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H. Rept. 118-875,Part 1 1 (2024-12-16)

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                     118TH  CONGRESS                                        REPT. 118-875
                         2d Session     HOUSE OF REPRESENTATIVES                Part 1







                           HEALTHY COMPETITION FOR BETTER CARE ACT



                                      DECEMBER  16, 2024.-Ordered to be printed



                       Ms. Foxx,  from  the Committee   on Education  and  the Workforce,
                                            submitted  the  following


                                               REPORT

                                                 together  with

                                             ADDITIONAL VIEWS

                                             [To accompany H.R. 3120]

                                [Including cost estimate of the Congressional Budget Office]

                       The  Committee on Education and the Workforce, to whom was
                     referred the bill (H.R. 3120) to ban anticompetitive  terms  in facility
                     and  insurance  contracts  that limit access to higher  quality, lower
                     cost care, 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 Healthy Competition for Better Care Act.
                     SEC. 2. BANNING ANTICOMPETITIVE TERMS IN FACILITY AND INSURANCE CONTRACTS THAT
                             LIMIT ACCESS TO HIGHER QUALITY, LOWER COST CARE.
                       (a) IN GENERAL.-
                           (1) PHSA.-Section 2799A-9 of the Public Health Service Act (42 U.S.C.
                         300gg-119) is amended by adding at the end the following:
                       (b) PROTECTING HEALTH PLANS NETWORK DESIGN FLEXIBILITY.-
                           (1) IN GENERAL.-A group health plan or a health insurance issuer offering
                         group or individual health insurance coverage shall not enter into an agreement
                         with a provider, network or association of providers, or other service provider
                         offering access to a network of service providers if such agreement, directly or
                         indirectly-
                              (A) restricts the group health plan or health insurance issuer from-
                                  (i) directing or steering enrollees to other health care providers; or
                                  (ii) offering incentives to encourage enrollees to utilize specific
                                health care providers;


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