Lower Costs, More Transparency Act
Passed the House 320 to 71 with majorities of both parties, and the Senate never took it up.
- BillH.R. 5378
- Congress118th Congress, 2023 to 2025
- SponsorCathy McMorris Rodgers (Republican, WA)
- IntroducedSeptember 8, 2023
- Cause of deathPassed one chamber
- Died inthe Senate
What it would have done
Required hospitals, insurers, and pharmacy benefit managers to publish real prices, made benefit managers disclose the drug rebates and discounts they negotiate, and lowered what seniors pay for some drugs given in hospital-owned outpatient offices.
The path to law
One chamber passed it. The other chamber’s leadership never brought it to the floor, and it expired when the Congress ended.
The votes
House, December 11, 2023. Motion to suspend the rules and pass (Roll no. 708).
320 yea, 71 nay, out of 435 seatsPassed
Worth knowing
166 Republicans and 154 Democrats voted for it. It was written jointly by the Republican chairs of three House committees and the top Democrat on Energy and Commerce.
The record
- Official bill page on Congress.gov
- Chief Healthcare Executive: House passes Lower Costs, More Transparency Act
Last verified November 10, 2026.