,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #cife  ,,in ,,the ,,house ,,of  
,,representatives  ,july #be1 #bjai,mr4 
,lipinski introduced the following bill2
 which was referred to the ,committee on
 ,energy and ,commerce  ,a ,,bill  ,to  
amend the ,public ,health ,service ,act 
to provide for enhancements to          
requirements for public disclosure of   
hospital price data4  #a4 ,short title  
,this ,act may be cited as the ,hospital
 ,price ,transparency and ,disclosure   
,act4  #b4 ,enhancing public disclosure 
of hospital price data ,section         
#bgah7;e7 of the ,public ,health        
,service ,act is amended--  7#a7 by     
striking charges4--,each hospital and   
inserting charges4-- 7#a7 ,in general   
,each hospital  2 and  7#b7 by adding at
 the end the following new paragraphs3  
7#b7 ,format ,the guidelines developed  
under paragraph 7#a7 shall provide that 
all standard charges described in       
paragraph 7#a7 are published in a       
uniform1 machine-readable format4  7#c7 

,public posting of data  7,a7 ,public   
posting of data ,the guidelines         
developed under paragraph 7#a7 shall    
provide that the standard charges       
described in paragraph 7#a7 shall be    
made public by hospitals through a      
process specified by the ,secretary     
under which the standard charges are    
submitted by the hospitals to the       
,secretary and the ,secretary promptly  
posts the standard charges on the       
official public ,internet site of the   
,department of ,health and ,human       
,services4 ,such data shall be set forth
 in a manner that promotes charge       
comparison among hospitals and in a     
manner that compares the price data for 
an item or service submitted by the     
hospital with the price payable for the 
same item or service under title ,,xviii
 of the ,social ,security ,act4  7,b7   
,access ,in carrying out subparagraph   
7,a71 the ,secretary shall create       
application programming interfaces and  
take any other necessary steps to       

facilitate access to data submitted     
pursuant to paragraph 7#a7 to third     
parties seeking to present such data in 
a consumer-friendly format4  7,c7       
,notice of availability ,each hospital  
required to submit data under this      
subsection shall prominently post at    
each admission site of the hospital a   
notice of the availability of the data  
so submitted on the official public     
,internet site under subparagraph 7,a74 
7#d7 ,civil monetary penalty ,the       
,secretary may impose a civil monetary  
penalty of not more than #aj1jjj for    
each knowing violation of paragraph 7#a7
 or 7#c77;,c7 by a hospital4 ,the       
provisions of subsection 7i77#b7 of     
section #cea;,a shall apply with respect
 to civil monetary penalties under this 
paragraph in the same manner as such    
provisions apply to civil monetary      
penalties under subsection 7i77#a7 of   
such section4  7#e7 ,method for         
determining actual charge ,not later    
than #ah months after the date of the   

enactment of the ,hospital ,price       
,transparency and ,disclosure ,act1 the 
,secretary shall pursuant to rulemaking 
develop a method to determine and make  
publicly available information on total 
amounts actually negotiated for and     
charged by a hospital to patients for   
the items and services appearing on its 
standard charge list1 and accepted by   
the hospital as payment in full4 ,in    
determining the method for the          
disclosure of such negotiated charges1  
the ,secretary may take steps to reduce 
the risk of the anti-competitive use of 
such data or market collusion1 such as  
by using averages1 ranges1 rankings1    
trends1 or other means as the ,secretary
 determines reasonable4  7#f7 ,reports  
,beginning not later than #ah months    
after the date of the enactment of the  
,hospital ,price ,transparency and      
,disclosure ,act1 and annually          
thereafter1 the ,secretary shall make   
public on the ,internet site described  
in paragraph 7#c77;,a7 a report         

analyzing trends in standard and        
negotiated charges over time1 analyzing 
trends in standard and negotiated rates 
relative to ,medicare payments1 and     
providing recommendations as needed on  
statutory changes to increase medical   
price transparency and public insight   
into health care pricing4  4