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April 28, 2023

Congress to Discuss Legislation to Increase Price Transparency and Competition in Health Care

Congress is discussing legislation aimed at lowering health care costs, in part by increasing price transparency in hospitals and health plans.  Among the discussion topics is the proposed Transparent PRICE Act, which would build on the current price transparency rules for hospitals and for health plans by codifying and requiring hospitals to make their standard charges and payor-specific charges publicly available beginning January 1, 2024; by requiring health plans to provide enrollees with personalized prices and other information; and by enhancing enforcement. The House Energy and Commerce Committee’s Subcommittee on Health is also considering whether to move forward with legislation that would require outpatient clinics and hospitals to accept site neutral Medicare payments for services that can be performed safely at physician offices.   The Subcommittee summarized this and other discussion topics for a hearing held on April 26.

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