Bill Details

S.729 - 119th Congress

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Status
  1. Introduced
  2. Passed House
  3. Passed Senate
  4. To President
  5. Law
Latest action
2025-02-25 - Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced Date
2025-02-25
Policy Area
Health
5
0

AI Summary This summary was generated by AI from the bill text. AI can get information wrong.

This bill would make hospitals more accountable for posting clear price information online. It requires hospitals to publish and update their price lists on a set schedule, makes it harder for them to hide that information from search engines, and adds financial penalties for hospitals that do not comply. The bill also directs the government to post a public list of hospitals that are not following the rules.

  • Hospitals already operating when the bill becomes law would have to post and update their price lists within 6 months, and then every year after that.
  • Hospitals that open after the law takes effect would also have to start within 6 months of beginning operations, then keep updating the list yearly.
  • Hospitals would not be allowed to use website code or other tricks to keep their price information from showing up in online search results.
  • Hospitals that fail to comply could face daily fines based on size: up to $600 per day for small hospitals, $20 per bed per day for mid-sized hospitals, or up to $11,000 per day for very large hospitals.

The bill also says the Health and Human Services Secretary must publish a public list of hospitals that are not in compliance, starting 280 days after the law is enacted and then every 180 days after that.

Official Summaries

Hospital Transparency Compliance Enforcement Act

This bill increases the monetary penalties for noncompliance with the requirement that hospitals publish, and periodically update, a list of their standard charges for items and services.

The bill increases the maximum daily penalty as follows:

  • for hospitals with 30 or fewer beds, from $300 to $600 per day;
  • for hospitals with 31 through 550 beds, from $10 to $20 per bed, per day;
  • for hospitals with greater than 550 beds, from $5,500 to $11,000 per hospital, per day.

The Centers for Medicare & Medicaid Services also must periodically publish the name of each hospital that is not in compliance with the price transparency requirements.

Current Full Text

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 729 Introduced in Senate (IS)]

<DOC>






119th CONGRESS
  1st Session
                                 S. 729

   To amend the Public Health Service Act to enhance compliance with 
   hospital price transparency requirements, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 25, 2025

  Mr. Kennedy introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
   To amend the Public Health Service Act to enhance compliance with 
   hospital price transparency requirements, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Hospital Transparency Compliance 
Enforcement Act''.

SEC. 2. HOSPITAL PRICE TRANSPARENCY REQUIREMENTS.

    Section 2718(e) of the Public Health Service Act (42 U.S.C. 300gg-
18(e)) is amended--
            (1) by striking ``Each hospital'' and inserting the 
        following:
            ``(1) In general.--Each hospital'';
            (2) by inserting ``, in accordance with paragraph (2)'', 
        after ``for each year''; and
            (3) by adding at the end the following:
            ``(2) Timing requirements.--
                    ``(A) In general.--Each hospital operating in the 
                United States on the date of enactment of the Hospital 
                Transparency Compliance Enforcement Act shall, not 
                later than 6 months after such date of enactment and 
                every year thereafter, establish (and update) and make 
                public the list under paragraph (1).
                    ``(B) Newly operating hospitals.--In the case of a 
                hospital that begins operating in the United States 
                after the date of enactment of the Hospital 
                Transparency Compliance Enforcement Act, the hospital 
                shall comply with the requirements described in 
                subparagraph (A) not later than 6 months after the date 
                on which the hospital begins such operation and every 
                year thereafter.
            ``(3) Prohibition on shielding information.--No hospital 
        may shield the information required under paragraph (1) from 
        online search results through webpage coding.
            ``(4) Civil monetary penalties.--
                    ``(A) In general.--A hospital that fails to comply 
                with the requirements of this subsection for a year 
                shall be subject to a civil monetary penalty of an 
                amount not to exceed--
                            ``(i) in the case of a hospital with a bed 
                        count of 30 or fewer, $600 for each day in 
                        which the hospital fails to comply with such 
                        requirements;
                            ``(ii) in the case of a hospital with a bed 
                        count that is greater than 30 and equal to or 
                        fewer than 550, $20 per bed for each day in 
                        which the hospital fails to comply with such 
                        requirements; or
                            ``(iii) in the case of a hospital with a 
                        bed count that is greater than 550, $11,000 for 
                        each day in which the hospital fails to comply 
                        with such requirements.
                    ``(B) Procedures.--
                            ``(i) In general.--Except as otherwise 
                        provided in this subsection, a civil monetary 
                        penalty under subparagraph (A) shall be imposed 
                        and collected in accordance with part 180 of 
                        title 45, Code of Federal Regulations (or 
                        successor regulations).
                            ``(ii) Timing.--A hospital shall pay in 
                        full a civil monetary penalty imposed on the 
                        hospital under subparagraph (A) not later 
                        than--
                                    ``(I) 60 calendar days after the 
                                date on which the Secretary issues a 
                                notice of the imposition of such 
                                penalty; or
                                    ``(II) in the event the hospital 
                                requests a hearing pursuant to subpart 
                                D of part 180 of title 45, Code of 
                                Federal Regulations (or successor 
                                regulations), 60 calendar days after 
                                the date of a final and binding 
                                decision in accordance with such 
                                subpart, to uphold, in whole or in 
                                part, the civil monetary penalty.
            ``(5) List of hospitals not in compliance.--The Secretary 
        shall publish a list of the name of each hospital that is not 
        in compliance with the requirements under this subsection. Such 
        list shall be published 280 days after the date of enactment of 
        the Hospital Transparency Compliance Enforcement Act and every 
        180 days thereafter.''.
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