text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Consumer Learning through 
  Electronically-Accessible and Reasonable Cost Information Act of 2013'' 
  or the ``CLEAR Cost Information Act of 2013''.
  
  SEC. 2. REPORTING OF CERTAIN HOSPITAL PAYMENT DATA.
  
      (a) In General.--Section 1866 of the Social Security Act (42 U.S.C. 
  1395cc) is amended--
              (1) in subsection (a)(1)--
                      (A) in subparagraph (V), by striking ``and'' at the 
                  end;
                      (B) in subparagraph (W), as added by section 3005 
                  of Public Law 111-148--
                              (i) by moving such subparagraph 2 ems to 
                          the left; and
                              (ii) by striking the period at the end and 
                          inserting a comma;
                      (C) in subparagraph (W), as added by section 
                  6406(b) of Public Law 111-148--
                              (i) by moving such subparagraph 2 ems to 
                          the left;
                              (ii) by redesignating such subparagraph as 
                          subparagraph (X); and
                              (iii) by striking the period at the end and 
                          inserting ``, and''; and
                      (D) by inserting after subparagraph (X), as 
                  redesignated by subparagraph (C)(ii), the following new 
                  subparagraph:
              ``(Y) in the case of a subsection (d) hospital (as defined 
          in section 1886(d)(1)(B)), to report payment data to the 
          Secretary in accordance subsection (l).''; and
              (2) by adding at the end the following new subsection:
      ``(l) Reporting of Certain Hospital Payment Data.--
              ``(1) In general.--A subsection (d) hospital (as defined in 
          section 1886(d)(1)(B)) shall submit to the Secretary data on 
          the actual amounts collected by the hospital from uninsured and 
          insured patients over the preceding 2 years for each of the 
          procedures described in paragraph (2).
              ``(2) Procedures described.--The procedures described in 
          this paragraph are the 50 most common diagnosis-related groups 
          and ambulatory payment classification groups for which payment 
          is made under this title, as determined by the Secretary based 
          on claims data, in both the inpatient and outpatient settings.
              ``(3) Transparency.--
                      ``(A) In general.--In order to be beneficial to 
                  consumers, the reporting of data under this subsection 
                  shall be done in a manner that is transparent to the 
                  general public.
                      ``(B) Public availability of information.--The 
                  Secretary shall post data submitted under paragraph (1) 
                  on a publicly accessible and searchable Internet 
                  website in a form and manner that--
                              ``(i) allows for meaningful comparisons of 
                          hospital collections and related policies by 
                          zip code; and
                              ``(ii) is readily understandable by a 
                          typical consumer.
                      ``(C) Linking of data.--A subsection (d) hospital 
                  shall include a link to the data posted under 
                  subparagraph (B) on the home Internet website of the 
                  hospital.''.
      (b) Effective Date.--The amendments made by this section shall 
  apply to contracts entered into, or renewed, on or after the date of 
  the enactment of this Act.
  
  SEC. 3. INCLUSION OF INFORMATION ON CHARITY CARE FURNISHED BY HOSPITALS 
                IN MEDPAC'S ANNUAL REPORT.
  
      Each annual report submitted to Congress after the date of the 
  enactment of this Act by the Medicare Payment Advisory Commission under 
  section 1805 of the Social Security Act (42 U.S.C. 1395b-6) shall 
  contain information on the percentage that charity care makes up of the 
  total care furnished by hospitals and critical access hospitals.
  
  SEC. 4. PUBLIC AVAILABILITY OF REPORT ON TRENDS IN LEVELS OF CHARITY 
                CARE PROVIDED BY CERTAIN HOSPITALS.
  
      (a) Posting of Data.--Section 9007(e)(2) of the Patient Protection 
  and Affordable Care Act (Public Law 111-148; 124 Stat. 858) is amended 
  by adding at the end the following new subparagraph:
                      ``(C) Public availability.--The Secretary of the 
                  Treasury, in consultation with the Secretary of Health 
                  and Human Services, shall post the data contained in 
                  the report under subparagraph (B) on a publicly 
                  accessible and searchable website that--
                              ``(i) allows for meaningful comparisons of 
                          the data by zip code; and
                              ``(ii) is readily understandable by a 
                          typical consumer.''.
      (b) Medicare Requirement for Hospitals To Provide a Link to the 
  Data on the Hospital's Home Webpage.--
              (1) In general.--Section 1866(a)(1) of the Social Security 
          Act (42 U.S.C. 1395cc(a)(1)), as amended by section 2, is 
          amended--
                      (A) in subparagraph (X), by striking ``and'' at the 
                  end;
                      (B) in subparagraph (Y), by striking the period at 
                  the end and inserting ``, and''; and
                      (C) by inserting after subparagraph (Y) the 
                  following new subparagraph:
                      ``(Z) in the case of hospitals and critical access 
                  hospitals, to include a link on the home Internet 
                  website of the hospital or critical access hospital to 
                  the data posted under section 9007(e)(2)(C) of the 
                  Patient Protection and Affordable Care Act.''.
              (2) Effective date.--The amendments made by paragraph (1) 
          shall apply to contracts entered into, or renewed, on or after 
          the date of the enactment of this Act.
target: Consumer Learning through Electronically-Accessible and Reasonable Cost Information Act of 2013 [sic] or CLEAR Cost Information Act of 2013 [sic] - Amends title XVIII (Medicare) of the Social Security Act (SSA) to require service providers, in order to be qualified to participate and receive Medicare payments under any agreement filed with the Secretary of Health and Human Services (HHS), to report to the Secretary payment data on &quot;subsection (d) hospitals.&quot; (Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system when providing covered inpatient services to eligible beneficiaries.) Requires a subsection (d) hospital to submit to the Secretary data on the actual amounts it has collected from uninsured and insured patients over the preceding two years for each of the 50 most common diagnosis-related groups and ambulatory payment classification groups for which payment is made in both the inpatient and outpatient settings. Requires each annual report submitted to Congress by the Medicare Payment Advisory Commission (MEDPAC) to contain information on the percentage that charity care makes up of the total care furnished by hospitals and critical access hospitals. Amends the Patient Protection and Affordable Care Act to require the Secretary of the Treasury to post data on trends in the levels of charity care provided by certain hospitals on a publicly accessible and searchable website. Amends SSA title XVIII to require hospitals and critical access hospitals to include a link to such data on their home Internet websites.
feat_title: Consumer Learning through Electronically-Accessible and Reasonable Cost Information Act of 2013