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Ending Hidden Drug Rebates: New Rules for PBMs and Health Plans.

This bill aims to prohibit secret rebates and other payments (kickbacks) for prescription drugs exchanged between drug manufacturers and Pharmacy Benefits Managers (PBMs) or health insurance plans. This change applies to both federal programs and private insurance, intending to increase transparency in drug pricing. Citizens might see a potential reduction in prescription drug costs or changes in how drug prices are set at pharmacies starting January 1, 2025.
Key points
Prohibits PBMs and health plans from receiving hidden rebates or remuneration from drug manufacturers for prescription drugs.
Removes the legal protection (safe harbor) previously shielding these rebate arrangements under federal healthcare laws.
The new requirements cover all types of health insurance coverage and take effect on January 1, 2025.
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Additional Information
Print number: 118_S_1217
Sponsor: Sen. Hawley, Josh [R-MO]
Process start date: 2023-04-19