To amend the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code of 1984 to increase oversight of pharmacy benefits manager services, and for other purposes.
Summary
What This Bill Does
The bill creates oversight of pharmacy benefits manager services Title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health insurance coverage or an, and requires oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance coverage in connection. It relies on definition changes, reporting requirements, compliance mandates, and product standards. The main policy areas are Finance, Healthcare Consumers, Environment, and Healthcare.
Who Benefits and How
Patients and health care consumers affected by the bill could face lower compliance burdens, Homeowners, tenants, or housing market participants affected by the bill could face lower compliance burdens, and Financial services firms and customers affected by the bill could face lower compliance burdens.
Who Bears the Burden and How
Federal, state, or local agencies responsible for implementing the clause would take on compliance duties, Patients and health care consumers affected by the bill would take on compliance duties, and Financial services firms and customers affected by the bill would take on compliance duties.
Key Provisions
- Creates oversight of pharmacy benefits manager services Title XXVII of the Public Health Service Act (42 U.S.C.
- Requires 2799A–11. Oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health insurance coverage or an...
- Requires oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance coverage in connection...
- Requires oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan or an entity or subsidiary providing pharmacy benefits management services on behalf...
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill creates oversight of pharmacy benefits manager services Title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health insurance coverage or an, and requires oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance coverage in connection.
Key Policy Areas
Finance, Healthcare Consumers, Environment, Healthcare
Primary Purpose
The bill creates oversight of pharmacy benefits manager services Title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health insurance coverage or an, and requires oversight of pharmacy benefits manager services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance coverage in connection.
Policy Domains
Whole bill
Identified Gains
- Patients and health care consumers affected by the bill
- Homeowners, tenants, or housing market participants affected by the bill
- Financial services firms and customers affected by the bill
- Environmental and public health interests affected by the bill
Identified Costs
- Federal, state, or local agencies responsible for implementing the clause
- Patients and health care consumers affected by the bill
- Financial services firms and customers affected by the bill
- Environmental and public health interests affected by the bill
- Businesses and employers affected by the bill
Sponsors
Legislative Progress
IntroducedMs. Kuster (for herself, Mr. Carter of Georgia, Ms. Eshoo, …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology