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S 2710119th CongressIn Committee

Open Payments Expansion Act

Introduced: Sep 4, 2025
Healthcare
Standard Summary
Comprehensive overview in 1-2 paragraphs

Open Payments Expansion Act would extend the federal Open Payments (Sunshine Act) transparency program to require pharmaceutical and device manufacturers, and applicable group purchasing organizations (GPOs), to publicly disclose payments they make to patient advocacy organizations. Starting March 31, 2027, and each year thereafter on the 90th day, these entities must report details about any covered payments to patient advocacy organizations, including the organization’s name and the payment amount. The act defines what counts as a “covered payment,” including direct payments and indirect payments routed through a third party, when the manufacturer or GPO instructs or causes the third party to provide funds to the advocacy group. It broadens the scope of recipients to include patient advocacy organizations, as defined in the bill, and states that the disclosure requirements are not subject to the Paperwork Reduction Act. The Secretary of HHS would administer the reporting in electronic form.

Key Points

  • 1Adds patient advocacy organizations to the list of recipients required to be reported on in Open Payments, alongside other payees (e.g., physicians and teaching hospitals).
  • 2Reporting deadline schedule: first due date is March 31, 2027, and then annually on the 90th day of each calendar year thereafter.
  • 3Defines “covered payment” to include direct payments/transfers of value and indirect payments routed through a third party when the manufacturer or GPO directs or influences the third party to pay the advocacy organization.
  • 4Broad definition of “patient advocacy organization” (501(c)(3) organizations that educate/advocate/support patients or caregivers, or organizations focused on medical conditions or vulnerable populations).
  • 5Updates cross-references to include patient advocacy organizations as eligible recipients and exempts the reporting requirement from the Paperwork Reduction Act (PRA).

Impact Areas

Primary group/area affected: Pharmaceutical and device manufacturers and applicable GPOs, which will bear new reporting obligations; patient advocacy organizations that receive funds will have their funding visibility expanded in the Open Payments database.Secondary group/area affected: Pharmacists, clinicians, and healthcare providers may benefit from greater transparency about industry relationships with patient groups; researchers and policymakers can access expanded data for oversight and analysis.Additional impacts:- Compliance and administrative costs for industry to collect, verify, and file new disclosures annually.- Potential shifts in how industry interacts with patient groups, given increased visibility of funding.- Public accessibility to more granular funding data through the Open Payments database, which could influence public perception and policy discussions about industry funding of patient advocacy organizations.
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