F:/P11/NHI/TRICOMM/AAHCA09 - 001.XML: Ompliance Examination and Audits N General

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1 gardless of whether such accountability is with re-
2 spect to qualified health benefits plans offered
3 through the Health Insurance Exchange or outside
4 of such Exchange.
5 (2) COMPLIANCE EXAMINATION AND AUDITS.—

6 (A) IN GENERAL.—The commissioner


7 shall, in coordination with States, conduct au-
8 dits of qualified health benefits plan compliance
9 with Federal requirements. Such audits may
10 include random compliance audits and targeted
11 audits in response to complaints or other sus-
12 pected non-compliance.
13 (B) RECOUPMENT OF COSTS IN CONNEC-

14 TION WITH EXAMINATION AND AUDITS.—The

15 Commissioner is authorized to recoup from


16 qualified health benefits plans reimbursement
17 for the costs of such examinations and audit of
18 such QHBP offering entities.
19 (c) DATA COLLECTION.—The Commissioner shall
20 collect data for purposes of carrying out the Commis-
21 sioner’s duties, including for purposes of promoting qual-
22 ity and value, protecting consumers, and addressing dis-
23 parities in health and health care and may share such data
24 with the Secretary of Health and Human Services.
25 (d) SANCTIONS AUTHORITY.—

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