1. Short title This Act may be cited as the Transparency in Coverage Act of 2023 . 2. Promoting group health plan and group health insurance coverage price transparency (a) In general (1) ERISA (A) In general Section 719 of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1185h ) is amended to read as follows: 719. Price transparency requirements (a) In general A group health plan, and a health insurance issuer offering group health insurance coverage, shall make available to the public accurate and timely disclosures of the following information: (1) Claims payment policies and practices. (2) Periodic financial disclosures. (3) Data on enrollment. (4) Data on disenrollment. (5) Data on the number of claims that are denied. (6) Data on rating practices. (7) Information on cost-sharing and payments with respect to any out-of-network coverage (or with respect to any item and service furnished under such a plan or such group health insurance coverage that does not use a network of providers). (8) Information on participant and beneficiary rights under this part. (9) Rate and payment information described in subsection (d). (10) Other information as determined appropriate by the Secretary. Rate and payment information described in paragraph (9) shall be made available to the public not later than January 10, 2025, and not later than the tenth day of every month thereafter, in the manner described in subsection (d)(2)(A), and, beginning on January 1, 2027, in real-time through an application program interface (or successor technology) described in subsection (d)(2)(B). (b) Use of plain language The information required to be submitted under subsection (a) shall be provided in plain language. The term plain language means language that the intended audience, including individuals with limited English proficiency, can readily understand and use because that language is clear, concise, well-organized, accurately describes the information, and follows other best practices of plain language writing. The