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Bill would force hospitals and insurers to post real prices by 2027

In markupH.R. 9645Latest action

Sponsor: Jason Smith · Representative · MO

AIDecoded by AI · checked against the record
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Official title: Health Care Price Certainty for All Americans Act

119th Congress

Topics: Health care

Introduced:

Read the official bill on Congress.gov

In plain words

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Hospitals, labs, and insurers would face new price-posting rules and fines starting 2027-2029.

45-second read · 5 questions answered below

What does this do?

The bill expands rules requiring hospitals, surgical centers, labs, and imaging providers to publicly post standard charges, negotiated insurance rates, and cash prices for at least 300 common services in readable formats. Starting in 2029, employer health plans would also need to offer real-time cost tools and post negotiated rates, including drug prices, replacing an earlier limited requirement.

Who does it affect?

Hospitals, ambulatory surgical centers, medical labs, imaging centers, health insurers, and employer group health plans face new obligations; patients and consumers are meant to benefit from clearer price access.

Why does it matter?

Facilities that don't comply could face escalating fines, with harsher penalties for repeat or willful violations, though rural or struggling facilities may get hardship exceptions. HHS would be responsible for writing rules, checking compliance, and enforcing penalties.

What does it cost, and who pays?

  • Escalating fines for noncompliance
  • Harsher penalties for repeat violations
  • Hardship exceptions for rural facilities

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Read the official bill on Congress.gov

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Where does it stand?

  1. IntroducedJul 13, 2026
  2. House committeeYou are here · Jul 15, 2026
  3. House vote
  4. Senate
  5. The president's desk

Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.

Data as of October 20, 2026
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