Requires hospitals, clinics, labs, imaging providers, and surgical centers that take Medicare to post their prices publicly, and expands price disclosure rules for private health plans starting in 2028 and 2029.

• Requires hospitals and ambulatory surgical centers serving Medicare patients to publish standard charges and cash prices for at least 300 shoppable services starting January 1, 2027 for hospitals and January 1, 2028 for surgical centers, with annual CEO or CFO attestations of accuracy.
• Sets civil monetary penalties for noncompliance, with daily caps based on hospital bed count, and allows the Secretary to waive or reduce penalties for rural or underserved facilities.
• Requires group health plans and insurers, starting for plan years beginning January 1, 2029, to give members cost-sharing estimates on request and to publish quarterly in-network rate and payment files.
• Bars plans and pharmacy benefit managers from preventing pharmacies from telling customers when a cash price is lower than their insurance cost, and requires reports on vertical integration between insurers, providers, and pharmacies in Medicare.

• Education and Workforce Committee (House)
• Ways and Means Committee (House)
• Energy and Commerce Committee (House)

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