summary
Introduced
04/18/2023
04/18/2023
In Committee
12/17/2024
12/17/2024
Crossed Over
Passed
Dead
01/03/2025
01/03/2025
Introduced Session
118th Congress
Bill Summary
A BILL To amend the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code of 1984 to increase oversight of pharmacy benefits manager services, and for other purposes.
AI Summary
This bill, the Pharmacy Benefits Manager Accountability Act, aims to increase oversight and transparency of pharmacy benefits manager (PBM) services. The key provisions include:
1. Requiring group health plans, health insurance issuers, and PBM entities to annually report detailed information to plan sponsors on drug costs, rebates, and utilization. This information must be provided in a machine-readable format.
2. Prohibiting contracts that limit the disclosure of information to plan sponsors in a way that prevents them from accessing the required reports.
3. Establishing civil monetary penalties for failure to provide timely information or providing false information.
4. Authorizing the Departments of Health and Human Services, Labor, and Treasury to enforce the reporting requirements.
5. Directing the Government Accountability Office to study pharmacy networks, network pricing arrangements, and the role of PBM-owned pharmacies.
The overall goal is to provide plan sponsors and regulators with greater visibility into PBM practices and costs in order to improve accountability and oversight of the PBM industry.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (6)
Ann Kuster (D)*,
Jake Auchincloss (D),
Buddy Carter (R),
Anna Eshoo (D),
Marie Gluesenkamp Pérez (D),
Brett Guthrie (R),
Last Action
Referred to the Subcommittee on Health. (on 12/17/2024)
Bill Topics
Health
- ‐ Health Insurance Reform
- ‐ Regulation of Drug Industry and Pharmacies
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.congress.gov/bill/118th-congress/house-bill/2679/all-info | 04/19/2023 |
| BillText | https://www.congress.gov/118/bills/hr2679/BILLS-118hr2679ih.pdf | 04/26/2023 |
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