Mr. Armstrong

Summary unavailable

8. Oversight of administrative service providers Part D of title XXVII of the Public Health Service Act (42 U.S.C. 300gg–111 et seq.), as amended by section 6701(a) of the Consolidated Appropriations Act, 2026, is amended by adding at the end the following: 2799A–12.Oversight of administrative service providers(a)In generalFor plan years beginning on or after January 1 of the year that begins on …

Summary unavailable

2799A–12. Oversight of administrative service providers For plan years beginning on or after January 1 of the year that begins on or after the date that is 1 year after the date of enactment of the Patients Deserve Price Tags Act, no agreement between a group health plan that is offered by a specified large employer or that is a specified large plan (as such terms are defined in section 2799A–11(…

Summary unavailable

13. Implementation and enforcement funding There are authorized to be appropriated, such sums as may be necessary for fiscal year 2026, and each subsequent fiscal year, to enable the Secretary of Labor to carry out this Act and the amendments made by this Act, including enforcement activities. There are authorized to be appropriated, such sums as may be necessary for fiscal year 2026, and each su…

This clause introduces a compliance mandate and a reporting or study requirement: Prohibits ERISA group health plan service provider agreements that limit disclosure of pricing and claims information, requiring quarterly disclosure of methodologies, rebates, and fees. It is likely beneficial for Self-insured employers and plan sponsors (cost down). It likely creates costs, burdens, barriers, or risks for Pharmacy benefit managers (compliance burden up) and Third-party administrators (compliance burden up).

This clause introduces a compliance mandate and a reporting or study requirement: Extends administrative service provider oversight requirements to self-funded non-Federal governmental health plans, requiring quarterly disclosure of pricing and rebate information. It is likely beneficial for State and local government health plan sponsors (cost down). It likely creates costs, burdens, barriers, or risks for Health plan service providers serving governmental plans (compliance burden up) and Pharmacy benefit managers serving governmental plans (compliance burden up).

This clause introduces a compliance mandate and a reporting or study requirement: Codifies Section 726 oversight requirements for ERISA administrative service providers including disclosure of pricing formulas and rebate information to health plans. It is likely beneficial for Group health plan sponsors (cost down). It likely creates costs, burdens, barriers, or risks for Health plan service providers and TPAs (compliance burden up) and Pharmacy benefit managers (compliance burden up).