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SEC. 1179. Processing payment transactions by financial institutions

                                                                                                                                                                                                                                                                                                                        

 Title[ Title II\Subtitle F\Sec. 262                                               Contents

                                                                                                                                                                                                                                                                                                                       


    ``Sec. 1179. To <<NOTE: 42 USC 1320d-8.>>  the extent that an entity

is engaged in activities of a financial institution (as defined in

section 1101 of the Right to Financial Privacy Act of 1978), or is

engaged in authorizing, processing, clearing, settling, billing,

transferring, reconciling, or collecting payments, for a financial

institution, this part, and any standard adopted under this part, shall

not apply to the entity with respect to such activities, including the

following:


            ``(1) The use or disclosure of information by the entity for

        authorizing, processing, clearing, settling, billing,

        transferring, reconciling or collecting, a payment for, or

        related to, health plan premiums or health care, where such

        payment is made by any means, including a credit, debit, or

        other payment card, an account, check, or electronic funds

        transfer.


            ``(2) The request for, or the use or disclosure of,

        information by the entity with respect to a payment described in

        paragraph (1)--

                    ``(A) for transferring receivables;

                    ``(B) for auditing;

                    ``(C) in connection with--

                          ``(i) a customer dispute; or

                          ``(ii) an inquiry from, or to, a customer;

                    ``(D) in a communication to a customer of the entity

                regarding the customer's transactions, payment card,

                account, check, or electronic funds transfer;

                    ``(E) for reporting to consumer reporting agencies;

                or

                    ``(F) for complying with--

                          ``(i) a civil or criminal subpoena; or

                          ``(ii) a Federal or State law regulating the

                      entity.''.


    (b) Conforming Amendments.--

            (1) Requirement for medicare providers.--Section 1866(a)(1)

        (42 U.S.C. 1395cc(a)(1)) is amended--

                    (A) by striking ``and'' at the end of subparagraph

                (P);

                    (B) by striking the period at the end of

                subparagraph (Q) and inserting ``; and''; and

                    (C) by inserting immediately after subparagraph (Q)

                the following new subparagraph:


            ``(R) to contract only with a health care clearinghouse (as

        defined in section 1171) that meets each standard and

        implementation specification adopted or established under part C

        of title XI on or after the date on which the health care

        clearinghouse is required to comply with the standard or

        specification.''.

            (2) Title heading.--Title XI (42 U.S.C. 1301 et seq.) is


        amended by striking the title heading and inserting the

        following:


    ``TITLE XI--GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE

                            SIMPLIFICATION''.



                                                                                                                                                                                                                                                                                                                                                                        

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