Tuesday and Wednesday, 2026-10-06 and 2026-10-07 · · run 20261008T0246Z

Health price transparency rules revised

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Three federal departments issued a final rule on October 6, 2026, to amend price transparency reporting requirements for most health plans and insurers.

The rule from the Treasury, Labor, and Health and Human Services departments aims to improve the standardization, accuracy, and accessibility of public pricing disclosures.

It adds new contextual files for machine-readable files.

It also adds data elements like product type and provider network identifier.

The rule changes the reporting level for data aggregation and removes in-network rates for unlikely provider-to-service mappings.

It increases the reporting period and lowers the claims threshold for out-of-network historical data, and reduces the reporting cadence.

The rule also requires a text file with contact information and a footer with website URLs to improve the findability of all publicly disclosed machine-readable files.

Pricing information made available through an online consumer tool and on paper must also be made available by phone.

The regulations are effective on December 7, 2026.

The rules are intended to fulfill the departments’ responsibility under Executive Order 14221, “Making America Healthy Again by Empowering Patients With Clear, Accurate, and Actionable Healthcare Pricing Information.”

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