PolicyBrief
H.R. 359
119th CongressMar 24th 2025
Cost-Share Accountability Act of 2025
HOUSE PASSED

The Cost-Share Accountability Act of 2025 mandates the Secretary to report on the use of authority to reduce or eliminate cost-sharing requirements, ensuring transparency and accountability.

Jay Obernolte
R

Jay Obernolte

Representative

CA-23

PartyTotal VotesYesNoDid Not Vote
Republican
218207011
Democrat
213198015
LEGISLATION

New Bill Mandates Regular Public Reports on Changes to Healthcare Cost-Sharing Rules

Okay, let's break down the Cost-Share Accountability Act of 2025. At its core, this is about transparency in healthcare costs. The bill requires the Secretary (think the head official overseeing health policy) to regularly report on any decisions made using the authority to lower or get rid of cost-sharing requirements for health services. Think co-pays, deductibles – those amounts you pay out-of-pocket. The first report is due within 120 days after the bill becomes law, and then updates have to come out every quarter.

Shining a Light on Your Wallet

So, what does this mean for you? This bill doesn't actually change cost-sharing rules itself, but it forces the government to show its work whenever it does use its power to adjust them. Section 2 is pretty clear: these reports aren't just for policymakers tucked away in D.C. They have to go to specific House and Senate committees, and be made publicly available. That means anyone – you, me, researchers, journalists – can see exactly how and when the government is tinkering with the levers that affect how much people pay for healthcare services. It's essentially creating a regular, public paper trail for decisions that can directly impact household budgets.

Accountability Check-In

Think of it like a recurring check-in. By mandating these quarterly reports, the bill aims to keep the process of adjusting cost-sharing requirements out in the open. It ensures that if changes are made – whether reducing a co-pay for a specific drug or eliminating a deductible for a certain service – there's a consistent record available. This allows for ongoing scrutiny and helps everyone understand the trends and frequency of such adjustments, adding a layer of accountability to how these potentially significant financial decisions are handled.