Summary
Following the Senate Health, Education, Labor & Pensions (HELP) Committee markup (WHG summary) and the Energy & Commerce Health Subcommittee markup (WHG summary), we provide the following updated chart of PBM legislation.
| Bill | Transparency Requirements | Banning Certain Practices | Rebate Passthrough to Plan | Improved Beneficiary OOP Costs | PBM Delinking |
| S. 1339, The Pharmacy Benefit Manager Reform Act
Advanced by Committee |
Yes
|
Yes | Yes | Yes
|
No |
| The SFC PBM Legislative Framework
|
Yes | Yes | Yes | No | Yes |
| H.R. 3281, the Transparent PRICES Act includes:
· H.R. 2679, the PBM Accountability Act (commercial); · H.R. 3282, the Promoting Transparency and Healthy Competition in Medicare Act; (Medicare), and · H.R. 1613, the Drug Price Transparency in Medicaid Act of 2023 (Medicaid).
Advanced by Subcommittee |
Yes | Yes | No | No | No |
| H.R.3285 the Fairness for Patient Medications Act)
Advanced by Subcommittee |
No | No | No | Yes | No |
| H.R. 2816, the PBM Sunshine and Accountability Act
|
Yes | No | No | No | No |
| H.R. 830 and S. 1375 the Help Ensure Lower Patient (HELP) Copays Act | No | No | No | Yes | No |
| H.R. 2880, Protecting Patients Against PBM Abuses | Yes
|
Yes | No | No | Yes |