# 119-hr-8684: Transparency in Billing Act of 2026

119-hr-8684, Transparency in Billing Act of 2026, is a 119th Congress bill sponsored by Rep. Foxx, Virginia [R-NC-5] (R-NC); status in_committee; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-8684
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-8684
- Congress: 119
- Title: Transparency in Billing Act of 2026
- Status: in_committee
- Introduced: 2026-05-07
- Sponsor: Rep. Foxx, Virginia [R-NC-5] (R-NC)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**This bill would require hospitals to include a separate, unique department-level health identifier on claims for services at off-campus outpatient departments and bar payment unless that identifier is provided.** It also creates size-based civil penalties for hospitals that fail to comply and directs the Department of Labor to write implementing rules and a reporting process.

## Cosponsors (1)

- Rep. Scott, Robert C. "Bobby" [D-VA-3] (D-VA), 2026-05-07T00:00:00.000Z

## Provisions PRIA read

- New hospital ID for off-campus billing: benefit, medium. If enacted, hospitals would need a separate department-level health identifier under section 1173(b) for each off‑campus outpatient department. Group health plans and issuers would not be allowed to pay a claim for services at such a department unless the claim included that department identifier;…
- Fines and reporting for billing violations: mixed, medium. If enacted, the Secretary would be authorized to assess civil fines against hospitals that violate the honest billing rules. Fines could be up to $300 per day for hospitals with 30 beds or fewer and up to $5,500 per day for hospitals with more than 30 beds, and would apply for each day a violation…

## Related bills

- 119-hr-979: AM Radio for Every Vehicle Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-10619: Spending Safeguard Act
- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-1870: SPEED for BEAD Act

## Sources
- [119-hr-8684 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8684)

## Related
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-10619: Spending Safeguard Act](https://policyrisk.com/legislation/119-hr-10619)
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [119-hr-1870: SPEED for BEAD Act](https://policyrisk.com/legislation/119-hr-1870)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-8684 (as of 2026-09-21).