Text: H.R.5192 — 116th Congress (2019-2020)All Information (Except Text)

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Introduced in House (11/20/2019)


116th CONGRESS
1st Session
H. R. 5192


To amend the Internal Revenue Code of 1986, title XXVII of the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers to include on any insurance card issued by such plan or issuer information on the nearest in-network hospital or urgent care facility.


IN THE HOUSE OF REPRESENTATIVES

November 20, 2019

Mr. Beyer introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

To amend the Internal Revenue Code of 1986, title XXVII of the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers to include on any insurance card issued by such plan or issuer information on the nearest in-network hospital or urgent care facility.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Know Where to Go in an Emergency Act of 2019”.

SEC. 2. Requiring group health plans and health insurance issuers to include on any insurance card issued by such plan or issuer information on the nearest in-network hospital.

(a) Internal Revenue Code.—

(1) IN GENERAL.—Subchapter B of chapter 100 of the Internal Revenue Code of 1986 is amended by adding at the end the following new section:

“SEC. 9816. Information on nearest in-network hospital or urgent care facility.

“In the case of a group health plan that provides a physical or electronic card indicating membership in such plan to an individual enrolled under such plan, such group health plan shall identify on such card the nearest hospital or urgent care facility to the primary residence of such individual that has in effect a contractual relationship with such plan for furnishing items and services under such plan.”.

(2) NONAPPLICATION OF INCORPORATION PROVISIONS.—Section 9815(a) of the Internal Revenue Code of 1986 is amended—

(A) in paragraph (1), by striking “(as amended by the Patient Protection and Affordable Care Act)” and inserting “(other than, beginning with the first plan year beginning on or after the date of the enactment of the Know Where to Go in an Emergency Act of 2019, the provisions of section 2730 of the Public Health Service Act)”; and

(B) in paragraph (2), by inserting “(other than, beginning with the first plan year beginning on or after the date of the enactment of the Know Where to Go in an Emergency Act of 2019, the provisions of section 2730 of the Public Health Service Act)” after “such part A”.

(3) CLERICAL AMENDMENT.—The table of sections for such subchapter is amended by adding at the end the following new items:


“Sec. 9815. Additional market reforms.

“Sec. 9816. Information on nearest in-network hospital or urgent care facility.

(b) 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 new section:

“SEC. 2730. Information on nearest in-network hospital or urgent care facility.

“In the case of a group health plan or a health insurance issuer offering group or individual health insurance coverage that provides a physical or electronic card indicating membership in such plan or such coverage (as applicable) to an individual enrolled under such plan or such coverage, such group health plan or such health insurance issuer (as applicable) shall identify on such card the nearest hospital or urgent care facility to the primary residence of such individual that has in effect a contractual relationship with such plan or such issuer for furnishing items and services under such plan or such coverage.”.

(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.) is amended by adding at the end the following new section:

“SEC. 716. Information on nearest in-network hospital or urgent care facility.

“In the case of a group health plan or a health insurance issuer offering health insurance coverage in connection with a group health plan that provides a physical or electronic card indicating membership in such plan or such coverage (as applicable) to an individual enrolled under such plan or such coverage, such group health plan or such health insurance issuer (as applicable) shall identify on such card the nearest hospital or urgent care facility to the primary residence of such individual that has in effect a contractual relationship with such plan or such issuer for furnishing items and services under such plan or such coverage.”.

(2) NONAPPLICATION OF INCORPORATION PROVISIONS.—Section 715(a) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1185d(a)) is amended—

(A) in paragraph (1), by striking “(as amended by the Patient Protection and Affordable Care Act)” and inserting “(other than, beginning with the first plan year beginning on or after the date of the enactment of the Know Where to Go in an Emergency Act of 2019, the provisions of section 2730 of the Public Health Service Act)”; and

(B) in paragraph (2), by inserting “(other than, beginning with the first plan year beginning on or after the date of the enactment of the Know Where to Go in an Emergency Act of 2019, the provisions of section 2730 of the Public Health Service Act)” after “such part A”.

(3) CLERICAL AMENDMENT.—The table of contents in section 1 of the Employee Retirement Income Security Act of 1974 is amended by inserting after the item relating to section 714 the following new items:


“Sec. 715. Additional market reforms.

“Sec. 716. Information on nearest in-network hospital or urgent care facility.

(d) Effective date.—The amendments made by this section shall apply with respect to plan years beginning on or after the date of the enactment of this Act.


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