Rather than issuing another guidance document or quietly negotiating corrective action plans, the Centers for Medicare and Medicaid Services publicly identified hospitals that remain out of compliance with federal law. Naming institutions that fail to meet transparency requirements changes the conversation from regulatory process to public accountability. Consider the state of Texas, which has enacted some of the strongest hospital transparency laws in the country. More than 42 Texas hospitals nevertheless appeared on the administration’s noncompliance list. Perhaps a hospital in violation of federal transparency laws shouldn’t be permitted to engage in debt collection for unpaid bills until they comply with the law?