Ending Hidden Fees from Pharmacy Benefit Managers
This act aims to lower prescription drug costs for citizens. It prohibits Pharmacy Benefit Managers (PBMs) from collecting hidden fees from health plans. Instead, PBMs will only be allowed to charge transparent, flat fees for their services, which should increase transparency and potentially reduce drug prices.
Key points
Starting January 1, 2027, Pharmacy Benefit Managers (PBMs) will be prohibited from collecting hidden fees or commissions from health plans that are tied to drug prices.
PBMs will only be allowed to charge transparent, flat fees for their services, which will not depend on drug prices or rebates obtained.
Violations of these rules will result in significant financial penalties ($10,000 per day) and the obligation to return unfairly collected money to health plans.
The goal is to increase transparency in the pharmaceutical industry and potentially lower prescription drug costs for patients.
Introduced
Additional Information
Print number: 119_HR_2214
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1]
Process start date: 2025-03-18