SEC. 2. MEDICAL MANAGEMENT. 
Section 6001 of the Families First Coronavirus Re-
sponse Act (Public Law 116–127) is amended by adding 
at the end the following: 
‘‘(e) MEDICAL MANAGEMENT.—For purposes of this 
section, the term ‘medical management’ includes deter-
minations about why an individual sought testing, the na-
ture of the clinical assessment that was associated with 
the testing, whether the individual was showing symptoms, 
what provider ordered the testing, the frequency of testing 
obtained by the individual, and other reviews of the en-
counters or events that proceeded or followed a service de-
scribed in subsection (a). Such term does not include rea-
sonable efforts by a group health plan or health insurance 
issuer to encourage individuals to obtain tests from lower 
priced providers (provided that such reasonable efforts do 
not delay or otherwise impede access to testing).’’. 
SEC. 3. IMPROVEMENTS TO TRANSPARENCY POLICY. 
(a) IN GENERAL.—Section 3202 of the CARES Act 
(Public Law 116–136) is amended by adding at the end 
the following: 
‘‘(c) IMPROVEMENTS TO TRANSPARENCY POLICY.— 
Not later than 30 days after the date of enactment of this 
subsection, the Secretary of Health and Human Services 
shall survey a sample of providers of the items and serv-
ices described in section 6001(a) of division F of the Fam-
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ilies First Coronavirus Response Act (Public Law 116– 
127) regarding the cash prices for such items and services 
as listed by the providers on a public internet website. The 
Secretary shall survey no fewer than 200 providers rep-
resenting a diversity of sizes, geographic locations, test 
types, and care settings (such as hospitals, laboratories, 
and free-standing emergency rooms). 
‘‘(d) PUBLIC REPORT.—Not later than 45 days after 
the date of enactment of this subsection, the Secretary of 
Health and Human Services shall publish a report on cash 
prices for items and services published under subsection 
(b)(1), which shall include— 
‘‘(1) the compliance rate of providers with the 
cash price publication requirement under subsection 
(b)(1); 
‘‘(2) the average cash price for each item and 
service described in section 6001(a) of division F of 
the Families First Coronavirus Response Act (Public 
Law 116–127) and published under subsection 
(b)(1); 
‘‘(3) with respect to each such item and service, 
a comparison of such average cash price to the reim-
bursement rate under the Medicare program under 
title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.); and 
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‘‘(4) any outlier cash prices published under 
subsection (b)(1) (including the names of the pro-
viders charging such prices) that substantially ex-
ceed the average cash price.’’. 
SEC. 4. GUIDANCE ON BILLING FOR PROVIDER VISITS AS-
SOCIATED WITH COVID–19 TESTING. 
The Secretary of Health and Human Services, the 
Secretary of Labor, and the Secretary of the Treasury, 
shall jointly issue guidance, not later than 30 days after 
the date of enactment of this Act for purposes of clari-
fying— 
(1) the process for submitting claims for items 
and services described in section 6001(a) of the 
Families First Coronavirus Response Act (Public 
Law 116–127) to ensure that individuals enrolled in 
individual or group health insurance coverage or 
group health plans to whom such items and services 
are furnished are not subject to cost sharing or prior 
authorization or other medical management require-
ments; and 
(2) that providers should not collect cost-shar-
ing amounts from individuals seeking items and 
services described in section 6001(a) of such Act. 
Æ 
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