,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dgde  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bi1         
#bjbj,ms4 ,smi? 7= h]self1 ,mrs4        
,murray1 ,mrs4 ,%ahe51 ,ms4 ,hirono1    
,ms4 ,hassan1 & ,ms4 ,klobu*>7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,a      
,,bill  ,to prev5t surprise m$ical bills
 ) respect to ,,covid-#ai te/+4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,/op ,,covid-#ai ,te/ ,surprise ,m$ical 
,bills ,act ( #bjbj4  #b4 ,m$ical       
managem5t ,section #fjja ( ! ,families  
,fir/ ,coronavirus ,response ,act       
7,public ,law #aaf-abg7 is am5d$ by add+
 at ! end ! foll[+3  7e7 ,m$ical        
managem5t ,= purposes ( ?is section1 !  
t]m m$ical managem5t includes           
det]m9ations ab\t :y an individual s\ght
 te/+1 ! nature ( ! cl9ical assessm5t t 
0 associat$ ) ! te/+1 :e!r ! individual 
0 %[+ symptoms1 :at provid] ord]$ !     
te/+1 ! frequ5cy ( te/+ obta9$ by !     

individual1 & o!r reviews ( ! enc\nt]s  
or ev5ts t proce$$ or foll[$ a s]vice   
describ$ 9 subsection 7a74 ,su* t]m does
 n include reasonable ef=ts by a gr\p   
heal? plan or heal? insurance issu] to  
enc\rage individuals to obta9 te/s f l[]
 pric$ provid]s 7provid$ t su*          
reasonable ef=ts d n delay or o!rwise   
imp$e access to te/+74  4  #c4          
,improvem5ts to transp>5cy policy  7a7  
,9 g5]al ,section #cbjb ( ! ,,c>es ,act 
7,public ,law #aaf-acf7 is am5d$ by add+
 at ! end ! foll[+3  7c7 ,improvem5ts to
 transp>5cy policy ,n lat] ?an #cj days 
aft] ! date ( enactm5t ( ?is subsection1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
%all survey a sample ( provid]s ( !     
items & s]vices describ$ 9 section      
#fjja7;a7 ( division ,f ( ! ,families   
,fir/ ,coronavirus ,response ,act       
7,public ,law #aaf-abg7 reg>d+ ! ca%    
prices = su* items & s]vices z li/$ by !
 provid]s on a public int]net website4  
,! ,secret>y %all survey no few] ?an    
#bjj provid]s repres5t+ a div]sity (    

sizes1 geographic locations1 te/ types1 
& c>e sett+s 7su* z hospitals1          
laboratories1 & free-/&+ em]g5cy rooms74
  7d7 ,public report ,n lat] ?an #de    
days aft] ! date ( enactm5t ( ?is       
subsection1 ! ,secret>y ( ,heal? &      
,human ,s]vices %all publi% a report on 
ca% prices = items & s]vices publi%$ "u 
subsection 7b77#a71 :i* %all include--  
7#a7 ! compliance rate ( provid]s ) !   
ca% price publication requirem5t "u     
subsection 7b77#a72  7#b7 ! av]age ca%  
price = ea* item & s]vice describ$ 9    
section #fjja7;a7 ( division ,f ( !     
,families ,fir/ ,coronavirus ,response  
,act 7,public ,law #aaf-abg7 & publi%$  
"u subsection 7b77#a72  7#c7 ) respect  
to ea* su* item & s]vice1 a comp>ison ( 
su* av]age ca% price to ! reimbursem5t  
rate "u ! ,m$ic>e program "u title      
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq472 &  7#d7 any   
outli] ca% prices publi%$ "u subsection 
7b77#a7 7includ+ ! names ( ! provid]s   
*>g+ su* prices7 t sub/antially exce$ ! 

av]age ca% price4  4  #d4 ,guidance on  
bill+ = provid] visits associat$ )      
,,covid-#ai te/+ ,! ,secret>y ( ,heal? &
 ,human ,s]vices1 ! ,secret>y ( ,labor1 
& ! ,secret>y ( ! ,treasury1 %all jo9tly
 issue guidance1 n lat] ?an #cj days    
aft] ! date ( enactm5t ( ?is ,act =     
purposes ( cl>ify+-- 7#a7 ! process =   
submitt+ claims = items & s]vices       
describ$ 9 section #fjja7;a7 ( !        
,families ,fir/ ,coronavirus ,response  
,act 7,public ,law #aaf-abg7 to ensure t
 individuals enroll$ 9 individual or    
gr\p heal? insurance cov]age or gr\p    
heal? plans to :om su* items & s]vices  
are furni%$ are n subject to co/-%>+ or 
prior au?orization or o!r m$ical        
managem5t requirem5ts2 &  7#b7 t        
provid]s %\ld n collect co/-%>+ am\nts f
 individuals seek+ items & s]vices      
describ$ 9 section #fjja7;a7 ( su* ,act4