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

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

Where does it stand?