H.R. 5378: Lower Costs, More Transparency Act

Bill · 118th Congress (2023–2024). Passed House, 11 Dec 2023. Introduced 8 Sep 2023.

Official title: To promote price transparency in the health care sector, and for other purposes.

Vote results

How each member voted

House

Yea (320): Harold Rogers (R-KY-5); Christopher H. Smith (R-NJ-4); Steny H. Hoyer (D-MD-5); Marcy Kaptur (D-OH-9); Nancy Pelosi (D-CA-11); Frank Pallone, Jr. (D-NJ-6); Rosa L. DeLauro (D-CT-3); Maxine Waters (D-CA-43); Sanford D. Bishop, Jr. (D-GA-2); Ken Calvert (R-CA-41); James E. Clyburn (D-SC-6); Anna G. Eshoo (D-CA-16); Robert C. "Bobby" Scott (D-VA-3); Nydia M. Velázquez (D-NY-7); Bennie G. Thompson (D-MS-2); Frank D. Lucas (R-OK-3); Zoe Lofgren (D-CA-18); Robert B. Aderholt (R-AL-4); Diana DeGette (D-CO-1); Kay Granger (R-TX-12); James P. McGovern (D-MA-2); Adam Smith (D-WA-9); Janice D. Schakowsky (D-IL-9); Rick Larsen (D-WA-2); Betty McCollum (D-MN-4); Stephen F. Lynch (D-MA-8); Joe Wilson (R-SC-2); Michael C. Burgess (R-TX-26); John R. Carter (R-TX-31); Tom Cole (R-OK-4); Mario Diaz-Balart (R-FL-26); Raúl M. Grijalva (D-AZ-7); Mike Rogers (R-AL-3); David Scott (D-GA-13); Michael R. Turner (R-OH-10); Darrell Issa (R-CA-48); Emanuel Cleaver (D-MO-5); Henry Cuellar (D-TX-28); Virginia Foxx (R-NC-5); Al Green (D-TX-9); Michael T. McCaul (R-TX-10); Patrick T. McHenry (R-NC-10); Cathy McMorris Rodgers (R-WA-5); Doris O. Matsui (D-CA-7); Gus M. Bilirakis (R-FL-12); Kathy Castor (D-FL-14); Yvette D. Clarke (D-NY-9); Joe Courtney (D-CT-2); Jim Jordan (R-OH-4); Doug Lamborn (R-CO-5); John P. Sarbanes (D-MD-3); Adrian Smith (R-NE-3); Robert E. Latta (R-OH-5); Robert J. Wittman (R-VA-1); André Carson (D-IN-7); Steve Scalise (R-LA-1); Tim Walberg (R-MI-5); Gerald E. Connolly (D-VA-11); Brett Guthrie (R-KY-2); Blaine Luetkemeyer (R-MO-3); Chellie Pingree (D-ME-1); Bill Posey (R-FL-8); Glenn Thompson (R-PA-15); Paul Tonko (D-NY-20); Mike Quigley (D-IL-5); John Garamendi (D-CA-8); Bill Foster (D-IL-11); Larry Bucshon (R-IN-8); Scott DesJarlais (R-TN-4); Jeff Duncan (R-SC-3); Charles J. "Chuck" Fleischmann (R-TN-3); H. Morgan Griffith (R-VA-9); Bill Huizenga (R-MI-4); Mike Kelly (R-PA-16); Austin Scott (R-GA-8); Steve Womack (R-AR-3); Dina Titus (D-NV-1); Mark E. Amodei (R-NV-2); Suzanne Bonamici (D-OR-1); Joyce Beatty (D-OH-3); Ami Bera (D-CA-6); Joaquin Castro (D-TX-20); Tony Cárdenas (D-CA-29); Richard Hudson (R-NC-9); Jared Huffman (D-CA-2); Hakeem S. Jeffries (D-NY-8); David P. Joyce (R-OH-14); Derek Kilmer (D-WA-6); Ann M. Kuster (D-NH-2); Doug LaMalfa (R-CA-1); Scott H. Peters (D-CA-50); Mark Pocan (D-WI-2); Raul Ruiz (D-CA-25); Eric Swalwell (D-CA-14); Mark Takano (D-CA-39); Juan Vargas (D-CA-52); Marc A. Veasey (D-TX-33); Ann Wagner (R-MO-2); Randy K. Weber, Sr. (R-TX-14); Roger Williams (R-TX-25); Robin L. Kelly (D-IL-2); Jason Smith (R-MO-8); Katherine M. Clark (D-MA-5); Alma S. Adams (D-NC-12); Rick W. Allen (R-GA-12); Mike Bost (R-IL-12); Earl L. "Buddy" Carter (R-GA-1); Ed Case (D-HI-1); Mark DeSaulnier (D-CA-10); Debbie Dingell (D-MI-6); Ruben Gallego (D-AZ-3); Garret Graves (R-LA-6); Glenn Grothman (R-WI-6); J. French Hill (R-AR-2); John R. Moolenaar (R-MI-2); Dan Newhouse (R-WA-4); Gary J. Palmer (R-AL-6); David Rouzer (R-NC-7); Elise M. Stefanik (R-NY-21); Norma J. Torres (D-CA-35); Bonnie Watson Coleman (D-NJ-12); Bruce Westerman (R-AR-4); David G. Valadao (R-CA-22); Trent Kelly (R-MS-1); Darin LaHood (R-IL-16); James Comer (R-KY-1); Jodey C. Arrington (R-TX-19); Don Bacon (R-NE-2); Jim Banks (R-IN-3); Nanette Diaz Barragán (D-CA-44); Jack Bergman (R-MI-1); Lisa Blunt Rochester (D-DE-AL); Salud O. Carbajal (D-CA-24); J. Luis Correa (D-CA-46); Neal P. Dunn (R-FL-2); Adriano Espaillat (D-NY-13); A. Drew Ferguson IV (R-GA-3); Brian K. Fitzpatrick (R-PA-1); Vicente Gonzalez (D-TX-34); Josh Gottheimer (D-NJ-5); Pramila Jayapal (D-WA-7); Ro Khanna (D-CA-17); Raja Krishnamoorthi (D-IL-8); David Kustoff (R-TN-8); Jamie Raskin (D-MD-8); John H. Rutherford (R-FL-5); Lloyd Smucker (R-PA-11); Darren Soto (D-FL-9); Ron Estes (R-KS-4); John R. Curtis (R-UT-3); Debbie Lesko (R-AZ-8); Troy Balderson (R-OH-12); Kevin Hern (R-OK-1); Susan Wild (D-PA-7); Colin Z. Allred (D-TX-32); James R. Baird (R-IN-4); Tim Burchett (R-TN-2); Sean Casten (D-IL-6); Angie Craig (D-MN-2); Sharice Davids (D-KS-3); Veronica Escobar (D-TX-16); Lizzie Fletcher (D-TX-7); Russ Fulcher (R-ID-1); Sylvia R. Garcia (D-TX-29); Jesús G. "Chuy" García (D-IL-4); Jared F. Golden (D-ME-2); Lance Gooden (R-TX-5); Mark E. Green (R-TN-7); Michael Guest (R-MS-3); Josh Harder (D-CA-9); Jahana Hayes (D-CT-5); Chrissy Houlahan (D-PA-6); Dusty Johnson (R-SD-AL); John Joyce (R-PA-13); Susie Lee (D-NV-3); Mike Levin (D-CA-49); Lucy McBath (D-GA-7); Daniel Meuser (R-PA-9); Carol D. Miller (R-WV-1); Joe Neguse (D-CO-2); Alexandria Ocasio-Cortez (D-NY-14); Ilhan Omar (D-MN-5); Chris Pappas (D-NH-1); Greg Pence (R-IN-6); Katie Porter (D-CA-47); Ayanna Pressley (D-MA-7); Guy Reschenthaler (R-PA-14); John W. Rose (R-TN-6); Kim Schrier (D-WA-8); Mikie Sherrill (D-NJ-11); Abigail Davis Spanberger (D-VA-7); Greg Stanton (D-AZ-4); Bryan Steil (R-WI-1); W. Gregory Steube (R-FL-17); Haley M. Stevens (D-MI-11); William R. Timmons IV (R-SC-4); Rashida Tlaib (D-MI-12); Lori Trahan (D-MA-3); David J. Trone (D-MD-6); Lauren Underwood (D-IL-14); Jefferson Van Drew (R-NJ-2); Michael Waltz (R-FL-6); Jennifer Wexton (D-VA-10); Claudia Tenney (R-NY-24); Gregory F. Murphy (R-NC-3); Mike Garcia (R-CA-27); Ryan K. Zinke (R-MT-1); Jake Auchincloss (D-MA-4); Cliff Bentz (R-OR-2); Stephanie I. Bice (R-OK-5); Lauren Boebert (R-CO-3); Jamaal Bowman (D-NY-16); Cori Bush (D-MO-1); Jerry L. Carl (R-AL-1); Pat Fallon (R-TX-4); Randy Feenstra (R-IA-4); Scott Fitzgerald (R-WI-5); Scott Franklin (R-FL-18); Carlos A. Gimenez (R-FL-28); Tony Gonzales (R-TX-23); Diana Harshbarger (R-TN-1); Ashley Hinson (R-IA-2); Ronny Jackson (R-TX-13); Sara Jacobs (D-CA-51); Young Kim (R-CA-40); Jake LaTurner (R-KS-2); Teresa Leger Fernandez (D-NM-3); Nancy Mace (R-SC-1); Nicole Malliotakis (R-NY-11); Tracey Mann (R-KS-1); Lisa C. McClain (R-MI-9); Mary E. Miller (R-IL-15); Mariannette Miller-Meeks (R-IA-1); Blake D. Moore (R-UT-1); Frank J. Mrvan (D-IN-1); Troy E. Nehls (R-TX-22); Jay Obernolte (R-CA-23); Burgess Owens (R-UT-4); August Pfluger (R-TX-11); Deborah K. Ross (D-NC-2); Victoria Spartz (R-IN-5); Michelle Steel (R-CA-45); Marilyn Strickland (D-WA-10); Beth Van Duyne (R-TX-24); Nikema Williams (D-GA-5); Julia Letlow (R-LA-5); Troy A. Carter (D-LA-2); Melanie A. Stansbury (D-NM-1); Jake Ellzey (R-TX-6); Shontel M. Brown (D-OH-11); Mike Carey (R-OH-15); Mike Flood (R-NE-1); Mary Sattler Peltola (D-AK-AL); Rudy Yakym III (R-IN-2); Mark Alford (R-MO-4); Becca Balint (D-VT-AL); Aaron Bean (R-FL-4); Nikki Budzinski (D-IL-13); Yadira Caraveo (D-CO-8); Greg Casar (D-TX-35); Lori Chavez-DeRemer (R-OR-5); Juan Ciscomani (R-AZ-6); Anthony D’Esposito (R-NY-4); Donald G. Davis (D-NC-1); Christopher R. Deluzio (D-PA-17); John S. Duarte (R-CA-13); Chuck Edwards (R-NC-11); Mike Ezell (R-MS-4); Valerie P. Foushee (D-NC-4); Maxwell Frost (D-FL-10); Russell Fry (R-SC-7); Robert Garcia (D-CA-42); Marie Gluesenkamp Perez (D-WA-3); Erin Houchin (R-IN-9); Val T. Hoyle (D-OR-4); Wesley Hunt (R-TX-38); Glenn Ivey (D-MD-4); Jonathan L. Jackson (D-IL-1); John James (R-MI-10); Sydney Kamlager-Dove (D-CA-37); Thomas H. Kean, Jr. (R-NJ-7); Kevin Kiley (R-CA-3); Nick LaLota (R-NY-1); Greg Landsman (D-OH-1); Nicholas A. Langworthy (R-NY-23); Michael Lawler (R-NY-17); Laurel M. Lee (R-FL-15); Summer L. Lee (D-PA-12); Morgan Luttrell (R-TX-8); Richard McCormick (R-GA-6); Morgan McGarvey (D-KY-3); Robert Menendez (D-NJ-8); Max L. Miller (R-OH-7); Marcus J. Molinaro (R-NY-19); Nathaniel Moran (R-TX-1); Kevin Mullin (D-CA-15); Wiley Nickel (D-NC-13); Zachary Nunn (R-IA-3); Brittany Pettersen (D-CO-7); Delia C. Ramirez (D-IL-3); Andrea Salinas (D-OR-6); Hillary J. Scholten (D-MI-3); Eric Sorensen (D-IL-17); Dale W. Strong (R-AL-5); Emilia Strong Sykes (D-OH-13); Shri Thanedar (D-MI-13); Jill N. Tokuda (D-HI-2); Derrick Van Orden (R-WI-3); Gabe Vasquez (D-NM-2); Brandon Williams (R-NY-22); Jennifer L. McClellan (D-VA-4); Gabe Amo (D-RI-1); Celeste Maloy (R-UT-2); Bill Johnson (R-OH-6); Donald M. Payne, Jr. (D-NJ-10); Matt Gaetz (R-FL-1); Mike Gallagher (R-WI-8); Kelly Armstrong (R-ND-AL); Andy Kim (D-NJ-3); Jeff Jackson (D-NC-14).

Nay (71): Richard E. Neal (D-MA-1); Jerrold Nadler (D-NY-12); Lloyd Doggett (D-TX-37); Earl Blumenauer (D-OR-3); Danny K. Davis (D-IL-7); John B. Larson (D-CT-1); Grace F. Napolitano (D-CA-31); Michael K. Simpson (R-ID-2); Mike Thompson (D-CA-4); Pete Sessions (R-TX-17); Sam Graves (R-MO-6); Linda T. Sánchez (D-CA-38); Gwen Moore (D-WI-4); Henry C. "Hank" Johnson, Jr. (D-GA-4); Tom McClintock (R-CA-5); Judy Chu (D-CA-28); Eric A. "Rick" Crawford (R-AR-1); Paul A. Gosar (R-AZ-9); Andy Harris (R-MD-1); David Schweikert (R-AZ-1); Terri A. Sewell (D-AL-7); Suzan K. DelBene (D-WA-1); Thomas Massie (R-KY-4); Daniel T. Kildee (D-MI-8); Scott Perry (R-PA-10); Donald Norcross (D-NJ-1); Pete Aguilar (D-CA-33); Donald S. Beyer, Jr. (D-VA-8); Brendan F. Boyle (D-PA-2); Ted Lieu (D-CA-36); Barry Loudermilk (R-GA-11); Warren Davidson (R-OH-8); Dwight Evans (D-PA-3); Andy Biggs (R-AZ-5); Clay Higgins (R-LA-3); Steven Horsford (D-NV-4); Brian J. Mast (R-FL-21); Jimmy Panetta (D-CA-19); Ralph Norman (R-SC-5); Michael Cloud (R-TX-27); Joseph D. Morelle (D-NY-25); Mary Gay Scanlon (D-PA-5); Ben Cline (R-VA-6); Madeleine Dean (D-PA-4); Chip Roy (R-TX-21); Pete Stauber (R-MN-8); Dan Bishop (R-NC-8); Thomas P. Tiffany (R-WI-7); Andrew S. Clyde (R-GA-9); Byron Donalds (R-FL-19); Michelle Fischbach (R-MN-7); Andrew R. Garbarino (R-NY-2); Bob Good (R-VA-5); Marjorie Taylor Greene (R-GA-14); Barry Moore (R-AL-2); Matthew M. Rosendale, Sr. (R-MT-2); Ritchie Torres (D-NY-15); Sheila Cherfilus-McCormick (D-FL-20); Brad Finstad (R-MN-1); Patrick Ryan (D-NY-18); Josh Brecheen (R-OK-2); Eric Burlison (R-MO-7); Mike Collins (R-GA-10); Elijah Crane (R-AZ-2); Harriet M. Hageman (R-WY-AL); Cory Mills (R-FL-7); Andrew Ogles (R-TN-5); Keith Self (R-TX-3); Bill Pascrell, Jr. (D-NJ-9); Adam B. Schiff (D-CA-30); Ken Buck (R-CO-4).

Present (1): Jasmine Crockett (D-TX-30).

Not voting (41): Brad Sherman (D-CA-32); Gregory W. Meeks (D-NY-5); Barbara Lee (D-CA-12); C. A. Dutch Ruppersberger (D-MD-2); Jim Costa (D-CA-21); Debbie Wasserman Schultz (D-FL-25); Vern Buchanan (R-FL-16); Steve Cohen (D-TN-9); James A. Himes (D-CT-4); William R. Keating (D-MA-9); Daniel Webster (R-FL-11); Frederica S. Wilson (D-FL-24); Kweisi Mfume (D-MD-7); Andy Barr (R-KY-6); Julia Brownley (D-CA-26); Matt Cartwright (D-PA-8); Lois Frankel (D-FL-22); Grace Meng (D-NY-6); Brad R. Wenstrup (R-OH-2); Brian Babin (R-TX-36); Tom Emmer (R-MN-6); Alexander X. Mooney (R-WV-2); Seth Moulton (D-MA-6); Bradley Scott Schneider (D-IL-10); Jimmy Gomez (D-CA-34); Dan Crenshaw (R-TX-2); Jason Crow (D-CO-6); Dean Phillips (D-MN-3); Elissa Slotkin (D-MI-7); Kat Cammack (R-FL-3); Kathy E. Manning (D-NC-6); Maria Elvira Salazar (R-FL-27); Monica De La Cruz (R-TX-15); Daniel S. Goldman (D-NY-10); Jennifer A. Kiggans (R-VA-2); Anna Paulina Luna (R-FL-13); Seth Magaziner (D-RI-2); Jared Moskowitz (D-FL-23); Sheila Jackson Lee (D-TX-18); Brian Higgins (D-NY-26); Kevin McCarthy (R-CA-20).

Speaker, not listed (1): Mike Johnson (R-LA-4).

Not in office (11): Thomas R. Suozzi (D-NY-3); Timothy M. Kennedy (D-NY-26); Vince Fong (R-CA-20); Michael A. Rulli (R-OH-6); Greg Lopez (R-CO-4); LaMonica McIver (D-NJ-10); Erica Lee Carter (D-TX-18); Tony Wied (R-WI-8); David N. Cicilline (D-RI-1); Chris Stewart (R-UT-2); George Santos (R-NY-3).

Summary

Main subject: Requires hospitals, other providers, health plans, insurers and pharmacy benefit managers to publish or disclose price and payment information, changes Medicare and Medicaid payment rules, sets contract terms for plan fiduciary data access, and extends funding for certain public health programs. Sec. 101, Sec. 105, Sec. 106, Sec. 202, Sec. 301, Sec. 401

Its core areas: Hospital, laboratory, imaging and ambulatory surgical center price publication; Health plan and insurer cost-sharing and in-network rate disclosure; Pharmacy benefit manager reporting to group health plans; Medicaid pharmacy payment and spread pricing; Medicare payment for off-campus hospital outpatient department services; Group health plan fiduciary access to claims data and service provider fee disclosure; Funding extensions for community health centers, the National Health Service Corps, teaching health centers and special diabetes programs.

Unexpected Items: 12 provisions

These provisions fall outside the bill’s main subject or apply narrowly. This describes the text; it is not a judgment.

Not related to the bill’s main subject (5)

Exception or delay for a subset (7)

What it does

Written automatically from the official text by Claude Sonnet 5.5, an AI model. Written 2 Oct 2026 and published after the automatic checks, without a person reading it first. Every line names the section it came from.

Sources