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Health Insurance Price Transparency: Know Your Medical Costs Upfront.

This law mandates that health insurers disclose the exact cost-sharing amounts (deductibles, copayments) an individual must pay for a specific medical service before receiving care. Citizens will gain access to real-time online tools showing estimated expenses and their progress toward annual maximums. Furthermore, health plans must publicly release their negotiated rates with providers, significantly increasing market transparency.
Key points
Right to know the exact cost-sharing amount for a specific medical service before receiving it.
Insurers must provide a real-time online tool showing estimated costs and accumulated amounts toward deductibles and out-of-pocket maximums.
Health plans must publicly disclose negotiated rates with in-network providers and payment information for drugs in machine-readable files.
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Additional Information
Print number: 118_HR_4905
Sponsor: Rep. Fitzpatrick, Brian K. [R-PA-1]
Process start date: 2023-07-26