To prohibit group health plans and health insurance issuers from entering into contracts that would prevent or restrict patient access to drug pricing information otherwise available through consumer decision-support tools.
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill requires prohibition on blocking consumer decision-support tools Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not enter into a contract with an, and requires prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group health insurance coverage shall not enter into a contract with an entity that provides. It relies on definition changes, compliance mandates, procurement rules, and delegation of rulemaking. The main policy areas are Healthcare Consumers and Healthcare.
Who Benefits and How
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 and Patients and health care consumers affected by the bill would take on compliance duties.
Key Provisions
- Requires prohibition on blocking consumer decision-support tools Part D of title XXVII of the Public Health Service Act (42 U.S.C.
- Requires 2799A–11. Prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not enter into a contract with an...
- Requires prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group health insurance coverage shall not enter into a contract with an entity that provides...
- Requires prohibition on blocking consumer decision-support tools A group health plan offering group health insurance coverage shall not enter into a contract with an entity that provides pharmacy benefit management...
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 prohibition on blocking consumer decision-support tools Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not enter into a contract with an, and requires prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group health insurance coverage shall not enter into a contract with an entity that provides.
Key Policy Areas
Healthcare Consumers, Healthcare
Primary Purpose
The bill requires prohibition on blocking consumer decision-support tools Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group or individual health insurance coverage shall not enter into a contract with an, and requires prohibition on blocking consumer decision-support tools A group health plan or a health insurance issuer offering group health insurance coverage shall not enter into a contract with an entity that provides.
Policy Domains
Whole bill
Identified Gains
- 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
Sponsors
Legislative Progress
IntroducedMr. Marshall (for himself, Mr. Markey, Mr. Grassley, 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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