House Roll Call

H.R.5378

Roll 708 • Congress 118, Session 1 • Dec 11, 2023 7:08 PM • Result: Passed

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BillH.R.5378 — Lower Costs, More Transparency Act
Vote questionOn Motion to Suspend the Rules and Pass, as Amended
Vote type2/3 Yea-And-Nay
ResultPassed
TotalsYea 320 / Nay 71 / Present 1 / Not Voting 41
PartyYeaNayPresentNot Voting
R16640014
D15431127
I0000

Research Brief

On Motion to Suspend the Rules and Pass, as Amended

Bill Analysis

Bill Summary: HR 5378 - Lower Costs, More Transparency Act

The Lower Costs, More Transparency Act (HR 5378) aims to enhance transparency in healthcare pricing and reduce out-of-pocket costs for patients. The bill introduces several key provisions that target prescription drug pricing, insurance coverage, and healthcare provider billing practices.

Key Provisions:

  1. Prescription Drug Pricing Transparency: The bill mandates that pharmaceutical companies disclose the prices of drugs, including any price increases, to the public. This aims to empower consumers with information to make informed choices regarding their medications.

  2. Insurance Coverage Requirements: The legislation requires health insurers to provide clear information about covered services, including cost-sharing details and out-of-pocket maximums. This transparency is designed to help patients understand their financial responsibilities before receiving care.

  3. Provider Billing Practices: The bill establishes guidelines for healthcare providers to ensure that patients receive upfront estimates of the costs associated with their care, reducing unexpected medical bills.

  4. Patient Assistance Programs: HR 5378 allocates funding to support patient assistance programs that help low-income individuals afford necessary medications and treatments, thereby increasing access to essential healthcare services.

Funding and Authorities: The bill authorizes appropriations to relevant federal agencies, including the Department of Health and Human Services (HHS), to implement the transparency measures and support patient assistance initiatives.

Beneficiaries and Regulation: The primary beneficiaries of the Lower Costs, More Transparency Act are patients, particularly those facing high out-of-pocket costs for medications and healthcare services. The bill also impacts pharmaceutical companies, health insurers, and healthcare providers by imposing new transparency requirements and regulations.

Key Timelines: The latest action on HR 5378 was the motion to reconsider, which was laid on the table and agreed to without objection. This indicates that the bill has progressed through initial legislative hurdles, but further actions and timelines for implementation of its provisions will depend on subsequent legislative sessions and appropriations processes.

Yea (320)

C
Colin Allred

TX • D • Yea

K
Kelly Armstrong

ND • R • Yea

J
Jamaal Bowman

NY • D • Yea

L
Larry Bucshon

IN • R • Yea

M
Michael Burgess

TX • R • Yea

C
Cori Bush

MO • D • Yea

K
Ken Calvert

CA • R • Yea

Y
Yadira Caraveo

CO • D • Yea

T
Tony Cárdenas

CA • D • Yea

J
Jerry Carl

AL • R • Yea

L
Lori Chavez-DeRemer

OR • R • Yea

G
Gerald Connolly

VA • D • Yea

A
Anthony D'Esposito

NY • R • Yea

J
John Duarte

CA • R • Yea

J
Jeff Duncan

SC • R • Yea

A
Anna Eshoo

CA • D • Yea

A
A. Ferguson

GA • R • Yea

S
Scott Franklin

FL • R • Yea

M
Matt Gaetz

FL • R • Yea

M
Mike Gallagher

WI • R • Yea

R
Ruben Gallego

AZ • D • Yea

J
John Garamendi

CA • D • Yea

M
Mike Garcia

CA • R • Yea

K
Kay Granger

TX • R • Yea

G
Garret Graves

LA • R • Yea

M
Mark Green

TN • R • Yea

R
Raúl Grijalva

AZ • D • Yea

J
Jeff Jackson

NC • D • Yea

B
Bill Johnson

OH • R • Yea

D
Derek Kilmer

WA • D • Yea

A
Ann Kuster

NH • D • Yea

D
Doug Lamborn

CO • R • Yea

J
Jake LaTurner

KS • R • Yea

D
Debbie Lesko

AZ • R • Yea

B
Blaine Luetkemeyer

MO • R • Yea

L
Lucy McBath

GA • D • Yea

L
Lisa McClain

MI • R • Yea

P
Patrick McHenry

NC • R • Yea

M
Marcus Molinaro

NY • R • Yea

W
Wiley Nickel

NC • D • Yea

D
Donald Payne

NJ • D • Yea

M
Mary Peltola

AK • D • Yea

G
Greg Pence

IN • R • Yea

K
Katie Porter

CA • D • Yea

B
Bill Posey

FL • R • Yea

C
Cathy Rodgers

WA • R • Yea

J
John Rutherford

FL • R • Yea

J
John Sarbanes

MD • D • Yea

A
Abigail Spanberger

VA • D • Yea

M
Michelle Steel

CA • R • Yea

E
Eric Swalwell

CA • D • Yea

R
Rashida Tlaib

MI • D • Yea

D
David Trone

MD • D • Yea

N
Nydia Velázquez

NY • D • Yea

M
Michael Waltz

FL • R • Yea

J
Jennifer Wexton

VA • D • Yea

S
Susan Wild

PA • D • Yea

B
Brandon Williams

NY • R • Yea

Nay (71)

D
Dan Bishop

NC • R • Nay

E
Earl Blumenauer

OR • D • Nay

K
Ken Buck

CO • R • Nay

L
Lloyd Doggett

TX • D • Nay

B
Bob Good

VA • R • Nay

D
Daniel Kildee

MI • D • Nay

G
Grace Napolitano

CA • D • Nay

B
Bill Pascrell

NJ • D • Nay

M
Matthew Rosendale

MT • R • Nay

D
David Schweikert

AZ • R • Nay

P
Pete Sessions

TX • R • Nay

Present (1)

Not Voting (41)

M
Matt Cartwright

PA • D • Not Voting

J
Jason Crow

CO • D • Not Voting

B
Brian Higgins

NY • D • Not Voting

S
Sheila Jackson Lee

TX • D • Not Voting

B
Barbara Lee

CA • D • Not Voting

K
Kathy Manning

NC • D • Not Voting

K
Kevin McCarthy

CA • R • Not Voting

A
Alexander Mooney

WV • R • Not Voting

D
Dean Phillips

MN • D • Not Voting

C
C. Ruppersberger

MD • D • Not Voting

D
Debbie Wasserman Schultz

FL • D • Not Voting

B
Brad Wenstrup

OH • R • Not Voting