S 2355 · Federal · introduced Jul 17, 2025In Committee

S 2355

Patients Deserve Price Tags Act

Medium RiskMay require changes to AI practices. Monitor and prepare.

TL;DR

Senator Roger Marshall (R-KS) introduced this bill to require hospitals and health insurers to publicly disclose actual prices for medical services, moving beyond current transparency rules that many providers ignore. While primarily a healthcare pricing bill, it likely touches AI through requirements around how price data is published, standardized, and made machine-readable for consumer tools and comparison platforms.

How This Might Impact Your Business

Hospitals and health insurers would face stricter price disclosure mandates, expanding on the 2021 Hospital Price Transparency Rule that many providers currently violate.

Healthcare providers would need to publish standardized, machine-readable pricing files that AI-powered price comparison tools and consumer apps can ingest.

Health tech companies building price transparency tools, cost estimators, or AI-driven benefit navigation platforms would gain access to more reliable structured data.

Insurers offering AI-powered member tools for out-of-pocket cost prediction would need to update data pipelines to match new federal standards.

Non-compliance penalties would likely increase from current CMS civil monetary penalty levels, though specific dollar amounts depend on final bill text.

Employer-sponsored health plan administrators would need to verify their vendors and TPAs comply with expanded disclosure rules.

Bill is on the Senate Legislative Calendar (No. 522), meaning it has cleared committee and awaits floor action, a meaningful signal of momentum.

What Should You Do

1

Healthcare and health tech leaders should ask compliance teams to benchmark current price transparency posture against existing CMS rules before Congress raises the bar.

2

Health plan sponsors should request written confirmation from TPAs and PBMs that their machine-readable files meet current standards and can adapt to expanded requirements.

3

Health tech founders building cost estimation or AI navigation tools should monitor for the final data schema requirements, since standardization would meaningfully expand your addressable data.

4

Track Senate floor scheduling through Calendar No. 522 and prepare a 60-day compliance readiness assessment if the bill advances to markup or vote.

5

Review vendor contracts with pricing data aggregators to confirm they will update feeds if federal standards change.

Who It Affects

Hospitals and Health SystemsHealth InsuranceHealth TechEmployer Benefits and TPAsPharmacy Benefit ManagersHealthcare AI

Sponsors

Status Timeline

  1. committee

    Placed on Senate Legislative Calendar under General Orders. Calendar No. 522.

    July 27, 2026

AI-generated analysis for informational purposes only. Not legal advice. Always consult a qualified attorney for legal guidance.Last action Jul 27, 2026

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