Instructions: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Input: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Health Insurance Claim Prompt
Payment Act of 1997''.

SEC. 2. PROMPT PAYMENT OF PROVIDER CLAIMS.

(a) Group Health Plans.--
(1) Public health service act amendments.--Subpart 2 of
part A of title XXVII of the Public Health Service Act (as
added by section 604(a) of the Newborns' and Mothers' Health
Protection Act of 1996 and amended by section 703(a) of the
Mental Health Parity Act of 1996) is amended by adding at the
end the following new section:

''SEC. 2706. STANDARDS RELATING TO PROMPT PAYMENT OF PROVIDER CLAIMS.

''(a) In General.--To the extent that a group health plan, or a
health insurance issuer offering group health insurance coverage, fails
to provide for the issue, mailing, or transmission of payment for a
clean claim within 30 calendar days after the date the plan or issuer
receives a clean claim, the plan or issuer shall provide for payment of
interest on the unpaid balance at the rate of interest and for the same
period specified in section 1842(c)(2)(C) of the Social Security Act
for purposes of part B of title XVIII of such Act.
''(b) Contract Limitations.--No provision of a contract between a
group health plan and a provider of health services, or between a
health insurance issuer and a provider of health services in relation
to provision of items and services in connection with group health
insurance coverage by the issuer, shall be given effect to the extent
it prevents the application of subsection (a). Such a provision may be
given effect to the extent it--
''(1) requires payment to be made more promptly than as
provided in subsection (a),
''(2) provides for a higher interest rate than that
provided under subsection (a), or
''(3) otherwise provides for greater sanctions or remedies
in the case of a failure by a plan or issuer to make prompt
payment on claims under the plan or under the health insurance
coverage involved.
''(c) Clean Claim Defined.--For purposes of this section, the term
'clean claim' means a claim that has no defect or impropriety
(including any lack of any required substantiating documentation) or
particular circumstance requiring special treatment that prevents
timely payment from being made on the claim under the group health plan
or health insurance coverage involved.''.
(2) ERISA amendments.--(A) Subpart B of part 7 of subtitle
B of title I of the Employee Retirement Income Security Act of
1974 (as added by section 603(a) of the Newborns' and Mothers'
Health Protection Act of 1996 and amended by section 702(a) of
the Mental Health Parity Act of 1996) is amended by adding at
the end the following new section:

''SEC. 713. STANDARDS RELATING TO PROMPT PAYMENT OF PROVIDER CLAIMS.

''(a) In General.--To the extent that a group health plan, or a
health insurance issuer offering group health insurance coverage, fails
to provide for the issue, mailing, or transmission of payment for a
clean claim within 30 calendar days after the date the plan or issuer
receives a clean claim, the plan or issuer shall provide for payment of
interest on the unpaid balance at the rate of interest and for the same
period specified in section 1842(c)(2)(C) of the Social Security Act
for purposes of part B of title XVIII of such Act.
''(b) Contract Limitations.--No provision of a contract between a
group health plan and a provider of health services, or between a
health insurance issuer and a provider of health services in relation
to provision of items and services in connection with group health
insurance coverage by the issuer, shall be given effect to the extent
it prevents the application of subsection (a). Such a provision may be
given effect to the extent it--
''(1) requires payment to be made more promptly than as
provided in subsection (a),
''(2) provides for a higher interest rate than that
provided under subsection (a), or
''(3) otherwise provides for greater sanctions or remedies
in the case of a failure by a plan or issuer to make prompt
payment on claims under the plan or under the health insurance
coverage involved.
''(c) Clean Claim Defined.--For purposes of this section, the term
'clean claim' means a claim that has no defect or impropriety
(including any lack of any required substantiating documentation) or
particular circumstance requiring special treatment that prevents
timely payment from being made on the claim under the group health plan
or health insurance coverage involved.''.
(B) Section 732(a) of such Act (29 U.S.C. 1191a(a)), as
amended by section 603(b)(2) of Public Law 104-204, is amended
by striking ''section 711'' and inserting ''sections 711 and
713''.
(C) The table of contents in section 1 of such Act is
amended by inserting after the item relating to section 712 the
following new item:

''Sec. 713. Standards relating to prompt payment of provider claims.''.
(b) Individual Health Insurance.--Part B of title XXVII of the
Public Health Service Act (as added by section 605(a) of the Newborn's
and Mother's Health Protection Act of 1996) is amended by inserting
after section 2751 the following new section:

''SEC. 2752. STANDARDS RELATING TO PROMPT PAYMENT OF PROVIDER CLAIMS.

''The provisions of section 2706 shall apply to health insurance
coverage offered by a health insurance issuer in the individual market
in the same manner as it applies to health insurance coverage offered
by a health insurance issuer in connection with a group health plan in
the small or large group market.''.
(c) Effective Dates.--The amendments made by this section shall
apply with respect to payment for items and services furnished on or
after the date this is 1 year after the date of the enactment of this
Act.
Output:
Health Insurance Claim Prompt Payment Act of 1997 - Amends the Employee Retirement Income Security Act of 1974 and the Public Health Service Act, as amended by the Newborns' and Mothers' Health Protection Act of 1996 and the Mental Health Parity Act of 1996, to: (1) require group health plans and group and individual health insurance coverage to pay interest on clean provider claims that are not paid within 30 days; and (2) establish standards relating to prompt payment of such claims.