,,ii  #aaith ,,congress  #ast ,session  
,s4 #gbi  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #be1      
#bjbe,mr4 ,kennedy introduced the       
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,public ,health   
,service ,act to enhance compliance with
 hospital price transparency            
requirements1 and for other purposes4   
#a4 ,short title ,this ,act may be cited
 as the ,hospital ,transparency         
,compliance ,enforcement ,act4  #b4     
,hospital price transparency            
requirements ,section #bgah7;e7 of the  
,public ,health ,service ,act 7#db      
,u4,s4,c4 #cjj;gg-#ah7;e77 is amended-- 
7#a7 by striking ,each hospital and     
inserting the following3  7#a7 ,in      
general ,each hospital  2  7#b7 by      
inserting 1 in accordance with paragraph
 7#b71 after for each year2 and  7#c7 by
 adding at the end the following3  7#b7 
,timing requirements  7,a7 ,in general  

,each hospital operating in the ,united 
,states on the date of enactment of the 
,hospital ,transparency ,compliance     
,enforcement ,act shall1 not later than 
#f months after such date of enactment  
and every year thereafter1 establish    
7and update7 and make public the list   
under paragraph 7#a74  7,b7 ,newly      
operating hospitals ,in the case of a   
hospital that begins operating in the   
,united ,states after the date of       
enactment of the ,hospital ,transparency
 ,compliance ,enforcement ,act1 the     
hospital shall comply with the          
requirements described in subparagraph  
7,a7 not later than #f months after the 
date on which the hospital begins such  
operation and every year thereafter4    
7#c7 ,prohibition on shielding          
information ,no hospital may shield the 
information required under paragraph    
7#a7 from online search results through 
webpage coding4  7#d7 ,civil monetary   
penalties  7,a7 ,in general ,a hospital 
that fails to comply with the           

requirements of this subsection for a   
year shall be subject to a civil        
monetary penalty of an amount not to    
exceed-- 7i7 in the case of a hospital  
with a bed count of #cj or fewer1 #fjj  
for each day in which the hospital fails
 to comply with such requirements2  7ii7
 in the case of a hospital with a bed   
count that is greater than #cj and equal
 to or fewer than #eej1 #bj per bed for 
each day in which the hospital fails to 
comply with such requirements2 or  7iii7
 in the case of a hospital with a bed   
count that is greater than #eej1 #aa1jjj
 for each day in which the hospital     
fails to comply with such requirements4 
7,b7 ,procedures  7i7 ,in general       
,except as otherwise provided in this   
subsection1 a civil monetary penalty    
under subparagraph 7,a7 shall be imposed
 and collected in accordance with part  
#ahj of title #de1 ,code of ,federal    
,regulations 7or successor regulations74
  7ii7 ,timing ,a hospital shall pay in 
full a civil monetary penalty imposed on

 the hospital under subparagraph 7,a7   
not later than-- 7,i7 #fj calendar days 
after the date on which the ,secretary  
issues a notice of the imposition of    
such penalty2 or  7,,ii7 in the event   
the hospital requests a hearing pursuant
 to subpart ,d of part #ahj of title    
#de1 ,code of ,federal ,regulations 7or 
successor regulations71 #fj calendar    
days after the date of a final and      
binding decision in accordance with such
 subpart1 to uphold1 in whole or in     
part1 the civil monetary penalty4  7#e7 
,list of hospitals not in compliance    
,the ,secretary shall publish a list of 
the name of each hospital that is not in
 compliance with the requirements under 
this subsection4 ,such list shall be    
published #bhj days after the date of   
enactment of the ,hospital ,transparency
 ,compliance ,enforcement ,act and every
 #ahj days thereafter4  4