Bill113th Congress

S. 867

Medicare Prescription Drug Program Integrity and Transparency Act of 2013

Ask AI
Introduced
May 6, 2013
Origin Chamber
Senate
Policy Area
Health
Latest Action
May 6, 2013

Sponsor

Sen. Pryor, Mark L. [D-AR]

Democrat·AR
Bioguide ID: P000590
First Name: Mark
Middle Name: Lunsford
Last Name: Pryor
By Request: N
5
Cosponsors
1
Committees
2
Actions
0
Amendments
1
Related Bills
5
Subjects
1
Summaries
3
Titles
1
Text Versions

Bill Details

Update Date
Jan 11, 2023
Origin Chamber
Senate
Bill Type
S
Bill Number
867
Congress
113
Introduced Date
May 6, 2013
Policy Area
Health
Is Law
No
May 6, 2013IntroReferral

Read twice and referred to the Committee on Finance.

Source: Senate

May 6, 2013IntroReferral10000

Introduced in Senate

Source: Library of Congress

Introduced in Senate· May 6, 20130

Medicare Prescription Drug Program Integrity and Transparency Act of 2013 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to require each contract entered into with a prescription drug plan (PDP) sponsor with respect to a PDP the sponsor offers to prohibit the PDP from entering into a contract with any pharmacy benefits manager (PBM) to manage the prescription drug coverage provided under such plan, or to control the costs of the prescription drug coverage under it, unless the manager satisfies specified PBM audit and disclosure requirements.

Requires a PBM to provide: (1) a particular aggregate average reimbursement rate for generics or a maximum average discount off of an accepted pharmaceutical pricing benchmark for multi-source generics as a whole ("generic effective rate"), and (2) a process for the generic effective rate to be appealed.

Revises requirements for contracts with PDP sponsors to require that the PDP sponsor or a subcontractor of the sponsor disclose to a pharmacy, at the time when a contract is offered and at least once every seven days, the methodology and actual per unit reimbursement amount for each covered drug for each contracted pharmacy.

Finance Committee

Senate· Standing
Accounting and auditingHealth information and medical recordsMedicarePrescription drugsPublic contracts and procurement

Introduced in Senate

May 6, 2013

Medicare Prescription Drug Program Integrity and Transparency Act of 2013 — Informed