As Congress debates its next major healthcare package, one reform stands out for its ability to lower costs, strengthen competition, and protect patient choice: Site Neutrality. Today, federal policy pays hospital-owned facilities far more than independent physicians for the exact same service—a distortion that fuels consolidation, drives up prices, and limits options for patients.

In a letter sent to House leadership, Market Institute President Charles Sauer urges lawmakers to include Site Neutrality in forthcoming GOP healthcare legislation. The message is simple: equal payment for equal services will save taxpayers billions, reduce healthcare costs for families, and restore a level playing field for America’s independent doctors.

Read the full letter below.

Site-Neutrality-Letter-12.11.25-to-House-Leadership