S1542-118

Introduced

To improve services provided by pharmacy benefit managers.

118th Congress Introduced May 10, 2023

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 improving pharmacy benefit manager services Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees, and requires improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees from any. 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

The main beneficiaries are the people, organizations, or agencies identified in the bill's substantive provisions.

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 improving pharmacy benefit manager services Part D of title XXVII of the Public Health Service Act (42 U.S.C.
  • Requires 2799A–11. Improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees...
  • Requires improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees from any...

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 improving pharmacy benefit manager services Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees, and requires improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees from any.

Key Policy Areas

Healthcare Consumers, Finance, Housing, Healthcare

Primary Purpose

The bill requires improving pharmacy benefit manager services Part D of title XXVII of the Public Health Service Act (42 U.S.C, requires 2799A–11. Improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees, and requires improving pharmacy benefit manager services For plan years beginning on or after January 1, 2026, except as provided in subsection (b), a pharmacy benefit manager shall not charge or receive fees from any.

Policy Domains

Healthcare Consumers Finance Housing Healthcare

Whole 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
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Businesses and employers affected by the bill: , , ,
Patients and health care consumers affected by the bill: , , ,
Homeowners, tenants, or housing market participants affected by the bill: , , ,
Federal, state, or local agencies responsible for implementing the clause: , , ,

Legislative Progress

Introduced
Introduced Committee Passed
May 10, 2023

Mr. Marshall (for himself, Mr. Tester, Mr. Braun, Mr. Kaine, …

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?

Domains
Healthcare Consumers Finance Housing Healthcare

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