H.R. 1367
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Referred to the House Committee on Oversight and Government Reform.
Sponsor
Rep. Lynch, Stephen F. [D-MA-8]
Bill Details
- Update Date
- Apr 19, 2021
- Origin Chamber
- House
- Bill Type
- HR
- Bill Number
- 1,367
- Congress
- 113
- Introduced Date
- Mar 21, 2013
- Policy Area
- Government Operations and Politics
- Is Law
- No
Referred to the House Committee on Oversight and Government Reform.
Source: House floor actions
Introduced in House
Source: Library of Congress
Introduced in House
Source: Library of Congress
FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act - Prohibits the Office of Personnel Management (OPM) from entering a contract or approving a health benefits plan with a carrier that is a party to a pharmacy benefit manager (PBM) carrier arrangement to provide or administer prescription drug coverage under the Federal Employees Health Benefits Program (FEHBP) unless the PBM and the carrier comply with the requirements for PBM carrier arrangements set forth by this Act. Directs OPM to terminate a contract or discontinue a plan that fails to comply with such requirements.
Prohibits: (1) a PBM under a carrier arrangement from being under common corporate control with a prescription drug manufacturer or a retail pharmacy, and (2) OPM from permitting a carrier under common corporate control with a PBM to earn a profit from such control.
Sets forth terms and requirements for PBM carrier arrangements under the FEHBP, including: (1) drug substitution restrictions, (2) PBM reimbursement of carriers, (3) sale by a PBM of utilization and claims data, (4) drug pricing and the basis for reimbursement, (5) PBM provision to plan enrollees of an explanation of benefits statement regarding prescription drugs, (6) nondiscriminatory contracts regarding required participation, (7) OPM access to PBM contract information, and (8) civil monetary penalties for making false statements or claims to the government.
Oversight and Accountability Committee
Introduced in House
Mar 21, 2013