Politiparty
Politiparty

118th Congress Health

H.R. 2880: Protecting Patients Against PBM Abuses Act

Introduced

  1. Introduced (completed)Apr 26, 2023
  2. Passed House (not reached)
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in House, Apr 26, 2023

This bill establishes requirements for Medicare pharmacy benefit managers (PBMs) with respect to remuneration, payments, and fees.

Specifically, the bill restricts PBMs that are under contract with plans under the Medicare prescription drug benefit or Medicare Advantage from (1) receiving income for their services other than flat dollar amount service fees; (2) basing any service fees on the prices of covered drugs or any associated discounts, rebates, or other remuneration; (3) charging plan sponsors for ingredient costs or dispensing fees in amounts that are different than what is reimbursed to the pharmacy; or (4) reimbursing network pharmacies for less than that what is reimbursed to PBM-affiliated pharmacies.

Such PBMs must also report on the difference between certain costs for drugs on the plan's formulary and those that are not on the formulary but are therapeutically equivalent. PBMs must also report certain information regarding rebates and fees they receive from drug manufacturers; the Centers for Medicare & Medicaid Services must publish this and other information that is currently reported by PBMs online.

Written by the Congressional Research Service, Library of Congress.

Roll calls

0 votes on this bill

No roll call votes have been held on this bill.

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

45

Bipartisan support.

Who scored on this bill

12 points earned
  1. 1Earl Carter R-GA SponsorDrew cross-party cosponsors, introduced, reached a cosponsor milestone3 events+12
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Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Earl Carter

History

  1. Apr 26, 2023Introduced in the House by Earl Carter.
Show the full action history (9 actions)
  1. Dec 17, 2024Referred to the Subcommittee on Health.
  2. Dec 6, 2023Committee Consideration and Mark-up Session Held
  3. Dec 6, 2023Ordered to be Reported (Amended) by the Yeas and Nays: 46 - 0.
  4. Dec 5, 2023Committee Consideration and Mark-up Session Held
  5. Nov 15, 2023Subcommittee Consideration and Mark-up Session Held
  6. Nov 15, 2023Forwarded by Subcommittee to Full Committee by Voice Vote.
  7. Apr 28, 2023Referred to the Subcommittee on Health.
  8. Apr 26, 2023Introduced in House
  9. Apr 26, 2023Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.