,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dcdi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ae1 #bjbd,mr4    
,m>%all 7= himself1 ,mr4 ,lujn1 ,mr4    
,wick]1 ,mr4 ,man*91 & ,mr4 ,:iteh\se7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require private heal?    
plans to provide = secure electronic    
transmission ( prior au?orization       
reque/s = prescription drugs4  #a4      
,electronic prior au?orization =        
prescription drugs  7a7 ,,phsa ,"p ,d ( 
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et    
seq47 is am5d$ by add+ at ! end !       
foll[+3  #bgii;,a-#aa4 ,electronic prior
 au?orization = prescription drugs  7a7 
,9 g5]al ,= plan ye>s beg9n+ on or aft] 
,janu>y #a1 #bjbg1 a gr\p heal? plan or 
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age %all 
provide = ! secure electronic           
transmission (-- 7#a7 a prior           

au?orization reque/ f ! prescrib+ heal? 
c>e pr(essional = cov]age ( a           
prescription drug = a p>ticipant1       
b5efici>y1 or enrollee 9 su* plan or    
cov]age to su* plan or issu]2 &  7#b7 a 
response1 9 accordance ) ?is section1 f 
su* plan or issu] to su* pr(essional4   
7b7 ,electronic transmission  7#a7      
,exclusions ,= purposes ( ?is section1 a
 facsimile1 a propriet>y pay] portal t  
does n meet /&>ds specifi$ by !         
,secret>y1 or an electronic =m %all n be
 treat$ z an electronic transmission    
describ$ 9 subsection 7a74  7#b7 ,/&>ds 
,9 ord] to be treat$1 = purposes ( ?is  
section1 z an electronic transmission   
describ$ 9 subsection 7a71 su*          
transmission %all comply ) te*nical     
/&>ds adopt$ by ! ,secret>y1 9          
consultation ) ! ,secret>y ( ,labor1 !  
,secret>y ( ! ,treasury1 ! ,national    
,c\ncil = ,prescription ,drug ,programs1
 o!r /&>d-sett+ organizations z det]m9$ 
appropriate by ! ,secret>y1 &           
/akehold]s1 includ+ gr\p heal? plans &  

heal? insurance issu]s (f]+ gr\p or     
individual heal? insurance cov]age1     
heal? c>e pr(essionals1 & heal?         
in=mation te*nology s(tw>e v5dors4  7#c7
 ,application ,not)/&+ any o!r provision
 ( law1 = purposes ( ?is section1 !     
,secret>y may require ! use ( /&>ds     
adopt$ "u p>agraph 7#b7 9 lieu ( any o!r
 applicable /&>ds = an electronic       
transmission describ$ 9 subsection 7a7 =
 prescription drugs = a p>ticipant1     
b5efici>y1 or enrollee describ$ 9 su*   
subsection4  4  7b7 ,,erisa  7#a7 ,9    
g5]al ,subp>t ,b ( "p #g ( subtitle ,b (
 title ,i ( ! ,employee ,retirem5t      
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+3  #gbf4          
,electronic prior au?orization =        
prescription drugs  7a7 ,9 g5]al ,= plan
 ye>s beg9n+ on or aft] ,janu>y #a1     
#bjbg1 a gr\p heal? plan or heal?       
insurance issu] (f]+ gr\p heal?         
insurance cov]age %all provide = !      
secure electronic transmission (-- 7#a7 

a prior au?orization reque/ f !         
prescrib+ heal? c>e pr(essional =       
cov]age ( a prescription drug = a       
p>ticipant or b5efici>y 9 su* plan or   
cov]age to su* plan or issu]2 &  7#b7 a 
response1 9 accordance ) ?is section1 f 
su* plan or issu] to su* pr(essional4   
7b7 ,electronic transmission  7#a7      
,exclusions ,= purposes ( ?is section1 a
 facsimile1 a propriet>y pay] portal t  
does n meet /&>ds specifi$ by !         
,secret>y1 or an electronic =m %all n be
 treat$ z an electronic transmission    
describ$ 9 subsection 7a74  7#b7 ,/&>ds 
,9 ord] to be treat$1 = purposes ( ?is  
section1 z an electronic transmission   
describ$ 9 subsection 7a71 su*          
transmission %all comply ) te*nical     
/&>ds adopt$ by ! ,secret>y1 9          
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 ! ,secret>y ( !        
,treasury1 ! ,national ,c\ncil =        
,prescription ,drug ,programs1 o!r      
/&>d-sett+ organizations z det]m9$      
appropriate by ! ,secret>y1 &           

/akehold]s1 includ+ gr\p heal? plans &  
heal? insurance issu]s (f]+ gr\p heal?  
insurance cov]age1 heal? c>e            
pr(essionals1 & heal? in=mation         
te*nology s(tw>e v5dors4  7#c7          
,application ,not)/&+ any o!r provision 
( law1 = purposes ( ?is section1 !      
,secret>y may require ! use ( /&>ds     
adopt$ "u p>agraph 7#b7 9 lieu ( any o!r
 applicable /&>ds = an electronic       
transmission describ$ 9 subsection 7a7 =
 prescription drugs = a p>ticipant or   
b5efici>y describ$ 9 su* subsection4  4 
7#b7 ,cl]ical am5dm5t ,! table ( cont5ts
 9 section #a ( ! ,employee ,retirem5t  
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #ajja et seq47 is am5d$ by    
ins]t+ aft] ! item relat+ to section    
#gbe ! foll[+3  ,sec4 #gbf4 ,electronic 
prior au?orization = prescription drugs4
  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[+3  #ihbf4 ,electronic prior     
au?orization = prescription drugs  7a7  

,9 g5]al ,= plan ye>s beg9n+ on or aft] 
,janu>y #a1 #bjbg1 a gr\p heal? plan    
%all provide = ! secure electronic      
transmission (-- 7#a7 a prior           
au?orization reque/ f ! prescrib+ heal? 
c>e pr(essional = cov]age ( a           
prescription drug = a p>ticipant or     
b5efici>y 9 su* plan to su* plan2 &     
7#b7 a response1 9 accordance ) ?is     
section1 f su* plan to su* pr(essional4 
7b7 ,electronic transmission  7#a7      
,exclusions ,= purposes ( ?is section1 a
 facsimile1 a propriet>y pay] portal t  
does n meet /&>ds specifi$ by !         
,secret>y1 or an electronic =m %all n be
 treat$ z an electronic transmission    
describ$ 9 subsection 7a74  7#b7 ,/&>ds 
,9 ord] to be treat$1 = purposes ( ?is  
section1 z an electronic transmission   
describ$ 9 subsection 7a71 su*          
transmission %all comply ) te*nical     
/&>ds adopt$ by ! ,secret>y ( ,heal? &  
,human ,s]vices1 9 consultation ) !     
,secret>y ( ,labor1 ! ,national ,c\ncil 
= ,prescription ,drug ,programs1 o!r    

/&>d-sett+ organizations z det]m9$      
appropriate by ! ,secret>y1 &           
/akehold]s1 includ+ gr\p heal? plans1   
heal? c>e pr(essionals1 & heal?         
in=mation te*nology s(tw>e v5dors4  7#c7
 ,application ,not)/&+ any o!r provision
 ( law1 = purposes ( ?is section1 !     
,secret>y may require ! use ( /&>ds     
adopt$ "u p>agraph 7#b7 9 lieu ( any o!r
 applicable /&>ds = an electronic       
transmission describ$ 9 subsection 7a7 =
 prescription drugs = a p>ticipant or   
b5efici>y describ$ 9 su* subsection4  4 
7#b7 ,cl]ical am5dm5t ,! table (        
sections = sub*apt] ,b ( *apt] #ajj ( ! 
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by add+ at ! end ! foll[+ new item3     
,sec4 #ihbf4 ,electronic prior          
au?orization = prescription drugs4  4