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HR5378: Lower Costs, More Transparency Act (118th Congress)
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HR5378: Lower Costs, More Transparency Act

118th Congress (2023–2025) · House bill · Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5]

This page covers HR5378 in the 118th Congress. Bill numbers start over every Congress, so HR5378 in another Congress is a different bill.


Key facts

Item Detail
Roll-call votes 1
Chamber House
Latest vote 2023-12-11: Passed
Latest action 2023-12-11: Motion to reconsider laid on the table Agreed to without objection.
Policy area Health
Official record Congress.gov

What the bill does

Lower Costs, More Transparency Act This bill requires health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. For example, the bill provides statutory authority for regulations that require hospitals to annually publish their prices and related information, including the discounted cash price and negotiated charges. The bill also specifically extends these requirements to clinical laboratories, imaging service providers, and ambulatory surgical centers that participate in Medicare. Additionally, pharmacy benefit managers (PBMs) must semiannually report to health plan sponsors certain information on spending, rebates, and fees that are associated with covered drugs. Contracts with PBMs for employer-sponsored health plans must also allow health plan fiduciaries to audit certain claims and cost information without undue restrictions. In addition, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid. It also requires Medicare payments for certain drug administration services at off-campus hospital outpatient departments to be the same as that for other provider settings (i.e., physician offices). The bill provides funds for the Department of Health and Human Services, the Department of Treasury, and the Department of Labor to implement and enforce the bill's requirements. Finally, the bill extends several public health programs…

Subjects: Administrative law and regulatory procedures, Advisory bodies, Civil actions and liability, Computers and information technology, Congressional oversight, Consumer affairs, Department of Health and Human Services, Digestive and metabolic diseases, Government information and archives, Health care costs and insurance


Roll-call votes on HR5378 (118th Congress)

Every recorded vote on this bill, newest first, with a link to the official tally. Member-by-member positions are on each member’s profile.

Date Chamber Question Result Yea Nay Not voting Record
2023-12-11 House 2/3 Yea-And-Nay Passed 270 62 32 Official tally

Frequently asked

What is HR5378 in the 118th Congress?

HR5378 (Lower Costs, More Transparency Act) was introduced in the 118th Congress (2023–2025) by Rep. McMorris Rodgers, Cathy [R-WA-5].

What is the latest action on HR5378?

On 2023-12-11: Motion to reconsider laid on the table Agreed to without objection.

How many roll-call votes were held on HR5378?

1 recorded vote in the 118th Congress. The most recent, on 2023-12-11, was "2/3 Yea-And-Nay": Passed.