PolicyBrief
S. 729
119th CongressFeb 25th 2025
Hospital Transparency Compliance Enforcement Act
IN COMMITTEE

The "Hospital Transparency Compliance Enforcement Act" enforces hospital price transparency by requiring annual publication of standard charges, preventing online hiding of pricing information, establishing penalties for non-compliance, and mandating public disclosure of non-compliant hospitals.

John Kennedy
R

John Kennedy

Senator

LA

LEGISLATION

Hospital Price Transparency Bill Sets Penalties, Requires Annual Posting of Charges: Non-Compliance Could Cost Hospitals Up to $11,000 Daily

The "Hospital Transparency Compliance Enforcement Act" aims to shed light on what hospitals actually charge for services. This bill isn't just asking nicely—it's laying down the law with real financial consequences if hospitals don't play ball.

##Decoding the Price Tag

This bill forces hospitals to publish a list of their standard charges every year. And for any new hospitals popping up, they have six months from opening day to get their price lists online. Think of it like a restaurant menu, but instead of appetizers and entrees, it's X-rays and surgeries. The goal? To let you, the patient, see what things cost before you're stuck with a surprise bill. The bill also explicitly prohibits hospitals from using tricky website coding to hide their pricing info from search engines. (Section 2).

##Show Me the Receipts

So, how does this actually work for regular folks? Imagine you need a knee replacement. Under this law, a hospital has to clearly list the price of that procedure online. This helps you compare costs between different hospitals – are you getting a deal, or are they charging way more than the place down the street? This transparency could be a game-changer, especially for people managing chronic conditions or planning for big medical expenses.

##Playing Fair

Now, what happens if hospitals don't follow the rules? The bill sets up penalties that vary based on the hospital's size. Smaller hospitals (30 beds or fewer) could face fines up to $600 per day. Mid-size hospitals (31-550 beds) could be fined up to $20 per bed, per day. And the big players (over 550 beds)? They're looking at a maximum of $11,000 per day for non-compliance (Section 2). Hospitals have 60 days to pay up, or things could get even stickier.

##Naming and Shaming?

Beyond the fines, the Secretary is required to publish a list of hospitals that aren't complying with these transparency rules. The first list comes out 280 days after the law kicks in, and then every 180 days after that (Section 2). This public list is a big deal – it's like putting hospitals on notice and letting everyone know who's following the rules and who isn't. It's a powerful tool for accountability.

##The Bottom Line

While this bill seems like a win for patients, there are a few things to keep an eye on. Will hospitals find loopholes to make prices look transparent without actually giving the full picture? And will the penalties be enough to really change behavior, especially for large hospital systems where $11,000 a day might be a drop in the bucket? Only time (and careful tracking) will tell if this bill truly delivers on its promise of price transparency.