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I don't understand why this took so long when it was part of the ACA in 2014 [1].

How did it take another administration, an executive order, and 8 more years?!

Hell, even the Clinton plan was calling for it in 1993 [2] but that never went anywhere.

[1] https://www.healthleadersmedia.com/finance/new-price-transpa...

[2] https://www.heritage.org/health-care-reform/report/guide-the...

I think the reasons are just that: an administration change, fumbling about, lawsuits (if any) among other things. One specific reason appears to be that some hospitals were able to file waivers apply for exceptions. [1]. Not that I agree with any of these reason.

[1]https://www.cms.gov/files/document/hospital-price-transparen...

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