> the penalties for noncompliance are minimal (maximum $300 per day) That's the problem right there. Instead of having a slap-on-the-wrist fine, they should h

> the penalties for noncompliance are minimal (maximum $300 per day) That's the problem right there. Instead of having a slap-on-the-wrist fine, they should have put in a ceiling on what you can charge if you don't disclose. Compliance will happen very quickly if non-compliant hospitals are only allowed to charge say $50 / visit for clinic, $200 / visit for outpatient procedure, $500 / visit if admitted, or $1000 / day for a hospital stay. And if different providers are involved (e.g. your hospital stay involves a GP, specialist, anesthesiologist, and surgeon who all bill as different entities), they have to split your $1000 among themselves -- they don't each get to charge you $1000.