Health Care Price Certainty for All Americans Act

Sponsor: Jason Smith (Republican-MO)July 13, 2026

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.

Patients would see healthcare prices from hospitals and insurers upfront.

This bill would make it easier for patients to know healthcare costs before they get care. Hospitals, labs, and surgical centers would have to post their prices, and health plans would offer tools to estimate what you'd pay. Pharmacies could also tell you if a prescription costs less without using insurance.

What Would Change

Today, healthcare prices are often hard to find, and patients typically don't know their full out-of-pocket costs until after receiving care. Pharmacies might also be restricted from telling patients about cheaper cash prices for drugs. After this bill, hospitals and other facilities would publicly list their prices, health plans would offer tools for personalized cost estimates, and pharmacies could openly share information about lower cash prices for prescriptions.

Key Provisions

Hospitals would publicly list all standard charges and prices for at least 300 common services by January 1, 2027.
Clinical diagnostic laboratories, imaging service providers, and ambulatory surgical centers would publicly list discounted cash prices and gross charges for specific services by January 1, 2028.
Health insurance plans would provide members with personalized cost estimates for services and publish all in-network and out-of-network rates by January 1, 2029.
Pharmacies would be allowed to tell patients if a prescription costs less when paid for without insurance.
The government would monitor compliance and could fine hospitals up to $6,277 per day for not sharing prices, and other providers/plans up to $300 per day.

View on Congress.gov

HR 9645 · 119th Congress · July 13, 2026 · AI Summary by gemini-2.5-flash · 1/10

Health Care Price Certainty for All Americans Act

What Would Change

Key Provisions

Lobbying Activity