Healthcare compliance

H.R. 9393: Why Health Price Transparency Still Has an Accuracy Problem

A House committee advanced H.R. 9393, but the central implementation issue remains unresolved: CMS can enforce publication rules without independently proving that every reported price is contractually accurate.

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TL;DR:
H.R. 9393 would broaden federal health price transparency requirements. The key implementation issue is whether CMS can validate published prices, not just confirm that compliant files exist.

What you need to know

The change: Beginning January 1, 2028, the available substitute would require specified hospitals receiving Medicare payments to comply with new statutory price-transparency requirements, including publishing standard charges and information for at least 300 shoppable services. (House Document Repository)
Who is affected: The package includes provisions involving hospitals, health plans, prior authorization and other health-care reporting requirements. (House Document Repository)
Why it matters: CMS can enforce publication and reporting requirements, but GAO found that the agency lacked assurance about the substantive completeness and accuracy of hospital price data. (GAO)
What to do first: Health systems and plans should separate responsibility for publishing price files from responsibility for validating the contracts, identifiers and payment information behind them.
Key trigger: The committee advanced H.R. 9393 as amended. As of July 26, 2026, no consolidated committee text showing the amendments incorporated during markup was identified in the public materials reviewed.

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