EBSAProposed Rule

Transparency in Coverage

HealthcareFinance & Banking

Summary

This regulation requires health insurance companies and health plans to be more transparent about what medical services and treatments actually cost before you receive them. The goal is to help people understand their out-of-pocket expenses upfront so they can make informed decisions about their healthcare and compare prices between providers.

Key Points

  • 1Health insurers must provide clear, easy-to-understand cost estimates for medical services, procedures, and prescriptions before patients receive care
  • 2Patients will be able to compare prices between different hospitals and doctors to find more affordable options
  • 3The regulation applies to most health insurance plans offered through employers, the marketplace, and other sources
  • 4This is a proposed rule, meaning the public has until December 24, 2025 to submit comments and feedback before it becomes final
  • 5The rule aims to reduce surprise medical bills and help people budget for healthcare expenses by knowing costs in advance

Key Dates

Published

December 23, 2025

Comment Deadline

December 24, 2025

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This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.

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