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PBM Act

S. 1967, 118th Congress

Status
In committee
Introduced
06/14/2023
Cosponsors
7
Latest action
06/14/2023

About this bill

Official title
PBM Act
Sponsor
Robert Menendez (D-NJ)
Introduced in
Senate
Policy area
Health
Committees
Finance Committee
Latest action
Read twice and referred to the Committee on Finance.

Full text and history on Congress.gov

Summary

Congressional Research Service, Introduced in Senate (06/14/2023)

Patients Before Middlemen Act or the PBM Act

This bill prohibits pharmacy benefit managers (PBMs) under the Medicare prescription drug benefit or Medicare Advantage from receiving any income for their services other than bona fide service fees.

Specifically, PBMs may not receive any income other than flat, bona fide service fees that are specified in their contracts with prescription drug plan (PDP) sponsors. Such fees may not be based on drug prices, discounts, rebates, or any other remuneration. PBMs must turn over any excess amounts they receive to the Centers for Medicare & Medicaid Services. PDP sponsors and PBMs must annually certify their compliance with these requirements.

Actions

Newest first

  1. 06/14/2023 · Senate

    Read twice and referred to the Committee on Finance.

  2. 06/14/2023

    Introduced in Senate

Source: U.S. Government Publishing Office, GovInfo Bill Status; Congressional Research Service summaries · Last updated 06/14/2023

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