Sec. 4202. Pricing of diagnostic testing
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/bill/116/s/3548/is/section-4202·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
A group health plan or a health insurance issuer providing coverage of items and services described in section 201(a) with respect to an enrollee shall reimburse the provider of the diagnostic testing as follows: If the health plan or issuer has a negotiated rate for such service with such provider, such negotiated rate shall apply. If the health plan or issuer does not have a negotiated rate for such service with such provider, such plan or issuer shall reimburse the provider in an amount that equals the cash price for such service as listed by the provider on a public internet website.
Each provider of a diagnostic test for COVID-19 shall make public the cash price for such test on a public internet website of such provider. The Secretary of Health and Human Services may impose a civil monetary penalty on any provider of a diagnostic test for COVID-19 that is not in compliance with paragraph
(1)and has not completed a corrective action plan to comply with the requirements of such paragraph, in an amount not to exceed $300 per day that the violation is ongoing.