Pricing transparency was already included in the ACA. What happened to that? Why did it fail?
https://pbghpa.org/blog/aca-price-transparency-results-in-st...
More importantly though, these standard fees do not include any negotiated rates between insurance providers and hospitals, making it effectively impossible to comparison shop. A hospital's chargemaster price for procedure X might be $10,000, but might be only $2,000 for a particular insurance provider due to negotiation.
That's the difference between the ACA rule and this EO; the EO forces hospitals to post the real prices for each insurance provider.