Bill Targets Hospital Pricing Transparency
Sen. Mary Felzkowski leads GOP proposal focused on creating "shoppable services."
A group of Republican state lawmakers is introducing a plan that they say would force Wisconsin hospitals to be more transparent about how much they’re charging for procedures.
The move is opposed by the state’s hospital association, which argues it duplicates a similar requirement by the federal government.
The plan introduced by state Sen. Mary Felzkowski, R-Irma, and other GOP lawmakers would require hospitals to keep a list on their website of 300 “shoppable services,” or nonemergency procedures they provide. The plan would ban hospitals from charging for the information or requiring people to set up user accounts to read it.
The state’s Department of Health Services would be in charge of enforcing the requirement. If hospitals don’t comply, DHS could fine smaller facilities up to $600 per day. Larger hospitals, those with more than 550 beds, could get hit with daily fines of $10,000.
“Health care is the only thing Wisconsinites purchase that we don’t know the price of beforehand,” Felzkowski said Wednesday at a state Capitol news conference introducing the plan. “And that has to change.”
The Wisconsin Hospital Association released a written statement calling the proposal unnecessary given a similar requirement that already exists at the federal level.
“Wisconsin hospitals are national leaders in complying with federal transparency law and that is why WHA believes this legislation is unwarranted,” said Eric Borgerding, president and CEO of the Wisconsin Hospital Association. “Further, the legislation creates a new set of state regulations and penalties that will complicate and confuse compliance with existing federal regulations, and penalties being rigorously enforced by the Centers for Medicare and Medicaid Services (CMS).”
Felzkowski argued the new state requirement is necessary because the federal government isn’t enforcing compliance with its health transparency requirement.
“It’s time that the state stepped up and started looking out for our constituents around the cost of health care,” Felzkowski said. “And that’s what this bill does.”
Felzkowski said the proposal could be used by employers to comparison shop insurance plans for their workers. She said it could also be used by people to compare prices for procedures, like a mammogram.
The plan is also backed by Wisconsin Manufacturers & Commerce and the conservative Wisconsin Institute for Law and Liberty.
Listen to the WPR report here.
Wisconsin bill would create state hospital price transparency requirement was originally published by Wisconsin Public Radio.
Ok, I’m a progressive but I’m also a consumer of healthcare services. I would love to have a price list! If hospitals are already providing info to the feds, then they’ve already gathered the data and have a regular reporting system in place. How hard could that be? Perhaps the legislation could adopt wording similar, or the same, as the fed so as not to confuse compliance?
Look, this shouldn’t have to become a partisan issue. Don’t we have enough of that already? If the Wisconsin legislature can make this palatable for both sides—taking away the power of the lobbyists—I’m in support of giving consumers the power to decide, even if those consumers include large employers.
Haven’t the hospitals ripped us off enough?
Nobody wants this?? If I’m sick, I want care.
I don’t wanna think about money, I don’t wanna shop around. Healthcare isn’t a car.
Single payer cannot come soon enough (if ever).
Also what is a price list going to achieve? Great, a hosptial birth costs $10k and $12k at another place, meanwhile insruance is doing god knows what on the backend, adjusting stuff endlessly… all while hospital CEOs are richer than ever and folks are getting less care than ever. What am I supposed to do… just go to the cheaper one? Cheaper is always better is that right? And they’re supposed to “compete” on getting cheaper? ROFL