Medicare PBM Accountability Act

1/2
Status In Committee
Sponsor Greg Landsman
Citation 118-HR-5385
Actions 10
Introduced Sep 12th, 2023
Cosponsors
1
Last Action Dec 17th, 2024
Policy Area
Introduced House Sep 12
House
Senate
President
Enacted

Summary

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What this bill does

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Medicare PBM Accountability ActThis bill establishes reporting requirements for pharmacy benefit managers (PBMs) under the Medicare prescription drug benefit and Medicare Advantage, particularly relating to the prices of prescription drugs.Specifically, PBMs must (1) disclose certain information underlying cost performance measurements (e.g., exclusions and terms), and (2) report to prescription drug plan (PDP) sponsors (and to the Centers for Medicare & Medicaid Services upon request) an itemized list of prescription drugs that were dispensed during the previous year and related data about costs, claims, affiliated pharmacies, and other specified information. PDP sponsors may audit PBMs to ensure compliance with this bill's requirements and must annually certify their compliance; PBMs are responsible for any associated civil penalties for violations.In addition, the Government Accountability Office must study federal and state reporting requirements for health plans and PBMs with respect to prescription drug price transparency and recommend ways to streamline these requirements.

Actions

10
House
INTRODUCED
INTRODUCED
Sep 12, 2023
ON FLOOR
REFERRED TO COMMITTEE
ON FLOOR
REFERRED TO COMMITTEE
COMMITTEE
REFERRED TO SUBCOMMITTEE
Sep 15, 2023
COMMITTEE
SUBCOMMITTEE CONSIDERATION AND MARKUP
Nov 15, 2023
COMMITTEE
COMMITTEE SUBCOMMITTEE FORWARD TO FULL
COMMITTEE
COMMITTEE CONSIDERATION AND MARKUP
Dec 5, 2023
COMMITTEE
COMMITTEE CONSIDERATION AND MARKUP
Dec 6, 2023
COMMITTEE
COMMITTEE ORDERED TO REPORT
ON FLOOR
REFERRED TO SUBCOMMITTEE
Dec 17, 2024
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Cost Estimates

1

Nonpartisan fiscal analysis from the Congressional Budget Office. Click any estimate to read the full report on cbo.gov.