Sec. 402. Price transparency
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Section 1866 of the Social Security Act ( 42 U.S.C. 1395cc ), as amended by section 401, is further amended— in subsection (a)(1)— in subparagraph (Y), by striking and at the end; in subparagraph (Z), by striking the period at the end and inserting ; and ; and by inserting after subparagraph
(Z)the following new subparagraph: in the case of a hospital, to comply with the requirement under subsection (l). ; and by adding at the end the following new subsection: For purposes of subsection (a)(1)(AA), the requirement described in this subsection is, with respect to a hospital and year (beginning with 2021), for the hospital to publicly post, through the system established under paragraph (3), for each service included in the list published under paragraph
(2)for such year, the volume-weighted average price charged by the hospital to— individuals enrolled during such year in group health plans or health insurance coverage offered in the individual or group market (as such terms are defined in section 2791 of the Public Health Service Act); and individuals who are not enrolled in any health insurance coverage or health benefits plan and individuals who are enrolled in such coverage or plan but such coverage or plan does not provide benefits for the service. For purposes of subsection (a)(1)(AA) and this subsection, the Secretary shall, for 2021 and each subsequent year, publish a list of the 100 services that are the most highly utilized in a hospital-based setting. Not later than January 1, 2021, the Secretary shall establish a standardized digital system for purposes of paragraph (1). .
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Sec. 402
Price transparency
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