Title: Know Where to Go in an Emergency Act of 2019
Policy area: Health

Summary:
Know Where to Go in an Emergency Act of 2019  This bill requires private health insurance plans to identify on insurance membership cards the in-network hospital or urgent care facility nearest to the primary residence of the plan holder.



[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5192 Introduced in House (IH)]

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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.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Know Where to Go in an Emergency Act 
of 2019''.

SEC. 2. REQUIRING 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.

    (a) Internal Revenue Code.--
            (1) In general.--Subchapter B of chapter 100 of the 
        Internal Revenue Code of 1986 is amended by adding at the end 
        the following new section:

``SEC. 9816. INFORMATION ON NEAREST IN-NETWORK HOSPITAL OR URGENT CARE 
              FACILITY.

    ``In the case of a group health plan that provides a physical or 
electronic card indicating membership in such plan to an individual 
enrolled under such plan, such group health plan shall identify on such 
card the nearest hospital or urgent care facility to the primary 
residence of such individual that has in effect a contractual 
relationship with such plan for furnishing items and services under 
such plan.''.
            (2) Nonapplication of incorporation provisions.--Section 
        9815(a) of the Internal Revenue Code of 1986 is amended--
                    (A) in paragraph (1), by striking ``(as amended by 
                the Patient Protection and Affordable Care Act)'' and 
                inserting ``(other than, beginning with the first plan 
                year beginning on or after the date of the enactment of 
                the Know Where to Go in an Emergency Act of 2019, the 
                provisions of section 2730 of the Public Health Service 
                Act)''; and
                    (B) in paragraph (2), by inserting ``(other than, 
                beginning with the first plan year beginning on or 
                after the date of the enactment of the Know Where to Go 
                in an Emergency Act of 2019, the provisions of section 
                2730 of the Public Health Service Act)'' after ``such 
                part A''.
            (3) Clerical amendment.--The table of sections for such 
        subchapter is amended by adding at the end the following new 
        items:

``Sec. 9815. Additional market reforms.
``Sec. 9816. Information on nearest in-network hospital or urgent care 
                            facility.''
    (b) Public Health Service Act.--Subpart II of part A of title XXVII 
of the Public Health Service Act (42 U.S.C. 300gg-11 et seq.) is 
amended by adding at the end the following new section:

``SEC. 2730. INFORMATION ON NEAREST IN-NETWORK HOSPITAL OR URGENT CARE 
              FACILITY.

    ``In the case of a group health plan or a health insurance issuer 
offering group or individual health insurance coverage that provides a 
physical or electronic card indicating membership in such plan or such 
coverage (as applicable) to an individual enrolled under such plan or 
such coverage, such group health plan or such health insurance issuer 
(as applicable) shall identify on such card the nearest hospital or 
urgent care facility to the primary residence of such individual that 
has in effect a contractual relationship with such plan or such issuer 
for furnishing items and services under such plan or such coverage.''.
    (c) Employee Retirement Income Security Act.--
            (1) In general.--Subpart B of part 7 of subtitle B of title 
        I of the Employee Retirement Income Security Act of 1974 (29 
        U.S.C. 1185 et seq.) is amended by adding at the end the 
        following new section:

``SEC. 716. INFORMATION ON NEAREST IN-NETWORK HOSPITAL OR URGENT CARE 
              FACILITY.

    ``In the case of a group health plan or a health insurance issuer 
offering health insurance coverage in connection with a group health 
plan that provides a physical or electronic card indicating membership 
in such plan or such coverage (as applicable) to an individual enrolled 
under such plan or such coverage, such group health plan or such health 
insurance issuer (as applicable) shall identify on such card the 
nearest hospital or urgent care facility to the primary residence of 
such individual that has in effect a contractual relationship with such 
plan or such issuer for furnishing items and services under such plan 
or such coverage.''.
            (2) Nonapplication of incorporation provisions.--Section 
        715(a) of the Employee Retirement Income Security Act of 1974 
        (29 U.S.C. 1185d(a)) is amended--
                    (A) in paragraph (1), by striking ``(as amended by 
                the Patient Protection and Affordable Care Act)'' and 
                inserting ``(other than, beginning with the first plan 
                year beginning on or after the date of the enactment of 
                the Know Where to Go in an Emergency Act of 2019, the 
                provisions of section 2730 of the Public Health Service 
                Act)''; and
                    (B) in paragraph (2), by inserting ``(other than, 
                beginning with the first plan year beginning on or 
                after the date of the enactment of the Know Where to Go 
                in an Emergency Act of 2019, the provisions of section 
                2730 of the Public Health Service Act)'' after ``such 
                part A''.
            (3) Clerical amendment.--The table of contents in section 1 
        of the Employee Retirement Income Security Act of 1974 is 
        amended by inserting after the item relating to section 714 the 
        following new items:

``Sec. 715. Additional market reforms.
``Sec. 716. Information on nearest in-network hospital or urgent care 
                            facility.''
    (d) Effective Date.--The amendments made by this section shall 
apply with respect to plan years beginning on or after the date of the 
enactment of this Act.
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