Skip to main content
HR 5378 118th Congress House Health Administrative law and regulatory procedures Advisory bodies Civil actions and liability Computers and information technology Congressional oversight Consumer affairs Department of Health and Human Services Digestive and metabolic diseases Government information and archives Health care costs and insurance Health care coverage and access Health facilities and institutions Health personnel Home and outpatient care Hospital care Medicaid Medicare Photography and imaging Prescription drugs

Lower Costs, More Transparency Act

Introduced: September 8, 2023 See on congress.gov
Sign in to write a letter Sign in to watch
This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 10 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 11, 2023
Motion to reconsider laid on the table Agreed to without objection.
Dec 11, 2023
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)
Dec 11, 2023
DEBATE - The House proceeded with forty minutes of debate on H.R. 5378.
Dec 11, 2023
Considered under suspension of the rules. (consideration: CR H6762-6789)
Dec 11, 2023
Mrs. Rodgers (WA) moved to suspend the rules and pass the bill, as amended.
Dec 11, 2023
Considered as unfinished business. (consideration: CR H6801-6802)
Dec 11, 2023
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.
Sep 15, 2023
Referred to the Subcommittee on Health.
Sep 8, 2023
Introduced in House
Sep 8, 2023
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.
 Votes taken on this bill 1
DateChamberWhat was voted onResultYes–No
Dec 11, 2023 House · vote #708 On Motion to Suspend the Rules and Pass, as Amended Passed 320–71 See who voted →
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Plain-English summary Congressional Research Service

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).

What's happening now December 11, 2023

Motion to reconsider laid on the table Agreed to without objection.

 Related & companion bills 10
  • HR 4508 Related bill Hidden Fee Disclosure Act of 2023
  • HR 4527 Related bill Health DATA Act of 2023
  • HR 2665 Related bill Supporting Safety Net Hospitals Act
  • HR 3284 Related bill Providers and Payers COMPETE Act
  • HR 3839 Related bill To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
  • HR 4883 Related bill Medicare Common Ownership Transparency Act of 2023
  • S 775 Related bill Increasing Transparency in Generic Drug Applications Act
  • S 1855 Related bill Special Diabetes Program Reauthorization Act of 2023
  • S 2308 Related bill Community Health Care Reauthorization Act
  • HR 3237 Identical bill To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to inclu…
 Bill text 2 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Lobbying activity 111

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

See all 111 filings →
 Cosponsors 3
All 3 Democratic 1 Republican 2
R
Foxx, Virginia
North Carolina · Sep 8, 2023
 D
Pallone, Frank
New Jersey · Sep 8, 2023
 R
Smith, Jason
Missouri · Sep 8, 2023
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 5378: Lower Costs, More Transparency Act. 118th Congress. Open America. https://openamerica.io/bill/118-HR-5378/
MLA
"H.R. 5378: Lower Costs, More Transparency Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-5378/.
Bluebook (legal)
H.R. 5378, 118th Cong. (2026), https://openamerica.io/bill/118-HR-5378/.
Markdown link
[H.R. 5378: Lower Costs, More Transparency Act](https://openamerica.io/bill/118-HR-5378/)
Report a problem