,,ii  #aafth ,,congress  #ast ,session  
,s4 #afhh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bc       
7legislative day1 ,may #bb71 #bjai,mr4  
,enzi 7for himself and ,mr4 ,casey7     
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to provide for the full disclosure of   
billing and service information to      
patients4  #a4 ,patient disclosures     
,part ,p of title ,,iii of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bhj;g et seq47 is amended by adding at 
the end the following3  #cii,v-#g4      
,patient disclosures  7a7 ,in general   
,the ,secretary shall require-- 7#a7    
health care facilities and practitioners
 to provide to patients a list of       
services rendered during the visit to   
such facility or practitioner upon      
discharge2 and  7#b7 health care        
facilities and practitioners to send all

 bills to the patient within #cj        
business days4  7b7 ,payment after      
billing ,no patient may be required to  
pay a bill for health care services any 
earlier than #cj business days after    
receipt of a bill for such services4    
7c7 ,effect of violation  7#a7          
,notification and refund requirements   
,if a facility or practitioner bills a  
patient after the #cj-;business-day     
period described in subsection 7a77#b71 
such facility or practitioner shall--   
7,a7 report such bill to the ,secretary2
 and  7,b7 refund the patient for the   
full amount paid in response to such    
bill with interest1 at a rate determined
 by the ,secretary4  7#b7 ,civil        
monetary penalties  7,a7 ,in general    
,the ,secretary may impose civil        
monetary penalties of up to #aj1jjj a   
day on any facility or practitioner that
 submits more than #aj bills outside of 
the period described in subsection      
7a77#b71 beginning on the date on which 
such facility or practitioner sends the 

tenth such bill4  7,b7 ,procedure ,the  
provisions of section #aabh;,a of the   
,social ,security ,act1 other than      
subsections 7a7 and 7b7 and the first   
sentence of subsection 7c77#a7 of such  
section1 shall apply to civil money     
penalties under this subsection in the  
same manner as such provisions apply to 
a penalty or proceeding under section   
#aabh;,a of the ,social ,security ,act4 
4