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HR 4437 113th Congress House

Generic Drug Pricing Fairness Act

Official title: To amend title XVIII of the Social Security Act to provide for pharmacy benefits manager standards under the Medicare prescription drug program to further tran… Show full official titleShow less

Official title: To amend title XVIII of the Social Security Act to provide for pharmacy benefits manager standards under the Medicare prescription drug program to further transparency of payment methodologies to pharmacies, and for other purposes.

Introduced: July 17, 2014 See on congress.gov
Health Contracts and agencyHealth care costs and insuranceHealth information and medical recordsMedical ethics
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MedicarePrescription drugsPublic contracts and procurementRetail and wholesale tradesRight of privacy
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This bill died when the 113th Congress ended
It never became law before the 113th Congress (2013–2014) 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 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 11, 2014
Referred to the Subcommittee on Health.
Apr 9, 2014
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Apr 9, 2014
Introduced in House
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 Latest action April 11, 2014

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Generic Drug Pricing Fairness Act - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to require each contract entered into with a prescription drug plan (PDP) sponsor with respect to a PDP the sponsor offers to prohibit the PDP 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 the prescription drug coverage under it, unless the PBM adheres to specified criteria when handling personally identifiable utilization and claims data or other sensitive patient data.

Revises requirements for contracts with PDP sponsors to require that the PDP sponsor disclose to applicable pharmacies the sources used for making any update of the prescription drug pricing standard, and if the source for such a standard is not publicly available, disclose to such pharmacies all individual drug prices to be so updated in advance of their use for the reimbursement of claims.

Requires the PDP sponsor, as well, to establish a process to appeal, investigate, and resolve disputes regarding individual drug prices that are less than the pharmacy acquisition price for a drug.

 Related & companion bills 2
  • HR 5815 Related bill Generic Drug Pricing Fairness Act
  • S 867 Related bill Medicare Prescription Drug Program Integrity and Transparency Act of 2013
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
 Cosponsors 11
All 11 Democratic 1 Republican 3
Barletta, Lou
· Sep 9, 2014
FATTAH, CHAKA
· Jul 29, 2014
 R
Crawford, Eric A. "Rick"
Arkansas · Jul 17, 2014
Fortenberry, Jeff
· Jun 18, 2014
 R
Williams, Roger
Texas · Jun 18, 2014
DUNCAN, JOHN
· Jun 17, 2014
Coffman, Mike
· May 22, 2014
 D
Bishop, Sanford D.
Georgia · May 19, 2014
BARTON, JOE
· May 9, 2014
 R
Scott, Austin
Georgia · May 7, 2014
Loebsack, David
· Apr 9, 2014
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4437: Generic Drug Pricing Fairness Act. 113th Congress. Open America. https://openamerica.io/bill/113-HR-4437/
MLA
"H.R. 4437: Generic Drug Pricing Fairness Act." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-HR-4437/.
Bluebook (legal)
H.R. 4437, 113th Cong. (2026), https://openamerica.io/bill/113-HR-4437/.
Markdown link
[H.R. 4437: Generic Drug Pricing Fairness Act](https://openamerica.io/bill/113-HR-4437/)
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