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Code · BILL · 116th Congress · S. 1531 (Introduced in Senate) — To amend the Public Health Service Act to provide protections for health insurance consumers from surprise billing. · Sec. 11

Sec. 11. Balance billing study

207 words·~1 min read·/bill/116/s/1531/is/section-11·

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Not later than 3 years after the date of enactment of this Act, the Secretary of Health and Human Services, in consultation with the Secretary of Labor, shall conduct a study of the effects of this Act (including the amendments made by this Act), and submit to Congress a report on the findings of such study, which shall include information and analysis on— the financial impact on patient responsibility for health care spending and overall health care spending; the incidence and prevalence of the delivery of out-of-network health care services; the adequacy of provider networks offered by health plans and health insurance issuers (as such terms are defined in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 )); the impact of connecting reimbursement to different claims databases; the number of bills that go to the independent dispute resolution process; and the administrative cost of the independent dispute resolution process and estimated impact on health insurance premiums and deductibles.
The information provided in the report under subsection
(a)shall be— disaggregated by State and according to the fully insured and the self-insured markets; and with respect to paragraphs
(1)through
(3)of such subsection, made available to the public electronically in a searchable database.
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  • 42 USC 300gg–91
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Sec. 11
Balance billing study
Cite42 USC 300gg–91
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