,,ib ,union ,cal5d> ,no4 #feb #aai?     
,,congress  #b;d ,session  ,h4 ,r4 #hfhd
 ,report ,no4 #aai-gdh ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,may #g1 #bjbf,ms4
 ,foxx 7= h]self & ,mr4 ,scott (        
,virg9ia7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,education & 
,work=ce  ,july #ac1 #bjbf,report$ ) an 
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be printed,strike out all aft] 
! enact+ clause & ins]t ! "p pr9t$ 9    
italic,for text ( introduc$ bill1 see   
copy ( bill z introduc$ on ,may #g1     
#bjbf  ,a ,,bill  ,to am5d ! ,employee  
,retirem5t ,income ,security ,act (     
#aigd to require gr\p heal? plans &     
heal? insurance issu]s (f]+ gr\p heal?  
insurance cov]age to only pay claims    
submitt$ by hospitals t h 9 place       
policies & proc$ures to ensure accurate 
bill+ practices1 & = o!r purposes4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,transp>5cy 9 ,bill+ ,act ( #bjbf4  #b4 
,hone/ bill+ requirem5ts  7a7 ,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[+ new section3  #gbg4 ,hone/    
bill+ requirem5ts ,a gr\p heal? plan or 
heal? insurance issu] (f]+ gr\p heal?   
insurance cov]age may n pay a claim =   
items & s]vices furni%$ to an individual
 at an (f-campus outpati5t dep>tm5t ( a 
provid] 7z def9$ 9 section #ija7;c77    
submitt$ by a hospital 7z def9$ 9       
section #ahfa7;e7 ( ! ,social ,security 
,act7 unless su* claim submitt$ by su*  
hospital includes ! sep>ate unique heal?
 id5tifi] = ! dep>tm5t :]e items &      
s]vices 7 furni%$1 9 accordance )       
section #ija4  4  7b7 ,cl]ical am5dm5t  
,! table ( cont5ts ( ! ,employee        
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #ajja note7 is     
am5d$ by add+ aft] ! item relat+ to     
section #gbf ! foll[+3  ,sec4 #gbg4     
,hone/ bill+ requirem5ts4  4  7c7       
,effective date ,! am5dm5ts made by ?is 

section %all take effect ) respect to   
plan ye>s beg9n+ on or aft] ,janu>y #a1 
#bjbg4  #c4 ,regulation ( hone/ bill+   
7a7 ,9 g5]al ,subtitle ,b ( title ,i ( !
 ,employee ,retirem5t ,income ,security 
,act ( #aigd 7#bi ,u4,s4,c4 #ajba et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new "p3  #i ,bill+ ,requirem5ts )      
,respect to ,gr\p ,heal? ,plans &       
,cov]age  #ija4 ,hone/ bill+ requirem5ts
  7a7 ,9 g5]al ,a hospital may n1 )     
respect to items & s]vices furni%$ to an
 individual at an (f-campus outpati5t   
dep>tm5t ( a provid]1 submit a claim =  
su* items & s]vices to a gr\p heal? plan
 or heal? insurance issu]1 & may n hold 
su* individual liable = su* items &     
s]vices1 unless-- 7#a7 su* hospital     
obta9s a sep>ate unique heal? id5tifi]  
e/abli%$ = su* dep>tm5t pursuant to     
section #aagc7;b7 ( ! ,social ,security 
,act2 &  7#b7 ! claim = su* items &     
s]vices includes su* sep>ate unique     
heal? id5tifi] = su* dep>tm5t :]e su*   
items & s]vices 7 furni%$4  7b7 ,process

 = report+ suspect$ violations ,n lat]  
?an "o ye> aft] ! date ( enactm5t ( ?is 
section1 ! ,secret>y %all e/abli% a     
process "u :i* a suspect$ violation (   
?is section may be report$ to su*       
,secret>y4  7c7 ,(f-campus outpati5t    
dep>tm5t ( a provid] def9$ ,= purposes (
 ?is p>agraph1 ! t]m (f-campus outpati5t
 dep>tm5t ( a provid] means a dep>tm5t (
 a provid] 7z def9$ 9 section #dac4fe ( 
title #db1 ,code ( ,f$]al ,regulations1 
or any successor regulation7 t is n     
locat$-- 7#a7 on ! campus 7z def9$ 9 su*
 section7 ( su* provid]2 or  7#b7 )9 !  
di/ance 7describ$ 9 su* def9ition (     
campus7 f a remote location ( a hospital
 facility 7z def9$ 9 su* section74  4   
7b7 ,cl]ical am5dm5t ,! table ( cont5ts 
( ! ,employee ,retirem5t ,income        
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#ajja note7 is am5d$ by ins]t+ aft] !   
item relat+ to section #hjd ! foll[+ new
 item3  ,"p #i--;,bill+ ,requirem5ts )  
,respect to ,gr\p ,heal? ,plans &       
,coverage,sec4 #ija4 ,hone/ bill+       

requirem5ts4  4  #d4 ,en=cem5t ,section 
#ejb ( ! ,employee ,retirem5t ,income   
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aacb7 is am5d$-- 7#a7 9 subsection     
7a77#f71 by /rik+ or 7#ac7 & ins]t+     
7#ac71 or 7#ad72 &  7#b7 9 subsection   
7c71 by add+ at ! end ! foll[+ new      
p>agraph3  7#ad7 ,secret>ial en=cem5t   
au?ority relat+ to hone/ bill+          
requirem5ts ,! ,secret>y may assess a   
civil monet>y p5alty aga9/ a hospital = 
a violation ( section #ija 9 an am\nt-- 
7,a7 9 ! case ( a hospital ) n m ?an #cj
 b$s 7z det]m9$ "u section              
#ahj4ij7;c77#b77;ii77,d7 ( title #de1   
,code ( ,f$]al ,regulations1 z 9 effect 
on ! date ( ! enactm5t ( ?is p>agraph71 
n to exce$ #cjj p] day t ! violation is 
ongo+1 z det]m9$ by ! ,secret>y2 &  7,b7
 9 ! case ( a hospital ) m ?an #cj b$s  
7z s det]m9$71 n to exce$ #e1ejj p] ea* 
su* day4  4  #e4 ,implem5tation ,!      
,secret>y ( ,labor %all implem5t !      
am5dm5ts made by ?is ,act by rulemak+4  
,july #ac1 #bjbf,report$ ) an am5dm5t1  

committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$