,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #gadj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #cj1 #bjbd,mr4
 ,hors=d introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,ways & ,means1 & ,education & !     
,work=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 ! ,public ,heal?      
,s]vice ,act1 ! ,employee ,retirem5t    
,income ,security ,act ( #aigd1 & !     
,int]nal ,rev5ue ,code ( #aihf to       
require gr\p heal? plans & heal?        
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age to disclose !  
p]c5tage ( 9-network p>ticipation =     
c]ta9 provid] types1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,m5tal ,heal? ,transp>5cy ,act4  #b4  
,requir+ disclosure ( p]c5tage (        
9-network p>ticipation = c]ta9 provid]  
types  7a7 ,,phsa ,"p ,d ( title ,,xxvii

 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #cjj;g-#aaa et seq47 is am5d$ 
by add+ at ! end ! foll[+ new section3  
#bgii;,a-#aa4 ,requir$ disclosure (     
p]c5tage ( 9-network p>ticipation =     
c]ta9 provid] types  7a7 ,9 g5]al ,a    
gr\p heal? plan & a heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all1 along ) any     
summ>y ( b5efits & cov]age provid$ "u   
section #bgae 7& 9 accordance ) ! tim+ &
 mann] specifi$ "u su* section & !      
implem5t+ regulations ( su* section71 & 
on ! public website ( su* plan or issu]1
 make available ! foll[+ in=mation )    
respect to ea* type ( provid] specifi$ 9
 subsection 7b73 7#a7 ,! numb] &        
p]c5tage ( provid]s ( su* type locat$ 9 
! s]vice area ( su* plan or cov]age t h 
a contractual relation%ip 7z def9$ by ! 
,secret>y7 9 effect ) su* plan or       
cov]age = furni%+ items & s]vices "u su*
 plan or cov]age1 det]m9$ 9 accordance )
 in=mation made available by ! ,secret>y
 "u subsection 7d74  7#b7 ,! designation

 e/abli%$ by ! ,secret>y "u subsection  
7c7 correspond+ to ! p]c5tage describ$ 9
 p>agraph 7#a74  7b7 ,specifi$ provid]s 
,= purposes ( ?is section1 ! types (    
provid]s & facilities specifi$ 9 ?is    
subsection are ! foll[+ 7z def9$ by !   
,secret>y & brok5 d[n by subspecialty z 
specifi$ by ! ,secret>y73 7#a7          
,behavioral heal? c>e provid]s &        
facilities4  7#b7 ,sub/ance use disord] 
treatm5t provid]s & facilities4  7c7    
,e/abli%m5t ( designations ( 9-,network 
p>ticipation  7#a7 ,9 g5]al ,n lat] ?an 
#a ye> aft] ! date ( ! enactm5t ( ?is   
section1 ! ,secret>y1 9 consultation ) !
 ,secret>ies ( ,labor & ( ! ,treasury1  
%all e/abli% a sy/em ( designations 7su*
 z high1 m$ium1 & l[1 a /> rat+1 or su* 
o!r designation det]m9$ appropriate by !
 ,secret>y7 t correspond to ranges (    
p]c5tages 7f #j to #ajj7 describ$ 9     
subsection 7a77#a7 to qualitatively     
reflect ! bread? ( ! networks ( gr\p    
heal? plans & gr\p & individual heal?   
insurance cov]age ) respect to ea* type 

( provid] specifi$ 9 subsection 7b74    
7#b7 ,v>iation p]mitt$ ,designations    
correspond+ to p]c5tage ranges e/abli%$ 
"u p>agraph 7#a7 may v>y by type (      
s]vice area 7su* z rural or urban71 size
 ( s]vice area1 & o!r factors det]m9$   
appropriate by ! ,secret>y 9            
consultation ) ! ,secret>ies ( ,labor & 
( ! ,treasury4  7d7 ,in=mation on       
provid]s  7#a7 ,9 g5]al ,n lat] ?an     
,june #cj1 #bjbf1 ! ,secret>y1 9        
consultation ) ! ,secret>ies ( ,labor & 
( ! ,treasury1 %all1 bas$ on in=mation  
submitt$ "u section #bgii;,b-#aj1 po/ on
 ! public website ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 a li/ ( ea* specifi$
 provid] 9 ! c\ntry1 includ+-- 7,a7 !   
location ( ea* su* provid] 9 :i* su*    
provid] furni%es items & s]vices2  7,b7 
ea* specialty designation 7if any7 ( ea*
 su* provid]2  7,c7 :e!r su* provid]    
treats individuals "u ! age ( #ai2 &    
7,d7 :e!r su* provid] accepts teleheal? 
appo9tm5ts4 ,! ,secret>y %all update !  
in=mation publi%$ "u ! previ\s s5t5ce n 

less frequ5tly ?an annually4  ,!        
,secret>y %all update ! in=mation       
publi%$ "u ?is p>agraph n less frequ5tly
 ?an annually4  7#b7 ,treatm5t ( gr\p   
practices ,= purposes ( ! li/ describ$ 9
 p>agraph 7#a71 ! ,secret>y %all li/ ea*
 individual heal? c>e provid] sep>ately1
 reg>dless ( :e!r su* provid] is "p ( a 
gr\p practice4  7e7 ,s]vice area        
def9ition ,= purposes ( ?is section1 !  
t]m s]vice area means1 ) respect to a   
gr\p heal? plan & gr\p or individual    
heal? insurance cov]age1 ! area or areas
 9 :i* 9-p]son p>ticipants & b5efici>ies
 are cov]$1 z det]m9$ by ! plan or issu]
 ( su* cov]age 9 accordance ) rules     
specifi$ by ! ,secret>y 9 consultation )
 ! ,secret>ies ( ,labor & ( ! ,treasury4
  4  7b7 ,,erisa  7#a7 ,9 g5]al ,subp>t 
,b ( "p #g ( subtitle ,b ( title ,i ( ! 
,employee ,retirem5t ,income ,security  
,act ( #aigd is am5d$ by add+ at ! end !
 foll[+ new section3  #gbf4 ,requir$    
disclosure ( p]c5tage ( 9-network       
p>ticipation = c]ta9 provid] types  7a7 

,9 g5]al ,a gr\p heal? plan & a heal?   
insurance issu] (f]+ gr\p heal?         
insurance cov]age %all1 along ) any     
summ>y ( b5efits & cov]age provid$ "u   
section #bgae ( ! ,public ,heal? ,s]vice
 ,act 7& 9 accordance ) ! tim+ & mann]  
specifi$ "u su* section & ! implem5t+   
regulations ( su* section71 & on !      
public website ( su* plan or issu]1 make
 available ! foll[+ in=mation ) respect 
to ea* type ( provid] specifi$ 9        
subsection 7b73 7#a7 ,! numb] & p]c5tage
 ( provid]s ( su* type locat$ 9 ! s]vice
 area ( su* plan or cov]age t h a       
contractual relation%ip 7z def9$ by !   
,secret>y7 9 effect ) su* plan or       
cov]age = furni%+ items & s]vices "u su*
 plan or cov]age1 det]m9$ 9 accordance )
 in=mation made available by ! ,secret>y
 "u subsection 7d74  7#b7 ,! designation
 e/abli%$ by ! ,secret>y "u subsection  
7c7 correspond+ to ! p]c5tage describ$ 9
 p>agraph 7#a74  7b7 ,specifi$ provid]s 
,= purposes ( ?is section1 ! types (    
provid]s & facilities specifi$ 9 ?is    

subsection are ! foll[+ 7z def9$ by !   
,secret>y & brok5 d[n by subspecialty z 
specifi$ by ! ,secret>y73 7#a7          
,behavioral heal? c>e provid]s &        
facilities4  7#b7 ,sub/ance use disord] 
treatm5t provid]s & facilities4  7c7    
,e/abli%m5t ( designations ( 9-,network 
p>ticipation  7#a7 ,9 g5]al ,n lat] ?an 
#a ye> aft] ! date ( ! enactm5t ( ?is   
section1 ! ,secret>y1 9 consultation ) !
 ,secret>ies ( ,heal? & ,human ,s]vices 
& ( ! ,treasury1 %all e/abli% a sy/em ( 
designations 7su* z high1 m$ium1 & l[1 a
 /> rat+1 or su* o!r designation det]m9$
 appropriate by ! ,secret>y7 t          
correspond to ranges ( p]c5tages 7f #j  
to #ajj7 describ$ 9 subsection 7a77#a7  
to qualitatively reflect ! bread? ( !   
networks ( gr\p heal? plans & gr\p heal?
 insurance cov]age ) respect to ea* type
 ( provid] specifi$ 9 subsection 7b74   
7#b7 ,v>iation p]mitt$ ,designations    
correspond+ to p]c5tage ranges e/abli%$ 
"u p>agraph 7#a7 may v>y by type (      
s]vice area 7su* z rural or urban71 size

 ( s]vice area1 & o!r factors det]m9$   
appropriate by ! ,secret>y 9            
consultation ) ! ,secret>ies ( ,heal? & 
,human ,s]vices & ( ! ,treasury4  7d7   
,in=mation on provid]s  7#a7 ,9 g5]al ,n
 lat] ?an ,june #cj1 #bjbf1 ! ,secret>y1
 9 consultation ) ! ,secret>ies ( ,heal?
 & ,human ,s]vices & ( ! ,treasury1     
%all1 bas$ on in=mation submitt$ "u     
section #bgii;,b-#aj1 po/ on ! public   
website ( ! ,dep>tm5t ( ,labor1 a li/ ( 
ea* specifi$ provid] 9 ! c\ntry1        
includ+-- 7,a7 ! location ( ea* su*     
provid] 9 :i* su* provid] furni%es items
 & s]vices2  7,b7 ea* specialty         
designation 7if any7 ( ea* su* provid]2 
7,c7 :e!r su* provid] treats individuals
 "u ! age ( #ai2 &  7,d7 :e!r su*       
provid] accepts teleheal? appo9tm5ts4 ,!
 ,secret>y %all update ! in=mation      
publi%$ "u ! previ\s s5t5ce n less      
frequ5tly ?an annually4  ,! ,secret>y   
%all update ! in=mation publi%$ "u ?is  
p>agraph n less frequ5tly ?an annually4 
7#b7 ,treatm5t ( gr\p practices ,=      

purposes ( ! li/ describ$ 9 p>agraph    
7#a71 ! ,secret>y %all li/ ea*          
individual heal? c>e provid] sep>ately1 
reg>dless ( :e!r su* provid] is "p ( a  
gr\p practice4  7e7 ,s]vice area        
def9ition ,= purposes ( ?is section1 !  
t]m s]vice area means1 ) respect to a   
gr\p heal? plan & gr\p heal? insurance  
cov]age1 ! area or areas 9 :i* 9-p]son  
p>ticipants & b5efici>ies are cov]$1 z  
det]m9$ by ! plan or issu] ( su* cov]age
 9 accordance ) rules specifi$ by !     
,secret>y 9 consultation ) ! ,secret>ies
 ( ,heal? & ,human ,s]vices & ( !       
,treasury4  4  7#b7 ,te*nical am5dm5t ,!
 table ( cont5ts 9 section #a ( su* ,act
 is am5d$ by ins]t+ aft] ! item relat+  
to section #gbe ! foll[+ new item3      
,sec4 #gbf4 ,requir$ disclosure (       
p]c5tage ( 9-network p>ticipation =     
c]ta9 provid] types4  4  7c7 ,,irc  7#a7
 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj ( ! 
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new section3  
#ihbf4 ,requir$ disclosure ( p]c5tage ( 

9-network p>ticipation = c]ta9 provid]  
types  7a7 ,9 g5]al ,a gr\p heal? plan  
%all1 along ) any summ>y ( b5efits &    
cov]age provid$ "u section #bgae ( !    
,public ,heal? ,s]vice ,act 7& 9        
accordance ) ! tim+ & mann] specifi$ "u 
su* section & ! implem5t+ regulations ( 
su* section71 & on ! public website (   
su* plan1 make available ! foll[+       
in=mation ) respect to ea* type (       
provid] specifi$ 9 subsection 7b73 7#a7 
,! numb] & p]c5tage ( provid]s ( su*    
type locat$ 9 ! s]vice area ( su* plan t
 h a contractual relation%ip 7z def9$ by
 ! ,secret>y7 9 effect ) su* plan =     
furni%+ items & s]vices "u su* plan1    
det]m9$ 9 accordance ) in=mation made   
available by ! ,secret>y "u subsection  
7d74  7#b7 ,! designation e/abli%$ by ! 
,secret>y "u subsection 7c7 correspond+ 
to ! p]c5tage describ$ 9 p>agraph 7#a74 
7b7 ,specifi$ provid]s ,= purposes ( ?is
 section1 ! types ( provid]s &          
facilities specifi$ 9 ?is subsection are
 ! foll[+ 7z def9$ by ! ,secret>y &     

brok5 d[n by subspecialty z specifi$ by 
! ,secret>y73 7#a7 ,behavioral heal? c>e
 provid]s & facilities4  7#b7 ,sub/ance 
use disord] treatm5t provid]s &         
facilities4  7c7 ,e/abli%m5t (          
designations ( 9-,network p>ticipation  
7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! 
date ( ! enactm5t ( ?is section1 !      
,secret>y1 9 consultation ) !           
,secret>ies ( ,heal? & ,human ,s]vices &
 ( ,labor1 %all e/abli% a sy/em (       
designations 7su* z high1 m$ium1 & l[1 a
 /> rat+1 or su* o!r designation det]m9$
 appropriate by ! ,secret>y7 t          
correspond to ranges ( p]c5tages 7f #j  
to #ajj7 describ$ 9 subsection 7a77#a7  
to qualitatively reflect ! bread? ( !   
networks ( gr\p heal? plans ) respect to
 ea* type ( provid] specifi$ 9          
subsection 7b74  7#b7 ,v>iation p]mitt$ 
,designations correspond+ to p]c5tage   
ranges e/abli%$ "u p>agraph 7#a7 may v>y
 by type ( s]vice area 7su* z rural or  
urban71 size ( s]vice area1 & o!r       
factors det]m9$ appropriate by !        

,secret>y 9 consultation ) ! ,secret>ies
 ( ,heal? & ,human ,s]vices & ( ,labor4 
7d7 ,in=mation on provid]s  7#a7 ,9     
g5]al ,n lat] ?an ,june #cj1 #bjbf1 !   
,secret>y1 9 consultation ) !           
,secret>ies ( ,heal? & ,human ,s]vices &
 ( ,labor1 %all1 bas$ on in=mation      
submitt$ "u section #bgii;,b-#aj1 po/ on
 ! public website ( ! ,dep>tm5t ( !     
,treasury1 a li/ ( ea* specifi$ provid] 
9 ! c\ntry1 includ+-- 7,a7 ! location ( 
ea* su* provid] 9 :i* su* provid]       
furni%es items & s]vices2  7,b7 ea*     
specialty designation 7if any7 ( ea* su*
 provid]2  7,c7 :e!r su* provid] treats 
individuals "u ! age ( #ai2 &  7,d7 :e!r
 su* provid] accepts teleheal?          
appo9tm5ts4 ,! ,secret>y %all update !  
in=mation publi%$ "u ! previ\s s5t5ce n 
less frequ5tly ?an annually4  ,!        
,secret>y %all update ! in=mation       
publi%$ "u ?is p>agraph n less frequ5tly
 ?an annually4  7#b7 ,treatm5t ( gr\p   
practices ,= purposes ( ! li/ describ$ 9
 p>agraph 7#a71 ! ,secret>y %all li/ ea*

 individual heal? c>e provid] sep>ately1
 reg>dless ( :e!r su* provid] is "p ( a 
gr\p practice4  7e7 ,s]vice area        
def9ition ,= purposes ( ?is section1 !  
t]m s]vice area means1 ) respect to a   
gr\p heal? plan1 ! area or areas 9 :i*  
9-p]son p>ticipants & b5efici>ies are   
cov]$1 z det]m9$ by ! plan 9 accordance 
) rules specifi$ by ! ,secret>y 9       
consultation ) ! ,secret>ies ( ,heal? & 
,human ,s]vices & ( ,labor4  4  7#b7    
,te*nical am5dm5t ,! table ( sections = 
su* sub*apt] is am5d$ by add+ at ! end !
 foll[+ new item3  ,sec4 #ihbf4 ,requir$
 disclosure ( p]c5tage ( 9-network      
p>ticipation = c]ta9 provid] types4  4  
7d7 ,provid] requirem5ts ,"p ,e ( title 
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aca et seq47 is 
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgii;,b-#aj4 ,provision (    
c]ta9 in=mation to ! ,secret>y  7a7 ,9  
g5]al ,subject to subsection 7b71 9 !   
case ( a heal? c>e provid] or heal? c>e 
facility t is a specifi$ provid] 7z     

describ$ 9 subsection 7b7 ( section     
#bgii;,a-#aa71 su* provid] or facility  
%all1 annually at a "t & 9 a mann]      
specifi$ by ! ,secret>y1 provide to !   
,secret>y su* in=mation z ! ,secret>y   
det]m9es necess>y to c>ry out subsection
 7d7 ( su* section4  7b7 ,exception     
,subsection 7a7 %all n apply 9 ! case ( 
a specifi$ provid] t has n1 dur+ !      
#a-ye> p]iod end+ on ! date t in=mation 
describ$ 9 subsection 7a7 w\ld be       
requir$ to be submitt$ to ! ,secret>y by
 su* provid] )\t application ( ?is      
subsection1 submitt$ any claim = an item
 or s]vice "u a ,f$]al heal? c>e program
 7z def9$ 9 section #aabh;,b ( ! ,social
 ,security ,act71 ! program e/abli%$ "u 
*apt] #hi ( title #e1 ,unit$ ,/ates     
,code1 or a gr\p heal? plan or gr\p or  
individual heal? insurance cov]age4  4  
7e7 ,report ,n lat] ?an ,decemb] #ca1   
#bjbg1 & annually !reaft]1 ! ,secret>y (
 ,heal? & ,human ,s]vices %all submit to
 ,congress a report on ! p>ticipation ( 
behavioral heal? c>e & sub/ance use     

disord] treatm5t provid]s 9 networks    
e/abli%$ by gr\p heal? plan & heal?     
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age 7z su* t]ms are
 def9$ 9 section #bgia ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#ia774 ,ea* su* report %all     
include data & analysis relat+ to s]vice
 areas 7z def9$ 9 section #bgii;,a-#aa (
 su* ,act7 ( su* plans & issu]s t !     
,secret>y has id5tifi$ z hav+ l[        
p>ticipation rates ) respect to su*     
provid]s' p>ticipation 9 su* networks4  
7f7 ,implem5tation ,! ,secret>ies (     
,labor1 ,heal? & ,human ,s]vices1 & !   
,treasury may implem5t ! am5dm5ts made  
by ?is section ?r\gh int]im f9al rule1  
subregulatory guidance1 program         
in/ruction1 or o!rwise4  7g7 ,fund+ ,9  
addition to am\nts o!rwise available =  
su* purposes1 !re is appropriat$        
#ae1jjj1jjj1 to rema9 available until   
exp5d$1 = purposes ( c>ry+ out ?is      
section4  7h7 ,effective date ,!        
am5dm5ts made by ?is section %all apply 

) respect to plan ye>s beg9n+ on or aft]
 ,janu>y #a1 #bjbg4