,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #dhbh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bd1 #bjbc,mr4  
,c>ey introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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   
promote price transp>5cy = imag+ te/s "u
 ! ,m$ic>e program4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,imag+        
,s]vices ,price ,transp>5cy ,act (      
#bjbc4  #b4 ,promot+ price transp>5cy = 
imag+ te/s "u ! ,m$ic>e program ,"p ,e (
 title ,,xviii ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #ahii;,c4 ,imag+ te/ price    
transp>5cy requirem5t  7a7 ,9 g5]al     
,beg9n+ ,janu>y #a1 #bjbe1 ea* provid] (
 s]vices & suppli] t receives paym5t "u 

?is title = furni%+ a specifi$ imag+    
s]vice %all-- 7#a7 make publicly        
available 79 a =m & mann] specifi$ by ! 
,secret>y7 on an ,int]net website !     
in=mation describ$ 9 subsection 7b7 )   
respect to ea* su* s]vice t su* provid] 
( s]vices or suppli] furni%es2 &  7#b7  
ensure t su* in=mation is updat$ n less 
frequ5tly ?an annually4  7b7 ,in=mation 
describ$ ,= purposes ( subsection 7a71 !
 in=mation describ$ 9 ?is subsection is1
 ) respect to a provid] ( s]vices or    
suppli] & a specifi$ imag+ s]vice1 !    
foll[+3 7#a7 ,! disc\nt$ ca% price = su*
 s]vice 7or1 if no su* price exi/s1 !   
gross *>ge = su* s]vice74  7#b7 ,if     
requir$ by ! ,secret>y1 ! 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* s]vice & !      
deid5tifi$ maximum negotiat$ rate 9     
effect betwe5 su* provid] or suppli] &  
any su* plan or cov]age = su* s]vice4   
7c7 ,me?od & =mat ,n lat] ?an ,janu>y   

#a1 #bjbh1 ! ,secret>y %all e/abli% "o  
or m me?ods & =mats = ea* provid] (     
s]vices & suppli] to use 9 compil+ &    
mak+ public /&>d *>ges & prices 7z      
applicable7 pursuant to subsection 7a74 
,any su* me?od & =mat-- 7#a7 may be     
simil> to any template made available by
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices z
 ( ! date ( ! enactm5t ( ?is subsection2
  7#b7 %all meet su* /&>ds z det]m9$    
appropriate by ! ,secret>y 9 ord] to    
ensure ! accessibility & usability ( su*
 *>ges & prices2 &  7#c7 %all be updat$ 
z det]m9$ appropriate by ! ,secret>y1 9 
consultation ) /akehold]s4  7d7         
,monitor+ compliance ,! ,secret>y %all1 
?r\gh notice & comm5t rulemak+ & 9      
consultation ) ! ,inspector ,g5]al ( !  
,dep>tm5t ( ,heal? & ,human ,s]vices1   
e/abli% a process to monitor compliance 
) ?is section4  7e7 ,specification (    
s]vices ,n lat] ?an ,janu>y #a1 #bjbe1 !
 ,secret>y %all publi% a li/ ( at lea/  
#ej imag+ s]vices t ! ,secret>y det]m9es
 are %oppable 7or all su* s]vices1 if ! 

,secret>y det]m9es t few] ?an #ej su*   
s]vices are %oppable7 betwe5 provid]s ( 
s]vices & suppli]s ( su* s]vices4 ,!    
,secret>y %all update su* li/ z det]m9$ 
appropriate by ! ,secret>y4  7f7        
,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 )         
subsection 7a7-- 7,a7 n lat] ?an #cj    
days aft] su* det]m9ation1 ! ,secret>y  
%all notify su* provid] or suppli] ( su*
 det]m9ation2  7,b7 ^u reque/ ( !       
,secret>y1 su* provid] or suppli] %all  
submit to ! ,secret>y1 n lat] ?an #de   
days aft] ! date ( su* reque/1 a        
corrective action plan to comply ) su*  
subsection2 &  7,c7 if su* provid] or   
suppli] cont9ues to fail to comply ) su*
 p>agraph aft] ! date t is #ij days aft]
 su* notification is s5t 7or1 9 ! case (
 su* a provid] or suppli] t has submitt$
 a corrective action plan describ$ 9    
subp>agraph 7,b7 9 response to a reque/ 
s describ$1 aft] ! date t is #ij days   
aft] su* submission71 ! ,secret>y may   

impose a civil monet>y p5alty 9 an am\nt
 n to exce$ #cjj = ea* subsequ5t day    
dur+ :i* su* failure to comply or       
failure to submit is ongo+4  7#b7       
,increase au?ority ,9 apply+ ?is        
p>agraph ) respect to violations occurr+
 9 #bjbg or a subsequ5t ye>1 ! ,secret>y
 may ?r\gh notice & comm5t rulemak+     
increase ! am\nt ( ! civil monet>y      
p5alty "u p>agraph 7#a77;,c74  7#c7     
,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 subsection 9 ! same mann] 
z su* provisions apply to a civil       
monet>y p5alty impos$ "u subsection 7a7 
( su* section4  7#d7 ,au?ority to waive 
or r$uce p5alty ,! ,secret>y may waive  
or r$uce any p5alty o!rwise applicable )
 respect to a provid] ( s]vices or      
suppli] "u ?is p>agraph if ! ,secret>y  
det]m9es t imposition ( su* p5alty w\ld 
result 9 a significant h>d%ip = su*     
provid] or suppli] 7su* z 9 ! case ( a  

provid] or suppli] locat$ 9 a rural or  
und]s]v$ area :]e imposition ( su*      
p5alty may result 91 or contribute to1 a
 lack ( access to c>e = individuals 9   
su* area74  7#e7 ,cl>ification (        
nonapplicability ( o!r en=cem5t         
provisions ,not)/&+ any o!r provision ( 
?is title1 ?is subsection %all be ! sole
 means ( en=c+ ! provisions ( ?is       
section4  7g7 ,def9itions ,9 ?is        
section3 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$ imag+ s]vice ,!  
t]m specifi$ imag+ s]vice means an imag+
 s]vice t is includ$ on ! li/ publi%$ by
 ! ,secret>y "u subsection 7e74  4