7a7 ,increas+ price & quality
 transp>5cy = plan sponsors & consum]s  
7#a7 ,gr\p heal? plans ,a gr\p heal?    

plan or a heal? insurance issu] (f]+    
gr\p heal? insurance cov]age may n ent] 
into an agreem5t ) a heal? c>e provid]1 
network or association ( provid]s1      
?ird-p>ty adm9i/rator1 or o!r s]vice    
provid] (f]+ access to a network (      
provid]s t w\ld directly or indirectly  
re/rict a gr\p heal? plan or heal?      
insurance issu] f-- 7,a7 provid+        
provid]-specific co/ or quality ( c>e   
in=mation1 ?r\gh a consum] engagem5t    
tool or any o!r means1 to ref]r+        
provid]s1 ! plan sponsor1 enrollees1 or 
eligible enrollees ( ! plan or cov]age2 
7,b7 electronically access+ de-id5tifi$ 
claims & enc\nt] data = ea* enrollee 9 !
 plan or cov]age1 ^u reque/ & consi/5t )
 ! privacy regulations promulgat$       
pursuant to section #bfd7;c7 ( ! ,heal? 
,insurance ,portability & ,acc\ntability
 ,act1 ! am5dm5ts to ?is ,act made by ! 
,g5etic ,in=mation ,nondiscrim9ation    
,act ( #bjjh1 & ! ,am]icans )           
,disabilities ,act ( #aiij1 ) respect to
 ! applicable heal? plan or heal?       

insurance cov]age1 includ+1 on a p]     
claim basis-- 7i7 f9ancial in=mation1   
su* z ! all[$ am\nt1 or any o!r         
claim-relat$ f9ancial obligations       
includ$ 9 ! provid] contract2  7ii7     
provid] in=mation1 includ+ "n & cl9ical 
designation2  7iii7 s]vice codes2 or    
7iv7 any o!r data elem5t normally       
includ$ 9 claim or enc\nt] transactions 
:5 receiv$ by a plan or issu]2 or  7,c7 
%>+ data describ$ 9 subp>agraph 7,a7 or 
7,b7 ) a bus9ess associate z def9$ 9    
section #afj4ajc ( title #de1 ,code (   
,f$]al ,regulations 7or successor       
regulations71 consi/5t ) ! privacy      
regulations promulgat$ pursuant to      
section #bfd7;c7 ( ! ,heal? ,insurance  
,portability & ,acc\ntability ,act1 !   
am5dm5ts to ?is ,act made by ! ,g5etic  
,in=mation ,nondiscrim9ation ,act (     
#bjjh1 & ! ,am]icans ) ,disabilities    
,act ( #aiij4  7#b7 ,individual heal?   
insurance cov]age ,a heal? insurance    
issu] (f]+ individual heal? insurance   
cov]age may n ent] into an agreem5t ) a 

heal? c>e provid]1 network or           
association ( provid]s1 or o!r s]vice   
provid] (f]+ access to a network (      
provid]s t w\ld1 directly or indirectly 
re/rict ! heal? insurance issu] f-- 7,a7
 provid+ provid]-specific price or      
quality ( c>e in=mation1 ?r\gh a consum]
 engagem5t tool or any o!r means1 to    
ref]r+ provid]s or ! plan sponsor1      
enrollees1 or eligible enrollees ( !    
plan or cov]age2 or  7,b7 %>+ data      
describ$ 9 subp>agraph 7,a7 ) a bus9ess 
associate z def9$ 9 section #afj4ajc (  
title #de1 ,code ( ,f$]al ,regulations  
7or successor regulations71 consi/5t ) !
 privacy regulations promulgat$ pursuant
 to section #bfd7;c7 ( ! ,heal?         
,insurance ,portability & ,acc\ntability
 ,act1 ! am5dm5ts to ?is ,act made by ! 
,g5etic ,in=mation ,nondiscrim9ation    
,act ( #bjjh1 & ! ,am]icans )           
,disabilities ,act ( #aiij1 = plan      
design1 plan adm9i/ration1 & plan1      
f9ancial1 legal1 & quality improvem5t   
activities4  7#c7 ,cl>ification reg>d+  

public disclosure ( in=mation ,no?+ 9   
p>agraph 7#a77;,a7 or 7#b77;,a7 prev5ts 
a heal? c>e provid]1 network or         
association ( provid]s1 or o!r s]vice   
provid] f plac+ reasonable re/rictions  
on ! public disclosure ( ! in=mation    
describ$ 9 su* p>agraphs 7#a7 & 7#b74   
7#d7 ,atte/ation ,a gr\p heal? plan or a
 heal? insurance issu] (f]+ gr\p or     
individual heal? insurance cov]age %all 
annually submit to1 z applicable1 !     
applicable au?ority describ$ 9 section  
#bgbc or ! ,secret>y ( ,labor1 an       
atte/ation t su* plan or issu] is 9     
compliance ) ! requirem5ts ( ?is        
subsection4  7#e7 ,rule ( con/ruction   
,no?+ 9 ?is section %all be con/ru$ to  
o!rwise limit gr\p heal? plan or plan   
sponsor access to data curr5tly p]mitt$ 
"u ! privacy regulations promulgat$     
pursuant to section #bfd7;c7 ( ! ,heal? 
,insurance ,portability & ,acc\ntability
 ,act1 ! am5dm5ts to ?is ,act made by ! 
,g5etic ,in=mation ,nondiscrim9ation    
,act ( #bjjh1 & ! ,am]icans )           

,disabilities ,act ( #aiij4  4