Goodsurance

Policy & oversight

Senate Health Panel Votes 21 to 1 to Advance Bill Requiring Hospitals and Labs to Publish Negotiated Prices

The bipartisan Patients Deserve Price Tags Act cleared the Senate HELP Committee on July 22, 2026, and would require hospitals, surgery centers, imaging facilities, and labs to publicly disclose what they actually charge insurers and patients.

By the Goodsurance editorial teamJuly 22, 2026

The Senate Health, Education, Labor, and Pensions Committee voted 21 to 1 on July 22, 2026, to advance S. 2355, the Patients Deserve Price Tags Act, to the full Senate. The bill is sponsored by Senators Roger Marshall and John Hickenlooper with backing from 13 Democrats and 12 Republicans. It would require hospitals, ambulatory surgery centers, imaging centers, and clinical laboratories to publish gross charges, negotiated rates, cash prices, and insurer-specific payment amounts quarterly. Health plans would also be required to disclose their negotiated provider rates.

Current federal price transparency rules, in effect since 2021, require hospitals to post machine-readable price files. Compliance has been inconsistent, and patient advocates have noted that the files are often difficult to interpret. The Patients Deserve Price Tags Act would extend requirements across more care settings and add consumer-friendly presentation standards.

For Medicare beneficiaries, clearer pricing could help when comparing out-of-pocket costs across hospitals, surgery centers, and labs, particularly for scheduled procedures where cost sharing varies by facility type. The bill still requires a full Senate vote and reconciliation with any House companion before it could become law.

In plain words

A Senate committee voted 21 to 1 to send a price transparency bill to the full Senate. The bill would require hospitals, surgery centers, labs, and imaging centers to post their prices four times a year, including negotiated insurance rates. Health plans would also have to share their rates. Current rules require some price disclosure, but the files are often hard to read. If this bill becomes law, Medicare patients could use the information to compare costs before scheduling care.

Source: Congress.gov
Read at the source →

More news

Other stories on what is moving in Medicare.

Policy & oversight

OIG Found More Than 15 Million Dollars in Medicare Payments Where Emergency Room Billing Codes Were Used at Non-Emergency Sites

A March 2026 federal audit identified improper and potentially improper Medicare payments made when physicians and hospitals used emergency department billing codes for care not actually delivered in an emergency department, and found that Medicare lacked automated safeguards to catch the mismatches.

August 8, 2026

Policy & oversight

Federal Audit Found at Least 4.7 Million Dollars in Medicare Overpayments at an Arkansas Hospital

An OIG audit of Jefferson Regional Medical Center found a high rate of billing errors on claims flagged as elevated risk, producing an estimated 4.7 million dollars in improper Medicare payments. The hospital disputed most of the findings.

August 7, 2026

Policy & oversight

CMS Publishes Plan to Speed Medicare Coverage for Breakthrough Medical Devices

A new pathway would give FDA-cleared breakthrough devices a national Medicare coverage decision within weeks of regulatory approval, rather than waiting years under the standard process.

August 7, 2026

Policy & oversight

Federal Audit Found 97 Cybersecurity Gaps in Medicare Billing Contractors for Fiscal Year 2024, Though the Most Serious Deficiencies Declined

An OIG annual report to Congress found information security deficiencies across all seven Medicare administrative contractors in fiscal year 2024, while noting that high-risk and moderate-risk gaps fell compared with the prior year.

August 6, 2026

Policy & oversight

CMS Published Second-Quarter 2026 Drug Coding Decisions That Shape How Medicare Identifies and Pays for New Medicines

The quarterly HCPCS drug coding update, posted July 29 and highlighted in the August 6 MLN Connects newsletter, determines which new medications and biologicals get a dedicated Medicare billing code.

August 6, 2026

Policy & oversight

CMS Sets a Sunset Date for the NTAP Alternative Track for Breakthrough Devices and Advances the RAPID Pathway

The fiscal year 2027 hospital payment final rule phases out the alternative NTAP track that breakthrough-designated devices used to qualify for Medicare reimbursement, while a new CMS-FDA program called RAPID is positioned to take its place.

August 5, 2026