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S 4293 117th Congress Senate Health Civil actions and liability Congressional oversight Government information and archives Government studies and investigations Health care costs and insurance Medical ethics Prescription drugs State and local government operations

Pharmacy Benefit Manager Transparency Act of 2022

Introduced: May 24, 2022 Introduced by: Cantwell, Maria Democratic · Washington See on congress.gov
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This bill died when the 117th Congress ended
It never became law before the 117th Congress (2021–2022) 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 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 14, 2022
Placed on Senate Legislative Calendar under General Orders. Calendar No. 647.
Dec 14, 2022
Committee on Commerce, Science, and Transportation. Reported by Senator Cantwell with an amendment in the nature of a substitute. Without written report.
Jun 22, 2022
Committee on Commerce, Science, and Transportation. Ordered to be reported with an amendment in the nature of a substitute favorably.
May 24, 2022
Read twice and referred to the Committee on Commerce, Science, and Transportation.
May 24, 2022
Introduced in Senate
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 Plain-English summary Congressional Research Service

Pharmacy Benefit Manager Transparency Act of 2022

This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy.

The bill also prohibits PBMs from arbitrarily, unfairly, or deceptively (1) clawing back reimbursement payments, or (2) increasing fees or lowering reimbursements to pharmacies to offset changes to federally funded health plans.

PBMs are not subject to these prohibitions if they (1) pass along 100% of any price concession or discount to the health plan, and (2) disclose specified costs, prices, reimbursements, fees, markups, discounts, and aggregate payments received with respect to their PBM services.

Further, PBMs must report annually to the Federal Trade Commission (FTC) certain information about payments received from health plans and fees charged to pharmacies.

The FTC and state attorneys general are authorized to enforce the provisions of the bill.

What's happening now December 14, 2022

Placed on Senate Legislative Calendar under General Orders. Calendar No. 647.

 Related & companion bills 2
  • HR 1829 Related bill Pharmacy Benefit Manager Accountability Study Act of 2021
  • S 298 Related bill Pharmacy Benefit Manager Accountability Study Act of 2021
 Bill text 2 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Cosponsors 6
All 6 Republican 6
R
Capito, Shelley Moore
West Virginia · Sep 19, 2022
 R
Hyde-Smith, Cindy
Mississippi · Aug 4, 2022
 R
Tillis, Thomas
North Carolina · Jul 25, 2022
 R
Moran, Jerry
Kansas · Jun 22, 2022
 R
Boozman, John
Arkansas · Jun 8, 2022
 R
Grassley, Chuck
Iowa · May 24, 2022
Cite this page click to expand
APA
U.S. Congress. (2026). S. 4293: Pharmacy Benefit Manager Transparency Act of 2022. 117th Congress. Open America. https://openamerica.io/bill/117-S-4293/
MLA
"S. 4293: Pharmacy Benefit Manager Transparency Act of 2022." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-S-4293/.
Bluebook (legal)
S. 4293, 117th Cong. (2026), https://openamerica.io/bill/117-S-4293/.
Markdown link
[S. 4293: Pharmacy Benefit Manager Transparency Act of 2022](https://openamerica.io/bill/117-S-4293/)
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