Title V, SEC. 5130. STANDARD BENEFIT FORMS. 
      (a) Development. Not later than 1 year after the date of the enactment of 
    this Act, the National Health Board shall develop, promulgate, and publish 
    in the Federal Register the following standard health care benefit forms: 

        (1) An enrollment and disenrollment form to be used to record 
      enrollment and disenrollment in a health benefit plan. 

        (2) A clinical encounter record to be used by health benefit plans and 
      health service providers. 

        (3) A claim form to be used in the submission of claims for benefits or 
      payment under a health benefit plan. 

      (b) Instructions, Definitions, and Codes. Each standard form developed 
    under subsection (a) shall include instructions for completing the form 
    that 

        (1) specifically define, to the extent practicable, the data elements 
      contained in the form; and 

        (2) standardize any codes or data sets to be used in completing the 
      form. 

      (c) Requirements for Adoption of Forms. 

        (1) Health Service Providers. On or after the date that is 270 days 
      after the publication of the standard forms developed under subsection 
      (a), a health service provider that furnishes items or services in the 
      United States for which payment may be made under a health benefit plan 
      may not 

          (A) maintain records of clinical encounters involving such items or 
        services that are required to be maintained by the National Health 
        Board in a paper form that is not the clinical encounter record 
        promulgated by the Board; or 

          (B) submit any claim for benefits or payment for such services to 
        such plan in a paper form that is not the claim form promulgated by the 
        National Health Board. 

        (2) Health Benefit Plans. On or after the date that is 270 days after 
      the publication of the standard forms developed under subsection (a), a 
      health benefit plan may not 

          (A) record enrollment and disenrollment in a paper form that is not 
        the enrollment and disenrollment form promulgated by the National 
        Health Board; 

          (B) maintain records of clinical encounters that are required to be 
        maintained by the National Health Board in a paper form that is not the 
        clinical encounter record promulgated by the Board; or 

          (C) reject a claim for benefits or payment under the plan on the 
        basis of the form or manner in which the claim is submitted if 

            (i) the claim is submitted on the claim form promulgated by the 
          National Health Board; and 

            (ii) the plan accepts claims submitted in paper form. 

      (d) Definitions. For purposes of this subtitle: 

        (1) Health Benefit Plan. 

          (A) In general. The term ``health benefit plan'' means, except as 
        provided in subparagraphs (B) through (D), any public or private entity 
        or program that provides for payments for health care services, 
        including 

            (i) a group health plan (as defined in section 5000(b)(1) of the 
          Internal Revenue Code of 1986); and 

            (ii) any other health insurance arrangement, including any 
          arrangement consisting of a hospital or medical expense incurred 
          policy or certificate, hospital or medical service plan contract, or 
          health maintenance organization subscriber contract. 

          (B) Plans excluded. Such term does not include 

            (i) accident-only, credit, or disability income insurance; 

            (ii) coverage issued as a supplement to liability insurance; 

            (iii) an individual making payment on the individual's own behalf 
          (or on behalf of a relative or other individual) for deductibles, 
          coinsurance, or services not covered under a health benefit plan; and 

            (iv) such other plans as the National Health Board may determine, 
          because of the limitation of benefits to a single type or kind of 
          health care, such as dental services or hospital indemnity plans, or 
          other reasons should not be subject to the requirements of this 
          section. 

          (C) Plans included. Such term includes 

            (i) workers compensation or similar insurance insofar as it relates 
          to workers compensation medical benefits (as defined in section 
          10000(3)) provided by or through health plans; and 

            (ii) automobile medical insurance insofar as it relates to 
          automobile insurance medical benefits (as defined in section 
          10100(2)) provided by or through health plans. 

          (D) Treatment of direct provision of services. Such term does not 
        include a Federal or State program that provides directly for the 
        provision of health services to beneficiaries. 

        (2) Health service provider. The term ``health service provider'' 
      includes a provider of services (as defined in section 1861(u) of the 
      Social Security Act), physician, supplier, and other person furnishing 
      health care services. Such term includes a Federal or State program that 
      provides directly for the provision of health services to beneficiaries. 

      (e) Interim Nature of Requirements. The National Health Board may modify, 
    update, or supercede any standard form or requirement developed, 
    promulgated, or imposed under this section through the establishment of a 
    standard under section 5101.