Legis Daily

PATIENT Act of 2023

USA118th CongressHR-3561| House 
| Updated: 12/17/2024
Cathy McMorris Rodgers

Cathy McMorris Rodgers

Republican Representative

Washington

Cosponsors (88)
Diana Harshbarger (Republican)Kim Schrier (Democratic)Barry Moore (Republican)Clay Higgins (Republican)Elise M. Stefanik (Republican)Wiley Nickel (Democratic)Ruben Gallego (Democratic)Marc A. Veasey (Democratic)Jake LaTurner (Republican)Adam B. Schiff (Democratic)Robin L. Kelly (Democratic)Richard McCormick (Republican)Brett Guthrie (Republican)Lisa Blunt Rochester (Democratic)Gabe Vasquez (Democratic)Christopher R. Deluzio (Democratic)Darren Soto (Democratic)Raul Ruiz (Democratic)Sheila Jackson Lee (Democratic)Jefferson Van Drew (Republican)Rick W. Allen (Republican)Neal P. Dunn (Republican)Carlos A. Gimenez (Republican)Victoria Spartz (Republican)Stephanie I. Bice (Republican)Mariannette Miller-Meeks (Republican)Beth Van Duyne (Republican)Kathy E. Manning (Democratic)John R. Curtis (Republican)Debbie Dingell (Democratic)Tony Cárdenas (Democratic)Jeff Duncan (Republican)Scott H. Peters (Democratic)Andrea Salinas (Democratic)Angie Craig (Democratic)John James (Republican)Donald G. Davis (Democratic)John P. Sarbanes (Democratic)Earl L. "Buddy" Carter (Republican)Shri Thanedar (Democratic)Ted Lieu (Democratic)Greg Stanton (Democratic)Ann M. Kuster (Democratic)Gus M. Bilirakis (Republican)Ronny Jackson (Republican)Sheila Cherfilus-McCormick (Democratic)Christopher H. Smith (Republican)James R. Baird (Republican)Pat Fallon (Republican)Richard Hudson (Republican)Doris O. Matsui (Democratic)Kat Cammack (Republican)John Joyce (Republican)Kelly Armstrong (Republican)George Santos (Republican)Brittany Pettersen (Democratic)Josh Harder (Democratic)Mark Takano (Democratic)John R. Moolenaar (Republican)Bruce Westerman (Republican)Betty McCollum (Democratic)Larry Bucshon (Republican)Diana DeGette (Democratic)Janice D. Schakowsky (Democratic)Andy Kim (Democratic)Debbie Lesko (Republican)Yvette D. Clarke (Democratic)Dan Crenshaw (Republican)Jay Obernolte (Republican)Juan Ciscomani (Republican)Lori Trahan (Democratic)Robert E. Latta (Republican)Bill Posey (Republican)Monica De La Cruz (Republican)Lizzie Fletcher (Democratic)Yadira Caraveo (Democratic)Nanette Diaz Barragán (Democratic)Frank Pallone (Democratic)Susie Lee (Democratic)Harold Rogers (Republican)Rashida Tlaib (Democratic)Jack Bergman (Republican)Bill Johnson (Republican)Troy Balderson (Republican)Brian Babin (Republican)Susan Wild (Democratic)Cory Mills (Republican)Vern Buchanan (Republican)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
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.
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Timeline
May 22, 2023
Introduced in House
May 22, 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.
May 24, 2023
Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
May 24, 2023
Committee Consideration and Mark-up Session Held.
Dec 17, 2024
Referred to the Subcommittee on Health.
  • May 22, 2023
    Introduced in House


  • May 22, 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.


  • May 24, 2023
    Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.


  • May 24, 2023
    Committee Consideration and Mark-up Session Held.


  • December 17, 2024
    Referred to the Subcommittee on Health.

Health

Related Bills

  • HR 118-3281: Transparent PRICE Act
  • HR 118-3262: To amend title XI of the Social Security Act to increase transparency of certain health-related ownership information.
  • S 118-775: Increasing Transparency in Generic Drug Applications Act
  • S 118-1038: Drug Price Transparency in Medicaid Act of 2023
  • HR 118-3248: Diagnostic Lab Testing Transparency Act
  • HR 118-2679: Pharmacy Benefits Manager Accountability Act
  • HR 118-3237: To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department.
  • HR 118-3839: To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
  • HR 118-2691: Transparent PRICE Act
  • HR 118-3282: Promoting Transparency and Healthy Competition in Medicare Act
Accounting and auditingAppropriationsBusiness recordsCivil actions and liabilityCommunity life and organizationComputers and information technologyCongressional oversightDigestive and metabolic diseasesFreedom of informationGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceHealth facilities and institutionsHealth information and medical recordsHealth programs administration and fundingHome and outpatient careHospital careIndian social and development programsInternet, web applications, social mediaMedicaidMedical educationMedical tests and diagnostic methodsMedicareNational and community servicePrescription drugsState and local financeState and local government operations

PATIENT Act of 2023

USA118th CongressHR-3561| House 
| Updated: 12/17/2024
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.
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Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
May 22, 2023
Introduced in House
May 22, 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.
May 24, 2023
Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
May 24, 2023
Committee Consideration and Mark-up Session Held.
Dec 17, 2024
Referred to the Subcommittee on Health.
  • May 22, 2023
    Introduced in House


  • May 22, 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.


  • May 24, 2023
    Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.


  • May 24, 2023
    Committee Consideration and Mark-up Session Held.


  • December 17, 2024
    Referred to the Subcommittee on Health.
Cathy McMorris Rodgers

Cathy McMorris Rodgers

Republican Representative

Washington

Cosponsors (88)
Diana Harshbarger (Republican)Kim Schrier (Democratic)Barry Moore (Republican)Clay Higgins (Republican)Elise M. Stefanik (Republican)Wiley Nickel (Democratic)Ruben Gallego (Democratic)Marc A. Veasey (Democratic)Jake LaTurner (Republican)Adam B. Schiff (Democratic)Robin L. Kelly (Democratic)Richard McCormick (Republican)Brett Guthrie (Republican)Lisa Blunt Rochester (Democratic)Gabe Vasquez (Democratic)Christopher R. Deluzio (Democratic)Darren Soto (Democratic)Raul Ruiz (Democratic)Sheila Jackson Lee (Democratic)Jefferson Van Drew (Republican)Rick W. Allen (Republican)Neal P. Dunn (Republican)Carlos A. Gimenez (Republican)Victoria Spartz (Republican)Stephanie I. Bice (Republican)Mariannette Miller-Meeks (Republican)Beth Van Duyne (Republican)Kathy E. Manning (Democratic)John R. Curtis (Republican)Debbie Dingell (Democratic)Tony Cárdenas (Democratic)Jeff Duncan (Republican)Scott H. Peters (Democratic)Andrea Salinas (Democratic)Angie Craig (Democratic)John James (Republican)Donald G. Davis (Democratic)John P. Sarbanes (Democratic)Earl L. "Buddy" Carter (Republican)Shri Thanedar (Democratic)Ted Lieu (Democratic)Greg Stanton (Democratic)Ann M. Kuster (Democratic)Gus M. Bilirakis (Republican)Ronny Jackson (Republican)Sheila Cherfilus-McCormick (Democratic)Christopher H. Smith (Republican)James R. Baird (Republican)Pat Fallon (Republican)Richard Hudson (Republican)Doris O. Matsui (Democratic)Kat Cammack (Republican)John Joyce (Republican)Kelly Armstrong (Republican)George Santos (Republican)Brittany Pettersen (Democratic)Josh Harder (Democratic)Mark Takano (Democratic)John R. Moolenaar (Republican)Bruce Westerman (Republican)Betty McCollum (Democratic)Larry Bucshon (Republican)Diana DeGette (Democratic)Janice D. Schakowsky (Democratic)Andy Kim (Democratic)Debbie Lesko (Republican)Yvette D. Clarke (Democratic)Dan Crenshaw (Republican)Jay Obernolte (Republican)Juan Ciscomani (Republican)Lori Trahan (Democratic)Robert E. Latta (Republican)Bill Posey (Republican)Monica De La Cruz (Republican)Lizzie Fletcher (Democratic)Yadira Caraveo (Democratic)Nanette Diaz Barragán (Democratic)Frank Pallone (Democratic)Susie Lee (Democratic)Harold Rogers (Republican)Rashida Tlaib (Democratic)Jack Bergman (Republican)Bill Johnson (Republican)Troy Balderson (Republican)Brian Babin (Republican)Susan Wild (Democratic)Cory Mills (Republican)Vern Buchanan (Republican)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee, Education and Workforce Committee

Health

Related Bills

  • HR 118-3281: Transparent PRICE Act
  • HR 118-3262: To amend title XI of the Social Security Act to increase transparency of certain health-related ownership information.
  • S 118-775: Increasing Transparency in Generic Drug Applications Act
  • S 118-1038: Drug Price Transparency in Medicaid Act of 2023
  • HR 118-3248: Diagnostic Lab Testing Transparency Act
  • HR 118-2679: Pharmacy Benefits Manager Accountability Act
  • HR 118-3237: To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department.
  • HR 118-3839: To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
  • HR 118-2691: Transparent PRICE Act
  • HR 118-3282: Promoting Transparency and Healthy Competition in Medicare Act
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Accounting and auditingAppropriationsBusiness recordsCivil actions and liabilityCommunity life and organizationComputers and information technologyCongressional oversightDigestive and metabolic diseasesFreedom of informationGovernment information and archivesGovernment studies and investigationsHealth care costs and insuranceHealth facilities and institutionsHealth information and medical recordsHealth programs administration and fundingHome and outpatient careHospital careIndian social and development programsInternet, web applications, social mediaMedicaidMedical educationMedical tests and diagnostic methodsMedicareNational and community servicePrescription drugsState and local financeState and local government operations