,i #aahth ,,congress #ast ,session ,h4 ,r4 #cbfb ,,in ,,the ,,house ,,of ,,representatives ,may #aa1 #bjbc,ms4 ,schakowsky 7for herself and ,mr4 ,bilirakis7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend title ,,xi of the ,social ,security ,act to increase transparency of certain health-related ownership information4 #a4 ,mandatory reporting with respect to certain health-related ownership information ,part ,a of title ,,xi of the ,social ,security ,act 7#db ,u4,s4,c4 #acja et seq47 is amended by adding at the end the following new section3 #aaej;,d4 ,mandatory reporting with respect to certain health-related ownership information 7a7 ,mandatory reporting with respect certain health-,related ownership information 7#a7 ,initial report ,not later than ,january #a1 #bjbe 7or in the case of a specified entity formed after ,january #a1 #bjbe1 within #fj days of becoming a specified entity71 each specified entity 7as defined in subsection 7f77#e77 shall submit to the ,secretary1 in a form and manner specified by the ,secretary1 a report containing the following information3 7,a7 ,data on mergers1 acquisitions1 and changes in ownership with respect to such specified entity for the previous #a-year period4 7,b7 ,in the case that a specified entity is1 or includes1 a hospital1 the additional information described in subsection 7b74 7,c7 ,as applicable1 the name1 address1 and business structure of the parent company of such specified entity 7including the tax status of such parent company71 as of the date of the submission of this report4 7,d7 ,any other information with respect to ownership of a specified entity1 as determined by the ,secretary4 7#b7 ,subsequent reports ,not later than #a year after submitting the report under paragraph 7#a71 and annually thereafter1 each specified entity shall submit to the ,secretary an updated report1 including-- 7,a7 7i7 data on mergers1 acquisitions1 and changes in ownership with respect to such entities for the previous #a-year period2 and 7ii7 any other information with respect to ownership of a specified entity1 as determined by the ,secretary2 and 7,b7 in the case that a specified entity is1 or includes1 a hospital1 the additional information described in subsection 7b74 7b7 ,additional information submitted by certain specified entities ,for purposes of paragraphs 7#a77;,b7 and 7#b77;,b7 of subsection 7a71 with respect to a specified entity that is1 or includes1 a hospital1 the information described in this subsection is the following information with respect to the previous #a-year period3 7#a7 ,the business structure of the specified entity1 including the business type and the tax status of such entity4 7#b7 ,the average debt-to-earnings ratio of the specified entity4 7#c7 ,the average amount of debt incurred-- 7,a7 by the hospital2 and 7,b7 by the entire specified entity4 7#d7 ,information with respect to real estate leases and purchases for property used1 or intended to be used1 to furnish or otherwise support the provision of health care services4 7#e7 ,in the case of a non-profit hospital1 a subsidiary of a non-profit hospital1 or a #eja7;c77#c7 entity that shares common ownership with a non-profit hospital1 capital gains investments 7disaggregated by the type of investment7 and any taxes paid on such gains from such investments4 7#f7 ,as applicable1 information with respect to the parent company of such specified entity4 7c7 ,public reporting ,not later than ,january #a1 #bjbg1 and annually thereafter1 the ,secretary shall post on a publicly available website of the ,department of ,health and ,human ,services a report with respect to the previous #a-year period1 including-- 7#a7 the number of specified entities reporting for such year1 disaggregated by the business structure of each specified entity2 7#b7 the number of owners of each specified entity2 7#c7 any change in ownership for each specified entity2 7#d7 any change in the tax status of a specified entity2 7#e7 an analysis of trends in horizontal and vertical consolidation1 disaggregated by business structure and provider type2 and 7#f7 as applicable1 the name1 address1 and business structure of the parent company of such specified entity 7including the business type and the tax status of such parent company74 7d7 ,audits ,the ,secretary shall conduct an annual audit consisting of a random sample of specified entities to verify compliance with the requirements of this section and the accuracy of information submitted pursuant to this section4 7e7 ,penalty for failure ,to report ,if a specified entity fails to provide a complete report under subsection 7a71 or submits a report containing false information1 such entity shall be subject to a civil monetary penalty of not more than #e1jjj1jjj for each such report not provided or containing false information4 ,such penalty shall be imposed and collected in the same manner as civil money penalties under subsection 7a7 of section #aabh;,a are imposed and collected under that section4 7f7 ,inapplicability of ,paperwork ,reduction ,act ,chapter #ce of title #dd1 ,united ,states ,code1 shall not apply to collections of information made under this section4 7g7 ,definitions ,in this section3 7#a7 ,health plan ,the term health plan has the meaning given such term in section #aabh;,c7c74 7#b7 ,hospital ,the term hospital has the meaning given such term in section #ahfa7;e74 7#c7 ,independent freestanding emergency department ,the term independent freestanding emergency department has the meaning given such term in section #bgii;,a-#a7;a77#c77;,d7 of the ,public ,health ,service ,act4 7#d7 ,private equity company ,the term private equity company means a publicly traded or non-publicly traded company that collects capital investments from individuals or entities and purchases an ownership share of a provider of services 7as defined in section #ahfa7u774 7#e7 ,specified entity ,the term specified entity means-- 7,a7 a hospital2 7,b7 a physician-owned physician practice with more than #be physicians for a year2 7,c7 a physician practice owned by a hospital1 a health plan1 a private equity company1 or a venture capital firm2 7,d7 an ambulatory surgical center meeting the standards specified under section #ahcb7;a77#b77;,f77i72 or 7,e7 an independent freestanding emergency department4 7#f7 ,venture capital fund ,the term venture capital fund has the meaning given such term in section #bge4bjc7l7-#aof title #ag1 ,code of ,federal ,regulations4 4