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![handle is hein.congrecreports/crptxaftb0001 and id is 1 raw text is: AUTHENTICATED
U.GOVERNMENT
INFORMATION .
118TH CONGRESS REPORT
1st Session HOUSE OF REPRESENTATIVES 118-258
TRANSPARENCY IN BILLING ACT OF 2023
NOVEMBER 1, 2023.-Committed to the Committee of the Whole House on the State
of the Union and ordered to be printed
Ms. Foxx, from the Committee on Education and the Workforce,
submitted the following
R E P O R T
[To accompany H.R. 4509]
The Committee on Education and the Workforce, to whom was
referred the bill (H.R. 4509) to amend the Employee Retirement In-
come Security Act of 1974 to require group health plans and health
insurance issuers offering group health insurance coverage to only
pay claims submitted by hospitals that have in place policies and
procedures to ensure accurate billing practices, and for other pur-
poses, having considered the same, reports favorably thereon with
an amendment and recommends that the bill as amended do pass.
The amendment is as follows:
Strike all after the enacting clause and insert the following:
SECTION 1. SHORT TITLE.
This Act may be cited as the Transparency in Billing Act of 2023.
SEC. 2. HONEST BILLING REQUIREMENTS.
(a) IN GENERAL.-Subpart B of part 7 of subtitle B of title I of the Employee Re-
tirement Income Security Act of 1974 (29 U.S.C. 1185 et seq.) is amended by adding
at the end the following new section:
SEC. 726. HONEST BILLING REQUIREMENTS.
A group health plan or health insurance issuer offering group health insurance
coverage may not pay a claim for items and services furnished to an individual at
an off-campus outpatient department of a provider (as defined in section 901(c)) sub-
mitted by a hospital (as defined in section 1861(e) of the Social Security Act) unless
such claim submitted by such hospital includes the separate unique health identifier
for the department where items and services were furnished, in accordance with sec-
tion 901..
(b) CLERICAL AMENDMENT.-The table of contents of the Employee Retirement In-
come Security Act of 1974 (29 U.S.C. 1001 note) is amended by adding after the
item relating to section 725 the following:
Sec. 726. Honest billing requirements..
(c) EFFECTIVE DATE.-The amendments made by this section shall take effect with
respect to plan years beginning on or after January 1, 2024.
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