Transparency in Coverage Act

1/4/2025, 11:12 AM
Placed on the Union Calendar, Calendar No. 767.
The Transparency in Coverage Act of 2023, also known as Bill 118 hr 4507, is a piece of legislation introduced in the US Congress aimed at increasing transparency in healthcare coverage for consumers. The bill requires health insurance companies to provide clear and easily understandable information to policyholders about their coverage, including details on costs, benefits, and limitations.

Under the Transparency in Coverage Act, insurance companies must provide consumers with a standardized, easy-to-read summary of benefits and coverage that outlines what is covered under their plan, as well as any out-of-pocket costs they may be responsible for. This information must be made available both before enrollment and during the plan year, allowing consumers to make informed decisions about their healthcare coverage.

Additionally, the bill requires insurance companies to disclose any changes to coverage or costs in a timely manner, giving consumers the opportunity to adjust their healthcare plans accordingly. This increased transparency is intended to help consumers better understand their healthcare options and make more informed decisions about their coverage. Overall, the Transparency in Coverage Act of 2023 aims to empower consumers by providing them with clear and comprehensive information about their healthcare coverage, ultimately leading to greater transparency and accountability in the healthcare industry.
Congress
118

Number
HR - 4507

Introduced on
2023-07-10

# Amendments
0

Sponsors
+5

Cosponsors
+5

Variations and Revisions

7/10/2023

Status of Legislation

Bill Introduced
Introduced to House
House to Vote
Introduced to Senate
Senate to Vote

Purpose and Summary

Placed on the Union Calendar, Calendar No. 767.
The Transparency in Coverage Act of 2023, also known as Bill 118 hr 4507, is a piece of legislation introduced in the US Congress aimed at increasing transparency in healthcare coverage for consumers. The bill requires health insurance companies to provide clear and easily understandable information to policyholders about their coverage, including details on costs, benefits, and limitations.

Under the Transparency in Coverage Act, insurance companies must provide consumers with a standardized, easy-to-read summary of benefits and coverage that outlines what is covered under their plan, as well as any out-of-pocket costs they may be responsible for. This information must be made available both before enrollment and during the plan year, allowing consumers to make informed decisions about their healthcare coverage.

Additionally, the bill requires insurance companies to disclose any changes to coverage or costs in a timely manner, giving consumers the opportunity to adjust their healthcare plans accordingly. This increased transparency is intended to help consumers better understand their healthcare options and make more informed decisions about their coverage. Overall, the Transparency in Coverage Act of 2023 aims to empower consumers by providing them with clear and comprehensive information about their healthcare coverage, ultimately leading to greater transparency and accountability in the healthcare industry.
Alternative Names
Official Title as IntroducedTo amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes.

Policy Areas
Health

Potential Impact
Advisory bodies
Civil actions and liability
Computers and information technology
Congressional oversight
Department of Labor
Employee benefits and pensions
Executive agency funding and structure
Government information and archives
Health care costs and insurance
Health care coverage and access
Internet, web applications, social media
Prescription drugs
Right of privacy

Comments

Recent Activity

Latest Action12/19/2024
Placed on the Union Calendar, Calendar No. 767.