Us Congress 2023-2024 Regular Session

Us Congress House Bill HB2691

Introduced
4/18/23  

Caption

Transparent PRICE Act Transparent Prices Required to Inform Consumer and Employers Act

Impact

The implications of HB 2691 extend beyond simple cost disclosure. By enforcing stricter compliance measures and requiring hospitals to provide detailed charge information, the bill aims to combat the opacity that often surrounds healthcare pricing. Supporters assert that this step will not only empower consumers but also encourage hospitals to engage in competitive pricing strategies that could drive costs down. However, the bill also introduces provisions for penalties against non-compliant hospitals, which could affect those struggling to adapt to these new requirements. The overall impact is anticipated to bring a notable change to how healthcare pricing is perceived and negotiated within the public domain.

Summary

House Bill 2691, known as the Transparent Prices Required to Inform Consumer and Employers Act, aims to enhance price transparency in hospitals and health insurance plans. This legislation mandates that hospitals publicly display their standard charges for services, ensuring that this information is accessible in a consumer-friendly format starting on January 1, 2024. It includes a requirement to report the gross charge, negotiated prices, and additional details that would enable consumers to understand the costs of medical services before receiving them. The intent behind this bill is to promote informed consumer choices in healthcare, potentially lowering overall healthcare costs by fostering competition among providers.

Conclusion

In conclusion, House Bill 2691 represents a critical step towards enhancing transparency in healthcare pricing. The long-term success of this legislation will depend on the implementation of clear guidelines for compliance and consumer education efforts. If successfully enacted, it could lead to better-informed consumers and ultimately contribute to a more efficient healthcare market.

Contention

While many advocate for the transparency measures proposed in HB 2691, there are points of contention among stakeholders. Critics argue that the bill's requirements might impose additional burdens on smaller healthcare facilities, which could struggle to meet the compliance requirements without incurring significant costs. Concerns have also been raised regarding the potential for misinterpretation of the data provided. Some industry proponents believe the bill might not sufficiently address how to effectively present this information in a way that truly educates consumers rather than overwhelms them with figures they may not understand.

Companion Bills

US HB3281

Related Transparent PRICE Act Transparent Prices Required to Inform Consumer and Employers Act

US HB3561

Related PATIENT Act of 2023 Promoting Access to Treatments and Increasing Extremely Needed Transparency Act of 2023

Similar Bills

US HB4839

Hospital and ASC Price Transparency Act of 2023

US HB410

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.

US SB1130

Health Care PRICE Transparency Act Health Care Prices Revealed and Information to Consumers Explained Transparency Act

US HB4822

Health Care Price Transparency Act of 2023

US HB4828

Imaging Services Price Transparency Act of 2023

US HB4882

Clinical Laboratory Price Transparency Act of 2023

US HB3248

Diagnostic Lab Testing Transparency Act

US HB3160

Pharmaceutical Research Transparency Act of 2023