later than 60 days after the date of the enactment 
of this Act. 
(4) TERM.—Members shall be appointed for 1- 
year terms. 
(5) VACANCIES.—A vacancy in the Panel shall 
be filled not later than 60 days after such vacancy 
occurs and in the manner in which the original ap-
pointment was made. 
(d) POWERS OF PANEL.— 
(1) MEETINGS AND HEARINGS.— 
(A) IN GENERAL.—The Panel shall meet 
upon the call of the chairperson or a majority 
of its voting members. Such meetings, to the 
extent practicable, may be conducted over the 
internet or in person. 
(B) HEARINGS.—The Panel may, for the 
purpose of carrying out this section, hold hear-
ings, sit and act at times and places, take testi-
mony, and receive evidence to carry out its du-
ties under this section. The Panel may admin-
ister oaths or affirmations to witnesses appear-
ing before it. 
(2) OBTAINING OFFICIAL INFORMATION.— 
(A) REQUIREMENT TO FURNISH.—Except 
as provided in subparagraph (B), if the Panel 
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submits a request to a Federal department or 
agency for information necessary to enable the 
Panel to carry out this section, the head of that 
department or agency shall furnish that infor-
mation to the Panel. 
(B) EXCEPTION
FOR
NATIONAL
SECU-
RITY.—If the head of a Federal department or 
agency determines that it is necessary to with-
hold requested information from disclosure to 
protect the national security interests of the 
United States, the department or agency head 
shall not furnish that information to the Panel. 
(3) MAILS.—The Panel may use the United 
States mails in the same manner and under the 
same conditions as other departments and agencies 
of the United States. 
(4) CONTRACTS.—The Panel may contract with 
and compensate persons and government agencies 
for supplies and services, without regard to section 
3709 of the Revised Statutes (41 U.S.C. 5). 
(e) PAY AND REIMBURSEMENT.— 
(1) NO
COMPENSATION
FOR
MEMBERS
OF 
PANEL.—Except as provided in paragraph (2), a 
member of the Panel may not receive pay, allow-
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ances, or benefits by reason of the member’s service 
on the Panel. 
(2) TRAVEL
EXPENSES.—Each member shall 
receive travel expenses, including per diem in lieu of 
subsistence under subchapter I of chapter 57 of title 
5, United States Code. 
(f) QUORUM.—Thirty members of the Panel shall 
constitute a quorum, but a lesser number may hold hear-
ings. 
TITLE 
II—TRANSPARENCY 
RE-
LATED 
TO 
HEALTH 
CARE 
PROVIDER CHARGES 
SEC. 201. TRANSPARENCY REQUIREMENTS RELATED TO 
HEALTH CARE PROVIDER CHARGES. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, a health care provider shall provide to an indi-
vidual who is scheduled to receive a service or treatment 
the following: 
(1) ACTUAL PRICES TO BE CHARGED.—The ac-
tual price that the health care provider will charge 
for the service or treatment. 
(2) PAYMENT
RATES
APPLICABLE
TO
OTHER 
ENTITIES.—In the case such charge amount for the 
service or treatment is different from— 
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srobinson on DSKHWCL6B1PROD with BILLS
(A) the rate of payment for the service or 
treatment to the health care provider that has 
been negotiated by or on behalf of the provider 
with a network plan or managed care plan; 
(B) the rate of payment for the service or 
treatment applicable to the provider under the 
Medicare program under title XVIII; or 
(C) such charge amount or payment rate 
that is applicable with respect to any other enti-
ty; 
the amount of such different rate of payment or 
charge amount and a description of the type of enti-
ty to which such rate or charge applies (without 
naming such entity). 
(b) APPLICATION OF REQUIREMENT ON REQUEST.— 
A health care provider is required to provide the applicable 
information under subsection (a) for a service or treat-
ment when requested by anyone in person, or by phone, 
fax, or email. 
(c) CLARIFICATION.—Nothing in this section shall be 
construed as preventing a health care provider from pro-
viding a service or treatment free of charge as a charitable 
gesture without publicly disclosing the individual to whom 
such charitable service or treatment has been provided. 
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(d) EFFECTIVE DATE.—The requirement under sub-
section (a) shall apply with respect to services and treat-
ments provided on or after the date that is 60 days after 
the date of the enactment of this Act. 
TITLE III—IMMIGRATION- 
RELATED PROVISIONS 
SEC. 301. REQUIREMENT FOR IMMIGRANT TO BE COVERED 
UNDER HIGH DEDUCTIBLE HEALTH PLAN 
AND HSA. 
Notwithstanding any other provision of law, a con-
sular officer (as defined in section 101(a) of the Immigra-
tion and Nationality Act (8 U.S.C. 1101(a)) may not issue 
or renew an immigrant visa to an alien unless the alien 
presents evidence (which may be in the form of an attesta-
tion by a sponsoring employer or individual United States 
citizen in whose household the alien intends to reside who 
will be responsible for providing the requisite coverage) 
that the alien (and the alien’s spouse and children who 
are accompanying or following to join the alien) will be 
covered under a high deductible health plan (as defined 
in section 223 of the Internal Revenue Code of 1986) and 
will be an account beneficiary of a health savings account 
under such section after the alien’s admission to the 
United States as an immigrant and for the duration of 
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the alien’s residence in the United States, or be subject 
to removal. 
SEC. 302. REENTRY OF REMOVED ALIEN WHO RECEIVED 
EMERGENCY MEDICAL ASSISTANCE. 
Section 276(b) of the Immigration and Nationality 
Act (8 U.S.C. 1326(b)) is amended— 
(1) in paragraph (3), by striking ‘‘. or’’ at the 
end; 
(2) in paragraph (4), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following: 
‘‘(5) whose removal was subsequent to the pro-
vision of medical assistance pursuant to section 
401(b)(1)(A) of the Personal Responsibility and 
Work 
Opportunity 
Act 
of 
1996 
(8 
U.S.C. 
1611(b)(1)(A)), such alien shall be fined under title 
18, United States Code, imprisoned not more than 
10 years, or both.’’. 
Æ 
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