Bills · HR 267
IN COMMITTEE· 119TH CONGRESS
House BillHR 267Civil actions and liabilityHealth care coverage and access
Health Care PRICE Transparency Act
INTRO JAN 9· LAST ACTION JAN 9
READING
11MIN
COSPONSORS
0
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it aims to tackle the widespread problem of unexpected and opaque healthcare costs in America. Currently, many people receive medical bills without any clear understanding of the true cost of their services or how much their insurance would cover beforehand. If passed, this law could empower voters to 'shop around' for healthcare, knowing the price of a procedure or drug from different providers and understanding their personal out-of-pocket costs from their insurer.
This increased transparency could foster competition, potentially driving down healthcare costs over time, and help people avoid surprise medical debt. Without this bill, the current system of unclear pricing would largely continue, leaving consumers in the dark and making it difficult to plan for healthcare expenses or choose more affordable options.
KEY PROVISIONS
5AI-extractedPROVISION 01
Hospitals must publish comprehensive price lists, including gross charges, discounted cash prices, and all payer-specific negotiated rates with insurers, in an easily accessible, machine-readable format.
This provides consumers with a clear, detailed view of actual service prices, enabling price comparison across hospitals and understanding what different insurers pay.
PROVISION 02
Hospitals must provide pricing for at least 300 'shoppable services' or offer an internet-based price estimator tool that gives real-time out-of-pocket cost estimates.
This focuses on services where consumers can proactively compare costs, making price transparency practical for common, planned medical needs.
PROVISION 03
Health insurers must disclose in-network provider rates, out-of-network allowed amounts, and negotiated/historical prices for covered prescription drugs.
This significantly broadens price transparency by revealing what insurers actually pay, which can influence premiums and a patient's out-of-pocket expenses.
PROVISION 04
Insurers must provide an internet-based self-service tool that offers individuals real-time, personalized cost-sharing information in plain language, free of charge.
This directly empowers individuals to understand their specific financial responsibility for care before they receive it, facilitating informed decision-making.
PROVISION 05
Hospitals that fail to comply with the transparency requirements and do not complete a corrective action plan will be subject to a civil monetary penalty of up to $300 per day.
This provision establishes an enforcement mechanism to encourage hospitals to comply with the new transparency rules.
SPONSORSHIP
1 + 0
R· Ohio
YRS IN OFFICE
10
BILLS LED
43
ACTION TIMELINE
2 EVENTSJAN 9
Introduced in House
JAN 9
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 267
Congress119th
StatusIn Committee
IntroducedJan 9, 2025
Last actionJan 9, 2025
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IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED JAN 9, 2025
House BillHR 267Civil actions and liabilityHealth care coverage and access
Health Care PRICE Transparency Act
INTRODUCED JAN 9, 2025· LAST ACTION JAN 9, 2025
PASSAGE CHANCES
—%
READING
11 min
COSPONSORS
0
COMPLEXITY
Moderate
