,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dajf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #cj1 #bjbj,mr4   
,braun 7= himself1 ,mr4 ,k5n$y1 ,mrs4   
,loeffl]1 ,mr4 ,grassley1 ,mr4 ,enzi1   
,ms4 ,ern/1 & ,mr4 ,b>rasso7 introduc$ !
 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
 = hospital & insur] price transp>5cy4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,heal? ,c>e ,prices ,reveal$ &        
,in=mation to ,consum]s ,expla9$        
,transp>5cy ,act or ! ,heal? ,c>e       
,,price ,transp>5cy ,act4  #b4 ,price   
transp>5cy requirem5ts  7a7 ,hospitals  
,section #bgah7;e7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ah7;e77 is am5d$-- 7#a7 by     
/rik+ ,ea* hospital & ins]t+ ! foll[+3  
7#a7 ,9 g5]al ,ea* hospital  2  7#b7 by 
ins]t+ 1 9 a ma*9e-readable =mat1 via   
op5 application program int]faces       
7,a,p,is7 aft] a li/2  7#c7 by ins]t+ 1 

along ) su* additional in=mation z !    
,secret>y may require ) respect to su*  
*>ges = purposes ( promot+ public       
aw>5ess ( hospital pric+ 9 advance (    
receiv+ a hospital item or s]vice be=e !
 p]iod2 &  7#d7 by add+ at ! end !      
foll[+3  7#b7 ,def9ition ( /&>d *>ges   
,not)/&+ any o!r provision ( law1 =     
purposes ( p>agraph 7#a71 ! t]m /&>d    
*>ges means ! rates hospitals1 includ+  
provid]s or entities t contract ) or    
practice at a hospital1 *>ge = all items
 & s]vices at a m9imum1 *>gema/] rates1 
rates t hospitals negotiate ) ?ird p>ty 
pay]s across all plans1 includ+ ^?      
relat$ to a pati5t's specific plan1     
disc\nt$ ca% prices1 & o!r rates det]m9$
 by ! ,secret>y4  7#c7 ,en=cem5t ,9     
addition to any o!r en=cem5t actions or 
p5alties t may apply "u subsection      
7b77#c7 or ano!r provision ( law1 a     
hospital t fails to provide ! in=mation 
requir$ by ?is subsection & has n       
complet$ a corrective action plan to    
comply ) ! requirem5ts ( su* subsection 

%all be subject to a civil monet>y      
p5alty ( an am\nt n to exce$ #cjj p] day
 t ! violation is ongo+ z det]m9$ by !  
,secret>y4 ,su* p5alty %all be impos$ & 
collect$ 9 ! same mann] z civil money   
p5alties "u subsection 7a7 ( section    
#aabh;,a ( ! ,social ,security ,act are 
impos$ & collect$4  4  7b7 ,transp>5cy 9
 cov]age ,section #acaa7;e77#c7 ( !     
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjca7;e77#c77 is  
am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9
 clause 7vii71 by ins]t+ be=e ! p]iod ! 
foll[+3 1 includ+1 = all items & s]vices
 cov]$ "u ! plan1 aggregate in=mation on
 specific paym5ts ! plan has made to    
out-(-network heal? c>e provid]s on     
behalf ( plan enrollees2 &  7,b7 by     
designat+ clause 7ix7 z clause 7x72 &   
7,c7 by ins]t+ aft] clause 7viii71 !    
foll[+3  7ix7 ,in=mation on ! specific  
negotiat$ paym5t rates betwe5 ! plan &  
heal? c>e provid]s = all items & s]vices
 cov]$ "u ! plan4  2  7#b7 9 subp>agraph
 7,b7-- 7,a7 9 ! head+1 by /rik+ use &  

ins]t+ deliv]y me?ods & use2  7,b7 by   
ins]t+ 1 z applicable1 aft] ,engli%     
pr(ici5cy2 &  7,c7 by ins]t+ aft] !     
second s5t5ce1 ! foll[+3 ,! ,secret>y   
%all e/abli% /&>ds = electronic deliv]y 
& access to su* in=mation by            
individuals1 free ( *>ge1 9 ma*9e       
readable =mat1 ?r\gh an int]net website 
& via op5 ,a,p,is42  7#c7 9 subp>agraph 
7,c7-- 7,a7 9 ! fir/ s5t5ce1 by ins]t+  
or out-(-network provid] aft] item or   
s]vice by a p>ticipat+ provid]2  7,b7 9 
! second s5t5ce1 by /rik+ ?r\gh an      
int]net website & ins]t+ free ( *>ge1 9 
ma*9e readable =mat1 ?r\gh an int]net   
website1 & via op5 ,a,p,is1 9 accordance
 ) /&>ds e/abli%$ by ! ,secret>y12 &    
7,c7 by add+ at ! end ! foll[+3 ,su*    
in=mation %all include specific         
negotiat$ rates t all[ = comp>ison      
betwe5 provid]s & across plans1 & relat$
 to a pati5t's specific plan1 includ+   
aft] an enrollee has exce$$ _! d$uctible
 responsibility42 &  7#d7 9 subp>agraph 
7,d7 by /rik+ subp>agraph 7,a7 & ins]t+ 

subp>agraphs 7,a71 7,b71 & 7,c74