To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under part D of the Medicare program.
Summary
What This Bill Does
The bill requires establishing certain requirements for pharmacy benefit managers under part D of the Medicare program Section 1860D–12(b) of the Social Security Act (42 U.S.C and requires PBM transparency Section 1150A of the Social Security Act (42 U.S.C. It relies on definition changes, reporting requirements, compliance mandates, and procurement rules. The main policy areas are Healthcare Consumers, Healthcare, Finance, and Housing.
Who Benefits and How
Patients and health care consumers affected by the bill could gain revenue opportunities and Public beneficiaries or protected communities affected by the clause could face reduced risk.
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 Homeowners, tenants, or housing market participants affected by the bill would take on compliance duties.
Key Provisions
- Requires establishing certain requirements for pharmacy benefit managers under part D of the Medicare program Section 1860D–12(b) of the Social Security Act (42 U.S.C.
- Requires PBM transparency Section 1150A of the Social Security Act (42 U.S.C.
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 requires establishing certain requirements for pharmacy benefit managers under part D of the Medicare program Section 1860D–12(b) of the Social Security Act (42 U.S.C and requires PBM transparency Section 1150A of the Social Security Act (42 U.S.C.
Key Policy Areas
Healthcare Consumers, Healthcare, Finance, Housing
Primary Purpose
The bill requires establishing certain requirements for pharmacy benefit managers under part D of the Medicare program Section 1860D–12(b) of the Social Security Act (42 U.S.C and requires PBM transparency Section 1150A of the Social Security Act (42 U.S.C.
Policy Domains
Whole bill
Identified Gains
- Patients and health care consumers affected by the bill
- Public beneficiaries or protected communities affected by the clause
Identified Costs
- Federal, state, or local agencies responsible for implementing the clause
- 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
Sponsors
Legislative Progress
IntroducedMr. Carter of Georgia (for himself, Ms. Blunt Rochester, Ms. …
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.
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