,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #afhh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bc 7legislative  
day1 ,may #bb71 #bjai,mr4 ,enzi 7=      
himself & ,mr4 ,casey7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to provide
 = ! full disclosure ( bill+ & s]vice   
in=mation to pati5ts4  #a4 ,pati5t      
disclosures ,"p ,p ( title ,,iii ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cii,v-#g4     
,pati5t disclosures  7a7 ,9 g5]al ,!    
,secret>y %all require-- 7#a7 heal? c>e 
facilities & practition]s to provide to 
pati5ts a li/ ( s]vices r5d]$ dur+ !    
visit to su* facility or practition] ^u 
dis*>ge2 &  7#b7 heal? c>e facilities & 
practition]s to s5d all bills to !      
pati5t )9 #cj bus9ess days4  7b7 ,paym5t
 aft] bill+ ,no pati5t may be requir$ to
 pay a bill = heal? c>e s]vices any     

e>li] ?an #cj bus9ess days aft] receipt 
( a bill = su* s]vices4  7c7 ,effect (  
violation  7#a7 ,notification & refund  
requirem5ts ,if a facility or           
practition] bills a pati5t aft] !       
#cj-;bus9ess-day p]iod describ$ 9       
subsection 7a77#b71 su* facility or     
practition] %all-- 7,a7 report su* bill 
to ! ,secret>y2 &  7,b7 refund ! pati5t 
= ! full am\nt paid 9 response to su*   
bill ) int]e/1 at a rate det]m9$ by !   
,secret>y4  7#b7 ,civil monet>y p5alties
  7,a7 ,9 g5]al ,! ,secret>y may impose 
civil monet>y p5alties ( up to #aj1jjj a
 day on any facility or practition] t   
submits m ?an #aj bills outside ( !     
p]iod describ$ 9 subsection 7a77#b71    
beg9n+ on ! date on :i* su* facility or 
practition] s5ds ! t5? su* bill4  7,b7  
,proc$ure ,! provisions ( section       
#aabh;,a ( ! ,social ,security ,act1 o!r
 ?an subsections 7a7 & 7b7 & ! fir/     
s5t5ce ( subsection 7c77#a7 ( su*       
section1 %all apply to civil money      
p5alties "u ?is subsection 9 ! same     

mann] z su* provisions apply to a p5alty
 or proce$+ "u section #aabh;,a ( !     
,social ,security ,act4  4