Bill > HR4712

This bill, titled the "Patient Right to Shop Act," aims to provide increased oversight of entities that provide pharmacy benefit management (PBM) services on behalf of group health plans and health insurance coverage. The key provisions of the bill include: 1. Prohibiting group health plans and health insurance issuers from entering into contracts with PBM entities that would prevent or restrict a third-party "covered third party" from accessing or using information relevant to consumer decision-support tools regarding prescription drug benefits. 2. Defining "consumer decision-support tools" as tools designed to inform enrollees about all costs, including out-of-pocket, copayment, and coinsurance responsibilities, as well as costs for purchasing at the cash price or through mail-order pharmacy benefits. 3. Clarifying that the bill does not alter existing obligations under privacy, security, and breach notification regulations, nor does it require the sharing of protected health information with a covered third party. 4. Requiring the Secretaries of Health and Human Services, Labor, and the Treasury to jointly promulgate regulations to carry out the amendments made by the bill, with a deadline of one year after the date of enactment. The bill aims to increase transparency and empower consumers to make informed decisions about their prescription drug costs and coverage.