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H. Rept. 119-748 1 (2026-07-13)

handle is hein.congrecreports/crptxailr0001 and id is 1 raw text is: AUTHENTICATED r U.S. GOVERNMENT INFORMATION 4 119TH CONGRESS REPORT 2d Session j HOUSE OF REPRESENTATIVES 119-748 TRANSPARENCY IN BILLING ACT OF 2026 JULY 13, 2026.-Committed to the Committee of the Whole House on the State of the Union and ordered to be printed Mr. WALBERG, from the Committee on Education and Workforce, submitted the following REPORT [To accompany H.R. 8684] The Committee on Education and Workforce, to whom was re- ferred the bill (H.R. 8684) to amend the Employee Retirement In- come Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other pur- poses, having considered the same, reports favorably thereon with an amendment and recommends that the bill as amended do pass. The amendment is as follows: Strike all after the enacting clause and insert the following: SECTION 1. SHORT TITLE. This Act may be cited as the Transparency in Billing Act of 2026. SEC. 2. HONEST BILLING REQUIREMENTS. (a) IN GENERAL.-Subpart B of part 7 of subtitle B of title I of the Employee Re- tirement Income Security Act of 1974 (29 U.S.C. 1185 et seq.) is amended by adding at the end the following new section: SEC. 727. HONEST BILLING REQUIREMENTS. A group health plan or health insurance issuer offering group health insurance coverage may not pay a claim for items and services furnished to an individual at an off-campus outpatient department of a provider (as defined in section 901(c)) sub- mitted by a hospital (as defined in section 1861(e) of the Social Security Act) unless such claim submitted by such hospital includes the separate unique health identifier for the department where items and services were furnished, in accordance with sec- tion 901.. (b) CLERICAL AMENDMENT.-The table of contents of the Employee Retirement In- come Security Act of 1974 (29 U.S.C. 1001 note) is amended by adding after the item relating to section 726 the following: Sec. 727. Honest billing requirements.. (c) EFFECTIVE DATE.-The amendments made by this section shall take effect with respect to plan years beginning on or after January 1, 2027. 69-006