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H.R. 8684119th CongressPlaced on the calendarLatest action Jul 13, 2026Decoded by AI · checked against the record
Official title: Transparency in Billing Act of 2026
Introduced:
Read the official bill on Congress.govThe plain-language version leads. The official text is always the reference.
Hospitals must use unique ID codes on bills for off-campus outpatient care starting with 2027 plan years, or they can't bill at all.
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The bill requires hospitals to obtain a unique health identifier for each off-campus outpatient department and include it on bills sent to health plans or insurers. Hospitals that fail to include the identifier cannot bill the insurance plan or charge the patient for those services. It applies to employer-sponsored group health plans starting with plan years on or after January 1, 2027.
Hospitals, insurance companies, and employers offering group health plans are directly affected, as are patients treated at hospital-owned outpatient clinics.
Off-campus facilities sometimes charge differently than on-campus locations, and the identifier requirement is meant to clarify where care was provided amid billing confusion and disputes. Hospitals would face new administrative obligations and compliance risk under the law.
AI-drafted summary. Verify it against the official text before you act on it. Read the official bill on Congress.gov
Right now: it was placed on the House floor calendar, and the official record shows no floor action on it since. If the Senate changes it, it goes back to the House before reaching the President.
Latest action: — Placed on the Union Calendar, Calendar No. 652.