Making America Healthy Again by Empowering Patients With Clear, Accurate, and Actionable Healthcare Pricing Information

Executive Order 14221 of February 25, 2025

Making America Healthy Again by Empowering
Patients With Clear, Accurate, and Actionable
Healthcare Pricing Information

By the authority vested in me as President by the
Constitution and the laws of the United States of
America, it is hereby ordered:

Section 1. Purpose. During my first term, my
Administration took historic steps to correct a
fundamental wrong within the American healthcare
system. For far too long, prices were hidden from
patients and employers, with inadequate recourse
available to individuals looking to shop for care or
obtain pricing information from a healthcare provider
in advance of a visit or procedure. These opaque
pricing arrangements allowed powerful entities, such as
hospitals and insurance companies, to operate with
insufficient accountability regarding their pricing
practices, resulting in patients, employers, and
taxpayers shouldering the burden of inflated healthcare
costs.

Pursuant to Executive Order 13877 of June 24, 2019
(Improving Price and Quality Transparency in American
Healthcare to Put Patients First), my Administration
issued paradigm-shifting regulations to put patients
first by requiring hospitals and health plans to
deliver meaningful price information to the American
people. These regulations require hospitals to maintain
a consumer-friendly display of pricing information for
up to 300 shoppable services and a machine-readable
file with negotiated rates for every single service the
hospital provides; health plans to post their
negotiated rates with providers as well as their out-
of-network payments to providers and the actual prices
they or their pharmacy benefit manager pay for
prescription drugs; and health plans to maintain a
consumer-facing internet tool through which individuals
can access price information.

One economic analysis from 2023 estimated the impact of
these regulations, if fully implemented, could result
in as much as $80 billion in healthcare savings for
consumers, employers, and insurers by 2025. Another
report from 2024 suggested healthcare price
transparency could help employers reduce healthcare
costs by 27 percent across 500 common healthcare
services. Recent data has found the top 25 percent of
most expensive healthcare service prices have dropped
by 6.3 percent per year following the initial
implementation of price transparency during my first
term.

Unfortunately, progress on price transparency at the
Federal level has stalled since the end of my first
term. Hospitals and health plans were not adequately
held to account when their price transparency data was
incomplete or not even posted at all. The Biden
Administration failed to take sufficient steps to fully
enforce my Administration's requirement that would end
the opaque nature of drug prices by ensuring health
plans publicly post the true prices they pay for
prescription drugs.

The American people deserve better. Making America
healthy again will require empowering individuals with
the best information possible to inform their life and
healthcare choices. By building on the historic efforts
of my first term, my Administration will make more
meaningful price information available to patients to
support a more competitive, innovative, affordable, and
higher quality healthcare system.

Sec. 2. Policy. It is the policy of the United States
to put patients first and ensure they have the
information they need to make well-informed

healthcare decisions. The Federal Government will
continue to promote universal access to clear and
accurate healthcare prices and will take all necessary
steps to improve existing price transparency
requirements; increase enforcement of price
transparency requirements; and identify opportunities
to further empower patients with meaningful price
information, potentially including through the
expansion of existing price transparency requirements.

Sec. 3. Fulfilling the Promise of Radical Transparency.
The Secretary of the Treasury, the Secretary of Labor,
and the Secretary of Health and Human Services shall
take all necessary and appropriate action to rapidly
implement and enforce the healthcare price transparency
regulations issued pursuant to Executive Order 13877,
including, within 90 days of the date of this order,
action to:

    (a) require the disclosure of the actual prices of
items and services, not estimates;
    (b) issue updated guidance or proposed regulatory
action ensuring pricing information is standardized and
easily comparable across hospitals and health plans;
and
    (c) issue guidance or proposed regulatory action
updating enforcement policies designed to ensure
compliance with the transparent reporting of complete,
accurate, and meaningful data.

Sec. 4. General Provisions. (a) Nothing in this order
shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department or agency, or
the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget
relating to budgetary, administrative, or legislative proposals.

    (b) This order shall be implemented consistent with
applicable law and subject to the availability of
appropriations.
    (c) This order is not intended to, and does not,
create any right or benefit, substantive or procedural,
enforceable at law or in equity by any party against
the United States, its departments, agencies, or
entities, its officers, employees, or agents, or any
other person.

    (Presidential Sig.)

THE WHITE HOUSE,

    February 25, 2025.