Bill > S2355

This bill, known as the Patients Deserve Price Tags Act, is a comprehensive healthcare price transparency legislation that requires various healthcare entities to publicly disclose their pricing information in a clear, accessible manner. The bill mandates that hospitals, clinical diagnostic laboratories, imaging services providers, and ambulatory surgical centers must publish detailed pricing information, including gross charges, discounted cash prices, and negotiated rates with different payers, starting in 2026-2027. Hospitals will need to provide machine-readable files and consumer-friendly formats listing prices for at least 300 shoppable services, with penalties for non-compliance ranging from $300 to $10 million per day depending on the size of the institution. Additionally, the bill requires health insurance plans to provide more transparent pricing information through self-service tools and machine-readable files, allows group health plans better access to claims and payment data, and mandates that healthcare providers issue itemized bills within 30 days of receiving final payment, including detailed information about each service, applicable billing codes, and pricing. The legislation aims to help patients understand healthcare costs more easily, compare prices across providers, and make more informed healthcare decisions, while also providing mechanisms for enforcement and penalties for non-compliance.

Health and Social Services

https://www.congress.gov/bill/119th-congress/senate-bill/2355/all-info