CSAC Bulletin Article

National Healthcare Executive Order Released

June 28, 2019

On Monday, June 24, President Trump released an Executive Order that outlines several benchmarks to improve the transparency of price and quality in the health care system. This executive order originates from the Administration’s report, Reforming America’s Healthcare System through Choice and Competition, which provided recommends for price and quality transparency initiatives.

The Executive Order includes timeframes for the Secretaries of the U.S. Department of Health and Human Services, in consultation with other agencies, to develop regulations and reports aimed at increasing the availability of price and quality information throughout the health care system. These timeframes include provisions requiring:

  • Within 60 days, the Secretary of Health and Human Services (HHS) to draft regulations that require hospitals to publicly post and update price information for services, supplies or fees. The proposed regulations will require the public post to be consumer friendly.
  • Within 90 days, the Secretaries of the U.S. Department of HHS, Treasury, and Labor to issue a notice of advance proposed rulemaking, requesting comments on a proposal requiring healthcare providers, insurance issuers, and plans to provide information on out-of-pocket costs prior to services.
  • Within 180 days, the Secretary of HHS will report describing barriers to price and quality transparency as well as recommendations on eliminating those barriers.
  • Within 180 days, the U.S. Departments of HHS, Defense, and Veterans Affairs will create a roadmap to quality care by reviewing current data reporting across programs
  • Within 180 days, HHS will increase the access to claims from taxpayer-funded healthcare programs and health plans by de-identifying the data.
  • Within 180 days, HHS to report steps the Administration can take to on implementing principles related to surprise billing.

As more information is received following this executive order and press release, CSAC will actively engage with member counties and county affiliates to determine potential impacts on county services.

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