United States · Bill · HR
H.R. 5378 (118th)
Lower Costs, More Transparency Act
Introduced
8 September 2023
Last action
11 December 2023 · Floor
Status
Motion to reconsider laid on the table Agreed to without objection.
Sponsors
Rep. McMorris Rodgers, Cathy [R-WA-5], Rep. Pallone, Frank [D-NJ-6], Rep. Smith, Jason [R-MO-8], Rep. Foxx, Virginia [R-NC-5]
Subjects
Healthcare, Education
Source updated
21 July 2025
Summary
Lower Costs, More Transparency Act This bill requires health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. For example, the bill provides statutory authority for regulations that require hospitals to annually publish their prices and related information, including the discounted cash price and negotiated charges. The bill also specifically extends these requirements to clinical laboratories, imaging service providers, and ambulatory surgical centers that participate in Medicare. Additionally, pharmacy benefit managers (PBMs) must semiannually report to health plan sponsors on the number and types of claims for covered drugs, including whether the drugs were brand-name or generic drugs and associated costs. Contracts with PBMs for employer-sponsored health plans must also allow health plan fiduciaries to audit certain claims and cost information without undue restrictions. In addition, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with PBMs under Medicaid. It also requires Medicare payments for certain drug administration services at off-campus hospital outpatient departments to be the same as that for other provider settings (i.e., physician offices). The bill provides funds for the Department of Health and Human Services, the Department of Treasury, and the Department of Labor to implement and enforce the bill's requirements. Finally, the bill extends several public health programs, including the Teaching Health Center Graduate Medical Education Program (through FY2030) and the National Health Service Corps (through December 31, 2025).
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
8 September 2023
Introduced
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.
Source: IntroReferral
8 September 2023
Introduced
Introduced in House
Source: IntroReferral
8 September 2023
Introduced
Introduced in House
Source: IntroReferral
15 September 2023
Referred
Referred to the Subcommittee on Health.
Source: Committee
11 December 2023
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
11 December 2023
Vote
On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 320 - 71, 1 Present (Roll no. 708). (text: CR H6762-6785)
Source: Floor
11 December 2023
Vote
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 320 - 71, 1 Present (Roll no. 708). (text: CR H6762-6785)
Source: Floor
11 December 2023
Floor
Considered under suspension of the rules. (consideration: CR H6762-6789)
Source: Floor
11 December 2023
Vote
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Source: Floor
11 December 2023
Floor
DEBATE - The House proceeded with forty minutes of debate on H.R. 5378.
Source: Floor
11 December 2023
Floor
Mrs. Rodgers (WA) moved to suspend the rules and pass the bill, as amended.
Source: Floor
Votes
12 December 2023 · passed · On Motion to Suspend the Rules and Pass, as Amended · Passed · Official source
Yes 320 · No 71 · Abstain — · Absent/not voting 41
- Rep. Ferguson, A. Drew, IV [R-GA-3]Yea
- Rep. Bean, Aaron [R-FL-4]Yea
- Rep. Spanberger, Abigail Davis [D-VA-7]Yea
- Sen. Schiff, Adam B. [D-CA]Nay
Showing the first 4 recorded positions. Vote totals above are complete.
Versions
- Engrossed in House · 11 December 2023 · Download file
- Introduced in House · 8 September 2023 · Download file
Documents
6 official files
Engrossed in House (text)
This file cannot be previewed here. Use View or Download.
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Engrossed in House (text)
Engrossed in House · EN · 11 December 2023
Engrossed in House (PDF)
Engrossed in House · EN · 11 December 2023
ViewDownloadOpen at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Passed House
summary · EN · 11 December 2023
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House (text)
Introduced in House · EN · 8 September 2023
ViewDownloadOpen at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House (PDF)
Introduced in House · EN · 8 September 2023
ViewDownloadOpen at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in House
summary · EN · 8 September 2023
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. McMorris Rodgers, Cathy [R-WA-5] · R · Sponsor
- Rep. Pallone, Frank [D-NJ-6] · D · Sponsor
- Rep. Smith, Jason [R-MO-8] · R · Sponsor
- Rep. Foxx, Virginia [R-NC-5] · R · Sponsor
- · hsif00 · Standing
- · hsed00 · Standing
- · hswm00 · Standing
Related records
- related to → Hidden Fee Disclosure Act of 2023
- related to → Health DATA Act of 2023
- related to → Supporting Safety Net Hospitals Act
- related to → Providers and Payers COMPETE Act
- related to → To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
- related to → Medicare Common Ownership Transparency Act of 2023
- related to → Increasing Transparency in Generic Drug Applications Act
- related to → Special Diabetes Program Reauthorization Act of 2023
Showing 8 of 10 related records.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/house-bill/5378
- Open data entity: https://api.congress.gov/v3/bill/118/hr/5378
- us · 118-hr-5378 · source updated 21 July 2025