Health Care PRICE Transparency Act

House Bill

H.R. 267

119th Congress

Health Care PRICE Transparency Act

In Committee

Introduced:Jan 9, 2025

Primary Sponsor

Warren Davidson

Representative

Republican

OH-8

Cosponsors

0

Quick Stats

Policy Area

Health

Summary

This bill codifies requirements for hospitals and health insurers to disclose pricing information. Hospitals must publish negotiated rates with insurers, cash payment discounts, and billing codes in their standard charge lists. They must also publish prices for services that can be scheduled in advance. Insurance plans must publish in-network and out-of-network charges, negotiated prescription drug prices, and provide consumer search tools. Patients can request specific cost information from their plans, enabling informed healthcare decisions.

Latest Action

Referred to the House Committee on Energy and Commerce.

AI Summary

Plain-English explanation of this bill

This bill codifies requirements for hospitals and health insurers to disclose pricing information. Hospitals must publish negotiated rates with insurers, cash payment discounts, and billing codes in their standard charge lists. They must also publish prices for services that can be scheduled in advance. Insurance plans must publish in-network and out-of-network charges, negotiated prescription drug prices, and provide consumer search tools. Patients can request specific cost information from their plans, enabling informed healthcare decisions.

Last updated: 1/4/2026

Official Summary

Congressional Research Service summary

Health Care Prices Revealed and Information to Consumers Explained Transparency Act or the Health Care PRICE Transparency Act This bill provides statutory authority for requirements for hospitals and health insurance plans to disclose certain information about the costs for items and services. Specifically, hospitals must publish in their list of standard charges certain rates negotiated with insurers, discounts for cash payments, and billing codes. Further, hospitals generally must publish the standard charges for the services provided by the hospital that may be scheduled in advance. Additionally, insurance plans must publish the in-network and out-of-network charges for covered items and services and the negotiated prices for covered prescription drugs. Plans must provide a tool for consumers to search for this cost information. Consumers also may request additional information about the costs of specific items or services under their plans.

Key Points

Main provisions of the bill

Requires hospitals to publish negotiated rates and billing codes
Mandates disclosure of cash payment discounts
Insurance plans must publish in-network and out-of-network charges
Plans must provide consumer price search tools
Patients can request specific cost estimates from insurers

How This Impacts Americans

Potential effects on citizens and communities

For patients: Ability to compare prices and make informed healthcare decisions. For hospitals: Compliance requirements for price publication. For insurers: Transparency mandates for negotiated rates and drug prices. For healthcare market: Increased price competition through transparency. For employers: Better information for health plan negotiations.

Policy Areas

Primary Policy Area

Health

Related Subjects

Civil actions and liability

Consumer affairs

Health care costs and insurance

Health care coverage and access

Hospital care

Prescription drugs

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

267, 119th Congress (2025). "Health Care PRICE Transparency Act". Source: Voter's Right Platform. https://votersright.org/bills/118-hr-267