Pillar 08

Price Transparency

AHA v. Azar · Compelled Disclosure · Regulatory Stability

Low
2019 Year FAH sued to block price transparency
2021 Year price transparency rule took effect (FAH lost)
0 Times FAH’s legal arguments prevailed in court
2025 Year FAH shifted to advocating regulatory stability
01 THE LAWSUIT

The Lawsuit

On December 4, 2019, FAH was a named co-plaintiff in a lawsuit to block CMS from requiring hospitals to publish payer-specific negotiated rates.

Detail Value
CaseAmerican Hospital Association v. Azar (No. 1:19-cv-03619, D.D.C.)
FiledDecember 4, 2019
PlaintiffsAHA, AAMC, FAH, National Association of Children’s Hospitals, three individual hospitals
ChallengeCMS November 2019 final rule requiring hospitals to publish payer-specific negotiated rates
ArgumentsCMS exceeded statutory authority under ACA Section 2718(e); rule violated First Amendment (compelled speech); rule was arbitrary and capricious
OutcomeJudge Carl J. Nichols ruled against plaintiffs June 23, 2020. D.C. Circuit upheld on appeal. Rule took effect January 1, 2021.
02 THE SHIFT

The Shift

After losing in court, FAH shifted from opposition to compliance advocacy, urging regulatory stability in July 2025 comments to CMS.

On July 21, 2025, FAH submitted comments to CMS urging “regulatory stability” — stating that “both hospitals and users of hospital price transparency data would benefit from a period of relative regulatory stability during which the already widespread hospital compliance achieved by CMS may be deepened.”

FAH supported the CMS validator tool and urged CMS to prioritize accuracy of payer machine-readable files rather than imposing additional hospital requirements.

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