# 119-hr-9645: Health Care Price Certainty for All Americans Act

119-hr-9645, Health Care Price Certainty for All Americans Act, is a 119th Congress bill sponsored by Rep. Smith, Jason [R-MO-8] (R-MO); status in_committee; PRIA reads it as touching household money (as of 2026-08-27).

- Canonical: https://policyrisk.com/legislation/119-hr-9645
- As of: 2026-08-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9645
- Congress: 119
- Title: Health Care Price Certainty for All Americans Act
- Status: in_committee
- Introduced: 2026-07-13
- Sponsor: Rep. Smith, Jason [R-MO-8] (R-MO)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-27

## Summary

**price transparency** is the core aim of this bill. It would require hospitals, labs, imaging centers, ambulatory surgical centers, and health plans to publish standardized, consumer-friendly prices and cost estimates so patients can compare expected costs before care. - Hospitals, labs, imaging providers, and ASCs must post standard charges and consumer prices, including payer-specific negotiated rates and cash prices for a CMS-specified set of shoppable services (at least 300 where applicable). Hospitals face per-day civil monetary penalties that scale by size, starting at $342 per day for the smallest hospitals and up to $6,277 per day for the largest. - Group health plans and issuers must give enrollees a real-time, web-based cost-sharing tool and publish machine-readable in-network rates and allowed amounts, including drug payment details and PBM "spread" reporting, for plan years beginning on or after 2029. - Medicare Advantage organizations and Part D sponsors must report identifiers and payment flows to reveal vertical integration for plan year 2028 and every third plan year after. The bill also funds implementation with $65 million to HHS and Treasury and $35 million to Labor in FY2027 to support rules, data systems, audits, and enforcement. *Provides $65 million to HHS and Treasury and $35 million to Labor in FY2027, a total of $100 million in implementation funding, increasing federal spending.*

## Provisions PRIA read

- Health plan price and cost tools: benefit, medium. If enacted, for plan years starting January 1, 2029, group health plans would have to give a free online self-service tool that returns real-time, personalized cost estimates for a specific service. Plans would also post quarterly machine-readable rate and payment files showing in-network dollar ra…
- Hospital, ASC, lab, and imaging prices: benefit, medium. If enacted, hospitals paid by Medicare would start posting comprehensive price information beginning January 1, 2027 and follow a uniform format by January 1, 2028. Hospitals would have to publish prices for at least 300 "shoppable" services, including gross charges, discounted cash prices (or a th…
- Medicare Advantage and Part D reports: benefit, medium. If enacted, applicable Medicare Advantage organizations (those with at least 25,000 enrollees) and Part D sponsors would submit ownership and payment identifiers and aggregated payment-flow data for plan year 2028 and every third plan year after. Reported data would include TINs/NPIs for specified…
- Funding for agency implementation: benefit, medium. If enacted, the bill would appropriate $65 million for fiscal year 2027 to HHS and Treasury and $35 million for fiscal year 2027 to the Department of Labor, with those funds available through fiscal year 2032. The money would pay for rulemaking, enforcement, data systems, guidance, and outreach to…

## Related bills

- 119-hr-6500: Continuing Appropriations and Extensions Act, 2027
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-6998: Renewed Hope Act
- 119-hr-9298: Stopping Harmful and Outrageous Torts Act
- 119-hr-8596: FAIR Labels Act of 2026
- 119-hr-21: Born-Alive Abortion Survivors Protection Act

## Sources
- [119-hr-9645 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9645)

## Related
- [119-hr-6500: Continuing Appropriations and Extensions Act, 2027](https://policyrisk.com/legislation/119-hr-6500)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-6998: Renewed Hope Act](https://policyrisk.com/legislation/119-hr-6998)
- [119-hr-9298: Stopping Harmful and Outrageous Torts Act](https://policyrisk.com/legislation/119-hr-9298)
- [119-hr-8596: FAIR Labels Act of 2026](https://policyrisk.com/legislation/119-hr-8596)
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9645 (as of 2026-08-27).