Us Congress 2023-2024 Regular Session

Us Congress House Bill HB3281

Introduced
5/15/23  
Refer
5/15/23  

Caption

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

Impact

The bill mandates that healthcare providers update their pricing lists annually, which is expected to enhance consumer awareness of healthcare costs. By providing comprehensive data on various medical services, the legislation aims to alleviate the confusion surrounding medical pricing and assist consumers in shopping for healthcare based on cost considerations. Consequently, it also places pressure on hospitals to become more competitive in their pricing, potentially leading to lower overall healthcare costs in the long run.

Summary

House Bill 3281, known as the 'Transparent PRICE Act', is aimed at promoting price transparency in hospital and insurer services to inform consumers and employers. The bill requires hospitals to disclose detailed pricing information for medical services, ensuring such information is made available in a clear, machine-readable format at no cost to the consumer. Starting January 1, 2024, hospitals must list their standard charges for at least 300 services, including both Medicare-specified shoppable services and additional ones selected by the hospitals themselves. This list will serve to facilitate informed decision-making by consumers regarding healthcare choices.

Contention

While proponents argue that transparency will lead to more informed consumer choices and competition among healthcare providers to offer lower prices, opponents raise concerns regarding the feasibility of compliance for smaller facilities. The burden of maintaining detailed and constantly updated pricing for a wide range of services could be overwhelming for smaller hospitals, which may lead to challenges in ensuring compliance. Additionally, there are discussions surrounding the complexity of insurance plans that could complicate consumers' understanding of actual out-of-pocket costs even with transparent pricing.

Companion Bills

US HB2691

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

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