To promote price transparency in the health care sector, and for other purposes.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
This bill, To promote price transparency in the health care sector, and for other purposes., changes federal law or congressional policy affecting federal agencies and legislative administrators. The main policy domain is Government Operations, Healthcare, Finance.
Who Benefits and How
federal agencies and legislative administrators may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.
Who Bears the Burden and How
federal implementing agencies may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.
Key Provisions
- Section HBB513F8609A64365B3CF1F03C4F2BD26: 1. Short title This Act may be cited as the Lower Costs, More Transparency Act.
- Section H2904B576190E426EA986D303C935DAE4: 2. Table of contents The table of contents of this Act is as follows:
- Section H2B9674BFCA4C40398B3FEC043F9863F0: 101. Hospital price transparency Part E of title XVIII of the Social Security Act (42 U.S.C. 1395x et seq.) is amended by adding at the end the following new...
- Section HFDCAE3C45C8540C1B9EB6A87998C0373: 1899C. Hospital price transparency Beginning January 1, 2026, each specified hospital that receives payment under this title for furnishing items and services...
- Section HCDF7E4390B86408FA428CD48A1187ACA: 102. Clinical diagnostic laboratory test price transparency Section 1846 of the Social Security Act (42 U.S.C. 1395w–2) is amended— in the header, by inserting...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
This bill, To promote price transparency in the health care sector, and for other purposes., changes federal law or congressional policy affecting federal agencies and legislative administrators.
Key Policy Areas
Government Operations, Healthcare, Finance
Primary Purpose
This bill, To promote price transparency in the health care sector, and for other purposes., changes federal law or congressional policy affecting federal agencies and legislative administrators.
Policy Domains
Whole bill
Identified Gains
- federal agencies and legislative administrators
Identified Costs
- federal implementing agencies
Sponsors
Legislative Progress
IntroducedMrs. Rodgers of Washington (for herself, Mr. Pallone, Mr. Smith …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
CMS provider enrollment, Department of Labor implementation staff, FDA
Positive-direction: Department of Labor implementation staff, HHS and Treasury implementation staff, Medicare program, National Health Service Corps
Negative-direction: CMS provider enrollment, FDA, Federal agencies (HHS, Labor, Treasury), Government Accountability Office, HHS and CMS, Medicaid Improvement Fund, Medicare Payment Advisory Commission
ERISA plan participants and beneficiaries, Health insurance enrollees, Health plan beneficiaries
Hospitals receiving Medicare payments, Off-campus hospital outpatient departments, Service providers to ERISA health plans
Pharmacy benefit managers, Pharmacy benefit managers in Medicaid, Pharmacy benefit managers providing services to health plans
ERISA group health plans and health insurance issuers, Group health plans, Group health plans subject to IRC
ERISA plan fiduciaries and employers, ERISA plan sponsors, Employer plan sponsors
Brand-name drug manufacturers, Drug manufacturers providing rebates, Generic drug manufacturers
Positive-direction: Generic drug manufacturers
Negative-direction: Brand-name drug manufacturers, Drug manufacturers providing rebates
Retail pharmacies, Retail pharmacies dispensing Medicaid prescriptions
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_commission"
- → The commission identified in the operative section
- "the_administrator"
- → The Administrator identified in the operative section
- "secretary_of_labor"
- → Secretary of Labor
- "secretary_of_treasury"
- → Secretary of the Treasury
- "secretary_of_health_and_human_services"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
covered OPD services assigned to a designated ambulatory payment classification group. Section 1833(t)(12) of the Social Security Act (42 U.S.C. 1395l(t)(12)) is amended— in subparagraph (D), by striking and at the end
the charge for an individual item or service that is reflected on a specified hospital’s or provider of service’s or supplier’s, as applicable, chargemaster, absent any discounts. (4)Group health plan
the charge for an individual item or service that is reflected on an ambulatory surgical center’s chargemaster, absent any discounts. (D)Group health plan
a managed care entity or other specified entity. (ii)Managed care entity
a department of a provider (as defined in section 413.65 of title 42, Code of Federal Regulations, or any successor regulation) that is not located— on the campus (as defined in such section) of such provider
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology