Pub. L. 116-260, div. BB, tit. I, sec. 114 (as amended)
MAINTENANCE OF PRICE COMPARISON TOOL.
SEC. 114. MAINTENANCE OF PRICE COMPARISON TOOL.
(a) [42 U.S.C. 300gg-114] Public Health Service Act.—Title XXVII of the Public Health Service Act (42 U.S.C. 300gg et seq.) is amended, in part D, as added and amended by section 102 and further amended by the previous provisions of this title, by inserting after section 2799A-3 the following new section:
“SEC. 2799A-4. MAINTENANCE OF PRICE COMPARISON TOOL
“A group health plan or a health insurance issuer offering group or individual health insurance coverage shall offer price comparison guidance by telephone and make available on the Internet website of the plan or issuer a price comparison tool that (to the extent practicable) allows an individual enrolled under such plan or coverage, with respect to such plan year, such geographic region, and participating providers with respect to such plan or coverage, to compare the amount of cost-sharing that the individual would be responsible for paying under such plan or coverage with respect to the furnishing of a specific item or service by any such provider.”
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(b) Internal Revenue Code.—
(1) In general.—Subchapter B of chapter 100 of the Internal Revenue Code of 1986, as amended by sections 102, 105, and 113, is further amended by inserting after section 9818 the following new section:
“SEC. 9819. [26 U.S.C. 9819] MAINTENANCE OF PRICE COMPARISON TOOL
“A group health plan shall offer price comparison guidance by telephone and make available on the Internet website of the plan or issuer a price comparison tool that (to the extent practicable) allows an individual enrolled under such plan, with respect to such plan year, such geographic region, and participating providers with respect to such plan or coverage, to compare the amount of cost-sharing that the individual would be responsible for paying under such plan with respect to the furnishing of a specific item or service by any such provider.”
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(2) [26 U.S.C. 9811] Clerical amendment.—The table of sections for such subchapter, as amended by the previous sections, is further amended by inserting after the item relating to section 9818 the following new item:
“Sec. 9819. Maintenance of price comparison tool.”
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(c) Employee Retirement Income Security Act.—
(1) In general.—Subpart B of part 7 of subtitle B of title I of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1185 et seq.), as amended by sections 102, 105, and 113, is further amended by inserting after section 718 the following new section:
“SEC. 719. [29 U.S.C. 1185h] MAINTENANCE OF PRICE COMPARISON TOOL
“A group health plan or a health insurance issuer offering group health insurance coverage shall offer price comparison guidance by telephone and make available on the Internet website of the plan or issuer a price comparison tool that (to the extent practicable) allows an individual enrolled under such plan or coverage, with respect to such plan year, such geographic region, and participating providers with respect to such plan or coverage, to compare the amount of cost-sharing that the individual would
be responsible for paying under such plan or coverage with respect to the furnishing of a specific item or service by any such provider.”
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(2) Clerical amendment.—The table of contents in section 1 of the Employee Retirement Income Security Act of 1974, as amended by the previous provisions of this title, is further amended by inserting after the item relating to section 716 the following new item:
“Sec. 719. Maintenance of price comparison tool.”
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(d) [26 U.S.C. 9819 note] Effective Date.—The amendments made by this section shall apply with respect to plan years beginning on or after January 1, 2022.
- Cross-references to the US Code
- 42 U.S.C. 300gg-11426 U.S.C. 981926 U.S.C. 981129 U.S.C. 1185h26 U.S.C. 9819 note