United States Code

42 U.S.C. § 300gg-119

Increasing transparency by removing gag clauses on price and quality information

Statute Watch

Get an alert when any bill in Congress would change this law — and every time it moves.

Bills that would change it 86

S 2355 Patients Deserve Price Tags Act Amends · introduced · 119th Congress
S 4189 INSULIN Act of 2026 Amends its part · introduced · 119th Congress
HR 9759 Turn the Tide Act Amends its part · introduced · 119th Congress
HR 9743 TRUTH in Coverage Act of 2026 Amends its part · introduced · 119th Congress
S 5030 TRUTH in Coverage Act of 2026 Amends its part · introduced · 119th Congress
HR 9396 Prior Authorization Accountability Act Amends its part · introduced · 119th Congress
S 4895 Turn the Tide Act Amends its part · introduced · 119th Congress
HR 9192 Prior Authorization Reform for Autoimmune and Blood Disorders Act Amends its part · introduced · 119th Congress
HR 9117 CHECK Act of 2026 Amends its part 300gg-119(f)(1)(C) · introduced · 119th Congress
S 4512 Affordable Insulin Now Act of 2026 Amends its part · introduced · 119th Congress
HR 8324 Great American Healthcare Plan Amends its part 300gg-119(f)(1)(C) · introduced · 119th Congress
HR 8270 Every Dollar Counts Act of 2026 Amends its part · introduced · 119th Congress
S 1677 Ensuring Lasting Smiles Act Amends its part · introduced · 119th Congress
S 4027 Healthy Competition for Better Care Act Amends · introduced · 119th Congress
HR 7853 PrEP Access and Coverage Act of 2026 Amends its part · introduced · 119th Congress
S 3990 PrEP Access and Coverage Act of 2026 Amends its part · introduced · 119th Congress
S 3698 Mental Health and MAMA Act of 2026 Amends its part · introduced · 119th Congress
HR 7227 Mental Health and MAMA Act of 2026 Amends its part · introduced · 119th Congress
HR 6182 Find It Early Act Amends its part · introduced · 119th Congress
HR 4648 Access to Fertility Treatment and Care Act Amends its part · introduced · 119th Congress
HR 6900 American Affordability Act of 2025 Amends its part · introduced · 119th Congress
S 3551 PROTECT for Rare Act Amends its part · introduced · 119th Congress
S 3400 Ally’s Act Amends its part · introduced · 119th Congress
S 3389 Lowering Health Care Costs for Americans Act Amends its part 300gg-119(f)(1)(C) · introduced · 119th Congress
HR 6255 Affordable Insulin Now Act Amends its part · introduced · 119th Congress
HR 6248 Healthy Competition for Better Care Act Amends · introduced · 119th Congress
HR 6166 Lowering Drug Costs for American Families Act Amends its part 300gg-119(c)(2) · introduced · 119th Congress
HR 5813 Women’s Health and Cancer Rights Modernization Act of 2025 Amends its part · introduced · 119th Congress
HR 5582 Patients Deserve Price Tags Act Amends its part 300gg-119(f)(1)(C) · introduced · 119th Congress
S 2857 Protecting Free Vaccines Act of 2025 Amends its part · introduced · 119th Congress
HR 5448 Protecting Free Vaccines Act Amends its part · introduced · 119th Congress
S 2756 Affordable Inhalers and Nebulizers Act of 2025 Amends its part · introduced · 119th Congress
HR 5278 Affordable Inhalers and Nebulizers Act of 2025 Amends its part · introduced · 119th Congress
HR 5139 EPIPEN Act Amends its part · introduced · 119th Congress
S 2408 Access to Fertility Treatment and Care Act Amends its part · introduced · 119th Congress
HR 4606 Ally’s Act Amends its part · introduced · 119th Congress
S 2072 MORE Savings Act Amends its part · introduced · 119th Congress
HR 3910 Empowering Parents’ Healthcare Choices Act Amends its part · introduced · 119th Congress
HR 3762 Supporting Healthy Moms and Babies Act Amends its part · introduced · 119th Congress
S 1834 Supporting Healthy Moms and Babies Act Amends its part · introduced · 119th Congress
HR 3277 Ensuring Lasting Smiles Act Amends its part · introduced · 119th Congress
HR 2636 Making Insulin Affordable for All Children Act Amends its part · introduced · 119th Congress
HR 2553 Capping Prescription Costs Act of 2025 Amends its part · introduced · 119th Congress
HR 2214 DRUG Act Amends its part · introduced · 119th Congress
S 529 Capping Prescription Costs Act of 2025 Amends its part · introduced · 119th Congress
HR 4507 Transparency in Coverage Act Amends its part · introduced · 118th Congress
HR 3285 Fairness for Patient Medications Act Amends its part · introduced · 118th Congress
HR 1488 Affordable Insulin Now Act Amends its part · introduced · 118th Congress
HR 1587 Making Insulin Affordable for All Children Act Amends its part · introduced · 118th Congress
HR 7641 Justice for Patients Act Amends its part · introduced · 118th Congress

Showing the 50 most recently active.

The law today

From the official United States Code, current through Public Law 119-124.

(a)  1 Increasing price and quality transparency for plan sponsors and group and individual market consumers (1) Group health plans A group health plan or health insurance issuer offering group health insurance coverage may not enter into an agreement with a health care provider, network or association of providers, third-party administrator, or other service provider offering access to a network of providers that would directly or indirectly restrict a group health plan or health insurance issuer offering such coverage from— (A) providing provider-specific cost or quality of care information or data, through a consumer engagement tool or any other means, to referring providers, the plan sponsor, enrollees, or individuals eligible to become enrollees of the plan or coverage; (B) electronically accessing de-identified claims and encounter information or data for each enrollee in the plan or coverage, upon request and consistent with the privacy regulations promulgated pursuant to section 264(c) of the Health Insurance Portability and Accountability Act of 1996, the amendments made by the Genetic Information Nondiscrimination Act of 2008, and the Americans with Disabilities Act of 1990 [42 U.S.C. 12101 et seq.], including, on a per claim basis— (i) financial information, such as the allowed amount, or any other claim-related financial obligations included in the provider contract; (ii) provider information, including name and clinical designation; (iii) service codes; or (iv) any other data element included in claim or encounter transactions; or (C) sharing information or data described in subparagraph (A) or (B), or directing that such data be shared, with a business associate as defined in section 160.103 of title 45, Code of Federal Regulations (or successor regulations), consistent with the privacy regulations promulgated pursuant to section 264(c) of the Health Insurance Portability and Accountability Act of 1996, the amendments made by the Genetic Information Nondiscrimination Act of 2008, and the Americans with Disabilities Act of 1990 [42 U.S.C. 12101 et seq.]. (2) Individual health insurance coverage A health insurance issuer offering individual health insurance coverage may not enter into an agreement with a health care provider, network or association of providers, or other service provider offering access to a network of providers that would directly or indirectly restrict the health insurance issuer from— (A) providing provider-specific price or quality of care information, through a consumer engagement tool or any other means, to referring providers, enrollees, or individuals eligible to become enrollees of the plan or coverage; or (B) sharing, for plan design, plan administration, and plan, financial, legal, and quality improvement activities, data described in subparagraph (A) with a business associate as defined in section 160.103 of title 45, Code of Federal Regulations (or successor regulations), consistent with the privacy regulations promulgated pursuant to section 264(c) of the Health Insurance Portability and Accountability Act of 1996, the amendments made by the Genetic Information Nondiscrimination Act of 2008, and the Americans with Disabilities Act of 1990 [42 U.S.C. 12101 et seq.]. (3) Clarification regarding public disclosure of information Nothing in paragraph (1)(A) or (2)(A) prevents a health care provider, network or association of providers, or other service provider from placing reasonable restrictions on the public disclosure of the information described in such paragraphs (1) and (2). (4) Attestation A group health plan or a health insurance issuer offering group or individual health insurance coverage shall annually submit to the Secretary an attestation that such plan or issuer of such coverage is in compliance with the requirements of this subsection. (5) Rules of construction Nothing in this section shall be construed to modify or eliminate existing privacy protections and standards under State and Federal law. Nothing in this subsection shall be construed to otherwise limit access by a group health plan, plan sponsor, or health insurance issuer to data as permitted under the privacy regulations promulgated pursuant to section 264(c) of the Health Insurance Portability and Accountability Act of 1996, the amendments made by the Genetic Information Nondiscrimination Act of 2008, and the Americans with Disabilities Act of 1990 [42 U.S.C. 12101 et seq.].

Official text at uscode.house.gov ↗