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A new executive order from the Trump administration aims to improve price transparency on healthcare costs, renewing the push for insurers and providers to fully disclose pricing information to their American patients.
Signed and announced on Feb. 25, the order directs the Departments of the Treasury, Labor, and Health and Human Services to implement and enforce healthcare price transparency regulations established during the first Trump presidency in 2019.
As an active participant in providing testimony, commentary, and feedback to both the original and ongoing legislation, Vālenz Health® is closely monitoring the transparency initiative’s progress and what it means for our clients and their customers in the months to come.
Background: Transparency in Coverage and No Surprises Act
As part of the initial executive order in 2019, the Trump administration set new standards for healthcare pricing transparency, which evolved into the Transparency in Coverage (TiC) rules and No Suprises Act (NSA).
These regulations require hospitals to create and maintain a library of pricing information for their services, including negotiated rates. Healthcare plan providers are required to display their negotiated rates with care providers, out-of-network payments to providers, and actual prescription drug prices. Insurers are also required to maintain a similar library of patient-accessible pricing information.
As a recognized pioneer in the healthcare transparency industry, Valenz experts played an active role in federal legislative (NSA) and regulatory initiatives (TiC) through testimony before key Senate and House committees, detailed commentary to proposals, and direct feedback to administrators.
What the 2025 Executive Order Means for Healthcare Insurers and Providers
The 2025 executive order does not directly change the existing legal requirements set by the TiC and NSA. Instead, it prioritizes the enforcement of those requirements, giving relevant government agencies 90 days to create a framework for implementation and compliance, including any necessary penalties.
However, as Reuters reports, the executive order also allows for agencies to “update existing guidance or [propose] new regulations that ensure price information is standardized.”
As a leading provider of federal price transparency compliance solutions, Valenz experts have already been asked to provide feedback on and recommendations for improving and strengthening the existing requirements, indicating that changes may be in store as the latest executive order is enacted.
Preparing for Next Steps
By itself, an executive order is not a guidance or regulation but simply the articulation of an administration’s position on a matter. By issuing an order, the Trump administration directs the next step for relevant federal departments — in this case, creating, enacting, and enforcing regulations to meet the outlined transparency standards.
As these regulations are set in place and enforcement takes a higher priority, we anticipate increased scrutiny (including audits) and penalties for non-compliant organizations.
Therefore, any healthcare insurer or provider should proactively review its existing compliance procedures and be prepared to make adjustments based on forthcoming regulations and requirements.
As a leader in the self-insurance space and an advocate for smarter, better, faster healthcare for all, Valenz will continue to monitor the progress of this and any other related executive orders. We will maintain our seat at the table in Washington, D.C., and report on any further developments as they occur.
Ensure Legal Compliance With Our Technology Solutions
Acquired by Valenz in 2024, Healthcare Bluebook offers a comprehensive compliance solution that can help your organization meet existing (and future) price transparency regulations. Combined with the Valenz focus on post-claim compliance, our proprietary technology solutions can help protect your organization from TiC- and NSA-related violations and penalties.
Find out more about how Valenz and Healthcare Bluebook ensure compliance with NSA and TiC regulations by visiting our site or connecting with us below.