I 
111TH CONGRESS 
2D SESSION 
H. R. 4700 
To provide for transparency in health care pricing, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 25, 2010 
Mr. KAGEN (for himself, Mr. FOSTER, Ms. SHEA-PORTER, Mr. BOSWELL, Mr. 
LOEBSACK, Mr. PERRIELLO, Mr. BRALEY of Iowa, Mr. LIPINSKI, Mr. 
KLEIN of Florida, Mr. PERLMUTTER, Mr. DEFAZIO, Mr. HASTINGS of 
Florida, Mr. STUPAK, Mr. COHEN, Ms. PINGREE of Maine, Mr. WELCH, 
Ms. MCCOLLUM, and Mr. HODES) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committees on Ways and Means and Oversight and Government 
Reform, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned 
A BILL 
To provide for transparency in health care pricing, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Transparency in All 
Health Care Pricing Act of 2010’’. 
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SEC. 2. TRANSPARENCY IN ALL HEALTH CARE PRICING. 
(a) IN GENERAL.—Any and all individuals or busi-
ness entities, including hospitals, physicians, nurses, phar-
macies, pharmaceutical manufacturers, dentists, and the 
insurance entities described in subsection (d), and any 
other health care related providers or issuers that offer 
or furnish health care related items, products, services, or 
procedures (as defined by the Secretary of Health and 
Human Services) for sale to the public shall publicly dis-
close, on a continuous basis, all prices for such items, 
products, services, or procedures in accordance with this 
section. 
(b) MANNER OF DISCLOSURE.—The disclosure re-
quired under subsection (a) shall— 
(1) be made in an open and conspicuous man-
ner; 
(2) be made available at the point of purchase, 
in print, and on the Internet; and 
(3) include all wholesale, retail, subsidized, dis-
counted, or other such prices the individuals or busi-
ness entities described in such subsection accept as 
payment in full for items, products, services, or pro-
cedures such individuals or business entities furnish 
to individual consumers. 
(c) PENALTIES.—The Secretary of Health and 
Human Services may investigate any and all individuals 
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or business entities that fail to comply with the require-
ments of this section and may impose on such individuals 
or business entities civil fines, or other civil penalties, as 
determined appropriate by the Secretary. 
(d) INSURANCE ENTITY DESCRIBED.—For purposes 
of this section, an insurance entity includes a health insur-
ance issuer with respect to the offering of health insurance 
coverage, including in the individual market and small and 
large group market (as such terms are defined in section 
2791 of the Public Health Service Act), a plan sponsor 
with respect to the offering of a group health plan (as 
defined in such section 2791), and entities responsible for 
the administration of governmental health plans (includ-
ing the Centers for Medicare & Medicaid Services with re-
spect to the Medicare program under title XVIII of the 
Social Security Act, State agencies responsible for admin-
istration of State plans under the Medicaid program under 
title XIX of such Act, or State child assistance plans 
under the State Children’s Health Insurance Program 
under title XXI of such Act, and the Office of Personnel 
Management with respect to the Federal Employees 
Health Benefits Program under chapter 89 of title 5, 
United States Code). 
Æ 
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