,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #cbdh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #aa1 #bjbc,mrs4  
,mill]-,meeks 7= h]self & ,ms4          
,de,gette7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
increase price transp>5cy ( cl9ical     
diagno/ic laboratory te/s "u ! ,m$ic>e  
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,diagno/ic ,lab ,te/+       
,transp>5cy ,act4  #b4 ,increas+ price  
transp>5cy ( cl9ical diagno/ic          
laboratory te/s "u ! ,m$ic>e program    
,section #ahdf ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciew-#b7 is       
am5d$-- 7#a7 9 ! head]1 by ins]t+ &     
additional requirem5ts aft] sanctions2 &
  7#b7 by add+ at ! end ! foll[+ new    

subsection3  7c7 ,price transp>5cy      
requirem5t  7#a7 ,9 g5]al ,beg9n+       
,janu>y #a1 #bjbe1 ea* provid] ( s]vices
 or suppli] t is available to furni% any
 specifi$ cl9ical diagno/ic laboratory  
te/ "u ?is title %all-- 7,a7 make       
publicly available on an ,int]net       
website ! in=mation describ$ 9 p>agraph 
7#b7 ) respect to ea* su* specifi$      
cl9ical diagno/ic laboratory te/ t su*  
provid] or suppli] is s available to    
furni%2 &  7,b7 ensure t su* in=mation  
is updat$ n less frequ5tly ?an annually4
  7#b7 ,in=mation describ$ ,= purposes (
 p>agraph 7#a71 ! in=mation describ$ 9  
?is p>agraph is1 ) respect to a provid] 
( s]vices or suppli] & a specifi$       
cl9ical diagno/ic laboratory te/1 !     
foll[+3 7,a7 ,! disc\nt$ ca% price = su*
 te/ 7or1 if no su* price exi/s1 ! gross
 *>ge = su* te/74  7,b7 ,! deid5tifi$   
m9imum negotiat$ rate 9 effect betwe5   
su* provid] or suppli] & any gr\p heal? 
plan or gr\p or individual heal?        
insurance cov]age = su* te/4  7,c7 ,!   

deid5tifi$ maximum negotiat$ rate 9     
effect betwe5 su* provid] or suppli] &  
any su* plan or cov]age = su* te/4  7#c7
 ,inclusion ( ancill>y s]vices ,any     
price or rate = a specifi$ cl9ical      
diagno/ic laboratory te/ available to be
 furni%$ by a provid] ( s]vices or      
suppli] made publicly available 9       
accordance ) p>agraph 7#a7 %all include 
! price or rate 7z applicable7 = any    
ancill>y item or s]vice 7su* z specim5  
collection s]vices7 t w\ld normally be  
furni%$ by su* provid] or suppli] z "p (
 su* te/1 z specifi$ by ! ,secret>y4    
7#d7 ,en=cem5t  7,a7 ,9 g5]al ,9 ! case 
t ! ,secret>y det]m9es t a provid] (    
s]vices or suppli] is n 9 compliance )  
p>agraph 7#a7-- 7i7 n lat] ?an #cj days 
aft] su* det]m9ation1 ! ,secret>y %all  
notify su* provid] or suppli] ( su*     
det]m9ation2  7ii7 n lat] ?an #ij days  
aft] su* notification is s5t1 su*       
provid] or suppli] %all complete a      
corrective action plan to comply ) su*  
p>agraph & submit su* plan to !         

,secret>y2 &  7iii7 if su* provid] or   
suppli] cont9ues to fail to comply ) su*
 p>agraph aft] ! date t is #ij days aft]
 su* notification is s5t1 ! ,secret>y   
may impose a civil monet>y p5alty 9 an  
am\nt n to exce$ #cjj = ea* day 7beg9n+ 
) ! date t is #ia days aft] su*         
notification 0 s5t7 dur+ :i* su* failure
 is ongo+4  7,b7 ,application ( c]ta9   
provisions ,! provisions ( section      
#aabh;,a 7o!r ?an subsections 7a7 & 7b7 
( su* section7 %all apply to a civil    
monet>y p5alty impos$ "u ?is p>agraph 9 
! same mann] z su* provisions apply to a
 civil monet>y p5alty impos$ "u         
subsection 7a7 ( su* section4  7#e7     
,def9itions ,9 ?is subsection3 7,a7     
,gr\p heal? plan2 gr\p heal? insurance  
cov]age2 individual heal? insurance     
cov]age ,! t]ms gr\p heal? plan1 gr\p   
heal? insurance cov]age1 & individual   
heal? insurance cov]age h ! mean+ giv5  
su* t]ms 9 section #bgia ( ! ,public    
,heal? ,s]vice ,act4  7,b7 ,specifi$    
cl9ical diagno/ic laboratory te/ ,! t]m 

specifi$ cl9ical diagno/ic laboratory   
te/ means a cl9ical diagno/ic laboratory
 te/ t is includ$ on ! li/ ( %oppable   
s]vices specifi$ by ! ,c5t]s = ,m$ic>e  
,m$icaid ,s]vices 7z describ$ 9 section 
#ahj4fj ( title #db1 ,code ( ,f$]al     
,regulations 7or a successor            
regulation774  4