1 | 1 | | II |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION S. 1140 |
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5 | 5 | | To amend title XI of the Social Security Act to lower barriers to increase |
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6 | 6 | | patient access to health care. |
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7 | 7 | | IN THE SENATE OF THE UNITED STATES |
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8 | 8 | | MARCH26, 2025 |
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9 | 9 | | Mr. C |
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10 | 10 | | ASSIDY(for himself and Mr. PADILLA) introduced the following bill; |
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11 | 11 | | which was read twice and referred to the Committee on Finance |
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12 | 12 | | A BILL |
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13 | 13 | | To amend title XI of the Social Security Act to lower |
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14 | 14 | | barriers to increase patient access to health care. |
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15 | 15 | | Be it enacted by the Senate and House of Representa-1 |
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16 | 16 | | tives of the United States of America in Congress assembled, 2 |
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17 | 17 | | SECTION 1. SHORT TITLE. 3 |
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18 | 18 | | This Act may be cited as the ‘‘Health Accelerating 4 |
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19 | 19 | | Consumer’s Care by Expediting Self-Scheduling Act’’ or 5 |
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20 | 20 | | the ‘‘Health ACCESS Act’’. 6 |
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21 | 21 | | SEC. 2. AMENDMENTS TO SECTION 1128B. 7 |
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22 | 22 | | Section 1128B(b) of the Social Security Act (42 8 |
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23 | 23 | | U.S.C. 1320a–7b(b)) is amended— 9 |
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24 | 24 | | (1) in paragraph (3)— 10 |
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26 | 26 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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27 | 27 | | •S 1140 IS |
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28 | 28 | | (A) by moving the left margins of subpara-1 |
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29 | 29 | | graphs (J) and (K) 2 ems to the left; 2 |
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30 | 30 | | (B) in subparagraph (K), by striking 3 |
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31 | 31 | | ‘‘and’’ at the end; 4 |
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32 | 32 | | (C) in subparagraph (L), by striking the 5 |
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33 | 33 | | period at the end and inserting ‘‘; and’’; and 6 |
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34 | 34 | | (D) by adding at the end the following new 7 |
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35 | 35 | | subparagraph: 8 |
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36 | 36 | | ‘‘(M) any remuneration paid by a provider of 9 |
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37 | 37 | | services (as defined in section 1861(u)) or a supplier 10 |
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38 | 38 | | (as defined in section 1861(d)) to an information 11 |
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39 | 39 | | service provider (as defined in paragraph (5)), if— 12 |
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40 | 40 | | ‘‘(i) such information service provider does 13 |
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41 | 41 | | not— 14 |
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42 | 42 | | ‘‘(I) steer or lead a consumer to select 15 |
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43 | 43 | | a particular provider of services or supplier 16 |
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44 | 44 | | based on the amount a provider of services 17 |
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45 | 45 | | or supplier pays or may pay the informa-18 |
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46 | 46 | | tion service provider; 19 |
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47 | 47 | | ‘‘(II) provide, or represent itself as 20 |
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48 | 48 | | providing, any medical items or services, 21 |
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49 | 49 | | diagnostic or counseling services or assess-22 |
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50 | 50 | | ments of illness or injury, or make any 23 |
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51 | 51 | | promises of cure or guarantees of treat-24 |
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52 | 52 | | ment; 25 |
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54 | 54 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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55 | 55 | | •S 1140 IS |
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56 | 56 | | ‘‘(III) provide contact information re-1 |
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57 | 57 | | garding a consumer (as defined in para-2 |
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58 | 58 | | graph (5)) to providers of services or sup-3 |
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59 | 59 | | pliers, except to the specific provider of 4 |
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60 | 60 | | services or supplier selected by the con-5 |
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61 | 61 | | sumer; 6 |
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62 | 62 | | ‘‘(IV) provide or arrange for transpor-7 |
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63 | 63 | | tation of an individual to, or from, the lo-8 |
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64 | 64 | | cation of a provider of services or supplier; 9 |
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65 | 65 | | ‘‘(V) provide or arrange for the provi-10 |
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66 | 66 | | sion of any other remuneration to a Fed-11 |
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67 | 67 | | eral health care program beneficiary other 12 |
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68 | 68 | | than the inherent convenience of the infor-13 |
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69 | 69 | | mation service; or 14 |
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70 | 70 | | ‘‘(VI) engage in targeted marketing of 15 |
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71 | 71 | | a particular provider or supplier through 16 |
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72 | 72 | | phone calls or text messages, with respect 17 |
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73 | 73 | | to consumers or potential consumers who 18 |
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74 | 74 | | have not previously interacted with the in-19 |
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75 | 75 | | formation service provider or who have 20 |
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76 | 76 | | opted out; 21 |
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77 | 77 | | ‘‘(ii) the methodology for determining com-22 |
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78 | 78 | | pensation paid to the information service pro-23 |
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79 | 79 | | vider by a provider of services or supplier is set 24 |
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80 | 80 | | in advance in writing, and the compensation: 25 |
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83 | 83 | | •S 1140 IS |
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84 | 84 | | (I) does not exceed fair market value; (II) is for 1 |
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85 | 85 | | services, specified in writing; and (III) does not 2 |
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86 | 86 | | take into account the value of any items or 3 |
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87 | 87 | | services payable in whole or in part by a Fed-4 |
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88 | 88 | | eral health care program that result from rec-5 |
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89 | 89 | | ommendations by the information service pro-6 |
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90 | 90 | | vider for the provider of services or supplier; 7 |
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91 | 91 | | ‘‘(iii) such information service provider 8 |
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92 | 92 | | clearly discloses the financial arrangement be-9 |
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93 | 93 | | tween it and the providers of services or sup-10 |
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94 | 94 | | pliers participating in such service to con-11 |
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95 | 95 | | sumers; 12 |
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96 | 96 | | ‘‘(iv) such information service provider fur-13 |
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97 | 97 | | nishes provider- and supplier-specific informa-14 |
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98 | 98 | | tion to consumers based only on objective, con-15 |
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99 | 99 | | sumer-centric criteria; 16 |
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100 | 100 | | ‘‘(v) such information service provider de-17 |
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101 | 101 | | velops objective criteria for participation in such 18 |
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102 | 102 | | information service and does not exclude any 19 |
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103 | 103 | | providers of services or suppliers who meet such 20 |
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104 | 104 | | criteria from participating therein; and 21 |
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105 | 105 | | ‘‘(vi) such information service provider 22 |
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106 | 106 | | meets such other conditions as may be deter-23 |
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107 | 107 | | mined appropriate by the Secretary.’’; and 24 |
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110 | 110 | | •S 1140 IS |
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111 | 111 | | (E) by adding at the end the following new 1 |
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112 | 112 | | paragraph: 2 |
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113 | 113 | | ‘‘(5) D |
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114 | 114 | | EFINITION OF CONSUMER; INFORMATION 3 |
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115 | 115 | | S |
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116 | 116 | | ERVICEPROVIDER.—For purposes of paragraph (3)(M): 4 |
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117 | 117 | | ‘‘(A) C |
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118 | 118 | | ONSUMER.—The term ‘consumer’ means 5 |
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119 | 119 | | an individual who uses a web-based platform oper-6 |
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120 | 120 | | ated by an information service provider for the pur-7 |
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121 | 121 | | pose of searching providers of services or suppliers. 8 |
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122 | 122 | | ‘‘(B) I |
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123 | 123 | | NFORMATION SERVICE PROVIDER .—The 9 |
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124 | 124 | | term ‘information service provider’ means any indi-10 |
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125 | 125 | | vidual or entity operating a web-based platform that 11 |
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126 | 126 | | makes information regarding providers of services or 12 |
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127 | 127 | | suppliers available to consumers.’’. 13 |
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128 | 128 | | Æ |
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130 | 130 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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