summary
Introduced
07/25/2023
07/25/2023
In Committee
07/28/2023
07/28/2023
Crossed Over
Passed
Dead
01/03/2025
01/03/2025
Introduced Session
118th Congress
Bill Summary
A BILL To amend the Internal Revenue Code of 1986, title XXVII of the Public Health Service Act, and the Employee Retirement Income Security Act of 1974 to provide for oversight of pharmacy benefit manager services.
AI Summary
This bill aims to provide oversight of pharmacy benefit manager (PBM) services. The key provisions are:
1. It requires group health plans or PBMs acting on their behalf to submit annual reports to plan sponsors detailing information on drug costs, rebates, and other PBM financial arrangements. This includes data on individual drugs, therapeutic categories, overall spending, and rebates/fees received from manufacturers.
2. It prohibits contracts between plans/PBMs and drug companies that limit the disclosure of information required in the annual reports.
3. It establishes enforcement mechanisms, including civil monetary penalties for failing to provide timely information or providing false information.
4. It directs the Government Accountability Office to study pharmacy networks, network pricing arrangements, and the use of pharmacies owned by plans or PBMs.
The goal of the bill is to increase transparency around PBM practices and the costs of prescription drugs in order to help lower drug prices for consumers. The reporting requirements and oversight aim to shed light on the complex financial relationships between PBMs, drug companies, and health plans.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (1)
Last Action
Referred to the Subcommittee on Health. (on 07/28/2023)
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/4846/all-info | 07/26/2023 |
| BillText | https://www.congress.gov/118/bills/hr4846/BILLS-118hr4846ih.pdf | 12/12/2023 |
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