FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Latest action · Mar 24, 2010 Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedJan 21, 2010
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
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 requirements of this Act. Directs OPM to terminate a contract or discontinue a plan that fails to comply.
Prohibits: (1) a pharmaceutical drug manufacturer or retail pharmacy from having a controlling interest in the PBM; or (2) the PBM from having a controlling interest in a retail pharmacy. Requires each carrier to certify PBM compliance annually. Prohibits OPM from permitting a carrier that has a controlling interest in a PBM to earn a profit from such interest with respect to an FEHBP contract.
Sets forth requirements of PBM arrangements under the FEHBP, including regarding: (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) provisions of an explanation of benefits to enrollees; (6) nondiscriminatory contracts regarding required participation; (7) OPM access to PBM contract information; (8) civil monetary penalties for making false statements or claims to the government; and (9) reports from drug manufacturers on average manufacturer prices for drugs each quarter.
Cosponsors 16
Members who signed on, in the order they did. Signatures ran from Jan 21, 2010 to Sep 14, 2010; 2 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-MD | Elijah E. Cummings | Original | Jan 21, 2010 |
| D-VA | Gerald E. Connolly | Original | Jan 21, 2010 |
| D-TX | Lloyd Doggett | Feb 22, 2010 | |
| D-NY | Anthony D. Weiner | Mar 11, 2010 | |
| D-OH | Dennis J. Kucinich | Mar 11, 2010 | |
| D-DC | Eleanor Holmes Norton | Mar 11, 2010 | |
| D-MO | Wm. Lacy Clay | Mar 11, 2010 | |
| D-NH | Paul W. Hodes | Mar 20, 2010 | |
| D-OH | Steve Driehaus | Mar 20, 2010 | |
| D-MA | Bill Delahunt | Apr 15, 2010 | |
| D-CA | Judy Chu | Apr 15, 2010 | |
| D-CA | Bob Filner | Apr 22, 2010 | |
| D-VA | James P. Moran | Apr 22, 2010 | |
| D-IN | Peter J. Visclosky | Apr 22, 2010 | |
| D-CA | Linda T. Sánchez | May 27, 2010 | |
| D-GA | Jim Marshall | Sep 14, 2010 |
Committees 1
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Oversight and Government Reform Committee | Referred Jan 21, 2010 |
| Information Technology Subcommittee | Referred Feb 12, 2010Hearings Feb 23, 2010Markup Mar 24, 2010Reported Mar 24, 2010 |
Actions 7
Everything that happened, newest first.
- Mar 24, 2010Subcommittee Consideration and Mark-up Session Held.
- Mar 24, 2010Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .
- Feb 23, 2010Subcommittee Hearings Held.
- Feb 12, 2010Referred to the Subcommittee on Federal Workforce, Post Office, and the District of Columbia.
- Jan 21, 2010Introduced in House
In the Congressional Record 1
Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.
| Where | In the Record | Members | Date |
|---|---|---|---|
| Extensions | Debate and remarks E70 | Stephen F. Lynch D-MA | Jan 21, 2010 |
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Printed hearings 1
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| Serial No. 111-72 | H.R. 4489, THE FEHBP PRESCRIPTION DRUG INTEGRITY, TRANSPARENCY, AND COST SAVINGS ACT229 pages | Oversight and Government Reform Committee | Feb 23, 2010 |
Titles 2
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To amend chapter 89 of title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefits Program.
- Short Titles as Introduced
- FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Subjects
Assigned by the Library of Congress. Policy area: Government Operations and Politics.
Text 1
Each version as it was printed, newest first.
- Jan 21, 2010Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
