To amend title XI of the Social Security Act and title XXVII of the Public Health Service Act to establish requirements with respect to prescription drug benefits.
Summary
What This Bill Does
The bill requires requirements for prescription drug benefits Section 1128B(b) of the Social Security Act (42 U.S.C, requires 2799A–11. Requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not, and shall ensure that any, and requires requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group health insurance coverage shall not, and shall ensure that any entity that provides. It relies on definition changes, reporting requirements, compliance mandates, and procurement rules. The main policy areas are Healthcare Consumers, Finance, Housing, 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 Businesses and employers 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 Homeowners, tenants, or housing market participants affected by the bill would take on compliance duties.
Key Provisions
- Requires requirements for prescription drug benefits Section 1128B(b) of the Social Security Act (42 U.S.C.
- Requires 2799A–11. Requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not, and shall ensure that any...
- Requires requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group health insurance coverage shall not, and shall ensure that any entity that provides...
- Requires requirements with respect to prescription drug benefits A group health plan shall not, and shall ensure that any entity that provides pharmacy benefits management services under a contract with any such health...
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 requirements for prescription drug benefits Section 1128B(b) of the Social Security Act (42 U.S.C, requires 2799A–11. Requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not, and shall ensure that any, and requires requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group health insurance coverage shall not, and shall ensure that any entity that provides.
Key Policy Areas
Healthcare Consumers, Finance, Housing, Healthcare
Primary Purpose
The bill requires requirements for prescription drug benefits Section 1128B(b) of the Social Security Act (42 U.S.C, requires 2799A–11. Requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not, and shall ensure that any, and requires requirements with respect to prescription drug benefits A group health plan or a health insurance issuer offering group health insurance coverage shall not, and shall ensure that any entity that provides.
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
- Businesses and employers 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
- Homeowners, tenants, or housing market participants affected by the bill
- Businesses and employers affected by the bill
Sponsors
Legislative Progress
IntroducedMr. Braun (for himself and Mrs. Hyde-Smith) introduced the following …
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?
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