FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act
Latest action · Mar 18, 2011 Referred to the Subcommittee on Federal Workforce, U.S. Postal Service, and Labor Policy.
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.
- IntroducedMar 9, 2011
- 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 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.
Cosponsors 8
Members who signed on, in the order they did. Signatures ran from Mar 9, 2011 to Mar 5, 2012, with 5 there on the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-DC | Eleanor Holmes Norton | Original | Mar 9, 2011 |
| D-MD | Elijah E. Cummings | Original | Mar 9, 2011 |
| D-VA | Gerald E. Connolly | Original | Mar 9, 2011 |
| D-VA | James P. Moran | Original | Mar 9, 2011 |
| D-MO | Wm. Lacy Clay | Original | Mar 9, 2011 |
| D-CA | Bob Filner | Mar 5, 2012 | |
| D-CA | Lynn C. Woolsey | Mar 5, 2012 | |
| R-NC | Walter B. Jones | Mar 5, 2012 |
Actions 3
Everything that happened, newest first.
- Mar 18, 2011Referred to the Subcommittee on Federal Workforce, U.S. Postal Service, and Labor Policy.
- Mar 9, 2011Introduced in House
- Mar 9, 2011Referred to the House Committee on Oversight and Government Reform.
Subjects
Assigned by the Library of Congress. Policy area: Government Operations and Politics.
Text 1
Each version as it was printed, newest first.
- Mar 9, 2011Introduced 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.