summary
Introduced
02/27/2020
02/27/2020
In Committee
02/27/2020
02/27/2020
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
Prohibits private health insurance plans from entering agreements with a health care service provider, or network of such providers, that restricts the plan from accessing and sharing cost or quality of care information. Plans may share such information with referring providers, plan sponsors, and plan enrollees, consistent with privacy rules. Further, agreements with providers may not restrict group health plans from electronically accessing anonymous claims information upon request, consistent with privacy rules.
AI Summary
This bill, the Know the Price Act, aims to increase transparency in group health plans and individual health insurance coverage by prohibiting insurers from entering into agreements that restrict the sharing of cost or quality of care information with referring providers, plan sponsors, and enrollees. It also allows group health plans to electronically access de-identified claims and encounter data for each enrollee, consistent with privacy regulations. The bill requires plans and issuers to annually submit an attestation of compliance with these transparency requirements.
Committee Categories
Business and Industry
Sponsors (2)
Last Action
Referred to the House Committee on Energy and Commerce. (on 02/27/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/6005/all-info |
| BillText | https://www.congress.gov/116/bills/hr6005/BILLS-116hr6005ih.pdf |
| Bill | https://www.congress.gov/116/bills/hr6005/BILLS-116hr6005ih.pdf.pdf |
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