Sec. 3. Provider requirements to protect patients and improve the accuracy of provider directory information

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Section 2799B–9 of the Public Health Service Act ( 42 U.S.C. 300gg–139 ) is amended— in subsection (a)— in paragraph (3), by striking ; and and inserting a semicolon; by redesignating paragraph

(4)as paragraph (6); and by inserting after paragraph

(3)the following: subject to paragraph (5), when a provider or facility that is not accepting new patients determines that it has the ability to accept new patients, within 5 business days of such determination; when a solo practitioner or small provider, as determined by the Secretary, determines that it has the ability to accept new patients, within 10 business days of such determination; and ; and by amending subsection

(d)to read as follows: For purposes of this section, the term provider directory information includes— the name, address, specialty, telephone number, and digital contact information of each individual health care provider contracted to participate in any of the networks of the group health plan or health insurance coverage involved; the name, address, specialty, telephone number, and digital contact information of each medical group, clinic, or facility contracted to participate in any of the networks of the group health plan or health insurance coverage involved; and with respect to each such provider, medical group, clinic, or facility— whether such provider, medical group, clinic, or facility is accepting new patients; the languages spoken and the availability of language translators for specified languages at each provider, medical group, clinic, or facility listed in the directory; whether the provider, medical group, clinic, or facility offers medication-assisted treatment for opioid use disorder; the State license number; the national provider identifier; the age groups served by such provider, group, clinic, or facility, such as pediatric, adolescent, adult, or geriatric populations; whether such provider, group, clinic, or facility offers in-person services, telehealth services, or both; and the cost-sharing tier, if applicable. .

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42 USC 300gg–139

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Sec. 3

Provider requirements to protect patients and improve the accuracy of provider directory information

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