To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage.
Summary
What This Bill Does
The bill creates oversight of entities that provide pharmacy benefit management services Title XXVII of the Public Health Service Act (42 U.S.C, creates 2799A–11. Oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health, and creates oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance. It relies on compliance mandates, definition changes, reporting requirements, and grants. The main policy areas are Healthcare Consumers, Healthcare, Housing, and Environment.
Who Benefits and How
Patients and health care consumers affected by the bill could gain revenue opportunities, Public beneficiaries or protected communities affected by the clause could face reduced risk, and Homeowners, tenants, or housing market participants 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 Environmental and public health interests affected by the bill would take on compliance duties.
Key Provisions
- Creates oversight of entities that provide pharmacy benefit management services Title XXVII of the Public Health Service Act (42 U.S.C.
- Creates 2799A–11. Oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health...
- Creates oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance...
- Creates oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan or an entity providing pharmacy benefit management services on...
- Creates 2799A–11. Oversight of entities that provide pharmacy benefit management services For plan years beginning on or after the date that is 30 months after the date of enactment of the Pharmacy Benefit Manager...
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 entities that provide pharmacy benefit management services Title XXVII of the Public Health Service Act (42 U.S.C, creates 2799A–11. Oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health, and creates oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance.
Key Policy Areas
Healthcare Consumers, Healthcare, Housing, Environment
Primary Purpose
The bill creates oversight of entities that provide pharmacy benefit management services Title XXVII of the Public Health Service Act (42 U.S.C, creates 2799A–11. Oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan or health insurance issuer offering group health, and creates oversight of entities that provide pharmacy benefit management services For plan years beginning on or after January 1, 2025, a group health plan (or health insurance issuer offering group health insurance.
Policy Domains
Whole bill
Identified Gains
- Patients and health care consumers affected by the bill
- Public beneficiaries or protected communities affected by the clause
- Homeowners, tenants, or housing market participants affected by the bill
- Environmental and public health interests affected by the bill
- Educational institutions and students 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
- Environmental and public health interests affected by the bill
- Homeowners, tenants, or housing market participants affected by the bill
- Electric utilities and power customers affected by the bill
Sponsors
Legislative Progress
IntroducedMr. Sanders (for himself, Mr. Cassidy, Mrs. Murray, Mr. Marshall, …
Mr. Sanders (for himself, Mr. Cassidy, Mrs. Murray, and Mr. …
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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