I 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Know Where to Go 

3 in an Emergency Act of 2019’’. 

4 SEC. 2. REQUIRING GROUP HEALTH PLANS AND HEALTH 

5 INSURANCE ISSUERS TO INCLUDE ON ANY IN6 SURANCE CARD ISSUED BY SUCH PLAN OR 

7 ISSUER INFORMATION ON THE NEAREST IN8 NETWORK HOSPITAL. 

9 (a) INTERNAL REVENUE CODE.— 

10 (1) IN GENERAL.—Subchapter B of chapter 

11 100 of the Internal Revenue Code of 1986 is amend12 ed by adding at the end the following new section: 

13 ‘‘SEC. 9816. INFORMATION ON NEAREST IN-NETWORK HOS14 PITAL OR URGENT CARE FACILITY. 

15 ‘‘In the case of a group health plan that provides a 

16 physical or electronic card indicating membership in such 

17 plan to an individual enrolled under such plan, such group 

18 health plan shall identify on such card the nearest hospital 

19 or urgent care facility to the primary residence of such 

20 individual that has in effect a contractual relationship with 

21 such plan for furnishing items and services under such 

22 plan.’’. 

23 (2) NONAPPLICATION OF INCORPORATION PRO24 VISIONS.—Section 9815(a) of the Internal Revenue 

25 Code of 1986 is amended— 


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1 (A) in paragraph (1), by striking ‘‘(as 

2 amended by the Patient Protection and Afford3 able Care Act)’’ and inserting ‘‘(other than, be4 ginning with the first plan year beginning on or 

5 after the date of the enactment of the Know 

6 Where to Go in an Emergency Act of 2019, the 

7 provisions of section 2730 of the Public Health 

8 Service Act)’’; and 

9 (B) in paragraph (2), by inserting ‘‘(other 

10 than, beginning with the first plan year begin11 ning on or after the date of the enactment of 

12 the Know Where to Go in an Emergency Act of 

13 2019, the provisions of section 2730 of the 

14 Public Health Service Act)’’ after ‘‘such part 

15 A’’. 

16 (3) CLERICAL AMENDMENT.—The table of sec17 tions for such subchapter is amended by adding at 

18 the end the following new items: 

‘‘Sec. 9815. Additional market reforms. 

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

19 (b) PUBLIC HEALTH SERVICE ACT.—Subpart II of 

20 part A of title XXVII of the Public Health Service Act 

21 (42 U.S.C. 300gg–11 et seq.) is amended by adding at 

22 the end the following new section: 


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1 ‘‘SEC. 2730. INFORMATION ON NEAREST IN-NETWORK HOS2 PITAL OR URGENT CARE FACILITY. 

3 ‘‘In the case of a group health plan or a health insur4 ance issuer offering group or individual health insurance 

5 coverage that provides a physical or electronic card indi6 cating membership in such plan or such coverage (as ap7 plicable) to an individual enrolled under such plan or such 

8 coverage, such group health plan or such health insurance 

9 issuer (as applicable) shall identify on such card the near10 est hospital or urgent care facility to the primary residence 

11 of such individual that has in effect a contractual relation12 ship with such plan or such issuer for furnishing items 

13 and services under such plan or such coverage.’’. 

14 (c) EMPLOYEE RETIREMENT INCOME SECURITY

15 ACT.— 

16 (1) IN GENERAL.—Subpart B of part 7 of sub17 title B of title I of the Employee Retirement Income 

18 Security Act of 1974 (29 U.S.C. 1185 et seq.) is 

19 amended by adding at the end the following new sec20 tion: 

21 ‘‘SEC. 716. INFORMATION ON NEAREST IN-NETWORK HOS22 PITAL OR URGENT CARE FACILITY. 

23 ‘‘In the case of a group health plan or a health insur24 ance issuer offering health insurance coverage in connec25 tion with a group health plan that provides a physical or 

26 electronic card indicating membership in such plan or such 


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1 coverage (as applicable) to an individual enrolled under 

2 such plan or such coverage, such group health plan or 

3 such health insurance issuer (as applicable) shall identify 

4 on such card the nearest hospital or urgent care facility 

5 to the primary residence of such individual that has in 

6 effect a contractual relationship with such plan or such 

7 issuer for furnishing items and services under such plan 

8 or such coverage.’’. 

9 (2) NONAPPLICATION OF INCORPORATION PRO10 VISIONS.—Section 715(a) of the Employee Retire11 ment Income Security Act of 1974 (29 U.S.C. 

12 1185d(a)) is amended— 

13 (A) in paragraph (1), by striking ‘‘(as 

14 amended by the Patient Protection and Afford15 able Care Act)’’ and inserting ‘‘(other than, be16 ginning with the first plan year beginning on or 

17 after the date of the enactment of the Know 

18 Where to Go in an Emergency Act of 2019, the 

19 provisions of section 2730 of the Public Health 

20 Service Act)’’; and 

21 (B) in paragraph (2), by inserting ‘‘(other 

22 than, beginning with the first plan year begin23 ning on or after the date of the enactment of 

24 the Know Where to Go in an Emergency Act of 

25 2019, the provisions of section 2730 of the 


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1 Public Health Service Act)’’ after ‘‘such part 

2 A’’. 

3 (3) CLERICAL AMENDMENT.—The table of con4 tents in section 1 of the Employee Retirement In5 come Security Act of 1974 is amended by inserting 

6 after the item relating to section 714 the following 

7 new items: 

‘‘Sec. 715. Additional market reforms. 

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

8 (d) EFFECTIVE DATE.—The amendments made by 

9 this section shall apply with respect to plan years begin10 ning on or after the date of the enactment of this Act. 

Æ 


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