Hospitals must show their prices to the public starting in 2027.
H.R. 9645 — Health Care Price Certainty for All Americans Act · Filed by Jason Smith (R-MO) · Introduced Jul 13, 2026 · Reported out
Your members of Congress
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What it does
This bill makes hospitals, surgery centers, labs, and imaging places tell the public what they charge. Patients can see prices before they get care and compare costs. Insurance companies must tell patients what they will owe when asked. The rules start in 2027 for hospitals and 2028 for other places.
Who it affects
Patients can now look up prices before choosing where to get care. Hospitals and other medical places must set up systems to share their prices. Insurance companies must give cost numbers to patients who ask.
One thing to notice
The bill requires prices to be public. It does not say whether seeing prices will make hospitals charge less.
From the analysis of the bill text, linked under Primary records below.
Where it stands
- Jul 13, 2026 — Introduced · Congress.gov: “Introduced in House”
- Jul 13, 2026 — Referred to House Committee on Education and Workforce and House Committee on Ways and Means · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and…”
- Jul 15, 2026 — Markup held in committee · Congress.gov: “Committee Consideration and Mark-up Session Held”
- Jul 15, 2026 — Reported out of committee · Congress.gov: “Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
2 groups reported lobbying about this bill. They filed 2 reports from Jun 2026 to Jun 2026.
Those reports show $880,000 in lobbying spending. Each report lists about 16 bills. So that money was not all for this bill.
More groups named this bill than 41% of bills with any report.
Jason Smith, who sponsored the bill, received $2,921,780 from PACs for the 2026 election.
- Federation of American Hospitals — $710,000 in 1 report
- International Brotherhood of Electrical Workers — $170,000 in 1 report
Lobbying is legal. These reports show who lobbied about this bill, not what changed.
Words to know
- surgery centers — Places where doctors do surgery on patients who go home the same day.
- insurance companies — Businesses that pay for some or all of a person's health care costs.
- lobbying — Trying to influence lawmakers about a bill. Companies and groups pay people to do this.
- PACs — Groups that collect money and give it to candidates for office.
- sponsored — To sponsor a bill is to introduce it in Congress and put your name on it.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (50,012 characters) on Jul 14, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 14,522 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Jun 2026 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-09-22.
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