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S 1339 118th Congress Senate Health Civil actions and liability Congressional oversight Disability and health-based discrimination Employment discrimination and employee rights Government information and archives Government studies and investigations Health care costs and insurance Health care coverage and access Health information and medical records Prescription drugs Right of privacy

Safe Step Act

Introduced: April 27, 2023 Introduced by: Sanders, Bernard Independent · Vermont See on congress.gov
This bill died when the 118th Congress ended
It never became law before the 118th Congress (2023–2024) 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
Jun 22, 2023
Placed on Senate Legislative Calendar under General Orders. Calendar No. 113.
Jun 22, 2023
Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.
May 11, 2023
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Apr 27, 2023
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Apr 27, 2023
Introduced in Senate
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 Plain-English summary Congressional Research Service

Pharmacy Benefit Manager Reform Act

This bill establishes various requirements for pharmacy benefit managers (PBMs) with respect to services provided to health insurance plans.

First, PBMs must report annually to the plan sponsor certain information about the PBM's services, including the amount of prescription drug copayment assistance funded by drug manufacturers, a list of covered drugs billed under the plan during the reporting period, and the total net spending by the health plan on prescription drugs. PBMs also must provide plan sponsors with a supplementary report every six months with specified information about drugs that were dispensed under the plan by pharmacies that are wholly or partially owned by the PBM.

Second, the bill prohibits spread pricing. Under the bill, spread pricing occurs when a PBM charges an insurance plan (or an insurance plan charges plan participants) a price for a prescription drug that exceeds the price paid to the pharmacy for the drug.

Finally, PBMs must remit to the plan sponsor all rebates, fees, alternative discounts, and other remuneration received from a drug manufacturer.

The bill establishes civil penalties for violations of these requirements and provides funding for the Centers for Medicare & Medicaid Services and the Department of Labor to implement the provisions of this bill.

What's happening now June 22, 2023

Placed on Senate Legislative Calendar under General Orders. Calendar No. 113.

 Related & companion bills 4
 Bill text 2 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 61

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

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Cite this page click to expand
APA
U.S. Congress. (2026). S. 1339: Pharmacy Benefit Manager Reform Act. 118th Congress. Open America. https://openamerica.io/bill/118-S-1339/
MLA
"S. 1339: Pharmacy Benefit Manager Reform Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-S-1339/.
Bluebook (legal)
S. 1339, 118th Cong. (2026), https://openamerica.io/bill/118-S-1339/.
Markdown link
[S. 1339: Pharmacy Benefit Manager Reform Act](https://openamerica.io/bill/118-S-1339/)
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