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Know the Price Act of 2019

S. 1577 · 116th Congress · May 21, 2019 · Lineage

A BILL

To amend the Public Health Service Act to prohibit certain contracts between health insurance plans or issuers and health care providers.

Section 1 Short title

This Act may be cited as the “Know the Price Act of 2019”.

Sec. 2 Amendment to Public Health Service Act

Subpart II of part A of title XXVII of the Public Health Service Act (42 U.S.C. 300gg–11 et seq.) is amended by adding at the end the following:

“2729A. Provider contracts

“(a) Information on provider alternatives—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, third-party administrator, or other service provider that would, directly or indirectly—

“(1) restrict the group health plan or health insurance issuer from providing price or quality information, through a consumer engagement tool or any other means, to providers or the sponsor, enrollees, or potential enrollees of the plan or coverage; or

“(2) restrict the group health plan or health insurance issuer from sharing data described in paragraph (1) with a third party, for plan management purposes.”