WASHINGTON (AP) — The Trump administration has warned more than 500 hospitals that they are failing to provide the public with basic pricing information — arguing that the lack of disclosure is keeping healthcare costs higher than they should be.
The Associated Press obtained exclusively the list of hospitals that since April have either received letters of warning or requests to submit plans to provide transparent pricing. Failing to comply with the warnings comes with penalties as high as $2 million annually for each recipient that doesn't create a plan to post clear pricing data.
The letters are meant to fix a fundamental problem that patients, employers and insurers might not know ahead of time the cost of blood work, an imaging test or another form of treatment, and as a result pay more than they should have. AP has posted the list of hospitals that have received letters.
A senior administration official who requested anonymity to provide the list said that President Donald Trump plans to tighten enforcement of price transparency standards made possible by a 2019 executive order signed by Trump. More hospitals are likely to receive letters regarding the absence of pricing data, the official said.
The warnings are the latest example of Trump leaning into the message that his administration is fixing the problem of healthcare expenses that can drain a family budget. It's a calculated pitch ahead of the November midterms at a time when affordability is a top concern for voters. But Trump is also vulnerable on this particular issue, as his administration allowed subsidies to lapse for people buying insurance through the 2010 Affordable Care Act, widely known as Obamacare.
Just 29% of U.S. adults approved of Trump's healthcare policies according to the most recent survey on the issue by The Associated Press-NORC Center for Public Affairs Research. The president fared slightly worse on that issue in the December survey than on the economy, immigration or his management of the federal government.
The push for price transparency could have a particular impact on Republican strongholds like Texas, Florida, Indiana, Alabama and Louisiana, which are among the states with the highest count of hospitals that have not provided adequate information on the costs of medical services.
Texas had 42 hospitals that received warnings, more than any other state. Baptist Medical Center in San Antonio, Texas, among the state's largest hospitals with 1,585 beds, received a letter, as did the University of Texas MD Anderson Cancer Center in Houston.
Missouri-based Ascension, one of the country’s largest hospital systems, had 13 hospitals in multiple states that received letters. The Republican state of Indiana had 34 hospitals that received letters, nearly as many as the 38 in Democratic-led California, even though California has five times more people than Indiana.
Administration officials interviewed for this article noted that Christiana Hospital in Biden's home state of Delaware also received a warning letter.
The letters reflect two competing philosophies between Republicans and Democrats over how to handle the ballooning expense of healthcare, which is also a growing risk for the federal government's own balance sheet.
Biden's team put more emphasis on record enrollment in Obamacare programs that increased the percentage of people with health insurance. Biden also signed a bill that allowed the government to begin negotiating prices for some Medicare drugs directly with pharmaceutical companies. That program, which has continued into Trump’s second administration, has helped knock down the list prices of some of Medicare’s costliest drugs.
The Trump administration, by contrast, has focused more on trying to find ways to provide details on pricing — such as promoting the TrumpRx site for prescription drugs — betting that doing so will lead to better and more efficient spending on healthcare as the data gets crunched.
Critics have said Trump's negotiated prices on prescription drugs might not produce genuine savings for many Americans with insurance, while the administration has estimated savings in excess of $500 billion over 10 years.
With the various lists of hospital prices, the administration wants providers to make it easier to access the files and to ensure the information in them is legitimate, instead of being based on estimates or omitting numbers for key procedures.
The House Committee on Energy and Commerce has a hearing planned for Wednesday on price transparency.
“Transparency is the foundation of a healthcare system that rewards competition based on cost and quality,” Shawn Gremminger, CEO of the National Alliance of Healthcare Purchaser Coalitions, plans to say in his prepared remarks.
President Donald Trump arrives on Air Force One, Friday, June 5, 2026, at Morristown Airport in Morristown, N.J. (AP Photo/Mark Schiefelbein)
President Donald Trump listens during an event at Custer Farms in Chippewa Falls, Wis., Friday, June 5, 2026. (AP Photo/Mark Schiefelbein)
Voters across Maine, Nevada, South Carolina and North Dakota will cast their ballots Tuesday in another day of primary elections in America, but much of the political world will be focused on Maine’s high-stakes U.S. Senate contest.
The results aren't in question. Neither Republican incumbent Sen. Susan Collins nor Democratic challenger Graham Platner faces serious opposition for their party’s nomination. And yet Tuesday marks an especially significant moment for Platner, the embattled veteran and oyster farmer, who's fighting to rebuild his credibility in a campaign rocked by controversy.
Elsewhere, President Donald Trump’s clout within his party will be tested anew in states like South Carolina and Nevada, where he’s endorsed his favored candidates. Democrats hope to build momentum in Nevada in their broader push to reclaim key governor’s seats.
Here's the latest:
Washoe County Commissioner Alexis Hill faces state Attorney General Aaron Ford, whose fundraising has dwarfed hers —$2.3 million compared to Hill’s $100,000. He also has the support of the entire Democratic congressional delegation and former Vice President Kamala Harris.
Hill, a local official in the county that includes Reno, has run a grassroots campaign, promising to shake up the status quo in the Democratic Party. Ford has largely ignored her, fixing his sights on the November election.
The winner will most likely face Republican Nevada Gov. Joe Lombardo, who's running for reelection.
Brenda Wood said she voted for Republicans in the primary because she doesn’t believe Platner’s campaign promises and expressed dissatisfaction with his party generally.
“I think the Democrats have been a disgrace to Maine for years,” she said.
Annette Babcock, also from Sullivan, said she supported Platner, whom she said she’s met a few times and likes because he’s not an established politician.
She did not sound concerned over recent controversies surrounding his campaign.
“The Republicans don’t have much moral high ground to stand on when they’re criticizing him for what he’s done when Trump is a convicted felon,” she said.
The road for the Democrats to take back the U.S. Senate goes through Maine. That road starts today.
The Democratic Party needs to net four seats to retake the Senate majority, and thinks some of its best chances are in states like Maine, North Carolina, Alaska and Ohio. The party is set to officially pick its nominee in Maine on Tuesday.
Oyster farmer and combat veteran Graham Platner is the party’s presumptive nominee because his main rival, Democratic Gov. Janet Mills, suspended her campaign weeks ago. Mills remains on the ballot. David Costello, who hasn't campaigned aggressively, is also on the ballot.
After voting at her precinct in Taylors on Tuesday, South Carolina Lt. Gov. Pamela Evette said she was confident about how her campaign for governor had gone.
But if she doesn’t win the primary outright and has to campaign for two more weeks in a runoff, the Republican said she’d work hard to win over voters who didn’t initially support her.
President Donald Trump is backing Evette’s bid and the candidate said that, while she thinks that will help her in this “proud Trump state,” she’ll focus primarily on her own stances, like cutting taxes and regulations.
Platner’s campaign has spent months navigating controversies about a tattoo of a Nazi symbol that he had covered up and his history of inflammatory online postings.
Platner has said he was drunk on leave with some fellow Marines many years ago when he got a skull and crossbones tattoo on his chest. He had it covered up last year after saying he learned that it was a Nazi image.
There has also been much attention on his former social media and Reddit posts, which were dismissive of military sexual assaults, insulting of police and rural residents and used homophobic slurs, for which he's apologized.
Nevada’s primary will give an indication of the influence the president maintains in the battleground state.
In 2024, Trump became the first Republican presidential candidate in 20 years to win Nevada. For Tuesday’s primary, he's backed candidates in three of the state’s four congressional races:
Trump has a string of victories for his endorsed candidates so far this primary season. That includes those he endorsed in an effort to take down Republicans he deemed insufficiently loyal.
The GOP primary for the 2nd District appears to be the most contentious. Trump’s endorsed candidate faces James Settelmeyer, a rancher with a long political resume who has the backing of Republican Gov. Joe Lombardo and the retiring incumbent.
Trump’s endorsement is a powerful factor in a state where Republicans dominate politics.
U.S. Reps. Nancy Mace and Ralph Norman, state Attorney General Alan Wilson and Lt. Gov. Pamela Evette all showcased their proximity to the president. Mace worked for his 2016 campaign, Norman votes with him in the House, Wilson traveled to New York City when Trump was on trial, and Evette hired one of his advisers for her campaign.
In the end, Trump endorsed Evette in the primary’s closing days, also saying on social media that “A BIG added plus” was that Henry McMaster Jr. — the sitting governor’s son — could be Evette’s running mate.
McMaster is close to Trump, backing him in 2016 when much of the Republican establishment was hesitant to embrace the New York businessman and reality television star. So when McMaster endorsed Evette in February, it was a sign that Trump’s support could be on the way.
Many Maine Democrats are voting to pick a candidate for the 2nd District, which Republicans see as a key chance to pick up a seat in the narrowly divided chamber.
Incumbent Rep. Jared Golden, a Democrat, is not seeking reelection. The 2nd District includes much of rural Maine and Trump has had great success there at the top of the ticket in the last three presidential elections.
The Republicans’ presumptive nominee is former Gov. Paul LePage. Democrats will choose between former Maine Secretary of State Matt Dunlap; state Sen. Joe Baldacci; former U.S. Senate candidate Jordan Wood; and social worker Paige Loud.
The Nevada Secretary of State’s Office has launched a website designed to provide transparency around mail ballots.
The website shows how many were mailed, returned and accepted. It also notes the number requiring fixes by voters. Nevada mails a ballot to every registered voter unless a voter opts out.
It’s one of several swing states where Trump disputed his loss in 2020 with false claims of fraud. The secretary of state at the time, a Republican, investigated various claims and found no evidence of any widespread fraud. Trump also has repeatedly attacked the use of mail ballots generally.
Secretary of State Cisco Aguilar, a Democrat, said he created the website to increase transparency around Nevada’s elections and provide a way for voters to see in real-time how many ballots are outstanding.
Lindsay Robinson, with daughter Scottie, walks to cast her ballots in the Maine Primary, Tuesday, June 9, 2026, in Augusta, Maine. (AP Photo/Robert F. Bukaty)
Mary Saunders looks over her choices one last time before casting her ballots in the Maine Primary, Tuesday, June 9, 2026, in Augusta, Maine. (AP Photo/Robert F. Bukaty)
