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Price Transparency Regulation & Legislation

Jan 1, 2021
Hospital Price Transparency Rule
Requires hospitals to publish their MRF and Patient Estimate Tool.
Jan 1, 2022
No Surprises Act (NSA)
Requires accurate, up-front Good Faith Estimates and Advanced EOBs.
Ju l 1, 2022
Transparency In Coverage Part I
Requires payers to publish their MRF.
Jan 1, 2023
Transparency In Coverage Part II
Requires payers to publish a Patient Estimate Tool.
Jul 1, 2024
CY 2024 OPPS Final Rule
Requires hospitals to adopt a new standard schema, data elements, and more.
Introduced
PRICE 2.0 Act
If passed, the bill would codify and expand on the existing price transparency mandates into law.
Introduced
Lower Costs, More Transparency Act
If passed, the bill would require hospitals, payers, labs, imaging centers, and ASCs to disclose cost sharing information.
Jan 1, 2025
Drug Reporting Requirement for Hospitals
Mandates hospitals to publish a machine-readable file (MRF) containing the detailed drug information for all drugs within the hospital’s chargemaster.
Government Action
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Price Transparency Is One of The Few Bipartisan Issues Left

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Background:

In 2019, the Trump administration pushed through the first price transparency Executive Order, which established the Hospital Price Transparency Rule and Transparency in Coverage. It’s no surprise that in 2025, the Trump administration signed a new Executive Order on Pricing Transparency.

The Challenge:

Price transparency is one of the few bipartisan things left in Washington. Whether you are Right or Left on healthcare, we all need to know what it costs. Trump’s Executive Order is a shot across the bow that price transparency’s progress over the last four years won’t be lost, but accelerated. Here’s the rundown on what you need to know.

Featured Content

A Price Transparency Resource Hub

TQU is for everyone and anyone looking to learn about price transparency legislation, regulations, compliance, and data. Written and fact-checked by the Turquoise Health team, we've compiled this resource to help you learn all you need to know about Price Transparency in Healthcare. You're welcome.

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