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118-hr-4527Introduced
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Health DATA Act of 2023

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Summary

Official CRS summary

Health Data Access, Transparency, and Affordability Act or the Health DATA Act This bill revises the requirements for contracts between employer-sponsored health plans and provider networks, third-party administrators, or pharmacy benefit managers (PBMs). Specifically, such contracts must also allow health plan fiduciaries to reasonably access and audit certain claims and cost information. Further, a plan fiduciary must annually attest that the plan is in compliance with this requirement. The bill establishes civil penalties for violations of these requirements. The Department of Labor must report on the status of health plans' ability to access to certain de-identified claim information.

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Bill details

Congress
118
Bill type
hr
Introduced
July 11, 2023
Sponsor
Not yet available
Last action
November 1, 2023— Placed on the Union Calendar, Calendar No. 210.

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