HR6100-119

1. Short title This Act may be cited as the Health Accelerating Consumer’s Care by Expediting Self-Scheduling Act or the Health ACCESS Act.

2. Amendments to section 1128B Section 1128B(b) of the Social Security Act (42 U.S.C. 1320a–7b(b)) is amended— in paragraph (3)— by moving the margin of subparagraphs (J) and (K) 2 ems to the left; in subparagraph (K), by striking and after the semicolon at the end; in subparagraph (L), by striking the period at the end and inserting ; and; and by adding at the end the following new subparagraph: any remuneration paid by a provider of services (as defined in section 1861(u)) or a supplier (as defined in section 1861(d)) to an information service provider (as defined in paragraph (5)) for participation in an information service (as so defined), if— such information service provider does not— steer or lead a consumer to select a particular provider of services or supplier based on the amount a provider of services or supplier pays or may pay the information service provider; provide, or represent itself as providing, any medical items or services, diagnostic or counseling services, or assessments of illness or injury, or make any promises of cure or guarantees of treatment; provide contact information regarding a consumer (as defined in paragraph (5)) to providers of services or suppliers, except to the specific provider of services or supplier selected by the consumer; provide or arrange for transportation of an individual to, or from, the location of a provider of services or supplier; provide or arrange for the provision of any other remuneration to a Federal health care program beneficiary other than the inherent convenience of the information service; or engage in targeted marketing of a particular provider of services or supplier through phone calls or text messages, with respect to consumers or potential consumers who have not previously interacted with the information service provider or who have opted out; the methodology for determining compensation paid to the information service provider by a provider of services or supplier is set in advance in writing, and the compensation— does not exceed fair market value; is for services, specified in writing; and does not take into account the value of any items or services payable in whole or in part by a Federal health care program provided to consumers by providers or suppliers who participate in the information services; such information service provider clearly discloses the financial arrangement between it and the providers of services or suppliers participating in such service to consumers; such information service provider furnishes provider- and supplier-specific information to consumers based only on objective, consumer-centric criteria; such information service provider develops objective criteria for participation in such information service and does not exclude any providers of services or suppliers who meet such criteria from participating therein; and such information service provider meets other conditions that may be determined by the Secretary. by adding at the end the following new paragraph: For purposes of paragraph (3)(M): The term consumer means an individual who uses a platform provided by an information service provider for the purpose of searching providers of services or suppliers. The term information service means a web-based platform that has the primary purpose of providing consumers a bookable directory to search for providers of services or suppliers. The term information service provider means any individual or entity operating a web-based platform that makes information regarding providers of services or suppliers available to consumers. (M)any remuneration paid by a provider of services (as defined in section 1861(u)) or a supplier (as defined in section 1861(d)) to an information service provider (as defined in paragraph (5)) for participation in an information service (as so defined), if— (i)such information service provider does not— (I)steer or lead a consumer to select a particular provider of services or supplier based on the amount a provider of services or supplier pays or may pay the information service provider; (II)provide, or represent itself as providing, any medical items or services, diagnostic or counseling services, or assessments of illness or injury, or make any promises of cure or guarantees of treatment; (III)provide contact information regarding a consumer (as defined in paragraph (5)) to providers of services or suppliers, except to the specific provider of services or supplier selected by the consumer; (IV)provide or arrange for transportation of an individual to, or from, the location of a provider of services or supplier; (V)provide or arrange for the provision of any other remuneration to a Federal health care program beneficiary other than the inherent convenience of the information service; or (VI)engage in targeted marketing of a particular provider of services or supplier through phone calls or text messages, with respect to consumers or potential consumers who have not previously interacted with the information service provider or who have opted out; (ii)the methodology for determining compensation paid to the information service provider by a provider of services or supplier is set in advance in writing, and the compensation— (I)does not exceed fair market value; (II)is for services, specified in writing; and (III)does not take into account the value of any items or services payable in whole or in part by a Federal health care program provided to consumers by providers or suppliers who participate in the information services; (iii)such information service provider clearly discloses the financial arrangement between it and the providers of services or suppliers participating in such service to consumers; (iv)such information service provider furnishes provider- and supplier-specific information to consumers based only on objective, consumer-centric criteria; (v)such information service provider develops objective criteria for participation in such information service and does not exclude any providers of services or suppliers who meet such criteria from participating therein; and (vi)such information service provider meets other conditions that may be determined by the Secretary.; and (5)DefinitionsFor purposes of paragraph (3)(M): (A)ConsumerThe term consumer means an individual who uses a platform provided by an information service provider for the purpose of searching providers of services or suppliers. (B)Information serviceThe term information service means a web-based platform that has the primary purpose of providing consumers a bookable directory to search for providers of services or suppliers. (C)Information service providerThe term information service provider means any individual or entity operating a web-based platform that makes information regarding providers of services or suppliers available to consumers..