Bill > HR8098

This bill: - Authorizes $160 million in funding for the Federal Trade Commission to investigate anti-competitive mergers and practices related to health care providers. - Applies Medicare Advantage reimbursement rates to certain hospitals with high market concentration, with some exceptions. - Provides grants to eligible states to improve hospital infrastructure and promote competition by addressing certain state laws and regulations. - Increases reimbursement rates for Critical Access Hospitals. - Requires hospitals to publicly post the volume-weighted average price for commonly shoppable services. - Repeals the eligibility of certain Accountable Care Organizations for Medicare programs. - Applies site-neutral Medicare payment policies to off-campus provider-based departments. - Removes certain restrictions on physician referrals to hospitals. - Establishes an advisory group to recommend ways to reduce administrative burdens on hospitals. - Expands the Federal Trade Commission's authority over certain tax-exempt organizations. - Allows health insurers to jointly negotiate prices with hospitals. - Increases transparency by prohibiting gag clauses that restrict the disclosure of price and quality information. - Protects network design flexibility for health plans and prohibits certain anti-competitive contract terms. - Establishes a national claims database to improve health care cost transparency. - Requires timely billing by health care providers and imposes penalties for noncompliance. - Ensures patient access to cost-sharing information from providers and health plans. - Imposes new reporting requirements on group health plans.

Business and Industry

https://www.congress.gov/bill/116th-congress/house-bill/8098/all-info