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H. Rept. 118-259 1 (2023-11-01)

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U.GOVERNMENT
INFORMATION .














                     118TH  CONGRESS                                           REPORT
                         1st Session    HOUSE OF REPRESENTATIVES               118-259







                                 HIDDEN FEE DISCLOSURE 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. 4508]

                       The  Committee on Education and the Workforce, to whom was
                     referred the bill (H.R. 4508) to amend  the  Employee  Retirement   In-
                     come  Security  Act of 1974 to clarify and strengthen  the application
                     of certain employer-sponsored   health  plan disclosure requirements,
                     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 Hidden Fee Disclosure Act of 2023.
                     SEC. 2. CLARIFICATION OF THE APPLICATION OF FEE DISCLOSURE REQUIREMENTS TO COV-
                             ERED SERVICE PROVIDERS.
                       (a) SERVICES.-Clause (ii)(I)(bb) of section 408(b)(2)(B) of the Employee Retire-
                     ment Income Security Act of 1974 (29 U.S.C. 1108(b)(2)(B)) is amended-
                           (1) in subitem (AA) by striking Brokerage services, and inserting Services
                         (including brokerage services),; and
                           (2) in subitem (BB)-
                              (A) by striking Consulting, and inserting Other services,; and
                              (B) by inserting any of the following: before plan design.
                       (b) DISCLOSURES.-Clause (iii)(III) of section 408(b)(2)(B) of the Employee Retire-
                     ment Income Security Act of 1974 (29 U.S.C. 1108(b)(2)(B)) is amended by striking
                     , either in the aggregate or by service, and inserting by service.
                     SEC. 3. STRENGTHENING DISCLOSURE REQUIREMENTS WITH RESPECT TO PHARMACY BEN-
                             EFIT MANAGERS AND  THIRD PARTY ADMINISTRATORS FOR GROUP HEALTH
                             PLANS.
                       (a) CERTAIN ARRANGEMENTS FOR PBM SERVICES CONSIDERED AS INDIRECT.-
                           (1) IN GENERAL.-Clause (i) of section 408(b)(2)(B) of the Employee Retire-
                         ment Income Security Act of 1974 (29 U.S.C. 1108(b)(2)(B)) is amended-
                              (A) by striking requirements of this clause and inserting requirements
                            of this subparagraph; and
                              (B) by adding at the end the following: For purposes of applying section
                            406(a)(1)(C) with respect to a transaction described under this subpara-
                         49-006

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