PA HB1469

Hospitals must publish online a comprehensive list of standard charges for all items and services, including gross charges, negotiated rates with each insurance plan, minimum/maximum negotiated charges, and discounted cash prices in a searchable, machine-readable format

Hospitals must maintain a consumer-friendly list of at least 300 "shoppable services" that patients can schedule in advance, including the 70 services specified by CMS, with plain-language descriptions and pricing by payor

Health care facilities charging facility fees must disclose to patients at scheduling and service time the dollar amount or estimated range of their potential financial liability for the fee

Civil penalties for violations range from $2,500 for a first offense to $15,000 for fourth or subsequent offenses per day of noncompliance, with hospitals sanctioned three or more times becoming ineligible for uncompensated care payments under the Tobacco Settlement Act

Noncompliant hospitals are prohibited from pursuing debt collection actions against patients; if a hospital is found in violation, it must refund amounts paid, forgive remaining debt, dismiss legal actions with prejudice, and remove negative credit reports