Clinical Laboratory Price Transparency Act of 2023

Where This Stands

Introduced

Committee

Floor Vote

Passed

Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

This legislation aims to standardize how Medicare patients access pricing information for diagnostic tests, potentially affecting out-of-pocket costs and provider billing practices for laboratories nationwide.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Clinical laboratories

These entities must publish price lists and are subject to potential civil monetary penalties for non-compliance.

Medicare beneficiaries

These individuals gain access to public pricing information for diagnostic tests.

Group health plans

These plans may have their negotiated rates with laboratories disclosed publicly if required by the Secretary.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Background

Mrs. Miller is a member of the U.S. House of Representatives representing West Virginia. context
The Social Security Act is the foundational federal law that established the Medicare program. context

Summary

This bill requires clinical laboratories that perform Medicare-covered diagnostic tests to publish their prices online starting January 1, 2025. Laboratories that fail to comply with these transparency requirements face daily civil monetary penalties.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

When do laboratories have to start posting their prices?

The requirement takes effect on January 1, 2025.

What happens if a laboratory does not post its prices?

The Secretary will notify the laboratory, allow time for a , and may impose a penalty of up to $300 per day if the laboratory remains non-compliant after 90 days.

Can the government waive these penalties?

Yes, the Secretary can waive or reduce penalties if they would cause significant hardship, particularly for laboratories in rural or underserved areas.

Why It Matters

This legislation aims to standardize how Medicare patients access pricing information for diagnostic tests, potentially affecting out-of-pocket costs and provider billing practices for laboratories nationwide.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Expansion of Price Transparency

This bill extends the logic of hospital price transparency rules to the clinical laboratory sector, specifically targeting Medicare-covered diagnostic tests.

Centers for Medicare & Medicaid Services

Connected Entities

organizationInspector General of the Department of Health and Human Services“responsible for overseeing compliance with the law”Map →

personSecretary“responsible for implementing and enforcing the law”Map →

personMrs. Miller of West Virginia“introduced the bill”Map →

organizationCenters for Medicare & Medicaid Services“responsible for establishing standards and monitoring compliance”Map →

Analysis Score

0–100

Significance75
How much this matters to a regular citizen
Controversy40
Intensity of disagreement among stakeholders
Entertainment5
Compellingness for a non-policy-wonk reader
Buzz20
Current news / social attention level