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

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

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.

Committees of jurisdiction 1