About HR5378

Lower Costs, More Transparency Act

Policy Area: Health

Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (R-WA)

Latest Action (2023-12-11): Motion to reconsider laid on the table Agreed to without objection.

Summary

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 impleme

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

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