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Code · BILL · 118th Congress · H.R. 5378 (Introduced in House) — To promote price transparency in the health care sector, and for other purposes. · Sec. 107

Sec. 107. Reports on health care transparency tools and data

540 words·~2 min read·/bill/118/hr/5378/ih/section-107

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Not later than December 31, 2024, the Comptroller General of the United States shall submit to the Committees (as defined in subsection (d)) an initial report that— identifies and describes health care transparency tools and Federal health care reporting requirements (as described in subsection (d)) that are in effect as of the date of the submission of such initial report, including the frequency of reports with respect to each such requirement and whether any such requirements are duplicative; reviews how such reporting requirements are enforced; analyzes whether the public availability of health care transparency tools, and the publication of data pursuant to such reporting requirements, has— been utilized and valued by consumers, including reasons for such utilization (or lack thereof); and assisted health insurance plan sponsors and fiduciaries improve benefits, lower health care costs for plan participants, and meet fiduciary requirements; includes recommendations to the Committees, the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury to— improve the efficiency, accuracy, and usability of health care transparency tools; streamline Federal health care reporting requirements to eliminate duplicative requirements and reduce the burden on entities required to submit reports pursuant to such provisions; improve the accuracy and efficiency of such reports while maintaining the integrity and usability of the data provided by such reports; address any gaps in data provided by such reports; and ensure that the data and information reported is comparable and usable to consumers, including patients, plan sponsors, and policy makers.
Not later than December 31, 2028, the Comptroller General of the United States shall submit to the Committees a report that includes— the information provided in the initial report, along with any updates to such information; and any new information with respect to health care transparency tools that have been released following the submission of such initial report, or new reporting requirements in effect as of the date of the submission of the final report. Not later than December 31, 2025, the Comptroller General of the United States, in consultation with the Secretary of Health and Human Services, health care provider groups, and patient advocacy groups, shall submit to the Committees a report that includes recommendations to expand price transparency reporting requirements to additional care settings, with an emphasis on settings where shoppable services (as defined in subsection (d)) are furnished.
In this section: The term Committees means the Committee on Ways and Means, the Committee on Energy and Commerce, and the Committee on Education and the Workforce of the House of Representatives, and the Committee on Finance and the Committee on Health, Education, Labor, and Pensions of the Senate. The term Federal health care reporting requirements includes regulatory and statutory requirements with respect to the reporting and publication of health care price, cost access, and quality data, including requirements established by the Consolidated Appropriations Act of 2021 ( Public Law 116–260 ), this Act, and other reporting and publication requirements with respect to transparency in health care as identified by the Comptroller General of the United States.
The term shoppable service means a service that can be scheduled by a health care consumer in advance and includes all ancillary items and services customarily furnished as part of such service.
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Sec. 107
Reports on health care transparency tools and data
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