PATIENT Act of 2023

1/3
Status In Committee
Sponsor Cathy McMorris Rodgers
Citation 118-HR-3561
Actions 7
Introduced May 22nd, 2023
Cosponsors
46 42
Last Action Dec 17th, 2024
Policy Area
Introduced House May 22
House
Senate
President
Enacted

Summary

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What this bill does

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Promoting Access to Treatments and Increasing Extremely Needed Transparency Act of 2023 or the PATIENT Act of 2023 This bill expands hospital price transparency requirements and establishes additional reporting requirements with respect to prescription drugs and pharmacy benefit managers (PBMs). The bill also extends funding for various programs such as the Teaching Health Center Graduate Medical Education program, Community Health Center program, and National Health Service Corps. Specifically, the bill provides statutory authority for the requirement that hospitals publish an annual list of shoppable services they provide, including specified pricing information. Beginning in 2025, a hospital may not use an internet-based price estimator tool to meet the publication requirement for shoppable services. The bill also modifies the health insurance plan disclosure requirements to include the rates for certain in-network services and prescription drug payment information. The bill further requires providers of diagnostic laboratory tests under Medicare to publish online certain price information. Medicare Advantage (MA) organizations must report information about payments made to providers in which the MA organization has an ownership interest. Medicare prescription drug plan sponsors must report certain price information for covered drugs. Additionally, the bill requires health insurance plan issuers (or the PBM providing services on behalf of the plan) to report to the plan sponsor specified information about prescription drugs dispensed under the plan. This includes rebates, fees, alternative discounts, or other remuneration the plan receives from drug manufacturers. Finally, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid.

Actions

7
House
INTRODUCED
INTRODUCED
May 22, 2023
ON FLOOR
REFERRED TO COMMITTEE
ON FLOOR
REFERRED TO COMMITTEE
ON FLOOR
REFERRED TO COMMITTEE
COMMITTEE
COMMITTEE CONSIDERATION AND MARKUP
May 24, 2023
COMMITTEE
COMMITTEE ORDERED TO REPORT
ON FLOOR
REFERRED TO SUBCOMMITTEE
Dec 17, 2024
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Cost Estimates

1

Nonpartisan fiscal analysis from the Congressional Budget Office. Click any estimate to read the full report on cbo.gov.