SEC. 2. INCREASING THE TRANSPARENCY OF INFORMA-
TION ON HOSPITAL CHARGES AND MAKING 
AVAILABLE INFORMATION ON ESTIMATED 
OUT-OF-POCKET COSTS FOR HEALTH CARE 
SERVICES. 
(a) IN GENERAL.—Section 1902(a) of the Social Se-
curity Act (42 U.S.C. 1396a(a)) is amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(69); 
(2) by striking the period at the end of para-
graph (70) and inserting ‘‘; and’’; 
(3) by inserting after paragraph (70) the fol-
lowing new paragraph: 
‘‘(71) provide that the State will establish and 
maintain laws, in accordance with the requirements 
of section 1921A, to require disclosure of informa-
tion on hospital charges, to make such information 
available to the public, and to provide individuals 
with information about estimated out-of-pocket costs 
for health care services.’’; and 
(4) by inserting after section 1921 the following 
new section: 
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‘‘INCREASING THE TRANSPARENCY OF INFORMATION ON 
HOSPITAL
CHARGES
AND
PROVIDING
CONSUMERS 
WITH
ESTIMATES
OF
OUT-OF-POCKET
COSTS
FOR 
HEALTH CARE SERVICES 
‘‘SEC. 1921A. (a) IN GENERAL.—The requirements 
referred to in section 1902(a)(71) are that the laws of a 
State must— 
‘‘(1) in accordance with subsection (b)— 
‘‘(A) require the disclosure of information 
on hospital charges; and 
‘‘(B) provide for access to such informa-
tion; and 
‘‘(2) in accordance with subsection (c), require 
the provision of a statement of the estimated out-of- 
pocket costs of an individual for anticipated future 
health care services. 
‘‘(b) INFORMATION ON HOSPITAL CHARGES.—The 
laws of a State must— 
‘‘(1) require disclosure, by each hospital located 
in the State, of information on the charges for cer-
tain inpatient and outpatient hospital services (as 
determined by the State) provided at the hospital; 
and 
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‘‘(2) provide for timely access to such informa-
tion by individuals seeking or requiring such serv-
ices. 
‘‘(c) ESTIMATED OUT-OF-POCKET COSTS.—The laws 
of a State must require that, upon the request of any indi-
vidual with health insurance coverage sponsored by a 
health insurance issuer, the issuer must provide a state-
ment of the estimated out-of-pocket costs that are likely 
to be incurred by the individual if the individual receives 
particular health care items and services within a specified 
period of time. 
‘‘(d) RULES OF CONSTRUCTION.—Nothing in this 
section shall be construed as— 
‘‘(1) authorizing or requiring the Secretary to 
establish uniform standards for the State laws re-
quired by subsections (b) and (c); 
‘‘(2) requiring any State with a law enacted on 
or before the date of the enactment of this section 
that— 
‘‘(A) meets the requirements of subsection 
(b) or subsection (c) to modify or amend such 
law; or 
‘‘(B) meets some but not all of the require-
ments of subsection (b) or subsection (c) to 
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