,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fhee  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ai1         
#bjbc,mr4 ,gallagh] introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to ensure
 timely bills = pati5ts4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,timely 
,bills = ,pati5ts ,act4  #b4 ,timely    
bills = pati5ts  7a7 ,9 g5]al  7#a7     
,am5dm5t ,"p ,p ( title ,,iii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cii,v-#g4     
,timely bills = pati5ts  7a7 ,9 g5]al ,!
 ,secret>y %all require-- 7#a7 heal? c>e
 facilities1 or 9 ! case ( practition]s 
provid+ s]vices outside ( su* a         
facility1 practition]s1 to provide to   
pati5ts a li/ ( s]vices r5d]$ dur+ !    
visit to su* facility or practition]1 &1
 9 ! case ( a facility1 ! "n ( ! provid]
 = ea* su* s]vice1 ^u dis*>ge or by     
po/al or electronic communication z soon
 z practicable & n lat] ?an #e cal5d>   

days aft] dis*>ge2 &  7#b7 heal? c>e    
facilities & practition]s to s5d all    
adjudicat$ bills to ! pati5t z soon z   
practicable1 b n lat] ?an #de cal5d>    
days aft] dis*>ge4  7b7 ,paym5t aft]    
bill+ ,no pati5t may be requir$ to pay a
 bill = heal? c>e s]vices any e>li] ?an 
#cj cal5d> days aft] receipt ( a bill = 
su* s]vices4  7c7 ,effect ( violation   
7#a7 ,notification & refund requirem5ts 
7,a7 ,provid] li/s ,if a facility or    
practition] fails to provide a pati5t a 
li/ z requir$ "u subsection 7a77#a71 su*
 facility or practition] %all report su*
 failure to ! ,secret>y4  7,b7 ,bill+   
,if a facility or practition] bills a   
pati5t aft] ! #de-;cal5d>-day p]iod     
describ$ 9 subsection 7a77#b71 su*      
facility or practition] %all--  7i7     
report su* bill to ! ,secret>y2 &  7ii7 
refund ! pati5t = ! full am\nt paid 9   
response to su* bill ) int]e/1 at a rate
 det]m9$ by ! ,secret>y4  7#b7 ,civil   
monet>y p5alties  7,a7 ,9 g5]al ,!      
,secret>y may impose civil monet>y      

p5alties ( up to #aj1jjj a day on any   
facility or practition] t-- 7i7 fails to
 provide a li/ requir$ "u subsection    
7a77#a7 m ?an #aj times1 beg9n+ on !    
date ( su* t5? failure2  7ii7 submits m 
?an #aj bills outside ( ! p]iod describ$
 9 subsection 7a77#b71 beg9n+ on ! date 
on :i* su* facility or practition] s5ds 
! t5? su* bill2  7iii7 fails to report  
to ! ,secret>y any failure to provide   
li/s z requir$ "u p>agraph 7#a77;,a71   
beg9n+ on ! date t is #de cal5d> days   
aft] dis*>ge2 or  7iv7 fails to s5d any 
bill z requir$ "u subsection 7a77#b71   
beg9n+ on ! date t is #de cal5d> days   
aft] ! date ( dis*>ge or visit1 z       
applicable4  7,b7 ,proc$ure ,!          
provisions ( section #aabh;,a ( !       
,social ,security ,act1 o!r ?an         
subsections 7a7 & 7b7 & ! fir/ s5t5ce ( 
subsection 7c77#a7 ( su* section1 %all  
apply to civil money p5alties "u ?is    
subsection 9 ! same mann] z su*         
provisions apply to a p5alty or proce$+ 
"u section #aabh;,a ( ! ,social         

,security ,act4  7#c7 ,safe h>bor ,!    
,secret>y may exempt a practition] or   
facility f ! p5alties "u p>agraph       
7#b77;,a7 or ext5d ! p]iod ( "t specifi$
 "u subsection 7a77#b7 = compliance )   
su* subsection if a practition] or      
facility-- 7,a7 makes a good fai?       
attempt to s5d a bill )9 #cj days b is  
unable to d s because ( an incorrect    
address2 or  7,b7 exp]i5ces ext5uat+    
circum/ances 7z def9$ by ! ,secret>y71  
su* z a hurricane or cyb]attack1 t may  
reasonably delay deliv]y ( a timely     
bill4  4  7#b7 ,rulemak+ ,n lat] ?an #a 
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,secret>y %all promulgate f9al         
regulations to def9e ! t]m ext5uat+     
circum/ance = purposes ( section        
#cii,v-#g7;c77#c77;,b7 ( ! ,public      
,heal? ,s]vice ,act1 z add$ by p>agraph 
7#a74  7b7 ,gr\p heal? plan & heal?     
insurance issu] requirem5ts ,subp>t ,,ii
 ( "p ,a ( title ,,xxvii ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#aa7 is am5d$ by add+ to ! end !

 foll[+3  #bgbi;,a4 ,timely bills =     
pati5ts  7a7 ,9 g5]al ,a gr\p heal? plan
 or heal? insurance issu] (f]+ gr\p or  
individual heal? insurance cov]age %all 
h 9 place bus9ess practices ) respect to
 9-network facilities & practition]s to 
ensure t claims are adjudicat$ 9 ord] to
 facilitate facility & practition]      
compliance ) ! requirem5ts "u section   
#cii,v-#g7;a74  7b7 ,cl>ification ,no?+ 
9 subsection 7a7 prohibits a provid] & a
 gr\p heal? plan or heal? insurance     
issu] f e/abli%+ 9 a contract ! timel9e 
= submission by ei!r p>ty to ! o!r p>ty 
( bill+ in=mation1 adjudication1 s5d+ ( 
remittance in=mation1 or any o!r        
coord9ation requir$ betwe5 ! provid] & !
 plan or issu] necess>y = meet+ !       
deadl9e describ$ 9 section              
#cii,v-#g7;a77#b74  4  7c7 ,effective   
date ,! am5dm5ts made by subsections 7a7
 & 7b7 %all take effect #f mon?s aft] ! 
date ( enactm5t ( ?is ,act4