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118th Congress Health

H.R. 3561: PATIENT Act of 2023

Introduced

  1. Introduced (completed)May 22, 2023
  2. Passed House (not reached)
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in House, May 22, 2023

This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps.

Specifically, the bill provides statutory authority for the requirement that hospitals publish an annual list of shoppable services they provide, including specified pricing information. Beginning in 2025, a hospital may not use an internet-based price estimator tool to meet the publication requirement for shoppable services.

The bill also modifies the health insurance plan disclosure requirements to include the rates for certain in-network services and prescription drug payment information.

Read the full summary

The bill further requires providers of diagnostic laboratory tests under Medicare to publish online certain price information. Medicare Advantage (MA) organizations must report information about payments made to providers in which the MA organization has an ownership interest. Medicare prescription drug plan sponsors must report certain price information for covered drugs.

Additionally, the bill requires health insurance plan issuers (or the PBM providing services on behalf of the plan) to report to the plan sponsor specified information about prescription drugs dispensed under the plan. This includes rebates, fees, alternative discounts, or other remuneration the plan receives from drug manufacturers.

Finally, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid.

Written by the Congressional Research Service, Library of Congress.

Roll calls

0 votes on this bill

No roll call votes have been held on this bill.

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

88

Bipartisan support.

Who scored on this bill

18 points earned
  1. 1Cathy McMorris Rodgers R-WA SponsorDrew cross-party cosponsors, introduced, reached a cosponsor milestone4 events+18
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Cathy McMorris Rodgers

History

  1. May 22, 2023Introduced in the House by Cathy McMorris Rodgers.
Show the full action history (5 actions)
  1. Dec 17, 2024Referred to the Subcommittee on Health.
  2. May 24, 2023Committee Consideration and Mark-up Session Held.
  3. May 24, 2023Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
  4. May 22, 2023Introduced in House
  5. May 22, 2023Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.