Search Results for keywords:"pharmacy benefit managers"

Search Results: keywords:"pharmacy benefit managers"

H. R. 2214 — To improve services provided by pharmacy benefit managers.
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March 18, 2025
Status:Introduced in House
Congress:119
Words:3,187
H.R. 2214 aims to improve services provided by pharmacy benefit managers (PBMs) by prohibiting them from earning money from entities for activities related to prescription drug benefits, starting January 1, 2027. Exceptions are made for charging bona fide service fees if set...
Simple Explanation
H.R. 2214 is a bill that tries to make sure pharmacy managers can't make extra money from selling medicines in secret ways, but they can still charge set fees for their work, as long as it's clear and fair. If they don't follow the rules, they might have to pay fines every day until they fix it.
H. R. 4758 — An Act To amend title XIX of the Social Security Act to streamline enrollment under the Medicaid program of certain providers across State lines, and to prevent the use of abusive spread pricing in Medicaid.
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September 18, 2024
Status:Referred in Senate
Congress:118
Words:2,508
H.R. 4758, titled the "Accelerating Kids’ Access to Care Act," aims to improve the enrollment process for certain out-of-state healthcare providers under Medicaid and CHIP by easing restrictions and standardizing procedures across states. It also addresses the issue of...
Simple Explanation
The "Accelerating Kids’ Access to Care Act" wants to make it easier for doctors in different states to help kids who need care through Medicaid and CHIP. It also wants drug prices to be clearer so that people know what they are paying for, and it sets aside $69 million to make Medicaid work better.
S. 882 — To amend title XVIII of the Social Security Act to assure pharmacy access and choice for beneficiaries under prescription drug plans and MA–PD plans and to establish requirements of pharmacy benefit managers under Medicare part D.
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March 06, 2025
Status:Introduced in Senate
Congress:119
Words:8,241
The bill, titled "Patients Before Middlemen Act," proposes changes to the Social Security Act aimed at improving pharmacy access and choice for Medicare beneficiaries. It requires that any willing pharmacy can join prescription drug plan networks, promotes transparency and fairness in...
Simple Explanation
The Patients Before Middlemen Act is a plan to help older people on Medicare get their medicines more easily by letting any pharmacy that wants to join help them and making sure everyone plays fair with clear, simple money rules.
H. R. 8987 — To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to ensure cost sharing for a drug does not exceed the nationwide average of consumer purchase prices for such drug.
July 10, 2024
Status:Introduced in House
Congress:118
Words:1,342
H.R. 8987, also known as the "Lowest Price for Patients Act of 2024," proposes changes to existing health laws to ensure that the cost-sharing amount a person has to pay for a drug doesn't exceed the average price people pay nationwide for that drug. The bill applies to both group health...
Simple Explanation
The "Lowest Price for Patients Act of 2024" is a bill that wants to make sure people don't have to pay more for medicine than what other people in the country usually pay. This will help people save money when buying their medicine, and it will be the same rule for everyone.
H. R. 8261 — To amend title XVIII of the Social Security Act to extend certain flexibilities and payment adjustments under the Medicare program, and for other purposes.
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December 19, 2024
Status:Reported in House
Congress:118
Words:9,487
H.R. 8261 aims to extend certain flexibilities and payment adjustments under the Medicare program. It proposes changing requirements for telehealth services, especially expanding eligibility and extending the period these services can be used. The bill also addresses payments to low-volume...
Simple Explanation
Imagine if going to the doctor was like a fun video call on the computer, and this bill wants to keep it that way for a longer time. It also wants to make sure hospitals and ambulances get the money they need while making rules fairer for people who help buy medicine.
H. R. 10362 — To prohibit pharmacy benefit managers and pharmacies from being under common ownership, and for other purposes.
December 11, 2024
Status:Introduced in House
Congress:118
Words:1,381
H.R. 10362 is a bill introduced in the U.S. House of Representatives aimed at preventing pharmacy benefit managers (PBMs) and pharmacies from being owned by the same company, which addresses potential anti-competitive practices. It requires any company currently violating...
Simple Explanation
H.R. 10362 is a bill that says companies can't own both pharmacies and managers who help people get their medicine, making sure everything stays fair. If they do, they have to change it in three years, and the government can check to make sure they're following the rules.
S. 927 — To amend title XIX of the Social Security Act to ensure accurate payments to pharmacies under Medicaid and to prevent the use of abusive spread pricing practices under Medicaid.
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March 11, 2025
Status:Introduced in Senate
Congress:119
Words:4,363
S. 927 aims to amend the Social Security Act to ensure pharmacies are paid accurately under Medicaid and to stop unfair pricing practices by pharmacy benefit managers. The bill proposes conducting surveys to determine national drug prices, requiring pharmacies to report costs...
Simple Explanation
S. 927 is a law that wants to make sure pharmacies get paid the right amount for medicine and to stop tricks that make people pay too much. It asks pharmacies to share how much they pay for drugs and punishes them if they don't, so everyone can know the real prices.
S. 527 — To require the Federal Trade Commission to study the role of intermediaries in the pharmaceutical supply chain and provide Congress with appropriate policy recommendations, and for other purposes.
February 11, 2025
Status:Introduced in Senate
Congress:119
Words:952
The bill, titled the "Prescription Pricing for the People Act of 2025," directs the Federal Trade Commission (FTC) to study intermediaries in the pharmaceutical supply chain, like pharmacy benefit managers. The FTC must look into the pricing practices and competitive behavior of these...
Simple Explanation
The bill wants the government to look closely at how companies that help with medicine prices are doing their job and find ways to make medicine cheaper and fairer for people to buy. It asks for a report to tell Congress how to make this better with some rules.
H. R. 7535 — To require the Comptroller General of the United States to conduct a study and submit a report on price-related compensation and payment structures in the prescription drug supply chain.
March 05, 2024
Status:Introduced in House
Congress:118
Words:796
The bill H.R. 7535, titled the "Prescription Drug Supply Chain Pricing Transparency Act," requires the Comptroller General to conduct a study on how compensation and payment structures related to drug pricing work within the prescription drug supply chain. This includes...
Simple Explanation
This bill is like asking a really smart detective to look into how the prices of medicines are decided and how people who sell and make medicines get paid. They will then tell grown-ups in charge what they found so they can make things better in two years.
S. 527 — To require the Federal Trade Commission to study the role of intermediaries in the pharmaceutical supply chain and provide Congress with appropriate policy recommendations, and for other purposes.
April 10, 2025
Status:Reported to Senate
Congress:119
Words:1,034
S. 527, known as the "Prescription Pricing for the People Act of 2025," requires the Federal Trade Commission (FTC) to conduct a study on intermediaries in the pharmaceutical supply chain. The FTC must report to Congress on various issues such as pharmacy benefit manager...
Simple Explanation
The Prescription Pricing for the People Act of 2025 asks a group called the FTC to look at people in between who help get medicine from the makers to the stores, to see if they are being fair with prices. This group then has to tell the government what they find and suggest ways to make it better by making sure everyone is playing fair.
H. R. 4758 — To amend title XIX of the Social Security Act to streamline enrollment under the Medicaid program of certain providers across State lines, and for other purposes.
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July 23, 2024
Status:Reported in House
Congress:118
Words:3,005
H.R. 4758, titled the "Accelerating Kids’ Access to Care Act," aims to simplify the process for certain healthcare providers to enroll in Medicaid so they can treat children with complex medical conditions across state lines. The bill amends the Social Security Act to ensure...
Simple Explanation
H.R. 4758 is a plan to make it easier for doctors to treat sick children from other states and to help with fair medicine pricing. It also gives extra money to a fund to support these changes, but people worry about how the money will be spent and if it's fair to everyone.
H. R. 4758 — An Act To amend title XIX of the Social Security Act to streamline enrollment under the Medicaid program of certain providers across State lines, and to prevent the use of abusive spread pricing in Medicaid.
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September 17, 2024
Status:Engrossed in House
Congress:118
Words:2,533
H.R. 4758, titled the “Accelerating Kids’ Access to Care Act,” aims to simplify the process for certain healthcare providers to enroll in Medicaid and the Children’s Health Insurance Program (CHIP) across different states, making it easier to serve young patients. It also seeks to regulate...
Simple Explanation
The "Accelerating Kids’ Access to Care Act" is a plan to make it easier for doctors to help kids who have Medicaid by letting them work in different states and to make medicine prices fairer by stopping sneaky pricing tricks. It also sets aside money to make Medicaid better and more efficient.
S. 5503 — To prohibit pharmacy benefit managers and pharmacies from being under common ownership, and for other purposes.
December 12, 2024
Status:Introduced in Senate
Congress:118
Words:1,383
The bill, S. 5503, known as the “Patients Before Monopolies Act” or the “PBM Act,” proposes prohibiting pharmacy benefit managers (PBMs) and pharmacies from being owned by the same entity. This legislation aims to prevent anti-competitive practices by requiring entities that currently have...
Simple Explanation
The bill says that pharmacy helpers and drug stores can't be owned by the same person or company anymore, so there will be more fair choices for people when buying medicine. If some places need to change who owns what, they have three years to do it.
H. R. 10050 — To require the Secretary of Health and Human Services to conduct a study on pharmacy benefit manager audit practices.
October 25, 2024
Status:Introduced in House
Congress:118
Words:396
H. R. 10050 requires the Secretary of Health and Human Services to perform a study on the audit practices of pharmacy benefit managers (PBMs). The study will focus on how these audits impact pharmacies, particularly independent ones, and assess the fairness and transparency...
Simple Explanation
The bill asks the Secretary of Health to look closely at how pharmacy managers check up on drugstores to see if they are being fair. They want to know how this affects small drugstores and if it needs to be improved.

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