3.0.0
5378
2025-07-21T19:44:15Z
2025-07-21T19:44:15Z
House
H
HR
2023-09-08
118
[Congressional Record Volume 169, Number 145 (Friday, September 8, 2023)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. RODGERS of Washington:H.R. 5378.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8, Clause 3The single subject of this legislation is:To lower costs for and improve the health of patients.[Page H4231]
- hsif00
Energy and Commerce Committee
House
Standing
  - hsif14
Health Subcommittee
    - Referred to
2023-09-15T19:39:01Z
  - Referred To
2023-09-08T17:04:10Z
- hsed00
Education and Workforce Committee
House
Standing
  - Referred To
2023-09-08T17:04:20Z
- hswm00
Ways and Means Committee
House
Standing
  - Referred To
2023-09-08T17:04:15Z

- Hidden Fee Disclosure Act of 2023
118
4508
HR
2023-11-01
Placed on the Union Calendar, Calendar No. 209.
  - Related bill
CRS

- Health DATA Act of 2023
118
4527
HR
2023-11-01
Placed on the Union Calendar, Calendar No. 210.
  - Related bill
CRS

- Supporting Safety Net Hospitals Act
118
2665
HR
2023-04-18
Referred to the House Committee on Energy and Commerce.
  - Related bill
CRS

- Providers and Payers COMPETE Act
118
3284
HR
2024-12-05
Placed on the Union Calendar, Calendar No. 672.
  - Related bill
CRS

- To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
118
3839
HR
2023-06-09
Referred to the Subcommittee on Health.
  - Related bill
CRS

- Medicare Common Ownership Transparency Act of 2023
118
4883
HR
2024-12-17
Referred to the Subcommittee on Health.
  - Related bill
CRS

- Increasing Transparency in Generic Drug Applications Act
118
775
S
2023-03-14
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  - Related bill
CRS

- Special Diabetes Program Reauthorization Act of 2023
118
1855
S
2023-07-27
Placed on Senate Legislative Calendar under General Orders. Calendar No. 184.
  - Related bill
CRS

- Community Health Care Reauthorization Act
118
2308
S
2023-07-13
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  - Related bill
CRS

- To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department.
118
3237
HR
2024-12-17
Referred to the Subcommittee on Health.
  - Identical bill
CRS
- 2023-12-11
19:13:20
Motion to reconsider laid on the table Agreed to without objection.
Floor
H38310
2
House floor actions
- 2023-12-11
19:13:19
On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 320 - 71, 1 Present (Roll no. 708). (text: CR H6762-6785)
Floor
H37300
2
House floor actions
708
https://clerk.house.gov/evs/2023/roll708.xml
House
118
2023-12-12T00:13:19Z
1
- 2023-12-11
19:13:19
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 320 - 71, 1 Present (Roll no. 708). (text: CR H6762-6785)
Floor
8000
9
Library of Congress
708
https://clerk.house.gov/evs/2023/roll708.xml
House
118
2023-12-12T00:13:19Z
1
- 2023-12-11
19:04:51
Considered as unfinished business. (consideration: CR H6801-6802)
Floor
H30000
2
House floor actions
- 2023-12-11
16:36:02
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Floor
H37220
2
House floor actions
- 2023-12-11
16:00:59
DEBATE - The House proceeded with forty minutes of debate on H.R. 5378.
Floor
H8D000
2
House floor actions
- 2023-12-11
16:00:56
Considered under suspension of the rules. (consideration: CR H6762-6789)
Floor
H30000
2
House floor actions
- 2023-12-11
16:00:33
Mrs. Rodgers (WA) moved to suspend the rules and pass the bill, as amended.
Floor
H30300
2
House floor actions
- 2023-09-15
  - hsif14
Health Subcommittee
1
House committee actions
Referred to the Subcommittee on Health.
Committee
- 2023-09-08
Referred 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.
IntroReferral
H11100
2
House floor actions
  - hsed00
Education and Workforce Committee
- 2023-09-08
Referred 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.
IntroReferral
H11100
2
House floor actions
  - hswm00
Ways and Means Committee
- 2023-09-08
Referred 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.
IntroReferral
H11100
2
House floor actions
  - hsif00
Energy and Commerce Committee
- 2023-09-08
Introduced in House
IntroReferral
Intro-H
9
Library of Congress
- 2023-09-08
Introduced in House
IntroReferral
1000
9
Library of Congress
- M001159
Rep. McMorris Rodgers, Cathy [R-WA-5]
Cathy
Rodgers
R
WA
McMorris
5
N
- P000034
Rep. Pallone, Frank, Jr. [D-NJ-6]
FRANK
PALLONE
D
NJ
6
2023-09-08
True
- S001195
Rep. Smith, Jason [R-MO-8]
Jason
Smith
R
MO
8
2023-09-08
True
- F000450
Rep. Foxx, Virginia [R-NC-5]
Virginia
Foxx
R
NC
5
2023-09-08
True
- 2023-09-14T19:02:00Z

Estimated Direct Spending and Revenue Effects of H.R. 5378, the Lower Costs, More Transparency Act
https://www.cbo.gov/publication/59568
As posted on the website of the Clerk of the House on September 13, 2023
- 2023-12-08T17:09:00Z

Estimated Direct Spending and Revenue Effects of H.R. 5378, the Lower Costs, More Transparency Act
https://www.cbo.gov/publication/59825
As posted on the website of the Clerk of the House on December 5, 2023https://tinyurl.com/h2vpjp8a
Health
- Administrative law and regulatory procedures
2023-09-20T14:45:14Z
- Advisory bodies
2023-09-20T14:45:14Z
- Civil actions and liability
2023-09-20T14:45:14Z
- Computers and information technology
2023-09-20T14:45:14Z
- Congressional oversight
2023-09-20T14:45:14Z
- Consumer affairs
2023-09-20T14:45:14Z
- Department of Health and Human Services
2023-09-20T14:45:14Z
- Digestive and metabolic diseases
2023-09-20T14:45:14Z
- Government information and archives
2023-09-20T14:45:13Z
- Health care costs and insurance
2023-09-20T14:45:14Z
- Health care coverage and access
2023-09-20T14:45:14Z
- Health facilities and institutions
2023-09-20T14:45:14Z
- Health personnel
2023-09-20T14:45:14Z
- Home and outpatient care
2023-09-20T14:45:14Z
- Hospital care
2023-09-20T14:45:14Z
- Medicaid
2023-09-20T14:45:14Z
- Medicare
2023-09-20T14:45:14Z
- Photography and imaging
2023-09-20T14:45:14Z
- Prescription drugs
2023-09-20T14:45:14Z
- State and local government operations
2023-09-20T14:45:14Z
- Surgery and anesthesia
2023-09-20T14:45:14Z
Health
2023-09-20T13:30:25Z
00
2023-09-08
Introduced in House
2023-09-21T20:03:22Z
Lower Costs, More Transparency Act
This bill requires health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs.
For example, the bill provides statutory authority for regulations that require hospitals to annually publish their prices and related information, including the discounted cash price and negotiated charges. The bill also specifically extends these requirements to clinical laboratories, imaging service providers, and ambulatory surgical centers that participate in Medicare. Additionally, pharmacy benefit managers (PBMs) must semiannually report to health plan sponsors on the number and types of claims for covered drugs, including whether the drugs were brand-name or generic drugs and associated costs. Contracts with PBMs for employer-sponsored health plans must also allow health plan fiduciaries to audit certain claims and cost information without undue restrictions.
In addition, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid. It also requires Medicare payments for certain drug administration services at off-campus hospital outpatient departments to be the same as that for other provider settings (i.e., physician offices).
The bill provides funds for the Department of Health and Human Services, the Department of Treasury, and the Department of Labor to implement and enforce the bill's requirements.
Finally, the bill extends several public health programs, including the Teaching Health Center Graduate Medical Education Program (through FY2030) and the National Health Service Corps (through December 31, 2025).
53
2023-12-11
Passed House
2024-01-02T16:04:21Z
Lower Costs, More Transparency Act
This bill requires health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs.
For example, the bill provides statutory authority for regulations that require hospitals to annually publish their prices and related information, including the discounted cash price and negotiated charges. The bill also specifically extends these requirements to clinical laboratories, imaging service providers, and ambulatory surgical centers that participate in Medicare. Additionally, pharmacy benefit managers (PBMs) must semiannually report to health plan sponsors certain information on spending, rebates, and fees that are associated with covered drugs. Contracts with PBMs for employer-sponsored health plans must also allow health plan fiduciaries to audit certain claims and cost information without undue restrictions.
In addition, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid. It also requires Medicare payments for certain drug administration services at off-campus hospital outpatient departments to be the same as that for other provider settings (i.e., physician offices).
The bill provides funds for the Department of Health and Human Services, the Department of Treasury, and the Department of Labor to implement and enforce the bill's requirements.
Finally, the bill extends several public health programs, including the Teaching Health Center Graduate Medical Education Program (through FY2030) and the National Health Service Corps (through December 31, 2025).

Lower Costs, More Transparency Act
- Display Title
45

Lower Costs, More Transparency Act
2024-07-24T15:19:40Z
- Short Title(s) as Introduced
101

Lower Costs, More Transparency Act
2024-05-24T13:36:47Z
Introduced in House
IH
- Short Title(s) as Passed House
104

Lower Costs, More Transparency Act
2024-05-24T13:35:05Z
H
House
Engrossed in House
EH
- Official Title as Introduced
6

To promote price transparency in the health care sector, and for other purposes.
2024-03-18T21:21:50Z
Introduced in House
IH
- Engrossed in House
2023-12-11T05:00:00Z
  - https://www.govinfo.gov/content/pkg/BILLS-118hr5378eh/xml/BILLS-118hr5378eh.xml
- Introduced in House
2023-09-08T04:00:00Z
  - https://www.govinfo.gov/content/pkg/BILLS-118hr5378ih/xml/BILLS-118hr5378ih.xml
2023-12-11
Motion to reconsider laid on the table Agreed to without objection.
19:13:20
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
Congressional Research Service, Library of Congress
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