Bill113th Congress

H.R. 1367

FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act

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Introduced
Mar 21, 2013
Origin Chamber
House
Policy Area
Government Operations and Politics
Latest Action
Mar 21, 2013

Sponsor

Rep. Lynch, Stephen F. [D-MA-8]

Democrat·MA-8
Bioguide ID: L000562
First Name: Stephen
Middle Name: F.
Last Name: Lynch
By Request: N
3
Cosponsors
1
Committees
3
Actions
0
Amendments
0
Related Bills
6
Subjects
1
Summaries
3
Titles
1
Text Versions

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
Mar 21, 2013IntroReferralH11100

Referred to the House Committee on Oversight and Government Reform.

Source: House floor actions

Mar 21, 2013IntroReferralIntro-H

Introduced in House

Source: Library of Congress

Mar 21, 2013IntroReferral1000

Introduced in House

Source: Library of Congress

Introduced in House· Mar 21, 20130

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

House· Standing
Business recordsConsumer affairsGovernment employee pay, benefits, personnel managementHealth care costs and insurancePrescription drugsPublic contracts and procurement

Introduced in House

Mar 21, 2013