,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bdaa  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ba1 #bjba,ms4   
,smi? 7= h]self & ,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$ical ,bills ,act ( #bjba4  #b4       
,m$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$e access to te/+74  4  #c4 ,pric+ ( 
diagno/ic te/+ ,section #cbjb ( ! ,,c>es
 ,act 7,public ,law #aaf-acf7 is am5d$--
 7#a7 9 subsection 7a7-- 7,a7 by am5d+  
p>agraph 7#a7 to read z foll[s3  7#a7 ,)
 respect to su* items & s]vices provid$ 
by a p>ticipat+ provid]1 su* plan or    
issu] %all reimburse su* provid] ! rate 
t ! heal? plan or issu] has negotiat$ ) 
su* provid] be=e ! public heal? em]g5cy 
decl>$ "u section #cai ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bdg;d7 ) respect to ,,covid-#ai4  2 &  
7,b7 by am5d+ p>agraph 7#b7 to read z   
foll[s3  7#b7 ,) respect to su* items & 
s]vices provid$ by a nonp>ticipat+      
provid] or facility1 su* plan or issu]  
%all reimburse su* provid] 9 an am\nt   
equal to ! less] (-- 7,a7 ! ca% price = 

a diagno/ic te/ = ,,covid-#ai2 or  7,b7 
#b times ! reimbursem5t rate = !        
applicable items & s]vices "u ! ,m$ic>e 
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  2  7#b7 9 subsection 7b77#b71 by
 /rik+ #cjj & ins]t+ #aj1jjj2 &  7#c7 by
 add+ at ! end ! foll[+3  7c7 ,no *>ges 
= ,,covid-#ai te/+ ,a provid] %all n    
bill1 & %all n hold liable1 any         
individual receiv+ items & s]vices      
describ$ 9 section #fjja7;a7 ( division 
,f ( ! ,families ,fir/ ,coronavirus     
,response ,act 7,public ,law #aaf-abg7 =
 a paym5t am\nt = su* an item or s]vice 
furni%$ by su* provid]4  4  #d4         
,improvem5ts to transp>5cy policy  7a7  
,9 g5]al ,section #cbjb ( ! ,,c>es ,act 
7,public ,law #aaf-acf71 z am5d$ by     
section #c1 is fur!r am5d$ by add+ at ! 
end ! foll[+3  7d7 ,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
  7e7 ,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  #e4 ,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 ,act1 =    
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