,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cjbj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #bd1 #bjbe,mrs4
 ,sp>tz introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ! ,judici>y1 = 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 require !       
,gov]nm5t ,acc\ntability ,(fice to      
evaluate ! effects ( anticompetitive    
contract+ clauses 9 contracts betwe5    
heal? insur]s & heal? c>e provid]s & to 
det]m9e actions tak5 by ! ,f$]al ,trade 
,commission & ! ,dep>tm5t ( ,ju/ice     
relat+ to ! use ( su* clauses 9 su*     
contracts & to assess _! ability to     
effectively en=ce ! ,f$]al antitru/ laws
 ) respect to su* use4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,address+     
,anti-,competitive ,heal? ,c>e ,contract
 ,clauses ,act4  #b4 ,,gao /udy  7a7    
,/udy ,n lat] ?an #ah mon?s aft] ! date 

( ! enactm5t ( ?is ,act1 ! ,comptroll]  
,g5]al ( ! ,unit$ ,/ates1 9 coord9ation 
) ! ,f$]al ,trade ,commission & !       
,assi/ant ,attorney ,g5]al ( ! ,antitru/
 ,division ( ! ,dep>tm5t ( ,ju/ice1 %all
 c>ry out a /udy t-- 7#a7 evaluates !   
effect ( anticompetitive contract       
clauses kn[n z anti-/e]+ clauses1       
anti-ti]+ clauses1 all-or-no?+ clauses1 
& gag clauses 9 contracts betwe5 heal?  
insur]s & heal? c>e provid]s1 includ+ ! 
effects su* contracts h on consolidation
 9 ! heal? c>e indu/ry1 prices paid by  
consum]s = m$ical s]vices1 & consum]    
access to heal? c>e1  7#b7 conta9s a li/
 ( all actions ! ,f$]al ,trade          
,commission & ! ,dep>tm5t ( ,ju/ice h   
tak5 directly or indirectly relat$ to   
use ( su* contract clauses 9 contracts  
betwe5 heal? insur]s & heal? c>e        
provid]s1  7#c7 conta9s an assessm5t (  
:e!r ! ,f$]al ,trade ,commission & !    
,dep>tm5t ( ,ju/ice h ! res\rces & !    
capability to effectively en=ce ! ,f$]al
 antitru/ laws z appli$ to ! use ( su*  

clauses 9 su* contracts1 &  7#d7        
includes recomm5dations = legislative or
 adm9i/rative actions if necess>y to    
increase su* res\rces4  7b7 ,report ,!  
report conta9+ ! results ( ! /udy c>ri$ 
out "u subsection 7a7 %all be submitt$  
timely by ! ,comptroll] ,g5]al z foll[s3
 7#a7 ,to-- 7,a7 ! ,committee on ,en]gy 
& ,comm]ce1  7,b7 ! ,committee on ,ways 
& ,means1  7,c7 ! ,committee on         
,education & ,work=ce1 &  7,d7 !        
,committee on ! ,judici>y1  ( ! ,h\se ( 
,repres5tatives4  7#b7 ,to-- 7,a7 ,!    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions1 &  7,b7 ,!          
,committee on ! ,judici>y1  ( ! ,s5ate4 
#c4 ,def9itions ,= purposes ( ?is ,act3 
7#a7 ,all-or-no?+ clause ,! t]m         
all-or-no?+ clause means a provision ( a
 heal? c>e contract t requires-- 7,a7 a 
heal? insurance c>ri] or heal? plan     
adm9i/rator to include all memb]s ( a   
heal? c>e provid] 9 a network plan2 or  
7,b7 a heal? insurance c>ri] or heal?   
plan adm9i/rator to ent] into an        

additional contract ) an affiliate ( !  
heal? c>e provid] z a condition ( ent]+ 
into a contract ) su* heal? c>e provid]4
  7#b7 ,anti-/e]+ clause ,! t]m         
anti-/e]+ clause means a provision ( a  
heal? c>e contract t re/ricts ! ability 
( a heal? insurance c>ri] or a heal?    
plan adm9i/rator f enc\rag+ an enrollee 
to obta9 a heal? c>e s]vice f a         
competitor ( ! hospital or heal? sy/em1 
includ+ (f]+ inc5tives to enc\rage      
enrollees to utilize specific heal? c>e 
provid]s4  7#c7 ,anti-ti]+ clause ,! t]m
 anti-ti]+ clause means a provision 9 a 
heal? c>e contract t-- 7,a7 re/ricts !  
ability ( a heal? insurance c>ri] or a  
heal? plan adm9i/rator to introduce or  
modify a ti]$ network plan or assign    
heal? c>e provid]s into ti]s2 or  7,b7  
requires ! heal? insurance c>ri] or     
heal? plan adm9i/rator to place all     
memb]s ( a heal? c>e provid] 9 ! same   
ti] ( a ti]$ network plan4  7#d7 ,gag   
clause ,! t]m gag clause means a        
provision ( a heal? c>e contract t--    

7,a7 re/ricts ! ability ( a heal?       
insurance c>ri]1 a heal? plan           
adm9i/rator1 or a heal? c>e provid] to  
disclose a price or quality in=mation1  
includ+ ! all[$ am\nt1 negotiat$ rates  
or disc\nts1 fees = s]vices1 or any o!r 
claim-relat$ f9ancial obligations       
includ$ 9 ! provid] contract to-- 7i7 a 
gov]nm5tal entity z au?oriz$ by law1    
7ii7 its contractors or ag5ts1  7iii7 an
 enrollee1  7iv7 a treat+ heal? c>e     
provid] ( an enrollee1  7v7 a plan      
sponsor1 or  7vi7 pot5tial eligible     
enrollees & plan sponsors2 or  7,b7     
re/ricts ! ability ( a heal? insurance  
c>ri]1 a heal? plan adm9i/rator1 or a   
heal? c>e provid] to disclose           
out-(-pocket co/s to an enrollee4  7#e7 
,ti]$ network plan ,! t]m ti]$ network  
plan means a heal? b5efit plan t sorts  
"s or all types ( heal? c>e provid]s    
into specific gr\ps to :i* diff]5t      
provid] reimbursem5t1 enrollee co/ %>+1 
heal? c>e provid] access requirem5ts1 or
 a comb9ation !re(1 are appli$ = ! same 

s]vices4