FEHBP Prescription Drug Oversight and Cost Savings Act
Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.
FEHBP Prescription Drug Oversight and Cost Savings Act
Prohibits the Office of Personnel Management (OPM) from entering a contract or approving a health benefits plan with a carrier that is a party to a pharmacy benefit manager (PBM) carrier arrangement to provide or administer prescription drug coverage under the Federal Employees Health Benefits Program (FEHBP) unless the PBM and the carrier comply with the requirements for PBM carrier arrangements set forth by this Act. Directs OPM to terminate a contract or discontinue a plan that fails to comply with such requirements.
Prohibits: (1) a PBM under a carrier arrangement from being under common corporate control with a prescription drug manufacturer or a retail pharmacy, and (2) OPM from permitting a carrier under common corporate control with a PBM to earn a profit from such control.
Sets forth terms and requirements for PBM carrier arrangements under the FEHBP, including: (1) drug substitution restrictions, (2) PBM reimbursement of carriers, (3) sale by a PBM of utilization and claims data, (4) drug pricing and the basis for reimbursement, (5) PBM provision to plan enrollees of an explanation of benefits statement regarding prescription drugs, (6) nondiscriminatory contracts regarding required participation, (7) OPM access to PBM contract information, and (8) civil monetary penalties for making false statements or claims to the government.
Referred to the House Committee on Oversight and Government Reform.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 2175: FEHBP Prescription Drug Oversight and Cost Savings Act. 114th Congress. Open America. https://openamerica.io/bill/114-HR-2175/
"H.R. 2175: FEHBP Prescription Drug Oversight and Cost Savings Act." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-HR-2175/.
H.R. 2175, 114th Cong. (2026), https://openamerica.io/bill/114-HR-2175/.
[H.R. 2175: FEHBP Prescription Drug Oversight and Cost Savings Act](https://openamerica.io/bill/114-HR-2175/)