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Drug Price Transparency: Rebates Must Go Directly to Patients at Sale

This law changes rules for prescription drug rebates in Medicare and private health insurance plans. Its primary goal is to ensure that all discounts negotiated by middlemen (PBMs) are immediately passed on to patients at the point of sale. This aims to reduce the out-of-pocket costs citizens pay directly at the pharmacy counter.
Key points
All drug discounts must now be reflected directly in the price at the pharmacy counter, immediately lowering the cost for the patient.
These rules apply to both federal insurance programs (Medicare) and all private health plans.
Compensation for Pharmacy Benefit Managers (PBMs) must shift to transparent, flat service fees, eliminating incentives tied to drug list prices.
article Official text account_balance Process page
Expired
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Additional Information
Print number: 118_S_1131
Sponsor: Sen. Braun, Mike [R-IN]
Process start date: 2023-03-30
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Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Drug Price Transparency Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_1131.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-03-30.

What are the main provisions?

Key points include:

  • All drug discounts must now be reflected directly in the price at the pharmacy counter, immediately lowering the cost for the patient.
  • These rules apply to both federal insurance programs (Medicare) and all private health plans.
  • Compensation for Pharmacy Benefit Managers (PBMs) must shift to transparent, flat service fees, eliminating incentives tied to drug list prices.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Braun, Mike [R-IN].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-26.

CATEGORIES

Health Economy