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S 729119th CongressIn Committee

Hospital Transparency Compliance Enforcement Act

Introduced: Feb 25, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Hospital Transparency Compliance Enforcement Act would amend the Public Health Service Act to tighten and enforce hospital price transparency. It requires every hospital operating in the United States to publicly publish a price list (and keep it updated) in a way that is easily searchable online, and it adds explicit timing rules for existing and newly operating hospitals. It also prohibits hiding pricing information behind code or other means that prevent online search. The bill introduces civil monetary penalties for noncompliance, with penalties calculated by hospital size and payable through established regulatory processes. Additionally, the Secretary of Health and Human Services would publish and periodically update a list of hospitals not in compliance. The sponsor is Senator Kennedy, and the measure aims to improve consumer access to hospital pricing data and strengthen accountability for transparency.

Key Points

  • 1Timing requirements for transparency
  • 2- Existing hospitals: must establish and publish their price list within 6 months after enactment and update it annually.
  • 3- Newly operating hospitals: must publish within 6 months after beginning operation and update annually thereafter.
  • 4Public, easily searchable data
  • 5- Hospitals must publicly post the required price information and may not shield it from online search results through webpage coding.
  • 6Civil monetary penalties for noncompliance
  • 7- Penalty amounts vary by bed count and are assessed per day of noncompliance (smaller hospitals, larger hospitals, and very large hospitals have different per-day penalties).
  • 8- Penalties are collected under established regulatory procedures, with payment due within 60 days after notice or after a final decision if a hearing is requested.
  • 9Enforcement and public accountability
  • 10- The Secretary must publish a list of hospitals not in compliance, starting 280 days after enactment and every 180 days thereafter.
  • 11Scope and purpose
  • 12- The act directly strengthens price transparency requirements under the Public Health Service Act to improve consumer access and promote accountability among hospitals.

Impact Areas

Primary group/area affected- Hospitals operating in the United States (including administration, IT/health information management teams, and compliance staff) and their pricing disclosures.Secondary group/area affected- Patients and consumers seeking price information; healthcare payers and insurers who use pricing data; hospital associations and advocacy groups.Additional impacts- Administrative and operational costs for hospitals to establish, update, and maintain public price lists.- Increased regulatory oversight by the Secretary of HHS and potential behavioral changes in hospital pricing practices due to penalties.- Improved public access to price data, potentially influencing patient choice and payer negotiations.
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