Contact Congress about H.R. 9645: Health Care Price Certainty for All Americans Act

Patients could check prices and ask their health plan what they may owe before getting care. Hospitals, other medical facilities, and health plans would have to post detailed price data. Pharmacies could also tell patients when paying cash for a drug would cost less than using insurance.

Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Health Care Price Certainty for All Americans Act is a House bill in committee. The latest recorded action: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.

Latest action on H.R. 9645: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.

Who this affects: This bill mainly affects patients who want to know a price before getting care. It also directly affects hospitals, labs, imaging centers, outpatient surgery centers, health plans, pharmacies, and companies that manage drug benefits. These organizations would face new posting, reporting, and technology duties.

Why this matters: Patients often cannot learn a medical price or their likely share of the bill before care. This bill could make that information easier to find and compare. It may help families plan for bills and choose lower-cost care. Providers and health plans would face added work and technology costs, and the effect on total spending or premiums remains uncertain.

Key provisions in H.R. 9645

• Starting in 2027, hospitals paid by Medicare would have to post every standard price for each item and service. This covers regular hospitals, critical access hospitals, and rural emergency hospitals. They must show list prices, each insurer's negotiated price, the lowest and highest negotiated prices without patient names, and discounted cash or typical self-pay prices.
• Hospitals would list detailed prices for at least 300 services that patients can schedule ahead of time. They must clearly mark any services required by the Centers for Medicare & Medicaid Services that they do not offer. A hospital with an approved online price tool may meet part of this rule until new advance benefit-explanation rules begin.
• Starting in 2028, Medicare-paid labs, imaging providers, and outpatient surgery centers would post cash prices for specified services. If they offer no cash discount, they would post list prices instead. Lab prices must include required related services, such as collecting a sample.
• By January 1, 2028, the Department of Health and Human Services must create standard price-posting formats. The formats must work for computers and be easy for consumers to use. The department must consult affected groups and update the formats when needed.
• The Department of Health and Human Services must check each covered hospital at least once every three years. It must also use complaints, audits, and requests for records to watch all covered providers.

How Modern Action helps you take action on H.R. 9645

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 9645

What is H.R. 9645?

Patients could check prices and ask their health plan what they may owe before getting care. Hospitals, other medical facilities, and health plans would have to post detailed price data. Pharmacies could also tell patients when paying cash for a drug would cost less than using insurance.

How do I support or oppose H.R. 9645?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about H.R. 9645?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on H.R. 9645?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.