,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cgdd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #g1 #bjbd,mr4 
,cassidy 7= himself & ,mr4 ,padilla7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to l[] b>ri]s
 to increase pati5t access to heal? c>e4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,heal? ,accel]at+ ,consum]'s ,c>e by
 ,exp$it+ ,self-,s*$ul+ ,act or ! ,heal?
 ,,access ,act4  #b4 ,am5dm5ts to       
section #aabh;,b ,section #aabh;,b7b7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acbj;a-#g;b7b77 is am5d$-- 7#a7 9      
p>agraph 7#c7-- 7,a7 by mov+ ! left     
m>g9s ( subp>agraphs 7,j7 & 7,k7 #b ems 
to ! left2  7,b7 9 subp>agraph 7,k71 by 
/rik+ & at ! end2  7,c7 9 subp>agraph   
7,l71 by /rik+ ! p]iod at ! end & ins]t+
 2 &2 &  7,d7 by add+ at ! end ! foll[+ 
new subp>agraph3  7,m7 any remun]ation  
paid by a provid] ( s]vices 7z def9$ 9  
section #ahfa7u77 or a suppli] 7z def9$ 

9 section #ahfa7;d77 to an in=mation    
s]vice provid] 7z def9$ 9 p>agraph      
7#e771 if-- 7i7 su* in=mation s]vice    
provid] does n-- 7,i7 /e] or lead a     
consum] to select a p>ticul> provid] (  
s]vices or suppli] bas$ on ! am\nt a    
provid] ( s]vices or suppli] pays or may
 pay ! in=mation s]vice provid]2  7,,ii7
 provide1 or repres5t itself z provid+1 
any m$ical items or s]vices1 diagno/ic  
or c\nsel+ s]vices or assessm5ts (      
illness or injury1 or make any promises 
( cure or gu>antees ( treatm5t2  7,,iii7
 provide contact in=mation reg>d+ a     
consum] 7z def9$ 9 p>agraph 7#e77 to    
provid]s ( s]vices or suppli]s1 except  
to ! specific provid] ( s]vices or      
suppli] select$ by ! consum]2  7,,iv7   
provide or arrange = transportation ( an
 individual to1 or f1 ! location ( a    
provid] ( s]vices or suppli]2  7,v7     
provide or arrange = ! provision ( any  
o!r remun]ation to a ,f$]al heal? c>e   
program b5efici>y o!r ?an ! inh]5t      
conv5i5ce ( ! in=mation s]vice or z     

p]mitt$ pursuant to ! nom9al value      
guidance2 or  7,,vi7 engage 9 t>get$    
m>ket+ ( a p>ticul> provid] or suppli]  
?r\gh phone calls or text messages1 )   
respect to consum]s or pot5tial consum]s
 :o h n previ\sly int]act$ ) ! in=mation
 s]vice provid] & :o h n opt$ out2  7ii7
 ! me?odology = det]m9+ comp5sation paid
 to ! in=mation s]vice provid] by a     
provid] ( s]vices or suppli] is set 9   
advance 9 writ+1 & ! comp5sation3 7,i7  
does n exce$ fair m>ket value2 7,,ii7 is
 = s]vices1 specifi$ 9 writ+2 & 7,,iii7 
does n take into acc\nt ! value ( any   
items or s]vices payable 9 :ole or 9 "p 
by a ,f$]al heal? c>e program t result f
 recomm5dations by ! in=mation s]vice   
provid] = ! provid] ( s]vices or        
suppli]2  7iii7 su* in=mation s]vice    
provid] cle>ly discloses ! f9ancial     
arrangem5t betwe5 x & ! provid]s (      
s]vices or suppli]s p>ticipat+ 9 su*    
s]vice to consum]s2  7iv7 su* in=mation 
s]vice provid] furni%es provid]- &      
suppli]-specific in=mation to consum]s  

bas$ only on objective1 consum]-c5tric  
crit]ia2  7v7 su* in=mation s]vice      
provid] develops objective crit]ia =    
p>ticipation 9 su* in=mation s]vice &   
does n exclude any provid]s ( s]vices or
 suppli]s :o meet su* crit]ia f         
p>ticipat+ !re92 &  7vi7 su* in=mation  
s]vice provid] meets su* o!r conditions 
z may be det]m9$ appropriate by !       
,secret>y4  2 &  7,e7 by add+ at ! end !
 foll[+ new p>agraph3  7#e7 ,def9ition (
 consum]2 in=mation s]vice provid] ,=   
purposes ( p>agraph 7#c77,m73 7,a7      
,consum] ,! t]m consum] means an        
individual :o uses a web-bas$ plat=m    
op]at$ by an in=mation s]vice provid] = 
! purpose ( se>*+ provid]s ( s]vices or 
suppli]s4  7,b7 ,in=mation s]vice       
provid] ,! t]m in=mation s]vice provid] 
means any individual or entity op]at+ a 
web-bas$ plat=m t makes in=mation reg>d+
 provid]s ( s]vices or suppli]s         
available to consum]s4  4