H.R.5807

            I 

116TH CONGRESS 
2D SESSION H. R. 5807 

To amend title XXVII of the Public Health Service Act, the Internal Revenue 
Code of 1986, the Employee Retirement Income Security Act of 1974, 
and title XI of the Social Security Act to improve the availability and 
accuracy of provider directory information made available by group health 
plans and health insurance issuers offering group or individuals health 
insurance coverage. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 7, 2020 
Mr. LARSON of Connecticut (for himself and Mr. WENSTRUP) introduced the 

following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committees on Ways and Means, and Edu-
cation and Labor, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 

A BILL 
To amend title XXVII of the Public Health Service Act, 

the Internal Revenue Code of 1986, the Employee Retire-
ment Income Security Act of 1974, and title XI of the 
Social Security Act to improve the availability and accu-
racy of provider directory information made available 
by group health plans and health insurance issuers offer-
ing group or individuals health insurance coverage. 

Be it enacted by the Senate and House of Representa-1

tives of the United States of America in Congress assembled, 2

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



2 

•HR 5807 IH

SECTION 1. SHORT TITLE. 1

This Act may be cited as the ‘‘Know Your Provider 2

Act of 2020’’. 3

SEC. 2. IMPROVING THE AVAILABILITY AND ACCURACY OF 4

PROVIDER DIRECTORY INFORMATION MADE 5

AVAILABLE BY GROUP HEALTH PLANS AND 6

HEALTH INSURANCE ISSUERS OFFERING 7

GROUP OR INDIVIDUALS HEALTH INSUR-8

ANCE COVERAGE. 9

(a) GROUP HEALTH PLAN AND HEALTH INSURANCE 10

ISSUER REQUIREMENTS.— 11

(1) PUBLIC HEALTH SERVICE ACT.—Subpart II 12

of part A of title XXVII of the Public Health Serv-13

ice Act (42 U.S.C. 300gg–11 et seq.) is amended by 14

adding at the end the following new section: 15

‘‘SEC. 2730. PROVIDER DIRECTORY REQUIREMENTS. 16

‘‘(a) IN GENERAL.—Beginning not later than Janu-17

ary 1, 2022, each group health plan and health insurance 18

issuer offering group or individual health insurance cov-19

erage shall— 20

‘‘(1) establish the verification process described 21

in subsection (b); 22

‘‘(2) establish the response protocol described in 23

subsection (c); 24

‘‘(3) establish the database described in sub-25

section (d); and 26

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



3 

•HR 5807 IH

‘‘(4) include in any directory (other than the 1

database described in paragraph (3)) containing pro-2

vider directory information with respect to such plan 3

or such coverage the information described in sub-4

section (e). 5

‘‘(b) VERIFICATION PROCESS.—The verification 6

process described in this subsection is, with respect to a 7

group health plan or a health insurance issuer offering 8

group or individual health insurance coverage, a process— 9

‘‘(1) under which such plan or such issuer (as 10

applicable) verifies and updates the provider direc-11

tory information included on the database described 12

in subsection (d) of such plan or issuer of— 13

‘‘(A) not less frequently than once every 90 14

days, a random sample of at least 10 percent 15

of health care providers and health care facili-16

ties included in such database; and 17

‘‘(B) any such provider or such facility in-18

cluded in such database that has not submitted 19

any claim to such plan or such issuer (as appli-20

cable) during a 12-month period; 21

‘‘(2) that establishes a procedure for the re-22

moval from such database of such a provider or fa-23

cility with respect to which such plan or issuer has 24

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



4 

•HR 5807 IH

been unable to verify such information during a pe-1

riod specified by the plan or issuer; and 2

‘‘(3) that provides for the update of such data-3

base within 2 business days of such plan or such 4

issuer (as applicable) receiving from such a provider 5

or facility information pursuant to section 1150C of 6

the Social Security Act. 7

‘‘(c) RESPONSE PROTOCOL.—The response protocol 8

described in this subsection is, in the case of an individual 9

enrolled under a group health plan or group or individual 10

health insurance coverage offered by a health insurance 11

issuer who requests information through a telephone call 12

or email on whether a health care provider or health care 13

facility has a contractual relationship to furnish items and 14

services under such plan or such coverage, a protocol 15

under which such plan or such issuer (as applicable)— 16

‘‘(1) responds to such individual as soon as 17

practicable, and in no case later than 1 business day 18

after such call or email is received, through a writ-19

ten electronic communication; and 20

‘‘(2) retains such communication in such indi-21

vidual’s file for at least 2 years following such re-22

sponse. 23

‘‘(d) DATABASE.—The database described in this 24

subsection is, with respect to a group health plan or health 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



5 

•HR 5807 IH

insurance issuer offering group or individual health insur-1

ance coverage, a database on the public website of such 2

plan or issuer that contains— 3

‘‘(1) a list of each health care provider and 4

health care facility with which such plan or such 5

issuer has a contractual relationship for furnishing 6

items and services under such plan or such coverage; 7

and 8

‘‘(2) provider directory information with respect 9

to each such provider and facility. 10

‘‘(e) INFORMATION.—The information described in 11

this subsection is, with respect to a directory containing 12

provider directory information with respect to a group 13

health plan or individual or group health insurance cov-14

erage offered by a health insurance issuer, a notification 15

that such information contained in such directory was ac-16

curate as of the date of publication of such directory and 17

that an individual enrolled under such plan or such cov-18

erage should consult the database described in subsection 19

(d) with respect to such plan or such coverage or contact 20

such plan or the issuer of such coverage to obtain the most 21

current provider directory information with respect to 22

such plan or such coverage. 23

‘‘(f) DEFINITION.—For purposes of this section, the 24

term ‘provider directory information’ includes, with re-25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



6 

•HR 5807 IH

spect to a group health plan and a health insurance issuer 1

offering group or individual health insurance coverage, the 2

name, address, specialty, and telephone number of each 3

health care provider or health care facility with which such 4

plan or such issuer has a contractual relationship for fur-5

nishing items and services under such plan or such cov-6

erage.’’. 7

(2) INTERNAL REVENUE CODE OF 1986.— 8

(A) IN GENERAL.—Subchapter B of chap-9

ter 100 of the Internal Revenue Code of 1986 10

is amended by adding at the end the following 11

new section: 12

‘‘SEC. 9816. PROVIDER DIRECTORY REQUIREMENTS. 13

‘‘(a) IN GENERAL.—Beginning not later than Janu-14

ary 1, 2022, each group health plan shall— 15

‘‘(1) establish the verification process described 16

in subsection (b); 17

‘‘(2) establish the response protocol described in 18

subsection (c); 19

‘‘(3) establish the database described in sub-20

section (d); and 21

‘‘(4) include in any directory (other than the 22

database described in paragraph (3)) containing pro-23

vider directory information with respect to such plan 24

the information described in subsection (e). 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



7 

•HR 5807 IH

‘‘(b) VERIFICATION PROCESS.—The verification 1

process described in this subsection is, with respect to a 2

group health plan, a process— 3

‘‘(1) under which such plan verifies and updates 4

the provider directory information included on the 5

database described in subsection (d) of such plan 6

of— 7

‘‘(A) not less frequently than once every 90 8

days, a random sample of at least 10 percent 9

of health care providers and health care facili-10

ties included in such database; and 11

‘‘(B) any such provider or such facility in-12

cluded in such database that has not submitted 13

any claim to such plan during a 12-month pe-14

riod; 15

‘‘(2) that establishes a procedure for the re-16

moval from such database of such a provider or fa-17

cility with respect to which such plan has been un-18

able to verify such information during a period spec-19

ified by the plan; and 20

‘‘(3) that provides for the update of such data-21

base within 2 business days of such plan receiving 22

from such a provider or facility information pursu-23

ant to section 1150C of the Social Security Act. 24

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



8 

•HR 5807 IH

‘‘(c) RESPONSE PROTOCOL.—The response protocol 1

described in this subsection is, in the case of an individual 2

enrolled under a group health plan who requests informa-3

tion through a telephone call or email on whether a health 4

care provider or health care facility has a contractual rela-5

tionship to furnish items and services under such plan, 6

a protocol under which such plan— 7

‘‘(1) responds to such individual as soon as 8

practicable, and in no case later than 1 business day 9

after such call or email is received, through a writ-10

ten electronic communication; and 11

‘‘(2) retains such communication in such indi-12

vidual’s file for at least 2 years following such re-13

sponse. 14

‘‘(d) DATABASE.—The database described in this 15

subsection is, with respect to a group health plan, a data-16

base on the public website of such plan that contains— 17

‘‘(1) a list of each health care provider and 18

health care facility with which such plan has a con-19

tractual relationship for furnishing items and serv-20

ices under such plan; and 21

‘‘(2) provider directory information with respect 22

to each such provider and facility. 23

‘‘(e) INFORMATION.—The information described in 24

this subsection is, with respect to a directory containing 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



9 

•HR 5807 IH

provider directory information with respect to a group 1

health plan, a notification that such information contained 2

in such directory was accurate as of the date of publication 3

of such directory and that an individual enrolled under 4

such plan should consult the database described in sub-5

section (d) with respect to such plan or contact such plan 6

to obtain the most current provider directory information 7

with respect to such plan. 8

‘‘(f) DEFINITION.—For purposes of this section, the 9

term ‘provider directory information’ includes, with re-10

spect to a group health plan, the name, address, specialty, 11

and telephone number of each health care provider or 12

health care facility with which such plan has a contractual 13

relationship for furnishing items and services under such 14

plan or such coverage.’’. 15

(B) CONFORMING AMENDMENT.—Section 16

9815(a) of the Internal Revenue Code of 1986 17

is amended— 18

(i) in paragraph (1), by striking ‘‘(as 19

amended by the Patient Protection and Af-20

fordable Care Act)’’ and inserting ‘‘(other 21

than the provisions of section 2730 of such 22

Act)’’; and 23

(ii) in paragraph (2), by inserting 24

‘‘(other than the provisions of section 2730 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



10 

•HR 5807 IH

of such Act)’’ after the first occurrence of 1

‘‘such part A’’. 2

(C) CLERICAL AMENDMENT.—The table of 3

sections for such subchapter is amended by 4

adding at the end the following new items: 5

‘‘Sec. 9815. Additional market reforms. 
‘‘Sec. 9816. Provider directory requirements.’’. 

(3) EMPLOYEE RETIREMENT INCOME SECURITY 6

ACT OF 1974.— 7

(A) IN GENERAL.—Subpart B of part 7 of 8

subtitle B of title I of the Employee Retirement 9

Income Security Act of 1974 (29 U.S.C. 1185 10

et seq.) is amended by adding at the end the 11

following new section: 12

‘‘SEC. 716. PROVIDER DIRECTORY REQUIREMENTS. 13

‘‘(a) IN GENERAL.—Beginning not later than Janu-14

ary 1, 2022, each group health plan and health insurance 15

issuer offering group health insurance coverage shall— 16

‘‘(1) establish the verification process described 17

in subsection (b); 18

‘‘(2) establish the response protocol described in 19

subsection (c); 20

‘‘(3) establish the database described in sub-21

section (d); and 22

‘‘(4) include in any directory (other than the 23

database described in paragraph (3)) containing pro-24

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



11 

•HR 5807 IH

vider directory information with respect to such plan 1

or such coverage the information described in sub-2

section (e). 3

‘‘(b) VERIFICATION PROCESS.—The verification 4

process described in this subsection is, with respect to a 5

group health plan or a health insurance issuer offering 6

group health insurance coverage, a process— 7

‘‘(1) under which such plan or such issuer (as 8

applicable) verifies and updates the provider direc-9

tory information included on the database described 10

in subsection (d) of such plan or issuer of— 11

‘‘(A) not less frequently than once every 90 12

days, a random sample of at least 10 percent 13

of health care providers and health care facili-14

ties included in such database; and 15

‘‘(B) any such provider or such facility in-16

cluded in such database that has not submitted 17

any claim to such plan or such issuer (as appli-18

cable) during a 12-month period; 19

‘‘(2) that establishes a procedure for the re-20

moval from such database of such a provider or fa-21

cility with respect to which such plan or issuer has 22

been unable to verify such information during a pe-23

riod specified by the plan or issuer; and 24

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



12 

•HR 5807 IH

‘‘(3) that provides for the update of such data-1

base within 2 business days of such plan or such 2

issuer (as applicable) receiving from such a provider 3

or facility information pursuant to section 1150C of 4

the Social Security Act. 5

‘‘(c) RESPONSE PROTOCOL.—The response protocol 6

described in this subsection is, in the case of an individual 7

enrolled under a group health plan or group health insur-8

ance coverage offered by a health insurance issuer who 9

requests information through a telephone call or email on 10

whether a health care provider or health care facility has 11

a contractual relationship to furnish items and services 12

under such plan or such coverage, a protocol under which 13

such plan or such issuer (as applicable)— 14

‘‘(1) responds to such individual as soon as 15

practicable, and in no case later than 1 business day 16

after such call or email is received, through a writ-17

ten electronic communication; and 18

‘‘(2) retains such communication in such indi-19

vidual’s file for at least 2 years following such re-20

sponse. 21

‘‘(d) DATABASE.—The database described in this 22

subsection is, with respect to a group health plan or health 23

insurance issuer offering group health insurance coverage, 24

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



13 

•HR 5807 IH

a database on the public website of such plan or issuer 1

that contains— 2

‘‘(1) a list of each health care provider and 3

health care facility with which such plan or such 4

issuer has a contractual relationship for furnishing 5

items and services under such plan or such coverage; 6

and 7

‘‘(2) provider directory information with respect 8

to each such provider and facility. 9

‘‘(e) INFORMATION.—The information described in 10

this subsection is, with respect to a directory containing 11

provider directory information with respect to a group 12

health plan or group health insurance coverage offered by 13

a health insurance issuer, a notification that such informa-14

tion contained in such directory was accurate as of the 15

date of publication of such directory and that an individual 16

enrolled under such plan or such coverage should consult 17

the database described in subsection (d) with respect to 18

such plan or such coverage or contact such plan or the 19

issuer of such coverage to obtain the most current provider 20

directory information with respect to such plan or such 21

coverage. 22

‘‘(f) DEFINITION.—For purposes of this section, the 23

term ‘provider directory information’ includes, with re-24

spect to a group health plan and a health insurance issuer 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



14 

•HR 5807 IH

offering group health insurance coverage, the name, ad-1

dress, specialty, and telephone number of each health care 2

provider or health care facility with which such plan or 3

such issuer has a contractual relationship for furnishing 4

items and services under such plan or such coverage.’’. 5

(B) CONFORMING AMENDMENT.—Section 6

715(a) of the Employee Retirement Income Se-7

curity Act of 1974 (29 U.S.C. 1185d(a)) is 8

amended— 9

(i) in paragraph (1), by striking ‘‘(as 10

amended by the Patient Protection and Af-11

fordable Care Act)’’ and inserting ‘‘(other 12

than the provisions of section 2730 of such 13

Act)’’; and 14

(ii) in paragraph (2), by inserting 15

‘‘(other than the provisions of section 2730 16

of such Act)’’ after the first occurrence of 17

‘‘such part A’’. 18

(C) CLERICAL AMENDMENT.—The table of 19

contents in section 1 of the Employee Retire-20

ment Income Security Act of 1974 is amended 21

by inserting after the item relating to section 22

714 the following new items: 23

‘‘Sec. 715. Additional market reforms. 
‘‘Sec. 716. Provider directory requirements.’’. 

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6211 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



15 

•HR 5807 IH

(b) HEALTH CARE PROVIDERS.—Part A of title XI 1

of the Social Security Act (42 U.S.C. 13010 et seq.) is 2

amended by adding at the end the following new section: 3

‘‘SEC. 1150C. SUBMISSION OF INFORMATION TO HEALTH 4

PLANS OF CERTAIN PROVIDER INFORMA-5

TION. 6

‘‘(a) IN GENERAL.—Beginning not later than 1 year 7

after the date of the enactment of this section, each health 8

care provider and health care facility shall establish a 9

process under which such provider or facility transmits, 10

to each health insurance issuer offering group or indi-11

vidual health insurance coverage and group health plan 12

with which such provider or supplier has in effect a con-13

tractual relationship for furnishing items and services 14

under such coverage or such plan, provider directory infor-15

mation (as defined in section 2730(e) of the Public Health 16

Service Act, section 716(e) of the Employee Retirement 17

Income Security Act of 1974, or section 9816(e) of the 18

Internal Revenue Code of 1986, as applicable) with re-19

spect to such provider or facility, as applicable. Such pro-20

vider or facility shall so transmit such information to such 21

issuer offering such coverage or such group health plan— 22

‘‘(1) when there are any material changes (in-23

cluding a change in address, telephone number, or 24

other contact information) to such provider directory 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



16 

•HR 5807 IH

information of the provider or facility with respect to 1

such coverage offered by such issuer or with respect 2

to such plan; and 3

‘‘(2) at any other time (including upon the re-4

quest of such issuer or plan) determined appropriate 5

by the provider, facility, or the Secretary. 6

‘‘(b) PENALTY.— 7

‘‘(1) IN GENERAL.—Each health care provider 8

or health care facility that fails to transmit informa-9

tion as required under subsection (a) shall be subject 10

to a civil monetary penalty of $1,000 for each day 11

such provider or facility (as applicable) fails to so 12

transmit such information. 13

‘‘(2) APPLICATION OF PROVISIONS.—The provi-14

sions of section 1128A (other than subsection (a), 15

subsection (b), the first sentence of subsection 16

(c)(1), subsection (d), and subsection (o)) shall 17

apply with respect to a civil monetary penalty im-18

posed under this subsection in the same manner as 19

such provisions apply with respect to a penalty or 20

proceeding under subsection (a) of such section. 21

‘‘(c) DEFINITIONS.—In this section, the terms ‘health 22

insurance issuer’, ‘group health plan’, ‘group health insur-23

ance coverage’, and ‘individual health insurance coverage’ 24

have the meaning given such terms, respectively, in section 25

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS



17 

•HR 5807 IH

2791 of the Public Health Service Act (42 U.S.C. 300gg– 1

91 et seq.).’’. 2

Æ 

VerDate Sep 11 2014 20:11 Feb 12, 2020 Jkt 099200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6301 E:\BILLS\H5807.IH H5807lo
tte

r 
on

 D
S

K
B

C
F

D
H

B
2P

R
O

D
 w

ith
 B

IL
LS


<<
  /ASCII85EncodePages false
  /AllowTransparency false
  /AutoPositionEPSFiles true
  /AutoRotatePages /None
  /Binding /Left
  /CalGrayProfile (Dot Gain 20%)
  /CalRGBProfile (sRGB IEC61966-2.1)
  /CalCMYKProfile (U.S. Web Coated \050SWOP\051 v2)
  /sRGBProfile (sRGB IEC61966-2.1)
  /CannotEmbedFontPolicy /Error
  /CompatibilityLevel 1.4
  /CompressObjects /Off
  /CompressPages true
  /ConvertImagesToIndexed true
  /PassThroughJPEGImages true
  /CreateJobTicket false
  /DefaultRenderingIntent /Default
  /DetectBlends true
  /DetectCurves 0.0000
  /ColorConversionStrategy /LeaveColorUnchanged
  /DoThumbnails false
  /EmbedAllFonts true
  /EmbedOpenType false
  /ParseICCProfilesInComments true
  /EmbedJobOptions true
  /DSCReportingLevel 0
  /EmitDSCWarnings false
  /EndPage -1
  /ImageMemory 1048576
  /LockDistillerParams true
  /MaxSubsetPct 100
  /Optimize false
  /OPM 1
  /ParseDSCComments true
  /ParseDSCCommentsForDocInfo true
  /PreserveCopyPage true
  /PreserveDICMYKValues true
  /PreserveEPSInfo true
  /PreserveFlatness true
  /PreserveHalftoneInfo false
  /PreserveOPIComments true
  /PreserveOverprintSettings true
  /StartPage 1
  /SubsetFonts false
  /TransferFunctionInfo /Preserve
  /UCRandBGInfo /Preserve
  /UsePrologue true
  /ColorSettingsFile ()
  /AlwaysEmbed [ true
  ]
  /NeverEmbed [ true
  ]
  /AntiAliasColorImages false
  /CropColorImages true
  /ColorImageMinResolution 300
  /ColorImageMinResolutionPolicy /OK
  /DownsampleColorImages false
  /ColorImageDownsampleType /Bicubic
  /ColorImageResolution 300
  /ColorImageDepth 8
  /ColorImageMinDownsampleDepth 1
  /ColorImageDownsampleThreshold 1.50000
  /EncodeColorImages true
  /ColorImageFilter /FlateEncode
  /AutoFilterColorImages false
  /ColorImageAutoFilterStrategy /JPEG
  /ColorACSImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /ColorImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /JPEG2000ColorACSImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /JPEG2000ColorImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /AntiAliasGrayImages false
  /CropGrayImages true
  /GrayImageMinResolution 300
  /GrayImageMinResolutionPolicy /OK
  /DownsampleGrayImages false
  /GrayImageDownsampleType /Bicubic
  /GrayImageResolution 300
  /GrayImageDepth 8
  /GrayImageMinDownsampleDepth 2
  /GrayImageDownsampleThreshold 1.50000
  /EncodeGrayImages true
  /GrayImageFilter /FlateEncode
  /AutoFilterGrayImages false
  /GrayImageAutoFilterStrategy /JPEG
  /GrayACSImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /GrayImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /JPEG2000GrayACSImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /JPEG2000GrayImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /AntiAliasMonoImages false
  /CropMonoImages true
  /MonoImageMinResolution 1200
  /MonoImageMinResolutionPolicy /OK
  /DownsampleMonoImages false
  /MonoImageDownsampleType /Bicubic
  /MonoImageResolution 1200
  /MonoImageDepth -1
  /MonoImageDownsampleThreshold 1.50000
  /EncodeMonoImages true
  /MonoImageFilter /CCITTFaxEncode
  /MonoImageDict <<
    /K -1
  >>
  /AllowPSXObjects false
  /CheckCompliance [
    /None
  ]
  /PDFX1aCheck true
  /PDFX3Check false
  /PDFXCompliantPDFOnly true
  /PDFXNoTrimBoxError false
  /PDFXTrimBoxToMediaBoxOffset [
    0.00000
    0.00000
    0.00000
    0.00000
  ]
  /PDFXSetBleedBoxToMediaBox true
  /PDFXBleedBoxToTrimBoxOffset [
    0.00000
    0.00000
    0.00000
    0.00000
  ]
  /PDFXOutputIntentProfile (U.S. Web Coated \050SWOP\051 v2)
  /PDFXOutputConditionIdentifier (CGATS TR 001)
  /PDFXOutputCondition ()
  /PDFXRegistryName (http://www.color.org)
  /PDFXTrapped /False

  /CreateJDFFile false
  /Description <<
    /ARA 
    /BGR 
    /CHS 
    /CHT 
    /CZE 
    /DAN 
    /DEU 
    /ESP 
    /ETI 
    /FRA 
    /GRE 
    /HEB 
    /HRV 
    /HUN 
    /ITA (Utilizzare queste impostazioni per creare documenti Adobe PDF che devono essere conformi o verificati in base a PDF/X-1a:2001, uno standard ISO per lo scambio di contenuto grafico. Per ulteriori informazioni sulla creazione di documenti PDF compatibili con PDF/X-1a, consultare la Guida dell'utente di Acrobat. I documenti PDF creati possono essere aperti con Acrobat e Adobe Reader 4.0 e versioni successive.)
    /JPN 
    /KOR 
    /LTH 
    /LVI 
    /NLD (Gebruik deze instellingen om Adobe PDF-documenten te maken die moeten worden gecontroleerd of moeten voldoen aan PDF/X-1a:2001, een ISO-standaard voor het uitwisselen van grafische gegevens. Raadpleeg de gebruikershandleiding van Acrobat voor meer informatie over het maken van PDF-documenten die compatibel zijn met PDF/X-1a. De gemaakte PDF-documenten kunnen worden geopend met Acrobat en Adobe Reader 4.0 en hoger.)
    /NOR 
    /POL 
    /PTB 
    /RUM 
    /RUS 
    /SKY 
    /SLV 
    /SUO 
    /SVE 
    /TUR 
    /UKR 
    /ENU (Use these settings to create Adobe PDF documents that are to be checked or must conform to PDF/X-1a:2001, an ISO standard for graphic content exchange.  For more information on creating PDF/X-1a compliant PDF documents, please refer to the Acrobat User Guide.  Created PDF documents can be opened with Acrobat and Adobe Reader 4.0 and later.)
  >>
  /Namespace [
    (Adobe)
    (Common)
    (1.0)
  ]
  /OtherNamespaces [
    <<
      /AsReaderSpreads false
      /CropImagesToFrames true
      /ErrorControl /WarnAndContinue
      /FlattenerIgnoreSpreadOverrides false
      /IncludeGuidesGrids false
      /IncludeNonPrinting false
      /IncludeSlug false
      /Namespace [
        (Adobe)
        (InDesign)
        (4.0)
      ]
      /OmitPlacedBitmaps false
      /OmitPlacedEPS false
      /OmitPlacedPDF false
      /SimulateOverprint /Legacy
    >>
    <<
      /AddBleedMarks false
      /AddColorBars false
      /AddCropMarks false
      /AddPageInfo false
      /AddRegMarks false
      /ConvertColors /ConvertToCMYK
      /DestinationProfileName ()
      /DestinationProfileSelector /DocumentCMYK
      /Downsample16BitImages true
      /FlattenerPreset <<
        /PresetSelector /HighResolution
      >>
      /FormElements false
      /GenerateStructure false
      /IncludeBookmarks false
      /IncludeHyperlinks false
      /IncludeInteractive false
      /IncludeLayers false
      /IncludeProfiles false
      /MultimediaHandling /UseObjectSettings
      /Namespace [
        (Adobe)
        (CreativeSuite)
        (2.0)
      ]
      /PDFXOutputIntentProfileSelector /DocumentCMYK
      /PreserveEditing true
      /UntaggedCMYKHandling /LeaveUntagged
      /UntaggedRGBHandling /UseDocumentProfile
      /UseDocumentBleed false
    >>
  ]
>> setdistillerparams
<<
  /HWResolution [2400 2400]
  /PageSize [612.000 792.000]
>> setpagedevice



		Superintendent of Documents
	2020-02-12T22:27:35-0500
	US GPO, Washington, DC 20401
	Superintendent of Documents
	GPO attests that this document has not been altered since it was disseminated by GPO