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B-332712 1 (2020-11-24)

handle is hein.gao/gaobaecdp0001 and id is 1 raw text is: 




G      A     O       U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548


B-332712


November  24, 2020

The Honorable Chuck Grassley
Chairman
The Honorable Ron Wyden
Ranking Member
Committee on Finance
United States Senate

The Honorable Frank Pallone, Jr.
Chairman
The Honorable Greg Walden
Ranking Member
Committee on Energy and Commerce
House  of Representatives

The Honorable Richard Neal
Chairman
The Honorable Kevin Brady
Ranking Member
Committee on Ways  and Means
House  of Representatives

Subject: Department of the Treasury, Internal Revenue Service; Department of Labor,
        Employee Benefits Security Administration; Department of Health and Human Services:
        Transparency in Coverage

Pursuant to section 801(a)(2)(A) of title 5, United States Code, this is our report on a major rule
promulgated by the Department of the Treasury, Internal Revenue Service; Department of
Labor, Employee Benefits Security Administration; Department of Health and Human Services
(the Departments) entitled Transparency in Coverage (RINs: 1545-BP47; 1210-AB93;
0938-AU04).  We received the rule on November 4, 2020. It was published in the Federal
Register as a final rule on November 12, 2020. 85 Fed. Reg. 72158. The effective date of the
final rule is January 11, 2021.

According to the Departments, the final rule sets forth requirements for group health plans and
health insurance issuers in the individual and group markets to disclose cost-sharing information
upon request to a participant, beneficiary, or enrollee (or his or her authorized representative),
including an estimate of the individual's cost-sharing liability for covered items or services
furnished by a particular provider. The Departments stated, under the final rule, plans and
issuers are required to make this information available on an internet website and, if requested,
in paper form, thereby allowing a participant, beneficiary, or enrollee (or his or her authorized
representative) to obtain an estimate and understanding of the individual's out-of-pocket
expenses and effectively shop for items and services. The Departments stated further, the final

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