Requires hospitals, ambulatory surgical centers, clinical laboratories, and imaging providers to publish their prices for common services, and requires group health plans and insurers to give patients advance estimates of what they would pay, starting January 1, 2028.

• Requires hospitals to post standard charges, cash prices, and negotiated payer rates for at least 300 shoppable services in a machine-readable format, with an attestation that the information is accurate
• Sets civil monetary penalties for noncompliance that scale with hospital size, with waiver and reduction options for rural or underserved hospitals
• Requires group health plans and insurers to provide cost-sharing estimates through a self-service tool and to publish quarterly rate files, and requires pharmacy benefit managers to disclose applicable spread price drugs
• Directs the Secretary of Health and Human Services to submit reports on application programming interfaces and a provider tool, and directs the Comptroller General to report on compliance by January 1, 2029

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

Health