Rule lifecycle · RIN:0938-AV64
Transparency in Coverage
Department of the Treasury, Department of Labor, Department of Health and Human Services, Internal Revenue Service, Employee Benefits Security Administration — observed across 3 documents over 491 days. Use the source documents below before deciding whether this affects your business.
In plain English
Health insurance companies must now show patients and employers exactly how much they'll pay out of pocket for common medical services before getting care. If you provide health insurance to employees, make sure your plan includes these cost-sharing tools and help your staff understand how to use them to avoid surprise medical bills.
First seen
Jun 2, 2025
Last seen
Oct 6, 2026
Latest stage
Rule
PRORULE → RULE
491d
Effective on
Monday, December 7, 2026
Stage timeline
Proposed·Jun 2, 2025
Request for Information Regarding the Prescription Drug Machine-Readable File Requirement in the Transparency in Coverage Final Rule
comments close Jul 2, 2025#2025-09858
Proposed·Feb 25, 2026
Private Health Insurance; Transparency in Coverage; Extension of Comment Period
#2026-03798
Final·Oct 6, 2026·91 FR 63748
Transparency in Coverage
effective Dec 7, 2026#2026-20447