3.0.0 3630 2022-11-01T13:50:45Z 2022-11-01T13:50:45Z House HR 2019-07-09 116 [Congressional Record Volume 165, Number 114 (Tuesday, July 9, 2019)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. PALLONE:H.R. 3630.Congress has the power to enact this legislation pursuantto the following:Authority under Article 1 Section 8[Page H5303]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Reported by 2019-07-11T20:07:15Z Markup by 2019-07-11T20:07:10Z Referred to 2019-07-10T20:03:15Z Hearings by 2019-06-12T20:08:06Z Referred to 2019-07-09T18:00:40Z hsed00 Education and the Workforce Committee House Standing Referred to 2019-07-09T18:00:45Z 2019-07-11 hsif14 Health Subcommittee 1 House committee actions Forwarded by Subcommittee to Full Committee by Voice Vote . Committee 2019-07-11 hsif14 Health Subcommittee 1 House committee actions Subcommittee Consideration and Mark-up Session Held. Committee 2019-07-10 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2019-07-09 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsed00 Education and the Workforce Committee 2019-07-09 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2019-07-09 Introduced in House IntroReferral Intro-H 9 Library of Congress 2019-07-09 Introduced in House IntroReferral 1000 9 Library of Congress 2019-06-12 hsif14 Health Subcommittee 1 House committee actions Hearings Held by the Subcommittee on Health Prior to Introduction and Referral. Committee P000034 Rep. Pallone, Frank, Jr. [D-NJ-6] FRANK PALLONE D NJ 6 N W000791 Rep. Walden, Greg [R-OR-2] GREG WALDEN R OR 2 2019-07-09 True W000812 Rep. Wagner, Ann [R-MO-2] Ann Wagner R MO 2 2019-09-12 False T000481 Rep. Tlaib, Rashida [D-MI-13] Rashida Tlaib D MI 13 2019-09-12 False Health Aviation and airports Civil actions and liability Congressional oversight Emergency medical services and trauma care Employee benefits and pensions Government information and archives Government studies and investigations Health care costs and insurance Health care coverage and access Health facilities and institutions Health information and medical records Health programs administration and funding Health technology, devices, supplies Hospital care Transportation costs Health

00 2019-07-09 Introduced in House 2019-08-21T21:13:16Z No Surprises Act

This bill expands restrictions on charging health care plan holders out-of-network rates for certain services. First, the bill requires insurers offering plans that cover emergency services to bill plan holders no more than the median in-network rate for a particular emergency service, even if the service provider is out of network. The bill further prohibits insurers from billing plan holders more than the median in-network rate for nonemergency services provided by out-of-network providers at in-network facilities.

Out-of-network providers may not bill plan holders for the difference between the in-network and out-of-network rates for emergency services. The bill further prohibits out-of-network providers from billing plan holders for the difference in rates for nonemergency services provided at an in-network facility unless the provider complies with specified notice and consent requirements. Even when complying with these requirements, an out-of-network provider may not charge plan holders for the difference in rates for such nonemergency services if the provider is based at the in-network facility and is the only provider available to deliver the particular treatment or service at the facility.

The Department of Health and Human Services must provide grants to states to establish or maintain All Payer Claims Databases, which publish claims and payment information from insurers.

The bill also requires insurers to publish provider directories and requires the Government Accountability Office and the Department of Labor to report on certain issues related to the commercial health care market.

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Display Title Official Title as Introduced Introduced in House IH Short Title(s) as Introduced Introduced in House IH Introduced in House 2019-07-09T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-116hr3630ih/xml/BILLS-116hr3630ih.xml 2019-07-11 Forwarded by Subcommittee to Full Committee by Voice Vote . text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.