IA HF2096

Health care providers must publicly disclose prices for their 25 most common services in a single document, posted electronically or on their website, with annual updates required.

Hospitals must disclose prices for their 75 most common inpatient services and 75 most common outpatient services, grouped by Medicare diagnosis-related group, with quarterly updates required.

Prices disclosed must reflect pre-negotiation charges assuming no medical complications, and services must be identified using both standard billing codes (like CPT) and plain language descriptions.

All disclosed price information must include a disclaimer stating prices are estimates, not legally binding, and actual charges depend on circumstances at the time of service.

The Department of Health and Human Services must adopt rules ensuring these requirements are consistent with and do not duplicate federal price transparency requirements under 42 U.S.C. §300gg-18(e).