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S 1058 112th Congress Senate

Pharmacy Competition and Consumer Choice Act of 2011

Official title: A bill to amend the Public Health Service Act to ensure transparency and proper operation of pharmacy benefit managers.

Introduced: July 5, 2011 See on congress.gov
Health Health care costs and insurancePrescription drugs
This bill died when the 112th Congress ended
It never became law before the 112th Congress (2011–2012) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 24, 2011
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
May 24, 2011
Introduced in Senate
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 Latest action May 24, 2011

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

 Plain-English summary Congressional Research Service

Pharmacy Competition and Consumer Choice Act of 2011 - Amends the Public Health Service Act, the Employee Retirements Income Security Act of 1974 (ERISA), the Internal Revenue Code, and part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to prohibit a group or individual health plan from entering into a contract with any pharmacy benefits manager (PBM) to manage the prescription drug coverage provided under such plan or to control the costs of such coverage, unless the PBM satisfies the requirements of this Act.

Directs a PBM to provide at least annually a report to each plan sponsor that includes information on the number and total costs of prescriptions under the contract, payments to pharmacies, payments from pharmaceutical manufacturers, and generic drugs and brand name drugs dispensed.

Sets forth provisions governing the interaction between a PBM and pharmacies that contract with the PBM, including requiring a PBM to: (1) include in contracts drug pricing information and agree to provide timely updates on pricing, (2) agree to pay pharmacies promptly for clean claims, (3) not exclude qualifying pharmacies willing to accept terms and conditions of PBM, and (4) require each pharmacy to sign a contract before assuming responsibility to fill prescriptions for a PBM.

Prohibits a PBM from mandating or providing incentives to beneficiaries for use of a pharmacy in which the PBM has an ownership interest.

Sets forth limits on audits of pharmacy providers by PBM, including with respect to record keeping, appeals, and recoupment.

Establishes limits and notice requirements related to PBM's selling claims or utilization data.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
Cite this page click to expand
APA
U.S. Congress. (2026). S. 1058: Pharmacy Competition and Consumer Choice Act of 2011. 112th Congress. Open America. https://openamerica.io/bill/112-S-1058/
MLA
"S. 1058: Pharmacy Competition and Consumer Choice Act of 2011." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-S-1058/.
Bluebook (legal)
S. 1058, 112th Cong. (2026), https://openamerica.io/bill/112-S-1058/.
Markdown link
[S. 1058: Pharmacy Competition and Consumer Choice Act of 2011](https://openamerica.io/bill/112-S-1058/)
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